Text_summarization/task112_mimic_cxr_text_summurization.json

{
    "Contributors": "MIMIC-CXR",
    "Source": "MIMIC-CXR",
    "URL": "https://physionet.org/content/mimic-cxr-jpg/2.0.0/",
    "Categories": [
        "Text Summurization"
    ],
    "Definition": [
        "You will be given a description of the important aspects in the Chest X-ray image. Your task is to give a short summary of the most immediately relevant findings"
    ],
    "Reasoning": [],
    "Input_language": [
        "English"
    ],
    "Output_language": [
        "English"
    ],
    "Instruction_language": [
        "English"
    ],
    "Domains": [
        "Public Health",
        "Heathcare"
    ],
    "Positive Examples": [],
    "Negative Examples": [],
    "Instances": [
        {
            "input": "The lungs are clear without focal consolidation.  No pleural effusion or  pneumothorax is seen. The cardiac and mediastinal silhouettes are  unremarkable.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "There is a right lower lung opacity.  There is no pulmonary edema, pleural  effusion or pneumothorax.  The cardiac and mediastinal contours are normal.",
            "output": "Right lower lung opacity concerning for aspiration or pneumonia."
        },
        {
            "input": "Left-sided dual-chamber pacemaker/AICD device is re- demonstrated with leads  in unchanged positions. Mild enlargement of cardiac silhouette is again noted.  The aortic knob is calcified. The mediastinal and hilar contours are  unremarkable. Pulmonary vasculature is normal. Scarring is seen in the right  lung base with tenting of the right hemidiaphragm. No focal consolidation,  pleural effusion or pneumothorax is present. Lungs remain hyperinflated.  No  acute osseous abnormality is detected.",
            "output": "No acute cardiopulmonary abnormality."
        },
        {
            "input": "There is no new consolidation or pleural effusion.  The heart and mediastinum  are within normal limits.  Multilevel spinal degenerative changes are stable.  An old right lower rib fracture is re-demonstrated. There is no pneumothorax.",
            "output": "No radiographic evidence of pneumonia."
        },
        {
            "input": "PA and lateral views of the chest provided.    There is no focal consolidation, effusion, or pneumothorax. The  cardiomediastinal silhouette is normal. Imaged osseous structures are intact.   No free air below the right hemidiaphragm is seen.",
            "output": "No acute intrathoracic process."
        },
        {
            "input": "AP semi upright view of the chest provided.    There is no focal consolidation, effusion, or pneumothorax.  Bibasilar  atelectasis is similar to prior.  Mild cardiomegaly and large hiatal hernia  are similar to prior. Imaged osseous structures are intact.  No free air below  the right hemidiaphragm is seen.",
            "output": "No acute intrathoracic process."
        },
        {
            "input": "AP and lateral views of the chest.  In the mid right lung, there is  a new round opacity that is concerning for a mass however may represent focal  infection.  There is no pleural effusion or pneumothorax.  No focal  consolidation.  Cardiomediastinal and hilar contours are normal.",
            "output": "Right mid lung rounded opacity may represent a new mass or  infection.  Recommend CT for further evaluation.     These findings were emailed to the ___ nurses by Dr. ___ at 747am on  ___."
        },
        {
            "input": "In comparison to the chest radiographs obtained ___, no significant  changes are appreciated.  Lungs are fully expanded and clear without focal  consolidation or suspicious pulmonary nodules.  No pleural effusions.  Mild  cardiomegaly is unchanged without pulmonary vascular congestion or pulmonary  edema.  Descending thoracic aorta is tortuous, but unchanged.  Median  sternotomy wires are well aligned and intact.",
            "output": "No radiographic evidence of pneumonia, intrathoracic malignancy, or other  acute cardiopulmonary abnormalities."
        },
        {
            "input": "Patient is status post median sternotomy and CABG.  Mild cardiomegaly is  similar.  The aorta remains tortuous, and the mediastinal and hilar contours  are unchanged.  Pulmonary vasculature is not engorged.  There is minimal  atelectasis at the lung bases without focal consolidation.  No pleural  effusion or pneumothorax is detected.  Degenerative changes are seen  throughout the thoracic spine.",
            "output": "No acute cardiopulmonary abnormality."
        },
        {
            "input": "The lungs are clear without consolidation, effusion, or vascular congestion.  Cardiomediastinal silhouette is within normal limits. Tortuous descending  thoracic aorta is noted. Median sternotomy wires and mediastinal clips are  again seen. Chronic changes identified at the shoulders as on prior. No acute  osseous abnormalities.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "Persistent subtle right lower lobe and retrocardiac opacity.  Left basilar  atelectasis is noted.  No pulmonary edema.  No pleural effusion or  pneumothorax.  Heart is top-normal in size.  Mediastinal contour and hila are  unremarkable.    Intact median sternotomy wires.  Mediastinal clips are noted.",
            "output": "Bilateral lower lobe bronchopneumonia, unchanged in appearance since prior  examination.    RECOMMENDATION(S):  Recommend short interval followup chest radiograph ___  weeks after completion of treatment to assess for resolution."
        },
        {
            "input": "Postoperative cardiomediastinal silhouette and hilar contours are stable.   Lungs are clear.  There is no pleural effusion or pneumothorax.",
            "output": "No acute cardiopulmonary process; specifically, no evidence of pneumonia."
