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 |
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23007 | There is evidence of partial collapse of ? D10 probably due to ? osteoporosis, ? secondary deposit. No appreciable change seen in the opacity presumably neoplasm in the right paracardiac region. The rest of the lung fields appear clear. | [
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23280 | Comparison is made to the previous study from 9/2/08. Hyperinflated lungs with flattening of the diaphragms. There is decreased lung marking at both bases with large left basal bulla. There is also linear atelectatic changes at the left lower zone. Features are similar to that from the previous chest x-ray. known to ha... | [
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23343 | patient rotated to the right. There is complete opacification of the right hemithorax. The trachea is deviated to the left an there is mediastinal shift to the left. There is no lung parenchymal markings visible through this opacity. Appearances are most consistent with a large effusion with possible underlying lung co... | [
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23353 | AP rotated film. There is slight left sided volume loss. The left hilum is prominent, however this is likely due to film rotation. There is no major collapse or consolidation. A repeat chest x-ray in PA position is recommended. | [
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23471 | Comparison is made from the study of 25/5/08. The left superior mediastinal mass does not appear to have changed in size measuring 4.5 cm in transverse diameter. There is left upper lung partial collapse and elevation of the left hemidiaphragm, these two findings are unchanged as well. Right lung remains clear. | [
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23540 | No evidence of free gas under the diaphragm. The lungs are congested. Some atelectasis is present at the left lung base. The heart is enlarged (CTR 17.3/30.6). There is unfolding of the aortic arch. Otherwise normal mediastinal contours. | [
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23762 | Left hemidiaphragm is not included the film. I note there was a small effusion/reaction on the film of 21/5/08. The outline of the aorta is clearly abnormal and aneurysmal dilatation of the thoracic aorta cannot be excluded. No collapse or consolidation can be seen. | [
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23894 | Hickman's line insitu. Heart is enlarged with changes of cardiac failure. No significant change from the last examination of April 08. | [
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24014 | There is approximately 2 cm around it fairly well defined shadowing in the region of the right hilum although this could be due to end on blood vessel but an underlying pathology cannot be excluded, compared with the previous CXR of ninth of May 2008 , this was not present. Heart size normal, the lungs appear clear. If... | [
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24295 | patchy consolidation in the right lower zone medially this is new since chest x-ray done on first of may 2008. In view of the age of the patient a repeat chest x-ray is advisable after a course of antibiotics to rule out underlying malignancy. Both hila are prominent. Unfolding of thoracic aorta noted. | [
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24769 | No recent change. | [
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25433 | comparison made with previous images. The diaphragms are flattened. There is blunting of left costophrenic angle which may be projectional. There is a degree of pulmonary vessel congestion. The heart appears enlarged despite projection. The caecum is dilated measuring 16mm in diameter (12 mm previous image 18/4/08). No... | [
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25601 | Lung fields are clear. The right costophrenic angle is blunted probably due to pleural reaction/thickening. Normal heart size. The dorsal spine appears abnormal in texture. This is probably due to metabolic bone disease. CHEST | [
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25691 | normal sized heart. There is elevation of the right hemidiaphragm. Reduction in the lung volume in the right upper lobe with trachea deviation due to underlying fibrosis. This is likely to be from radiotherapy. Left mid zone shows a 1 cm faint the soft tissue density consistent with metastasis. Rest of the lung fields ... | [
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26450 | AP erect view. A small granuloma is noted in the right lower zone. The lungs are congested and the upper lobe pulmonary veins are prominent. Even allowing for the projection, the heart is probably enlarged. Normal hilar and mediastinal contours. If you require a formal report on this image please contact the department... | [
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"veins",
"are",
"prominent.",
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"allowing",
"for",
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"O",
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"I",
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"... | [
{
"label": "abnormal_non_clinically_important",
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},
{
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"start": 31,
"end": 42
},
{
"label": "interstitial_shadowing",
"start": 17,
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},
{
"label": "normal",
"start": 43,
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},
{
"label": "... | [
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"cardiomegaly",
"interstitial_shadowing",
"normal",
"other",
"paratracheal_hilar_enlargement",
"upper_lobe_blood_diversion"
] |
26904 | The heart is enlarged. There is upper lobe blood diversion with interstitial thickening and curly B lines seen. This is in keeping with left ventricular failure. There is an air space opacity in the left mid lung zone with air bronchograms which may represent pulmonary oedema or infection. A follow-up film after treatm... | [
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"... | [
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"label": "cardiomegaly",
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"end": 31
},
{
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"end": 58
},
{
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"start": 5,
"end": 31
},
{
"label": "possible_diagnosis",
"start": 32,
"end": 58
},
{
"label": "recommend... | [
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"consolidation",
"interstitial_shadowing",
"other",
"possible_diagnosis",
"recommendation",
"upper_lobe_blood_diversion"
] |
26925 | normal sized heart. Surgical clips are present in the right axilla. There is a deviation of the right hilum due to fibrosis in the right apex. This is likely to be secondary to the radiotherapy. These spiculate density seen in the right lower zone measuring 1.3 cm. This does not show any significant change since six of... | [
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"... | [
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{
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{
