[{"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "There are low lung volumes. The cardiomediastinal silhouette is within normal limits. There is evidence of trace pulmonary edema with a left pleural effusion. Left retrocardiac atelectasis is noted. There are old bilateral rib fractures.", "tgt_text": ["1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Improving retrocardiac airspace consolidation.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "The transesophageal echo probe has been removed. A new enteric tube is present. There is otherwise unchanged positioning of supportive medical devices. Mild pulmonary edema and cardiomegaly. Left basilar opacity. No pneumothorax. No acute bony abnormalities are noted.", "tgt_text": ["1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Improving retrocardiac airspace consolidation.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "MILD INTERSTITIAL PULMONARY EDEMA.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed"]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Single frontal view of the chest on 12 18 at 2147 hours demonstrates interval removal of a right chest tube with interval development of a large, right sided pneumothorax. Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax. Retrocardiac opacities may represent atelectasis versus consolidation. The cardiomediastinal silhouette is stable. Follow up exam on 12182014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax. Otherwise, no significant interval change.", "tgt_text": ["1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Interval increase in opacity within the lingula and left lung base compared to the prior examination. Interval increase in opacity along the medial portion of the right lung base compared to the prior examination. Unchanged cardiomediastinal silhouette. No evidence of pneumothorax or pulmonary edema.", "tgt_text": ["1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Stable opacification of the left base, with small pleural effusion.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Single frontal view of the chest demonstrates interval increase in pulmonary edema with bilateral pleural effusions and bibasilar atelectasis versus consolidation. Cardiomediastinal silhouette is unchanged and significant for vascular calcification and cardiomegaly. Osseous structures are unchanged.", "tgt_text": ["CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. Improving retrocardiac airspace consolidation.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Stable opacification of the left base, with small pleural effusion.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Single portable AP upright view of the chest with a lordotic projection demonstrates a cardiac silhouette that is mildly enlarged. There is minimal tortuosity of the thoracic aorta. Atherosclerotic calcification of the aortic knob is present. The bilateral hila are within normal limits. The bilateral lung fields are clear, without evidence of frank consolidation. No pneumothorax or pleural effusion is seen. The visualized osseous structures reveal no acute abnormalities.", "tgt_text": ["1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Improving retrocardiac airspace consolidation.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Stable opacification of the left base, with small pleural effusion.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Interval removal of right AICD. Interval placement of right IJ approach transvenous pacer. Severe cardiomegaly with enlarged pulmonary arteries reflecting pulmonary hypertension. Mild left basilar opacity. No large pleural effusion. Right costophrenic angle is not included in field of view. No visualized pneumothorax.", "tgt_text": ["1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. Improving retrocardiac airspace consolidation.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Stable opacification of the left base, with small pleural effusion.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "AP semierect view of the chest demonstrates low left lung volume, and a moderate left pleural effusion and associated atelectasis persists, unchanged. Right lung remains clear. Postoperative stabilization of the lower cervical and upper thoracic spine are again noted unchanged. Endotracheal tube has been removed.", "tgt_text": ["1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Improving retrocardiac airspace consolidation.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Low lung volumes. Increasing right basilar opacity. Persistent dense left retrocardiac opacity with air bronchograms with some improved aeration noted in the midlung zone. The mid to upper lung zones bilaterally are relatively clear. Decreased left pleural effusion. The cardiomediastinal silhouette is similar in configuration and obscured along the left heart border. Similar perihilar vascular prominence. Degenerative changes of the spine.", "tgt_text": ["1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Improving retrocardiac airspace consolidation.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Stable opacification of the left base, with small pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "The cardiopulmonary silhouette is markedly widened. Although the study is limited by rotation, pericardial effusion cannot be excluded. The lungs show low volume. There is increased prominence of pulmonary vessels bilaterally and increased opacities of both lung fields suggestive for pulmonary edema. No gross abnormalities are noted in the bone or soft tissue.", "tgt_text": ["Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "The distal tip of a left sided Mediport catheter projects over the left brachiocephalic vein, unchanged in position as compared with the prior study. Degenerative changes are seen within the thoracic spine. A large amount of subcutaneous emphysema within the left chest wall and neck is increased as compared with the prior study. The heart is normal in size. A persistent small to moderate left basilar pneumothorax is similar in appearance to the prior study. Persistent increased retrocardiac opacification likely represents atelectasis. The right lung is clear. Addendum Begins The left sided chest tubedrain is unchanged in position as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814 Addendum Ends", "tgt_text": ["1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Improving retrocardiac airspace consolidation.