{ "baseline": [ { "study_id": "mimic_50981777", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p12/p12810135/s50981777/14d22854-f75c9939-e36fa170-315d2ccb-2fc011e3.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH\n \n INDICATION: Pre-CABG, evaluation for abnormalities.\n \n COMPARISON: No comparison available at the time of dictation.\n \n FINDINGS: The lung volumes are normal. Mild cardiomegaly with tortuosity of\n the thoracic aorta. No current pulmonary edema. Minimal atelectasis at the\n right lung base but no evidence of pneumonia. No pleural effusions. Normal\n aspect of the mediastinal structures.", "findings": "The lung volumes are normal. Mild cardiomegaly with tortuosity of\n the thoracic aorta. No current pulmonary edema. Minimal atelectasis at the\n right lung base but no evidence of pneumonia. No pleural effusions. Normal\n aspect of the mediastinal structures.", "impression": "", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "12810135", "view_position": "AP", "comparison": "No comparison available at the time of dictation.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "0.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "0.0", "Pleural Other": "", "Pneumonia": "0.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2116-11-28", "admission_info": { "hadm_id": 20853250, "admittime": "2116-11-28 21:10:00", "dischtime": "2116-12-05 17:00:00", "admission_type": "URGENT", "demographics": { "age": 79, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "4139", "version": 9, "description": "Other and unspecified angina pectoris" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "2749", "version": 9, "description": "Gout, unspecified" }, { "code": "7245", "version": 9, "description": "Backache, unspecified" }, { "code": "33829", "version": 9, "description": "Other chronic pain" }, { "code": "4919", "version": 9, "description": "Unspecified chronic bronchitis" } ], "labs": [ { "label": "Anion Gap", "value": "11", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "28", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "103", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.3", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.5", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "138", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "23", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "11.9", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "34.2", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "244", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "8.4", "unit": "K/uL", "flag": "normal" }, { "label": "Lactate", "value": "0.6", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_53861171", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg", "report_gt": "FINAL REPORT\n CHEST ON ___\n \n HISTORY: Status post CABG.\n \n REFERENCE EXAM: ___.\n \n FINDINGS: Right IJ line and bilateral chest tubes, sternal wires and\n mediastinal clips are unchanged. A tiny left apical lateral pneumothorax is\n visualized. The right pneumothorax is probably still present but is very\n difficult to see. Both of these are smaller than on the film from the prior\n day. Continues to be retrocardiac opacity and volume loss/infiltrate in both\n lower lungs.", "findings": "Right IJ line and bilateral chest tubes, sternal wires and\n mediastinal clips are unchanged. A tiny left apical lateral pneumothorax is\n visualized. The right pneumothorax is probably still present but is very\n difficult to see. Both of these are smaller than on the film from the prior\n day. Continues to be retrocardiac opacity and volume loss/infiltrate in both\n lower lungs.", "impression": "", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "16043240", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "1.0", "Support Devices": "1.0" } }, "eval_track": "baseline" }, { "study_id": "mimic_50740442", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p16/p16043637/s50740442/bda348c8-c2a90c97-af289a1e-0d1b064c-564703d7.jpg", "report_gt": "FINAL REPORT\n CHEST\n \n HISTORY: Worsening shortness of breath.\n \n REFERENCE EXAM: ___.\n \n FINDINGS: The heart size is mildly enlarged. Prosthetic aortic valve is\n again visualized. Sternal wires are seen. There is no focal infiltrate or\n effusion. There is some ill definition of the left heart border that could be\n due to rotation and fat pad, but a small underlying infiltrate cannot be\n excluded.", "findings": "The heart size is mildly enlarged. Prosthetic aortic valve is\n again visualized. Sternal wires are seen. There is no focal infiltrate or\n effusion. There is some ill definition of the left heart border that could be\n due to rotation and fat pad, but a small underlying infiltrate cannot be\n excluded.", "impression": "", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "16043637", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "-1.0", "No Finding": "", "Pleural Effusion": "0.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" } }, "eval_track": "baseline" }, { "study_id": "mimic_55027268", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11934114/s55027268/e32d8967-9d4234f1-98ac9b11-3c5e73f4-cc690e1a.jpg", "report_gt": "FINAL REPORT\n EXAM: Chest single semi-erect AP portable view.\n \n CLINICAL INFORMATION: ___-year-old female with history of lethargy.\n \n COMPARISON: None.\n \n FINDINGS: Single AP upright portable view of the chest was obtained. The\n patient is rotated to the left. Large area of opacification involving the\n right mid to lower lung suggests pleural effusion with overlying atelectasis,\n underlying consolidation cannot be excluded. There is also blunting of the\n left costophrenic angle which may be due to pleural effusion. The left\n retrocardiac opacity and obscuration of the left hemidiaphragm is seen, may be\n due to pleural effusion and atelectasis although underlying consolidation not\n excluded. The cardiac and mediastinal silhouettes are shifted leftward of\n midline presumably due to patient positioning/rotation. Suggest repeat with\n better positioning when patient able.", "findings": "Single AP upright portable view of the chest was obtained. The\n patient is rotated to the left. Large area of opacification involving the\n right mid to lower lung suggests pleural effusion with overlying atelectasis,\n underlying consolidation cannot be excluded. There is also blunting of the\n left costophrenic angle which may be due to pleural effusion. The left\n retrocardiac opacity and obscuration of the left hemidiaphragm is seen, may be\n due to pleural effusion and atelectasis although underlying consolidation not\n excluded. The cardiac and mediastinal silhouettes are shifted leftward of\n midline presumably due to patient positioning/rotation. Suggest repeat with\n better positioning when patient able.", "impression": "", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "11934114", "view_position": "AP", "comparison": "None.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "1.0", "Edema": "", "Enlarged Cardiomediastinum": "1.0", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2136-04-07", "admission_info": { "hadm_id": 21617583, "admittime": "2136-04-07 14:40:00", "dischtime": "2136-05-07 17:48:00", "admission_type": "URGENT", "demographics": { "age": 84, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "03842", "version": 9, "description": "Septicemia due to escherichia coli [E. coli]" }, { "code": "70724", "version": 9, "description": "Pressure ulcer, stage IV" }, { "code": "70703", "version": 9, "description": "Pressure ulcer, lower back" }, { "code": "34982", "version": 9, "description": "Toxic encephalopathy" }, { "code": "5845", "version": 9, "description": "Acute kidney failure with lesion of tubular necrosis" }, { "code": "42823", "version": 9, "description": "Acute on chronic systolic heart failure" }, { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "00845", "version": 9, "description": "Intestinal infection due to Clostridium difficile" }, { "code": "2532", "version": 9, "description": "Panhypopituitarism" }, { "code": "28731", "version": 9, "description": "Immune thrombocytopenic purpura" }, { "code": "73018", "version": 9, "description": "Chronic osteomyelitis, other specified sites" }, { "code": "2761", "version": 9, "description": "Hyposmolality and/or hyponatremia" }, { "code": "6828", "version": 9, "description": "Cellulitis and abscess of other specified sites" }, { "code": "2930", "version": 9, "description": "Delirium due to conditions classified elsewhere" }, { "code": "V850", "version": 9, "description": "Body Mass Index less than 19, adult" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "2631", "version": 9, "description": "Malnutrition of mild degree" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "5853", "version": 9, "description": "Chronic kidney disease, Stage III (moderate)" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "29040", "version": 9, "description": "Vascular dementia, uncomplicated" }, { "code": "3963", "version": 9, "description": "Mitral valve insufficiency and aortic valve insufficiency" }, { "code": "3970", "version": 9, "description": "Diseases of tricuspid valve" }, { "code": "56409", "version": 9, "description": "Other constipation" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "2512", "version": 9, "description": "Hypoglycemia, unspecified" }, { "code": "2767", "version": 9, "description": "Hyperpotassemia" }, { "code": "2859", "version": 9, "description": "Anemia, unspecified" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "5293", "version": 9, "description": "Hypertrophy of tongue papillae" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "V5865", "version": 9, "description": "Long-term (current) use of steroids" }, { "code": "V1302", "version": 9, "description": "Personal history, urinary (tract) infection" }, { "code": "V4364", "version": 9, "description": "Hip joint replacement" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "V1254", "version": 9, "description": "Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits" }, { "code": "E9308", "version": 9, "description": "Other specified antibiotics causing adverse effects in therapeutic use" }, { "code": "E9315", "version": 9, "description": "Other antiprotozoal drugs causing adverse effects in therapeutic use" } ], "labs": [ { "label": "Anion Gap", "value": "19", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "16", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "104", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.8", "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": "135", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "BUN", "value": "34", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "12.5", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "32.8", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "___", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "___", "unit": "K/uL", "flag": "normal" }, { "label": "Lactate", "value": "___", "unit": "mmol/L", "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_50844004", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p17/p17168993/s50844004/f247ce2e-c31bcf04-9a2b6df8-40d590b5-a96518b7.jpg", "report_gt": "FINAL REPORT\n SINGLE FRONTAL VIEW OF THE CHEST\n \n REASON FOR EXAM: Left intraventricular hemorrhage, evaluate for pulmonary\n process.\n \n There are no prior studies available for comparison.\n \n There is moderate cardiomegaly. There is tortuosity of the aortic arch and is\n most likely dilated. There is no pneumothorax or pleural effusion. There is\n mild vascular congestion. Right lower lobe opacities are likely atelectasis. \n Several old left rib fractures are noted.\n \n IMPRESSION:\n 1. Likely aortic aneurysm, when clinically feasible, CT with contrast is\n recommended. \n 2. Mild vascular congestion.\n 3. Right lower lobe atelectasis.\n 4. Cardiomegaly.\n \n Findings were discussed with ___ by phone at 4.___ pm on ___", "findings": "were discussed with ___ by phone at 4.___ pm on ___", "impression": "1. Likely aortic aneurysm, when clinically feasible, CT with contrast is\n recommended. \n 2. Mild vascular congestion.\n 3. Right lower lobe atelectasis.\n 4. Cardiomegaly.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "17168993", "view_position": "AP", "comparison": ".", "chexpert_labels": { "Atelectasis": "1.0", "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": "2140-05-30", "admission_info": { "hadm_id": 24427585, "admittime": "2140-05-28 20:56:00", "dischtime": "2140-06-10 14:15:00", "admission_type": "EW EMER.", "demographics": { "age": 82, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "431", "version": 9, "description": "Intracerebral hemorrhage" }, { "code": "34982", "version": 9, "description": "Toxic encephalopathy" }, { "code": "2761", "version": 9, "description": "Hyposmolality and/or hyponatremia" }, { "code": "42822", "version": 9, "description": "Chronic systolic heart failure" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "28529", "version": 9, "description": "Anemia of other chronic disease" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "code": "27652", "version": 9, "description": "Hypovolemia" }, { "code": "79311", "version": 9, "description": "Solitary pulmonary nodule" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "4439", "version": 9, "description": "Peripheral vascular disease, unspecified" }, { "code": "496", "version": 9, "description": "Chronic airway obstruction, not elsewhere classified" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "78060", "version": 9, "description": "Fever, unspecified" }, { "code": "E9361", "version": 9, "description": "Hydantoin derivatives causing adverse effects in therapeutic use" }, { "code": "V1588", "version": 9, "description": "History of fall" }, { "code": "56400", "version": 9, "description": "Constipation, unspecified" }, { "code": "79092", "version": 9, "description": "Abnormal coagulation profile" }, { "code": "78820", "version": 9, "description": "Retention of urine, unspecified" } ], "labs": [ { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "27", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "104", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.2", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.7", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "140", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "24", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "10.4", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "35.9", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "122", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "5.4", "unit": "K/uL", "flag": "normal" }, { "label": "CRP", "value": "___", "unit": "mg/L", "flag": "abnormal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" } ] } }, "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_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_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_56495546", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p15/p15938635/s56495546/2f2f5511-1fc4dccc-bbc1203a-f97f7298-b099de12.jpg", "report_gt": "FINAL REPORT\n HISTORY: Right clavicle and multiple rib fractures, to assess for lung\n expansion.\n \n FINDINGS: Allowing for the AP projection, there is good expansion of the\n right lung with no evidence of acute pneumonia or pneumothorax. Fracture of\n the mid shaft of the right clavicle with overriding of the fragments and\n several rib fractures on the right are seen.", "findings": "Allowing for the AP projection, there is good expansion of the\n right lung with no evidence of acute pneumonia or pneumothorax. Fracture of\n the mid shaft of the right clavicle with overriding of the fragments and\n several rib fractures on the right are seen.", "impression": "", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "15938635", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "1.0", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "0.0", "Pneumothorax": "0.0", "Support Devices": "" }, "study_date": "2189-03-22", "admission_info": { "hadm_id": 20968983, "admittime": "2189-03-21 22:52:00", "dischtime": "2189-03-23 14:39:00", "admission_type": "EW EMER.", "demographics": { "age": 70, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "81002", "version": 9, "description": "Closed fracture of shaft of clavicle" }, { "code": "80702", "version": 9, "description": "Closed fracture of two ribs" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "185", "version": 9, "description": "Malignant neoplasm of prostate" }, { "code": "2449", "version": 9, "description": "Unspecified acquired hypothyroidism" }, { "code": "E8162", "version": 9, "description": "Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring motorcyclist" } ], "labs": [] } }, "eval_track": "baseline" }, { "study_id": "mimic_53482917", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14081759/s53482917/4d69cce1-fecc3019-ee62f6c0-dc12a81e-ae02844a.jpg", "report_gt": "FINAL REPORT\n HISTORY: Pulmonary edema.\n \n FINDINGS: No previous images. There is hyperexpansion of the lungs\n suggestive of chronic pulmonary disease. Prominence of engorged and\n ill-defined pulmonary vessels is consistent with the clinical diagnosis of\n pulmonary vascular congestion, though in the absence of previous images it is\n difficult to determine whether any this appearance could reflect underlying\n chronic pulmonary disease. The possibility of supervening consolidation would\n be impossible to exclude on this single study, especially without a lateral\n view.\n \n No evidence of pneumothorax.", "findings": "No previous images. There is hyperexpansion of the lungs\n suggestive of chronic pulmonary disease. Prominence of engorged and\n ill-defined pulmonary vessels is consistent with the clinical diagnosis of\n pulmonary vascular congestion, though in the absence of previous images it is\n difficult to determine whether any this appearance could reflect underlying\n chronic pulmonary disease. The possibility of supervening consolidation would\n be impossible to exclude on this single study, especially without a lateral\n view.\n \n No evidence of pneumothorax.", "impression": "", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "14081759", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "1.0", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "0.0", "Support Devices": "" }, "study_date": "2152-02-26", "admission_info": { "hadm_id": 25312298, "admittime": "2152-02-25 21:06:00", "dischtime": "2152-03-02 19:12:00", "admission_type": "EW EMER.", "demographics": { "age": 66, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "48282", "version": 9, "description": "Pneumonia due to escherichia coli [E. coli]" }, { "code": "5559", "version": 9, "description": "Regional enteritis of unspecified site" }, { "code": "2536", "version": 9, "description": "Other disorders of neurohypophysis" }, { "code": "4928", "version": 9, "description": "Other emphysema" }, { "code": "7200", "version": 9, "description": "Ankylosing spondylitis" }, { "code": "1363", "version": 9, "description": "Pneumocystosis" }, { "code": "2899", "version": 9, "description": "Unspecified diseases of blood and blood-forming organs" }, { "code": "79902", "version": 9, "description": "Hypoxemia" }, { "code": "2819", "version": 9, "description": "Unspecified deficiency anemia" }, { "code": "28850", "version": 9, "description": "Leukocytopenia, unspecified" }, { "code": "7856", "version": 9, "description": "Enlargement of lymph nodes" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "E9478", "version": 9, "description": "Other drugs and medicinal substances causing adverse effects in therapeutic use" } ], "labs": [ { "label": "Anion Gap", "value": "11", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "25", "unit": "mEq/L", "flag": "normal" }, { "label": "CRP", "value": "___", "unit": "mg/L", "flag": "abnormal" }, { "label": "Chloride", "value": "106", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.9", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.5", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "138", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "14", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "13.4", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "33.8", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "142", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "3.5", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "___", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_57142742", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13914812/s57142742/19685c5a-8abf83ed-143d0e05-53e3ce3c-d35eec35.jpg", "report_gt": "WET READ: ___ ___ ___ 12:02 AM\n Low lung vols. LLL opacity, likely atelectasis, + small effusion.