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"end": 14
},
{
"label": "parenchymal_lesion",
"start": 45,
"end": 70
},
{
"label": "possible_diagnosis",
... | [
"interstitial_shadowing",
"normal",
"object",
"parenchymal_lesion",
"possible_diagnosis"
] |
27310 | Please see CT report, there appears to be collapse consolidation of the left lower lobe with pleural effusion and shift of the heart and mediastinum to the left an underlying bronchial carcinoma is the underlying cause until proven otherwise. e is hyperinflation of the right lung. the right hilum is enlarged. | [
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"... | [
{
"label": "consolidation",
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{
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"end": 48
},
{
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"end": 48
},
{
"label": "possible_diagnosis",
"start": 0,
"end": 48
},
{
"label": "recommen... | [
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"mediastinum_displaced",
"paratracheal_hilar_enlargement",
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"possible_diagnosis",
"recommendation"
] |
27325 | normal cardiac and mediastinal outlines. Lungs are clear and no active focal lung lesion is seen. Persistent cough. | [
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"I",
"I"
] | [
{
"label": "normal",
"start": 0,
"end": 17
}
] | [
"normal",
"other"
] |
27416 | There is a right pleural effusion with associated consolidation in the right middle and lower lobes. In addition there is a relatively well defined calcified/bony lesion of the left lower chest laterally. Further assessment with CT is suggested to clarify its aetiology. ? Chest infection | [
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{
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{
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{
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},
{
"label": "rib_lesion",
"start": 20,
"end": 44
}
] | [
"consolidation",
"pleural_effusion",
"possible_diagnosis",
"rib_lesion"
] |
27554 | Heart is enlarged. Lung fields are clear. There may be slight pulmonary congestion. No evidence of pleural effusion seen. There is evidence of early degenerative change. The disc spaces are normal. XR Lumbar Spine and S.I. Joints | [
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{
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},
{
"label": "consolidation",
"start": 9,
"end": 15
},
{
"label": "normal",
"start": 4,
"end": 8
},
{
"label": "normal",
... | [
"abnormal_non_clinically_important",
"cardiomegaly",
"consolidation",
"normal",
"rib_lesion"
] |
27890 | AN ADDENDUM HAS BEEN ENTERED AT THE END OF THIS REPORT Heart size normal. There is a small irregular focus of increased density projected at the upper pole of the left hilum, about 1 cm in diameter. It may be a composite shadow or old scarring. Unfortunately, I do not have a previous films for review - previous reports... | [
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"I",
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"... | [
{
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{
"label": "normal",
"start": 15,
"end": 18
},
{
"label": "possible_diagnosis",
... | [
"abnormal_non_clinically_important",
"comparison",
"interstitial_shadowing",
"normal",
"possible_diagnosis"
] |
27970 | Comparison has been made with CXR of 30 Dec 07. The left costophrenic angle is not visualised. The heart is enlarged allowing for AP projection and there is upper lobe venous diversion consistent with pulmonary venous congestion. No major collapse or consolidation. There is minor deviation fo the trachea to the right, ... | [
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"... | [
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{
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},
{
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"end": 54
},
{
"label": "paratracheal_hilar_enlar... | [
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"normal",
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"possible_diagnosis",
"technical_issue",
"upper_lobe_blood_diversion"
] |
28010 | Comparison is made to the previous chest x-ray of 22/02/07. There remains persistent changes of heart failure. There is however less insistive fluid in the left oblique fissure and less marked air space opacity in both lungs. | [
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},
{
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{
"label": "pleural_effusion",
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"end": 36
},
{
"label": "possible_diagnosis",
"start": 18,
"end": 25
}
] | [
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] |
28287 | CXR scoliosis noted with possibly a hemi-vertebra in the T5/T6 region. Lungs and pleural spaces clear. Normal heart size. | [
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] | [
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},
{
"label": "scoliosis",
"start": 0,
"end": 18
}
] | [
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28463 | Comparison has been made with CXR dated 3 April 08. Central line insitu. The lungs generally appear plethoric. There is also increase interstitial markings seen in both lungs, with concurrent by basal consolidation/ground glass shadowing. The most likely explanation is bilateral pulmonary oedema. | [
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{
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},
{
"label": "interstitial_shadowing",
"start": 19,
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},
{
"label": "ob... | [
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"possible_diagnosis"
] |
28474 | Erect AP projection A poor inspiratory effort has been achieved, With this caveat, there is a well-defined rounded opacity in the right mid zone. This is likely to represent fluid in horizontal fissure, although there is no blunting of either costophrenic angle. The upper lobe vessels are prominent, which is also consi... | [
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"... | [
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{
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{
"label": "upper_lobe_... | [
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"technical_issue",
"upper_lobe_blood_diversion"
] |
28697 | CT ratio 15.7 x 21.9. Heart is enlarged. There is pulmonary venous congestion and bilateral small pleural effusion. There is bilateral upper zone patchy shadowing in the peri hilar region, more on the right side. There are also some nodular shadowing in the right to base. The appearances are likely to be due to cardiac... | [
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"... | [
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{
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},
{
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},
{
"label": "parenchyma... | [
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"hyperexpanded_lungs",
"interstitial_shadowing",
"other",
"parenchymal_lesion",
"pleural_effusion",
"possible_diagnosis"
] |
28961 | CT ratio is 12/22. Lung fields show congestive changes. Both CP angle are clear | [
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},
{
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}
] | [