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178"]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Frontal view of the chest from 16:28 on 7182015 demonstrates interval repositioning of the endotracheal tube with the tip approximately 5.8 cm above the carina. Other medical support devices are unchanged in position. Persistent bibasilar opacities, likely atelectasis versus consolidation. Decreased mild pulmonary edema with small bilateral pleural effusions. No pneumothorax. The cardiomediastinal silhouette is within normal limits for size. 7 18 2015 demonstrates interval extubation and interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery.", "tgt_text": ["1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Stable opacification of the left base, with small pleural effusion.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged. Unchanged cardiomegaly. Low lung volumes, with unchanged opacification of the left base and small left pleural effusion. Multilevel osteophytosis of the lower thoracic spine. Mild degenerative change of the right acromioclavicular joint.", "tgt_text": ["1. Stable opacification of the left base, with small pleural effusion.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Improving retrocardiac airspace consolidation.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Portable chest shows low lung volumes with crowding of the pulmonary vasculature. The lines and tubes are stable, except the endotracheal tube has been pulled back to 7.9 cm above the carina. There is bilateral lower lobe airspace disease with partial clearing of the right lung base. This is the suggestion of small pleural fluid collections Otherwise, there is no change from the prior examination.", "tgt_text": ["1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Improving retrocardiac airspace consolidation.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "A single upright AP view of the chest demonstrates a linear focus of opacity in the left lung base with the remainder of the lung parenchyma clear. No significant pulmonary edema. Heart size and cardiomediastinal silhouette are within normal limits. No significant pleural effusions. No bony abnormalities are appreciated.", "tgt_text": ["1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Improving retrocardiac airspace consolidation.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Stable opacification of the left base, with small pleural effusion.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "2 semisupine frontal views of the chest demonstrate no change in medical support devices. A small right pneumothorax is present increased from most recent prior. Heart size is enlarged and lung volumes are further reduced. There is interval increase in bilateral small to moderate pleural effusions, as well as increase in associated bibasilar opacities, as well as increased opacity in the right midlung zone. Superimposed pulmonary edema is also likely present. Addendum Begins The original report for this radiograph referred to films obtained on 9142005 at 1456 hours. The report for the radiograph obtained on September 2005 at 0420 hours should have read: Findings: Single supine frontal view of the chest demonstrates no interval change in medical support devices. No pneumothorax is evident. Aeration of the lungs has improved. There is residual bibasilar opacity, greater on the left. Small bilateral pleural effusions are present, also improved from prior. A background of reticular opacities present in the bilateral perihilar regions likely reflects resolving edema.", "tgt_text": ["1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Improving retrocardiac airspace consolidation.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Stable position of cervical fusion hardware. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs with more confluent airspace opacities in the bilateral lung bases, left greater than right with small bilateral pleural effusions. Stable left apical pneumothorax.", "tgt_text": ["1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Improving retrocardiac airspace consolidation.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Single view of the chest dated 3 19 2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3 19 2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3 19 2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.", "tgt_text": ["1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. Improving retrocardiac airspace consolidation.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584"]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Stable cholecystectomy clips. Interval placement of epidural catheter and left chest tube after resection of left upper lung zone nodule. No pneumothorax. No pleural effusions. Lung fields clear. Heart size normal.", "tgt_text": ["1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Stable opacification of the left base, with small pleural effusion.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Lines and tubes unchanged. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion. No evidence of pneumothorax.", "tgt_text": ["1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Improving retrocardiac airspace consolidation.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA"]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Portable chest shows no change in the left subclavian catheter with its tip just reaching the superior vena cava, an electronic device over the left hemithorax with its leads terminating in the left neck. Heart and lungs are within normal limits. Otherwise, there is no change from the prior examination.", "tgt_text": ["1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "MILD INTERSTITIAL PULMONARY EDEMA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Improving retrocardiac airspace consolidation.