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
46953	Generalised marked osteopaenia and degeneration with gibbus formation. No focal deposit seen. XR Lumbar Spine and S.I. Joints : There is osteoporotic partial collapse of the L4 and L1 vertebral bodies. Normal alignment is maintained. The bone is generally osteopaenic. Degenerative scoliosis with convexity to the right....	[ "Generalised", "marked", "osteopaenia", "and", "degeneration", "with", "gibbus", "formation.", "No", "focal", "deposit", "seen.", "XR", "Lumbar", "Spine", "and", "S.I.", "Joints", ":", "There", "is", "osteoporotic", "partial", "collapse", "of", "the", "L4", "and...	[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B", "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", "O", "O", "O", "O", "...	[ { "label": "normal", "start": 15, "end": 19 } ]	[ "atelectasis", "normal", "parenchymal_lesion", "pleural_effusion", "scoliosis" ]
47085	Examination compared to the previous chest x-ray of 8th January. Pulmonary vascular congestion persists. There is now more pleural effusion at the right base. Calcification in the right mid zone peripherally is unchanged. Faint opacification of the right base could be due to a mixture of congestion and infection. All t...	[ "Examination", "compared", "to", "the", "previous", "chest", "x-ray", "of", "8th", "January.", "Pulmonary", "vascular", "congestion", "persists.", "There", "is", "now", "more", "pleural", "effusion", "at", "the", "right", "base.", "Calcification", "in", "the", "...	[ "B", "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", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "comparison", "start": 0, "end": 20 }, { "label": "comparison", "start": 93, "end": 93 }, { "label": "consolidation", "start": 47, "end": 66 }, { "label": "interstitial_shadowing", "start": 15, "end": 20 }, { "label": "pleural_abnormalit...	[ "comparison", "consolidation", "interstitial_shadowing", "other", "pleural_abnormality", "pleural_effusion", "possible_diagnosis", "recommendation" ]
47228	Compression of body of T11. Probably longstanding. Calcified thoracic aorta. There are multiple nodular opacities in both lungs with inflammatory changes at the bases and pleural reaction, they vary from 1 cm to 3 cms in size , metastases is not excluded. Any known primary ?	[ "Compression", "of", "body", "of", "T11.", "Probably", "longstanding.", "Calcified", "thoracic", "aorta.", "There", "are", "multiple", "nodular", "opacities", "in", "both", "lungs", "with", "inflammatory", "changes", "at", "the", "bases", "and", "pleural", "reacti...	[ "B", "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", "I", "I", "I", "I", "I", "I", "...	[ { "label": "abnormal_non_clinically_important", "start": 0, "end": 10 }, { "label": "aortic_calcification", "start": 11, "end": 20 }, { "label": "consolidation", "start": 21, "end": 45 }, { "label": "parenchymal_lesion", "start": 21, "end": 45 }, { ...	[ "abnormal_non_clinically_important", "aortic_calcification", "consolidation", "other", "parenchymal_lesion", "pleural_effusion", "possible_diagnosis", "rib_lesion" ]
47492	The lungs are congested. No active focal lung lesion seen, in particular no evidence of pulmonary deposits. The heart is markedly enlarged.	[ "The", "lungs", "are", "congested.", "No", "active", "focal", "lung", "lesion", "seen,", "in", "particular", "no", "evidence", "of", "pulmonary", "deposits.", "The", "heart", "is", "markedly", "enlarged." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E" ]	[ { "label": "consolidation", "start": 0, "end": 5 }, { "label": "normal", "start": 6, "end": 21 }, { "label": "paratracheal_hilar_enlargement", "start": 0, "end": 5 } ]	[ "cardiomegaly", "consolidation", "normal", "paratracheal_hilar_enlargement" ]