        },
        {
            "input": "AP view of the chest was provided.  Midline sternotomy wires and  mediastinal clips are noted.  The lungs appear clear without focal  consolidation, effusion, or pneumothorax.  Subtle nodular opacities are noted  in the left mid lung.  No large effusion or pneumothorax.  Cardiomediastinal  silhouette appears stable.  Bony structures are intact.",
            "output": "No acute findings.  Subtle nodular opacities in the left mid  lung.  Please refer to subsequent CT of the chest for further details."
        },
        {
            "input": "Support Devices:  None.    The lungs are clear. The sternotomy wires and mediastinal surgical clips are  unchanged. Heart size normal. There is no pneumothorax or pleural effusion.   Pulmonary vascularity is normal.  There is a high riding right humeral head  consistent with rotator cuff rupture.",
            "output": "No evidence of pneumonia."
        },
        {
            "input": "Lung volumes are slightly low.  Subtle opacity in the right infrahilar region  as well as retrocardiac region is concerning for bronchopneumonia given the  provided history.  Atelectasis at the left lung base is mild.  No edema,  pleural effusion, or pneumothorax.  The cardiomediastinal silhouette is  unchanged.  Median sternotomy wires and mediastinal clips are also unchanged.   The descending thoracic aorta is tortuous.",
            "output": "Bilateral lower lobe bronchopneumonia.  Repeat chest radiograph in ___ weeks  to ensure resolution after treatment is recommended.    RECOMMENDATION(S):  Repeat chest radiograph in ___ weeks to ensure resolution  after treatment is recommended."
        },
        {
            "input": "PA and lateral views of the chest.  Sternotomy wires and  mediastinal clips are stable.  There is no focal consolidation, pleural  effusion, or pneumothorax.  The cardiomediastinal and hilar contours are  normal.",
            "output": "No acute cardiopulmonary process.      These findings were discussed with Dr. ___ by Dr. ___ at 1:12 p.m. on  ___ by telephone at the time of discovery."
        },
        {
            "input": "The patient is status post median sternotomy with intact sternotomy  wires.  The lungs are clear without focal consolidation, effusion, or  pneumothorax.  A 4-mm nodular opacity in the right lower lobe is apparent on  today's exam, as are the subtle nodular opacities in the left lower lobe  previously noted on the ___ radiograph and better seen on the  CT from ___.  Bony structures are intact.  Cardiomediastinal  silhouette appears stable.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "Lung volumes are slightly low, particularly on the frontal view.  There is no  focal consolidation, effusion or overt edema.  Cardiac silhouette is within  normal limits.  Median sternotomy wires, mediastinal clips and coronary artery  stents are noted.  No acute osseous abnormalities.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "PA and lateral chest radiograph demonstrate clear lungs bilaterally.  Linear  lucencies paralleling the upper mediastinum extending into the neck is  compatible with pneumomediastinum.  Pulmonary vasculature is normal.  There is  no pneumothorax or pleural effusion.  No air under the right hemidiaphragm.",
            "output": "Pneumomediastinum."
        },
        {
            "input": "Heart size is normal.  The mediastinal and hilar contours are normal. The  pulmonary vasculature is normal. Lungs are clear.  No pleural effusion or  pneumothorax is seen.  Mild anterior wedge compression deformity of an upper  lumbar vertebral body is age indeterminate.",
            "output": "No acute cardiopulmonary abnormality.  Age indeterminate mild anterior wedge  compression deformity of an upper lumbar vertebral body."
        },
        {
            "input": "PA and lateral views of chest demonstrate clear lungs.  Heart size is normal.   No pleural effusion pneumothorax or pulmonary edema.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "PA and lateral views of the chest were provided.  The heart is normal in size.  There is no focal consolidation or evidence of pulmonary edema.  No pleural  effusion or pneumothorax is seen.  The mediastinal contour is normal.  No free  air is seen below the right hemidiaphragm.  The bony structures are intact.",
            "output": "No acute intrathoracic process."
        },
        {
            "input": "A single portable semi-erect chest radiograph was obtained.  Low lung volumes  exaggerate the heart size and interstitial markings.  The lungs are clear.   There is no focal consolidation, effusion, or pneumothorax.  The heart size is  top normal. Mediastinal contours are normal.  Cholecystectomy clips are  visible in the right upper quadrant.  There is no displaced rib fracture.",
            "output": "Top normal heart size."
        },
        {
            "input": "Chest:  The heart is not enlarged.  No CHF, focal infiltrate, effusion, or  pneumothorax detected.    Ribs:  No localizing history is available.  No marker is placed to indicate  the site of focal symptoms.  No dedicated rib radiographs were included.  Of  note, the lower most right ribs are not fully included on the available views.  Allowing for this, the possibility of slight cortical offset involving the  right eighth rib anteriorly cannot be excluded.",
            "output": "No acute pulmonary process identified.    No focal pneumonic infiltrate, pneumothorax or pleural effusion detected.    Possible minimally displaced fracture of the right anterior eighth rib.   Clinical correlation for any focal site of symptoms is requested.  If there is  ongoing concern for a a rib fracture, then dedicated rib radiographs could  help for further assessment."
        },
        {
            "input": "Single frontal chest radiograph demonstrates a right-sided  subclavian venous catheter terminating at the cavoatrial junction.   Endotracheal tube terminates at the level of the clavicles.  Enteric catheter  courses below the left hemidiaphragm terminating in the body of stomach.   Cardiomediastinal and hilar contours are unremarkable.  Left lung base  opacification is poorly assessed given patient positioning, but may reflect  combination of atelectasis and effusion.  Underlying infectious process cannot  be excluded.",
            "output": "Medical support devices are well positioned.  Left lower lung  opacification evident."
