dnamodel/xraydar-reports · Datasets at Hugging Face

xray_id stringlengths 3 16	text stringlengths 2 2.34k	tokens listlengths 1 380	iobe_tags listlengths 1 380	spans listlengths 0 22	labels listlengths 0 15
314	Severe left lateral wall pain. The Horizontal fissure is pulled upwards, suggesting some degree of volume loss in the right upper zone. This is likely to be a consequence of all fibrotic change. No active pathology identified. The heart size is at the upper limit of normal. The lungs are clear.	[ "Severe", "left", "lateral", "wall", "pain.", "The", "Horizontal", "fissure", "is", "pulled", "upwards,", "suggesting", "some", "degree", "of", "volume", "loss", "in", "the", "right", "upper", "zone.", "This", "is", "likely", "to", "be", "a", "consequence", ...	[ "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...	[ { "label": "apical_fibrosis", "start": 7, "end": 42 }, { "label": "normal", "start": 43, "end": 50 }, { "label": "other", "start": 0, "end": 6 }, { "label": "volume_loss", "start": 7, "end": 42 } ]	[ "apical_fibrosis", "normal", "other", "volume_loss" ]
648	heart size normal. The lungs appear clear, peribronchial cuffing noted. COPD. left hilum appears slightly denser than the right, although this could be due to the rotation. No previous XR available for comparison. A	[ "heart", "size", "normal.", "The", "lungs", "appear", "clear,", "peribronchial", "cuffing", "noted.", "COPD.", "left", "hilum", "appears", "slightly", "denser", "than", "the", "right,", "although", "this", "could", "be", "due", "to", "the", "rotation.", "No", ...	[ "B", "I", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "abnormal_non_clinically_important", "start": 21, "end": 33 }, { "label": "bronchial_wall_thickening", "start": 9, "end": 17 }, { "label": "emphysema", "start": 18, "end": 20 }, { "label": "hyperexpanded_lungs", "start": 18, "end": 20 }, { ...	[ "abnormal_non_clinically_important", "bronchial_wall_thickening", "comparison", "emphysema", "hyperexpanded_lungs", "normal", "possible_diagnosis", "technical_issue" ]
882	There is a well defined round opacity in the right upper zone. The opacity measures 17 mm. The nature of this opacity is not clear. Secondary deposits cannot be ruled out. There is a calcified opacity in the region of the medial ends of the clavicle associated with deviation of the trachea to the left. This is most likely due to goitre associated with calcified thyroid nodule/cyst. Heart is not enlarged. There is no evidence of pleural effusion. Please note your patient has been Fast Tracked for further investigation and evaluation of the lung lesion.	[ "There", "is", "a", "well", "defined", "round", "opacity", "in", "the", "right", "upper", "zone.", "The", "opacity", "measures", "17", "mm.", "The", "nature", "of", "this", "opacity", "is", "not", "clear.", "Secondary", "deposits", "cannot", "be", "ruled", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "abnormal_non_clinically_important", "start": 35, "end": 84 }, { "label": "mediastinum_displaced", "start": 35, "end": 84 }, { "label": "normal", "start": 85, "end": 94 }, { "label": "parenchymal_lesion", "start": 0, "end": 34 }, { "labe...	[ "abnormal_non_clinically_important", "mediastinum_displaced", "normal", "other", "parenchymal_lesion", "possible_diagnosis" ]
1047	Lung fields are clear. Normal heart size.	[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size." ]	[ "B", "I", "I", "I", "I", "E", "B" ]	[ { "label": "normal", "start": 0, "end": 6 } ]	[ "normal" ]
1093	Normal mediastinal outline. No significant lung or pleural lesion.	[ "Normal", "mediastinal", "outline.", "No", "significant", "lung", "or", "pleural", "lesion." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 8 } ]	[ "normal" ]
1273	The heart is enlarged. CTR 17.1: 31.9. The lungs are clear and there is no evidence of cardiac failure.	[ "The", "heart", "is", "enlarged.", "CTR", "17.1:", "31.9.", "The", "lungs", "are", "clear", "and", "there", "is", "no", "evidence", "of", "cardiac", "failure." ]	[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 13 }, { "label": "normal", "start": 14, "end": 18 } ]	[ "cardiomegaly", "normal" ]
1359	Comparison with the previous chest x-ray from 10/11/08 reveals no significant change on the left. Again, there is cardiomegaly with signs of heart failure. In addition, there is further ground glass change in the left lower zone which is unchanged. No pleural effusion is seen Calcified prosthetic left breast noted. New right-sided rib fractures noted	[ "Comparison", "with", "the", "previous", "chest", "x-ray", "from", "10/11/08", "reveals", "no", "significant", "change", "on", "the", "left.", "Again,", "there", "is", "cardiomegaly", "with", "signs", "of", "heart", "failure.", "In", "addition,", "there", "is", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "...	[ { "label": "cardiomegaly", "start": 23, "end": 37 }, { "label": "comparison", "start": 0, "end": 22 }, { "label": "comparison", "start": 38, "end": 54 }, { "label": "ground_glass_opacification", "start": 38, "end": 54 }, { "label": "paratracheal_hi...	[ "abnormal_non_clinically_important", "cardiomegaly", "comparison", "ground_glass_opacification", "normal", "paratracheal_hilar_enlargement", "possible_diagnosis", "rib_fracture" ]
1858	AN ADDENDUM HAS BEEN ENTERED AT THE END OF THIS REPORT No previous x-ray available for comparison. There is a homogenous opacity in the right lower zone which may indicate some collapse of lung. The right hemithorax also appears slightly smaller than the left. In view of persistent cough, lung neoplasm cannot be excluded. Therefore your patient has been fast tracked for further investigation. ADDENDUM START CLINAPPT. MONDAY 07/09/09 WITH DR IREDALE AT 13.30pm	[ "AN", "ADDENDUM", "HAS", "BEEN", "ENTERED", "AT", "THE", "END", "OF", "THIS", "REPORT", "No", "previous", "x-ray", "available", "for", "comparison.", "There", "is", "a", "homogenous", "opacity", "in", "the", "right", "lower", "zone", "which", "may", "indicat...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...	[ { "label": "comparison", "start": 15, "end": 23 }, { "label": "consolidation", "start": 24, "end": 42 }, { "label": "other", "start": 0, "end": 14 }, { "label": "other", "start": 71, "end": 73 }, { "label": "possible_diagnosis", "start": 57, ...	[ "comparison", "consolidation", "other", "possible_diagnosis", "undefined_sentence", "volume_loss" ]
1925	Heart is enlarged. There is evidence of mild pulmonary congestion associated with bilateral pleural reaction. There is no evidence of collapse or consolidation.	[ "Heart", "is", "enlarged.", "There", "is", "evidence", "of", "mild", "pulmonary", "congestion", "associated", "with", "bilateral", "pleural", "reaction.", "There", "is", "no", "evidence", "of", "collapse", "or", "consolidation." ]	[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "consolidation", "start": 4, "end": 17 }, { "label": "normal", "start": 18, "end": 22 }, { "label": "pleural_effusion", "start": 4, "end": 17 } ]	[ "cardiomegaly", "consolidation", "normal", "pleural_effusion" ]
2089	Patient with cardiac enlargement and pacemaker wires. No major lung lesion. XR Lumbar Spine and S.I. Joints : Loss of height of L4 from past trauma and generally degenerative changes. Possible dilated distal aorta. No obvious vertebral collapse.	[ "Patient", "with", "cardiac", "enlargement", "and", "pacemaker", "wires.", "No", "major", "lung", "lesion.", "XR", "Lumbar", "Spine", "and", "S.I.", "Joints", ":", "Loss", "of", "height", "of", "L4", "from", "past", "trauma", "and", "generally", "degenerative"...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]	[ { "label": "cardiomegaly", "start": 0, "end": 10 }, { "label": "normal", "start": 11, "end": 16 }, { "label": "object", "start": 0, "end": 10 } ]	[ "cardiomegaly", "normal", "object" ]
2168	There is opacity seen at the right lower zone obscuring the right heart border suggestive of right middle lobe collapse.Left lung is clear.I would suggest a staging Chest CT to rule out if any underlying lung mass. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.	[ "There", "is", "opacity", "seen", "at", "the", "right", "lower", "zone", "obscuring", "the", "right", "heart", "border", "suggestive", "of", "right", "middle", "lobe", "collapse.Left", "lung", "is", "clear.I", "would", "suggest", "a", "staging", "Chest", "CT",...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...	[ { "label": "consolidation", "start": 0, "end": 21 }, { "label": "normal", "start": 22, "end": 26 }, { "label": "other", "start": 43, "end": 68 }, { "label": "recommendation", "start": 27, "end": 42 }, { "label": "volume_loss", "start": 0, "...	[ "consolidation", "normal", "other", "recommendation", "volume_loss" ]
2455	comparison is made a chest x-ray performed of the 6/05/09. Appearances are improved since the last x-ray. There still however remains a significant left-sided pleural effusion, small right-sided pleural effusion and evidence of congestive cardiac failure with an enlarged cardiac outline and peri-hilar consolidation Congestive cardiac failure?	[ "comparison", "is", "made", "a", "chest", "x-ray", "performed", "of", "the", "6/05/09.", "Appearances", "are", "improved", "since", "the", "last", "x-ray.", "There", "still", "however", "remains", "a", "significant", "left-sided", "pleural", "effusion,", "small", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "cardiomegaly", "start": 30, "end": 46 }, { "label": "comparison", "start": 0, "end": 29 }, { "label": "consolidation", "start": 30, "end": 46 }, { "label": "pleural_effusion", "start": 30, "end": 46 }, { "label": "possible_diagnosis", ...	[ "cardiomegaly", "comparison", "consolidation", "pleural_effusion", "possible_diagnosis" ]
2487	midline sternotomy wires noted. No major lung collapse or consolidation. Interscapular pain : there is a wedge collapse of the T7 vertebra with approximately 90% loss of vertebral body height. This was present on an x-ray on 28/07/06, where the vertebra demonstrated approximately 80% loss of height. No other vertebral collapse is seen.	[ "midline", "sternotomy", "wires", "noted.", "No", "major", "lung", "collapse", "or", "consolidation.", "Interscapular", "pain", ":", "there", "is", "a", "wedge", "collapse", "of", "the", "T7", "vertebra", "with", "approximately", "90%", "loss", "of", "vertebral"...	[ "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "comparison", "start": 20, "end": 52 }, { "label": "normal", "start": 7, "end": 13 }, { "label": "object", "start": 0, "end": 6 }, { "label": "rib_lesion", "start": 20, "end": 52 } ]	[ "comparison", "normal", "object", "rib_lesion" ]
3002	comparison is made a chest x-ray performed on 09/02/09. Bilateral perihilar infiltrates are noted and there is evidence of upper lobe pulmonary venous blood diversion. Findings are in keeping with moderate congestive cardiac failure. The heart is enlarged. Increasing shortness of breath	[ "comparison", "is", "made", "a", "chest", "x-ray", "performed", "on", "09/02/09.", "Bilateral", "perihilar", "infiltrates", "are", "noted", "and", "there", "is", "evidence", "of", "upper", "lobe", "pulmonary", "venous", "blood", "diversion.", "Findings", "are", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I" ]	[ { "label": "comparison", "start": 0, "end": 17 }, { "label": "consolidation", "start": 18, "end": 39 }, { "label": "possible_diagnosis", "start": 40, "end": 41 }, { "label": "upper_lobe_blood_diversion", "start": 18, "end": 39 } ]	[ "cardiomegaly", "comparison", "consolidation", "other", "possible_diagnosis", "upper_lobe_blood_diversion" ]
3177	Impacted fracture of the right femoral neck. Inflammatory changes in the right lower lobe and also some scarring in the right upper lobe. The rest of the lungs clear.	[ "Impacted", "fracture", "of", "the", "right", "femoral", "neck.", "Inflammatory", "changes", "in", "the", "right", "lower", "lobe", "and", "also", "some", "scarring", "in", "the", "right", "upper", "lobe.", "The", "rest", "of", "the", "lungs", "clear." ]	[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "consolidation", "start": 10, "end": 28 }, { "label": "interstitial_shadowing", "start": 10, "end": 28 } ]	[ "consolidation", "interstitial_shadowing", "normal" ]
3263	There is a moderate amount of right sided pneumothorax with underlying collapsed lung.	[ "There", "is", "a", "moderate", "amount", "of", "right", "sided", "pneumothorax", "with", "underlying", "collapsed", "lung." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "pneumothorax", "start": 0, "end": 12 } ]	[ "pneumothorax" ]
3277	CT ratio is 15/29. Hump in right diaphragm as seen previously. Mild upper lobe vein prominence. No change since X-ray on 20th aug 2009. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.	[ "CT", "ratio", "is", "15/29.", "Hump", "in", "right", "diaphragm", "as", "seen", "previously.", "Mild", "upper", "lobe", "vein", "prominence.", "No", "change", "since", "X-ray", "on", "20th", "aug", "2009.", "If", "you", "require", "a", "formal", "report", ...	[ "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "cardiomegaly", "start": 0, "end": 6 }, { "label": "comparison", "start": 25, "end": 36 }, { "label": "hemidiaphragm_elevated", "start": 7, "end": 18 }, { "label": "other", "start": 37, "end": 55 }, { "label": "upper_lobe_blood_diversion...	[ "cardiomegaly", "comparison", "hemidiaphragm_elevated", "other", "upper_lobe_blood_diversion" ]
3425	although AP erect heart size is enlarged. The lungs appear hyperinflated but otherwise clear, large hiatus hernia noted. Incidental finding OA changes noted in the right shoulder joint.	[ "although", "AP", "erect", "heart", "size", "is", "enlarged.", "The", "lungs", "appear", "hyperinflated", "but", "otherwise", "clear,", "large", "hiatus", "hernia", "noted.", "Incidental", "finding", "OA", "changes", "noted", "in", "the", "right", "shoulder", "j...	[ "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "abnormal_non_clinically_important", "start": 25, "end": 27 }, { "label": "cardiomegaly", "start": 0, "end": 7 }, { "label": "hernia", "start": 8, "end": 24 }, { "label": "hyperexpanded_lungs", "start": 8, "end": 24 } ]	[ "abnormal_non_clinically_important", "cardiomegaly", "hernia", "hyperexpanded_lungs" ]
3725	AP film. Minor pulmonary venous congestion. right lower zone consolidation. No pleural effusion. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.	[ "AP", "film.", "Minor", "pulmonary", "venous", "congestion.", "right", "lower", "zone", "consolidation.", "No", "pleural", "effusion.", "If", "you", "require", "a", "formal", "report", "on", "this", "image", "please", "contact", "the", "department", "on", "Ext:"...	[ "B", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "consolidation", "start": 9, "end": 13 }, { "label": "interstitial_shadowing", "start": 3, "end": 8 }, { "label": "normal", "start": 14, "end": 19 }, { "label": "other", "start": 0, "end": 2 }, { "label": "other", "start": 20, "e...	[ "consolidation", "interstitial_shadowing", "normal", "other" ]
4283	There is marked kyphoscoliosis and generalised osteopenia, but alignment is otherwise maintained and no destructive bony change is identified. No previous radiograph is available for comparison. There is minor left basal consolidation, possibly due to infection. Calcified airways noted. No pleural effusion is seen. Mediastinal distortion noted due to scoliosis.	[ "There", "is", "marked", "kyphoscoliosis", "and", "generalised", "osteopenia,", "but", "alignment", "is", "otherwise", "maintained", "and", "no", "destructive", "bony", "change", "is", "identified.", "No", "previous", "radiograph", "is", "available", "for", "compari...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "...	[ { "label": "comparison", "start": 30, "end": 38 }, { "label": "consolidation", "start": 39, "end": 49 }, { "label": "normal", "start": 0, "end": 29 }, { "label": "scoliosis", "start": 0, "end": 29 } ]	[ "abnormal_non_clinically_important", "comparison", "consolidation", "normal", "scoliosis" ]
4319	Permanent pacemaker insitu. There is cardiomegaly (cardiothoracic ratio = 16/24). There is upper lobe blood diversion and perihilar airspace shadowing in keeping with heart failure and pulmonary oedema. There is a small right pleural effusion/thickening. Follow-up chest x-ray advised after appropriate treatment.	[ "Permanent", "pacemaker", "insitu.", "There", "is", "cardiomegaly", "(cardiothoracic", "ratio", "=", "16/24).", "There", "is", "upper", "lobe", "blood", "diversion", "and", "perihilar", "airspace", "shadowing", "in", "keeping", "with", "heart", "failure", "and", "...	[ "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 7, "end": 26 }, { "label": "consolidation", "start": 27, "end": 41 }, { "label": "object", "start": 0, "end": 6 }, { "label": "upper_lobe_blood_diversion", "start": 27, "end": 41 } ]	[ "cardiomegaly", "consolidation", "object", "pleural_abnormality", "pleural_effusion", "recommendation", "upper_lobe_blood_diversion" ]
4341	There is bilateral pleural effusion particularly marked on the right side. The right main bronchus shadow is cut-off. Any pathology in the hilar region cannot be excluded.	[ "There", "is", "bilateral", "pleural", "effusion", "particularly", "marked", "on", "the", "right", "side.", "The", "right", "main", "bronchus", "shadow", "is", "cut-off.", "Any", "pathology", "in", "the", "hilar", "region", "cannot", "be", "excluded." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "paratracheal_hilar_enlargement", "start": 14, "end": 26 }, { "label": "pleural_effusion", "start": 0, "end": 13 }, { "label": "possible_diagnosis", "start": 14, "end": 26 } ]	[ "paratracheal_hilar_enlargement", "pleural_effusion", "possible_diagnosis" ]
5422	The lungs are congested and the upper lobe pulmonary veins are distended. There is some air space opacity at the left lung base. There are bilateral small pleural effusions, slightly larger on the left side. The heart is enlarged (CTR 16.7/31). Normal hilar and mediastinal contours. Features are consistent left basal pneumonia on a background of cardiac failure. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.	[ "The", "lungs", "are", "congested", "and", "the", "upper", "lobe", "pulmonary", "veins", "are", "distended.", "There", "is", "some", "air", "space", "opacity", "at", "the", "left", "lung", "base.", "There", "are", "bilateral", "small", "pleural", "effusions,",...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...	[ { "label": "cardiomegaly", "start": 43, "end": 54 }, { "label": "consolidation", "start": 0, "end": 26 }, { "label": "normal", "start": 56, "end": 64 }, { "label": "other", "start": 78, "end": 89 }, { "label": "pleural_effusion", "start": 27, ...	[ "cardiomegaly", "consolidation", "normal", "other", "pleural_effusion", "possible_diagnosis", "upper_lobe_blood_diversion" ]
5579	Bilateral congestive changes with collapse in the right lower lobe.	[ "Bilateral", "congestive", "changes", "with", "collapse", "in", "the", "right", "lower", "lobe." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "consolidation", "start": 0, "end": 9 }, { "label": "interstitial_shadowing", "start": 0, "end": 9 }, { "label": "volume_loss", "start": 0, "end": 9 } ]	[ "consolidation", "interstitial_shadowing", "volume_loss" ]
5927	Linear atelectasis at the right base otherwise no change. Some degenerative changes. Vascular calcification.	[ "Linear", "atelectasis", "at", "the", "right", "base", "otherwise", "no", "change.", "Some", "degenerative", "changes.", "Vascular", "calcification." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]	[ { "label": "abnormal_non_clinically_important", "start": 13, "end": 13 }, { "label": "atelectasis", "start": 0, "end": 12 }, { "label": "comparison", "start": 0, "end": 12 }, { "label": "rib_lesion", "start": 13, "end": 13 } ]	[ "abnormal_non_clinically_important", "aortic_calcification", "atelectasis", "comparison", "rib_lesion" ]