\n ______________________________________________________________________________\n FINAL REPORT\n CHEST RADIOGRAPH\n \n INDICATION: Status post spinal reconstruction.\n \n COMPARISON: No comparison available at the time of dictation.\n \n FINDINGS: Status post spinal reconstruction with according postoperative\n devices in situ. Right internal jugular vein catheter in correct position. \n Cutaneous clips.\n \n The lung volumes are low. There is atelectasis in the retrocardiac lung\n region. Borderline size of the cardiac silhouette without evidence of\n pulmonary edema or pleural effusions. No focal parenchymal opacities\n indicating pneumonia.", "findings": "Status post spinal reconstruction with according postoperative\n devices in situ. Right internal jugular vein catheter in correct position. \n Cutaneous clips.\n \n The lung volumes are low. There is atelectasis in the retrocardiac lung\n region. Borderline size of the cardiac silhouette without evidence of\n pulmonary edema or pleural effusions. No focal parenchymal opacities\n indicating pneumonia.", "impression": "", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "13914812", "view_position": "AP", "comparison": "No comparison available at the time of dictation.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "0.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "0.0", "No Finding": "", "Pleural Effusion": "0.0", "Pleural Other": "", "Pneumonia": "1.0", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2154-08-24", "admission_info": { "hadm_id": 24787301, "admittime": "2154-08-23 07:15:00", "dischtime": "2154-09-05 16:10:00", "admission_type": "SURGICAL SAME DAY ADMISSION", "demographics": { "age": 66, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "73313", "version": 9, "description": "Pathologic fracture of vertebrae" }, { "code": "1985", "version": 9, "description": "Secondary malignant neoplasm of bone and bone marrow" }, { "code": "2536", "version": 9, "description": "Other disorders of neurohypophysis" }, { "code": "4580", "version": 9, "description": "Orthostatic hypotension" }, { "code": "V103", "version": 9, "description": "Personal history of malignant neoplasm of breast" }, { "code": "V4364", "version": 9, "description": "Hip joint replacement" }, { "code": "3501", "version": 9, "description": "Trigeminal neuralgia" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "2720", "version": 9, "description": "Pure hypercholesterolemia" }, { "code": "3383", "version": 9, "description": "Neoplasm related pain (acute) (chronic)" } ], "labs": [ { "label": "Hemoglobin", "value": "12.5", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "35.9", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "192", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "5.3", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "15", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "22", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "97", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.5", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.7", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "130", "unit": "mEq/L", "flag": "abnormal" }, { "label": "BUN", "value": "13", "unit": "mg/dL", "flag": "normal" } ] } }, "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_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": "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_patient64637_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64637/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nStable cholecystectomy clips. Interval placement of epidural catheter \nand left chest tube after resection of left upper lung zone nodule. \nNo pneumothorax. No pleural effusions. Lung fields clear. Heart size \nnormal.\n\nIMPRESSION:\n1. Post surgical changes with left-sided chest tube with no \npneumothorax.\n \n \n \nPhysician to Physician Radiology Consult Line: (720) 395-9359\nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Stable cholecystectomy clips. Interval placement of epidural catheter \nand left chest tube after resection of left upper lung zone nodule. \nNo pneumothorax. No pleural effusions. Lung fields clear. Heart size \nnormal.", "impression": "1. Post surgical changes with left-sided chest tube with no \npneumothorax.\n \n \n \nPhysician to Physician Radiology Consult Line: (720) 395-9359\nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64637", "report_date_order": 1, "view_position": "AP", "comparison": "7-5", "age": "60.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64621_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64621/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSingle view of the chest dated 12-6-2007 at 08:48 redemonstrates\nright apical chest tube. Persistent low lung volumes. Residual\nsmall right apical pneumothorax. Band-like atelectasis at the right\nlung base which has increased since the prior examination. No\nadditional focal opacities or effusions noted.\nSingle view of the chest dated 12-6-2007 at 15:06 demonstrates\ninterval removal of right sided chest tube. Possible tiny residual\nright apical pneumothorax. Improved aeration of both lung bases\nwith interval decrease in prior noted atelectasis. Redemonstration\nof distal clavicle resection and sutures within the humeral head of\nthe left shoulder.\n\nIMPRESSION:\n1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND\nSUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "findings": "Single view of the chest dated 12-6-2007 at 08:48 redemonstrates\nright apical chest tube. Persistent low lung volumes. Residual\nsmall right apical pneumothorax. Band-like atelectasis at the right\nlung base which has increased since the prior examination. No\nadditional focal opacities or effusions noted.\nSingle view of the chest dated 12-6-2007 at 15:06 demonstrates\ninterval removal of right sided chest tube. Possible tiny residual\nright apical pneumothorax. Improved aeration of both lung bases\nwith interval decrease in prior noted atelectasis. Redemonstration\nof distal clavicle resection and sutures within the humeral head of\nthe left shoulder.", "impression": "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND\nSUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64621", "report_date_order": 2, "view_position": "AP", "comparison": "Single view of the chest 12/6/2007 at 16:25.", "age": "65.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64690_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64690/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nInterval development of moderate bilateral pleural effusions. The \nheart size remains enlarged, and evaluation is partially obscured by \nthe mildly elevated left hemidiaphragm. Pulmonary vasculature is \nindistinct, and findings are compatible with mild pulmonary edema. \nBibasilar opacities likely also reflect compressive orifices from the \nbilateral pleural effusions. Fiducial markers projecting over the \nleft lung apex are redemonstrated, with underlying nodule compatible \nwith lesion treated pulmonary malignancy.\n\nIMPRESSION:\n1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL \nPLEURAL EFFUSIONS. \n \n2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE \nATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT \nASPIRATION OR INFECTION CAN BE OBSCURED \n \n3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "findings": "Interval development of moderate bilateral pleural effusions. The \nheart size remains enlarged, and evaluation is partially obscured by \nthe mildly elevated left hemidiaphragm. Pulmonary vasculature is \nindistinct, and findings are compatible with mild pulmonary edema. \nBibasilar opacities likely also reflect compressive orifices from the \nbilateral pleural effusions. Fiducial markers projecting over the \nleft lung apex are redemonstrated, with underlying nodule compatible \nwith lesion treated pulmonary malignancy.", "impression": "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL \nPLEURAL EFFUSIONS. \n \n2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE \nATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT \nASPIRATION OR INFECTION CAN BE OBSCURED \n \n3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64690", "report_date_order": 4, "view_position": "AP", "comparison": "Chest x-ray 3-28-2020", "age": "84.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64720_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64720/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nStable appearance of endotracheal tube. Interval placement of a left \ninternal jugular central venous catheter with the tip 3.7 cm below \nthe carina. The catheter appears more lateral than expected but \nconfirmed to be within the left internal jugular vein on the \nsubsequent CT angiogram of the head and neck from 6/10/2016. \nNo visible pneumothorax. There is improved aeration of the left lung \nbase suggestive of improving atelectasis. No significant interval \nchanges with stable cardiomediastinal silhouette. No acute osseous \nabnormalities.\n\nIMPRESSION:\n1. Interval placement of a left internal jugular central venous \ncatheter with the tip near the cavoatrial junction. No visible \npneumothorax.\n2. Improved aeration of the left lung base suggestive of improving \natelectasis.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Stable appearance of endotracheal tube. Interval placement of a left \ninternal jugular central venous catheter with the tip 3.7 cm below \nthe carina. The catheter appears more lateral than expected but \nconfirmed to be within the left internal jugular vein on the \nsubsequent CT angiogram of the head and neck from 6/10/2016. \nNo visible pneumothorax. There is improved aeration of the left lung \nbase suggestive of improving atelectasis. No significant interval \nchanges with stable cardiomediastinal silhouette. No acute osseous \nabnormalities.", "impression": "1. Interval placement of a left internal jugular central venous \ncatheter with the tip near the cavoatrial junction. No visible \npneumothorax.\n2. Improved aeration of the left lung base suggestive of improving \natelectasis.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64720", "report_date_order": 1, "view_position": "AP", "comparison": "6-10-2016 at 3:16 PM", "age": "77.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64625_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64625/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe heart is within normal limits of size. The lungs are clear\nwithout focal opacity or pleural effusion. Deformity of several\nleft sided ribs appears chronic and may be the result of prior\ntrauma.\n\nIMPRESSION:\n1. NO FOCAL PULMONARY OPACITY OR PLEURAL EFFUSION. THERE IS NO\nPNEUMOTHORAX.", "findings": "The heart is within normal limits of size. The lungs are clear\nwithout focal opacity or pleural effusion. Deformity of several\nleft sided ribs appears chronic and may be the result of prior\ntrauma.", "impression": "1. NO FOCAL PULMONARY OPACITY OR PLEURAL EFFUSION. THERE IS NO\nPNEUMOTHORAX.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64625", "report_date_order": 2, "view_position": "PA", "comparison": "None available.", "age": "75.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64617_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64617/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere is straightening of the left heart border with mild splaying\nof the carina. The cardiac silhouette is mildly enlarged. The\npulmonary vessels are unremarkable. No pneumothorax. No focal\nconsolidation or atelectasis.\n\nIMPRESSION:\n1. CARDIOMEGALY.\n2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT.\n3. THERE IS NO EVIDENCE FOR EDEMA.", "findings": "There is straightening of the left heart border with mild splaying\nof the carina. The cardiac silhouette is mildly enlarged. The\npulmonary vessels are unremarkable. No pneumothorax. No focal\nconsolidation or atelectasis.", "impression": "1. CARDIOMEGALY.\n2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT.\n3. THERE IS NO EVIDENCE FOR EDEMA.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64617", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "56.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64586_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64586/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nLow lung volumes. There are heterogeneous bibasilar and \nretrocardiac opacities, which are more likely atelectasis, given the \nlow lung volumes. However, in the appropriate clinical setting, this \ncould also represent early infection. No evidence of pleural \neffusions or pulmonary edema. Cardiomediastinal silhouette is within \nnormal limits. Visualized osseous structures are intact.\n\nIMPRESSION:\n1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY \nREPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE \nAPPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY \nINFECTION. \n \n2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "findings": "Low lung volumes. There are heterogeneous bibasilar and \nretrocardiac opacities, which are more likely atelectasis, given the \nlow lung volumes. However, in the appropriate clinical setting, this \ncould also represent early infection. No evidence of pleural \neffusions or pulmonary edema. Cardiomediastinal silhouette is within \nnormal limits. Visualized osseous structures are intact.", "impression": "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY \nREPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE \nAPPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY \nINFECTION. \n \n2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64586", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "68.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64613_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64613/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSmall right pleural effusion has diminished. Prior loculated small \npneumothorax at the right lung base has cleared.\nPost thoracotomy findings appear stable. The heart and vessels are \nunremarkable. Right humerus hardware again noted.\n\nIMPRESSION:\n1. Decreased fluid and resolved small pneumothorax at the right lung \nbase.", "findings": "Small right pleural effusion has diminished. Prior loculated small \npneumothorax at the right lung base has cleared.\nPost thoracotomy findings appear stable. The heart and vessels are \nunremarkable. Right humerus hardware again noted.", "impression": "1. Decreased fluid and resolved small pneumothorax at the right lung \nbase.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64613", "report_date_order": 11, "view_position": "PA", "comparison": "11-2002 and prior", "age": "30.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64684_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64684/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nAP upright view of the chest demonstrates persistent left \npleural effusion and increasing left lower lobe consolidation.\n\nIMPRESSION:\n1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT \nPLEURAL EFFUSION.", "findings": "AP upright view of the chest demonstrates persistent left \npleural effusion and increasing left lower lobe consolidation.", "impression": "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT \nPLEURAL EFFUSION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64684", "report_date_order": 1, "view_position": "AP", "comparison": "3/13/13, 3/13/2013", "age": "52.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64677_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64677/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe left subclavian line tip is in the brachiocephalic.\nThere are multiple calcified granulomas on the right. Minimal\nbibasilar atelectasis. The cardiomediastinal silhouette is within\nnormal limits.\n\nIMPRESSION:\n1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT\nEVIDENCE OF PNEUMOTHORAX.\n2. NO FOCAL LUNG CONSOLIDATION.", "findings": "The left subclavian line tip is in the brachiocephalic.\nThere are multiple calcified granulomas on the right. Minimal\nbibasilar atelectasis. The cardiomediastinal silhouette is within\nnormal limits.", "impression": "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT\nEVIDENCE OF PNEUMOTHORAX.\n2. NO FOCAL LUNG CONSOLIDATION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64677", "report_date_order": 1, "view_position": "AP", "comparison": "No priors.", "age": "64.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_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_patient64614_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64614/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nFrontal radiograph of the chest demonstrates normal \nappearance of cardiomediastinal silhouette, pulmonary vascularity, \nand airspaces. There is a right-sided PICC catheter with its tip \nprojecting 3 cm below the carina. There is a small left pleural \neffusion. The osseous structures are intact.\n\nIMPRESSION:\n1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. \n \n 2. SMALL LEFT PLEURAL EFFUSION.", "findings": "Frontal radiograph of the chest demonstrates normal \nappearance of cardiomediastinal silhouette, pulmonary vascularity, \nand airspaces. There is a right-sided PICC catheter with its tip \nprojecting 3 cm below the carina. There is a small left pleural \neffusion. The osseous structures are intact.", "impression": "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. \n \n 2. SMALL LEFT PLEURAL EFFUSION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64614", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "74.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64698_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64698/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe cardiopulmonary silhouette is markedly widened. Although the\nstudy is limited by rotation, pericardial effusion cannot be\nexcluded.\nThe lungs show low volume. There is increased prominence of\npulmonary vessels bilaterally and increased opacities of both lung\nfields suggestive for pulmonary edema.\nNo gross abnormalities are noted in the bone or soft tissue.\n\nIMPRESSION:\nWidened cardiac silhouette. Cannot exclude pericardial effusion.\nMild pulmonary edema.", "findings": "The cardiopulmonary silhouette is markedly widened. Although the\nstudy is limited by rotation, pericardial effusion cannot be\nexcluded.\nThe lungs show low volume. There is increased prominence of\npulmonary vessels bilaterally and increased opacities of both lung\nfields suggestive for pulmonary edema.