        },
        {
            "input": "Frontal and lateral views of the chest demonstrate fully expanded and clear  lungs.  The cardiomediastinal and hilar contours are normal.  There is no  pneumothorax or pleural effusion.  Pleural surfaces are unremarkable.  There  is no mediastinal air.",
            "output": "Normal chest radiograph.  No evidence of mediastinal air."
        },
        {
            "input": "Heart size is normal.  Mediastinal and hilar contours are unremarkable.  The  pulmonary vasculature is normal and the lungs are clear.  No pleural effusion,  focal consolidation or pneumothorax is demonstrated.  There are no acute  osseous abnormalities.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "The lungs are clear without focal consolidation.  No pleural effusion or  pneumothorax is seen.  The cardiac and mediastinal silhouettes are  unremarkable.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "Heart size is normal.  The mediastinal and hilar contours are normal. The  pulmonary vasculature is normal. Lungs are clear.  No pleural effusion or  pneumothorax is seen. There are no acute osseous abnormalities.",
            "output": "No acute cardiopulmonary abnormality."
        },
        {
            "input": "Lung volumes are low.  The heart size is normal.  Aorta remains unfolded, and  the mediastinal and hilar contours are unchanged.  The pulmonary vascularity  is not engorged.  Minimal streaky opacity within the left lower lobe likely  reflects atelectasis.  There is no focal consolidation, large pleural effusion  or pneumothorax identified.  No acute osseous abnormalities detected.",
            "output": "Minimal left lower lobe atelectasis."
        },
        {
            "input": "AP and lateral chest radiographs were provided.  There is no focal  consolidation, pleural effusion or pneumothorax.  Lung volumes are slightly  low.  The cardiomediastinal silhouette is notable for a tortuous aorta.  The  bones are intact without evidence of displaced rib fractures.  There are mild  degenerative changes in the thoracic spine.",
            "output": "No acute cardiopulmonary process or displaced rib fracture."
        },
        {
            "input": "There has been interval placement of an endotracheal tube, terminating at the  carina.  Recommend withdrawal by approximately 3 cm for more optimal  positioning.  A nasogastric tube has also been placed in the interval with  distal tip at the GE junction, side port within the distal esophagus.   Recommend advancement by approximately 15 cm so that it is well within the  stomach.  Subtle patchy left mid lung opacity is seen which may represent  overlap of vascular structures however small focus of infection may be  present.  Minimal right costophrenic angle atelectasis is seen.  There is no  large pleural effusion or evidence of pneumothorax.  The cardiac and  mediastinal silhouettes are unremarkable.",
            "output": "Endotracheal tube terminates at the level of the carina.  Recommend withdrawal  by approximately 3 cm for more optimal positioning.    Nasogastric tube terminates at the GE junction, side port in the distal  esophagus, Recommend advancement by approximately 15 cm so that it is well  within the stomach.    The above findings were discussed with Dr. ___ at 11:36AM  on ___, via telephone 2 minutes after discovery.    Small patchy opacity projecting over the left mid lung, may represent small  focus of infection."
        },
        {
            "input": "Cardiomediastinal and hilar contours are stable.  There has been  interval removal of a right internal jugular catheter.  No new focal lung  opacities are identified.  There is no pleural effusion or pneumothorax.   Blunting of the left costophrenic angle is again seen. Pulmonary vasculature  is within normal limits.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "The heart size is normal.  The aorta is mildly unfolded.  Mediastinal and  hilar contours otherwise are unchanged.  Pulmonary vascularity is normal.   Lungs are clear.  No pleural effusion or pneumothorax is visualized.  There  are no acute osseous abnormalities.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "The endotracheal tube has been withdrawn in the interval, now  terminating approximately 3.5 cm above the level of the carina.  Nasogastric  tube tip remains at the GE junction with side port in the distal esophagus.   Again, recommend advancement so that it is well within the stomach.  A  right-sided internal jugular central venous catheter again terminates in the  mid-to-lower SVC.  There is no pneumothorax.  There is persistent slight  blunting of the left costophrenic angle.  No focal consolidation.  Cardiac and  mediastinal silhouettes are stable.",
            "output": "1.  Endotracheal tube now in appropriate position.  2.  Nasoenteric tube still remains high in position, as above.    The above findings were discussed with Dr. ___ on ___ at 9:50 p.m.  via telephone immediately after discovery by Dr. ___."
        },
        {
            "input": "Previously seen endotracheal tube, right PICC, right central venous catheter,  and orogastric tube have been removed.  The heart size is normal.  The  mediastinal and hilar contours are unchanged.  There is minimal blunting of  left costophrenic angle suggestive of a trace effusion.  No pneumothorax is  seen, and there is no right-sided pleural effusion.  Ill-defined nodular  opacities are noted within the right mid lung field, which could reflect areas  of infection or inflammation.  No focal consolidation is demonstrated.  There  is no pulmonary vascular congestion.",
            "output": "Ill-defined nodular opacities within the right mid lung field could reflect an  area of infection or inflammation.  Trace left pleural effusion."