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] |
29002 | heart is enlarged in size. Sternal wires seen in situ. Mild congestive changes noted in lung fields. | [
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{
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},
{
"label": "object",
"start": 6,
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},
{
"label": "upper_lobe_blood_diversion",
"start": 13,
"end": 16
}
] | [
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"interstitial_shadowing",
"object",
"upper_lobe_blood_diversion"
] |
29008 | There is splaying of the left and right main bronchi in keeping with left atrial enlargement. There is blunting of the left costophrenic angle suggestive of a small left sided pleural effusion. There is upper lobe blood diversion and bilateral dependent air space opacities and bibasal atelectasis. Appearances are sugge... | [
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"... | [
{
"label": "atelectasis",
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{
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{
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{
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{
"label": "upper_lobe_blood_dive... | [
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] |
29084 | Diffuse calcification mainly in the upper lungs in keeping with old TB but unfortunately in addition some soft tissue nodulation are seen, raising possibility of reactive tuberculosis, which is particularly suspected with the given history. Further follow-up is recommended The CP angles are clear blunted. Heart size an... | [
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"... | [
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{
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},
{
"label": "recommendation",... | [
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] |
29102 | Heart is enlarged. There may be mild pulmonary congestion. No collapse or consolidation seen. There is a hiatus hernia. | [
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{
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{
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},
{
"label": "hernia",
"start": 17,
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},
{
"label": "normal",
"start": 11,
"end": 16
}
] | [
"cardiomegaly",
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] |
29254 | Slight decrease in height of one of the mid thoracic vertebrae, generalised osteopenia. Heart size normal , minimal upper lobe blood vessel diversion noted the lungs appear clear. | [
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"label": "abnormal_non_clinically_important",
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{
"label": "normal",
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},
{
"label": "upper_lobe_blood_diversion",
"start": 23,
"end": 27
}
] | [
"abnormal_non_clinically_important",
"normal",
"upper_lobe_blood_diversion"
] |
29304 | Lung fields appear clear. Normal heart size. | [
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] | [
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"E",
"B"
] | [
{
"label": "normal",
"start": 0,
"end": 6
}
] | [
"normal"
] |
29527 | There is aortic unfolding. There is an opacity noted behind the heart and the medial aspect of the left hemidiaphragm is not clearly identified. The nature of this opacity is uncertain. However it may represent hiatus hernia, aortic aneurysm or mass lesion. For further evaluation a lateral view of the chest is suggeste... | [
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"... | [
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{
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},
{
"label": "recommendation",
"start": 61,
"end": 63
},
{
"label": "unfolded_aorta",
"start": 0,
"end": 6
}
] | [
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"consolidation",
"other",
"possible_diagnosis",
"recommendation",
"unfolded_aorta"
] |
29554 | The heart is slightly enlarged. There is a linear opacity in the left upper zone extending from the left hilum. The nature of this opacity is not clear. The rest of the lung fields are clear. There is no evidence of pleural effusion. A follow-up chest x-ray after a course or antibiotics is suggested. CHEST | [
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},
{
"label": "recommendation",
"start": 52,
... | [
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] |
29667 | No previous chest X-ray is available for comparison. There is a band of opacity in the right lower zone - ?atelectasis. There may be a small right sided pleural effusion. Heart is probably slightly enlarged. | [
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{
"label": "pleural_effusion",
"start": 28,
"end": 34
}
] | [
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29857 | Heart is mildly enlarged. Lung shows changes of venous congestion. No active lung lesion is seen. | [
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{
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},
{
"label": "normal",
"start": 13,
"end": 15
}
] | [
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] |
29866 | There is marked surgical emphysema overlying the right hemi-thorax. There is no evidence of a pneumothorax, although this is the most likely cause for the surgical emphysema. There is increased opacification of the right lower zone that is more marked than on the previous film (31.03.2008). This is likely to represent ... | [
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{
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},
{
"label": "subcutaneous_emphysema",
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}
] | [
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"atelectasis",
"consolidation",
"possible_diagnosis",
"subcutaneous_emphysema"
] |
30032 | AP erect view. Sternotomy wires and left-sided mediastinal surgical clips are noted. There is a small right pleural effusion. The lungs are congested. Even allowing for the projection, the heart appears enlarged. When compared to the previous chest x-ray from 29.11.08, the right pleural effusion may have slightly incre... | [
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},
{
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] |
31195 | Lung fields are clear. The left hilum appears prominent which is probably due to the rotation of the patient. | [
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] | [
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31250 | No definite evidence of secondary deposits seen. There is evidence of slight degenerative change. Heart is enlarged. There is an element of pulmonary congestion. No definite evidence of secondary deposits seen in the lungs. No pleural effusion seen. | [
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{
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{
"label": "no... | [
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"normal",
"rib_lesion",
"upper_lobe_blood_diversion"
] |
32938 | AP erect view. Even allowing for the projection, the heart appears enlarged. The lungs are congested and there is upper lobe pulmonary venous blood diversion. No consolidation or pulmonary mass lesion is seen. The costochondral junction of the right first rib projects prominently, which is due to patient rotation and t... | [