47500	The superior mediastinum is widened presumably due to enlarged lymph nodes. This could be due to T.B. lesion. The lung fields appear clear. Normal heart size. Your patient has been referred to the T.B. clinic. CHEST	[ "The", "superior", "mediastinum", "is", "widened", "presumably", "due", "to", "enlarged", "lymph", "nodes.", "This", "could", "be", "due", "to", "T.B.", "lesion.", "The", "lung", "fields", "appear", "clear.", "Normal", "heart", "size.", "Your", "patient", "has...	[ "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", "E", "B", "I", "I" ]	[ { "label": "mediastinum_widened", "start": 0, "end": 14 }, { "label": "normal", "start": 27, "end": 35 }, { "label": "possible_diagnosis", "start": 15, "end": 26 } ]	[ "mediastinum_widened", "normal", "other", "possible_diagnosis" ]
47706	The right hilum is displaced inferiorly and there is the impression of a rounded 2cm soft tissue density mass projected over the right heart border. Ectatic thoracic aorta with mural calcification noted. Degenerative changes noted in the left AC joint. No destructive bone lesion identified. Findings are suspicious of u...	[ "The", "right", "hilum", "is", "displaced", "inferiorly", "and", "there", "is", "the", "impression", "of", "a", "rounded", "2cm", "soft", "tissue", "density", "mass", "projected", "over", "the", "right", "heart", "border.", "Ectatic", "thoracic", "aorta", "wit...	[ "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", "I", "I", "I", "I", "E", "...	[ { "label": "abnormal_non_clinically_important", "start": 45, "end": 50 }, { "label": "aortic_calcification", "start": 30, "end": 44 }, { "label": "mediastinum_widened", "start": 30, "end": 44 }, { "label": "parenchymal_lesion", "start": 0, "end": 29 } ]	[ "abnormal_non_clinically_important", "aortic_calcification", "mediastinum_widened", "normal", "parenchymal_lesion", "possible_diagnosis" ]
47917	Formal report requested. Comparison is made with the previous film of 3.10.2009. There is a mild thoracic scoliosis with associated degenerative change. The heart is not enlarged. There is increased opacification in both apices. This may be partly due to composite shadows but apical fibrosis or mass cannot be excluded....	[ "Formal", "report", "requested.", "Comparison", "is", "made", "with", "the", "previous", "film", "of", "3.10.2009.", "There", "is", "a", "mild", "thoracic", "scoliosis", "with", "associated", "degenerative", "change.", "The", "heart", "is", "not", "enlarged.", "...	[ "B", "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", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "...	[ { "label": "comparison", "start": 5, "end": 18 }, { "label": "consolidation", "start": 41, "end": 51 }, { "label": "normal", "start": 35, "end": 40 }, { "label": "other", "start": 0, "end": 4 }, { "label": "possible_diagnosis", "start": 52, ...	[ "abnormal_non_clinically_important", "comparison", "consolidation", "normal", "other", "paratracheal_hilar_enlargement", "possible_diagnosis", "scoliosis", "technical_issue" ]
48020	AP semi-erect view. The lungs are congested. Left lung base not fully included. No active focal lung lesion seen. Normal mediastinum. Bilateral glenohumeral arthropathy is noted.	[ "AP", "semi-erect", "view.", "The", "lungs", "are", "congested.", "Left", "lung", "base", "not", "fully", "included.", "No", "active", "focal", "lung", "lesion", "seen.", "Normal", "mediastinum.", "Bilateral", "glenohumeral", "arthropathy", "is", "noted." ]	[ "O", "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I" ]	[ { "label": "interstitial_shadowing", "start": 7, "end": 12 }, { "label": "normal", "start": 20, "end": 25 }, { "label": "paratracheal_hilar_enlargement", "start": 7, "end": 12 }, { "label": "technical_issue", "start": 13, "end": 19 } ]	[ "abnormal_non_clinically_important", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "rib_lesion", "technical_issue" ]
48073	XR Lumbar Spine and S.I. Joints : Normal alignment. The bone is generally osteopaenic. There is bowing of the endplates and loss of height of the T12 vertebral body. Marked vascular calcification of the abdominal aorta with possible aneurysm. Urinary catheter is noted. AP erect view. Sternotomy wires and left sided med...	[ "XR", "Lumbar", "Spine", "and", "S.I.", "Joints", ":", "Normal", "alignment.", "The", "bone", "is", "generally", "osteopaenic.", "There", "is", "bowing", "of", "the", "endplates", "and", "loss", "of", "height", "of", "the", "T12", "vertebral", "body.", "Mark...	[ "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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "...	[]	[ "normal", "object" ]