5947	Chest clear.	[ "Chest", "clear." ]	[ "B", "I" ]	[ { "label": "normal", "start": 0, "end": 1 } ]	[ "normal" ]
5976	Normal mediastinal outline. No significant lung or pleural lesion.	[ "Normal", "mediastinal", "outline.", "No", "significant", "lung", "or", "pleural", "lesion." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 8 } ]	[ "normal" ]
6213	compared with the sixth March radiograph. consolidation has significantly improved, but patchy changes in the left upper peripheral aspect and right lower zone are still present, in addition to air fluid level in the left base in the retroperitoneum which measures at least 4-5 centimetres near the gastro-oesophageal junction and is likely to the cause difficulty with the placement of NG tube. A linear opacity ?tube can be identified in the gastric area I have reviewed the CTPA. There were right Para oesophageal lymph nodes as seen on the CT PA, and I would recommend OGD to rule out oesophageal malignancy. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.	[ "compared", "with", "the", "sixth", "March", "radiograph.", "consolidation", "has", "significantly", "improved,", "but", "patchy", "changes", "in", "the", "left", "upper", "peripheral", "aspect", "and", "right", "lower", "zone", "are", "still", "present,", "in", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "comparison", "start": 0, "end": 100 }, { "label": "consolidation", "start": 9, "end": 80 }, { "label": "object", "start": 9, "end": 100 }, { "label": "recommendation", "start": 101, "end": 132 } ]	[ "comparison", "consolidation", "object", "other", "recommendation" ]
6291	Heart size normal. The admission film from 4/2/09 showed left basal consolidation; this has almost completely resolved. There is some patchy consolidation in the right lower zone which is new; the right lung was clear on the previous film. There is also mild pulmonary venous congestion.	[ "Heart", "size", "normal.", "The", "admission", "film", "from", "4/2/09", "showed", "left", "basal", "consolidation;", "this", "has", "almost", "completely", "resolved.", "There", "is", "some", "patchy", "consolidation", "in", "the", "right", "lower", "zone", "w...	[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "comparison", "start": 4, "end": 45 }, { "label": "consolidation", "start": 4, "end": 45 }, { "label": "normal", "start": 0, "end": 3 } ]	[ "comparison", "consolidation", "interstitial_shadowing", "normal" ]
6532	The heart and mediastinum are normal. The lung fields are clear.	[ "The", "heart", "and", "mediastinum", "are", "normal.", "The", "lung", "fields", "are", "clear." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]	[ { "label": "normal", "start": 0, "end": 10 } ]	[ "normal" ]
7320	Compared to previous study there does appear to be some inflammatory changes in the left lower lobe. No other changes seen. Thyroid enlargement on the left noted. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.	[ "Compared", "to", "previous", "study", "there", "does", "appear", "to", "be", "some", "inflammatory", "changes", "in", "the", "left", "lower", "lobe.", "No", "other", "changes", "seen.", "Thyroid", "enlargement", "on", "the", "left", "noted.", "If", "you", "...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "consolidation", "start": 0, "end": 17 }, { "label": "mediastinum_widened", "start": 23, "end": 31 }, { "label": "normal", "start": 18, "end": 22 }, { "label": "other", "start": 32, "end": 58 } ]	[ "consolidation", "mediastinum_widened", "normal", "other" ]
7460	Supine view. Surgical clips are noted in the right axilla consistent with previous breast surgery and axillary node clearance. The heart is probably enlarged and the lungs appear congested. No active focal lung lesion. No change since previous CXRs dating back to 21/08/06.	[ "Supine", "view.", "Surgical", "clips", "are", "noted", "in", "the", "right", "axilla", "consistent", "with", "previous", "breast", "surgery", "and", "axillary", "node", "clearance.", "The", "heart", "is", "probably", "enlarged", "and", "the", "lungs", "appear",...	[ "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 25, "end": 36 }, { "label": "interstitial_shadowing", "start": 25, "end": 36 }, { "label": "normal", "start": 37, "end": 42 }, { "label": "object", "start": 4, "end": 24 } ]	[ "cardiomegaly", "comparison", "interstitial_shadowing", "normal", "object" ]
7518	Increased consolidation and cavitation in the left lower ?? consolidation. CHEST	[ "Increased", "consolidation", "and", "cavitation", "in", "the", "left", "lower", "??", "consolidation.", "CHEST" ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cavitating_lung_lesion", "start": 0, "end": 10 }, { "label": "consolidation", "start": 0, "end": 10 } ]	[ "cavitating_lung_lesion", "consolidation" ]
7659	AP erect view. Underpenetrated view. Three leads of a cardiac pacemaker implanted in the left chest wall appear intact. The lungs are markedly congested and there is bilateral perihilar air space opacity. The costophrenic angles are indistinct suggesting pleural effusions. Even allowing for the projection, the heart appears enlarged. Features are consistent with pulmonary oedema. Even allowing for differences in radiographic factors, signs of cardiac failure are probably worse than on previous CXR from 31/12/08. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.	[ "AP", "erect", "view.", "Underpenetrated", "view.", "Three", "leads", "of", "a", "cardiac", "pacemaker", "implanted", "in", "the", "left", "chest", "wall", "appear", "intact.", "The", "lungs", "are", "markedly", "congested", "and", "there", "is", "bilateral", ...	[ "O", "O", "O", "O", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...	[ { "label": "cardiomegaly", "start": 58, "end": 68 }, { "label": "comparison", "start": 78, "end": 106 }, { "label": "consolidation", "start": 26, "end": 42 }, { "label": "consolidation", "start": 69, "end": 77 }, { "label": "object", "start": 1...	[ "cardiomegaly", "comparison", "consolidation", "object", "other", "paratracheal_hilar_enlargement", "pleural_effusion", "possible_diagnosis", "technical_issue" ]
7878	comparison has been made with the previous from 29 December 2008 and generally radiographs. Focal right base region continues to show ill-defined opacity although some improvement is noted. There is a bone dense opacity along the lateral chest wall overlapping with the right sixth rib (possibly representing a fracture). The right peripheral lung/CP angle is not well visualised, partly due to raised right hemidiaphragm, which was also present on previous chest radiographs. With continued right peripheral basal changes I would recommend CT chest and abdomen as a follow-up study, rather than another chest x-ray. This will help rule out any underlying pathology at the right base, e.g. small new growth and the reason for raised right diaphragm. Is the history of smoking? please also get blood test for liver function's and rule out alcoholic liver disease or other causes of enlarged liver. No significant change elsewhere, although small basal atelectasis patch is noted at the left base Follow-up radiograph to assess for the right base.	[ "comparison", "has", "been", "made", "with", "the", "previous", "from", "29", "December", "2008", "and", "generally", "radiographs.", "Focal", "right", "base", "region", "continues", "to", "show", "ill-defined", "opacity", "although", "some", "improvement", "is", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "comparison", "start": 0, "end": 35 }, { "label": "comparison", "start": 59, "end": 93 }, { "label": "consolidation", "start": 18, "end": 35 }, { "label": "consolidation", "start": 59, "end": 93 }, { "label": "hemidiaphragm_elevated", ...	[ "atelectasis", "comparison", "consolidation", "hemidiaphragm_elevated", "normal", "other", "recommendation", "rib_fracture" ]
7986	Normal appearances.	[ "Normal", "appearances." ]	[ "B", "I" ]	[ { "label": "normal", "start": 0, "end": 1 } ]	[ "normal" ]
8131	Enlarged heart. Congested lungs. No focal lung lesion.	[ "Enlarged", "heart.", "Congested", "lungs.", "No", "focal", "lung", "lesion." ]	[ "B", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "interstitial_shadowing", "start": 5, "end": 7 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal" ]
8790	There is a round calcified opacity in the region of left mid and lower zone presumably due to left breast prosthesis. The lung fields however appear clear. If there is no such history of breast prosthesis, then my interpretation of the chest x-ray would be different. Please discuss if necessary.	[ "There", "is", "a", "round", "calcified", "opacity", "in", "the", "region", "of", "left", "mid", "and", "lower", "zone", "presumably", "due", "to", "left", "breast", "prosthesis.", "The", "lung", "fields", "however", "appear", "clear.", "If", "there", "is", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "abnormal_non_clinically_important", "start": 0, "end": 23 }, { "label": "normal", "start": 24, "end": 30 }, { "label": "other", "start": 31, "end": 49 } ]	[ "abnormal_non_clinically_important", "normal", "other" ]
9240	The right upper lobe remains enlarged, as previously noted, could be due to the vascular component. Heart size normal. the lungs appear clear.	[ "The", "right", "upper", "lobe", "remains", "enlarged,", "as", "previously", "noted,", "could", "be", "due", "to", "the", "vascular", "component.", "Heart", "size", "normal.", "the", "lungs", "appear", "clear." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "E" ]	[ { "label": "hyperexpanded_lungs", "start": 0, "end": 18 }, { "label": "normal", "start": 19, "end": 22 }, { "label": "possible_diagnosis", "start": 0, "end": 18 } ]	[ "hyperexpanded_lungs", "normal", "possible_diagnosis" ]
9370	Heart size normal,the lungs appear clear. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.	[ "Heart", "size", "normal,the", "lungs", "appear", "clear.", "If", "you", "require", "a", "formal", "report", "on", "this", "image", "please", "contact", "the", "department", "on", "Ext:", "27139", "providing", "patient", "details.", "The", "department", "will", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 8 }, { "label": "other", "start": 9, "end": 37 } ]	[ "normal", "other" ]
9401	There is collapse/consolidation in the right lower lobe. Follow up advised.	[ "There", "is", "collapse/consolidation", "in", "the", "right", "lower", "lobe.", "Follow", "up", "advised." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "consolidation", "start": 0, "end": 10 }, { "label": "volume_loss", "start": 0, "end": 10 } ]	[ "consolidation", "recommendation", "volume_loss" ]
9701	The heart is enlarged. There is an element of pulmonary congestion associated with bilateral blunting of costophrenic angles presumably due to pleural reaction/small pleural effusion. Features would be compatible with CCF. There is no major collapse or consolidation.	[ "The", "heart", "is", "enlarged.", "There", "is", "an", "element", "of", "pulmonary", "congestion", "associated", "with", "bilateral", "blunting", "of", "costophrenic", "angles", "presumably", "due", "to", "pleural", "reaction/small", "pleural", "effusion.", "Featur...	[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]	[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "interstitial_shadowing", "start": 5, "end": 36 }, { "label": "pleural_effusion", "start": 5, "end": 36 }, { "label": "possible_diagnosis", "start": 37, "end": 37 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal", "pleural_effusion", "possible_diagnosis" ]
9917	Chest is clear.	[ "Chest", "is", "clear." ]	[ "B", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 2 } ]	[ "normal" ]
10161	there is no evidence of dextrocardia. The heart is not enlarged. No active focal lung lesions. Family history of dextrocardia	[ "there", "is", "no", "evidence", "of", "dextrocardia.", "The", "heart", "is", "not", "enlarged.", "No", "active", "focal", "lung", "lesions.", "Family", "history", "of", "dextrocardia" ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 19 } ]	[ "normal", "other" ]
10432	There is patchy air space opacity at the left lung base, which could be consistent with infection. The lungs are congested and the heart is slightly enlarged (CTR 14.9/27.5).	[ "There", "is", "patchy", "air", "space", "opacity", "at", "the", "left", "lung", "base,", "which", "could", "be", "consistent", "with", "infection.", "The", "lungs", "are", "congested", "and", "the", "heart", "is", "slightly", "enlarged", "(CTR", "14.9/27.5)."...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 20, "end": 28 }, { "label": "consolidation", "start": 0, "end": 19 }, { "label": "interstitial_shadowing", "start": 20, "end": 28 } ]	[ "cardiomegaly", "consolidation", "interstitial_shadowing" ]
10555	The Lungs and pleural spaces are clear. Heart size and cardio mediastinal contour is normal.	[ "The", "Lungs", "and", "pleural", "spaces", "are", "clear.", "Heart", "size", "and", "cardio", "mediastinal", "contour", "is", "normal." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 14 } ]	[ "normal" ]
10775	Longstanding fibrotic changes in the right upper lobe and right apical pleural thickening secondary to radiotherapy. The right hilum and the trachea are pulled towards the area of fibrotic shrinkage. Density in the right lower zone is due to right breast prosthesis. The left lung and pleural space are clear. Normal heart size. No rib lesion is identified. No change since previous CXR from 24/9/08.	[ "Longstanding", "fibrotic", "changes", "in", "the", "right", "upper", "lobe", "and", "right", "apical", "pleural", "thickening", "secondary", "to", "radiotherapy.", "The", "right", "hilum", "and", "the", "trachea", "are", "pulled", "towards", "the", "area", "of"...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "abnormal_non_clinically_important", "start": 46, "end": 60 }, { "label": "apical_fibrosis", "start": 0, "end": 23 }, { "label": "mediastinum_displaced", "start": 24, "end": 45 }, { "label": "normal", "start": 61, "end": 64 }, { "label":...	[ "abnormal_non_clinically_important", "apical_fibrosis", "comparison", "mediastinum_displaced", "normal", "pleural_abnormality", "possible_diagnosis" ]
10880	AP semi erect view. There is a dual chamber cardiac pacemaker with intact leads extending via the subclavian vein and SVC into the right atrium and right ventricle. The lungs are congested and the heart is enlarged. No active focal lung lesion is identified. Quite marked degenerative changes are noted in both shoulder and AC joints.	[ "AP", "semi", "erect", "view.", "There", "is", "a", "dual", "chamber", "cardiac", "pacemaker", "with", "intact", "leads", "extending", "via", "the", "subclavian", "vein", "and", "SVC", "into", "the", "right", "atrium", "and", "right", "ventricle.", "The", "l...	[ "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "...	[ { "label": "cardiomegaly", "start": 38, "end": 48 }, { "label": "consolidation", "start": 38, "end": 48 }, { "label": "normal", "start": 49, "end": 55 }, { "label": "object", "start": 5, "end": 37 }, { "label": "paratracheal_hilar_enlargement", ...	[ "abnormal_non_clinically_important", "cardiomegaly", "consolidation", "normal", "object", "paratracheal_hilar_enlargement", "rib_lesion" ]
11081	Small volume lungs with reticular opacity at the lung bases extending up to the mid zones in the lung peripheries. This also results in indistinct heart borders. Features are consistent with advanced pulmonary fibrosis with basal predominance, likely due to rheumatoid arthritis. Sternotomy wires and left sided mediastinal surgical clips are noted. Possible erosions at the lateral end of the right clavicle. Lateral end of the left clavicle not fully included.	[ "Small", "volume", "lungs", "with", "reticular", "opacity", "at", "the", "lung", "bases", "extending", "up", "to", "the", "mid", "zones", "in", "the", "lung", "peripheries.", "This", "also", "results", "in", "indistinct", "heart", "borders.", "Features", "are"...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "interstitial_shadowing", "start": 0, "end": 31 }, { "label": "object", "start": 54, "end": 67 }, { "label": "possible_diagnosis", "start": 32, "end": 53 }, { "label": "rib_lesion", "start": 68, "end": 70 }, { "label": "volume_loss", ...	[ "interstitial_shadowing", "object", "possible_diagnosis", "rib_lesion", "technical_issue", "volume_loss" ]
11190	there has been further progression of are multiple pulmonary metastases since the last examination in June 2008. In particular there is a mass above the left hilum with partial left upper lobe collapse and consolidation. These are new features. Recurrent cough, history of non-Hodgkin's lymphoma	[ "there", "has", "been", "further", "progression", "of", "are", "multiple", "pulmonary", "metastases", "since", "the", "last", "examination", "in", "June", "2008.", "In", "particular", "there", "is", "a", "mass", "above", "the", "left", "hilum", "with", "partia...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "E" ]	[ { "label": "comparison", "start": 0, "end": 18 }, { "label": "comparison", "start": 40, "end": 44 }, { "label": "consolidation", "start": 19, "end": 39 }, { "label": "parenchymal_lesion", "start": 0, "end": 39 }, { "label": "volume_loss", "star...	[ "comparison", "consolidation", "other", "parenchymal_lesion", "volume_loss" ]
11313	AP supine view. Even allowing for the projection, the heart appears enlarged. The lungs are congested. Atelectasis at the left lung base is noted. No evidence of pneumothorax. The visible ribs appear intact. There is a comminuted, displaced fracture of the head and neck of the left humerus. There is a fracture of the lateral end of the left clavicle.	[ "AP", "supine", "view.", "Even", "allowing", "for", "the", "projection,", "the", "heart", "appears", "enlarged.", "The", "lungs", "are", "congested.", "Atelectasis", "at", "the", "left", "lung", "base", "is", "noted.", "No", "evidence", "of", "pneumothorax.", ...	[ "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "...	[ { "label": "atelectasis", "start": 22, "end": 33 }, { "label": "cardiomegaly", "start": 5, "end": 15 }, { "label": "interstitial_shadowing", "start": 16, "end": 21 }, { "label": "normal", "start": 34, "end": 47 }, { "label": "paratracheal_hilar_enl...	[ "atelectasis", "cardiomegaly", "clavicle_fracture", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "rib_lesion" ]
11624	AP supine view. The lungs are congested. Normal cardiac and mediastinal contours.	[ "AP", "supine", "view.", "The", "lungs", "are", "congested.", "Normal", "cardiac", "and", "mediastinal", "contours." ]	[ "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "E", "B" ]	[ { "label": "interstitial_shadowing", "start": 5, "end": 10 }, { "label": "normal", "start": 11, "end": 11 }, { "label": "paratracheal_hilar_enlargement", "start": 5, "end": 10 } ]	[ "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement" ]