\nNo gross abnormalities are noted in the bone or soft tissue.", "impression": "Widened cardiac silhouette. Cannot exclude pericardial effusion.\nMild pulmonary edema.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64698", "report_date_order": 1, "view_position": "AP", "comparison": "There are no prior films.", "age": "35.0", "sex": "Male" }, "eval_track": "baseline" }, { "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": "rexgrad_pGRDN5DCO1LO1KUK4_aGRDNLL6NWWNUWQRP_s1.2.826.0.1.3680043.8.498.87059249349256849489640559432804992817", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN5DCO1LO1KUK4/GRDNLL6NWWNUWQRP/studies/1.2.826.0.1.3680043.8.498.87059249349256849489640559432804992817/series/1.2.826.0.1.3680043.8.498.61930949011901487224896878618913703850/instances/1.2.826.0.1.3680043.8.498.73709661853169390457783135146583428767.png", "report_gt": "FINDINGS:\nLungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.\n\nIMPRESSION:\nLungs clear. Cardiac silhouette normal. No adenopathy. Aortic Atherosclerosis (ICD10-I70.0).", "findings": "Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.", "impression": "Lungs clear. Cardiac silhouette normal. No adenopathy. Aortic Atherosclerosis (ICD10-I70.0).", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN5DCO1LO1KUK4", "view_position": "AP", "study_date": "20211101", "comparison": "None.", "indication": "Recent COVID-19 positive. Hyperglycemia.", "age": "072Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNV4Y5IFXEAPB1_aGRDNVTYBY0Z6FOK3_s1.2.826.0.1.3680043.8.498.61404045548433869306233104554947095289", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNV4Y5IFXEAPB1/GRDNVTYBY0Z6FOK3/studies/1.2.826.0.1.3680043.8.498.61404045548433869306233104554947095289/series/1.2.826.0.1.3680043.8.498.45973818741530862382710164013673947270/instances/1.2.826.0.1.3680043.8.498.56527114503768228122404403736099542025.png", "report_gt": "FINDINGS:\nVentriculoperitoneal shunt projects over the right side of the chest. Heart size is normal. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. Streaky atelectatic changes radiates from the right infrahilar region. There is elevation of the right hemidiaphragm.\n\nIMPRESSION:\nStreaky atelectatic change at the right lung base and right midlung field.", "findings": "Ventriculoperitoneal shunt projects over the right side of the chest. Heart size is normal. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. Streaky atelectatic changes radiates from the right infrahilar region. There is elevation of the right hemidiaphragm.", "impression": "Streaky atelectatic change at the right lung base and right midlung field.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNV4Y5IFXEAPB1", "view_position": "AP", "study_date": "20140323", "comparison": "No old studies are available for comparison.", "indication": "Elevated wbc", "age": "", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN4UYBHBO8S991_aGRDN37028UVR9XX1_s1.2.826.0.1.3680043.8.498.31926625282444376935999353140056308039", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN4UYBHBO8S991/GRDN37028UVR9XX1/studies/1.2.826.0.1.3680043.8.498.31926625282444376935999353140056308039/series/1.2.826.0.1.3680043.8.498.14635999366551021692831853327578929464/instances/1.2.826.0.1.3680043.8.498.84493592560749103140145811618181376474.png", "report_gt": "FINDINGS:\nThe cardiac and mediastinal silhouette appear unremarkable. Lung fields are clear. There is no bony abnormality other than very mild thoracic scoliosis convex right.\n\nIMPRESSION:\nNo active disease.", "findings": "The cardiac and mediastinal silhouette appear unremarkable. Lung fields are clear. There is no bony abnormality other than very mild thoracic scoliosis convex right.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN4UYBHBO8S991", "view_position": "PA", "study_date": "20101227", "comparison": "None.", "indication": "Lymphadenopathy.", "age": "020Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNFKPY1JZF7YQE_aGRDNPWTE5UBT0YSS_s1.2.826.0.1.3680043.8.498.74668153878273870644589837684029398996", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNFKPY1JZF7YQE/GRDNPWTE5UBT0YSS/studies/1.2.826.0.1.3680043.8.498.74668153878273870644589837684029398996/series/1.2.826.0.1.3680043.8.498.67357807848034646584238699403942250978/instances/1.2.826.0.1.3680043.8.498.96753860124896326499743622199602822961.png", "report_gt": "FINDINGS:\nThe lungs are clear without focal consolidation, edema, effusion or pneumothorax. Cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "The lungs are clear without focal consolidation, edema, effusion or pneumothorax. Cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.", "impression": "No acute cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNFKPY1JZF7YQE", "view_position": "PA", "study_date": "20101025", "comparison": "None.", "indication": "Preop evaluation for detached red none.", "age": "059Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNHQ7ZTNUN7BUY_aGRDN7YJKQBBXYQJE_s1.2.826.0.1.3680043.8.498.51789340824517364676781831990304083893", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNHQ7ZTNUN7BUY/GRDN7YJKQBBXYQJE/studies/1.2.826.0.1.3680043.8.498.51789340824517364676781831990304083893/series/1.2.826.0.1.3680043.8.498.65338294783603089225252328398615588167/instances/1.2.826.0.1.3680043.8.498.20970361893872778155604729739701933991.png", "report_gt": "FINDINGS:\n8808 hours. There are low lung volumes with mild atelectasis at both lung bases. The heart size and mediastinal contours are normal without evidence of mediastinal hematoma, significant pleural effusion or acute fracture.\n\nIMPRESSION:\nNo evidence of acute chest injury or active cardiopulmonary process.", "findings": "8808 hours. There are low lung volumes with mild atelectasis at both lung bases. The heart size and mediastinal contours are normal without evidence of mediastinal hematoma, significant pleural effusion or acute fracture.", "impression": "No evidence of acute chest injury or active cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNHQ7ZTNUN7BUY", "view_position": "AP", "study_date": "20190404", "comparison": "None.", "indication": "Post motor vehicle collision. Diaphoresis.", "age": "058Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNMECZPWYH7KZX_aGRDNXVJXDLHS6CZX_s1.2.826.0.1.3680043.8.498.49024770022515651645593203077260402873", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNMECZPWYH7KZX/GRDNXVJXDLHS6CZX/studies/1.2.826.0.1.3680043.8.498.49024770022515651645593203077260402873/series/1.2.826.0.1.3680043.8.498.67120844899529718942133596498593643547/instances/1.2.826.0.1.3680043.8.498.93788778917074547093484841807968895324.png", "report_gt": "FINDINGS:\nThe lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.\n\nIMPRESSION:\nNo acute cardiopulmonary process seen.", "findings": "The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.", "impression": "No acute cardiopulmonary process seen.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNMECZPWYH7KZX", "view_position": "PA", "study_date": "20120823", "comparison": "None.", "indication": "Shortness of breath and cough; history of asthma and smoking.", "age": "033Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNKT1Q803JWUA5_aGRDN8UPML1I3SJSN_s1.2.826.0.1.3680043.8.498.88484949121471922107655122947450743340", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNKT1Q803JWUA5/GRDN8UPML1I3SJSN/studies/1.2.826.0.1.3680043.8.498.88484949121471922107655122947450743340/series/1.2.826.0.1.3680043.8.498.83258125630117387316630010579175402408/instances/1.2.826.0.1.3680043.8.498.70660108953862104341793220785864867146.png", "report_gt": "FINDINGS:\nCardiomediastinal silhouette is unremarkable. Mild hyperinflation. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.\n\nIMPRESSION:\nNo active disease. Mild hyperinflation.", "findings": "Cardiomediastinal silhouette is unremarkable. Mild hyperinflation. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.", "impression": "No active disease. Mild hyperinflation.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNKT1Q803JWUA5", "view_position": "AP", "study_date": "20110411", "comparison": "None", "indication": "Multiple complaints no known injury", "age": "075Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN7RVKFS7QSMNW_aGRDNZFUGLYS9EOV9_s1.2.826.0.1.3680043.8.498.26115230453387113544275219682481784411", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN7RVKFS7QSMNW/GRDNZFUGLYS9EOV9/studies/1.2.826.0.1.3680043.8.498.26115230453387113544275219682481784411/series/1.2.826.0.1.3680043.8.498.58973767700095489492347592836944276692/instances/1.2.826.0.1.3680043.8.498.43082469259075432378946716289906598672.png", "report_gt": "FINDINGS:\nBilateral central peribronchial thickening is seen, however there is no evidence of focal infiltrate or consolidation. No evidence of pleural effusion. No evidence of pulmonary hyperinflation. Heart size and mediastinal contours are normal.\n\nIMPRESSION:\nBilateral central peribronchial thickening. No evidence of pneumonia.", "findings": "Bilateral central peribronchial thickening is seen, however there is no evidence of focal infiltrate or consolidation. No evidence of pleural effusion. No evidence of pulmonary hyperinflation. Heart size and mediastinal contours are normal.", "impression": "Bilateral central peribronchial thickening. No evidence of pneumonia.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN7RVKFS7QSMNW", "view_position": "PA", "study_date": "20130803", "comparison": "None.", "indication": "Cough and chest congestion.", "age": "022M", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN4L68B9IUHFOO_aGRDNQAZ1CQAI5ISE_s1.2.826.0.1.3680043.8.498.32760468467766119672574050454431297473", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN4L68B9IUHFOO/GRDNQAZ1CQAI5ISE/studies/1.2.826.0.1.3680043.8.498.32760468467766119672574050454431297473/series/1.2.826.0.1.3680043.8.498.67169716466148432119799778019623329654/instances/1.2.826.0.1.3680043.8.498.23207025448374254196153284163728961133.png", "report_gt": "FINDINGS:\nNormal cardiac size and mediastinal contours. Lung volumes are within normal limits. No pneumothorax, pulmonary edema, pleural effusion or focal airspace opacity. Chronic right lateral rib deformities. No acute osseous abnormality identified. Calcification of the abdominal aorta.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "Normal cardiac size and mediastinal contours. Lung volumes are within normal limits. No pneumothorax, pulmonary edema, pleural effusion or focal airspace opacity. Chronic right lateral rib deformities. No acute osseous abnormality identified. Calcification of the abdominal aorta.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN4L68B9IUHFOO", "view_position": "AP", "study_date": "20100705", "comparison": "None.", "indication": "63-year-old male with pain.", "age": "063Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNMCDOAVCOLH8S_aGRDNNJHGFE3AXQES_s1.2.826.0.1.3680043.8.498.61362320078506075185779802209325041436", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNMCDOAVCOLH8S/GRDNNJHGFE3AXQES/studies/1.2.826.0.1.3680043.8.498.61362320078506075185779802209325041436/series/1.2.826.0.1.3680043.8.498.35542243444261184126581159237802267852/instances/1.2.826.0.1.3680043.8.498.17271279943766248577174905833356852745.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.\n\nIMPRESSION:\nNo active disease.", "findings": "The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNMCDOAVCOLH8S", "view_position": "AP", "study_date": "20180810", "comparison": "None.", "indication": "Acute chest pain for 12 hours.", "age": "067Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNHM917I5NBSPQ_aGRDN2ECS6SYQG3I0_s1.2.826.0.1.3680043.8.498.32113325447232440781652109812519805725", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNHM917I5NBSPQ/GRDN2ECS6SYQG3I0/studies/1.2.826.0.1.3680043.8.498.32113325447232440781652109812519805725/series/1.2.826.0.1.3680043.8.498.40278586929104936098572822820530029683/instances/1.2.826.0.1.3680043.8.498.79691191080028281364140122076782252335.png", "report_gt": "FINDINGS:\nProminent cardia thymic silhouette. There are bilateral perihilar infiltrates. This may suggest a perihilar pneumonia vs bronchitis. There are no pleural effusions. The upper lung fields are clear. The osseous structures are intact. There is no pneumothorax.\n\nIMPRESSION:\nThere are bilateral perihilar infiltrates. This may suggest a perihilar pneumonia vs bronchitis. Cardio megaly.", "findings": "Prominent cardia thymic silhouette. There are bilateral perihilar infiltrates. This may suggest a perihilar pneumonia vs bronchitis. There are no pleural effusions. The upper lung fields are clear. The osseous structures are intact. There is no pneumothorax.", "impression": "There are bilateral perihilar infiltrates. This may suggest a perihilar pneumonia vs bronchitis. Cardio megaly.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNHM917I5NBSPQ", "view_position": "AP", "study_date": "20120104", "comparison": "None.", "indication": "Visit reason: Cough;", "age": "", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNPVD27YOD78BB_aGRDN0I9MC0FV90XM_s1.2.826.0.1.3680043.8.498.70814525337588643096154787331482733434", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNPVD27YOD78BB/GRDN0I9MC0FV90XM/studies/1.2.826.0.1.3680043.8.498.70814525337588643096154787331482733434/series/1.2.826.0.1.3680043.8.498.83630200693045432375545083664378789056/instances/1.2.826.0.1.3680043.8.498.35920489399742087212894010766665275759.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Again noted are perihilar bronchiectasis and increased interstitial thickening seen within both lower lungs. There is slight interval worsening in the hazy airspace opacity at the left lung base. No pleural effusion. No acute osseous abnormality.\n\nIMPRESSION:\nSlight interval worsening in the hazy airspace opacity at the left lung base which may be due to atelectasis and/or infectious etiology.", "findings": "The heart size and mediastinal contours are within normal limits. Again noted are perihilar bronchiectasis and increased interstitial thickening seen within both lower lungs. There is slight interval worsening in the hazy airspace opacity at the left lung base. No pleural effusion. No acute osseous abnormality.", "impression": "Slight interval worsening in the hazy airspace opacity at the left lung base which may be due to atelectasis and/or infectious etiology.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNPVD27YOD78BB", "view_position": "AP", "study_date": "20211209", "comparison": "None.", "indication": "Increased shortness of breath", "age": "067Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNGBHXGJA7Y142_aGRDNOXWAGHFA49IF_s1.2.826.0.1.3680043.8.498.78836796657396164675192879742449052372", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNGBHXGJA7Y142/GRDNOXWAGHFA49IF/studies/1.2.826.0.1.3680043.8.498.78836796657396164675192879742449052372/series/1.2.826.0.1.3680043.8.498.35231772316490014173969355609181999169/instances/1.2.826.0.1.3680043.8.498.90417454023005847327652970607453588233.png", "report_gt": "FINDINGS:\nCardiac silhouette is normal size and shape. No pleural disease is evident. Lungs are free of infiltrates. No bony lesions were evident. There is central peribronchial thickening.\n\nIMPRESSION:\nThere is central peribronchial thickening. No other abnormalities are evident.", "findings": "Cardiac silhouette is normal size and shape. No pleural disease is evident. Lungs are free of infiltrates. No bony lesions were evident. There is central peribronchial thickening.", "impression": "There is central peribronchial thickening. No other abnormalities are evident.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNGBHXGJA7Y142", "view_position": "AP", "study_date": "20090701", "comparison": "None", "indication": "History given of fever, coughing, and back pain.", "age": "028Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN3OKE8K137HCN_aGRDNH8K6UPSNMSKC_s1.2.826.0.1.3680043.8.498.30429672362292271467885239201129971864", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN3OKE8K137HCN/GRDNH8K6UPSNMSKC/studies/1.2.826.0.1.3680043.8.498.30429672362292271467885239201129971864/series/1.2.826.0.1.3680043.8.498.85245244481177714376415056829959320311/instances/1.2.826.0.1.3680043.8.498.24124786939384320340882011628172985367.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": "pGRDN3OKE8K137HCN", "view_position": "AP", "study_date": "20210828", "comparison": "None.", "indication": "Chest pain, shortness of breath, sharp right-sided pain for 1 week", "age": "026Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN7LON7HQ8HRMN_aGRDNQWPTI8MS6B3J_s1.2.826.0.1.3680043.8.498.74875608180247453247709884606942425250", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN7LON7HQ8HRMN/GRDNQWPTI8MS6B3J/studies/1.2.826.0.1.3680043.8.498.74875608180247453247709884606942425250/series/1.2.826.0.1.3680043.8.498.41088654429518787412637107525132166674/instances/1.2.826.0.1.3680043.8.498.50470024719754922009548499252086164460.png", "report_gt": "FINDINGS:\nLungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality is identified.\n\nIMPRESSION:\nNegative chest.", "findings": "Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality is identified.", "impression": "Negative chest.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN7LON7HQ8HRMN", "view_position": "PA", "study_date": "20150522", "comparison": "None.", "indication": "Patient struck by motor vehicle.", "age": "016Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "iu_CXR2148_IM-0767", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2148_IM-0767-3001.dcm.png", "report_gt": "FINDINGS:\nCardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.\n\nIMPRESSION:\nNo acute preoperative findings.", "findings": "Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "impression": "No acute preoperative findings.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2148_IM-0767", "comparison": "None.", "indication": "Indication: Preop bariatric surgery Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR97_IM-2460", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/97_IM-2460-1001.dcm.png", "report_gt": "FINDINGS:\nThe cardiac contours are normal. The lungs are clear. Thoracic spondylosis.\n\nIMPRESSION:\nNo acute process.", "findings": "The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "impression": "No acute process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR97_IM-2460", "comparison": "None.", "indication": "Indication: XXXX Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR2243_IM-0840", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2243_IM-0840-1001.dcm.png", "report_gt": "FINDINGS:\nThe heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is a stable calcified granuloma within the left lower lobe. There are stable chronic degenerative changes of the thoracic spine.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is a stable calcified granuloma within the left lower lobe. There are stable chronic degenerative changes of the thoracic spine.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2243_IM-0840", "comparison": "Chest radiograph XXXX, XXXX", "indication": "Indication: XXXX-year-old female with chest pain Comparison: Chest radiograph XXXX, XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR2796_IM-1228", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2796_IM-1228-1001.dcm.png", "report_gt": "FINDINGS:\nCardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.