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] |
33330 | The heart is markedly enlarged (CTR 15.9/24.1). The lungs are congested. The pleural spaces are clear. No active focal lung lesion is identified. In particular there is no evidence of pulmonary mass lesion or of pulmonary metastases. Normal hilar and mediastinal contours. Features are consistent with mild heart failure... | [
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"(CTR",
"15.9/24.1).",
"The",
"lungs",
"are",
"congested.",
"The",
"pleural",
"spaces",
"are",
"clear.",
"No",
"active",
"focal",
"lung",
"lesion",
"is",
"identified.",
"In",
"particular",
"there",
"is",
"no",
"evi... | [
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
"O",
"B",
"I",
"I",
"I",
"I",
"E",
"B",
"I",
"I",
"I",
"I",
"I",
"E",
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"... | [
{
"label": "cardiomegaly",
"start": 0,
"end": 14
},
{
"label": "interstitial_shadowing",
"start": 16,
"end": 21
},
{
"label": "normal",
"start": 22,
"end": 51
},
{
"label": "paratracheal_hilar_enlargement",
"start": 16,
"end": 21
}
] | [
"cardiomegaly",
"interstitial_shadowing",
"normal",
"paratracheal_hilar_enlargement",
"possible_diagnosis"
] |
33467 | There are multiple small cystic changes in both lower zones - slightly prominent on the left side. The changes could be due to bronchiectasis. Associated infection in the left lower zone cannot be excluded. The lungs are of large volume presumably due to asthma. A follow-up x-ray after a course of antibiotics suggested... | [
"There",
"are",
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"small",
"cystic",
"changes",
"in",
"both",
"lower",
"zones",
"-",
"slightly",
"prominent",
"on",
"the",
"left",
"side.",
"The",
"changes",
"could",
"be",
"due",
"to",
"bronchiectasis.",
"Associated",
"infection",
"in",
"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",
"I",
"E",
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
"B",
"I",
"I",
"I",
"... | [
{
"label": "bronchial_wall_thickening",
"start": 0,
"end": 29
},
{
"label": "hyperexpanded_lungs",
"start": 41,
"end": 51
},
{
"label": "other",
"start": 30,
"end": 40
},
{
"label": "possible_diagnosis",
"start": 41,
"end": 51
},
{
"label": "recomm... | [
"bronchial_wall_thickening",
"hyperexpanded_lungs",
"other",
"possible_diagnosis",
"recommendation",
"undefined_sentence"
] |
33599 | AP semi erect view. Marked scoliosis of the thoracic spine with convexity to the left is noted. There is a small focus of air space opacity or scarring in the right upper zone. Otherwise no active focal lung lesion is identified. Calcification is noted in relation to the aortic arch and the main bronchi. There is marke... | [
"AP",
"semi",
"erect",
"view.",
"Marked",
"scoliosis",
"of",
"the",
"thoracic",
"spine",
"with",
"convexity",
"to",
"the",
"left",
"is",
"noted.",
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"is",
"a",
"small",
"focus",
"of",
"air",
"space",
"opacity",
"or",
"scarring",
"in",
"the",
"right"... | [
"O",
"O",
"O",
"O",
"O",
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
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"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
"B",
"... | [
{
"label": "aortic_calcification",
"start": 54,
"end": 63
},
{
"label": "apical_fibrosis",
"start": 26,
"end": 43
},
{
"label": "consolidation",
"start": 26,
"end": 43
},
{
"label": "normal",
"start": 44,
"end": 53
},
{
"label": "possible_diagnosis... | [
"abnormal_non_clinically_important",
"aortic_calcification",
"apical_fibrosis",
"consolidation",
"normal",
"possible_diagnosis",
"rib_lesion",
"scoliosis"
] |
33645 | there is some rib inflation of the lung fields with low diaphragm. No sings of consolidation seen. | [
"there",
"is",
"some",
"rib",
"inflation",
"of",
"the",
"lung",
"fields",
"with",
"low",
"diaphragm.",
"No",
"sings",
"of",
"consolidation",
"seen."
] | [
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
"B"
] | [
{
"label": "hyperexpanded_lungs",
"start": 0,
"end": 15
},
{
"label": "normal",
"start": 16,
"end": 16
}
] | [
"hyperexpanded_lungs",
"normal"
] |
33773 | AP erect film. Sternal wires noted from previous surgery. There is bilateral pulmonary congestion. Even allowing for projection the heart size is enlarged. There is no focal consolidation seen. | [
"AP",
"erect",
"film.",
"Sternal",
"wires",
"noted",
"from",
"previous",
"surgery.",
"There",
"is",
"bilateral",
"pulmonary",
"congestion.",
"Even",
"allowing",
"for",
"projection",
"the",
"heart",
"size",
"is",
"enlarged.",
"There",
"is",
"no",
"focal",
"consol... | [
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"O",
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"I",
"I",
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"I",
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"E",
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"I",
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"I",
"E",
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"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
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] | [
{
"label": "cardiomegaly",
"start": 18,
"end": 27
},
{
"label": "consolidation",
"start": 12,
"end": 17
},
{
"label": "normal",
"start": 28,
"end": 28
},
{
"label": "object",
"start": 4,
"end": 11
},
{
"label": "paratracheal_hilar_enlargement",
... | [
"cardiomegaly",
"consolidation",
"normal",
"object",
"paratracheal_hilar_enlargement"
] |
33784 | PA erect film. There is pulmonary congestion. The left hemi-diaphragm is raised relative to the right with an air filled viscus beneath it. There are small bilateral pleural effusions. Features are consistent with cardiac failure. | [
"PA",
"erect",
"film.",
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"is",
"pulmonary",
"congestion.",
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"left",
"hemi-diaphragm",
"is",
"raised",
"relative",
"to",
"the",
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"with",
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"filled",
"viscus",
"beneath",
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"are",
"small",
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"pleural",
"e... | [
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"O",
"O",
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"I",
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"I",
"I",
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"I",
"I",
"I",
"I",
"I",
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"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
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"I"
] | [
{
"label": "dilated_bowel",
"start": 9,
"end": 32
},
{
"label": "interstitial_shadowing",
"start": 4,
"end": 8
},
{
"label": "pleural_effusion",
"start": 33,
"end": 34
}
] | [
"dilated_bowel",
"interstitial_shadowing",
"pleural_effusion",
"possible_diagnosis"
] |
33929 | Heart is moderately enlarged. Bilateral pleural effusion more on the right. Changes consistent with venous congestion and degree of cardiac failure. | [
"Heart",
"is",
"moderately",
"enlarged.",
"Bilateral",
"pleural",
"effusion",
"more",
"on",
"the",
"right.",
"Changes",
"consistent",
"with",
"venous",
"congestion",
"and",
"degree",
"of",
"cardiac",
"failure."