11657	Compared with the previous Chest x-ray, the opacity in the left apex continue to show improvement, as was noted on the June 2008 Chest radiograph. The right apical noted opacities appears slightly dense compared to previous radiograph of 12.9.2008 also suggesting improvement. Areas of nodulation at right base can be identified. However, slightly more worrying is the new area of opacity in the left peripheral base implying consolidation and could be active TB or secondary infection. Areas of scarring, dense nodes in hila and elevated hila, particularly on the left also noted. Considering the extensive nature of the disease- and continued mixed picture with new changes at L lung base, I would recommend closer assessment with noncontrast CT followed by a post contrast CT (if needed). Normal heart size. There is no pleural effusion. ? Reactivation TB	[ "Compared", "with", "the", "previous", "Chest", "x-ray,", "the", "opacity", "in", "the", "left", "apex", "continue", "to", "show", "improvement,", "as", "was", "noted", "on", "the", "June", "2008", "Chest", "radiograph.", "The", "right", "apical", "noted", "...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "comparison", "start": 0, "end": 56 }, { "label": "consolidation", "start": 0, "end": 56 }, { "label": "consolidation", "start": 68, "end": 94 }, { "label": "interstitial_shadowing", "start": 95, "end": 116 }, { "label": "paratracheal_hi...	[ "comparison", "consolidation", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "parenchymal_lesion", "possible_diagnosis", "recommendation" ]
11706	Heart size normal, the lungs appear clear. The left hilum remains prominent, this is due to the vascular component. Please see previous CT-scan report.	[ "Heart", "size", "normal,", "the", "lungs", "appear", "clear.", "The", "left", "hilum", "remains", "prominent,", "this", "is", "due", "to", "the", "vascular", "component.", "Please", "see", "previous", "CT-scan", "report." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "abnormal_non_clinically_important", "start": 9, "end": 23 }, { "label": "normal", "start": 0, "end": 8 } ]	[ "abnormal_non_clinically_important", "normal", "other" ]
12095	AN ADDENDUM HAS BEEN ENTERED AT THE END OF THIS REPORT there is a homogenous opacity at the right apex with television of the right horizontal fissure. considering the history of smoking, central mass resulting in collapse of the right upper lobe is suspected. No previous chest x-rays on the system for direct comparison available. The left lung and right lower lobe appears clear with no suggestion of large mass on the plain film. Normal heart size. No effusion seen. Fast tract protocol appointment will follow and a sheet has been filled for further action ADDENDUM START CLINAPPT. MONDAY 08/12/08 WITH DR IREDALE AT 13.30pm Increasing COPD symptoms. Reduce air entry on the right	[ "AN", "ADDENDUM", "HAS", "BEEN", "ENTERED", "AT", "THE", "END", "OF", "THIS", "REPORT", "there", "is", "a", "homogenous", "opacity", "at", "the", "right", "apex", "with", "television", "of", "the", "right", "horizontal", "fissure.", "considering", "the", "hi...	[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "comparison", "start": 54, "end": 67 }, { "label": "consolidation", "start": 15, "end": 34 }, { "label": "normal", "start": 68, "end": 96 }, { "label": "other", "start": 97, "end": 113 }, { "label": "possible_diagnosis", "start": 35,...	[ "comparison", "consolidation", "normal", "other", "possible_diagnosis" ]
13203	normal sized heart. Previous sternotomy and CABG noted. Early interstitial fibrotic changes are present in both bases. There is calcification of the mitral valve.	[ "normal", "sized", "heart.", "Previous", "sternotomy", "and", "CABG", "noted.", "Early", "interstitial", "fibrotic", "changes", "are", "present", "in", "both", "bases.", "There", "is", "calcification", "of", "the", "mitral", "valve." ]	[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "interstitial_shadowing", "start": 13, "end": 23 }, { "label": "normal", "start": 0, "end": 3 }, { "label": "object", "start": 4, "end": 12 } ]	[ "abnormal_non_clinically_important", "interstitial_shadowing", "normal", "object" ]
13330	Lung fields are clear. Normal heart size. CHESET	[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "CHESET" ]	[ "B", "I", "I", "I", "I", "E", "B", "I" ]	[ { "label": "normal", "start": 0, "end": 7 } ]	[ "normal" ]
13598	The lungs are slightly congested. Some pleural reaction at the left costophrenic angle is unchanged since previous CXR from 26/8/08. The right pleural space is clear. The heart is minimally enlarged (CTR 16.9/33.2). Sternotomy wires are intact. Otherwise normal mediastinum.	[ "The", "lungs", "are", "slightly", "congested.", "Some", "pleural", "reaction", "at", "the", "left", "costophrenic", "angle", "is", "unchanged", "since", "previous", "CXR", "from", "26/8/08.", "The", "right", "pleural", "space", "is", "clear.", "The", "heart", ...	[ "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I" ]	[ { "label": "comparison", "start": 7, "end": 32 }, { "label": "interstitial_shadowing", "start": 0, "end": 6 }, { "label": "normal", "start": 33, "end": 39 }, { "label": "pleural_abnormality", "start": 7, "end": 32 } ]	[ "cardiomegaly", "comparison", "interstitial_shadowing", "normal", "object", "pleural_abnormality" ]
13600	The heart is enlarged. There is calcification and aneurysmal dilatation of the thoracic aorta. There is no focal consolidation or lung lesion seen.	[ "The", "heart", "is", "enlarged.", "There", "is", "calcification", "and", "aneurysmal", "dilatation", "of", "the", "thoracic", "aorta.", "There", "is", "no", "focal", "consolidation", "or", "lung", "lesion", "seen." ]	[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "aortic_calcification", "start": 5, "end": 22 }, { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "mediastinum_widened", "start": 5, "end": 22 } ]	[ "aortic_calcification", "cardiomegaly", "mediastinum_widened", "normal" ]
13700	There is aneurysmal dilatation of the thoracic aorta (noted on previous CXRs and CTs). No focal consolidation is evident.	[ "There", "is", "aneurysmal", "dilatation", "of", "the", "thoracic", "aorta", "(noted", "on", "previous", "CXRs", "and", "CTs).", "No", "focal", "consolidation", "is", "evident." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "comparison", "start": 0, "end": 18 }, { "label": "mediastinum_widened", "start": 0, "end": 18 }, { "label": "possible_diagnosis", "start": 0, "end": 18 } ]	[ "comparison", "mediastinum_widened", "normal", "possible_diagnosis" ]
13951	Please see the previous CT report. There is evidence of increased opacity in the right lower zone probably due to a combination of consolidation and pleural thickening. There is also evidence of pulmonary congestion.	[ "Please", "see", "the", "previous", "CT", "report.", "There", "is", "evidence", "of", "increased", "opacity", "in", "the", "right", "lower", "zone", "probably", "due", "to", "a", "combination", "of", "consolidation", "and", "pleural", "thickening.", "There", "...	[ "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "comparison", "start": 0, "end": 6 }, { "label": "consolidation", "start": 7, "end": 30 }, { "label": "interstitial_shadowing", "start": 31, "end": 33 }, { "label": "pleural_abnormality", "start": 7, "end": 30 } ]	[ "comparison", "consolidation", "interstitial_shadowing", "pleural_abnormality" ]
14082	Some pleural thickening is noted at the right lung apex. Otherwise the lungs are clear. No evidence of pneumothorax. Normal cardiac and mediastinal contours. The visible ribs appear intact. An old healed fracture of the left 7th rib is noted. There is slight malalignment of multiple cervical vertebrae as seen on the lateral view. No fracture line is obvious. I note that acute bony injury has since been ruled out by CT. The bone is generally osteopaenic. No evidence of dislocation or acute bony injury. Several flecks of calcification are noted in projection onto the supraspinatus tendon. These features are consistent with calcific tendonitis of the supraspinatus tendon.	[ "Some", "pleural", "thickening", "is", "noted", "at", "the", "right", "lung", "apex.", "Otherwise", "the", "lungs", "are", "clear.", "No", "evidence", "of", "pneumothorax.", "Normal", "cardiac", "and", "mediastinal", "contours.", "The", "visible", "ribs", "appea...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "...	[ { "label": "abnormal_non_clinically_important", "start": 42, "end": 73 }, { "label": "abnormal_non_clinically_important", "start": 95, "end": 102 }, { "label": "normal", "start": 13, "end": 41 }, { "label": "normal", "start": 74, "end": 79 }, { "la...	[ "abnormal_non_clinically_important", "normal", "other", "pleural_abnormality", "rib_fracture", "rib_lesion" ]
14181	The lungs are congested. No active focal lung lesion is seen. The heart is enlarged (CTR 17.2/27.3). Normal hilar and mediastinal contours. Features are consistent with cardiac failure. No change since previous CXR from 15/8/06.	[ "The", "lungs", "are", "congested.", "No", "active", "focal", "lung", "lesion", "is", "seen.", "The", "heart", "is", "enlarged", "(CTR", "17.2/27.3).", "Normal", "hilar", "and", "mediastinal", "contours.", "Features", "are", "consistent", "with", "cardiac", "fai...	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "O", "B", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 15, "end": 28 }, { "label": "interstitial_shadowing", "start": 0, "end": 5 }, { "label": "normal", "start": 6, "end": 14 }, { "label": "normal", "start": 30, "end": 34 }, { "label": "paratracheal_hilar_enlargemen...	[ "cardiomegaly", "comparison", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "possible_diagnosis" ]
14848	Lung fields are clear. Normal heart size.	[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size." ]	[ "B", "I", "I", "I", "I", "E", "B" ]	[ { "label": "normal", "start": 0, "end": 6 } ]	[ "normal" ]
15005	There is an area of patchy consolidation and loss of volume at the left base. There is diffuse background change noted throughout both lungs. There is a linear opacity seen in the left apex associated with some consolidation and above it an area of loss of lung markings. Appearances would suggest a bulla with some fluid at the base on top of an area of consolidation/collapse at the left base. I note the patient has had previous left upper lobe lobectomy in the past.	[ "There", "is", "an", "area", "of", "patchy", "consolidation", "and", "loss", "of", "volume", "at", "the", "left", "base.", "There", "is", "diffuse", "background", "change", "noted", "throughout", "both", "lungs.", "There", "is", "a", "linear", "opacity", "se...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "bulla", "start": 52, "end": 79 }, { "label": "consolidation", "start": 0, "end": 16 }, { "label": "consolidation", "start": 27, "end": 79 }, { "label": "other", "start": 80, "end": 83 }, { "label": "undefined_sentence", "start": 17,...	[ "bulla", "consolidation", "other", "undefined_sentence", "volume_loss" ]
15013	The heart is enlarged. There is a small opacity in the left mid zone laterally which could be due to an artefact. The rest of the lung fields appear clear. Repeat x-ray chest is suggested in 2 to 3 weeks time. There is pleural thickening on the right side (non-specific). No abnormality seen in the ribs.	[ "The", "heart", "is", "enlarged.", "There", "is", "a", "small", "opacity", "in", "the", "left", "mid", "zone", "laterally", "which", "could", "be", "due", "to", "an", "artefact.", "The", "rest", "of", "the", "lung", "fields", "appear", "clear.", "Repeat", ...	[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "abnormal_non_clinically_important", "start": 5, "end": 25 }, { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "normal", "start": 26, "end": 34 }, { "label": "pleural_abnormality", "start": 49, "end": 55 }, { "label": "recom...	[ "abnormal_non_clinically_important", "cardiomegaly", "normal", "pleural_abnormality", "recommendation" ]
15029	heart size cannot be commented as it is an AP view. Left pleural effusion seen. Congestive changes noted in both lung fields.	[ "heart", "size", "cannot", "be", "commented", "as", "it", "is", "an", "AP", "view.", "Left", "pleural", "effusion", "seen.", "Congestive", "changes", "noted", "in", "both", "lung", "fields." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "consolidation", "start": 19, "end": 21 }, { "label": "pleural_effusion", "start": 12, "end": 18 }, { "label": "technical_issue", "start": 0, "end": 11 }, { "label": "upper_lobe_blood_diversion", "start": 19, "end": 21 } ]	[ "consolidation", "pleural_effusion", "technical_issue", "upper_lobe_blood_diversion" ]
15107	no previous images for comparison. Appearances are abnormal. An area of opacity is projected at the right upper zone with upper mediastinal shift to the right and elevation of the right hilum and by collapse/consolidation in the right upper lobe. Central relative lucency in this region raises the possibility of a cavitating lesion. There is no effusion. Soft tissue density around the right hilum could reflect nodal enlargement.	[ "no", "previous", "images", "for", "comparison.", "Appearances", "are", "abnormal.", "An", "area", "of", "opacity", "is", "projected", "at", "the", "right", "upper", "zone", "with", "upper", "mediastinal", "shift", "to", "the", "right", "and", "elevation", "of...	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "cavitating_lung_lesion", "start": 6, "end": 67 }, { "label": "comparison", "start": 0, "end": 5 }, { "label": "consolidation", "start": 6, "end": 67 }, { "label": "mediastinum_displaced", "start": 6, "end": 67 }, { "label": "volume_loss...	[ "cavitating_lung_lesion", "comparison", "consolidation", "mediastinum_displaced", "normal", "paratracheal_hilar_enlargement", "possible_diagnosis", "volume_loss" ]
15165	Lung fields are clear. Normal heart size. No abnormality seen in the ribs.	[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "No", "abnormality", "seen", "in", "the", "ribs." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 12 } ]	[ "normal" ]
15920	congestive changes are noted in both lung fields. Right pleural effusion is seen. Sternal wires seen. Pacemaker wires seen. Heart is enlarged in size.	[ "congestive", "changes", "are", "noted", "in", "both", "lung", "fields.", "Right", "pleural", "effusion", "is", "seen.", "Sternal", "wires", "seen.", "Pacemaker", "wires", "seen.", "Heart", "is", "enlarged", "in", "size." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "E" ]	[ { "label": "comparison", "start": 11, "end": 18 }, { "label": "interstitial_shadowing", "start": 0, "end": 10 }, { "label": "object", "start": 19, "end": 23 }, { "label": "pleural_effusion", "start": 11, "end": 18 } ]	[ "cardiomegaly", "comparison", "interstitial_shadowing", "object", "pleural_effusion" ]
16846	there has been previous spinal stabilisation in the low thoracic spine with vertebroplasty cement at two thoracic spinal levels. As previously commented, foci of cement have apparently embolised bilaterally into the pulmonary circulation. Compared with the previous chest x-ray of 27.7.10, there is now an area of linear collapse in the central left mid zone with a density lying just lateral to the cardiac border which could conceivably reflect a metastasis. Bony expansion is apparent at the lateral aspect of the left fifth rib which could also be metastatic in nature. no definite bony metastasis identified around the left shoulder or scapular blade.	[ "there", "has", "been", "previous", "spinal", "stabilisation", "in", "the", "low", "thoracic", "spine", "with", "vertebroplasty", "cement", "at", "two", "thoracic", "spinal", "levels.", "As", "previously", "commented,", "foci", "of", "cement", "have", "apparently"...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "atelectasis", "start": 48, "end": 95 }, { "label": "comparison", "start": 48, "end": 95 }, { "label": "object", "start": 0, "end": 27 }, { "label": "other", "start": 28, "end": 47 }, { "label": "parenchymal_lesion", "start": 48, ...	[ "atelectasis", "comparison", "normal", "object", "other", "parenchymal_lesion", "possible_diagnosis", "rib_lesion" ]
17616	congestive changes are noted in both lung fields. The heart shadow appears enlarged in size.	[ "congestive", "changes", "are", "noted", "in", "both", "lung", "fields.", "The", "heart", "shadow", "appears", "enlarged", "in", "size." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 11, "end": 14 }, { "label": "interstitial_shadowing", "start": 0, "end": 10 } ]	[ "cardiomegaly", "interstitial_shadowing" ]
18391	The heart size is normal. No adenopathy is seen. There is some generalised background change noted throughout both lungs but no specific lesion is identified. The only significant abnormality is that there is a raised left hemidiaphragm. No cause of this is identified. No previous films for comparison.	[ "The", "heart", "size", "is", "normal.", "No", "adenopathy", "is", "seen.", "There", "is", "some", "generalised", "background", "change", "noted", "throughout", "both", "lungs", "but", "no", "specific", "lesion", "is", "identified.", "The", "only", "significant"...	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "hemidiaphragm_elevated", "start": 32, "end": 47 }, { "label": "normal", "start": 0, "end": 31 }, { "label": "undefined_sentence", "start": 13, "end": 31 } ]	[ "comparison", "hemidiaphragm_elevated", "normal", "undefined_sentence" ]
18465	Lung fields are clear. Normal heart size. No rib fracture seen.	[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "No", "rib", "fracture", "seen." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B" ]	[ { "label": "normal", "start": 0, "end": 10 } ]	[ "normal" ]
18629	(portable; AP) The lesion at the left hilum has progressed and there is now complete collapse of the left lower lobe. The heart and mediastinum are shifted to the left. The right lung appears clear. No pneumothorax. A request for a repeat CT scan of the chest prior to bronchoscopy has been received (dated 12/10/10). She had a CT scan recently, on 14/9/10. I am not clear as to why a repeat scan is needed. Please contact me directly if you feel that a repeat CT scan of the chest is essential.	[ "(portable;", "AP)", "The", "lesion", "at", "the", "left", "hilum", "has", "progressed", "and", "there", "is", "now", "complete", "collapse", "of", "the", "left", "lower", "lobe.", "The", "heart", "and", "mediastinum", "are", "shifted", "to", "the", "left.",...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "...	[ { "label": "comparison", "start": 0, "end": 28 }, { "label": "consolidation", "start": 0, "end": 28 }, { "label": "mediastinum_displaced", "start": 29, "end": 41 }, { "label": "normal", "start": 42, "end": 53 }, { "label": "other", "start": 54,...	[ "comparison", "consolidation", "mediastinum_displaced", "normal", "other", "paratracheal_hilar_enlargement", "recommendation", "volume_loss" ]
19032	large hiatus hernia with air fluid level can be identified behind heart ; which is slightly displaced to the left. The left diaphragmatic outline is almost completely lost. The left upper and right lungs are clear. No midline shift Compared to previous from 2007, the large hernia and the effaced left diaphragm is a new feature. Follow-up and if required further imaging is warranted	[ "large", "hiatus", "hernia", "with", "air", "fluid", "level", "can", "be", "identified", "behind", "heart", ";", "which", "is", "slightly", "displaced", "to", "the", "left.", "The", "left", "diaphragmatic", "outline", "is", "almost", "completely", "lost.", "Th...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...	[ { "label": "consolidation", "start": 22, "end": 33 }, { "label": "consolidation", "start": 43, "end": 63 }, { "label": "hernia", "start": 0, "end": 21 }, { "label": "hernia", "start": 43, "end": 63 }, { "label": "normal", "start": 34, "end"...	[ "consolidation", "hernia", "normal", "recommendation" ]
19578	(AP) There is probably a little collapse in the basal segments of the left lower lobe, with obscuration of part of the left hemidiaphragm. Right lung clear. Calcification of the mitral valve annulus. A follow-up film in due course is recommended.	[ "(AP)", "There", "is", "probably", "a", "little", "collapse", "in", "the", "basal", "segments", "of", "the", "left", "lower", "lobe,", "with", "obscuration", "of", "part", "of", "the", "left", "hemidiaphragm.", "Right", "lung", "clear.", "Calcification", "of",...	[ "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I" ]	[ { "label": "abnormal_non_clinically_important", "start": 38, "end": 40 }, { "label": "atelectasis", "start": 3, "end": 33 }, { "label": "normal", "start": 34, "end": 37 } ]	[ "abnormal_non_clinically_important", "atelectasis", "normal", "recommendation" ]