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "The trachea is midline. There is moderate cardiomegaly. There is a retrocardiac opacity, consistent with atelectasis versus consolidation. There is blunting of the left costophrenic angle which may represent a small pleural effusion. No soft tissue or bony abnormalities.", "tgt_text": ["1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Improving retrocardiac airspace consolidation.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Single view of the chest dated 12 6 2007 at 08:48 redemonstrates right apical chest tube. Persistent low lung volumes. Residual small right apical pneumothorax. Band like atelectasis at the right lung base which has increased since the prior examination. No additional focal opacities or effusions noted. Single view of the chest dated 12 6 2007 at 15:06 demonstrates interval removal of right sided chest tube. Possible tiny residual right apical pneumothorax. Improved aeration of both lung bases with interval decrease in prior noted atelectasis. Redemonstration of distal clavicle resection and sutures within the humeral head of the left shoulder.", "tgt_text": ["1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "MILD INTERSTITIAL PULMONARY EDEMA.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Improving retrocardiac airspace consolidation.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849"]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Interval placement of a left arm PICC terminating 5.2 cm below the carina. No evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. No evidence of effusions or pulmonary edema.", "tgt_text": ["1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Stable opacification of the left base, with small pleural effusion.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Very low lung volumes are demonstrated. The right hemidiaphragm is elevated. There is a left retrocardiac opacity likely representing atelectasis. However, cannot entirely exclude an infectious process. Would recommend a repeat chest x ray with deep inspiration is concern for infection. The pulmonary vasculature is grossly unremarkable. There is an incidental finding of a azygous fissure and lobe. Several prominent bowel loops are noted within the abdomen. These are of unknown clinical significance. Correlate clinically. If concern for abdominal pathology, would recommend a dedicated abdominal series.", "tgt_text": ["1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Improving retrocardiac airspace consolidation.", "1. Stable opacification of the left base, with small pleural effusion.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Single semi upright view of the chest dated 662009 at 0639 hours is limited as the apices are clipped from the film. No definitive pneumothorax is appreciated. However abutting the right paravertebral stripe at the T6 7 level is a crescentic density which cannot be delineated from the paravertebral stripe. Evaluation is limited on a single view. Low lung volumes. The lungs are clear. Limited visualization of the upper abdomen demonstrates coils in the left upper quadrant consistent with the patients recent splenic embolization.", "tgt_text": ["1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Stable opacification of the left base, with small pleural effusion.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Stable tubes and lines. Improving retrocardiac airspace opacity. Although the diaphragm is more clearly seen now, there is still some faint residual airspace opacity and perhaps a small left pleural effusion. There is persistent air bronchograms at the right medial lung base as well.", "tgt_text": ["1. Improving retrocardiac airspace consolidation.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849"]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Redemonstration of emphysematous changes of the bilateral lungs. There is extensive right middle and lower lung zone opacities again seen, which have increased compared to prior radiograph on 1 30 09, 9212015. Calcific pleural thickening is seen in the bilateral lung apices. No acute osseous abnormalities.", "tgt_text": ["1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "MILD INTERSTITIAL PULMONARY EDEMA.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Stable opacification of the left base, with small pleural effusion.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "422018 at 2019: Endotracheal tube terminates 5.2 cm above the carina. Left chest wall port terminates in the left brachiocephalic vein. NGOG tube tip is within the stomach. Cardiomediastinal silhouette is normal in size. Lung volumes are low with bibasilar opacities likely reflecting atelectasis or aspiration. Pneumoperitoneum seen on prior CT not visualized in this study. 4 2 18 at 2125: Right IJ central venous catheter terminates 2.2 cm below the level the carina. Persistent bibasilar opacities. No pneumothorax.", "tgt_text": ["1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Stable opacification of the left base, with small pleural effusion.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Interval placement of left PICC line, which terminates at the cavoatrial junction. Unchanged right IJ, NGOG tube. Suboptimal study due to persistent marked rotation of the patient. Persistent left basilar opacity again seen elevation of the left hemidiaphragm. Low lung volumes. No visualized in the thorax.", "tgt_text": ["1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Stable opacification of the left base, with small pleural effusion.