\n\nIMPRESSION:\nNo acute process.", "findings": "Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "impression": "No acute process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2796_IM-1228", "comparison": "XXXX, XXXX", "indication": "Indication: Hypercalcemia Comparison: XXXX, XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3180_IM-1500", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3180_IM-1500-3001.dcm.png", "report_gt": "FINDINGS:\nThe heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.\n\nIMPRESSION:\nNo acute cardiopulmonary disease.", "findings": "The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "impression": "No acute cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3180_IM-1500", "comparison": "None.", "indication": "Indication: XXXX year old midchest pain for 2 days. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR2197_IM-0807", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2197_IM-0807-1001.dcm.png", "report_gt": "FINDINGS:\nHeart size is normal. There are XXXX opacities which appear to XXXX XXXX above the right XXXX fissure. There is mild thickening in the fissure. No pneumothorax. No large pleural effusions.\n\nIMPRESSION:\nXXXX opacities in the right upper lobe anterior segment which may represent atelectasis or infiltrate.", "findings": "Heart size is normal. There are XXXX opacities which appear to XXXX XXXX above the right XXXX fissure. There is mild thickening in the fissure. No pneumothorax. No large pleural effusions.", "impression": "XXXX opacities in the right upper lobe anterior segment which may represent atelectasis or infiltrate.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2197_IM-0807", "comparison": "None", "indication": "Indication: XXXX-year-old female with XXXX Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR2529_IM-1044", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2529_IM-1044-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality..", "findings": "The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "impression": "No acute cardiopulmonary abnormality..", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2529_IM-1044", "comparison": "Two-view chest radiograph dated XXXX, XXXX..", "indication": "Indication: XXXX-year-old female with chest pain.. Comparison: Two-view chest radiograph dated XXXX, XXXX.." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1610_IM-0395", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1610_IM-0395-2001.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": "CXR1610_IM-0395", "comparison": "", "indication": "Indication: Weakness and dizziness. Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3734_IM-1866", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3734_IM-1866-1001.dcm.png", "report_gt": "FINDINGS:\nLungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3734_IM-1866", "comparison": "XXXX, XXXX", "indication": "Indication: XXXX with exertional dyspnea. Comparison: XXXX, XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR307_IM-1432", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/307_IM-1432-1001.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:\nNegative chest radiographs.", "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": "Negative chest radiographs.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR307_IM-1432", "comparison": "None available.", "indication": "Indication: 786.59. c/o focal chest pain around heart that lasts for few XXXX. occurs approx. once a month. Comparison: None available." }, "eval_track": "baseline" }, { "study_id": "iu_CXR814_IM-2345", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/814_IM-2345-1001.dcm.png", "report_gt": "FINDINGS:\nThere is a calcified granuloma in the lateral left base. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified left hilar lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted as well as scoliosis and lumbar region.\n\nIMPRESSION:\nOld granulomatous disease and senescent changes but no acute pulmonary disease.", "findings": "There is a calcified granuloma in the lateral left base. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified left hilar lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted as well as scoliosis and lumbar region.", "impression": "Old granulomatous disease and senescent changes but no acute pulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR814_IM-2345", "comparison": "", "indication": "Indication: Shortness of breath and chest pain for one XXXX Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR745_IM-2299", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/745_IM-2299-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear. There is no pleural effusion or pneumothorax. 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. 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": "CXR745_IM-2299", "comparison": "", "indication": "Indication: Right-sided pain Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR1509_IM-0331", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1509_IM-0331-1001.dcm.png", "report_gt": "FINDINGS:\nLungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1509_IM-0331", "comparison": "None", "indication": "Indication: Chest pain Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR1117_IM-0079", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1117_IM-0079-1001.dcm.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is ill-defined airspace opacity in the posterior left lower lobe. There is focal opacity in the right upper lobe which suggests scar and/or granulomatous calcification. There is no pneumothorax or pleural effusion.\n\nIMPRESSION:\n1. Patchy left lower lobe airspace disease, concerning for pneumonia. 2. Right upper lobe opacity, favoring scarring and/or granulomas. .", "findings": "The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is ill-defined airspace opacity in the posterior left lower lobe. There is focal opacity in the right upper lobe which suggests scar and/or granulomatous calcification. There is no pneumothorax or pleural effusion.", "impression": "1. Patchy left lower lobe airspace disease, concerning for pneumonia. 2. Right upper lobe opacity, favoring scarring and/or granulomas. .", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1117_IM-0079", "comparison": "None.", "indication": "Indication: XXXX, XXXX, XXXX. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR107_IM-0049", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/107_IM-0049-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR107_IM-0049", "comparison": "Two-view chest radiograph dated XXXX, XXXX.", "indication": "Indication: XXXX-year-old woman with chest pain. Comparison: Two-view chest radiograph dated XXXX, XXXX." }, "eval_track": "baseline" } ], "followup": [ { "study_id": "mimic_58521372", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14504940/s58521372/1675afce-31756f63-a165a417-94a2c4ab-41fa955f.jpg", "report_gt": "FINAL REPORT\n EXAM: Chest frontal and lateral views.\n \n CLINICAL INFORMATION: History of CABG, presenting with chest pain for one\n day.\n \n COMPARISON: ___.\n \n FINDINGS: Frontal and lateral views of the chest were obtained. The patient\n is status post median sternotomy and CABG. No focal consolidation, pleural\n effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal\n silhouettes are stable and unremarkable. Degenerative changes are seen along\n the spine.\n \n IMPRESSION: No acute cardiopulmonary process. No evidence of pneumonia. The\n mediastinum is not widened.", "findings": "Frontal and lateral views of the chest were obtained. The patient\n is status post median sternotomy and CABG. No focal consolidation, pleural\n effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal\n silhouettes are stable and unremarkable. Degenerative changes are seen along\n the spine.", "impression": "No acute cardiopulmonary process. No evidence of pneumonia. The\n mediastinum is not widened.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p14/p14504940/s55011437/7c41a809-f93b8fdb-32b0f64f-3c464002-d1751a7c.jpg", "report": "IMPRESSION:\nNormal contour of the mediastinum without evidence of widening. \n Streaky opacities in the lung bases likely reflect atelectasis.", "findings": "", "impression": "", "study_date": "2192-10-02", "study_id": "55011437" }, "metadata": { "subject_id": "14504940", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "1.0", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "0.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2193-10-17", "admission_info": { "hadm_id": 23139095, "admittime": "2193-10-17 17:59:00", "dischtime": "2193-10-18 00:19:00", "admission_type": "EU OBSERVATION", "demographics": { "age": 65, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "78650", "version": 9, "description": "Chest pain, unspecified" }, { "code": "4439", "version": 9, "description": "Peripheral vascular disease, unspecified" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" } ], "labs": [] } }, "eval_track": "followup" }, { "study_id": "mimic_51788121", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13475033/s51788121/598a87a7-0c33ee5b-7a11cdc4-ad0d69cf-a5ca8524.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___M currently being treated with IV abx for pneumonia, PICC line\n fell out, still with cough and diminished lung sounds on left. // Assess for\n pneumonia\n \n TECHNIQUE: Frontal and lateral views of the chest.\n \n COMPARISON: ___.\n \n FINDINGS: \n \n When compared to prior, there are persistent but potentially slightly less\n conspicuous bilateral increased interstitial markings throughout the lungs.\n There is no new consolidation or effusion. The cardiomediastinal silhouette is\n enlarged but stable. No acute osseous abnormalities identified, compression\n deformities in the thoracic spine were better seen on prior exam. Old mid left\n clavicular fracture is again noted.\n \n IMPRESSION: \n \n Perhaps mild interval improvement in the appearance of the increased\n interstitial markings throughout the lungs which persist. No new\n consolidation.", "findings": "When compared to prior, there are persistent but potentially slightly less\n conspicuous bilateral increased interstitial markings throughout the lungs.\n There is no new consolidation or effusion. The cardiomediastinal silhouette is\n enlarged but stable. No acute osseous abnormalities identified, compression\n deformities in the thoracic spine were better seen on prior exam. Old mid left\n clavicular fracture is again noted.", "impression": "Perhaps mild interval improvement in the appearance of the increased\n interstitial markings throughout the lungs which persist. No new\n consolidation.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13475033/s56512741/f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d.jpg", "report": "FINDINGS:\nModerate cardiomegaly is unchanged compared to exams dating back to ___, however appears slightly increased compared to exams from ___.\n There has been interval increase in moderate pulmonary vascular congestion and\n diffuse bilateral interstitial lung markings as well as peribronchiolar\n cuffing concerning for pulmonary edema. Widening of the superior mediastinum\n is due to mediastinal lipomatosis and tortuous vessels as seen on the prior CT\n from ___. Right-sided Morgagni hernia is unchanged. There is no\n large pleural effusion or pneumothorax. Compression deformities of the mid\n thoracic spine are unchanged compared to the prior exam.\n\nIMPRESSION:\nInterval increase in moderate cardiomegaly with increased diffuse interstitial\n markings concerning for pulmonary edema, however an atypical infection is not\n excluded.", "findings": "Moderate cardiomegaly is unchanged compared to exams dating back to ___, however appears slightly increased compared to exams from ___.\n There has been interval increase in moderate pulmonary vascular congestion and\n diffuse bilateral interstitial lung markings as well as peribronchiolar\n cuffing concerning for pulmonary edema. Widening of the superior mediastinum\n is due to mediastinal lipomatosis and tortuous vessels as seen on the prior CT\n from ___. Right-sided Morgagni hernia is unchanged. There is no\n large pleural effusion or pneumothorax. Compression deformities of the mid\n thoracic spine are unchanged compared to the prior exam.", "impression": "", "study_date": "2179-01-09", "study_id": "56512741" }, "metadata": { "subject_id": "13475033", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "-1.0", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2179-01-16" }, "eval_track": "followup" }, { "study_id": "mimic_54133231", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14794396/s54133231/2f40daa6-51dad1b2-e683d1c3-cdf10946-d37ae69f.jpg", "report_gt": "FINAL REPORT\n EXAMINATION:\n Chest: Frontal and lateral views\n \n INDICATION: ___\n \n TECHNIQUE: Chest Frontal and Lateral\n \n COMPARISON: ___\n \n FINDINGS: \n \n NO FOCAL CONSOLIDATION IS SEEN. THERE IS MINOR BASILAR ATELECTASIS. NO PLEURAL\n EFFUSION OR PNEUMOTHORAX. THE CARDIAC AND MEDIASTINAL SILHOUETTES ARE STABLE.\n LINEAR RADIOPAQUE STRUCTURE PROJECTING OVER THE LEFT HEMIDIAPHRAGM MAY BE\n EXTERNAL TO THE PATIENT OR SURGICAL CLIPS. ADDITIONAL SURGICAL CLIPS ARE NOTED\n IN THE LEFT MID HEMITHORAX AND UPPER HEMITHORAX.\n \n IMPRESSION: \n \n No acute cardiopulmonary process.", "findings": "NO FOCAL CONSOLIDATION IS SEEN. THERE IS MINOR BASILAR ATELECTASIS. NO PLEURAL\n EFFUSION OR PNEUMOTHORAX. THE CARDIAC AND MEDIASTINAL SILHOUETTES ARE STABLE.\n LINEAR RADIOPAQUE STRUCTURE PROJECTING OVER THE LEFT HEMIDIAPHRAGM MAY BE\n EXTERNAL TO THE PATIENT OR SURGICAL CLIPS. ADDITIONAL SURGICAL CLIPS ARE NOTED\n IN THE LEFT MID HEMITHORAX AND UPPER HEMITHORAX.", "impression": "No acute cardiopulmonary process.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p14/p14794396/s51199892/2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3.jpg", "report": "FINDINGS:\nSince the prior study, the previously described right upper lobe nodularity\n has improved, with residual left upper lobe opacities, possibly repesenting\n postinflammatory scarring. There is no large pleural effusion, focal\n pneumonia, or pneumothorax. Left apical clips are unchanged in position. The\n cardiomediastinal silhouette is stable. Postsurgical changes in the upper\n abdomen are related to prior left nephrectomy.\n\nIMPRESSION:\n1. No acute cardiopulmonary process.\n 2. Improved biapical opacities as compared to prior radiograph in early ___. Small pulmonary nodules are better assessed on prior chest CT from ___.", "findings": "Since the prior study, the previously described right upper lobe nodularity\n has improved, with residual left upper lobe opacities, possibly repesenting\n postinflammatory scarring. There is no large pleural effusion, focal\n pneumonia, or pneumothorax. Left apical clips are unchanged in position. The\n cardiomediastinal silhouette is stable. Postsurgical changes in the upper\n abdomen are related to prior left nephrectomy.", "impression": "", "study_date": "2171-02-16", "study_id": "51199892" }, "metadata": { "subject_id": "14794396", "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": "2171-02-26" }, "eval_track": "followup" }, { "study_id": "mimic_57456610", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg", "report_gt": "FINAL REPORT\n HISTORY: ___-year-old male with altered mental status with new right IJ line.\n \n COMPARISON: ___.\n \n FINDINGS:\n \n Single portable view of the chest. There is a new right IJ central line with\n tip in the mid SVC. There is no pneumothorax. The lungs remain clear. \n Azygous fissure again noted. Cardiomediastinal silhouette is stable noting\n prominence of the upper mediastinum due to fat, unchanged. \n \n IMPRESSION:\n \n New right IJ line. No pneumothorax.", "findings": "Single portable view of the chest. There is a new right IJ central line with\n tip in the mid SVC. There is no pneumothorax. The lungs remain clear. \n Azygous fissure again noted. Cardiomediastinal silhouette is stable noting\n prominence of the upper mediastinum due to fat, unchanged.", "impression": "New right IJ line. No pneumothorax.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19028690/s50034238/96ea3d09-e928fb3b-dc086815-e0a3d015-45d3b08a.jpg", "report": "FINDINGS:\nLow lung volumes are present. The heart size is mildly enlarged. Mediastinal\n and hilar contours are unchanged with similar fullness of the superior\n mediastinum attributable to mediastinal fat. There is no pulmonary vascular\n congestion. No focal consolidation, pleural effusion or pneumothorax is\n identified. There are multilevel degenerative changes in the thoracic spine.\n\nIMPRESSION:\nLow lung volumes. Otherwise no acute cardiopulmonary process.", "findings": "Low lung volumes are present. The heart size is mildly enlarged. Mediastinal\n and hilar contours are unchanged with similar fullness of the superior\n mediastinum attributable to mediastinal fat. There is no pulmonary vascular\n congestion. No focal consolidation, pleural effusion or pneumothorax is\n identified. There are multilevel degenerative changes in the thoracic spine.", "impression": "", "study_date": "2175-01-20", "study_id": "50034238" }, "metadata": { "subject_id": "19028690", "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": "0.0", "Support Devices": "" }, "study_date": "2175-02-09", "admission_info": { "hadm_id": 27387551, "admittime": "2175-02-09 15:52:00", "dischtime": "2175-02-17 17:00:00", "admission_type": "EW EMER.", "demographics": { "age": 65, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5722", "version": 9, "description": "Hepatic encephalopathy" }, { "code": "4254", "version": 9, "description": "Other primary cardiomyopathies" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "2761", "version": 9, "description": "Hyposmolality and/or hyponatremia" }, { "code": "78959", "version": 9, "description": "Other ascites" }, { "code": "7847", "version": 9, "description": "Epistaxis" }, { "code": "5718", "version": 9, "description": "Other chronic nonalcoholic liver disease" }, { "code": "5715", "version": 9, "description": "Cirrhosis of liver without mention of alcohol" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "V1255", "version": 9, "description": "Personal history of pulmonary embolism" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "2767", "version": 9, "description": "Hyperpotassemia" }, { "code": "7101", "version": 9, "description": "Systemic sclerosis" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "30000", "version": 9, "description": "Anxiety state, unspecified" }, { "code": "5852", "version": 9, "description": "Chronic kidney disease, Stage II (mild)" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" } ], "labs": [ { "label": "Hemoglobin", "value": "7.2", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.1", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "152", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "4.9", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "15", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "18", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "104", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.3", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "5.9", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Sodium", "value": "131", "unit": "mEq/L", "flag": "abnormal" }, { "label": "BUN", "value": "46", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_57765703", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___-year-old man with trach, now with crackles on exam, ?pulmonary\n edema.\n \n COMPARISON: ___.\n \n FINDINGS: Portable AP chest radiograph is obtained with the patient in the\n semi-erect position. Tracheostomy noted. Cardiomediastinal silhouette is\n unchanged; bulging of the pulmonary outflow tract reflects enlargement of\n pulmonary arteries and suggests underlying pulmonary arterial hypertension. \n Pulmonary edema has slightly improved compared to the prior study. Small\n right pleural effusion is unchanged. Again bibasilar opacifications are noted\n and are suggestive of atelectasis or consolidation.