19896	Lung fields appear clear. There is an opacity in the region of the medial end of the right clavicle associated with slight deviation of the trachea to the left. This could be due to goitre. Rest of the lung fields appear clear. However a follow up x-ray or a CT scan of the Chest is suggested if clinically required for further evaluation of the opacity just described. There is degenerative change associated with narrowed disc space at L1/L2. A small aortic aneurysm cannot be excluded in the abdomen. Ultrasound scan of the abdominal aorta is suggested if required clinically.	[ "Lung", "fields", "appear", "clear.", "There", "is", "an", "opacity", "in", "the", "region", "of", "the", "medial", "end", "of", "the", "right", "clavicle", "associated", "with", "slight", "deviation", "of", "the", "trachea", "to", "the", "left.", "This", ...	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "...	[ { "label": "abnormal_non_clinically_important", "start": 81, "end": 97 }, { "label": "mediastinum_displaced", "start": 6, "end": 44 }, { "label": "mediastinum_widened", "start": 98, "end": 98 }, { "label": "normal", "start": 0, "end": 5 }, { "label...	[ "abnormal_non_clinically_important", "mediastinum_displaced", "mediastinum_widened", "normal", "paratracheal_hilar_enlargement", "possible_diagnosis", "recommendation", "rib_lesion" ]
20079	Although AP-Erect, there is consolidation in the right lower zone, there is curvi-linear calcification in the descending thoracic aneurysm , of the aorta, heart size remained enlarged, upper lobe blood vessel diversion noted.	[ "Although", "AP-Erect,", "there", "is", "consolidation", "in", "the", "right", "lower", "zone,", "there", "is", "curvi-linear", "calcification", "in", "the", "descending", "thoracic", "aneurysm", ",", "of", "the", "aorta,", "heart", "size", "remained", "enlarged,"...	[ "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "aortic_calcification", "start": 15, "end": 32 }, { "label": "consolidation", "start": 6, "end": 14 }, { "label": "mediastinum_widened", "start": 15, "end": 32 } ]	[ "aortic_calcification", "cardiomegaly", "comparison", "consolidation", "mediastinum_widened", "upper_lobe_blood_diversion" ]
20265	congestive changes are noted in both lung fields with consolidation in the left lung. The condition has progressed since the last examination done 15th of may 2008. Findings are suggestive of a congestive heart failure.	[ "congestive", "changes", "are", "noted", "in", "both", "lung", "fields", "with", "consolidation", "in", "the", "left", "lung.", "The", "condition", "has", "progressed", "since", "the", "last", "examination", "done", "15th", "of", "may", "2008.", "Findings", "a...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "comparison", "start": 17, "end": 31 }, { "label": "consolidation", "start": 0, "end": 16 }, { "label": "interstitial_shadowing", "start": 0, "end": 16 }, { "label": "possible_diagnosis", "start": 32, "end": 34 } ]	[ "comparison", "consolidation", "interstitial_shadowing", "possible_diagnosis" ]
20353	fracture neck of humerus right mid zone consolidation consistent with chest infection. There is hiatus hernia. Rest of the lung fields are clear. XR Radius/Ulna (Forearm) Lt : generalised osteoporosis. No fracture seen.	[ "fracture", "neck", "of", "humerus", "right", "mid", "zone", "consolidation", "consistent", "with", "chest", "infection.", "There", "is", "hiatus", "hernia.", "Rest", "of", "the", "lung", "fields", "are", "clear.", "XR", "Radius/Ulna", "(Forearm)", "Lt", ":", ...	[ "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "O", "O" ]	[ { "label": "consolidation", "start": 8, "end": 16 }, { "label": "hernia", "start": 17, "end": 22 }, { "label": "normal", "start": 23, "end": 30 }, { "label": "possible_diagnosis", "start": 8, "end": 16 }, { "label": "rib_lesion", "start": 0, ...	[ "consolidation", "hernia", "normal", "possible_diagnosis", "rib_lesion" ]
20370	The lungs are congested and there is evidence of upper lobe pulmonary venous blood diversion. The heart is slightly enlarged (CTR 15.9/30.3). Features are consistent with cardiac failure. There is no consolidation. Normal hilar and mediastinal contours.	[ "The", "lungs", "are", "congested", "and", "there", "is", "evidence", "of", "upper", "lobe", "pulmonary", "venous", "blood", "diversion.", "The", "heart", "is", "slightly", "enlarged", "(CTR", "15.9/30.3).", "Features", "are", "consistent", "with", "cardiac", "f...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "O", "B", "I", "I" ]	[ { "label": "cardiomegaly", "start": 18, "end": 32 }, { "label": "interstitial_shadowing", "start": 0, "end": 17 }, { "label": "possible_diagnosis", "start": 34, "end": 36 }, { "label": "upper_lobe_blood_diversion", "start": 0, "end": 17 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal", "possible_diagnosis", "upper_lobe_blood_diversion" ]
20392	AP erect rotated poor inspiratory film. There is pulmonary venous congestion noted. This finding may be related to the poor inspiration and AP chest x-ray would be more helpful. No major consolidation.	[ "AP", "erect", "rotated", "poor", "inspiratory", "film.", "There", "is", "pulmonary", "venous", "congestion", "noted.", "This", "finding", "may", "be", "related", "to", "the", "poor", "inspiration", "and", "AP", "chest", "x-ray", "would", "be", "more", "helpfu...	[ "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "interstitial_shadowing", "start": 8, "end": 15 }, { "label": "recommendation", "start": 16, "end": 31 }, { "label": "technical_issue", "start": 0, "end": 7 }, { "label": "technical_issue", "start": 16, "end": 31 }, { "label": "upper_lob...	[ "interstitial_shadowing", "normal", "recommendation", "technical_issue", "upper_lobe_blood_diversion" ]
21130	No fracture or dislocation. Moderate degenerative changes are present in the glenohumeral joint and acromioclavicular joint. Colonic loops are visualised in projection onto the right lower chest. This raises the suspicion of diaphragmatic rupture. There is left pleural fluid, in the context of trauma possibly a haemothorax and air space opacity at the left lung base, possibly lung contusion. There is a suspected left lower rib fracture.	[ "No", "fracture", "or", "dislocation.", "Moderate", "degenerative", "changes", "are", "present", "in", "the", "glenohumeral", "joint", "and", "acromioclavicular", "joint.", "Colonic", "loops", "are", "visualised", "in", "projection", "onto", "the", "right", "lower",...	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "abnormal_non_clinically_important", "start": 6, "end": 28 }, { "label": "hernia", "start": 29, "end": 53 }, { "label": "normal", "start": 0, "end": 5 }, { "label": "pleural_effusion", "start": 54, "end": 66 }, { "label": "pneumothorax",...	[ "abnormal_non_clinically_important", "hernia", "normal", "pleural_effusion", "pneumothorax", "possible_diagnosis", "rib_fracture", "rib_lesion" ]
21382	AP erect view. There is elevation of the right hemidiaphragm, possibly due to eventration. There is minimal linear atelectasis at the adjacent right lung base. The upper lobe vessels are prominent although the cardiac contour is still within normal limits. No consolidation is identified. Previous right upper zone air space opacity has resolved when compared to previous CXR from 8/5/08.	[ "AP", "erect", "view.", "There", "is", "elevation", "of", "the", "right", "hemidiaphragm,", "possibly", "due", "to", "eventration.", "There", "is", "minimal", "linear", "atelectasis", "at", "the", "adjacent", "right", "lung", "base.", "The", "upper", "lobe", "...	[ "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "atelectasis", "start": 23, "end": 36 }, { "label": "comparison", "start": 59, "end": 59 }, { "label": "hemidiaphragm_elevated", "start": 4, "end": 22 }, { "label": "normal", "start": 54, "end": 59 }, { "label": "upper_lobe_blood_diversi...	[ "atelectasis", "comparison", "hemidiaphragm_elevated", "normal", "upper_lobe_blood_diversion" ]
21400	The lungs are congested and there is evidence of upper lobe pulmonary venous blood diversion. No consolidation. The heart is enlarged (CTR 14.5/26.6). Normal hilar and mediastinal contours. Features are consistent with cardiac failure.	[ "The", "lungs", "are", "congested", "and", "there", "is", "evidence", "of", "upper", "lobe", "pulmonary", "venous", "blood", "diversion.", "No", "consolidation.", "The", "heart", "is", "enlarged", "(CTR", "14.5/26.6).", "Normal", "hilar", "and", "mediastinal", "...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 21, "end": 33 }, { "label": "consolidation", "start": 0, "end": 17 }, { "label": "normal", "start": 18, "end": 20 }, { "label": "upper_lobe_blood_diversion", "start": 0, "end": 17 } ]	[ "cardiomegaly", "consolidation", "normal", "possible_diagnosis", "upper_lobe_blood_diversion" ]
21543	as compared to the ninth of of February 08 there is increase in the left-sided pleural effusion. Right lung appear clear.	[ "as", "compared", "to", "the", "ninth", "of", "of", "February", "08", "there", "is", "increase", "in", "the", "left-sided", "pleural", "effusion.", "Right", "lung", "appear", "clear." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "comparison", "start": 0, "end": 20 }, { "label": "pleural_effusion", "start": 0, "end": 20 } ]	[ "comparison", "normal", "pleural_effusion" ]
21573	Median sternotomy noted. The lungs generally appear plethoric. The heart size cannot be assessed on this AP film. No collapse or consolidation seen	[ "Median", "sternotomy", "noted.", "The", "lungs", "generally", "appear", "plethoric.", "The", "heart", "size", "cannot", "be", "assessed", "on", "this", "AP", "film.", "No", "collapse", "or", "consolidation", "seen" ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "interstitial_shadowing", "start": 6, "end": 13 }, { "label": "object", "start": 0, "end": 5 }, { "label": "paratracheal_hilar_enlargement", "start": 6, "end": 13 }, { "label": "technical_issue", "start": 14, "end": 22 } ]	[ "interstitial_shadowing", "normal", "object", "paratracheal_hilar_enlargement", "technical_issue" ]
21623	The heart and mediastinum are normal. The lung fields are clear.	[ "The", "heart", "and", "mediastinum", "are", "normal.", "The", "lung", "fields", "are", "clear." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]	[ { "label": "normal", "start": 0, "end": 10 } ]	[ "normal" ]
21754	There is evidence of right side pleural effusion. There appears to be some abnormal lung opacity in the right hilar region. Because of pleural effusion, it has not been easy to evaluate the right lung. The left lung is clear. The cause for pleural effusion has not been established. Therefore urgent referral of your patient to a Chest Physician is recommended.	[ "There", "is", "evidence", "of", "right", "side", "pleural", "effusion.", "There", "appears", "to", "be", "some", "abnormal", "lung", "opacity", "in", "the", "right", "hilar", "region.", "Because", "of", "pleural", "effusion,", "it", "has", "not", "been", "e...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...	[ { "label": "normal", "start": 43, "end": 48 }, { "label": "pleural_effusion", "start": 0, "end": 10 }, { "label": "pleural_effusion", "start": 49, "end": 60 }, { "label": "recommendation", "start": 49, "end": 60 }, { "label": "technical_issue", ...	[ "normal", "pleural_effusion", "recommendation", "technical_issue" ]
21776	Lung fields are clear. Normal heart size.	[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size." ]	[ "B", "I", "I", "I", "I", "E", "B" ]	[ { "label": "normal", "start": 0, "end": 6 } ]	[ "normal" ]
21871	The left hemidiaphragm is raised and there is atelectasis at the adjacent left lung base. These features are unchanged since previous CXR from 19/11/06. The lungs are congested and there is evidence of upper lobe pulmonary venous blood diversion. Normal cardiac and mediastinal contours.	[ "The", "left", "hemidiaphragm", "is", "raised", "and", "there", "is", "atelectasis", "at", "the", "adjacent", "left", "lung", "base.", "These", "features", "are", "unchanged", "since", "previous", "CXR", "from", "19/11/06.", "The", "lungs", "are", "congested", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]	[ { "label": "atelectasis", "start": 0, "end": 22 }, { "label": "comparison", "start": 23, "end": 38 }, { "label": "hemidiaphragm_elevated", "start": 0, "end": 22 }, { "label": "upper_lobe_blood_diversion", "start": 39, "end": 43 } ]	[ "atelectasis", "comparison", "hemidiaphragm_elevated", "normal", "upper_lobe_blood_diversion" ]
22106	The right hilum is enlarged which is presumably due to pulmonary vessels rather than lymph node enlargement. The heart is slightly enlarged. There is evidence of a degree of pulmonary congestion. The lung fields appear clear. There is no evidence of pleural effusion. CHEST	[ "The", "right", "hilum", "is", "enlarged", "which", "is", "presumably", "due", "to", "pulmonary", "vessels", "rather", "than", "lymph", "node", "enlargement.", "The", "heart", "is", "slightly", "enlarged.", "There", "is", "evidence", "of", "a", "degree", "of",...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B" ]	[ { "label": "cardiomegaly", "start": 21, "end": 26 }, { "label": "interstitial_shadowing", "start": 27, "end": 36 }, { "label": "normal", "start": 37, "end": 43 }, { "label": "paratracheal_hilar_enlargement", "start": 0, "end": 20 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal", "other", "paratracheal_hilar_enlargement" ]
22165	There is marked cardiomegaly. There is right sided pleural effusion and there is blunting of the left hemidiaphragm in keeping with a small left pleural effusion. There is pulmonary venous congestion with upper lobe blood diversion. Mediansternotomy and mitral valve replacement are noted. There is a left upper chest pace maker. The tip of the single wire appears to be in the right ventricle. An old malunited right clavicular fracture is noted. Compared to the previous chest x-ray of May 2007 there is progression of congestive heart failure.	[ "There", "is", "marked", "cardiomegaly.", "There", "is", "right", "sided", "pleural", "effusion", "and", "there", "is", "blunting", "of", "the", "left", "hemidiaphragm", "in", "keeping", "with", "a", "small", "left", "pleural", "effusion.", "There", "is", "pul...	[ "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...	[ { "label": "cardiomegaly", "start": 0, "end": 8 }, { "label": "object", "start": 55, "end": 87 }, { "label": "pleural_effusion", "start": 9, "end": 42 }, { "label": "possible_diagnosis", "start": 43, "end": 54 }, { "label": "upper_lobe_blood_divers...	[ "abnormal_non_clinically_important", "cardiomegaly", "clavicle_fracture", "comparison", "object", "pleural_effusion", "possible_diagnosis", "upper_lobe_blood_diversion" ]
22167	Compared with Oct 2007. Sternotomy wires noted. There is fracture of the left 3rd to 7th ribs posteriorly. There is a suspicion of fracture of the lateral border of the left scapula.The heart is enlarged. No pneumothorax.	[ "Compared", "with", "Oct", "2007.", "Sternotomy", "wires", "noted.", "There", "is", "fracture", "of", "the", "left", "3rd", "to", "7th", "ribs", "posteriorly.", "There", "is", "a", "suspicion", "of", "fracture", "of", "the", "lateral", "border", "of", "the",...	[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "comparison", "start": 0, "end": 4 }, { "label": "object", "start": 5, "end": 9 }, { "label": "rib_fracture", "start": 10, "end": 24 }, { "label": "rib_lesion", "start": 25, "end": 36 } ]	[ "cardiomegaly", "comparison", "normal", "object", "rib_fracture", "rib_lesion" ]
22205	There is a an air-fluid level in the left lower zone. This may represent fluid in the gastric antrum with eventration of the left diaphragm or a large hiatus hernia. This finding was present in march 13, 2008. Otherwise,no focal collapse or consolidation.	[ "There", "is", "a", "an", "air-fluid", "level", "in", "the", "left", "lower", "zone.", "This", "may", "represent", "fluid", "in", "the", "gastric", "antrum", "with", "eventration", "of", "the", "left", "diaphragm", "or", "a", "large", "hiatus", "hernia.", ...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]	[ { "label": "comparison", "start": 42, "end": 42 }, { "label": "hemidiaphragm_elevated", "start": 15, "end": 41 }, { "label": "hernia", "start": 0, "end": 41 }, { "label": "possible_diagnosis", "start": 15, "end": 41 } ]	[ "comparison", "hemidiaphragm_elevated", "hernia", "normal", "possible_diagnosis" ]
22256	Lung fields are clear. Normal heart size. The widened superior mediastinum is presumably due to goitre. The trachea is slightly deviated to the right side but is not compression by the goitre.	[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "The", "widened", "superior", "mediastinum", "is", "presumably", "due", "to", "goitre.", "The", "trachea", "is", "slightly", "deviated", "to", "the", "right", "side", "but", "is", "not", "compressi...	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "mediastinum_widened", "start": 10, "end": 31 }, { "label": "normal", "start": 0, "end": 9 }, { "label": "possible_diagnosis", "start": 10, "end": 31 } ]	[ "mediastinum_widened", "normal", "possible_diagnosis" ]
22425	Lung fields are clear. Normal heart size. The disc spaces appear normal. There is evidence of early degenerative change in the lower lumbar spine. The disc spaces are normal. C7 vertebra could not be demonstrated on the lateral view however there is no convincing evidence of spondylotic change in the remainder of the cervical spine.	[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "The", "disc", "spaces", "appear", "normal.", "There", "is", "evidence", "of", "early", "degenerative", "change", "in", "the", "lower", "lumbar", "spine.", "The", "disc", "spaces", "are", "normal."...	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "E", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "...	[ { "label": "normal", "start": 0, "end": 9 } ]	[ "normal" ]
22652	(portable; AP) There is mild pulmonary venous congestion. Old calcified focus in the right lower zone. No other focal lung lesion.	[ "(portable;", "AP)", "There", "is", "mild", "pulmonary", "venous", "congestion.", "Old", "calcified", "focus", "in", "the", "right", "lower", "zone.", "No", "other", "focal", "lung", "lesion." ]	[ "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I" ]	[ { "label": "abnormal_non_clinically_important", "start": 14, "end": 20 }, { "label": "interstitial_shadowing", "start": 6, "end": 13 } ]	[ "abnormal_non_clinically_important", "interstitial_shadowing", "normal" ]
22684	The heart is enlarged. There is pulmonary venous congestion. There is an air space opacity in the left lower zone obscuring the left heart border. No obvious pleural effusion. A follow up chest x-ray in 4 to 6 weeks after treatment is recommended.	[ "The", "heart", "is", "enlarged.", "There", "is", "pulmonary", "venous", "congestion.", "There", "is", "an", "air", "space", "opacity", "in", "the", "left", "lower", "zone", "obscuring", "the", "left", "heart", "border.", "No", "obvious", "pleural", "effusion....	[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "consolidation", "start": 12, "end": 29 }, { "label": "interstitial_shadowing", "start": 5, "end": 11 }, { "label": "normal", "start": 30, "end": 36 }, { "label": "recommendation", "...	[ "cardiomegaly", "consolidation", "interstitial_shadowing", "normal", "recommendation" ]