        },
        {
            "input": "Frontal and lateral views of the chest were obtained.  Lungs are  clear without focal consolidation.  No pleural effusion or pneumothorax is  seen.  Cardiac and mediastinal silhouettes are unremarkable.  No overt  pulmonary edema is seen.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "PA and lateral views of the chest provided.   Midline sternotomy wires and  left chest wall pacer device appear unchanged.  The pacer leads extending to  the region of the right atrium and right ventricle.  The lungs are clear.   There is no focal consolidation, effusion, or pneumothorax. The  cardiomediastinal silhouette is unchanged. Imaged osseous structures are  intact.  No free air below the right hemidiaphragm is seen.",
            "output": "No acute intrathoracic process."
        },
        {
            "input": "The patient is status post median sternotomy and CABG.  Left-sided  dual-chamber pacemaker device is seen with leads terminating in the right  atrium and right ventricle.  The heart is normal in size.  Mediastinal and  hilar contours are unremarkable.  The pulmonary vascularity is normal.  Lungs  are clear without focal consolidation.  No pleural effusion or pneumothorax is  seen.  There are no acute osseous abnormalities.  Multiple spiral radiopaque  densities within the upper anterior abdominal wall are compatible with prior  ventral hernia repair.  No free air is seen under the diaphragms.",
            "output": "No acute cardiopulmonary abnormality.  No free air under the diaphragms."
        },
        {
            "input": "Rotated positioning.  A left-sided pacemaker present, with lead tips over  right atrium right ventricle.  An NG tube is present, tip extending beneath  diaphragm, off film.  Surgical ___ are noted over the upper abdomen in the  midline.  Linear density overlying the left lung could represent an epidural  catheter, best correlated clinically.    The patient is status post sternotomy.  Note is made that the lower most  sternotomy wire is fractured.  There is probable mild cardiomegaly.  There is  increased retrocardiac density with a probable small left effusion and partial  obscuration the left hemidiaphragm.  There is minimal atelectasis in the right  cardiophrenic region.  No pneumothorax is detected.  There is pleural  parenchymal thickening/scarring at the left lung apex.  The right first rib  may be truncated, but is unchanged.  Aside from right base atelectasis, the  right lung is grossly clear.  No gross right effusion, though minimal pleural  fluid could be present on the right.  Suspect background hyperinflation/COPD.   Note made of old rib fractures seen in lower right chest, similar to ___.    Compared to ___ the heart size is larger.  Left effusion and left  lower lobe collapse and/or consolidation is new and right cardiophrenic  atelectasis is more pronounced.",
            "output": "1. Small to moderate left effusion with underlying collapse and/or  consolidation of the left base.  2. Atelectasis in the right cardiophrenic region.  3. Cardiac silhouette larger compared with ___.  4. Clinical correlation is required for full assessment.  5. Fractured inferior sternotomy wire, unchanged compared with ___."
        },
        {
            "input": "Compared with the prior study, the cardiomediastinal silhouette is probably  unchanged.  There is upper zone redistribution, without overt CHF.  Fractured  inferior sternotomy wire again noted.    The left hemidiaphragm and left costophrenic sulcus are now better defined,  suggesting interval improvement in the the left effusion and left lower lobe  collapse/consolidation.  Some residual left lower lobe atelectasis persists.    On the right, there has been slight improvement in the right cardiophrenic  opacity.  The small right effusion is again seen, similar to prior.    Left-greater-than-right apical pleural thickening again noted.  Fractures of  the  mid/lower posterior right ribs again noted, presumably old.  No  pneumothorax detected.    NG tube, pacemaker, and presumed epidural catheter again noted.",
            "output": "Partial interval improvement in collapse/consolidation at the left base and in  the right cardiophrenic opacity.  Marked improvement in left pleural effusion.    NG tube extends beneath the diaphragm off the film.  The sideport is not well  delineated, but appears to lie immediately beyond the GE junction."
        },
        {
            "input": "There is no pleural effusion, pneumothorax or focal air airspace  consolidation.  The heart size is normal.  The mediastinal contours and hilar  structures are unremarkable.  There is no pneumomediastinum.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "Heart size is normal. The mediastinal and hilar contours are normal. The  pulmonary vasculature is normal.  Very small region of consolidation probably  in the right middle lobe. No pneumothorax or pleural abnormality.",
            "output": "Right middle lobe consolidation could be atelectasis if there are no symptoms  of acute pneumonia."
        },
        {
            "input": "The lungs are clear without focal consolidation.  No pleural effusion or  pneumothorax is seen. The cardiac and mediastinal silhouettes are  unremarkable.  No pulmonary edema is seen.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "PA and lateral views of the chest provided.    There is no focal consolidation, effusion, or pneumothorax. The  cardiomediastinal silhouette is normal. Imaged osseous structures are intact.   No free air below the right hemidiaphragm is seen.",
            "output": "No acute intrathoracic process."
        },
        {
            "input": "Study is slightly limited due to mild patient rotation.  There is moderate to  severe cardiomegaly.  Endotracheal tube tip terminates 4.4 cm from the carina.  Low lung volumes are noted with crowding of the pulmonary vascular structures,  and probable mild pulmonary vascular congestion.  Air bronchograms with  opacification in both lung bases may reflect areas of infection.  Patchy  opacities are also noted within the right upper lung field as well as the left  upper and mid lung fields, concerning for additional sites of infection or  aspiration.  No large pleural effusion or pneumothorax is seen.  Prominent  gaseous distention of the stomach is noted.",
            "output": "1. Endotracheal tube in standard position.    2. Consolidative opacities in the lung bases may reflect areas of infection.   Additional patchy opacities within the left lung and right upper lung field  are concerning for additional sites of infection or aspiration.    3. Cardiomegaly with possible mild pulmonary vascular congestion."