] | [
"B",
"I",
"I",
"I",
"E",
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"I",
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"I",
"I",
"I",
"I",
"I",
"I",
"E",
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"I",
"I",
"I"
] | [
{
"label": "cardiomegaly",
"start": 0,
"end": 4
},
{
"label": "interstitial_shadowing",
"start": 16,
"end": 20
},
{
"label": "pleural_effusion",
"start": 5,
"end": 15
},
{
"label": "possible_diagnosis",
"start": 16,
"end": 20
},
{
"label": "upper_l... | [
"cardiomegaly",
"interstitial_shadowing",
"pleural_effusion",
"possible_diagnosis",
"upper_lobe_blood_diversion"
] |
34018 | The left hilum appears prominent and left hilar lymph node enlargement cannot be excluded. The lung fields appear clear. Normal heart size. CT scan of the chest is suggested if clinically required. | [
"The",
"left",
"hilum",
"appears",
"prominent",
"and",
"left",
"hilar",
"lymph",
"node",
"enlargement",
"cannot",
"be",
"excluded.",
"The",
"lung",
"fields",
"appear",
"clear.",
"Normal",
"heart",
"size.",
"CT",
"scan",
"of",
"the",
"chest",
"is",
"suggested",... | [
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
"B",
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"I",
"I",
"I",
"E",
"B",
"I",
"I",
"E",
"B",
"I",
"I",
"I"
] | [
{
"label": "normal",
"start": 18,
"end": 27
},
{
"label": "paratracheal_hilar_enlargement",
"start": 0,
"end": 17
},
{
"label": "possible_diagnosis",
"start": 0,
"end": 17
},
{
"label": "recommendation",
"start": 28,
"end": 31
}
] | [
"normal",
"paratracheal_hilar_enlargement",
"possible_diagnosis",
"recommendation"
] |
34631 | AP supine film. No rib fractures are seen. There is no pneumothorax. The lungs are clear. Swimmers view shows lower C7/D1 articulation through 1st rib. No bony injury is seen. There is some loss of height anterior wedging of D12 vertebra suggestive of crush fracture XR Radius/Ulna (Forearm) Lt : No bony injury is seen | [
"AP",
"supine",
"film.",
"No",
"rib",
"fractures",
"are",
"seen.",
"There",
"is",
"no",
"pneumothorax.",
"The",
"lungs",
"are",
"clear.",
"Swimmers",
"view",
"shows",
"lower",
"C7/D1",
"articulation",
"through",
"1st",
"rib.",
"No",
"bony",
"injury",
"is",
"... | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
"B",
"I",
"I",
"I",
"E",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B",
"I",
"I",
"I",
"... | [
{
"label": "normal",
"start": 11,
"end": 23
},
{
"label": "normal",
"start": 41,
"end": 47
}
] | [
"normal"
] |
34771 | AP erect view. Bilateral rib deformities consistent with osteomalacia are noted. The lungs are congested and there is evidence of upper lobe pulmonary venous blood diversion. No active focal lung lesion is identified. No major consolidation or collapse. | [
"AP",
"erect",
"view.",
"Bilateral",
"rib",
"deformities",
"consistent",
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"are",
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"are",
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"and",
"there",
"is",
"evidence",
"of",
"upper",
"lobe",
"pulmonary",
"venous",
"blood",
"diversion.",
"No",
"ac... | [
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"I",
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] | [
{
"label": "abnormal_non_clinically_important",
"start": 4,
"end": 16
},
{
"label": "normal",
"start": 35,
"end": 37
},
{
"label": "upper_lobe_blood_diversion",
"start": 17,
"end": 34
}
] | [
"abnormal_non_clinically_important",
"normal",
"upper_lobe_blood_diversion"
] |
34789 | Lung fields are clear. Normal heart size. CHEST | [
"Lung",
"fields",
"are",
"clear.",
"Normal",
"heart",
"size.",
"CHEST"
] | [
"B",
"I",
"I",
"I",
"I",
"E",
"B",
"I"
] | [
{
"label": "normal",
"start": 0,
"end": 7
}
] | [
"normal"
] |
34801 | There is a homogenous opacity in the left lower zone in the region of left hemi diaphragm. I am not quite sure whether this is a small diaphragmatic hump or a lung lesion. Therefore a repeat chest x-ray along with left lateral view is suggested for further evaluation. The rest of the lung fields appear clear. | [
"There",
"is",
"a",
"homogenous",
"opacity",
"in",
"the",
"left",
"lower",
"zone",
"in",
"the",
"region",
"of",
"left",
"hemi",
"diaphragm.",
"I",
"am",
"not",
"quite",
"sure",
"whether",
"this",
"is",
"a",
"small",
"diaphragmatic",
"hump",
"or",
"a",
"l... | [
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
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"I",
"I",
"I",
"I",
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"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
"B",
"... | [
{
"label": "hemidiaphragm_elevated",
"start": 0,
"end": 43
},
{
"label": "parenchymal_lesion",
"start": 0,
"end": 43
},
{
"label": "possible_diagnosis",
"start": 0,
"end": 43
},
{
"label": "recommendation",
"start": 44,
"end": 55
}
] | [
"hemidiaphragm_elevated",
"normal",
"parenchymal_lesion",
"possible_diagnosis",
"recommendation"
] |
35098 | The appearances are comparable to previous study although there evidence of dense shadow in the left lower chest, could be from the overlying breast. Possibility of any aortic aneursym should be excluded. Some loss of height of L4 presumed osteoporotic compression. | [
"The",
"appearances",
"are",
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"to",
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"evidence",
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"chest,",
"could",
"be",
"from",
"the",
"overlying",
"breast.",
"Possibility",
"of",
"any",
"aortic",
... | [
"B",
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"I",
"I",
"I",
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"I",
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"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I"
] | [
{