314

Severe left lateral wall pain. The Horizontal fissure is pulled upwards, suggesting some degree of volume loss in the right upper zone. This is likely to be a consequence of all fibrotic change. No active pathology identified. The heart size is at the upper limit of normal. The lungs are clear.

[ "Severe", "left", "lateral", "wall", "pain.", "The", "Horizontal", "fissure", "is", "pulled", "upwards,", "suggesting", "some", "degree", "of", "volume", "loss", "in", "the", "right", "upper", "zone.", "This", "is", "likely", "to", "be", "a", "consequence", ...

[ "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...

[ { "label": "apical_fibrosis", "start": 7, "end": 42 }, { "label": "normal", "start": 43, "end": 50 }, { "label": "other", "start": 0, "end": 6 }, { "label": "volume_loss", "start": 7, "end": 42 } ]

[ "apical_fibrosis", "normal", "other", "volume_loss" ]

648

heart size normal. The lungs appear clear, peribronchial cuffing noted. COPD. left hilum appears slightly denser than the right, although this could be due to the rotation. No previous XR available for comparison. A

[ "heart", "size", "normal.", "The", "lungs", "appear", "clear,", "peribronchial", "cuffing", "noted.", "COPD.", "left", "hilum", "appears", "slightly", "denser", "than", "the", "right,", "although", "this", "could", "be", "due", "to", "the", "rotation.", "No", ...

[ "B", "I", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "abnormal_non_clinically_important", "start": 21, "end": 33 }, { "label": "bronchial_wall_thickening", "start": 9, "end": 17 }, { "label": "emphysema", "start": 18, "end": 20 }, { "label": "hyperexpanded_lungs", "start": 18, "end": 20 }, { ...

[ "abnormal_non_clinically_important", "bronchial_wall_thickening", "comparison", "emphysema", "hyperexpanded_lungs", "normal", "possible_diagnosis", "technical_issue" ]

882

There is a well defined round opacity in the right upper zone. The opacity measures 17 mm. The nature of this opacity is not clear. Secondary deposits cannot be ruled out. There is a calcified opacity in the region of the medial ends of the clavicle associated with deviation of the trachea to the left. This is most likely due to goitre associated with calcified thyroid nodule/cyst. Heart is not enlarged. There is no evidence of pleural effusion. Please note your patient has been Fast Tracked for further investigation and evaluation of the lung lesion.

[ "There", "is", "a", "well", "defined", "round", "opacity", "in", "the", "right", "upper", "zone.", "The", "opacity", "measures", "17", "mm.", "The", "nature", "of", "this", "opacity", "is", "not", "clear.", "Secondary", "deposits", "cannot", "be", "ruled", ...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...

[ { "label": "abnormal_non_clinically_important", "start": 35, "end": 84 }, { "label": "mediastinum_displaced", "start": 35, "end": 84 }, { "label": "normal", "start": 85, "end": 94 }, { "label": "parenchymal_lesion", "start": 0, "end": 34 }, { "labe...

[ "abnormal_non_clinically_important", "mediastinum_displaced", "normal", "other", "parenchymal_lesion", "possible_diagnosis" ]

1047

Lung fields are clear. Normal heart size.

[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size." ]

[ "B", "I", "I", "I", "I", "E", "B" ]

[ { "label": "normal", "start": 0, "end": 6 } ]

[ "normal" ]

1093

Normal mediastinal outline. No significant lung or pleural lesion.

[ "Normal", "mediastinal", "outline.", "No", "significant", "lung", "or", "pleural", "lesion." ]

[ "B", "I", "I", "I", "I", "E", "B", "I", "I" ]

[ { "label": "normal", "start": 0, "end": 8 } ]

[ "normal" ]

1273

The heart is enlarged. CTR 17.1: 31.9. The lungs are clear and there is no evidence of cardiac failure.

[ "The", "heart", "is", "enlarged.", "CTR", "17.1:", "31.9.", "The", "lungs", "are", "clear", "and", "there", "is", "no", "evidence", "of", "cardiac", "failure." ]

[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]

[ { "label": "cardiomegaly", "start": 0, "end": 13 }, { "label": "normal", "start": 14, "end": 18 } ]

[ "cardiomegaly", "normal" ]

1359

Comparison with the previous chest x-ray from 10/11/08 reveals no significant change on the left. Again, there is cardiomegaly with signs of heart failure. In addition, there is further ground glass change in the left lower zone which is unchanged. No pleural effusion is seen Calcified prosthetic left breast noted. New right-sided rib fractures noted

[ "Comparison", "with", "the", "previous", "chest", "x-ray", "from", "10/11/08", "reveals", "no", "significant", "change", "on", "the", "left.", "Again,", "there", "is", "cardiomegaly", "with", "signs", "of", "heart", "failure.", "In", "addition,", "there", "is", ...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "...

[ { "label": "cardiomegaly", "start": 23, "end": 37 }, { "label": "comparison", "start": 0, "end": 22 }, { "label": "comparison", "start": 38, "end": 54 }, { "label": "ground_glass_opacification", "start": 38, "end": 54 }, { "label": "paratracheal_hi...

[ "abnormal_non_clinically_important", "cardiomegaly", "comparison", "ground_glass_opacification", "normal", "paratracheal_hilar_enlargement", "possible_diagnosis", "rib_fracture" ]

1858

AN ADDENDUM HAS BEEN ENTERED AT THE END OF THIS REPORT No previous x-ray available for comparison. There is a homogenous opacity in the right lower zone which may indicate some collapse of lung. The right hemithorax also appears slightly smaller than the left. In view of persistent cough, lung neoplasm cannot be excluded. Therefore your patient has been fast tracked for further investigation. ADDENDUM START CLINAPPT. MONDAY 07/09/09 WITH DR IREDALE AT 13.30pm

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[ { "label": "comparison", "start": 15, "end": 23 }, { "label": "consolidation", "start": 24, "end": 42 }, { "label": "other", "start": 0, "end": 14 }, { "label": "other", "start": 71, "end": 73 }, { "label": "possible_diagnosis", "start": 57, ...

[ "comparison", "consolidation", "other", "possible_diagnosis", "undefined_sentence", "volume_loss" ]

1925

Heart is enlarged. There is evidence of mild pulmonary congestion associated with bilateral pleural reaction. There is no evidence of collapse or consolidation.

[ "Heart", "is", "enlarged.", "There", "is", "evidence", "of", "mild", "pulmonary", "congestion", "associated", "with", "bilateral", "pleural", "reaction.", "There", "is", "no", "evidence", "of", "collapse", "or", "consolidation." ]

[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]

[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "consolidation", "start": 4, "end": 17 }, { "label": "normal", "start": 18, "end": 22 }, { "label": "pleural_effusion", "start": 4, "end": 17 } ]

[ "cardiomegaly", "consolidation", "normal", "pleural_effusion" ]

2089

Patient with cardiac enlargement and pacemaker wires. No major lung lesion. XR Lumbar Spine and S.I. Joints : Loss of height of L4 from past trauma and generally degenerative changes. Possible dilated distal aorta. No obvious vertebral collapse.

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[ { "label": "cardiomegaly", "start": 0, "end": 10 }, { "label": "normal", "start": 11, "end": 16 }, { "label": "object", "start": 0, "end": 10 } ]

[ "cardiomegaly", "normal", "object" ]

2168

There is opacity seen at the right lower zone obscuring the right heart border suggestive of right middle lobe collapse.Left lung is clear.I would suggest a staging Chest CT to rule out if any underlying lung mass. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.

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[ { "label": "consolidation", "start": 0, "end": 21 }, { "label": "normal", "start": 22, "end": 26 }, { "label": "other", "start": 43, "end": 68 }, { "label": "recommendation", "start": 27, "end": 42 }, { "label": "volume_loss", "start": 0, "...

[ "consolidation", "normal", "other", "recommendation", "volume_loss" ]

2455

comparison is made a chest x-ray performed of the 6/05/09. Appearances are improved since the last x-ray. There still however remains a significant left-sided pleural effusion, small right-sided pleural effusion and evidence of congestive cardiac failure with an enlarged cardiac outline and peri-hilar consolidation Congestive cardiac failure?

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[ { "label": "cardiomegaly", "start": 30, "end": 46 }, { "label": "comparison", "start": 0, "end": 29 }, { "label": "consolidation", "start": 30, "end": 46 }, { "label": "pleural_effusion", "start": 30, "end": 46 }, { "label": "possible_diagnosis", ...

[ "cardiomegaly", "comparison", "consolidation", "pleural_effusion", "possible_diagnosis" ]

2487

midline sternotomy wires noted. No major lung collapse or consolidation. Interscapular pain : there is a wedge collapse of the T7 vertebra with approximately 90% loss of vertebral body height. This was present on an x-ray on 28/07/06, where the vertebra demonstrated approximately 80% loss of height. No other vertebral collapse is seen.

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[ { "label": "comparison", "start": 20, "end": 52 }, { "label": "normal", "start": 7, "end": 13 }, { "label": "object", "start": 0, "end": 6 }, { "label": "rib_lesion", "start": 20, "end": 52 } ]

[ "comparison", "normal", "object", "rib_lesion" ]

3002

comparison is made a chest x-ray performed on 09/02/09. Bilateral perihilar infiltrates are noted and there is evidence of upper lobe pulmonary venous blood diversion. Findings are in keeping with moderate congestive cardiac failure. The heart is enlarged. Increasing shortness of breath

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[ { "label": "comparison", "start": 0, "end": 17 }, { "label": "consolidation", "start": 18, "end": 39 }, { "label": "possible_diagnosis", "start": 40, "end": 41 }, { "label": "upper_lobe_blood_diversion", "start": 18, "end": 39 } ]

[ "cardiomegaly", "comparison", "consolidation", "other", "possible_diagnosis", "upper_lobe_blood_diversion" ]

3177

Impacted fracture of the right femoral neck. Inflammatory changes in the right lower lobe and also some scarring in the right upper lobe. The rest of the lungs clear.

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[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "consolidation", "start": 10, "end": 28 }, { "label": "interstitial_shadowing", "start": 10, "end": 28 } ]

[ "consolidation", "interstitial_shadowing", "normal" ]

3263

There is a moderate amount of right sided pneumothorax with underlying collapsed lung.

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[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "pneumothorax", "start": 0, "end": 12 } ]

[ "pneumothorax" ]

3277

CT ratio is 15/29. Hump in right diaphragm as seen previously. Mild upper lobe vein prominence. No change since X-ray on 20th aug 2009. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.

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[ { "label": "cardiomegaly", "start": 0, "end": 6 }, { "label": "comparison", "start": 25, "end": 36 }, { "label": "hemidiaphragm_elevated", "start": 7, "end": 18 }, { "label": "other", "start": 37, "end": 55 }, { "label": "upper_lobe_blood_diversion...

[ "cardiomegaly", "comparison", "hemidiaphragm_elevated", "other", "upper_lobe_blood_diversion" ]

3425

although AP erect heart size is enlarged. The lungs appear hyperinflated but otherwise clear, large hiatus hernia noted. Incidental finding OA changes noted in the right shoulder joint.

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[ { "label": "abnormal_non_clinically_important", "start": 25, "end": 27 }, { "label": "cardiomegaly", "start": 0, "end": 7 }, { "label": "hernia", "start": 8, "end": 24 }, { "label": "hyperexpanded_lungs", "start": 8, "end": 24 } ]

[ "abnormal_non_clinically_important", "cardiomegaly", "hernia", "hyperexpanded_lungs" ]

3725

AP film. Minor pulmonary venous congestion. right lower zone consolidation. No pleural effusion. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.

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[ { "label": "consolidation", "start": 9, "end": 13 }, { "label": "interstitial_shadowing", "start": 3, "end": 8 }, { "label": "normal", "start": 14, "end": 19 }, { "label": "other", "start": 0, "end": 2 }, { "label": "other", "start": 20, "e...

[ "consolidation", "interstitial_shadowing", "normal", "other" ]

4283

There is marked kyphoscoliosis and generalised osteopenia, but alignment is otherwise maintained and no destructive bony change is identified. No previous radiograph is available for comparison. There is minor left basal consolidation, possibly due to infection. Calcified airways noted. No pleural effusion is seen. Mediastinal distortion noted due to scoliosis.

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[ { "label": "comparison", "start": 30, "end": 38 }, { "label": "consolidation", "start": 39, "end": 49 }, { "label": "normal", "start": 0, "end": 29 }, { "label": "scoliosis", "start": 0, "end": 29 } ]

[ "abnormal_non_clinically_important", "comparison", "consolidation", "normal", "scoliosis" ]

4319

Permanent pacemaker insitu. There is cardiomegaly (cardiothoracic ratio = 16/24). There is upper lobe blood diversion and perihilar airspace shadowing in keeping with heart failure and pulmonary oedema. There is a small right pleural effusion/thickening. Follow-up chest x-ray advised after appropriate treatment.

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[ { "label": "cardiomegaly", "start": 7, "end": 26 }, { "label": "consolidation", "start": 27, "end": 41 }, { "label": "object", "start": 0, "end": 6 }, { "label": "upper_lobe_blood_diversion", "start": 27, "end": 41 } ]

[ "cardiomegaly", "consolidation", "object", "pleural_abnormality", "pleural_effusion", "recommendation", "upper_lobe_blood_diversion" ]

4341

There is bilateral pleural effusion particularly marked on the right side. The right main bronchus shadow is cut-off. Any pathology in the hilar region cannot be excluded.

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[ { "label": "paratracheal_hilar_enlargement", "start": 14, "end": 26 }, { "label": "pleural_effusion", "start": 0, "end": 13 }, { "label": "possible_diagnosis", "start": 14, "end": 26 } ]

[ "paratracheal_hilar_enlargement", "pleural_effusion", "possible_diagnosis" ]

5422

The lungs are congested and the upper lobe pulmonary veins are distended. There is some air space opacity at the left lung base. There are bilateral small pleural effusions, slightly larger on the left side. The heart is enlarged (CTR 16.7/31). Normal hilar and mediastinal contours. Features are consistent left basal pneumonia on a background of cardiac failure. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.

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[ { "label": "cardiomegaly", "start": 43, "end": 54 }, { "label": "consolidation", "start": 0, "end": 26 }, { "label": "normal", "start": 56, "end": 64 }, { "label": "other", "start": 78, "end": 89 }, { "label": "pleural_effusion", "start": 27, ...

[ "cardiomegaly", "consolidation", "normal", "other", "pleural_effusion", "possible_diagnosis", "upper_lobe_blood_diversion" ]

5579

Bilateral congestive changes with collapse in the right lower lobe.

[ "Bilateral", "congestive", "changes", "with", "collapse", "in", "the", "right", "lower", "lobe." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "consolidation", "start": 0, "end": 9 }, { "label": "interstitial_shadowing", "start": 0, "end": 9 }, { "label": "volume_loss", "start": 0, "end": 9 } ]

[ "consolidation", "interstitial_shadowing", "volume_loss" ]

5927

Linear atelectasis at the right base otherwise no change. Some degenerative changes. Vascular calcification.

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[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]

[ { "label": "abnormal_non_clinically_important", "start": 13, "end": 13 }, { "label": "atelectasis", "start": 0, "end": 12 }, { "label": "comparison", "start": 0, "end": 12 }, { "label": "rib_lesion", "start": 13, "end": 13 } ]

[ "abnormal_non_clinically_important", "aortic_calcification", "atelectasis", "comparison", "rib_lesion" ]

5947

Chest clear.

[ "Chest", "clear." ]

[ "B", "I" ]

[ { "label": "normal", "start": 0, "end": 1 } ]

[ "normal" ]

5976

Normal mediastinal outline. No significant lung or pleural lesion.