        },
        {
            "input": "Since the prior exam, there is increasing opacification of the bilateral bases  which is likely atelectasis.  There is no pulmonary edema, pleural effusion,  or pneumothorax. The cardiomediastinal silhouette is normal.",
            "output": "No definite evidence of pneumonia. New bibasilar opacities are likely  atelectasis.  Recommend a repeat chest radiograph later today or tomorrow to  ensure the opacities are not increasing."
        },
        {
            "input": "The lungs are hyper-expanded and clear.  The cardiomediastinal and hilar  contours are unremarkable.  There is no pneumothorax, pleural effusion, or  consolidation.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "Heart size is normal.  The mediastinal and hilar contours are normal. The  pulmonary vasculature is normal. Lungs are clear.  No pleural effusion or  pneumothorax is seen. There are no acute osseous abnormalities.  Clips are  noted in the right upper quadrant of the abdomen compatible prior  cholecystectomy.",
            "output": "No acute cardiopulmonary abnormality."
        },
        {
            "input": "Frontal and lateral views of the chest were obtained.  Low lung  volumes result in bronchovascular crowding.  There is bibasilar atelectasis  without focal consolidation, pleural effusion or pneumothorax.  A nodular  opacity in the right upper lobe is superimposed over the right sixth posterior  rib.  The heart cannot be well evaluated due to lung volumes.  The aorta is  tortuous.  Hilar contours are normal.  Degenerative change is seen in the  shoulder girdles bilaterally. There is no free air under the diaphragm.  Compression deformities in the thoracic spine are noted.",
            "output": "1.  No acute intrathoracic process.    2.  Nodule in the right upper lobe is superimposed over the right posterior  rib, new from ___.  Shallow obliques off the frontal view could be performed  for further evaluation.    Findings and recommendations discussed with Dr. ___ by phone at  3:41pm ___."
        },
        {
            "input": "A right PICC line terminates in the upper SVC. The heart is top  normal in size.  There is no definite pneumonia or pneumothorax.  There is no  pulmonary edema.",
            "output": "Stable chest examination with no definite pneumonia."
        },
        {
            "input": "As compared to prior chest radiograph from ___, lung volumes have  increased and there has been interval removal of a right-sided PICC line.  The  cardiomediastinal and hilar contours are within normal limits.  Slight  prominence of interstitial lung markings could relate to patient's known  underlying emphysema.  There is no focal consolidation, pleural effusion or  pneumothorax.",
            "output": "No acute cardiopulmonary findings."
        },
        {
            "input": "Since ___, left lower lobe pneumonia is significantly improved.i The  right lung is clear.  The cardiomediastinal silhouette, hilar contours, and  pleural surfaces are normal.  No pleural effusion or pneumothorax.  No new  focal consolidations are seen.",
            "output": "Significant improvement in left lower lobe pneumonia since ___.   No new focal consolidations are noted."
        },
        {
            "input": "PA and lateral views of the chest provided.   Airspace consolidation is noted  within the left lower lobe compatible with pneumonia.  Right lung is clear.   Cardiomediastinal silhouette is stable.  Imaged osseous structures are intact.  No free air below the right hemidiaphragm is seen.",
            "output": "Left lower lobe pneumonia."
        },
        {
            "input": "Cardiomediastinal silhouette is normal.  The lungs are clear.  There is no  pneumothorax or pleural effusion.  Coronary artery calcifications are noted.   There is no acute osseous abnormality.",
            "output": "No radiographic explanation chronic cough.    RECOMMENDATION(S):   The findings were discussed by Dr. ___  with Dr. ___ on the ___ ___ at 1:15 PM, 1 minutes after  discovery of the findings."
        },
        {
            "input": "There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary  edema. The cardiomediastinal silhouette is within normal limits.  Sternotomy  wires are unchanged.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "Frontal and lateral views of the chest.  No prior.  The lungs are  clear.  The cardiomediastinal silhouette is within normal limits.  Osseous and  soft tissue structures are grossly unremarkable.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "No focal consolidation, pleural effusion, or evidence of  pneumothorax is seen.  The cardiac and mediastinal silhouettes are stable and  unremarkable.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "PA and lateral views of the chest.  The lungs are clear.  Cardiomediastinal  silhouette is normal.  Mid thoracic dextroscoliosis is noted.  No acute  osseous abnormality detected.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "The heart is normal in size. The cardiomediastinal and hilar contours are  within normal limits. The lungs appear clear. There is no evidence of  pneumothorax or effusion.  Bony structures appear intact.",
            "output": "No acute findings."
        },
        {
            "input": "There is no focal consolidation, pleural effusion or pneumothorax.   Cardiomediastinal silhouette is within normal limits.  No evidence of  pneumomediastinum.  No acute osseous abnormalities are identified.  Lumbar  spinal fusion hardware is partially imaged.",
            "output": "No pneumomediastinum or radiographic evidence of an intrathoracic mass."
        },
        {
            "input": "Mild bronchial wall thickening is noted without focal consolidation.  There is  no pleural effusion, pulmonary vascular congestion, or pneumothorax.  The  cardiomediastinal silhouette is normal.",
            "output": "Mild bronchial wall thickening suggesting bronchitis without evidence of  pneumonia.    NOTIFICATION:   The findings were discussed with ___ with with with  the, M.D. by ___, M.D. on the telephone on ___ at 11:06 AM, 1  minutes after discovery of the findings."