"label": "consolidation",
"start": 0,
"end": 40
},
{
"label": "mediastinum_widened",
"start": 0,
"end": 40
},
{
"label": "possible_diagnosis",
"start": 0,
"end": 40
}
] | [
"abnormal_non_clinically_important",
"consolidation",
"mediastinum_widened",
"possible_diagnosis",
"rib_lesion"
] |
35138 | Compared to the previous study the right costophrenic angle shadowing has increased in size but I think it may be the anterior end of the right 5th rib and in the clinical context could be mitotic. Bone scan may elicit further. CHEST | [
"Compared",
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"previous",
"study",
"the",
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"shadowing",
"has",
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"the",
"anterior",
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"right",
"5th",
"rib",
"and",
"in",
"the",
... | [
"B",
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"I",
"I",
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"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"I"
] | [
{
"label": "comparison",
"start": 0,
"end": 41
},
{
"label": "rib_lesion",
"start": 0,
"end": 41
}
] | [
"comparison",
"other",
"recommendation",
"rib_lesion"
] |
35154 | Lung fields are clear. Normal heart size. CHEST | [
"Lung",
"fields",
"are",
"clear.",
"Normal",
"heart",
"size.",
"CHEST"
] | [
"B",
"I",
"I",
"I",
"I",
"E",
"B",
"I"
] | [
{
"label": "normal",
"start": 0,
"end": 7
}
] | [
"normal"
] |
35634 | No previous x-ray available for comparison. There is evidence of calcified/fibrotic lesion in both upper zones associated with tracheal deviation to the right. Features are consistent with TB lesion. However it is not possible to say whether this is active TB lesion or not. | [
"No",
"previous",
"x-ray",
"available",
"for",
"comparison.",
"There",
"is",
"evidence",
"of",
"calcified/fibrotic",
"lesion",
"in",
"both",
"upper",
"zones",
"associated",
"with",
"tracheal",
"deviation",
"to",
"the",
"right.",
"Features",
"are",
"consistent",
"w... | [
"B",
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"E",
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"I",
"I",
"I",
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"I",
"I",
"E"
] | [
{
"label": "abnormal_non_clinically_important",
"start": 9,
"end": 35
},
{
"label": "comparison",
"start": 0,
"end": 8
},
{
"label": "mediastinum_displaced",
"start": 9,
"end": 35
},
{
"label": "possible_diagnosis",
"start": 36,
"end": 43
}
] | [
"abnormal_non_clinically_important",
"comparison",
"mediastinum_displaced",
"possible_diagnosis"
] |
36111 | Sternotomy noted. Mild pulmonary venous congestion. Small pleural effusions bilaterally. There is also some linear collapse in the left lower lobe seen to the cardiac shadow. | [
"Sternotomy",
"noted.",
"Mild",
"pulmonary",
"venous",
"congestion.",
"Small",
"pleural",
"effusions",
"bilaterally.",
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"collapse",
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"left",
"lower",
"lobe",
"seen",
"to",
"the",
"cardiac",
"shadow."
] | [
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"I",
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"start": 19,
"end": 25
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{
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"start": 5,
"end": 10
},
{
"label": "object",
"start": 0,
"end": 4
},
{
"label": "pleural_effusion",
"start": 11,
"end": 18
},
{
"label": "upper_lobe_blood_div... | [
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"interstitial_shadowing",
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"pleural_effusion",
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36417 | Lung fields are essentially clear allowing for a tiny soft tissue dense shadow at the left base may be coming from overlying breast mass. | [
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] | [
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"label": "axillary_abnormality",
"start": 0,
"end": 23
}
] | [
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36865 | The heart is enlarged with bilateral linear atelectasis maybe due to infection or infarction. Multiple old rib fractures with general osteopenia. | [
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{
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},
{
"label": "rib_fracture",
"start": 19,
"end": 20
}
] | [
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"cardiomegaly",
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36933 | Minor inflammatory change noted in the medial aspect, at the left base. Normal appearances of the remaining lungs and pleural spaces. Normal heart size. Normal Cardiomediastinal contour. Pathologic change in the lungs | [
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] | [
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37235 | normal cardiac size. No focal active lung lesion. | [
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"start": 0,
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] | [
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37252 | The lungs appear large in volume, suggesting obstructive airways disease. There is a moderate right basal pneumothorax. No other significant pulmonary abnormality is identified. The heart size and mediastinal outline appear unremarkable. He was referred directly to the Emergency Department. CHEST | [
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{
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}
] | [
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37376 | No significant change since previous examination. | [
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"significant",
"change",
"since",
"previous",
"examination."