\n \n IMPRESSION:\n 1. Unchanged bibasilar opacities are consistent with atelectasis or\n consolidation and pneumonia should be considered in the appropriate clinical\n context.\n 2. Improved pulmonary edema.", "findings": "Portable AP chest radiograph is obtained with the patient in the\n semi-erect position. Tracheostomy noted. Cardiomediastinal silhouette is\n unchanged; bulging of the pulmonary outflow tract reflects enlargement of\n pulmonary arteries and suggests underlying pulmonary arterial hypertension. \n Pulmonary edema has slightly improved compared to the prior study. Small\n right pleural effusion is unchanged. Again bibasilar opacifications are noted\n and are suggestive of atelectasis or consolidation.", "impression": "1. Unchanged bibasilar opacities are consistent with atelectasis or\n consolidation and pneumonia should be considered in the appropriate clinical\n context.\n 2. Improved pulmonary edema.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10268877/s53452091/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.jpg", "report": "FINDINGS:\nA hazy opacity is present in the right lung which may represent\n aspiration, pleural effusion or hemorrhage. Retrocardiac opacity at the left\n base is unchanged. Moderate cardiomegaly is stable. Slight prominence of the\n pulmonary vasculature with cephalization and enlarged pulmonary arteries are\n consistent with mild pulmonary edema. Tracheostomy tube is in place. There\n are no displaced rib fractures.\n\nIMPRESSION:\n1. Hazy opacity in the right lung which may represent aspiration versus\n pleural effusion or hemorrhage.\n \n 2. Mild pulmonary edema.\n \n 3. No displaced rib fractures.", "findings": "A hazy opacity is present in the right lung which may represent\n aspiration, pleural effusion or hemorrhage. Retrocardiac opacity at the left\n base is unchanged. Moderate cardiomegaly is stable. Slight prominence of the\n pulmonary vasculature with cephalization and enlarged pulmonary arteries are\n consistent with mild pulmonary edema. Tracheostomy tube is in place. There\n are no displaced rib fractures.", "impression": "", "study_date": "2181-04-30", "study_id": "53452091" }, "metadata": { "subject_id": "10268877", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "-1.0", "Cardiomegaly": "", "Consolidation": "-1.0", "Edema": "1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2181-05-01", "admission_info": { "hadm_id": 25076101, "admittime": "2181-04-26 21:34:00", "dischtime": "2181-05-04 17:00:00", "admission_type": "URGENT", "demographics": { "age": 64, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "03849", "version": 9, "description": "Other septicemia due to gram-negative organisms" }, { "code": "4820", "version": 9, "description": "Pneumonia due to Klebsiella pneumoniae" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "4254", "version": 9, "description": "Other primary cardiomyopathies" }, { "code": "42822", "version": 9, "description": "Chronic systolic heart failure" }, { "code": "51883", "version": 9, "description": "Chronic respiratory failure" }, { "code": "70703", "version": 9, "description": "Pressure ulcer, lower back" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "6822", "version": 9, "description": "Cellulitis and abscess of trunk" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "V440", "version": 9, "description": "Tracheostomy status" }, { "code": "4275", "version": 9, "description": "Cardiac arrest" }, { "code": "V551", "version": 9, "description": "Attention to gastrostomy" }, { "code": "2859", "version": 9, "description": "Anemia, unspecified" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "70725", "version": 9, "description": "Pressure ulcer, unstageable" }, { "code": "0413", "version": 9, "description": "Friedl\u00e4nder's bacillus infection in conditions classified elsewhere and of unspecified site" }, { "code": "99591", "version": 9, "description": "Sepsis" }, { "code": "79092", "version": 9, "description": "Abnormal coagulation profile" } ], "labs": [ { "label": "Anion Gap", "value": "14", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "26", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "101", "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": "3.9", "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": "54", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "9.1", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.9", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "170", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "7.4", "unit": "K/uL", "flag": "normal" }, { "label": "Lactate", "value": "___", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_56389746", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11569093/s56389746/395a7197-bac16c22-5e75d329-e014f2a8-5d6432e9.jpg", "report_gt": "FINAL REPORT\n INDICATION: History of antrectomy with Billroth II, with increasing O2\n requirement, concern for pulmonary edema.\n \n COMPARISON: ___.\n \n FINDINGS: Compared to the previous radiograph, the left IJ catheter has been\n removed. There are persistent bilateral pleural effusions along with\n unchanged opacification of right lung base. This suggests right middle and\n lower lobe collapse. Comparison is limited by patient rotation on current\n imaging. Opacification at the left lung base is unchanged, and pneumonia\n cannot be excluded.", "findings": "Compared to the previous radiograph, the left IJ catheter has been\n removed. There are persistent bilateral pleural effusions along with\n unchanged opacification of right lung base. This suggests right middle and\n lower lobe collapse. Comparison is limited by patient rotation on current\n imaging. Opacification at the left lung base is unchanged, and pneumonia\n cannot be excluded.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p11/p11569093/s54670469/a238199b-93d2aa00-f4451329-26e4438c-e170ad89.jpg", "report": "FINDINGS:\nAs compared to the previous radiograph, the patient has been\n extubated. The nasogastric tube has been removed. There are moderate\n bilateral pleural effusions with relatively substantial areas of atelectasis. \n Size of the cardiac silhouette cannot be determined. No evidence of new\n parenchymal opacities suggesting pneumonia. A left internal jugular vein\n catheter remains in situ.", "findings": "", "impression": "", "study_date": "2174-04-04", "study_id": "54670469" }, "metadata": { "subject_id": "11569093", "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": "1.0", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "0.0" }, "study_date": "2174-04-05", "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": "followup" }, { "study_id": "mimic_59170987", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10715477/s59170987/74501968-2251dd66-a1905203-8ff7c470-9c45dcb6.jpg", "report_gt": "PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 4:56 PM\n Mild acute congestive heart failure.\n ______________________________________________________________________________\n FINAL REPORT\n INDICATION: Evaluate for effusion/volume overload and post-cardiac surgery\n patient.\n \n COMPARISON: Multiple chest radiographs from ___ to a\n pre-operative study from ___.\n \n SEMI-UPRIGHT PORTABLE RADIOGRAPH OF THE CHEST: There has been interval\n widening of the mediastinum due to vascular engorgement. In addition, there\n is new bilateral interstitial edema. A possible left pleural effusion and\n atelectasis obscure the left cardiac and hemidiaphragmatic contours more than\n the prior day. The small right pleural effusion and basilar atelectasis is\n unchanged. There is no pneumothorax. The support and indwelling lines are\n unchanged and in their expected locations.\n \n IMPRESSION: Mild acute congestive heart failure.", "findings": "IMPRESSION (PFI): ___ ___ ___ 4:56 PM\n Mild acute congestive heart failure.\n ______________________________________________________________________________\n FINAL REPORT\n INDICATION: Evaluate for effusion/volume overload and post-cardiac surgery\n patient.\n \n COMPARISON: Multiple chest radiographs from ___ to a\n pre-operative study from ___.\n \n SEMI-UPRIGHT PORTABLE RADIOGRAPH OF THE CHEST: There has been interval\n widening of the mediastinum due to vascular engorgement. In addition, there\n is new bilateral interstitial edema. A possible left pleural effusion and\n atelectasis obscure the left cardiac and hemidiaphragmatic contours more than\n the prior day. The small right pleural effusion and basilar atelectasis is\n unchanged. There is no pneumothorax. The support and indwelling lines are\n unchanged and in their expected locations.", "impression": "(PFI): ___ ___ ___ 4:56 PM\n Mild acute congestive heart failure.\n ______________________________________________________________________________\n FINAL REPORT\n INDICATION: Evaluate for effusion/volume overload and post-cardiac surgery\n patient.\n \n COMPARISON: Multiple chest radiographs from ___ to a\n pre-operative study from ___.\n \n SEMI-UPRIGHT PORTABLE RADIOGRAPH OF THE CHEST: There has been interval\n widening of the mediastinum due to vascular engorgement. In addition, there\n is new bilateral interstitial edema. A possible left pleural effusion and\n atelectasis obscure the left cardiac and hemidiaphragmatic contours more than\n the prior day. The small right pleural effusion and basilar atelectasis is\n unchanged. There is no pneumothorax. The support and indwelling lines are\n unchanged and in their expected locations.\n \n IMPRESSION: Mild acute congestive heart failure.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10715477/s59089311/0cdeff10-c7e75e12-5c067cb6-eab4e635-50d1144c.jpg", "report": "FINDINGS:\nIn comparison with the earlier study of this date, there has been\n placement of a left IJ catheter that extends to the upper portion of the SVC. \n No evidence of pneumothorax. Otherwise, little change.", "findings": "", "impression": "", "study_date": "2180-02-10", "study_id": "59089311" }, "metadata": { "subject_id": "10715477", "view_position": "AP", "comparison": "Multiple chest radiographs from ___ to a", "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": "2180-02-11" }, "eval_track": "followup" }, { "study_id": "mimic_57667161", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p16/p16553329/s57667161/9cc3281f-64ff9f26-d2f759b1-ee26296f-50d416d4.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (AP AND LAT)\n \n INDICATION: ___M with confusion, ? for infx // eval for consolidation\n \n COMPARISON: ___.\n \n FINDINGS: \n \n AP upright and lateral views of the chest provided. There is top-normal heart\n size with tiny left pleural effusion. Calcified nodular structures in the left\n upper lung and right mid to lower lung likely represent calcified granulomas.\n There is no evidence of pneumonia or CHF. Mediastinal contour stable. Bony\n structures intact.\n \n IMPRESSION: \n \n Top normal heart size, tiny left effusion.", "findings": "AP upright and lateral views of the chest provided. There is top-normal heart\n size with tiny left pleural effusion. Calcified nodular structures in the left\n upper lung and right mid to lower lung likely represent calcified granulomas.\n There is no evidence of pneumonia or CHF. Mediastinal contour stable. Bony\n structures intact.", "impression": "Top normal heart size, tiny left effusion.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p16/p16553329/s59891116/12564330-3d6b0ab6-568cc9d4-342379e6-c2af1108.jpg", "report": "FINDINGS:\nThere is mild enlargement of the cardiac silhouette, increased from prior.\n Small bilateral pleural effusions have increased from the prior. There is new\n mild pulmonary edema. Bibasilar opacities likely reflect a combination of\n effusions and atelectasis; although, underlying infection cannot be excluded.\n\nIMPRESSION:\nMild cardiomegaly, bilateral pleural effusions and pulmonary edema. Bibasilar\n opacities likely reflect a combination of effusion atelectasis; although,\n underlying infection cannot be excluded.", "findings": "There is mild enlargement of the cardiac silhouette, increased from prior.\n Small bilateral pleural effusions have increased from the prior. There is new\n mild pulmonary edema. Bibasilar opacities likely reflect a combination of\n effusions and atelectasis; although, underlying infection cannot be excluded.", "impression": "", "study_date": "2174-12-16", "study_id": "59891116" }, "metadata": { "subject_id": "16553329", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "0.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2175-01-26", "admission_info": { "hadm_id": 29194841, "admittime": "2175-01-26 20:10:00", "dischtime": "2175-01-28 19:35:00", "admission_type": "EW EMER.", "demographics": { "age": 76, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "70714", "version": 9, "description": "Ulcer of heel and midfoot" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "5854", "version": 9, "description": "Chronic kidney disease, Stage IV (severe)" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "42832", "version": 9, "description": "Chronic diastolic heart failure" }, { "code": "2761", "version": 9, "description": "Hyposmolality and/or hyponatremia" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "04149", "version": 9, "description": "Other and unspecified Escherichia coli [E. coli]" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "78830", "version": 9, "description": "Urinary incontinence, unspecified" }, { "code": "78760", "version": 9, "description": "Full incontinence of feces" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "4439", "version": 9, "description": "Peripheral vascular disease, unspecified" }, { "code": "V1254", "version": 9, "description": "Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits" }, { "code": "56210", "version": 9, "description": "Diverticulosis of colon (without mention of hemorrhage)" }, { "code": "V5866", "version": 9, "description": "Long-term (current) use of aspirin" }, { "code": "V5863", "version": 9, "description": "Long-term (current) use of antiplatelet/antithrombotic" } ], "labs": [ { "label": "Anion Gap", "value": "20", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "20", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "97", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "5.2", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "5.2", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Sodium", "value": "132", "unit": "mEq/L", "flag": "abnormal" }, { "label": "BUN", "value": "107", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "8.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "29.4", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "213", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "6.5", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_53776243", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13448574/s53776243/52b95950-9baac352-83f0d8c5-1959eabc-a5a3ea0b.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPHS\n \n HISTORY: History of sarcoidosis and liver transplant.\n \n COMPARISONS: Radiographs from ___, and CT from ___.\n \n TECHNIQUE: Chest, PA and lateral.\n \n FINDINGS: The heart is normal in size. The mediastinal and hilar contours\n appear within normal limits and do not suggest substantial lymph node\n enlargement. There is no pleural effusion or pneumothorax. The lungs appear\n clear. Mild degenerative changes are similar along the thoracic spine.\n \n IMPRESSION: No evidence of acute disease. No convincing evidence for\n sarcoidosis.", "findings": "The heart is normal in size. The mediastinal and hilar contours\n appear within normal limits and do not suggest substantial lymph node\n enlargement. There is no pleural effusion or pneumothorax. The lungs appear\n clear. Mild degenerative changes are similar along the thoracic spine.", "impression": "No evidence of acute disease. No convincing evidence for\n sarcoidosis.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13448574/s54759244/f762fbc6-ca1926fb-06f3ef2a-b996a151-66a3b743.jpg", "report": "FINDINGS:\nFrontal and lateral views of the chest and 2 additional views of the\n left-sided ribs were obtained. A BB marker projects over the lateral ninth\n and ___ left ribs indicating patient's site of concern. No displaced\n fracture is seen. The lungs are clear without focal consolidation. No\n pleural effusion or pneumothorax is seen. The cardiac and mediastinal\n silhouettes are unremarkable. There may be very minimal left basilar linear\n atelectasis/scarring.\n\nIMPRESSION:\nNo acute cardiopulmonary process. No displaced rib fracture seen.", "findings": "Frontal and lateral views of the chest and 2 additional views of the\n left-sided ribs were obtained. A BB marker projects over the lateral ninth\n and ___ left ribs indicating patient's site of concern. No displaced\n fracture is seen. The lungs are clear without focal consolidation. No\n pleural effusion or pneumothorax is seen. The cardiac and mediastinal\n silhouettes are unremarkable. There may be very minimal left basilar linear\n atelectasis/scarring.", "impression": "", "study_date": "2133-02-27", "study_id": "54759244" }, "metadata": { "subject_id": "13448574", "view_position": "PA", "comparison": "S: Radiographs from ___, and CT 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": "2135-01-16" }, "eval_track": "followup" }, { "study_id": "mimic_57163975", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10867202/s57163975/97a5f522-bb4f6eac-5f7d4736-30880e7b-872ea26f.jpg", "report_gt": "FINAL REPORT\n INDICATION: Evaluate right PICC positioning.\n \n COMPARISONS: Most recent chest radiograph from ___.\n \n FINDINGS: AP, lateral, and oblique radiographs of the chest are somewhat\n limited in the determination of the exact termination point of the right PICC,\n which is difficult to visualize amongst the mediastinal structures. However,\n it appears to terminate in the lower portion of the SVC. There has been\n marked improvement in the bilateral effusions and heterogeneous opacities when\n compared to the prior study. Prominent interstitial lung markings reflect the\n patient's baseline pulmonary fibrosis. There is no pneumothorax. The aorta\n is stably tortuous with atherosclerotic calcifications in the arch.\n \n IMPRESSION:\n 1. New right PICC is difficult to visualize but likely ends within the lower\n SVC.\n 2. Marked interval improvement in what was likely multifocal pneumonia as\n well as near complete clearance of the bilateral pleural effusions compared to\n ___.\n 3. Stable interstitial lung markings consistent with chronic pulmonary\n fibrosis.", "findings": "AP, lateral, and oblique radiographs of the chest are somewhat\n limited in the determination of the exact termination point of the right PICC,\n which is difficult to visualize amongst the mediastinal structures. However,\n it appears to terminate in the lower portion of the SVC. There has been\n marked improvement in the bilateral effusions and heterogeneous opacities when\n compared to the prior study. Prominent interstitial lung markings reflect the\n patient's baseline pulmonary fibrosis. There is no pneumothorax. The aorta\n is stably tortuous with atherosclerotic calcifications in the arch.", "impression": "1. New right PICC is difficult to visualize but likely ends within the lower\n SVC.\n 2. Marked interval improvement in what was likely multifocal pneumonia as\n well as near complete clearance of the bilateral pleural effusions compared to\n ___.