[ "Normal", "mediastinal", "outline.", "No", "significant", "lung", "or", "pleural", "lesion." ]

[ "B", "I", "I", "I", "I", "E", "B", "I", "I" ]

[ { "label": "normal", "start": 0, "end": 8 } ]

[ "normal" ]

6213

compared with the sixth March radiograph. consolidation has significantly improved, but patchy changes in the left upper peripheral aspect and right lower zone are still present, in addition to air fluid level in the left base in the retroperitoneum which measures at least 4-5 centimetres near the gastro-oesophageal junction and is likely to the cause difficulty with the placement of NG tube. A linear opacity ?tube can be identified in the gastric area I have reviewed the CTPA. There were right Para oesophageal lymph nodes as seen on the CT PA, and I would recommend OGD to rule out oesophageal malignancy. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.

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[ "comparison", "consolidation", "object", "other", "recommendation" ]

6291

Heart size normal. The admission film from 4/2/09 showed left basal consolidation; this has almost completely resolved. There is some patchy consolidation in the right lower zone which is new; the right lung was clear on the previous film. There is also mild pulmonary venous congestion.

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[ { "label": "comparison", "start": 4, "end": 45 }, { "label": "consolidation", "start": 4, "end": 45 }, { "label": "normal", "start": 0, "end": 3 } ]

[ "comparison", "consolidation", "interstitial_shadowing", "normal" ]

6532

The heart and mediastinum are normal. The lung fields are clear.

[ "The", "heart", "and", "mediastinum", "are", "normal.", "The", "lung", "fields", "are", "clear." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]

[ { "label": "normal", "start": 0, "end": 10 } ]

[ "normal" ]

7320

Compared to previous study there does appear to be some inflammatory changes in the left lower lobe. No other changes seen. Thyroid enlargement on the left noted. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.

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[ { "label": "consolidation", "start": 0, "end": 17 }, { "label": "mediastinum_widened", "start": 23, "end": 31 }, { "label": "normal", "start": 18, "end": 22 }, { "label": "other", "start": 32, "end": 58 } ]

[ "consolidation", "mediastinum_widened", "normal", "other" ]

7460

Supine view. Surgical clips are noted in the right axilla consistent with previous breast surgery and axillary node clearance. The heart is probably enlarged and the lungs appear congested. No active focal lung lesion. No change since previous CXRs dating back to 21/08/06.

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[ { "label": "cardiomegaly", "start": 25, "end": 36 }, { "label": "interstitial_shadowing", "start": 25, "end": 36 }, { "label": "normal", "start": 37, "end": 42 }, { "label": "object", "start": 4, "end": 24 } ]

[ "cardiomegaly", "comparison", "interstitial_shadowing", "normal", "object" ]

7518

Increased consolidation and cavitation in the left lower ?? consolidation. CHEST

[ "Increased", "consolidation", "and", "cavitation", "in", "the", "left", "lower", "??", "consolidation.", "CHEST" ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "cavitating_lung_lesion", "start": 0, "end": 10 }, { "label": "consolidation", "start": 0, "end": 10 } ]

[ "cavitating_lung_lesion", "consolidation" ]

7659

AP erect view. Underpenetrated view. Three leads of a cardiac pacemaker implanted in the left chest wall appear intact. The lungs are markedly congested and there is bilateral perihilar air space opacity. The costophrenic angles are indistinct suggesting pleural effusions. Even allowing for the projection, the heart appears enlarged. Features are consistent with pulmonary oedema. Even allowing for differences in radiographic factors, signs of cardiac failure are probably worse than on previous CXR from 31/12/08. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.

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[ { "label": "cardiomegaly", "start": 58, "end": 68 }, { "label": "comparison", "start": 78, "end": 106 }, { "label": "consolidation", "start": 26, "end": 42 }, { "label": "consolidation", "start": 69, "end": 77 }, { "label": "object", "start": 1...

[ "cardiomegaly", "comparison", "consolidation", "object", "other", "paratracheal_hilar_enlargement", "pleural_effusion", "possible_diagnosis", "technical_issue" ]

7878

comparison has been made with the previous from 29 December 2008 and generally radiographs. Focal right base region continues to show ill-defined opacity although some improvement is noted. There is a bone dense opacity along the lateral chest wall overlapping with the right sixth rib (possibly representing a fracture). The right peripheral lung/CP angle is not well visualised, partly due to raised right hemidiaphragm, which was also present on previous chest radiographs. With continued right peripheral basal changes I would recommend CT chest and abdomen as a follow-up study, rather than another chest x-ray. This will help rule out any underlying pathology at the right base, e.g. small new growth and the reason for raised right diaphragm. Is the history of smoking? please also get blood test for liver function's and rule out alcoholic liver disease or other causes of enlarged liver. No significant change elsewhere, although small basal atelectasis patch is noted at the left base Follow-up radiograph to assess for the right base.

[ "comparison", "has", "been", "made", "with", "the", "previous", "from", "29", "December", "2008", "and", "generally", "radiographs.", "Focal", "right", "base", "region", "continues", "to", "show", "ill-defined", "opacity", "although", "some", "improvement", "is", ...

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[ { "label": "comparison", "start": 0, "end": 35 }, { "label": "comparison", "start": 59, "end": 93 }, { "label": "consolidation", "start": 18, "end": 35 }, { "label": "consolidation", "start": 59, "end": 93 }, { "label": "hemidiaphragm_elevated", ...

[ "atelectasis", "comparison", "consolidation", "hemidiaphragm_elevated", "normal", "other", "recommendation", "rib_fracture" ]

7986

Normal appearances.

[ "Normal", "appearances." ]

[ "B", "I" ]

[ { "label": "normal", "start": 0, "end": 1 } ]

[ "normal" ]

8131

Enlarged heart. Congested lungs. No focal lung lesion.

[ "Enlarged", "heart.", "Congested", "lungs.", "No", "focal", "lung", "lesion." ]

[ "B", "I", "I", "I", "E", "B", "I", "I" ]

[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "interstitial_shadowing", "start": 5, "end": 7 } ]

[ "cardiomegaly", "interstitial_shadowing", "normal" ]

8790

There is a round calcified opacity in the region of left mid and lower zone presumably due to left breast prosthesis. The lung fields however appear clear. If there is no such history of breast prosthesis, then my interpretation of the chest x-ray would be different. Please discuss if necessary.

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[ { "label": "abnormal_non_clinically_important", "start": 0, "end": 23 }, { "label": "normal", "start": 24, "end": 30 }, { "label": "other", "start": 31, "end": 49 } ]

[ "abnormal_non_clinically_important", "normal", "other" ]

9240

The right upper lobe remains enlarged, as previously noted, could be due to the vascular component. Heart size normal. the lungs appear clear.

[ "The", "right", "upper", "lobe", "remains", "enlarged,", "as", "previously", "noted,", "could", "be", "due", "to", "the", "vascular", "component.", "Heart", "size", "normal.", "the", "lungs", "appear", "clear." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "E" ]

[ { "label": "hyperexpanded_lungs", "start": 0, "end": 18 }, { "label": "normal", "start": 19, "end": 22 }, { "label": "possible_diagnosis", "start": 0, "end": 18 } ]

[ "hyperexpanded_lungs", "normal", "possible_diagnosis" ]

9370

Heart size normal,the lungs appear clear. If you require a formal report on this image please contact the department on Ext: 27139 providing patient details. The department will then ensure a formal report will be available on CRRS.

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[ "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I" ]

[ { "label": "normal", "start": 0, "end": 8 }, { "label": "other", "start": 9, "end": 37 } ]

[ "normal", "other" ]

9401

There is collapse/consolidation in the right lower lobe. Follow up advised.

[ "There", "is", "collapse/consolidation", "in", "the", "right", "lower", "lobe.", "Follow", "up", "advised." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "consolidation", "start": 0, "end": 10 }, { "label": "volume_loss", "start": 0, "end": 10 } ]

[ "consolidation", "recommendation", "volume_loss" ]

9701

The heart is enlarged. There is an element of pulmonary congestion associated with bilateral blunting of costophrenic angles presumably due to pleural reaction/small pleural effusion. Features would be compatible with CCF. There is no major collapse or consolidation.

[ "The", "heart", "is", "enlarged.", "There", "is", "an", "element", "of", "pulmonary", "congestion", "associated", "with", "bilateral", "blunting", "of", "costophrenic", "angles", "presumably", "due", "to", "pleural", "reaction/small", "pleural", "effusion.", "Featur...

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[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "interstitial_shadowing", "start": 5, "end": 36 }, { "label": "pleural_effusion", "start": 5, "end": 36 }, { "label": "possible_diagnosis", "start": 37, "end": 37 } ]

[ "cardiomegaly", "interstitial_shadowing", "normal", "pleural_effusion", "possible_diagnosis" ]

9917

Chest is clear.

[ "Chest", "is", "clear." ]

[ "B", "I", "I" ]

[ { "label": "normal", "start": 0, "end": 2 } ]

[ "normal" ]

10161

there is no evidence of dextrocardia. The heart is not enlarged. No active focal lung lesions. Family history of dextrocardia

[ "there", "is", "no", "evidence", "of", "dextrocardia.", "The", "heart", "is", "not", "enlarged.", "No", "active", "focal", "lung", "lesions.", "Family", "history", "of", "dextrocardia" ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I" ]

[ { "label": "normal", "start": 0, "end": 19 } ]

[ "normal", "other" ]

10432

There is patchy air space opacity at the left lung base, which could be consistent with infection. The lungs are congested and the heart is slightly enlarged (CTR 14.9/27.5).

[ "There", "is", "patchy", "air", "space", "opacity", "at", "the", "left", "lung", "base,", "which", "could", "be", "consistent", "with", "infection.", "The", "lungs", "are", "congested", "and", "the", "heart", "is", "slightly", "enlarged", "(CTR", "14.9/27.5)."...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "cardiomegaly", "start": 20, "end": 28 }, { "label": "consolidation", "start": 0, "end": 19 }, { "label": "interstitial_shadowing", "start": 20, "end": 28 } ]

[ "cardiomegaly", "consolidation", "interstitial_shadowing" ]

10555

The Lungs and pleural spaces are clear. Heart size and cardio mediastinal contour is normal.

[ "The", "Lungs", "and", "pleural", "spaces", "are", "clear.", "Heart", "size", "and", "cardio", "mediastinal", "contour", "is", "normal." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]

[ { "label": "normal", "start": 0, "end": 14 } ]

[ "normal" ]

10775

Longstanding fibrotic changes in the right upper lobe and right apical pleural thickening secondary to radiotherapy. The right hilum and the trachea are pulled towards the area of fibrotic shrinkage. Density in the right lower zone is due to right breast prosthesis. The left lung and pleural space are clear. Normal heart size. No rib lesion is identified. No change since previous CXR from 24/9/08.

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[ { "label": "abnormal_non_clinically_important", "start": 46, "end": 60 }, { "label": "apical_fibrosis", "start": 0, "end": 23 }, { "label": "mediastinum_displaced", "start": 24, "end": 45 }, { "label": "normal", "start": 61, "end": 64 }, { "label":...

[ "abnormal_non_clinically_important", "apical_fibrosis", "comparison", "mediastinum_displaced", "normal", "pleural_abnormality", "possible_diagnosis" ]

10880

AP semi erect view. There is a dual chamber cardiac pacemaker with intact leads extending via the subclavian vein and SVC into the right atrium and right ventricle. The lungs are congested and the heart is enlarged. No active focal lung lesion is identified. Quite marked degenerative changes are noted in both shoulder and AC joints.

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[ { "label": "cardiomegaly", "start": 38, "end": 48 }, { "label": "consolidation", "start": 38, "end": 48 }, { "label": "normal", "start": 49, "end": 55 }, { "label": "object", "start": 5, "end": 37 }, { "label": "paratracheal_hilar_enlargement", ...

[ "abnormal_non_clinically_important", "cardiomegaly", "consolidation", "normal", "object", "paratracheal_hilar_enlargement", "rib_lesion" ]

11081

Small volume lungs with reticular opacity at the lung bases extending up to the mid zones in the lung peripheries. This also results in indistinct heart borders. Features are consistent with advanced pulmonary fibrosis with basal predominance, likely due to rheumatoid arthritis. Sternotomy wires and left sided mediastinal surgical clips are noted. Possible erosions at the lateral end of the right clavicle. Lateral end of the left clavicle not fully included.

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[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...

[ { "label": "interstitial_shadowing", "start": 0, "end": 31 }, { "label": "object", "start": 54, "end": 67 }, { "label": "possible_diagnosis", "start": 32, "end": 53 }, { "label": "rib_lesion", "start": 68, "end": 70 }, { "label": "volume_loss", ...

[ "interstitial_shadowing", "object", "possible_diagnosis", "rib_lesion", "technical_issue", "volume_loss" ]

11190

there has been further progression of are multiple pulmonary metastases since the last examination in June 2008. In particular there is a mass above the left hilum with partial left upper lobe collapse and consolidation. These are new features. Recurrent cough, history of non-Hodgkin's lymphoma

[ "there", "has", "been", "further", "progression", "of", "are", "multiple", "pulmonary", "metastases", "since", "the", "last", "examination", "in", "June", "2008.", "In", "particular", "there", "is", "a", "mass", "above", "the", "left", "hilum", "with", "partia...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "E" ]

[ { "label": "comparison", "start": 0, "end": 18 }, { "label": "comparison", "start": 40, "end": 44 }, { "label": "consolidation", "start": 19, "end": 39 }, { "label": "parenchymal_lesion", "start": 0, "end": 39 }, { "label": "volume_loss", "star...

[ "comparison", "consolidation", "other", "parenchymal_lesion", "volume_loss" ]

11313

AP supine view. Even allowing for the projection, the heart appears enlarged. The lungs are congested. Atelectasis at the left lung base is noted. No evidence of pneumothorax. The visible ribs appear intact. There is a comminuted, displaced fracture of the head and neck of the left humerus. There is a fracture of the lateral end of the left clavicle.

[ "AP", "supine", "view.", "Even", "allowing", "for", "the", "projection,", "the", "heart", "appears", "enlarged.", "The", "lungs", "are", "congested.", "Atelectasis", "at", "the", "left", "lung", "base", "is", "noted.", "No", "evidence", "of", "pneumothorax.", ...

[ "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "...

[ { "label": "atelectasis", "start": 22, "end": 33 }, { "label": "cardiomegaly", "start": 5, "end": 15 }, { "label": "interstitial_shadowing", "start": 16, "end": 21 }, { "label": "normal", "start": 34, "end": 47 }, { "label": "paratracheal_hilar_enl...

[ "atelectasis", "cardiomegaly", "clavicle_fracture", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "rib_lesion" ]

11624

AP supine view. The lungs are congested. Normal cardiac and mediastinal contours.

[ "AP", "supine", "view.", "The", "lungs", "are", "congested.", "Normal", "cardiac", "and", "mediastinal", "contours." ]

[ "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "E", "B" ]

[ { "label": "interstitial_shadowing", "start": 5, "end": 10 }, { "label": "normal", "start": 11, "end": 11 }, { "label": "paratracheal_hilar_enlargement", "start": 5, "end": 10 } ]

[ "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement" ]

11657

Compared with the previous Chest x-ray, the opacity in the left apex continue to show improvement, as was noted on the June 2008 Chest radiograph. The right apical noted opacities appears slightly dense compared to previous radiograph of 12.9.2008 also suggesting improvement. Areas of nodulation at right base can be identified. However, slightly more worrying is the new area of opacity in the left peripheral base implying consolidation and could be active TB or secondary infection. Areas of scarring, dense nodes in hila and elevated hila, particularly on the left also noted. Considering the extensive nature of the disease- and continued mixed picture with new changes at L lung base, I would recommend closer assessment with noncontrast CT followed by a post contrast CT (if needed). Normal heart size. There is no pleural effusion. ? Reactivation TB

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[ { "label": "comparison", "start": 0, "end": 56 }, { "label": "consolidation", "start": 0, "end": 56 }, { "label": "consolidation", "start": 68, "end": 94 }, { "label": "interstitial_shadowing", "start": 95, "end": 116 }, { "label": "paratracheal_hi...

[ "comparison", "consolidation", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "parenchymal_lesion", "possible_diagnosis", "recommendation" ]

11706

Heart size normal, the lungs appear clear. The left hilum remains prominent, this is due to the vascular component. Please see previous CT-scan report.

[ "Heart", "size", "normal,", "the", "lungs", "appear", "clear.", "The", "left", "hilum", "remains", "prominent,", "this", "is", "due", "to", "the", "vascular", "component.", "Please", "see", "previous", "CT-scan", "report." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "abnormal_non_clinically_important", "start": 9, "end": 23 }, { "label": "normal", "start": 0, "end": 8 } ]

[ "abnormal_non_clinically_important", "normal", "other" ]

12095

AN ADDENDUM HAS BEEN ENTERED AT THE END OF THIS REPORT there is a homogenous opacity at the right apex with television of the right horizontal fissure. considering the history of smoking, central mass resulting in collapse of the right upper lobe is suspected. No previous chest x-rays on the system for direct comparison available. The left lung and right lower lobe appears clear with no suggestion of large mass on the plain film. Normal heart size. No effusion seen. Fast tract protocol appointment will follow and a sheet has been filled for further action ADDENDUM START CLINAPPT. MONDAY 08/12/08 WITH DR IREDALE AT 13.30pm Increasing COPD symptoms. Reduce air entry on the right

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[ { "label": "comparison", "start": 54, "end": 67 }, { "label": "consolidation", "start": 15, "end": 34 }, { "label": "normal", "start": 68, "end": 96 }, { "label": "other", "start": 97, "end": 113 }, { "label": "possible_diagnosis", "start": 35,...

[ "comparison", "consolidation", "normal", "other", "possible_diagnosis" ]

13203

normal sized heart. Previous sternotomy and CABG noted. Early interstitial fibrotic changes are present in both bases. There is calcification of the mitral valve.

[ "normal", "sized", "heart.", "Previous", "sternotomy", "and", "CABG", "noted.", "Early", "interstitial", "fibrotic", "changes", "are", "present", "in", "both", "bases.", "There", "is", "calcification", "of", "the", "mitral", "valve." ]

[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "interstitial_shadowing", "start": 13, "end": 23 }, { "label": "normal", "start": 0, "end": 3 }, { "label": "object", "start": 4, "end": 12 } ]

[ "abnormal_non_clinically_important", "interstitial_shadowing", "normal", "object" ]

13330

Lung fields are clear. Normal heart size. CHESET

[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "CHESET" ]

[ "B", "I", "I", "I", "I", "E", "B", "I" ]

[ { "label": "normal", "start": 0, "end": 7 } ]

[ "normal" ]

13598

The lungs are slightly congested. Some pleural reaction at the left costophrenic angle is unchanged since previous CXR from 26/8/08. The right pleural space is clear. The heart is minimally enlarged (CTR 16.9/33.2). Sternotomy wires are intact. Otherwise normal mediastinum.