        },
        {
            "input": "No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac  and mediastinal contours are normal.  Hyperinflated lungs are seen.",
            "output": "No acute cardiopulmonary disease."
        },
        {
            "input": "Moderate to severe cardiomegaly is stable.  Patient has a hiatal hernia.   Aside from minimal atelectasis in the right base, the lungs are clear.  There  is no pneumothorax or pleural effusion.",
            "output": "No acute cardiopulmonary abnormality  Stable cardiomegaly and hiatal hernia"
        },
        {
            "input": "Lung volumes are low causing crowding and an apparent increase in  the size of the only mildly enlarged cardiac silhouette.  Lungs are otherwise  clear.  No pleural effusion or pneumothorax.  Osseous structure appear  unchanged since ___.",
            "output": "No evidence of pneumonia."
        },
        {
            "input": "Frontal and lateral chest radiographs demonstrate clear,  well-expanded lungs, with note made of eventration of the right hemidiaphragm.  There is no pleural effusion or pneumothorax.  The pulmonary vasculature is  normal.  The cardiac silhouette is mildly enlarged, unchanged.  The aortic  valve annulus and coronary arteries are heavily calcified. The mediastinal  contours are normal. There is a small hiatal hernia, newly appreciated.",
            "output": "1.  No acute chest abnormality.  2.  Small hiatal hernia"
        },
        {
            "input": "The patient is status post sternotomy.  There is similar volume  loss in the right hemithorax with opacification at the medial right apex and  thickening of what appears to represent the minor fissure.  Blunting of the  right costophrenic sulcus has increased and suggests minor scarring or  atelectasis with a potential small effusion.  There is also patchy new  opacification in the right lower lobe compared to the prior chest radiographs  while the left lung remains clear.",
            "output": "Patchy new right lower lobe opacity with possible small pleural  effusion.  Depending on the clinical setting, mild pneumonia or sequelae of  aspiration could be considered, although evolving scarring or atelectasis with  associated with an interval effusion could also be considered."
        },
        {
            "input": "AP and lateral views of the chest are compared to previous chest  x-ray from ___ and images from prior PET-CT from ___.      Again seen is evidence of right upper lobe scarring medially with associated  volume loss.  This appearance is similar compared to prior chest x-ray.   Elsewhere, the lungs are clear without evidence of new consolidation or  effusion.  Cardiomediastinal silhouette is stable.  Median sternotomy wires  again seen.  Osseous and soft tissue structures are unremarkable.",
            "output": "Post-treatment changes seen in the right upper lung.  No evidence  of acute cardiopulmonary process."
        },
        {
            "input": "The cardiac, mediastinal and hilar contours appear unchanged.   There is no pleural effusion or pneumothorax.  The lungs appear clear.  Mild  degenerative changes are noted along the mid thoracic spine with small  osteophytes and mildly narrowed interspaces.",
            "output": "No evidence of acute cardiopulmonary disease."
        },
        {
            "input": "The lungs are normally expanded and clear.  The cardiomediastinal  silhouette, hilar contours and pleural surfaces are normal.  There is no  pleural effusion or pneumothorax. There is slight indentation of the left side  of the trachea.",
            "output": "1. No evidence of acute cardiopulmonary abnormality.  2. Indentation of the left side of the trachea possibly from thyroid  enlargement. Please correlate with physical exam.     Updated results were telephoned to Dr. ___ by ___ at 8:10 am,  ___, 10 minutes after discovery."
        },
        {
            "input": "PA and lateral views of the chest provided.   Low lung volumes.  There is no  focal consolidation, effusion, or pneumothorax. The cardiomediastinal  silhouette is normal. Imaged osseous structures are intact.  No free air below  the right hemidiaphragm is seen.",
            "output": "No acute intrathoracic process."
        },
        {
            "input": "Streaky right basilar opacities are identified particularly in the right  middle lobe. Elsewhere, the lungs are clear. The cardiomediastinal silhouette  is within normal limits.  No acute osseous abnormality is identified.",
            "output": "Streaky right middle lobe opacities most suggestive of atelectasis."
        },
        {
            "input": "Lung volumes are low. There is mild elevation of the right hemidiaphragm with  new right lower lobe subsegmental atelectasis. The left lung is clear.",
            "output": "New right lower lobe subsegmental atelectasis."
        },
        {
            "input": "Cardiac size is top normal. Bibasilar atelectasis larger on the right have  minimally increased. There are low lung volumes. There is no pneumothorax or  pleural effusion.",
            "output": "Bibasilar atelectases no pneumothorax."
        },
        {
            "input": "Single portable view of the chest.  The lungs are clear where not  obscured by overlying cardiac leads and wires.  The cardiomediastinal  silhouette is normal.  No acute osseous abnormality is identified.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "The heart size is normal.  The hilar and mediastinal contours are within  normal limits.  There is no pneumothorax, focal consolidation, or pleural  effusion.",
            "output": "No acute intrathoracic process."
        },
        {
            "input": "No focal consolidation, pleural effusion or evidence of  pneumothorax is seen.  Cardiac, mediastinal, and hilar contours are stable.   There is flattening of the diaphragm, suggesting chronic obstructive pulmonary  disease.",
            "output": "No acute cardiopulmonary process.  Flattening of the diaphragms  suggests chronic obstructive pulmonary disease.  No significant interval  change since the prior study."