\n 3. Stable interstitial lung markings consistent with chronic pulmonary\n fibrosis.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg", "report": "FINDINGS:\nLow lung volumes are again demonstrated. Chronic interstitial abnormality is\n again seen as well as more focal opacities within the left lung base, left\n perihilar region, and right upper lobe which are not significantly changed\n when compared to the prior exam. The cardiac, mediastinal and hilar contours\n are relatively unchanged with marked calcification of the aortic knob. No\n pneumothorax or large pleural effusion is demonstrated. The right PICC has\n been removed. Assessment of the pulmonary vascularity is limited.\n\nIMPRESSION:\nRelatively unchanged appearance of the chest compared to prior exam.\n Persistent opacities within the right upper lobe, left lung base and left\n perihilar region are redemonstrated on a background of chronic interstitial\n lung disease which on the prior chest CT was thought to reflect UIP or\n fibrosing NSIP. As before, these more focal opacities may reflect progression\n of chronic interstitial lung disease, acute exacerbation of interstitial lung\n disease, or possibly infection.", "findings": "Low lung volumes are again demonstrated. Chronic interstitial abnormality is\n again seen as well as more focal opacities within the left lung base, left\n perihilar region, and right upper lobe which are not significantly changed\n when compared to the prior exam. The cardiac, mediastinal and hilar contours\n are relatively unchanged with marked calcification of the aortic knob. No\n pneumothorax or large pleural effusion is demonstrated. The right PICC has\n been removed. Assessment of the pulmonary vascularity is limited.", "impression": "", "study_date": "2142-11-08", "study_id": "53652133" }, "metadata": { "subject_id": "10867202", "view_position": "AP", "comparison": "S: Most recent chest radiograph from ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "0.0", "Pleural Other": "1.0", "Pneumonia": "1.0", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2142-11-11", "admission_info": { "hadm_id": 21418702, "admittime": "2142-11-08 19:52:00", "dischtime": "2142-11-12 18:08:00", "admission_type": "EW EMER.", "demographics": { "age": 81, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "9331", "version": 9, "description": "Foreign body in larynx" }, { "code": "71106", "version": 9, "description": "Pyogenic arthritis, lower leg" }, { "code": "2859", "version": 9, "description": "Anemia, unspecified" }, { "code": "E9479", "version": 9, "description": "Unspecified drug or medicinal substance causing adverse effects in therapeutic use" }, { "code": "515", "version": 9, "description": "Postinflammatory pulmonary fibrosis" }, { "code": "78830", "version": 9, "description": "Urinary incontinence, unspecified" }, { "code": "27549", "version": 9, "description": "Other disorders of calcium metabolism" }, { "code": "71236", "version": 9, "description": "Chondrocalcinosis, unspecified, lower leg" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" } ], "labs": [ { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "32", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "95", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "0.6", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "136", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "11", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "7.4", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.4", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "553", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "10.0", "unit": "K/uL", "flag": "normal" }, { "label": "CRP", "value": "___", "unit": "mg/L", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_52697942", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p15/p15259244/s52697942/928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d.jpg", "report_gt": "FINAL REPORT\n PORTABLE CHEST: ___.\n \n HISTORY: ___-year-old female with malaise and generalized weakness. Low\n hematocrit and low blood pressure at rehab. Question acute chest process.\n \n FINDINGS: Single portable view of the chest is compared to previous exam from\n ___. Compared to prior, there has been no significant interval\n change. Dense retrocardiac opacity is again seen silhouetting of the\n hemidiaphragm. The right lung remains grossly clear. Mild pulmonary vascular\n congestion is unchanged. Cardiac silhouette is enlarged, but stable and\n notable for a prosthetic device.\n \n IMPRESSION: No significant interval change since ___ noting left basilar\n opacity due to combination of pleural effusion with underlying atelectasis and\n possible consolidation.", "findings": "Single portable view of the chest is compared to previous exam from\n ___. Compared to prior, there has been no significant interval\n change. Dense retrocardiac opacity is again seen silhouetting of the\n hemidiaphragm. The right lung remains grossly clear. Mild pulmonary vascular\n congestion is unchanged. Cardiac silhouette is enlarged, but stable and\n notable for a prosthetic device.", "impression": "No significant interval change since ___ noting left basilar\n opacity due to combination of pleural effusion with underlying atelectasis and\n possible consolidation.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg", "report": "FINDINGS:\nAP portable view of the chest moderate left pleural effusion, essentially\n unchanged since prior exam. Left lung base consolidation is present. No\n large right pleural effusion is seen. Peripheral right lung base opacity is\n more conspicuous since prior exam. Moderate cardiomegaly persists and mild\n interstitial pulmonary edema is relatively similar. Hilar and mediastinal\n silhouettes are unchanged. Aortic valve calcifications are seen. Multiple\n surgical clips project over cardiac silhouette compatible with prior CABG. \n Sternotomy wires appear intact. The mitral valve prosthesis is in place. \n There is no pneumothorax.\n\nIMPRESSION:\n1. In comparison to ___ exam, moderate left pleural effusion, mild\n interstitial pulmonary edema, and cardiomegaly is unchanged.\n \n 2. Left lung base consolidation, likely collapse or superimposed infection.\n \n 3. Right lung base peripheral opacity more conspicuous since prior exam and\n may represent infection, infarction or organizing pneumonia.", "findings": "AP portable view of the chest moderate left pleural effusion, essentially\n unchanged since prior exam. Left lung base consolidation is present. No\n large right pleural effusion is seen. Peripheral right lung base opacity is\n more conspicuous since prior exam. Moderate cardiomegaly persists and mild\n interstitial pulmonary edema is relatively similar. Hilar and mediastinal\n silhouettes are unchanged. Aortic valve calcifications are seen. Multiple\n surgical clips project over cardiac silhouette compatible with prior CABG. \n Sternotomy wires appear intact. The mitral valve prosthesis is in place. \n There is no pneumothorax.", "impression": "", "study_date": "2125-07-24", "study_id": "55259608" }, "metadata": { "subject_id": "15259244", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "-1.0", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2125-08-02", "admission_info": { "hadm_id": 21618097, "admittime": "2125-08-02 15:17:00", "dischtime": "2125-08-10 17:00:00", "admission_type": "EW EMER.", "demographics": { "age": 61, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "42843", "version": 9, "description": "Acute on chronic combined systolic and diastolic heart failure" }, { "code": "78551", "version": 9, "description": "Cardiogenic shock" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "41189", "version": 9, "description": "Other acute and subacute forms of ischemic heart disease, other" }, { "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": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "4240", "version": 9, "description": "Mitral valve disorders" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" }, { "code": "V4581", "version": 9, "description": "Aortocoronary bypass status" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "V4511", "version": 9, "description": "Renal dialysis status" }, { "code": "7810", "version": 9, "description": "Abnormal involuntary movements" }, { "code": "78791", "version": 9, "description": "Diarrhea" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "2449", "version": 9, "description": "Unspecified acquired hypothyroidism" }, { "code": "3659", "version": 9, "description": "Unspecified glaucoma" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "1101", "version": 9, "description": "Dermatophytosis of nail" }, { "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" }, { "code": "73300", "version": 9, "description": "Osteoporosis, unspecified" }, { "code": "V4975", "version": 9, "description": "Below knee amputation status" }, { "code": "2768", "version": 9, "description": "Hypopotassemia" } ], "labs": [ { "label": "Anion Gap", "value": "17", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "23", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "95", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "6.0", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "131", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "47", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "8.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.6", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "196", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "8.6", "unit": "K/uL", "flag": "normal" }, { "label": "Lactate", "value": "2.5", "unit": "mmol/L", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_58301804", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18855147/s58301804/bb31f02a-26cfe8cb-d6444793-d24a3c7a-3ba6afb6.jpg", "report_gt": "WET READ: ___ ___ ___ 7:28 PM\n ngt at GE junction or proximal stomach. recommend advancing. mild inc in pulm\n edema\n \n WET READ VERSION #1 \n ______________________________________________________________________________\n FINAL REPORT\n HISTORY: NG placement.\n \n FINDINGS: In comparison with the earlier study of this date, there has been\n placement of a nasogastric tube with its tip in the body of the esophagus. \n The side hole is in the region of the gastroesophageal junction and the tube\n should be advanced several centimeters.\n \n Pulmonary vessels are less well defined than on the previous study, consistent\n with some mild increase in pulmonary venous pressure.", "findings": "In comparison with the earlier study of this date, there has been\n placement of a nasogastric tube with its tip in the body of the esophagus. \n The side hole is in the region of the gastroesophageal junction and the tube\n should be advanced several centimeters.\n \n Pulmonary vessels are less well defined than on the previous study, consistent\n with some mild increase in pulmonary venous pressure.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p18/p18855147/s54616934/7cb35601-837df231-b3efc10a-3a761298-85f39d17.jpg", "report": "FINDINGS:\nSince the prior radiograph, there has been improvement in pulmonary\n edema. A small right pleural effusion is mostly resolved. There is some\n scarring seen at the right base. Cardiomediastinal silhouette is slightly\n enlarged but unchanged. There is no focal consolidation or pneumothorax. \n Right dialysis catheter is seen, unchanged in position.\n\nIMPRESSION:\nInterval improvement in pulmonary edema and small right pleural\n effusion.", "findings": "Since the prior radiograph, there has been improvement in pulmonary\n edema. A small right pleural effusion is mostly resolved. There is some\n scarring seen at the right base. Cardiomediastinal silhouette is slightly\n enlarged but unchanged. There is no focal consolidation or pneumothorax. \n Right dialysis catheter is seen, unchanged in position.", "impression": "", "study_date": "2203-05-06", "study_id": "54616934" }, "metadata": { "subject_id": "18855147", "view_position": "AP", "comparison": "with the earlier study of this date, there has been", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2203-08-04", "admission_info": { "hadm_id": 25385280, "admittime": "2203-07-31 16:41:00", "dischtime": "2203-08-10 20:15:00", "admission_type": "URGENT", "demographics": { "age": 73, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "43311", "version": 9, "description": "Occlusion and stenosis of carotid artery with cerebral infarction" }, { "code": "41071", "version": 9, "description": "Subendocardial infarction, initial episode of care" }, { "code": "78001", "version": 9, "description": "Coma" }, { "code": "42823", "version": 9, "description": "Acute on chronic systolic heart failure" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "78039", "version": 9, "description": "Other convulsions" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "4271", "version": 9, "description": "Paroxysmal ventricular tachycardia" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "45821", "version": 9, "description": "Hypotension of hemodialysis" }, { "code": "34290", "version": 9, "description": "Hemiplegia, unspecified, affecting unspecified side" }, { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "496", "version": 9, "description": "Chronic airway obstruction, not elsewhere classified" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "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": "25050", "version": 9, "description": "Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled" }, { "code": "36201", "version": 9, "description": "Background diabetic retinopathy" }, { "code": "3694", "version": 9, "description": "Legal blindness, as defined in U.S.A." }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "04149", "version": 9, "description": "Other and unspecified Escherichia coli [E. coli]" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "V1011", "version": 9, "description": "Personal history of malignant neoplasm of bronchus and lung" }, { "code": "V1042", "version": 9, "description": "Personal history of malignant neoplasm of other parts of uterus" }, { "code": "3051", "version": 9, "description": "Tobacco use disorder" }, { "code": "44020", "version": 9, "description": "Atherosclerosis of native arteries of the extremities, unspecified" }, { "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": "V462", "version": 9, "description": "Other dependence on machines, supplemental oxygen" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "V1251", "version": 9, "description": "Personal history of venous thrombosis and embolism" }, { "code": "28521", "version": 9, "description": "Anemia in chronic kidney disease" }, { "code": "43889", "version": 9, "description": "Other late effects of cerebrovascular disease" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "79092", "version": 9, "description": "Abnormal coagulation profile" }, { "code": "E9342", "version": 9, "description": "Anticoagulants causing adverse effects in therapeutic use" }, { "code": "V1581", "version": 9, "description": "Personal history of noncompliance with medical treatment, presenting hazards to health" } ], "labs": [ { "label": "Hemoglobin", "value": "12.6", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "31.9", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "152", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "14.2", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "22", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "26", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "102", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.7", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "145", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "16", "unit": "mg/dL", "flag": "normal" }, { "label": "Lactate", "value": "0.6", "unit": "mmol/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_53225437", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p12/p12530259/s53225437/ed9e09e7-e22ee204-4a73ca03-dc121d89-5ca5a446.jpg", "report_gt": "FINAL REPORT\n PA AND LATERAL CHEST X-RAY\n \n INDICATION: Patient with history of lung cancer, left lobectomy, one month of\n cough, hypoxic exercise change in left lung? effusion or pneumonia.\n \n COMPARISON: Chest x-rays from ___ to ___.\n \n FINDINGS:\n \n The patient had left lower lobe lobectomy in ___. Expected stable\n surgical changes are seen in the left lung with volume loss and mild pleural\n thickening. There is no pneumothorax. The right lung is unremarkable. \n Mediastinal and cardiac contours are not enlarged. \n \n CONCLUSION:\n \n The exam is stable since ___ with expected changes after left\n lower lobe lobectomy.", "findings": "The patient had left lower lobe lobectomy in ___. Expected stable\n surgical changes are seen in the left lung with volume loss and mild pleural\n thickening. There is no pneumothorax. The right lung is unremarkable. \n Mediastinal and cardiac contours are not enlarged. \n \n CONCLUSION:\n \n The exam is stable since ___ with expected changes after left\n lower lobe lobectomy.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p12/p12530259/s51979149/19c665a6-5b2ac8ce-afabbb92-17bfdb7d-3db41a78.jpg", "report": "FINDINGS:\nThere is continued elevation of the left hemidiaphragm with left\n pleural abnormality, unchanged since the prior exam. There is no evidence of\n pneumonia, pneumothorax or pulmonary edema. The heart is top normal in size.\n\nIMPRESSION:\nNo acute cardiopulmonary disease. Elevation of the left\n hemidiaphragm and left pleural abnormality which may represent either a\n loculated effusion or pleural thickening, is unchanged since prior exam.", "findings": "There is continued elevation of the left hemidiaphragm with left\n pleural abnormality, unchanged since the prior exam. There is no evidence of\n pneumonia, pneumothorax or pulmonary edema. The heart is top normal in size.", "impression": "", "study_date": "2186-09-27", "study_id": "51979149" }, "metadata": { "subject_id": "12530259", "view_position": "PA", "comparison": "Chest x-rays from ___ to ___.", "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": "2186-11-14" }, "eval_track": "followup" }, { "study_id": "mimic_57818938", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13979643/s57818938/a5d9f091-f420153d-6e818031-8ca6c1c0-1694ca63.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH\n \n INDICATION: PICC line placement, evaluation.\n \n COMPARISON: ___.\n \n FINDINGS: As compared to the previous radiograph, the patient has a\n left-sided PICC line. The tip of the line is at the level of the mid SVC.\n \n A nasogastric tube is new, the tip is not visible on the image but the\n sidehole projects 4-5 cm below the gastroesophageal junction.\n \n Mild fluid overload with small left pleural effusion. Mild cardiomegaly.", "findings": "As compared to the previous radiograph, the patient has a\n left-sided PICC line. The tip of the line is at the level of the mid SVC.\n \n A nasogastric tube is new, the tip is not visible on the image but the\n sidehole projects 4-5 cm below the gastroesophageal junction.\n \n Mild fluid overload with small left pleural effusion. Mild cardiomegaly.