] | [
"B",
"I",
"I",
"I",
"I",
"I"
] | [
{
"label": "comparison",
"start": 0,
"end": 5
}
] | [
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] |
37767 | Emphysema with bilateral prominent hilar vessels. No focal lung lesion is seen. | [
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"with",
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"prominent",
"hilar",
"vessels.",
"No",
"focal",
"lung",
"lesion",
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"end": 9
},
{
"label": "normal",
"start": 10,
"end": 11
}
] | [
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] |
37956 | COPD, ill-defined shadowing noted in the right base could either be due to resolving infection on PE, another smaller shadowing noted in the right upper zone peripherally the rest of the lungs appear clear, heart size is normal. | [
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{
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"start": 0,
"end": 37
}
] | [
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39531 | Heart is slightly enlarged. There is mild pulmonary congestion. Lung fields are otherwise clear. There is no pleural effusion. | [
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{
"label": "normal",
"start": 11,
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}
] | [
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39625 | no x-rays available for comparison. Note is made of midline sternotomy wires. The heart is enlarged. Bilateral pulmonary venous congestion is seen. No major lung collapse or consolidation. A repeat chest x-ray after appropriate treatment of heart failure is advised. Smoker. | [
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"start": 0,
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{
"label": "interstitial_shadowing",
"start": 23,
"end": 31
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{
"label": "normal",
"start": 32,
"end": 38
},
{
"label": "object",
"start": 8,... | [
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] |
39686 | Single lateral view. Alignment is maintained. There is moderate degenerative change, most marked in the mid-to lower cervical spine Comparison is made with the 10/8/07 chest x-ray. There is new left basal atelectasis/consolidation and left pleural thickening. Again, the heart is enlarged (cardiothoracic ratio = 15.9/30... | [
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"... | [
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"start": 41,
"end": 59
},
{
"label": "pleural_abnormality",
... | [
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40447 | normal cardiac size. No focal active lung lesion. | [
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"active",
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"lesion."
] | [
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] | [
{
"label": "normal",
"start": 0,
"end": 7
}
] | [
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] |
40634 | Lung bases are hyperexpanded and lucent. Normal cardiac size. No focal active lung lesion. Basal lung emphysema cannot be excluded. | [
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40872 | Heart size normal , the lungs appear clear. | [
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"label": "normal",
"start": 0,
"end": 7
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41058 | There is a degenerative scoliosis. No rib fractures, pleural effusions or pneumothoraces identified. No major focal collapse or consolidation. XR Lumbar Spine and S.I. Joints : Degenerative scoliosis and osteopaenia noted. No acute fracture seen. Calcification noted in the abdominal aorta with no aneurysmal dilatation. | [
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41349 | No major collapse or consolidation is seen. There may be mild pulmonary congestion. There are multiple fractures - involving the left intertrochanteric region and shaft of the left femur. | [
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{
"label": "rib_lesion",
"start": 15,
"end": 28
}
] | [
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41574 | Normal mediastinal outline. No significant lung or pleural lesion. CHEST | [
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"start": 0,
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] | [
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42083 | AN ADDENDUM HAS BEEN ENTERED AT THE END OF THIS REPORT CTR 18/30.5. There is some right cardiac border shadowing with bronchial dilatation may be inflammatory changes in the apical segment. Follow up advised. ADDENDUM START. Asked to review. There is a soft tissue opacity in the right lower lobe. The lungs show feature... | [
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"label": "normal",
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42182 | There is 'batwing' bilateral perihilar airspace shadowing as well as upper lobe blood diversion with bilateral Kerly A and B lines. Normal Cardiothoracic ratio = 16.6/35.5. Small left pleural effusion/thickening seen. | [
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42903 | congestive changes noted in both lung fields. CTR is 15/24. | [
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"fields.",
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{
"label": "interstitial_shadowing",
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] | [
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43188 | the patient is known to have severe chronic fibrotic lung disease affecting predominantly the apices. However she has developed extensive left upper zone shadowing since the previous examination in 2008, with displacement of the mediastinum to the left and marked elevation of the left hemidiaphragm. An apparent mass in... | [
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{
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{
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] |
44217 | There is bilateral abnormal opacity in both upper zones presumably due to reduced lung volumes/fibrosis. The trachea is also slight distorted. Features are consistent with TB. However it is not possible to say whether there is reactivation of old TB. Normal heart size. Because of high ESR, active TB cannot be excluded.... | [
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{
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"sta... | [
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44464 | COPD. Allowing for the patient rotation, heart size is enlarged. The lungs appear hyperinflated. Emphysematous Bulla noted in the right apex. Shadowing noted in the left upper zone, I think this is artifactual. | [
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{
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... | [
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44590 | Features of COPD. Tortuous aorta. There is a speckle of calcium at the right base. No acute lung lesion. CHEST | [
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44610 | Lung fields are clear. Normal heart size. | [
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] | [
{
"label": "normal",
"start": 0,
"end": 6
}
] | [