49090	(AP) She is slightly rotated to the left. There is mild pulmonary venous congestion and perihilar bronchial wall thickening. Probable small pleural effusions bilaterally, with basal collapse. The appearances are in keeping with heart failure.	[ "(AP)", "She", "is", "slightly", "rotated", "to", "the", "left.", "There", "is", "mild", "pulmonary", "venous", "congestion", "and", "perihilar", "bronchial", "wall", "thickening.", "Probable", "small", "pleural", "effusions", "bilaterally,", "with", "basal", "col...	[ "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", "E", "B", "I", "I", "I", "I", "I" ]	[ { "label": "atelectasis", "start": 29, "end": 34 }, { "label": "bronchial_wall_thickening", "start": 11, "end": 28 }, { "label": "interstitial_shadowing", "start": 11, "end": 28 }, { "label": "pleural_effusion", "start": 29, "end": 34 }, { "label":...	[ "atelectasis", "bronchial_wall_thickening", "interstitial_shadowing", "pleural_effusion", "possible_diagnosis", "scoliosis" ]
49525	normal cardiac size. Large volume COPD lungs. Peripheral right upper zone air space disease noted which is nonspecific, and was not present on the previous radiograph. A repeat radiograph is recommended in 6 weeks.	[ "normal", "cardiac", "size.", "Large", "volume", "COPD", "lungs.", "Peripheral", "right", "upper", "zone", "air", "space", "disease", "noted", "which", "is", "nonspecific,", "and", "was", "not", "present", "on", "the", "previous", "radiograph.", "A", "repeat", ...	[ "B", "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", "I", "I", "I" ]	[ { "label": "comparison", "start": 10, "end": 33 }, { "label": "consolidation", "start": 10, "end": 33 }, { "label": "emphysema", "start": 4, "end": 9 }, { "label": "hyperexpanded_lungs", "start": 4, "end": 9 }, { "label": "normal", "start": 0, ...	[ "comparison", "consolidation", "emphysema", "hyperexpanded_lungs", "normal", "possible_diagnosis", "recommendation" ]
49591	(AP) A difficult film to interpret. Bilateral mid and lower zone opacification probably due to basal collapse and/or effusion. Ultrasound would help to distinguish between effusion and collapse.	[ "(AP)", "A", "difficult", "film", "to", "interpret.", "Bilateral", "mid", "and", "lower", "zone", "opacification", "probably", "due", "to", "basal", "collapse", "and/or", "effusion.", "Ultrasound", "would", "help", "to", "distinguish", "between", "effusion", "and"...	[ "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" ]	[ { "label": "atelectasis", "start": 9, "end": 27 }, { "label": "consolidation", "start": 9, "end": 27 }, { "label": "pleural_effusion", "start": 9, "end": 27 }, { "label": "technical_issue", "start": 0, "end": 8 } ]	[ "atelectasis", "consolidation", "pleural_effusion", "recommendation", "technical_issue" ]
49658	Heart size normal. There is paratracheal lymphadenopathy, more marked on the right. Probable left hilar lymphadenopathy. Right pleural effusion and ill-defined opacities in the right lung, potentially pleural rather than intrapulmonary. The appearances are little changed from the previous film of 26/2/10. Cervical lymp...	[ "Heart", "size", "normal.", "There", "is", "paratracheal", "lymphadenopathy,", "more", "marked", "on", "the", "right.", "Probable", "left", "hilar", "lymphadenopathy.", "Right", "pleural", "effusion", "and", "ill-defined", "opacities", "in", "the", "right", "lung,",...	[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "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": "comparison", "start": 56, "end": 84 }, { "label": "consolidation", "start": 29, "end": 55 }, { "label": "normal", "start": 0, "end": 3 }, { "label": "other", "start": 85, "end": 100 }, { "label": "paratracheal_hilar_enlargement", "s...	[ "comparison", "consolidation", "normal", "other", "paratracheal_hilar_enlargement", "pleural_effusion", "possible_diagnosis", "recommendation" ]