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13979643/s55324135/4fe2791a-5a6ddb9b-d73fb7f6-bdb8d5ad-01ab723d.jpg", "report": "IMPRESSION:\nAP chest compared to ___ and ___ of ___:30 a.m.:\n \n A new feeding tube ends in the stomach. Left PIC line ends in the SVC. Lungs\n are low in volume. Previous mild pulmonary edema has resolved. Heart size\n normal. No pneumothorax. Pleural effusion is small if any.", "findings": "", "impression": "", "study_date": "2195-03-26", "study_id": "55324135" }, "metadata": { "subject_id": "13979643", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2195-05-03", "admission_info": { "hadm_id": 24190631, "admittime": "2195-05-02 23:51:00", "dischtime": "2195-05-22 15:45:00", "admission_type": "URGENT", "demographics": { "age": 95, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "53491", "version": 9, "description": "Gastrojejunal ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, with obstruction" }, { "code": "5770", "version": 9, "description": "Acute pancreatitis" }, { "code": "5609", "version": 9, "description": "Unspecified intestinal obstruction" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "1120", "version": 9, "description": "Candidiasis of mouth" }, { "code": "2760", "version": 9, "description": "Hyperosmolality and/or hypernatremia" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "34550", "version": 9, "description": "Localization-related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy" }, { "code": "42789", "version": 9, "description": "Other specified cardiac dysrhythmias" }, { "code": "78900", "version": 9, "description": "Abdominal pain, unspecified site" }, { "code": "33829", "version": 9, "description": "Other chronic pain" }, { "code": "78829", "version": 9, "description": "Other specified retention of urine" }, { "code": "60789", "version": 9, "description": "Other specified disorders of penis" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "7837", "version": 9, "description": "Adult failure to thrive" }, { "code": "28860", "version": 9, "description": "Leukocytosis, unspecified" }, { "code": "78791", "version": 9, "description": "Diarrhea" }, { "code": "56400", "version": 9, "description": "Constipation, unspecified" }, { "code": "29420", "version": 9, "description": "Dementia, unspecified, without behavioral disturbance" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "V1005", "version": 9, "description": "Personal history of malignant neoplasm of large intestine" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" } ], "labs": [ { "label": "Anion Gap", "value": "12", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "23", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "107", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.2", "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": "138", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "12", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "8.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.5", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "___", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "18.4", "unit": "K/uL", "flag": "abnormal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_50243114", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18110020/s50243114/cde578b4-835fd6d8-52f31743-1cefcefc-0fa3157d.jpg", "report_gt": "FINAL REPORT\n HISTORY: NT placement.\n \n FINDINGS: In comparison with the study of ___, there is little change in the\n appearance of heart and lungs. Nasogastric tube coils within the fundus of\n the stomach with the tip in the upper to mid body of this organ.", "findings": "In comparison with the study of ___, there is little change in the\n appearance of heart and lungs. Nasogastric tube coils within the fundus of\n the stomach with the tip in the upper to mid body of this organ.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p18/p18110020/s59523573/6cbf6e4a-3f35b74e-ea811e34-73b49766-fa916b88.jpg", "report": "IMPRESSION:\nAP chest compared to ___.\n \n Nasogastric tube has been withdrawn terminating at the gastroesophageal\n junction and would need to be advanced at least 10 cm to move all the side\n ports into the stomach. Severe thoracolumbar scoliosis distorts the shape of\n the chest cage which is quite small. Borderline cardiomegaly is stable. \n Right lung is clear. Atelectasis at the base of the left could be due\n partially to chest cage deformity, and there might be a small left pleural\n effusion. No pneumothorax.", "findings": "", "impression": "", "study_date": "2138-02-12", "study_id": "59523573" }, "metadata": { "subject_id": "18110020", "view_position": "AP", "comparison": "with the study of ___, there is little change in the", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2138-02-13", "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": "followup" }, { "study_id": "rexgrad_pGRDNIZ4T5WUTAZZC_aGRDN5YJD5MBKDB3R_s1.2.826.0.1.3680043.8.498.21572167947389570974101982836368385889", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNIZ4T5WUTAZZC/GRDN5YJD5MBKDB3R/studies/1.2.826.0.1.3680043.8.498.21572167947389570974101982836368385889/series/1.2.826.0.1.3680043.8.498.90422012349605347583312742721271141539/instances/1.2.826.0.1.3680043.8.498.95204060381026803809473543989585090581.png", "report_gt": "FINDINGS:\nThe lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.\n\nIMPRESSION:\nNo acute changes are identified.", "findings": "The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.", "impression": "No acute changes are identified.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNIZ4T5WUTAZZC/GRDN4SYNJK0DAA75/studies/1.2.826.0.1.3680043.8.498.61517389497125050298039031044611891171/series/1.2.826.0.1.3680043.8.498.15484119117448699483643161895520709756/instances/1.2.826.0.1.3680043.8.498.95536343446499450755133741157476325341.png", "report": "FINDINGS:\nHeart size upper limits normal. Mediastinum is within normal limits. The lungs are clear. Old posttraumatic change demonstrated at the right distal clavicle.\n\nIMPRESSION:\nNo acute cardio pulmonary disease.", "findings": "Heart size upper limits normal. Mediastinum is within normal limits. The lungs are clear. Old posttraumatic change demonstrated at the right distal clavicle.", "impression": "No acute cardio pulmonary disease.", "study_date": "20120718" }, "metadata": { "patient_id": "pGRDNIZ4T5WUTAZZC", "view_position": "AP", "study_date": "20120719", "comparison": "Comparison is made to the prior exam of 7/17/2018.", "indication": "cva", "age": "062Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN6HDWAIIFWJVH_aGRDNBJ818S9B07P2_s1.2.826.0.1.3680043.8.498.15985119204465771023699826438527689433", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN6HDWAIIFWJVH/GRDNBJ818S9B07P2/studies/1.2.826.0.1.3680043.8.498.15985119204465771023699826438527689433/series/1.2.826.0.1.3680043.8.498.24655897364671446562308917985860510302/instances/1.2.826.0.1.3680043.8.498.91205715364431725519770074740361435609.png", "report_gt": "FINDINGS:\nThe lungs are well-aerated. Mild left lower lobe airspace opacity is concerning for 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.\n\nIMPRESSION:\nMild left lower lobe airspace opacity is concerning for pneumonia.", "findings": "The lungs are well-aerated. Mild left lower lobe airspace opacity is concerning for 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.", "impression": "Mild left lower lobe airspace opacity is concerning for pneumonia.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN6HDWAIIFWJVH/GRDNFD6IFH7Z8WDO/studies/1.2.826.0.1.3680043.8.498.46052536014466231954234437983263557461/series/1.2.826.0.1.3680043.8.498.59020019742984695378231338064527958574/instances/1.2.826.0.1.3680043.8.498.56709874102218782161338239935085701173.png", "report": "FINDINGS:\nTortuous on unfolded thoracic aorta. Aortic atherosclerosis noted. Normal heart size. No pleural effusion or edema. No airspace consolidation. Lung volumes are low.\n\nIMPRESSION:\n1. Aortic atherosclerosis. 2. Low lung volumes.", "findings": "Tortuous on unfolded thoracic aorta. Aortic atherosclerosis noted. Normal heart size. No pleural effusion or edema. No airspace consolidation. Lung volumes are low.", "impression": "1. Aortic atherosclerosis. 2. Low lung volumes.", "study_date": "20170211" }, "metadata": { "patient_id": "pGRDN6HDWAIIFWJVH", "view_position": "AP", "study_date": "20170627", "comparison": "Chest radiograph performed 8/3/2004", "indication": "Acute onset of generalized weakness. Initial encounter.", "age": "089Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNW400D2Z1Z43E_aGRDNU2CW2A6DGRLH_s1.2.826.0.1.3680043.8.498.13438872162871735620632616900266086148", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNW400D2Z1Z43E/GRDNU2CW2A6DGRLH/studies/1.2.826.0.1.3680043.8.498.13438872162871735620632616900266086148/series/1.2.826.0.1.3680043.8.498.21723408500907315468729547067325779798/instances/1.2.826.0.1.3680043.8.498.93096213730866949622457488872924905728.png", "report_gt": "FINDINGS:\nNormal mediastinum and heart silhouette. Costophrenic angles are clear. No effusion, infiltrate, pneumothorax. The density at the left lung base is unchanged and likely represents a nipple shadow. This could be confirmed with nipple markers.\n\nIMPRESSION:\nNo change. No acute cardiopulmonary process.", "findings": "Normal mediastinum and heart silhouette. Costophrenic angles are clear. No effusion, infiltrate, pneumothorax. The density at the left lung base is unchanged and likely represents a nipple shadow. This could be confirmed with nipple markers.", "impression": "No change. No acute cardiopulmonary process.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNW400D2Z1Z43E/GRDNY91U66I9Q5YY/studies/1.2.826.0.1.3680043.8.498.25939006803861706920279405866464307116/series/1.2.826.0.1.3680043.8.498.29457694862962590208694161869273568728/instances/1.2.826.0.1.3680043.8.498.19141379154560311390934103276729250701.png", "report": "FINDINGS:\nThe heart size and mediastinal contours are normal. The lungs appear clear. There is a suspected nipple shadow superimposed over the left lung base on the frontal examination. There is mild pulmonary hyperinflation. No pleural effusion or focal osseous abnormality is identified.\n\nIMPRESSION:\nNo acute cardiopulmonary process demonstrated. Mild pulmonary hyperinflation.", "findings": "The heart size and mediastinal contours are normal. The lungs appear clear. There is a suspected nipple shadow superimposed over the left lung base on the frontal examination. There is mild pulmonary hyperinflation. No pleural effusion or focal osseous abnormality is identified.", "impression": "No acute cardiopulmonary process demonstrated. Mild pulmonary hyperinflation.", "study_date": "20120514" }, "metadata": { "patient_id": "pGRDNW400D2Z1Z43E", "view_position": "AP", "study_date": "20120520", "comparison": "Comparison: Plain film 9/18/2003", "indication": "Confusion, cough", "age": "050Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNV1W65I2B31OD_aGRDN0QPWKYPZ1XBG_s1.2.826.0.1.3680043.8.498.22780942438211340804901544584328851738", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNV1W65I2B31OD/GRDN0QPWKYPZ1XBG/studies/1.2.826.0.1.3680043.8.498.22780942438211340804901544584328851738/series/1.2.826.0.1.3680043.8.498.97888667589298617034833680663498633552/instances/1.2.826.0.1.3680043.8.498.20553150623285758951289227324210466443.png", "report_gt": "FINDINGS:\nThe lungs are mildly hypoinflated though this is stable despite extubation of the trachea. The cardiac silhouette remains mildly enlarged and the central pulmonary vascularity remains prominent. A trace of pleural fluid on the left is suspected. The esophagogastric tube has been removed. The left subclavian venous catheter tip lies at the cavoatrial junction.\n\nIMPRESSION:\nThere has not been significant interval change in the appearance of the chest since extubation of the trachea. Mild hypoinflation and low-grade CHF are demonstrated.", "findings": "The lungs are mildly hypoinflated though this is stable despite extubation of the trachea. The cardiac silhouette remains mildly enlarged and the central pulmonary vascularity remains prominent. A trace of pleural fluid on the left is suspected. The esophagogastric tube has been removed. The left subclavian venous catheter tip lies at the cavoatrial junction.", "impression": "There has not been significant interval change in the appearance of the chest since extubation of the trachea. Mild hypoinflation and low-grade CHF are demonstrated.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNV1W65I2B31OD/GRDNW52IH5LIJT7D/studies/1.2.826.0.1.3680043.8.498.99495372585735897164265169465498532563/series/1.2.826.0.1.3680043.8.498.16881155458325793103711983879182256060/instances/1.2.826.0.1.3680043.8.498.86682823893588046480453679086403270771.png", "report": "FINDINGS:\nLungs are clear. No pleural effusion or pneumothorax. Stable cardiomegaly.\n\nIMPRESSION:\nNo evidence of acute cardiopulmonary disease.", "findings": "Lungs are clear. No pleural effusion or pneumothorax. Stable cardiomegaly.", "impression": "No evidence of acute cardiopulmonary disease.", "study_date": "20150311" }, "metadata": { "patient_id": "pGRDNV1W65I2B31OD", "view_position": "AP", "study_date": "20150728", "comparison": "Portable chest x-ray of July 6, 2023", "indication": "Status post extubation", "age": "033Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN8ZUD67TH3YO8_aGRDNP305WA3BRKCQ_s1.2.826.0.1.3680043.8.498.42541764918278869479260718287633435304", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN8ZUD67TH3YO8/GRDNP305WA3BRKCQ/studies/1.2.826.0.1.3680043.8.498.42541764918278869479260718287633435304/series/1.2.826.0.1.3680043.8.498.54105717282178901224159180850985652356/instances/1.2.826.0.1.3680043.8.498.98369976353002361813951551251332372521.png", "report_gt": "FINDINGS:\nEndotracheal tube and NG tube present on the prior study have been removed. There has been marked worsening of diffuse bilateral airspace disease. Heart size is upper normal. No pneumothorax. There are likely small bilateral pleural effusions.\n\nIMPRESSION:\nMarked worsening in diffuse bilateral airspace disease could be due to pneumonia and/or pulmonary edema. Interval extubation and NG tube removal.", "findings": "Endotracheal tube and NG tube present on the prior study have been removed. There has been marked worsening of diffuse bilateral airspace disease. Heart size is upper normal. No pneumothorax. There are likely small bilateral pleural effusions.", "impression": "Marked worsening in diffuse bilateral airspace disease could be due to pneumonia and/or pulmonary edema. Interval extubation and NG tube removal.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN8ZUD67TH3YO8/GRDNPDJQDNZPS8BL/studies/1.2.826.0.1.3680043.8.498.96484854955378110697871302733001271469/series/1.2.826.0.1.3680043.8.498.85086426002887576341832900235224826870/instances/1.2.826.0.1.3680043.8.498.72238415265698690394010345798290691914.png", "report": "FINDINGS:\nEndotracheal tube tip 1.5 cm above the carina. This will need to be monitored closely to avoid mainstem bronchus intubation with change of the patient's neck position. Left central line tip mid superior vena cava level. No gross pneumothorax. Diffuse asymmetric air space disease greater on the left without significant change. Blunting of the costophrenic angles may indicate pleural effusions not previously identified. Cardiomegaly. Calcified aorta. Nasogastric tube courses below the diaphragm. The tip is not included on this exam.\n\nIMPRESSION:\nSimilar appearance of diffuse asymmetric air space disease possibly with small pleural effusions. Endotracheal tube 1.5 cm above the carina as noted above.", "findings": "Endotracheal tube tip 1.5 cm above the carina. This will need to be monitored closely to avoid mainstem bronchus intubation with change of the patient's neck position. Left central line tip mid superior vena cava level. No gross pneumothorax. Diffuse asymmetric air space disease greater on the left without significant change. Blunting of the costophrenic angles may indicate pleural effusions not previously identified. Cardiomegaly. Calcified aorta. Nasogastric tube courses below the diaphragm. The tip is not included on this exam.", "impression": "Similar appearance of diffuse asymmetric air space disease possibly with small pleural effusions. Endotracheal tube 1.5 cm above the carina as noted above.", "study_date": "20130223" }, "metadata": { "patient_id": "pGRDN8ZUD67TH3YO8", "view_position": "AP", "study_date": "20130304", "comparison": "Comparison: Chest 04/12/2015.", "indication": "Respiratory failure.", "age": "089Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNO6JNAVSJC4O3_aGRDNAR7UMYD41E8S_s1.2.826.0.1.3680043.8.498.62604711153446453299111751527584011660", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNO6JNAVSJC4O3/GRDNAR7UMYD41E8S/studies/1.2.826.0.1.3680043.8.498.62604711153446453299111751527584011660/series/1.2.826.0.1.3680043.8.498.98553305493516198196977366391254171279/instances/1.2.826.0.1.3680043.8.498.69074568098859540558231390082542513826.png", "report_gt": "FINDINGS:\nThere are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart is enlarged, there is vascular prominence of the hilum. The mediastinal structures are unremarkable. Visualized osseous structures are without fracture.\n\nIMPRESSION:\nMinimal congestive changes.", "findings": "There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart is enlarged, there is vascular prominence of the hilum. The mediastinal structures are unremarkable. Visualized osseous structures are without fracture.", "impression": "Minimal congestive changes.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNO6JNAVSJC4O3/GRDNZ2MKNT0J5TOA/studies/1.2.826.0.1.3680043.8.498.77897185527291997935893746524712346098/series/1.2.826.0.1.3680043.8.498.64934154589768487029639849053818932806/instances/1.2.826.0.1.3680043.8.498.71174671428167113582576934688798261124.png", "report": "FINDINGS:\nThe lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature appears mildly engorged and indistinct. The heart is enlarged.\n\nIMPRESSION:\nCardiomegaly with mild interstitial edema.", "findings": "The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature appears mildly engorged and indistinct. The heart is enlarged.", "impression": "Cardiomegaly with mild interstitial edema.", "study_date": "20110626" }, "metadata": { "patient_id": "pGRDNO6JNAVSJC4O3", "view_position": "AP", "study_date": "20110629", "comparison": "8/15/10", "indication": "Shortness of breath R/O Infil", "age": "", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNT1VTWQCRQ67S_aGRDN8NFVEPCMA6M0_s1.2.826.0.1.3680043.8.498.60833084400669907012182607681758843133", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNT1VTWQCRQ67S/GRDN8NFVEPCMA6M0/studies/1.2.826.0.1.3680043.8.498.60833084400669907012182607681758843133/series/1.2.826.0.1.3680043.8.498.57906539304337684102592125386319389692/instances/1.2.826.0.1.3680043.8.498.72326795527841713198015654193525855372.png", "report_gt": "FINDINGS:\nThe previously demonstrated infiltrate in the right lower lobe has largely cleared. There is minimal linear density that projects just above the lateral aspect of the right hemidiaphragm that likely reflects residual atelectasis. The left lung is clear. The heart and mediastinal structures are normal. There is no pleural effusion. The bony thorax exhibits no acute abnormality.\n\nIMPRESSION:\nNear total clearing of infiltrate in the right lower lobe. Minimal residual presumed atelectasis inferior laterally.", "findings": "The previously demonstrated infiltrate in the right lower lobe has largely cleared. There is minimal linear density that projects just above the lateral aspect of the right hemidiaphragm that likely reflects residual atelectasis. The left lung is clear. The heart and mediastinal structures are normal. There is no pleural effusion. The bony thorax exhibits no acute abnormality.", "impression": "Near total clearing of infiltrate in the right lower lobe. Minimal residual presumed atelectasis inferior laterally.