[ "The", "lungs", "are", "slightly", "congested.", "Some", "pleural", "reaction", "at", "the", "left", "costophrenic", "angle", "is", "unchanged", "since", "previous", "CXR", "from", "26/8/08.", "The", "right", "pleural", "space", "is", "clear.", "The", "heart", ...

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[ { "label": "comparison", "start": 7, "end": 32 }, { "label": "interstitial_shadowing", "start": 0, "end": 6 }, { "label": "normal", "start": 33, "end": 39 }, { "label": "pleural_abnormality", "start": 7, "end": 32 } ]

[ "cardiomegaly", "comparison", "interstitial_shadowing", "normal", "object", "pleural_abnormality" ]

13600

The heart is enlarged. There is calcification and aneurysmal dilatation of the thoracic aorta. There is no focal consolidation or lung lesion seen.

[ "The", "heart", "is", "enlarged.", "There", "is", "calcification", "and", "aneurysmal", "dilatation", "of", "the", "thoracic", "aorta.", "There", "is", "no", "focal", "consolidation", "or", "lung", "lesion", "seen." ]

[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "aortic_calcification", "start": 5, "end": 22 }, { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "mediastinum_widened", "start": 5, "end": 22 } ]

[ "aortic_calcification", "cardiomegaly", "mediastinum_widened", "normal" ]

13700

There is aneurysmal dilatation of the thoracic aorta (noted on previous CXRs and CTs). No focal consolidation is evident.

[ "There", "is", "aneurysmal", "dilatation", "of", "the", "thoracic", "aorta", "(noted", "on", "previous", "CXRs", "and", "CTs).", "No", "focal", "consolidation", "is", "evident." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "comparison", "start": 0, "end": 18 }, { "label": "mediastinum_widened", "start": 0, "end": 18 }, { "label": "possible_diagnosis", "start": 0, "end": 18 } ]

[ "comparison", "mediastinum_widened", "normal", "possible_diagnosis" ]

13951

Please see the previous CT report. There is evidence of increased opacity in the right lower zone probably due to a combination of consolidation and pleural thickening. There is also evidence of pulmonary congestion.

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[ { "label": "comparison", "start": 0, "end": 6 }, { "label": "consolidation", "start": 7, "end": 30 }, { "label": "interstitial_shadowing", "start": 31, "end": 33 }, { "label": "pleural_abnormality", "start": 7, "end": 30 } ]

[ "comparison", "consolidation", "interstitial_shadowing", "pleural_abnormality" ]

14082

Some pleural thickening is noted at the right lung apex. Otherwise the lungs are clear. No evidence of pneumothorax. Normal cardiac and mediastinal contours. The visible ribs appear intact. An old healed fracture of the left 7th rib is noted. There is slight malalignment of multiple cervical vertebrae as seen on the lateral view. No fracture line is obvious. I note that acute bony injury has since been ruled out by CT. The bone is generally osteopaenic. No evidence of dislocation or acute bony injury. Several flecks of calcification are noted in projection onto the supraspinatus tendon. These features are consistent with calcific tendonitis of the supraspinatus tendon.

[ "Some", "pleural", "thickening", "is", "noted", "at", "the", "right", "lung", "apex.", "Otherwise", "the", "lungs", "are", "clear.", "No", "evidence", "of", "pneumothorax.", "Normal", "cardiac", "and", "mediastinal", "contours.", "The", "visible", "ribs", "appea...

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[ { "label": "abnormal_non_clinically_important", "start": 42, "end": 73 }, { "label": "abnormal_non_clinically_important", "start": 95, "end": 102 }, { "label": "normal", "start": 13, "end": 41 }, { "label": "normal", "start": 74, "end": 79 }, { "la...

[ "abnormal_non_clinically_important", "normal", "other", "pleural_abnormality", "rib_fracture", "rib_lesion" ]

14181

The lungs are congested. No active focal lung lesion is seen. The heart is enlarged (CTR 17.2/27.3). Normal hilar and mediastinal contours. Features are consistent with cardiac failure. No change since previous CXR from 15/8/06.

[ "The", "lungs", "are", "congested.", "No", "active", "focal", "lung", "lesion", "is", "seen.", "The", "heart", "is", "enlarged", "(CTR", "17.2/27.3).", "Normal", "hilar", "and", "mediastinal", "contours.", "Features", "are", "consistent", "with", "cardiac", "fai...

[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "O", "B", "I", "I", "I", "I" ]

[ { "label": "cardiomegaly", "start": 15, "end": 28 }, { "label": "interstitial_shadowing", "start": 0, "end": 5 }, { "label": "normal", "start": 6, "end": 14 }, { "label": "normal", "start": 30, "end": 34 }, { "label": "paratracheal_hilar_enlargemen...

[ "cardiomegaly", "comparison", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "possible_diagnosis" ]

14848

Lung fields are clear. Normal heart size.

[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size." ]

[ "B", "I", "I", "I", "I", "E", "B" ]

[ { "label": "normal", "start": 0, "end": 6 } ]

[ "normal" ]

15005

There is an area of patchy consolidation and loss of volume at the left base. There is diffuse background change noted throughout both lungs. There is a linear opacity seen in the left apex associated with some consolidation and above it an area of loss of lung markings. Appearances would suggest a bulla with some fluid at the base on top of an area of consolidation/collapse at the left base. I note the patient has had previous left upper lobe lobectomy in the past.

[ "There", "is", "an", "area", "of", "patchy", "consolidation", "and", "loss", "of", "volume", "at", "the", "left", "base.", "There", "is", "diffuse", "background", "change", "noted", "throughout", "both", "lungs.", "There", "is", "a", "linear", "opacity", "se...

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[ { "label": "bulla", "start": 52, "end": 79 }, { "label": "consolidation", "start": 0, "end": 16 }, { "label": "consolidation", "start": 27, "end": 79 }, { "label": "other", "start": 80, "end": 83 }, { "label": "undefined_sentence", "start": 17,...

[ "bulla", "consolidation", "other", "undefined_sentence", "volume_loss" ]

15013

The heart is enlarged. There is a small opacity in the left mid zone laterally which could be due to an artefact. The rest of the lung fields appear clear. Repeat x-ray chest is suggested in 2 to 3 weeks time. There is pleural thickening on the right side (non-specific). No abnormality seen in the ribs.

[ "The", "heart", "is", "enlarged.", "There", "is", "a", "small", "opacity", "in", "the", "left", "mid", "zone", "laterally", "which", "could", "be", "due", "to", "an", "artefact.", "The", "rest", "of", "the", "lung", "fields", "appear", "clear.", "Repeat", ...

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[ { "label": "abnormal_non_clinically_important", "start": 5, "end": 25 }, { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "normal", "start": 26, "end": 34 }, { "label": "pleural_abnormality", "start": 49, "end": 55 }, { "label": "recom...

[ "abnormal_non_clinically_important", "cardiomegaly", "normal", "pleural_abnormality", "recommendation" ]

15029

heart size cannot be commented as it is an AP view. Left pleural effusion seen. Congestive changes noted in both lung fields.

[ "heart", "size", "cannot", "be", "commented", "as", "it", "is", "an", "AP", "view.", "Left", "pleural", "effusion", "seen.", "Congestive", "changes", "noted", "in", "both", "lung", "fields." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I" ]

[ { "label": "consolidation", "start": 19, "end": 21 }, { "label": "pleural_effusion", "start": 12, "end": 18 }, { "label": "technical_issue", "start": 0, "end": 11 }, { "label": "upper_lobe_blood_diversion", "start": 19, "end": 21 } ]

[ "consolidation", "pleural_effusion", "technical_issue", "upper_lobe_blood_diversion" ]

15107

no previous images for comparison. Appearances are abnormal. An area of opacity is projected at the right upper zone with upper mediastinal shift to the right and elevation of the right hilum and by collapse/consolidation in the right upper lobe. Central relative lucency in this region raises the possibility of a cavitating lesion. There is no effusion. Soft tissue density around the right hilum could reflect nodal enlargement.

[ "no", "previous", "images", "for", "comparison.", "Appearances", "are", "abnormal.", "An", "area", "of", "opacity", "is", "projected", "at", "the", "right", "upper", "zone", "with", "upper", "mediastinal", "shift", "to", "the", "right", "and", "elevation", "of...

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[ { "label": "cavitating_lung_lesion", "start": 6, "end": 67 }, { "label": "comparison", "start": 0, "end": 5 }, { "label": "consolidation", "start": 6, "end": 67 }, { "label": "mediastinum_displaced", "start": 6, "end": 67 }, { "label": "volume_loss...

[ "cavitating_lung_lesion", "comparison", "consolidation", "mediastinum_displaced", "normal", "paratracheal_hilar_enlargement", "possible_diagnosis", "volume_loss" ]

15165

Lung fields are clear. Normal heart size. No abnormality seen in the ribs.

[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "No", "abnormality", "seen", "in", "the", "ribs." ]

[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I" ]

[ { "label": "normal", "start": 0, "end": 12 } ]

[ "normal" ]

15920

congestive changes are noted in both lung fields. Right pleural effusion is seen. Sternal wires seen. Pacemaker wires seen. Heart is enlarged in size.

[ "congestive", "changes", "are", "noted", "in", "both", "lung", "fields.", "Right", "pleural", "effusion", "is", "seen.", "Sternal", "wires", "seen.", "Pacemaker", "wires", "seen.", "Heart", "is", "enlarged", "in", "size." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "E" ]

[ { "label": "comparison", "start": 11, "end": 18 }, { "label": "interstitial_shadowing", "start": 0, "end": 10 }, { "label": "object", "start": 19, "end": 23 }, { "label": "pleural_effusion", "start": 11, "end": 18 } ]

[ "cardiomegaly", "comparison", "interstitial_shadowing", "object", "pleural_effusion" ]

16846

there has been previous spinal stabilisation in the low thoracic spine with vertebroplasty cement at two thoracic spinal levels. As previously commented, foci of cement have apparently embolised bilaterally into the pulmonary circulation. Compared with the previous chest x-ray of 27.7.10, there is now an area of linear collapse in the central left mid zone with a density lying just lateral to the cardiac border which could conceivably reflect a metastasis. Bony expansion is apparent at the lateral aspect of the left fifth rib which could also be metastatic in nature. no definite bony metastasis identified around the left shoulder or scapular blade.

[ "there", "has", "been", "previous", "spinal", "stabilisation", "in", "the", "low", "thoracic", "spine", "with", "vertebroplasty", "cement", "at", "two", "thoracic", "spinal", "levels.", "As", "previously", "commented,", "foci", "of", "cement", "have", "apparently"...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...

[ { "label": "atelectasis", "start": 48, "end": 95 }, { "label": "comparison", "start": 48, "end": 95 }, { "label": "object", "start": 0, "end": 27 }, { "label": "other", "start": 28, "end": 47 }, { "label": "parenchymal_lesion", "start": 48, ...

[ "atelectasis", "comparison", "normal", "object", "other", "parenchymal_lesion", "possible_diagnosis", "rib_lesion" ]

17616

congestive changes are noted in both lung fields. The heart shadow appears enlarged in size.

[ "congestive", "changes", "are", "noted", "in", "both", "lung", "fields.", "The", "heart", "shadow", "appears", "enlarged", "in", "size." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I" ]

[ { "label": "cardiomegaly", "start": 11, "end": 14 }, { "label": "interstitial_shadowing", "start": 0, "end": 10 } ]

[ "cardiomegaly", "interstitial_shadowing" ]

18391

The heart size is normal. No adenopathy is seen. There is some generalised background change noted throughout both lungs but no specific lesion is identified. The only significant abnormality is that there is a raised left hemidiaphragm. No cause of this is identified. No previous films for comparison.

[ "The", "heart", "size", "is", "normal.", "No", "adenopathy", "is", "seen.", "There", "is", "some", "generalised", "background", "change", "noted", "throughout", "both", "lungs", "but", "no", "specific", "lesion", "is", "identified.", "The", "only", "significant"...

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[ { "label": "hemidiaphragm_elevated", "start": 32, "end": 47 }, { "label": "normal", "start": 0, "end": 31 }, { "label": "undefined_sentence", "start": 13, "end": 31 } ]

[ "comparison", "hemidiaphragm_elevated", "normal", "undefined_sentence" ]

18465

Lung fields are clear. Normal heart size. No rib fracture seen.

[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "No", "rib", "fracture", "seen." ]

[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B" ]

[ { "label": "normal", "start": 0, "end": 10 } ]

[ "normal" ]

18629

(portable; AP) The lesion at the left hilum has progressed and there is now complete collapse of the left lower lobe. The heart and mediastinum are shifted to the left. The right lung appears clear. No pneumothorax. A request for a repeat CT scan of the chest prior to bronchoscopy has been received (dated 12/10/10). She had a CT scan recently, on 14/9/10. I am not clear as to why a repeat scan is needed. Please contact me directly if you feel that a repeat CT scan of the chest is essential.

[ "(portable;", "AP)", "The", "lesion", "at", "the", "left", "hilum", "has", "progressed", "and", "there", "is", "now", "complete", "collapse", "of", "the", "left", "lower", "lobe.", "The", "heart", "and", "mediastinum", "are", "shifted", "to", "the", "left.",...

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[ { "label": "comparison", "start": 0, "end": 28 }, { "label": "consolidation", "start": 0, "end": 28 }, { "label": "mediastinum_displaced", "start": 29, "end": 41 }, { "label": "normal", "start": 42, "end": 53 }, { "label": "other", "start": 54,...

[ "comparison", "consolidation", "mediastinum_displaced", "normal", "other", "paratracheal_hilar_enlargement", "recommendation", "volume_loss" ]

19032

large hiatus hernia with air fluid level can be identified behind heart ; which is slightly displaced to the left. The left diaphragmatic outline is almost completely lost. The left upper and right lungs are clear. No midline shift Compared to previous from 2007, the large hernia and the effaced left diaphragm is a new feature. Follow-up and if required further imaging is warranted

[ "large", "hiatus", "hernia", "with", "air", "fluid", "level", "can", "be", "identified", "behind", "heart", ";", "which", "is", "slightly", "displaced", "to", "the", "left.", "The", "left", "diaphragmatic", "outline", "is", "almost", "completely", "lost.", "Th...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...

[ { "label": "consolidation", "start": 22, "end": 33 }, { "label": "consolidation", "start": 43, "end": 63 }, { "label": "hernia", "start": 0, "end": 21 }, { "label": "hernia", "start": 43, "end": 63 }, { "label": "normal", "start": 34, "end"...

[ "consolidation", "hernia", "normal", "recommendation" ]

19578

(AP) There is probably a little collapse in the basal segments of the left lower lobe, with obscuration of part of the left hemidiaphragm. Right lung clear. Calcification of the mitral valve annulus. A follow-up film in due course is recommended.

[ "(AP)", "There", "is", "probably", "a", "little", "collapse", "in", "the", "basal", "segments", "of", "the", "left", "lower", "lobe,", "with", "obscuration", "of", "part", "of", "the", "left", "hemidiaphragm.", "Right", "lung", "clear.", "Calcification", "of",...

[ "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I" ]

[ { "label": "abnormal_non_clinically_important", "start": 38, "end": 40 }, { "label": "atelectasis", "start": 3, "end": 33 }, { "label": "normal", "start": 34, "end": 37 } ]

[ "abnormal_non_clinically_important", "atelectasis", "normal", "recommendation" ]

19896

Lung fields appear clear. There is an opacity in the region of the medial end of the right clavicle associated with slight deviation of the trachea to the left. This could be due to goitre. Rest of the lung fields appear clear. However a follow up x-ray or a CT scan of the Chest is suggested if clinically required for further evaluation of the opacity just described. There is degenerative change associated with narrowed disc space at L1/L2. A small aortic aneurysm cannot be excluded in the abdomen. Ultrasound scan of the abdominal aorta is suggested if required clinically.

[ "Lung", "fields", "appear", "clear.", "There", "is", "an", "opacity", "in", "the", "region", "of", "the", "medial", "end", "of", "the", "right", "clavicle", "associated", "with", "slight", "deviation", "of", "the", "trachea", "to", "the", "left.", "This", ...

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[ { "label": "abnormal_non_clinically_important", "start": 81, "end": 97 }, { "label": "mediastinum_displaced", "start": 6, "end": 44 }, { "label": "mediastinum_widened", "start": 98, "end": 98 }, { "label": "normal", "start": 0, "end": 5 }, { "label...

[ "abnormal_non_clinically_important", "mediastinum_displaced", "mediastinum_widened", "normal", "paratracheal_hilar_enlargement", "possible_diagnosis", "recommendation", "rib_lesion" ]

20079

Although AP-Erect, there is consolidation in the right lower zone, there is curvi-linear calcification in the descending thoracic aneurysm , of the aorta, heart size remained enlarged, upper lobe blood vessel diversion noted.

[ "Although", "AP-Erect,", "there", "is", "consolidation", "in", "the", "right", "lower", "zone,", "there", "is", "curvi-linear", "calcification", "in", "the", "descending", "thoracic", "aneurysm", ",", "of", "the", "aorta,", "heart", "size", "remained", "enlarged,"...

[ "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "aortic_calcification", "start": 15, "end": 32 }, { "label": "consolidation", "start": 6, "end": 14 }, { "label": "mediastinum_widened", "start": 15, "end": 32 } ]

[ "aortic_calcification", "cardiomegaly", "comparison", "consolidation", "mediastinum_widened", "upper_lobe_blood_diversion" ]

20265

congestive changes are noted in both lung fields with consolidation in the left lung. The condition has progressed since the last examination done 15th of may 2008. Findings are suggestive of a congestive heart failure.