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44834 | There is a large calcific left mediastinal mass which measures 3x6cm. There is left apical pleural capping with possible volume loss in the left apex. The lungs are otherwise clear. Findings are in keeping with old TB. Silicosis and treated lymphoma are also in the differential, but are considered less likely. | [
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45443 | Normal mediastinal outline. No significant lung or pleural lesion. | [
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{
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] | [
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45582 | Patient was slightly rotated during the examination. Gentle lower dorsal scoliosis concave to the right side. Faint scaring right upper lobe. Calcified lymph nodes right hilum. Left suprahilar and peripheral opacity in the left upper lobe. These are old granulomas unless they progress on further follow up. Similar opac... | [
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] |
45652 | (AP) Heart size normal. There is mild pulmonary venous congestion. No frank pulmonary oedema. Gynaecomastia is noted. | [
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] | [
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45741 | AP erect view. The lungs are congested. There is some air space opacity at the right lung base, possibly due to infection. No evidence of pneumothorax. The heart is probably enlarged. Features are of cardiac failure. On the left side, there is an acute fracture of the 9th rib and an old, healed fracture of the 7th rib. | [
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"... | [
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] |
45915 | Comparison is made with the previous film of 10.6.2008. No change in appearance of the totally implantable venous access device which has satisfactory appearance. Bilateral bronchial wall thickening is unchanged, most prominent in the right upper zone medially. Assymmetry of the diaphragmatic contours also appears long... | [
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] | [
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46017 | The lungs are congested. There is some atelectasis at the lung bases. The heart is enlarged. Features are of heart failure. Unfolding of the calcified aortic arch is noted. Marked arthropathy of both shoulders. The visible ribs appear intact. | [
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46131 | Comparison is made with the 2/2/09 chest x-ray. There is bilateral bronchiectasis which is largely unchanged. In addition, there is diffusely increased opacification in the right midzone suggestive of right middle lobe atelectasis/consolidation which is also not significantly changed. There is evidence of air trapping.... | [
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] | [
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46170 | AP erect view. The lungs are congested. There is a small left pleural effusion. The heart may be enlarged. Features are consistent with cardiac failure. Old, healed right sided rib fracture noted. | [
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46358 | AN ADDENDUM HAS BEEN ENTERED AT THE END OF THIS REPORT normal heart and mediastinum. Both lung fields appear mildly hyperinflated consistent with asthma. However there are no focal abnormalities. No collapse or consolidation. ADDENDUM START I note there are a number of small lucencies in the wing of the left scapula. I... | [
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46565 | Comparison is made with a previous CXR of 8/1/2010. There has been improvement in the extensive opacification of the right hemithorax. The right hemidiaphragm remains obscured likely by effusion/collapse. | [
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"with",
"a",
"previous",
"CXR",
"of",
"8/1/2010.",
"There",
"has",
"been",
"improvement",
"in",
"the",
"extensive",
"opacification",
"of",
"the",
"right",
"hemithorax.",
"The",
"right",
"hemidiaphragm",
"remains",
"obscured",
"likely",
... | [
"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"
] | [
{
"label": "comparison",
"start": 0,
"end": 28
},
{
"label": "pleural_effusion",
"start": 17,
"end": 28
}
] | [
"comparison",
"pleural_effusion"
] |
46653 | AP semi-erect view. The lungs are congested. There is perihilar air space opacity. There is a small right pleural effusion. Features are consistent with pulmonary oedema due to fluid overload. | [
"AP",
"semi-erect",
"view.",
"The",
"lungs",
"are",
"congested.",
"There",
"is",
"perihilar",
"air",
"space",
"opacity.",
"There",
"is",
"a",
"small",
"right",
"pleural",
"effusion.",
"Features",
"are",
"consistent",
"with",
"pulmonary",
"oedema",
"due",
"to",
... | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B",
"I",
"I",
"I",
"I",
"E",
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"E",
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I"
] | [
{
"label": "consolidation",
"start": 13,
"end": 21
},
{
"label": "interstitial_shadowing",
"start": 7,
"end": 12
},
{
"label": "paratracheal_hilar_enlargement",
"start": 7,
"end": 12
},
{
"label": "pleural_effusion",
"start": 22,
"end": 29
}
] | [
"consolidation",
"interstitial_shadowing",
"paratracheal_hilar_enlargement",
"pleural_effusion",
"possible_diagnosis"
] |
46693 | The first chest x-ray available on this patient was performed on 8/3/10. This shows a right sided pleural reaction on linear atelectasis in the right base. There is also evidence of volume loss on the right. A subsequent radiograph 9/3/10 shows what I take to be a central line the right atrium. A larger pleural reactio... | [
"The",
"first",
"chest",
"x-ray",
"available",
"on",
"this",
"patient",
"was",
"performed",
"on",
"8/3/10.",
"This",
"shows",
"a",
"right",
"sided",
"pleural",
"reaction",
"on",
"linear",
"atelectasis",
"in",
"the",
"right",
"base.",
"There",
"is",
"also",
"... | [
"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",
"E",
"B",
"I",
"I",
"I",
"I",
"I",
"I",
"I",
"... | [
{
"label": "atelectasis",
"start": 19,
"end": 36
},
{
"label": "comparison",
"start": 0,
"end": 18
},
{
"label": "comparison",
"start": 48,
"end": 70
},
{
"label": "comparison",
"start": 86,
"end": 136
},
{
"label": "consolidation",
"start": 71... | [
"atelectasis",
"comparison",
"consolidation",
"object",
"pleural_effusion",
"recommendation",
"volume_loss"
] |
46706 | (AP) There is longstanding left upper lobe volume loss and dense opacification at the left apex. Please see also the CT scan of July 2009 which demonstrated a mycetoma in a cavity at the left apex. This has not changed since October 2008. No active lung lesion. | [
"(AP)",
"There",
"is",
"longstanding",
"left",
"upper",
"lobe",
"volume",
"loss",
"and",
"dense",
"opacification",
"at",
"the",
"left",
"apex.",
"Please",
"see",
"also",
"the",
"CT",
"scan",
"of",
"July",
"2009",
"which",
"demonstrated",
"a",
"mycetoma",
"in... | [
"O",
"O",
"O",
"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",
"I",
"I",
"E",
"... | [
{
"label": "comparison",
"start": 21,
"end": 46
},
{
"label": "consolidation",
"start": 3,
"end": 20
},
{
"label": "volume_loss",
"start": 3,
"end": 20
}
] | [
"comparison",
"consolidation",
"normal",
"volume_loss"
] |
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