49725	Rotated film and AP projection. The mediastinum is also distorted due to scoliosis and even allowing for projection, the heart appears enlarged. There is a right paratracheal shadow extending behind the medial end of the right clavicle. Possibilities here include a retrosternal goitre but this has increased when compar...	[ "Rotated", "film", "and", "AP", "projection.", "The", "mediastinum", "is", "also", "distorted", "due", "to", "scoliosis", "and", "even", "allowing", "for", "projection,", "the", "heart", "appears", "enlarged.", "There", "is", "a", "right", "paratracheal", "shado...	[ "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", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "cardiomegaly", "start": 7, "end": 30 }, { "label": "comparison", "start": 31, "end": 105 }, { "label": "consolidation", "start": 88, "end": 105 }, { "label": "ground_glass_opacification", "start": 106, "end": 109 }, { "label": "paratrac...	[ "cardiomegaly", "comparison", "consolidation", "ground_glass_opacification", "paratracheal_hilar_enlargement", "pleural_effusion", "possible_diagnosis", "recommendation", "scoliosis", "technical_issue", "upper_lobe_blood_diversion" ]
49966	AP erect view. The lungs are slightly congested. No consolidation. The heart appears enlarged. Features are of cardiac failure. There is right glenohumeral arthropathy, probably post-traumatic. Gassy colonic loops noted in the upper abdomen.	[ "AP", "erect", "view.", "The", "lungs", "are", "slightly", "congested.", "No", "consolidation.", "The", "heart", "appears", "enlarged.", "Features", "are", "of", "cardiac", "failure.", "There", "is", "right", "glenohumeral", "arthropathy,", "probably", "post-traumat...	[ "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "E", "B", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "abnormal_non_clinically_important", "start": 25, "end": 33 }, { "label": "cardiomegaly", "start": 14, "end": 18 }, { "label": "consolidation", "start": 4, "end": 10 }, { "label": "normal", "start": 11, "end": 13 }, { "label": "possible_...	[ "abnormal_non_clinically_important", "cardiomegaly", "consolidation", "dilated_bowel", "normal", "possible_diagnosis", "rib_lesion" ]
49980	The heart is enlarged (CTR 15.1/27.2). The lungs are slightly congested. No consolidation. No pleural effusion.	[ "The", "heart", "is", "enlarged", "(CTR", "15.1/27.2).", "The", "lungs", "are", "slightly", "congested.", "No", "consolidation.", "No", "pleural", "effusion." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "O", "B" ]	[ { "label": "cardiomegaly", "start": 0, "end": 13 }, { "label": "interstitial_shadowing", "start": 15, "end": 15 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal" ]
50288	No previous films available for comparison. There is a small right sided pleural effusion. There are three rounded opacities in the right hemithorax, at the right upper zone, right midzone and right base. There is also some right basal parenchymal distortion.	[ "No", "previous", "films", "available", "for", "comparison.", "There", "is", "a", "small", "right", "sided", "pleural", "effusion.", "There", "are", "three", "rounded", "opacities", "in", "the", "right", "hemithorax,", "at", "the", "right", "upper", "zone,", "...	[ "B", "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", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "comparison", "start": 0, "end": 6 }, { "label": "consolidation", "start": 18, "end": 40 }, { "label": "pleural_effusion", "start": 7, "end": 17 } ]	[ "comparison", "consolidation", "interstitial_shadowing", "pleural_effusion" ]
50514	Compared to 1st February there is increased left pleural effusion with possible underlying collapsed lung. Mediastinal shift.	[ "Compared", "to", "1st", "February", "there", "is", "increased", "left", "pleural", "effusion", "with", "possible", "underlying", "collapsed", "lung.", "Mediastinal", "shift." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "atelectasis", "start": 0, "end": 16 }, { "label": "comparison", "start": 0, "end": 16 }, { "label": "pleural_effusion", "start": 0, "end": 16 } ]	[ "atelectasis", "comparison", "mediastinum_displaced", "pleural_effusion" ]