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Chest x ray 4 5 11 at 455: Removal NG tube; right chest tube remains in place. No pneumothorax identified. Persistent bibasilar parenchymal opacities, left greater than right with associated small, left pleural effusion. Chest x ray 4 2011 at 1020: Interval removal of right chest tube; small right apical pneumothorax seen with this report displaced 1 cm from chest wall. No mediastinal shift. Minimal improved aeration of left base.", "tgt_text": ["1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "MILD INTERSTITIAL PULMONARY EDEMA.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "The lung volumes are slightly decreased. Atelectasis is noted at the left lung base with increased opacity noted. Surgical clips are noted overlying the region of the right hemidiaphragm. The heart does not appear enlarged. There is no evidence of pulmonary edema. Some mild pleural thickening is noted at the left apex.", "tgt_text": ["1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Improving retrocardiac airspace consolidation.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "AP erect chest radiograph demonstrates interval left sided thoracotomy, with an osteotomy through the left posterior sixth rib and suture material in the left suprahilar region. A left apical chest drain is seen in place, with a tiny pneumothorax along the left lateral chest wall peripherally, as well as subcutaneous emphysema. The previously noted bulla at the left base is not seen on the current radiograph, but this may be positional. The left lung otherwise appears clear. Moderate atelectasis is seen at the right base, which otherwise appears clear. Moderate osteophytosis in the thoracic spine. Visualized osseous structures otherwise unremarkable.", "tgt_text": ["1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Improving retrocardiac airspace consolidation.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "There is no change in the right sided central venous catheter. An NG tube is present. There is no change in the enlargement of the cardiac silhouette. There are bilateral bibasilar opacities compatible with effusions andor atelectasis that has increased on the right. There is diffuse bronchovascular marking prominence is also present compatible with edema or infection.", "tgt_text": ["1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Improving retrocardiac airspace consolidation.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Low lung volumes. There are heterogeneous bibasilar and retrocardiac opacities, which are more likely atelectasis, given the low lung volumes. However, in the appropriate clinical setting, this could also represent early infection. No evidence of pleural effusions or pulmonary edema. Cardiomediastinal silhouette is within normal limits. Visualized osseous structures are intact.", "tgt_text": ["1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. Improving retrocardiac airspace consolidation.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Stable opacification of the left base, with small pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Medical devices are stable. Tiny right apical pneumothorax is identified; right chest tube remains in place. Persistent left lower lobe consolidation with associated moderate sized left sided pleural effusion.", "tgt_text": ["1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Improving retrocardiac airspace consolidation.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Stable opacification of the left base, with small pleural effusion.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "The three lead permanent pacemaker overlying the left hemithorax with leads in the right atrium, right ventricle, and coronary sinus is not significant change in position or appearance. The moderate cardiomegaly with left atrial enlargement and pulmonary hypertension is stable. There are increased interstitial markings with small bilateral pleural effusions. There is no pneumothorax. The soft tissues and osseous structures are without significant change.", "tgt_text": ["1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Improving retrocardiac airspace consolidation.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Stable opacification of the left base, with small pleural effusion.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "A chest wall pacing device with intact leads into the right atrium and right ventricle is unchanged. There is diffuse prominence of the pulmonary vasculature with indistinct margins consistent with mild interstitial pulmonary edema. No air space pulmonary edema. No segmental consolidation or pleural effusion bilaterally. The cardiomediastinal silhouette is within normal limits and unchanged. Regional osseous structures are unremarkable.", "tgt_text": ["MILD INTERSTITIAL PULMONARY EDEMA.", "1. Improving retrocardiac airspace consolidation.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Stable opacification of the left base, with small pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed"]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "A single portable AP chest radiograph, dated 11132016 demonstrates midline appearance of the trachea. The cardiomediastinal silhouette is unremarkable. There is a small focal left basilar opacity. Elsewhere, the lungs appear clear. No pleural or bony abnormalities are identified.", "tgt_text": ["focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Improving retrocardiac airspace consolidation.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Stable cardiomediastinal silhouette. No focal consolidation. No acute osseous abnormality.", "tgt_text": ["1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Stable opacification of the left base, with small pleural effusion.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "There is straightening of the left heart border with mild splaying of the carina. The cardiac silhouette is mildly enlarged. The pulmonary vessels are unremarkable. No pneumothorax. No focal consolidation or atelectasis.", "tgt_text": ["1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Improving retrocardiac airspace consolidation.