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNT1VTWQCRQ67S/GRDNSN5T6KMYQZ1A/studies/1.2.826.0.1.3680043.8.498.60384986871240265190028845656963838901/series/1.2.826.0.1.3680043.8.498.79720965608980121661576843886711141098/instances/1.2.826.0.1.3680043.8.498.80938586372488976658334553700282252228.png", "report": "FINDINGS:\nNew infiltrate in the right base. Heart, hila, mediastinum, lungs, and pleura are otherwise unremarkable.\n\nIMPRESSION:\nNew infiltrate in the right base may represent pneumonia or aspiration. Recommend short-term follow-up to ensure resolution.", "findings": "New infiltrate in the right base. Heart, hila, mediastinum, lungs, and pleura are otherwise unremarkable.", "impression": "New infiltrate in the right base may represent pneumonia or aspiration. Recommend short-term follow-up to ensure resolution.", "study_date": "20190321" }, "metadata": { "patient_id": "pGRDNT1VTWQCRQ67S", "view_position": "AP", "study_date": "20190330", "comparison": "PA and lateral chest x-ray of December 02, 2016 and June 12, 2007.", "indication": "Follow-up recent episode of right-sided pneumonia following antibiotic treatment. Some persistent cough.", "age": "063Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNNNPJHVDJHUZR_aGRDN5MA26P3DUQB5_s1.2.826.0.1.3680043.8.498.57163569043593902281541481276802669173", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNNNPJHVDJHUZR/GRDN5MA26P3DUQB5/studies/1.2.826.0.1.3680043.8.498.57163569043593902281541481276802669173/series/1.2.826.0.1.3680043.8.498.29817363468906195153051995726060940777/instances/1.2.826.0.1.3680043.8.498.32514517517043644100944474841269934432.png", "report_gt": "FINDINGS:\nTodays examination is obtained in a better depth of inspiration. Mild chronic appearing lung changes with linear scarring versus atelectasis in the mid lungs bilaterally and at the left lung base. The cardiac silhouette is enlarged. The pulmonary vasculature is at the upper limits of normal. Atherosclerotic calcifications are seen in a tortuous and mildly ectatic thoracic aorta. There is suggestion of a small right pleural effusion. There is a mild wedge shaped compression deformity involving an upper thoracic vertebral body.\n\nIMPRESSION:\nCardiomegaly without overt CHF. Mild chronic appearing lung changes with probable atelectasis versus scarring in the left mid lung field and at the left lung base.", "findings": "Todays examination is obtained in a better depth of inspiration. Mild chronic appearing lung changes with linear scarring versus atelectasis in the mid lungs bilaterally and at the left lung base. The cardiac silhouette is enlarged. The pulmonary vasculature is at the upper limits of normal. Atherosclerotic calcifications are seen in a tortuous and mildly ectatic thoracic aorta. There is suggestion of a small right pleural effusion. There is a mild wedge shaped compression deformity involving an upper thoracic vertebral body.", "impression": "Cardiomegaly without overt CHF. Mild chronic appearing lung changes with probable atelectasis versus scarring in the left mid lung field and at the left lung base.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNNNPJHVDJHUZR/GRDNFZVGCK4GPD8E/studies/1.2.826.0.1.3680043.8.498.15462325638932249899027142393736593110/series/1.2.826.0.1.3680043.8.498.25294676502327890813762685550245231688/instances/1.2.826.0.1.3680043.8.498.11622128177715274241112213186038967663.png", "report": "FINDINGS:\nThe cardiac silhouette and bronchovascular markings are accentuated by shallow depth of inspiration and portable technique of the study. However, the cardiac silhouette does appear enlarged with mild increase in pulmonary vasculature. There is some mild hazy density in the right paramediastinal region and right suprahilar region which is thought to most likely be related to vasculature and accentuation by the technique of the study. Linear densities seen in the left mid lung field probably related to atelectasis. No definite pleural fluid is seen and there is no focal area of consolidation. Atherosclerotic calcifications are seen in a tortuous and ectatic thoracic aorta. There is osteopenia. Degenerative changes are noted in the spine.\n\nIMPRESSION:\nCardiomegaly with suggestion of mild pulmonary vascular congestion. Atelectasis of left mid lung field. Osteopenia.", "findings": "The cardiac silhouette and bronchovascular markings are accentuated by shallow depth of inspiration and portable technique of the study. However, the cardiac silhouette does appear enlarged with mild increase in pulmonary vasculature. There is some mild hazy density in the right paramediastinal region and right suprahilar region which is thought to most likely be related to vasculature and accentuation by the technique of the study. Linear densities seen in the left mid lung field probably related to atelectasis. No definite pleural fluid is seen and there is no focal area of consolidation. Atherosclerotic calcifications are seen in a tortuous and ectatic thoracic aorta. There is osteopenia. Degenerative changes are noted in the spine.", "impression": "Cardiomegaly with suggestion of mild pulmonary vascular congestion. Atelectasis of left mid lung field. Osteopenia.", "study_date": "20090228" }, "metadata": { "patient_id": "pGRDNNNPJHVDJHUZR", "view_position": "PA", "study_date": "20090301", "comparison": "Compared to study on 1/9/1999.", "indication": "Chest pain, new onset atrial fibrillation.", "age": "", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNOAS5OHHNWDBV_aGRDNLOGSSQA8Q2F2_s1.2.826.0.1.3680043.8.498.85242653942358074009309187361503966421", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNOAS5OHHNWDBV/GRDNLOGSSQA8Q2F2/studies/1.2.826.0.1.3680043.8.498.85242653942358074009309187361503966421/series/1.2.826.0.1.3680043.8.498.60363328449803538785822025384407524189/instances/1.2.826.0.1.3680043.8.498.44783030954174571015030815047715196752.png", "report_gt": "FINDINGS:\nThe cardiopericardial silhouette is within normal limits for size. Lung volumes are low. Minimal bibasilar airspace disease likely reflects atelectasis. The visualized soft tissues and bony thorax are unremarkable.\n\nIMPRESSION:\nLow lung volumes with minimal bibasilar atelectasis, left worse than right.", "findings": "The cardiopericardial silhouette is within normal limits for size. Lung volumes are low. Minimal bibasilar airspace disease likely reflects atelectasis. The visualized soft tissues and bony thorax are unremarkable.", "impression": "Low lung volumes with minimal bibasilar atelectasis, left worse than right.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNOAS5OHHNWDBV/GRDNWRROSPH2XU65/studies/1.2.826.0.1.3680043.8.498.11412893548176936757157248290392669854/series/1.2.826.0.1.3680043.8.498.45271352971088476327271063895785875878/instances/1.2.826.0.1.3680043.8.498.63742046423128711627841232257898519542.png", "report": "FINDINGS:\nHeart size is enlarged. The vascularity is normal and the lungs are clear. There is no infiltrate or effusion.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "Heart size is enlarged. The vascularity is normal and the lungs are clear. There is no infiltrate or effusion.", "impression": "No active cardiopulmonary disease.", "study_date": "20100824" }, "metadata": { "patient_id": "pGRDNOAS5OHHNWDBV", "view_position": "AP", "study_date": "20100826", "comparison": "Comparison: 8/14/2001", "indication": "Syncope. Fever.", "age": "068Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNU3XZZ2B1VX2D_aGRDNYZ35G4IHLP57_s1.2.826.0.1.3680043.8.498.57162830406524293045144220633433356545", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNU3XZZ2B1VX2D/GRDNYZ35G4IHLP57/studies/1.2.826.0.1.3680043.8.498.57162830406524293045144220633433356545/series/1.2.826.0.1.3680043.8.498.55955951615997972825450426910302073900/instances/1.2.826.0.1.3680043.8.498.14465259355414746459080249517322472017.png", "report_gt": "FINDINGS:\nHeart is upper limits normal in size. No confluent opacities or effusions. No acute bony abnormality.\n\nIMPRESSION:\nNo active disease.", "findings": "Heart is upper limits normal in size. No confluent opacities or effusions. No acute bony abnormality.", "impression": "No active disease.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNU3XZZ2B1VX2D/GRDN7EW55P6ZJMFA/studies/1.2.826.0.1.3680043.8.498.99686232374000961131137853577654641359/series/1.2.826.0.1.3680043.8.498.42303601208447312900559733289306493361/instances/1.2.826.0.1.3680043.8.498.57349331322308106111709585923299360715.png", "report": "FINDINGS:\nCardiomediastinal silhouette is unremarkable. Blunted left costophrenic angle is probably a fat pad. No consolidation, pneumothorax, or effusion. Enteric tube tip below the field of view in the abdomen. Left glenohumeral osteoarthrosis.\n\nIMPRESSION:\nNo active disease.", "findings": "Cardiomediastinal silhouette is unremarkable. Blunted left costophrenic angle is probably a fat pad. No consolidation, pneumothorax, or effusion. Enteric tube tip below the field of view in the abdomen. Left glenohumeral osteoarthrosis.", "impression": "No active disease.", "study_date": "20180207" }, "metadata": { "patient_id": "pGRDNU3XZZ2B1VX2D", "view_position": "AP", "study_date": "20180218", "comparison": "Comparison with the exam from 3/29/2016.", "indication": "Healthcare associated pneumonia.", "age": "087Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN3GA88LQM5BQ3_aGRDNN0037N18JX9S_s1.2.826.0.1.3680043.8.498.36341278173574844111492755189286317600", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN3GA88LQM5BQ3/GRDNN0037N18JX9S/studies/1.2.826.0.1.3680043.8.498.36341278173574844111492755189286317600/series/1.2.826.0.1.3680043.8.498.66894794496305106818597147285045441891/instances/1.2.826.0.1.3680043.8.498.44172125621764166263941875738434079482.png", "report_gt": "FINDINGS:\nThere is increased density at both lung bases, consistent with the lack of deep inspiration. No definite pneumonia is seen. The heart and pulmonary vasculature are normal in appearance.\n\nIMPRESSION:\nNo acute changes are identified.", "findings": "There is increased density at both lung bases, consistent with the lack of deep inspiration. No definite pneumonia is seen. The heart and pulmonary vasculature are normal in appearance.", "impression": "No acute changes are identified.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN3GA88LQM5BQ3/GRDNEXBNZTNF76MK/studies/1.2.826.0.1.3680043.8.498.31693138194706358814000605093541474811/series/1.2.826.0.1.3680043.8.498.42634030402399155597158492670720690955/instances/1.2.826.0.1.3680043.8.498.94444453311417667784783436946472915272.png", "report": "FINDINGS:\nNormal heart size and normal vascularity. Lungs are clear without infiltrate or effusion. Negative for mass lesion.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "Normal heart size and normal vascularity. Lungs are clear without infiltrate or effusion. Negative for mass lesion.", "impression": "No active cardiopulmonary disease.", "study_date": "20130101" }, "metadata": { "patient_id": "pGRDN3GA88LQM5BQ3", "view_position": "AP", "study_date": "20130131", "comparison": "Comparison is made to the prior exam of 10/12/2020.", "indication": "congestion/ cough", "age": "063Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNW8GZWEDJQSYZ_aGRDN3V8KXILO1J6R_s1.2.826.0.1.3680043.8.498.70061596877497690249517064260505047693", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNW8GZWEDJQSYZ/GRDN3V8KXILO1J6R/studies/1.2.826.0.1.3680043.8.498.70061596877497690249517064260505047693/series/1.2.826.0.1.3680043.8.498.33838257633509462774744139517744535441/instances/1.2.826.0.1.3680043.8.498.22188819924804598901169850205523751069.png", "report_gt": "FINDINGS:\nCardiomegaly again noted. No pulmonary edema. There is streaky bilateral basilar atelectasis or early infiltrate.\n\nIMPRESSION:\nNo pulmonary edema. Streaky bilateral basilar atelectasis or infiltrate.", "findings": "Cardiomegaly again noted. No pulmonary edema. There is streaky bilateral basilar atelectasis or early infiltrate.", "impression": "No pulmonary edema. Streaky bilateral basilar atelectasis or infiltrate.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNW8GZWEDJQSYZ/GRDNLIOMD74FG478/studies/1.2.826.0.1.3680043.8.498.55125357825229754197926705327875418429/series/1.2.826.0.1.3680043.8.498.67341740249798737668708214012316772749/instances/1.2.826.0.1.3680043.8.498.71225426972436585190179107591167932215.png", "report": "FINDINGS:\nCardiomegaly and pulmonary vascular congestion noted. Right basilar scarring is present. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.\n\nIMPRESSION:\nCardiomegaly with pulmonary vascular congestion.", "findings": "Cardiomegaly and pulmonary vascular congestion noted. Right basilar scarring is present. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.", "impression": "Cardiomegaly with pulmonary vascular congestion.", "study_date": "20140210" }, "metadata": { "patient_id": "pGRDNW8GZWEDJQSYZ", "view_position": "AP", "study_date": "20140505", "comparison": "Comparison: 1/26/2006", "indication": "Chest pain", "age": "052Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNAWD0JMHZAZ2S_aGRDNY1HZHY8A3GPQ_s1.2.826.0.1.3680043.8.498.70588447460673776519360762744933566559", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNAWD0JMHZAZ2S/GRDNY1HZHY8A3GPQ/studies/1.2.826.0.1.3680043.8.498.70588447460673776519360762744933566559/series/1.2.826.0.1.3680043.8.498.47048569593715894008744168791236764890/instances/1.2.826.0.1.3680043.8.498.76486482899084815719547696430917238387.png", "report_gt": "FINDINGS:\nPICC line is via the left. It terminates at the left jugular vein. Heart size appears normal. Bilateral infiltrates are present in the mid to lower lung fields. This has increased compared to the prior exam. Small pleural effusions likely as well. Multiple old rib fracture deformities seen on the left.\n\nIMPRESSION:\nPICC line terminates at the left jugular vein. Bilateral infiltrates and effusions at the lung bases.", "findings": "PICC line is via the left. It terminates at the left jugular vein. Heart size appears normal. Bilateral infiltrates are present in the mid to lower lung fields. This has increased compared to the prior exam. Small pleural effusions likely as well. Multiple old rib fracture deformities seen on the left.", "impression": "PICC line terminates at the left jugular vein. Bilateral infiltrates and effusions at the lung bases.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNAWD0JMHZAZ2S/GRDNCOA91X3XGII3/studies/1.2.826.0.1.3680043.8.498.49272548982802356884768476978935585916/series/1.2.826.0.1.3680043.8.498.30959211610760658624939220186153597063/instances/1.2.826.0.1.3680043.8.498.94536405070082697290121141759636815468.png", "report": "FINDINGS:\nThe cardiomediastinal silhouette appears to be unremarkable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. There are multiple old left-sided rib fractures noted.\n\nIMPRESSION:\nNo evidence of acute pulmonary disease. Multiple old left-sided rib fractures.", "findings": "The cardiomediastinal silhouette appears to be unremarkable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. There are multiple old left-sided rib fractures noted.", "impression": "No evidence of acute pulmonary disease. Multiple old left-sided rib fractures.", "study_date": "20101110" }, "metadata": { "patient_id": "pGRDNAWD0JMHZAZ2S", "view_position": "AP", "study_date": "20101128", "comparison": "Comparison November 03 2006.", "indication": "Post central line placement picc", "age": "", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNKSG3XVNN5S42_aGRDNJGVTV17DJWMG_s1.2.826.0.1.3680043.8.498.14764473664070218452575075839701446706", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNKSG3XVNN5S42/GRDNJGVTV17DJWMG/studies/1.2.826.0.1.3680043.8.498.14764473664070218452575075839701446706/series/1.2.826.0.1.3680043.8.498.70777576915750977367215621889231508282/instances/1.2.826.0.1.3680043.8.498.91942939637256637531623506597107744582.png", "report_gt": "FINDINGS:\nMild increase in amount of bilateral pleural fluid and adjacent bibasilar airspace opacity. The heart borders are obscured. Mild increase in diffuse prominence of the pulmonary vasculature and interstitial markings.\n\nIMPRESSION:\nWorsening changes of congestive heart failure. Increased bibasilar atelectasis or pneumonia.", "findings": "Mild increase in amount of bilateral pleural fluid and adjacent bibasilar airspace opacity. The heart borders are obscured. Mild increase in diffuse prominence of the pulmonary vasculature and interstitial markings.", "impression": "Worsening changes of congestive heart failure. Increased bibasilar atelectasis or pneumonia.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNKSG3XVNN5S42/GRDN0APACMBRCPQ5/studies/1.2.826.0.1.3680043.8.498.50550802203089967437704660765733600867/series/1.2.826.0.1.3680043.8.498.78603797954423228818304456326700795824/instances/1.2.826.0.1.3680043.8.498.32172385228650277529407038542322150000.png", "report": "FINDINGS:\nBilateral pleural effusions are accompanied by bibasilar paths of atelectasis. Cardiomegaly is present. There is pulmonary venous hypertension. Currently, no overt edema.\n\nIMPRESSION:\nModerate pleural effusions with associated passive atelectasis. Cardiomegaly and pulmonary venous hypertension.", "findings": "Bilateral pleural effusions are accompanied by bibasilar paths of atelectasis. Cardiomegaly is present. There is pulmonary venous hypertension. Currently, no overt edema.", "impression": "Moderate pleural effusions with associated passive atelectasis. Cardiomegaly and pulmonary venous hypertension.", "study_date": "20060819" }, "metadata": { "patient_id": "pGRDNKSG3XVNN5S42", "view_position": "AP", "study_date": "20060821", "comparison": "Comparison: 1/11/2022.", "indication": "Followup pleural effusions.", "age": "080Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNF5CTRDYW81QK_aGRDNCP6IE3I3N5ND_s1.2.826.0.1.3680043.8.498.55268977930070189514450380219502687749", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNF5CTRDYW81QK/GRDNCP6IE3I3N5ND/studies/1.2.826.0.1.3680043.8.498.55268977930070189514450380219502687749/series/1.2.826.0.1.3680043.8.498.33050571354278568396856126092345946580/instances/1.2.826.0.1.3680043.8.498.15345200216599298506404548411274192765.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Mild peribronchial thickening bilaterally. No focal airspace consolidation, pleural effusion, or pneumothorax. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nFindings suggestive of viral bronchiolitis or reactive airways disease. No focal airspace consolidation.", "findings": "The heart size and mediastinal contours are within normal limits. Mild peribronchial thickening bilaterally. No focal airspace consolidation, pleural effusion, or pneumothorax. The visualized skeletal structures are unremarkable.", "impression": "Findings suggestive of viral bronchiolitis or reactive airways disease. No focal airspace consolidation.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNF5CTRDYW81QK/GRDNGZ670GKPYFXE/studies/1.2.826.0.1.3680043.8.498.67466848424012238600546713487801117371/series/1.2.826.0.1.3680043.8.498.60357665301290460959880785261893277215/instances/1.2.826.0.1.3680043.8.498.99869579359803730221488523460961463224.png", "report": "FINDINGS:\nHeart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.\n\nIMPRESSION:\nCentral airway thickening compatible with viral bronchiolitis or reactive airways disease.", "findings": "Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.", "impression": "Central airway thickening compatible with viral bronchiolitis or reactive airways disease.", "study_date": "20211008" }, "metadata": { "patient_id": "pGRDNF5CTRDYW81QK", "view_position": "AP", "study_date": "20211028", "comparison": "Comparison: 07/03/1993", "indication": "Cough, fever", "age": "004Y", "sex": "F" }, "eval_track": "followup" } ] }