50601	The lungs are congested. No consolidation. Heart size is impossible to assess on this AP projection. Findings discussed with the requesting clinical team. XR Lumbar Spine and S.I. Joints : There is generalised marked osteopaenia. There are osteoporotic superior endplate fractures at levels T12 and L2 with mild anterior...	[ "The", "lungs", "are", "congested.", "No", "consolidation.", "Heart", "size", "is", "impossible", "to", "assess", "on", "this", "AP", "projection.", "Findings", "discussed", "with", "the", "requesting", "clinical", "team.", "XR", "Lumbar", "Spine", "and", "S.I."...	[ "B", "I", "I", "I", "I", "E", "B", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "...	[ { "label": "consolidation", "start": 0, "end": 5 }, { "label": "normal", "start": 6, "end": 8 }, { "label": "other", "start": 20, "end": 28 }, { "label": "technical_issue", "start": 9, "end": 19 } ]	[ "consolidation", "normal", "other", "technical_issue" ]
50666	The heart is not enlarged. There is however a rounded soft tissue shadow behind the left cardiac border along the medial margin which may be from the overlying breast but the examination should be carried-out otherwise a left lateral view. Lungs are otherwise clear. CHEST	[ "The", "heart", "is", "not", "enlarged.", "There", "is", "however", "a", "rounded", "soft", "tissue", "shadow", "behind", "the", "left", "cardiac", "border", "along", "the", "medial", "margin", "which", "may", "be", "from", "the", "overlying", "breast", "but...	[ "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": 6, "end": 44 }, { "label": "normal", "start": 0, "end": 5 }, { "label": "possible_diagnosis", "start": 6, "end": 44 }, { "label": "recommendation", "start": 6, "end": 44 } ]	[ "abnormal_non_clinically_important", "normal", "other", "possible_diagnosis", "recommendation" ]
50812	The elevation of the left hemidiaphragm is long standing as seen on the previous x-rays of April 2007 and is possibly due to eventration. It is however slightly more elevated on todays film due to more distension of the elevated bowel and stomach. Moreover there is overlying collapse consolidation above the elevated di...	[ "The", "elevation", "of", "the", "left", "hemidiaphragm", "is", "long", "standing", "as", "seen", "on", "the", "previous", "x-rays", "of", "April", "2007", "and", "is", "possibly", "due", "to", "eventration.", "It", "is", "however", "slightly", "more", "elev...	[ "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", "I", "I", "I", "I", "I", "I", "...	[ { "label": "atelectasis", "start": 55, "end": 58 }, { "label": "comparison", "start": 0, "end": 54 }, { "label": "consolidation", "start": 55, "end": 58 }, { "label": "dilated_bowel", "start": 0, "end": 54 }, { "label": "hemidiaphragm_elevated", ...	[ "atelectasis", "comparison", "consolidation", "dilated_bowel", "hemidiaphragm_elevated", "normal" ]
51051	There are fine miliary shadows in both lungs. The features would be consistent with miliary TB AN ADDENDUM HAS BEEN ENTERED AT THE END OF THIS REPORT ADDENDUM START	[ "There", "are", "fine", "miliary", "shadows", "in", "both", "lungs.", "The", "features", "would", "be", "consistent", "with", "miliary", "TB", "AN", "ADDENDUM", "HAS", "BEEN", "ENTERED", "AT", "THE", "END", "OF", "THIS", "REPORT", "ADDENDUM", "START" ]	[ "B", "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": "other", "start": 19, "end": 28 }, { "label": "parenchymal_lesion", "start": 0, "end": 9 }, { "label": "possible_diagnosis", "start": 10, "end": 18 } ]	[ "other", "parenchymal_lesion", "possible_diagnosis" ]
51197	There is some linear atelectasis in the lower zones, more on the left than on the right. The lungs are congested and the upper lobe pulmonary veins are prominent. The heart size is at the upper limit of normal.	[ "There", "is", "some", "linear", "atelectasis", "in", "the", "lower", "zones,", "more", "on", "the", "left", "than", "on", "the", "right.", "The", "lungs", "are", "congested", "and", "the", "upper", "lobe", "pulmonary", "veins", "are", "prominent.", "The", ...	[ "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", "I", "I", "E", "B", "I", "I", "I" ]	[ { "label": "atelectasis", "start": 0, "end": 20 }, { "label": "consolidation", "start": 21, "end": 34 }, { "label": "normal", "start": 35, "end": 38 }, { "label": "upper_lobe_blood_diversion", "start": 21, "end": 34 } ]	[ "atelectasis", "consolidation", "normal", "upper_lobe_blood_diversion" ]