        },
        {
            "input": "Moderate to severe bilateral pleural effusions and bibasilar consolidations,  left side has increased in size from prior.    Bilateral chest tubes are in place.    Right sided PICC line, tip in the SVC.    Mild pulmonary edema.    Stable left sided rib fractures.    Healed right sided rib fractures.    Multiple compression fractures in the thoracic and lumbar spine.  Innumerable  osseous lucencies consistent with known multiple myeloma.    Cardiomediastinal silhouette is obscured.     This preliminary report was reviewed with Dr. ___, ___  radiologist.",
            "output": "Moderate to severe bilateral pleural effusions and bibasilar consolidations,  left side has slightly worsened from ___."
        },
        {
            "input": "Right-sided PICC terminates in the low SVC.  Bilateral chest tubes are  unchanged in position.  There has been interval decrease in cardiomegaly.   Mediastinal congestion has improved.  Focal consolidation at the right lung  base obscuring the right heart border reflects atelectasis versus pneumonia,  better evaluated on most recent chest CT.  A small right pleural effusion  persists.  Partial collapse of the left lower lobe and moderate left pleural  effusion better evaluated on most recent chest CT.  There is no pneumothorax.",
            "output": "1. No evidence of pneumothorax.  2. Cardiomegaly and mediastinal congestion have improved.  3. Consolidation in the right lower lobe better evaluated on most recent chest  CT likely reflects pneumonia versus atelectasis.  4.  Partial collapse of the left lower lobe and moderate left pleural effusion  better evaluated on most recent chest CT."
        },
        {
            "input": "Opacification of the right mid and lower hemithorax is new since ___,  consistent with large pleural effusion and atelectasis.  Concurrent pneumonia  is possible.  Remaining aerated right apex is clear.  Opacification of the  left lower hemithorax is also new, consistent with an increasing, now moderate  pleural effusion.  Concurrent pneumonia is possible.  Aerated portions of the  left lung are clear.  Heart size cannot be assessed, borders obscured by the  bilateral opacities.  Dextroconvex curvature of the upper thoracic spine could  be positional.",
            "output": "Bilateral large right and moderate left pleural effusion, markedly increased  since ___.  Underlying pneumonia cannot be excluded."
        },
        {
            "input": "Bilateral moderate pleural effusions, left greater than right, and adjacent  atelectasis are stable to mildly increased since ___.  The heart size is  somewhat obscured but appears enlarged.  No pneumothorax.",
            "output": "Stable to mild interval increase in bilateral moderate pleural effusions, left  greater than right, since ___."
        },
        {
            "input": "Bilateral chest drainage tubes in situ.  Right-sided PICC line in situ with  the tip at the cavoatrial junction.  No pneumothorax.  Interval decrease in  size of the bibasal pleural effusions.  Adjacent subsegmental atelectasis seen  in the lower lung zones.  Coarsened appearance of the bones.",
            "output": "Interval improved as evidenced by decrease in the size of the bilateral  pleural effusions."
        },
        {
            "input": "Right-sided PICC terminates in the low SVC. Bilateral chest tubes are  unchanged in position.  Cardiomediastinal silhouette is unchanged within the limitations of patient  rotation. Previously seen opacity at the right mid to lower lung has improved.  There is increased retrocardiac and left lung base opacity.  There is no pneumothorax .",
            "output": "Right basilar atelectasis has improved.  Increased moderate left pleural effusion and left basilar atelectasis."
        },
        {
            "input": "A right chest drain has been placed in the interim, projecting over the right  mid hemithorax just under the superior aspect of the opacity that likely  pleural effusion.  The tip of the catheters straight and does not have the  \"pigtail appearance.  No significant subcutaneous emphysema.  Mottled  appearance of the bones is consistent with history of multiple myeloma with  bilateral chronic rib deformities likely old pathologic fractures.  No  significant change in bilateral large right and moderate left pleural  effusions.  Underlying pneumonia cannot be excluded.  No pneumothorax.  Heart  size cannot be assessed.",
            "output": "1.  Interval placement of right chest drain with tip projecting over the  mid-upper hemithorax, just below the uppermost aspect of the effusion without  typical pig-tail configuration.  The position of this drain may be inadequate  to clear the pleural effusion.    2.  No change otherwise."
        },
        {
            "input": "Right pleural catheter appears to have been withdrawn by 3 cm but terminates  within the chest cage.  Small right pleural effusion is less than before.   Large left pleural effusion is increased with increased rightward mediastinal  shift.  The right lung base opacity is probably atelectasis.  There is  persistent complete collapse of left lower lobe.",
            "output": "1. Large left pleural effusion and rightward mediastinal shift is increased  than 1 day ago.  Small right pleural effusion is less  2. right pleural catheter appears to have been withdrawn by 3 cm but  terminates within the chest change.    NOTIFICATION:  Ipression 1 was discussed with ___, N.P. by ___, M.D. on  the telephone on ___ at 9:52 AM, 5 minutes after discovery of the  findings."
        },
        {
            "input": "Compared to 4 days prior, no appreciable change in the size of the moderate  bilateral pleural effusions.  Lungs are otherwise clear.  Heart size and  cardiomediastinal hilar silhouettes are unchanged.  Multiple compression  deformities throughout the visualized spine are unchanged.  Markedly abnormal  sternum contour is similarly unchanged.",
            "output": "Unchanged moderate bilateral pleural effusions."