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Stable opacification of the left base, with small pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Moderate alveolar pulmonary edema, with associated small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. No pneumothorax. Unchanged moderate cardiomegaly. No acute osseous abnormality.", "tgt_text": ["1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Improving retrocardiac airspace consolidation.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Stable opacification of the left base, with small pleural effusion.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Interval development of moderate bilateral pleural effusions. The heart size remains enlarged, and evaluation is partially obscured by the mildly elevated left hemidiaphragm. Pulmonary vasculature is indistinct, and findings are compatible with mild pulmonary edema. Bibasilar opacities likely also reflect compressive orifices from the bilateral pleural effusions. Fiducial markers projecting over the left lung apex are redemonstrated, with underlying nodule compatible with lesion treated pulmonary malignancy.", "tgt_text": ["1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Improving retrocardiac airspace consolidation.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "The left subclavian line tip is in the brachiocephalic. There are multiple calcified granulomas on the right. Minimal bibasilar atelectasis. The cardiomediastinal silhouette is within normal limits.", "tgt_text": ["1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Improving retrocardiac airspace consolidation.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849"]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Consolidation collapse of the right upper lobe is present associated with left to right shift of the left upper lobe across the anterior potential space. An oval slightly calcific opacity is present in the right mid lung. This may represent a pleural based density. There is thickening of the minor fissure. Mild cardiomegaly is present. The pulmonary vascularity is slightly prominent in the upper lobes. Degenerative changes of the osseous structures are noted.", "tgt_text": ["1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Improving retrocardiac airspace consolidation.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "AP upright view of the chest demonstrates persistent left pleural effusion and increasing left lower lobe consolidation.", "tgt_text": ["1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Improving retrocardiac airspace consolidation.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Slightly prominent breast shadows. Heart shadow slightly globular and borderline in size but unchanged from the prior study.", "tgt_text": ["NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. Improving retrocardiac airspace consolidation.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Slightly prominent breast shadows. Heart shadow slightly globular and borderline in size but unchanged from the prior study.", "tgt_text": ["NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. Improving retrocardiac airspace consolidation.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Slightly prominent breast shadows. Heart shadow slightly globular and borderline in size but unchanged from the prior study.", "tgt_text": ["NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. Improving retrocardiac airspace consolidation.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Serial radiographs of the abdomen dated 12202 at 6:31 PM and 11:43 PM demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus. No evidence of free intraperitoneal air or abnormal abdominal calcification. Midline sternotomy wires project over the midline. A weighted feeding tube tip appears coiled within the stomach and then with the tip in the first duodenum. Chest radiograph dated 1 22 02 at 0525 hours demonstrates a right internal jugular venous catheter with tip projecting over the cavoatrial junction, and the proximal aspect of the feeding tube with tip projecting over the gastroesophageal junction, requiring advancement. Moderate cardiomegaly. Bibasilar airspace opacities. Small left pleural effusion. Moderate pulmonary edema. Abdominal radiograph dated 1 22 02 at 6:28 AM demonstrates a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus.", "tgt_text": ["1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "MILD INTERSTITIAL PULMONARY EDEMA.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Improving retrocardiac airspace consolidation.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA"]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Stable appearance of endotracheal tube. Interval placement of a left internal jugular central venous catheter with the tip 3.7 cm below the carina. The catheter appears more lateral than expected but confirmed to be within the left internal jugular vein on the subsequent CT angiogram of the head and neck from 6102016. No visible pneumothorax. There is improved aeration of the left lung base suggestive of improving atelectasis. No significant interval changes with stable cardiomediastinal silhouette. No acute osseous abnormalities.", "tgt_text": ["1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "MILD INTERSTITIAL PULMONARY EDEMA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Improving retrocardiac airspace consolidation.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Stable opacification of the left base, with small pleural effusion.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "Frontal radiograph of the chest demonstrates normal appearance of cardiomediastinal silhouette, pulmonary vascularity, and airspaces. There is a right sided PICC catheter with its tip projecting 3 cm below the carina. There is a small left pleural effusion. The osseous structures are intact.", "tgt_text": ["1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "MILD INTERSTITIAL PULMONARY EDEMA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Improving retrocardiac airspace consolidation.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Dr. Floyd Marcus INFORMED AT HIS REQUEST.