51465	no previous films. Markedly abnormal lungs bilaterally coarse fibrosis, lymph node calcification suggestive of previous TB infection, with probable COPD and large left upper lobe bulla. No lung consolidation/collapse. No previous films for comparison.	[ "no", "previous", "films.", "Markedly", "abnormal", "lungs", "bilaterally", "coarse", "fibrosis,", "lymph", "node", "calcification", "suggestive", "of", "previous", "TB", "infection,", "with", "probable", "COPD", "and", "large", "left", "upper", "lobe", "bulla.", ...	[ "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", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "bulla", "start": 4, "end": 33 }, { "label": "comparison", "start": 0, "end": 3 }, { "label": "emphysema", "start": 4, "end": 33 }, { "label": "hyperexpanded_lungs", "start": 4, "end": 33 }, { "label": "interstitial_shadowing", "star...	[ "bulla", "comparison", "emphysema", "hyperexpanded_lungs", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement" ]
51515	There is collapse of the left upper lobe, with a large hila mass. There is thickening and inflammatory change seen along the basal bronchi of the left lower lobe. The lungs are otherwise clear. There is evidence of hyperexpansion of the right lung. No bony destructive changes seen. A fast track appointment has been mad...	[ "There", "is", "collapse", "of", "the", "left", "upper", "lobe,", "with", "a", "large", "hila", "mass.", "There", "is", "thickening", "and", "inflammatory", "change", "seen", "along", "the", "basal", "bronchi", "of", "the", "left", "lower", "lobe.", "The", ...	[ "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", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "...	[ { "label": "bronchial_wall_thickening", "start": 16, "end": 34 }, { "label": "consolidation", "start": 0, "end": 15 }, { "label": "hyperexpanded_lungs", "start": 41, "end": 53 }, { "label": "normal", "start": 35, "end": 40 }, { "label": "normal", ...	[ "bronchial_wall_thickening", "consolidation", "hyperexpanded_lungs", "normal", "other", "paratracheal_hilar_enlargement", "volume_loss" ]
51789	Compared to 1 December there now appears pathological fracture of the posterior part of the right 7th rib. There may be also metastases in the 6th ribs on both side. Bone Scan may help.	[ "Compared", "to", "1", "December", "there", "now", "appears", "pathological", "fracture", "of", "the", "posterior", "part", "of", "the", "right", "7th", "rib.", "There", "may", "be", "also", "metastases", "in", "the", "6th", "ribs", "on", "both", "side.", ...	[ "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" ]	[ { "label": "comparison", "start": 0, "end": 19 }, { "label": "rib_lesion", "start": 0, "end": 33 } ]	[ "comparison", "recommendation", "rib_lesion" ]
52121	Heart is enlarged. Border line lung vasculature. Haziness in the right lower lobe which could be due to congestion or an added mild infection. Clear pleural recesses.	[ "Heart", "is", "enlarged.", "Border", "line", "lung", "vasculature.", "Haziness", "in", "the", "right", "lower", "lobe", "which", "could", "be", "due", "to", "congestion", "or", "an", "added", "mild", "infection.", "Clear", "pleural", "recesses." ]	[ "B", "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" ]	[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "consolidation", "start": 11, "end": 26 }, { "label": "interstitial_shadowing", "start": 11, "end": 26 }, { "label": "normal", "start": 4, "end": 10 }, { "label": "possible_diagnosis", ...	[ "cardiomegaly", "consolidation", "interstitial_shadowing", "normal", "possible_diagnosis" ]