        },
        {
            "input": "AP and lateral views of the chest.  No prior.  There is elevation  of the left hemidiaphragm.  The lungs are grossly clear of consolidation or  large effusion.  The cardiac silhouette is enlarged and the aorta is tortuous.  Osseous and soft tissue structures are unremarkable.",
            "output": "Cardiomegaly.  No definite acute cardiopulmonary process."
        },
        {
            "input": "Dual lumen right-sided central venous catheter seen with the tip in the upper  right atrium. There is mild prominence of interstitial markings without and  bibasilar opacities potentially due to atelectasis. There is no large  effusion. The cardiomediastinal silhouette is within normal limits. No acute  osseous abnormalities identified.",
            "output": "Bibasilar opacities could be due to atelectasis however infection is not  entirely excluded. Consider two views to further characterize."
        },
        {
            "input": "Lungs are well-expanded and clear, with minimal atelectasis in the right lung  base. There is mild cardiomegaly. The mediastinal hilar contours are  unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or  focal consolidation.",
            "output": "Mild cardiomegaly. No evidence of pneumonia."
        },
        {
            "input": "The lungs are clear.  Cardiac silhouette is normal.  No pleural effusion or  pneumothorax. There is no free air.    Previously, the left hilar region was thought to be slightly rounded in its  contour however, recent chest CT demonstrated this was vascular in origin and  not due to lymphadenopathy.  There was a borderline lymphnode seen on that CT  for which recommendation was for repeat limited CT with contrast.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "The lungs are clear.  There is no pleural effusion, pneumothorax or  focal airspace consolidation.  The heart size is normal. The left hilus  demonstrates a rounded opacity which is indeterminate but likely overlapping  vessels.  The hilar structures and pleural surfaces are unremarkable.  There  are no acute osseous abnormalities.  The imaged upper abdomen is normal.",
            "output": "Rounded prominence of the left hilus is likely vascular, however,  given the provided history a CT is recommended for further characterization.    These findings were entered into the Critical Results dashboard on ___."
        },
        {
            "input": "Lungs are mildly hypoinflated.  No infiltrate or edema.    The cardio-mediastinal silhouette is unremarkable.    No significant pleural effusion or pneumothorax.",
            "output": "No acute pulmonary disease"
        },
        {
            "input": "Lung volumes are slightly low, resulting in bronchovascular crowding.  There  is mild bibasilar atelectasis.  Cardiomediastinal and hilar contours are  unremarkable.  No pneumothorax or pleural effusion.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "Frontal and lateral chest radiographs demonstrate elevation of the left  hemidiaphragm.  This obscures the left heart border, but allowing for this the  heart is likely normal in size.  There is no focal consolidation.  At the left  lung base is atelectasis, likely a small amount of pleural fluid.  No  pneumothorax is seen.",
            "output": "Elevation of the left hemidiaphragm with atelectasis and possible small  pleural effusion.  No definite focal consolidation."
        },
        {
            "input": "Heart size is normal.  The aorta is tortuous.  Pulmonary vascularity is normal  and the hilar contours are within normal limits.  No focal consolidation,  pleural effusion or pneumothorax is present.  Minimal linear opacities within  the left lung base likely reflect subsegmental atelectasis.  There is are no  acute osseous abnormalities.",
            "output": "No acute cardiopulmonary abnormality."
        },
        {
            "input": "The lungs are mildly hyperinflated.   There is a rounded opacity measuring 3.3  x 2.3 cm projecting over the descending aorta, best seen on the lateral view.  There is no pleural abnormality.  The heart size is normal.  The mediastinal  and hilar contours are normal.",
            "output": "Rounded opacity projecting over the descending aorta.  Oblique views are  recommended for further evaluation.    RECOMMENDATION(S):  Oblique views are recommended for clarification of the  location of the opacity.    NOTIFICATION:   The findings were discussed with ___ at ___, ___, M.D.'s  office by ___, M.D. on the telephone on ___ at 12:53 PM, 5  minutes after discovery of the findings."
        },
        {
            "input": "The lungs are well expanded and clear.  Cardiomediastinal  silhouette is unremarkable.  There is no pneumothorax or pleural effusion.   Visualized osseous structures are unremarkable.",
            "output": "No acute cardiopulmonary process."
        },
        {
            "input": "The lungs are hyperinflated with flattened diaphragms, consistent with known  COPD. There is a sublte predominantly linear opacity in the right lung base.  There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette  is unremarkable.",
            "output": "1.  Subtle opacity in the right lung base, which may represent atelectasis but  an early focus of pneumonia is also possible.  If the diagnosis is in doubt  clinically, short-term followup radiograph could be obtained.    2. Pulmonary hyperinflation, consistent with known COPD."
        },
        {
            "input": "Frontal and lateral chest radiographs demonstrate mildly hyperinflated lungs  which are clear.  No new consolidation or other findings concerning for  infection.  Symmetric biapical pleural thickening is noted. No pleural  effusion or pneumothorax. Cardiomediastinal and hilar contours are  unremarkable.  There are degenerative changes of the thoracic spine.",
            "output": "No findings to suggest infection."
        },
        {
            "input": "The heart size is normal.  The hilar mediastinal contours are normal.  Subtle  retrocardiac opacity is seen.  There is no large pleural effusion or  pneumothorax.  The visualized osseous structures are unremarkable.",
            "output": "Subtle opacity in the retrocardiac region, may be secondary to pneumonia."
        }
    ]
}