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS REQUEST.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "The lungs are underinflated. The visualized lungs are otherwise clear. There is no pneumothorax visualized. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is a two lead pacer device overlying the right hemithorax, with leads in the right atrium and right ventricle. The visualized osseous structures are unremarkable.", "tgt_text": ["SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. Improving retrocardiac airspace consolidation.", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Increased interstitial markings can represent endobronchial spread of infection versus a component of edema. 2. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}, {"qry_inst": "Identifying impressions based on given radiology findings.", "qry_text": "The trachea is midline. The cardiomediastinal silhouette is within normal limits. The diaphragmatic borders are well visualized. There is no evidence of pneumothorax. There is placement of a left sided single lead pacemaker. The lungs are clear. New osseous volar soft tissue abnormalities.", "tgt_text": ["1. PLACEMENT OF A LEFT SIDED SINGLE LEAD AND PACER WITH NO EVIDENCE OF PNEUMOTHORAX. 2. LUNGS CLEAR.", "MILD INTERSTITIAL PULMONARY EDEMA.", "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.", "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.", "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO ATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "1. Improving retrocardiac airspace consolidation.", "Widened cardiac silhouette. Cannot exclude pericardial effusion. Mild pulmonary edema.", "1. Serial abdominal radiographs demonstrate multiple mildly dilated air filled loops of small and large bowel in a pattern suggestive of ileus with final abdominal radiograph demonstrating a feeding tube which appears coiled within the stomach with the tip near the gastric pylorus. 2. Moderate cardiomegaly with bibasilar airspace opacities, small left pleural effusion, and moderate pulmonary edema. 3. The patients known 1.3 cm spiculated nodule in the left upper lobe is better seen on CT. Physician to Physician Radiology Consult Line: (485) 672 5270", "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED", "1. Interval increase in right mid and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA. REPEAT CHEST X RAY WITH DEEP INSPIRATION MAY BE HELPFUL. 3. ELEVATED RIGHT HEMIDIAPHRAGM. 4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE. 5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL PATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.", "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6 7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENTS HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER (976) 646 2563 ON THE MORNING OF 662009 AT 1105 HOURS.", "1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.", "1. Residual mild pulmonary edema and left basilar opacity. Physician to Physician Radiology Consult Line: (898) 940 4661 Signed", "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF PNEUMOTHORAX.", "focal left basilar opacity, which may be consistent with atelectasis or early consolidation.", "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "1. Moderate alveolar pulmonary edema, with small to moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2. Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. Physician to Physician Radiology Consult Line: (559) 745 1823 Signed", "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY REPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE APPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY INFECTION. 2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. 2. SMALL LEFT PLEURAL EFFUSION.", "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND SUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.", "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Ford, Juliana B INFORMED AT HIS REQUEST.", "1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. Physician to Physician Radiology Consult Line: (740) 785 9814", "1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.", "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA", "1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation andor atelectasis.", "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR SPACE CONSOLIDATION.", "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.", "1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. Physician to Physician Radiology Consult Line: (746) 583 6584 Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. Physician to Physician Radiology Consult Line: (746) 583 6584", "1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. Physician to Physician Radiology Consult Line: (499) 908 2178", "1. MILD CARDIOMEGALY. 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY ABNORMALITIES.", "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.", "1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 2. SMALL LEFT PLEURAL EFFUSION.", "1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. CARDIOMEGALY. 2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT. 3. THERE IS NO EVIDENCE FOR EDEMA.", "1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Stable opacification of the left base, with small pleural effusion.", "1. Post surgical changes with left sided chest tube with no pneumothorax. Physician to Physician Radiology Consult Line: (720) 395 9359 I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. Physician to Physician Radiology Consult Line: (371) 293 2849", "1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval left sided thoracotomy and left upper lobectomy, with a tiny pneumothorax along the left lateral chest wall. 2. Moderate atelectasis at the right base.", "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. NO FOCAL LUNG CONSOLIDATION.", "1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.", "1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above."]}]