52148	Shadowing noted in the right lower zone medially could either be due to pericardial fat pad or cyst or collapse consolidation of the right mid lobe. The rest of the lungs appear clear. No previous CXR available for comparison to see whether this is old or new. I suggest referral for the chest clinic for further assessm...	[ "Shadowing", "noted", "in", "the", "right", "lower", "zone", "medially", "could", "either", "be", "due", "to", "pericardial", "fat", "pad", "or", "cyst", "or", "collapse", "consolidation", "of", "the", "right", "mid", "lobe.", "The", "rest", "of", "the", "...	[ "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", "E", "B", "I", "I", "I", "...	[ { "label": "comparison", "start": 41, "end": 57 }, { "label": "consolidation", "start": 0, "end": 32 }, { "label": "normal", "start": 33, "end": 40 }, { "label": "recommendation", "start": 58, "end": 62 }, { "label": "volume_loss", "start": 0, ...	[ "comparison", "consolidation", "normal", "recommendation", "volume_loss" ]
52199	The lungs are congested. The heart is enlarged. There is a large hiatus hernia. Old fracture of the right neck of humerus.	[ "The", "lungs", "are", "congested.", "The", "heart", "is", "enlarged.", "There", "is", "a", "large", "hiatus", "hernia.", "Old", "fracture", "of", "the", "right", "neck", "of", "humerus." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "abnormal_non_clinically_important", "start": 19, "end": 21 }, { "label": "cardiomegaly", "start": 6, "end": 10 }, { "label": "hernia", "start": 11, "end": 18 }, { "label": "interstitial_shadowing", "start": 0, "end": 5 }, { "label": "pa...	[ "abnormal_non_clinically_important", "cardiomegaly", "hernia", "interstitial_shadowing", "paratracheal_hilar_enlargement", "rib_lesion" ]
52278	No significant alteration in comparison to the previous chest x-ray of 5th December 07. Persistence small right pleural effusion. Right apical pleural thickening and fibrotic changes in the right upper lobe with deviation of the trachea to the right side. Left lung remains clear. Normal heart side. Tendency to overinfl...	[ "No", "significant", "alteration", "in", "comparison", "to", "the", "previous", "chest", "x-ray", "of", "5th", "December", "07.", "Persistence", "small", "right", "pleural", "effusion.", "Right", "apical", "pleural", "thickening", "and", "fibrotic", "changes", "in...	[ "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", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "apical_fibrosis", "start": 27, "end": 55 }, { "label": "comparison", "start": 0, "end": 17 }, { "label": "mediastinum_displaced", "start": 27, "end": 55 }, { "label": "normal", "start": 56, "end": 58 }, { "label": "pleural_abnormality",...	[ "apical_fibrosis", "comparison", "hyperexpanded_lungs", "mediastinum_displaced", "normal", "other", "pleural_abnormality", "pleural_effusion" ]
52339	The superior mediastinum is widened presumably due to a mass. The right hilum is also prominent. Heart is not enlarged. Due to strong suspicion of neoplasm, your patient has been Fast Tracked for further investigation.	[ "The", "superior", "mediastinum", "is", "widened", "presumably", "due", "to", "a", "mass.", "The", "right", "hilum", "is", "also", "prominent.", "Heart", "is", "not", "enlarged.", "Due", "to", "strong", "suspicion", "of", "neoplasm,", "your", "patient", "has",...	[ "B", "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", "E", "B", "I", "I", "I", "I", "I", "I" ]	[ { "label": "mediastinum_widened", "start": 0, "end": 13 }, { "label": "normal", "start": 23, "end": 27 }, { "label": "other", "start": 28, "end": 34 }, { "label": "paratracheal_hilar_enlargement", "start": 14, "end": 22 } ]	[ "mediastinum_widened", "normal", "other", "paratracheal_hilar_enlargement" ]
52435	Reported by Dr Hadid Reviewed by Dr Oliver for the colorectal MDM 3/3/2010 The appearance of the left hilum has not altered since a previous examination in May 2008 and does not need further investigation. End of review Heart size normal, the lungs appear clear. The left hilum appears denser than the right, could be du...	[ "Reported", "by", "Dr", "Hadid", "Reviewed", "by", "Dr", "Oliver", "for", "the", "colorectal", "MDM", "3/3/2010", "The", "appearance", "of", "the", "left", "hilum", "has", "not", "altered", "since", "a", "previous", "examination", "in", "May", "2008", "and",...	[ "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": "comparison", "start": 24, "end": 48 }, { "label": "normal", "start": 52, "end": 60 }, { "label": "other", "start": 0, "end": 23 }, { "label": "other", "start": 49, "end": 51 }, { "label": "paratracheal_hilar_enlargement", "start": 2...	[ "comparison", "normal", "other", "paratracheal_hilar_enlargement", "possible_diagnosis" ]