[ "congestive", "changes", "are", "noted", "in", "both", "lung", "fields", "with", "consolidation", "in", "the", "left", "lung.", "The", "condition", "has", "progressed", "since", "the", "last", "examination", "done", "15th", "of", "may", "2008.", "Findings", "a...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I" ]

[ { "label": "comparison", "start": 17, "end": 31 }, { "label": "consolidation", "start": 0, "end": 16 }, { "label": "interstitial_shadowing", "start": 0, "end": 16 }, { "label": "possible_diagnosis", "start": 32, "end": 34 } ]

[ "comparison", "consolidation", "interstitial_shadowing", "possible_diagnosis" ]

20353

fracture neck of humerus right mid zone consolidation consistent with chest infection. There is hiatus hernia. Rest of the lung fields are clear. XR Radius/Ulna (Forearm) Lt : generalised osteoporosis. No fracture seen.

[ "fracture", "neck", "of", "humerus", "right", "mid", "zone", "consolidation", "consistent", "with", "chest", "infection.", "There", "is", "hiatus", "hernia.", "Rest", "of", "the", "lung", "fields", "are", "clear.", "XR", "Radius/Ulna", "(Forearm)", "Lt", ":", ...

[ "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "O", "O" ]

[ { "label": "consolidation", "start": 8, "end": 16 }, { "label": "hernia", "start": 17, "end": 22 }, { "label": "normal", "start": 23, "end": 30 }, { "label": "possible_diagnosis", "start": 8, "end": 16 }, { "label": "rib_lesion", "start": 0, ...

[ "consolidation", "hernia", "normal", "possible_diagnosis", "rib_lesion" ]

20370

The lungs are congested and there is evidence of upper lobe pulmonary venous blood diversion. The heart is slightly enlarged (CTR 15.9/30.3). Features are consistent with cardiac failure. There is no consolidation. Normal hilar and mediastinal contours.

[ "The", "lungs", "are", "congested", "and", "there", "is", "evidence", "of", "upper", "lobe", "pulmonary", "venous", "blood", "diversion.", "The", "heart", "is", "slightly", "enlarged", "(CTR", "15.9/30.3).", "Features", "are", "consistent", "with", "cardiac", "f...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "O", "B", "I", "I" ]

[ { "label": "cardiomegaly", "start": 18, "end": 32 }, { "label": "interstitial_shadowing", "start": 0, "end": 17 }, { "label": "possible_diagnosis", "start": 34, "end": 36 }, { "label": "upper_lobe_blood_diversion", "start": 0, "end": 17 } ]

[ "cardiomegaly", "interstitial_shadowing", "normal", "possible_diagnosis", "upper_lobe_blood_diversion" ]

20392

AP erect rotated poor inspiratory film. There is pulmonary venous congestion noted. This finding may be related to the poor inspiration and AP chest x-ray would be more helpful. No major consolidation.

[ "AP", "erect", "rotated", "poor", "inspiratory", "film.", "There", "is", "pulmonary", "venous", "congestion", "noted.", "This", "finding", "may", "be", "related", "to", "the", "poor", "inspiration", "and", "AP", "chest", "x-ray", "would", "be", "more", "helpfu...

[ "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "interstitial_shadowing", "start": 8, "end": 15 }, { "label": "recommendation", "start": 16, "end": 31 }, { "label": "technical_issue", "start": 0, "end": 7 }, { "label": "technical_issue", "start": 16, "end": 31 }, { "label": "upper_lob...

[ "interstitial_shadowing", "normal", "recommendation", "technical_issue", "upper_lobe_blood_diversion" ]

21130

No fracture or dislocation. Moderate degenerative changes are present in the glenohumeral joint and acromioclavicular joint. Colonic loops are visualised in projection onto the right lower chest. This raises the suspicion of diaphragmatic rupture. There is left pleural fluid, in the context of trauma possibly a haemothorax and air space opacity at the left lung base, possibly lung contusion. There is a suspected left lower rib fracture.

[ "No", "fracture", "or", "dislocation.", "Moderate", "degenerative", "changes", "are", "present", "in", "the", "glenohumeral", "joint", "and", "acromioclavicular", "joint.", "Colonic", "loops", "are", "visualised", "in", "projection", "onto", "the", "right", "lower",...

[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...

[ { "label": "abnormal_non_clinically_important", "start": 6, "end": 28 }, { "label": "hernia", "start": 29, "end": 53 }, { "label": "normal", "start": 0, "end": 5 }, { "label": "pleural_effusion", "start": 54, "end": 66 }, { "label": "pneumothorax",...

[ "abnormal_non_clinically_important", "hernia", "normal", "pleural_effusion", "pneumothorax", "possible_diagnosis", "rib_fracture", "rib_lesion" ]

21382

AP erect view. There is elevation of the right hemidiaphragm, possibly due to eventration. There is minimal linear atelectasis at the adjacent right lung base. The upper lobe vessels are prominent although the cardiac contour is still within normal limits. No consolidation is identified. Previous right upper zone air space opacity has resolved when compared to previous CXR from 8/5/08.

[ "AP", "erect", "view.", "There", "is", "elevation", "of", "the", "right", "hemidiaphragm,", "possibly", "due", "to", "eventration.", "There", "is", "minimal", "linear", "atelectasis", "at", "the", "adjacent", "right", "lung", "base.", "The", "upper", "lobe", "...

[ "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "...

[ { "label": "atelectasis", "start": 23, "end": 36 }, { "label": "comparison", "start": 59, "end": 59 }, { "label": "hemidiaphragm_elevated", "start": 4, "end": 22 }, { "label": "normal", "start": 54, "end": 59 }, { "label": "upper_lobe_blood_diversi...

[ "atelectasis", "comparison", "hemidiaphragm_elevated", "normal", "upper_lobe_blood_diversion" ]

21400

The lungs are congested and there is evidence of upper lobe pulmonary venous blood diversion. No consolidation. The heart is enlarged (CTR 14.5/26.6). Normal hilar and mediastinal contours. Features are consistent with cardiac failure.

[ "The", "lungs", "are", "congested", "and", "there", "is", "evidence", "of", "upper", "lobe", "pulmonary", "venous", "blood", "diversion.", "No", "consolidation.", "The", "heart", "is", "enlarged", "(CTR", "14.5/26.6).", "Normal", "hilar", "and", "mediastinal", "...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "cardiomegaly", "start": 21, "end": 33 }, { "label": "consolidation", "start": 0, "end": 17 }, { "label": "normal", "start": 18, "end": 20 }, { "label": "upper_lobe_blood_diversion", "start": 0, "end": 17 } ]

[ "cardiomegaly", "consolidation", "normal", "possible_diagnosis", "upper_lobe_blood_diversion" ]

21543

as compared to the ninth of of February 08 there is increase in the left-sided pleural effusion. Right lung appear clear.

[ "as", "compared", "to", "the", "ninth", "of", "of", "February", "08", "there", "is", "increase", "in", "the", "left-sided", "pleural", "effusion.", "Right", "lung", "appear", "clear." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "comparison", "start": 0, "end": 20 }, { "label": "pleural_effusion", "start": 0, "end": 20 } ]

[ "comparison", "normal", "pleural_effusion" ]

21573

Median sternotomy noted. The lungs generally appear plethoric. The heart size cannot be assessed on this AP film. No collapse or consolidation seen

[ "Median", "sternotomy", "noted.", "The", "lungs", "generally", "appear", "plethoric.", "The", "heart", "size", "cannot", "be", "assessed", "on", "this", "AP", "film.", "No", "collapse", "or", "consolidation", "seen" ]

[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "interstitial_shadowing", "start": 6, "end": 13 }, { "label": "object", "start": 0, "end": 5 }, { "label": "paratracheal_hilar_enlargement", "start": 6, "end": 13 }, { "label": "technical_issue", "start": 14, "end": 22 } ]

[ "interstitial_shadowing", "normal", "object", "paratracheal_hilar_enlargement", "technical_issue" ]

21623

The heart and mediastinum are normal. The lung fields are clear.

[ "The", "heart", "and", "mediastinum", "are", "normal.", "The", "lung", "fields", "are", "clear." ]

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]

[ { "label": "normal", "start": 0, "end": 10 } ]

[ "normal" ]

21754

There is evidence of right side pleural effusion. There appears to be some abnormal lung opacity in the right hilar region. Because of pleural effusion, it has not been easy to evaluate the right lung. The left lung is clear. The cause for pleural effusion has not been established. Therefore urgent referral of your patient to a Chest Physician is recommended.

[ "There", "is", "evidence", "of", "right", "side", "pleural", "effusion.", "There", "appears", "to", "be", "some", "abnormal", "lung", "opacity", "in", "the", "right", "hilar", "region.", "Because", "of", "pleural", "effusion,", "it", "has", "not", "been", "e...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...

[ { "label": "normal", "start": 43, "end": 48 }, { "label": "pleural_effusion", "start": 0, "end": 10 }, { "label": "pleural_effusion", "start": 49, "end": 60 }, { "label": "recommendation", "start": 49, "end": 60 }, { "label": "technical_issue", ...

[ "normal", "pleural_effusion", "recommendation", "technical_issue" ]

21776

Lung fields are clear. Normal heart size.

[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size." ]

[ "B", "I", "I", "I", "I", "E", "B" ]

[ { "label": "normal", "start": 0, "end": 6 } ]

[ "normal" ]

21871

The left hemidiaphragm is raised and there is atelectasis at the adjacent left lung base. These features are unchanged since previous CXR from 19/11/06. The lungs are congested and there is evidence of upper lobe pulmonary venous blood diversion. Normal cardiac and mediastinal contours.

[ "The", "left", "hemidiaphragm", "is", "raised", "and", "there", "is", "atelectasis", "at", "the", "adjacent", "left", "lung", "base.", "These", "features", "are", "unchanged", "since", "previous", "CXR", "from", "19/11/06.", "The", "lungs", "are", "congested", ...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]

[ { "label": "atelectasis", "start": 0, "end": 22 }, { "label": "comparison", "start": 23, "end": 38 }, { "label": "hemidiaphragm_elevated", "start": 0, "end": 22 }, { "label": "upper_lobe_blood_diversion", "start": 39, "end": 43 } ]

[ "atelectasis", "comparison", "hemidiaphragm_elevated", "normal", "upper_lobe_blood_diversion" ]

22106

The right hilum is enlarged which is presumably due to pulmonary vessels rather than lymph node enlargement. The heart is slightly enlarged. There is evidence of a degree of pulmonary congestion. The lung fields appear clear. There is no evidence of pleural effusion. CHEST

[ "The", "right", "hilum", "is", "enlarged", "which", "is", "presumably", "due", "to", "pulmonary", "vessels", "rather", "than", "lymph", "node", "enlargement.", "The", "heart", "is", "slightly", "enlarged.", "There", "is", "evidence", "of", "a", "degree", "of",...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B" ]

[ { "label": "cardiomegaly", "start": 21, "end": 26 }, { "label": "interstitial_shadowing", "start": 27, "end": 36 }, { "label": "normal", "start": 37, "end": 43 }, { "label": "paratracheal_hilar_enlargement", "start": 0, "end": 20 } ]

[ "cardiomegaly", "interstitial_shadowing", "normal", "other", "paratracheal_hilar_enlargement" ]

22165

There is marked cardiomegaly. There is right sided pleural effusion and there is blunting of the left hemidiaphragm in keeping with a small left pleural effusion. There is pulmonary venous congestion with upper lobe blood diversion. Mediansternotomy and mitral valve replacement are noted. There is a left upper chest pace maker. The tip of the single wire appears to be in the right ventricle. An old malunited right clavicular fracture is noted. Compared to the previous chest x-ray of May 2007 there is progression of congestive heart failure.

[ "There", "is", "marked", "cardiomegaly.", "There", "is", "right", "sided", "pleural", "effusion", "and", "there", "is", "blunting", "of", "the", "left", "hemidiaphragm", "in", "keeping", "with", "a", "small", "left", "pleural", "effusion.", "There", "is", "pul...

[ "B", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "...

[ { "label": "cardiomegaly", "start": 0, "end": 8 }, { "label": "object", "start": 55, "end": 87 }, { "label": "pleural_effusion", "start": 9, "end": 42 }, { "label": "possible_diagnosis", "start": 43, "end": 54 }, { "label": "upper_lobe_blood_divers...

[ "abnormal_non_clinically_important", "cardiomegaly", "clavicle_fracture", "comparison", "object", "pleural_effusion", "possible_diagnosis", "upper_lobe_blood_diversion" ]

22167

Compared with Oct 2007. Sternotomy wires noted. There is fracture of the left 3rd to 7th ribs posteriorly. There is a suspicion of fracture of the lateral border of the left scapula.The heart is enlarged. No pneumothorax.

[ "Compared", "with", "Oct", "2007.", "Sternotomy", "wires", "noted.", "There", "is", "fracture", "of", "the", "left", "3rd", "to", "7th", "ribs", "posteriorly.", "There", "is", "a", "suspicion", "of", "fracture", "of", "the", "lateral", "border", "of", "the",...

[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "comparison", "start": 0, "end": 4 }, { "label": "object", "start": 5, "end": 9 }, { "label": "rib_fracture", "start": 10, "end": 24 }, { "label": "rib_lesion", "start": 25, "end": 36 } ]

[ "cardiomegaly", "comparison", "normal", "object", "rib_fracture", "rib_lesion" ]

22205

There is a an air-fluid level in the left lower zone. This may represent fluid in the gastric antrum with eventration of the left diaphragm or a large hiatus hernia. This finding was present in march 13, 2008. Otherwise,no focal collapse or consolidation.

[ "There", "is", "a", "an", "air-fluid", "level", "in", "the", "left", "lower", "zone.", "This", "may", "represent", "fluid", "in", "the", "gastric", "antrum", "with", "eventration", "of", "the", "left", "diaphragm", "or", "a", "large", "hiatus", "hernia.", ...

[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]

[ { "label": "comparison", "start": 42, "end": 42 }, { "label": "hemidiaphragm_elevated", "start": 15, "end": 41 }, { "label": "hernia", "start": 0, "end": 41 }, { "label": "possible_diagnosis", "start": 15, "end": 41 } ]

[ "comparison", "hemidiaphragm_elevated", "hernia", "normal", "possible_diagnosis" ]

22256

Lung fields are clear. Normal heart size. The widened superior mediastinum is presumably due to goitre. The trachea is slightly deviated to the right side but is not compression by the goitre.

[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "The", "widened", "superior", "mediastinum", "is", "presumably", "due", "to", "goitre.", "The", "trachea", "is", "slightly", "deviated", "to", "the", "right", "side", "but", "is", "not", "compressi...

[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]

[ { "label": "mediastinum_widened", "start": 10, "end": 31 }, { "label": "normal", "start": 0, "end": 9 }, { "label": "possible_diagnosis", "start": 10, "end": 31 } ]

[ "mediastinum_widened", "normal", "possible_diagnosis" ]

22425

Lung fields are clear. Normal heart size. The disc spaces appear normal. There is evidence of early degenerative change in the lower lumbar spine. The disc spaces are normal. C7 vertebra could not be demonstrated on the lateral view however there is no convincing evidence of spondylotic change in the remainder of the cervical spine.

[ "Lung", "fields", "are", "clear.", "Normal", "heart", "size.", "The", "disc", "spaces", "appear", "normal.", "There", "is", "evidence", "of", "early", "degenerative", "change", "in", "the", "lower", "lumbar", "spine.", "The", "disc", "spaces", "are", "normal."...

[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "E", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "...

[ { "label": "normal", "start": 0, "end": 9 } ]

[ "normal" ]

22652

(portable; AP) There is mild pulmonary venous congestion. Old calcified focus in the right lower zone. No other focal lung lesion.

[ "(portable;", "AP)", "There", "is", "mild", "pulmonary", "venous", "congestion.", "Old", "calcified", "focus", "in", "the", "right", "lower", "zone.", "No", "other", "focal", "lung", "lesion." ]

[ "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I" ]

[ { "label": "abnormal_non_clinically_important", "start": 14, "end": 20 }, { "label": "interstitial_shadowing", "start": 6, "end": 13 } ]

[ "abnormal_non_clinically_important", "interstitial_shadowing", "normal" ]

22684

The heart is enlarged. There is pulmonary venous congestion. There is an air space opacity in the left lower zone obscuring the left heart border. No obvious pleural effusion. A follow up chest x-ray in 4 to 6 weeks after treatment is recommended.

[ "The", "heart", "is", "enlarged.", "There", "is", "pulmonary", "venous", "congestion.", "There", "is", "an", "air", "space", "opacity", "in", "the", "left", "lower", "zone", "obscuring", "the", "left", "heart", "border.", "No", "obvious", "pleural", "effusion....

[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I" ]

[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "consolidation", "start": 12, "end": 29 }, { "label": "interstitial_shadowing", "start": 5, "end": 11 }, { "label": "normal", "start": 30, "end": 36 }, { "label": "recommendation", "...

[ "cardiomegaly", "consolidation", "interstitial_shadowing", "normal", "recommendation" ]

Field	Type	Description
`xray_id`	string	Unique identifier
`text`	string	Raw report text
`tokens`	list[string]	Whitespace-tokenized words
`iobe_tags`	list[string]	Per-token segmentation tags: O (outside), B (begin), I (inside), E (end)
`spans`	list[object]	Annotated spans: `{label, start, end}` with word-level indices
`labels`	list[string]	Report-level labels (findings present anywhere in the report)

Datasets:

dnamodel
/

xraydar-reports

X-Raydar Annotated Radiology Reports

Data Format

Example

Finding Categories (45 classes)

Usage

Citation

License

Contact

#	Label	#	Label
0	abnormal_non_clinically_important	23	normal
1	aortic_calcification	24	object
2	apical_fibrosis	25	other
3	atelectasis	26	paraspinal_mass
4	axillary_abnormality	27	paratracheal_hilar_enlargement
5	bronchial_wall_thickening	28	parenchymal_lesion
6	bulla	29	pleural_abnormality
7	cardiomegaly	30	pleural_effusion
8	cavitating_lung_lesion	31	pneumomediastinum
9	clavicle_fracture	32	pneumoperitoneum
10	comparison	33	pneumothorax
11	consolidation	34	possible_diagnosis
12	coronary_calcification	35	recommendation
13	dextrocardia	36	rib_fracture
14	dilated_bowel	37	rib_lesion
15	emphysema	38	scoliosis
16	ground_glass_opacification	39	subcutaneous_emphysema
17	hemidiaphragm_elevated	40	technical_issue
18	hernia	41	undefined_sentence
19	hyperexpanded_lungs	42	unfolded_aorta
20	interstitial_shadowing	43	upper_lobe_blood_diversion
21	mediastinum_displaced	44	volume_loss
22	mediastinum_widened