52832	The heart is enlarged. There is little pulmonary vascular congestion. There is now a small left pleural effusion. Appearances are of mild heart failure.	[ "The", "heart", "is", "enlarged.", "There", "is", "little", "pulmonary", "vascular", "congestion.", "There", "is", "now", "a", "small", "left", "pleural", "effusion.", "Appearances", "are", "of", "mild", "heart", "failure." ]	[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B" ]	[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "interstitial_shadowing", "start": 5, "end": 11 }, { "label": "normal", "start": 23, "end": 23 }, { "label": "pleural_effusion", "start": 12, "end": 22 }, { "label": "upper_lobe_blood_di...	[ "cardiomegaly", "interstitial_shadowing", "normal", "pleural_effusion", "upper_lobe_blood_diversion" ]
53286	There is cardiomegally, upper lobe blood vessel diversion noted, the lungs appear clear, small pleural reaction obscuring the left costophrenic angle noted. the Appearance suggestive of an underlying LVF. Small cystic OA changes noted in the greater tuberosity. Cystic OA changes noted in the greater tuberosity.	[ "There", "is", "cardiomegally,", "upper", "lobe", "blood", "vessel", "diversion", "noted,", "the", "lungs", "appear", "clear,", "small", "pleural", "reaction", "obscuring", "the", "left", "costophrenic", "angle", "noted.", "the", "Appearance", "suggestive", "of", ...	[ "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", "E", "B", "...	[ { "label": "abnormal_non_clinically_important", "start": 44, "end": 45 }, { "label": "cardiomegaly", "start": 0, "end": 34 }, { "label": "pleural_abnormality", "start": 0, "end": 34 }, { "label": "possible_diagnosis", "start": 35, "end": 43 }, { "l...	[ "abnormal_non_clinically_important", "cardiomegaly", "pleural_abnormality", "possible_diagnosis", "upper_lobe_blood_diversion" ]
53501	Compared with the previous x-rays, there seems to be no significant change. Some cavitation was noted at the right apex, but no significant increase in abnormal opacity in the right upper zone on this occasion. However I cannot exclude a pancoast tumour. The patient however did had a previous CT in 2009. Please see the...	[ "Compared", "with", "the", "previous", "x-rays,", "there", "seems", "to", "be", "no", "significant", "change.", "Some", "cavitation", "was", "noted", "at", "the", "right", "apex,", "but", "no", "significant", "increase", "in", "abnormal", "opacity", "in", "the...	[ "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", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "...	[ { "label": "abnormal_non_clinically_important", "start": 90, "end": 90 }, { "label": "cavitating_lung_lesion", "start": 16, "end": 41 }, { "label": "comparison", "start": 0, "end": 15 }, { "label": "comparison", "start": 53, "end": 89 }, { "label":...	[ "abnormal_non_clinically_important", "cavitating_lung_lesion", "comparison", "emphysema", "other", "parenchymal_lesion", "possible_diagnosis", "recommendation" ]
53604	Lung fields appear clear. Calcified opacities seen in the left supraclavicular region, left axilla and both hila. Old fracture of the right 7th rib is noted. Heart may be enlarged.	[ "Lung", "fields", "appear", "clear.", "Calcified", "opacities", "seen", "in", "the", "left", "supraclavicular", "region,", "left", "axilla", "and", "both", "hila.", "Old", "fracture", "of", "the", "right", "7th", "rib", "is", "noted.", "Heart", "may", "be", ...	[ "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" ]	[ { "label": "abnormal_non_clinically_important", "start": 6, "end": 29 }, { "label": "axillary_abnormality", "start": 6, "end": 29 }, { "label": "normal", "start": 0, "end": 5 }, { "label": "paratracheal_hilar_enlargement", "start": 6, "end": 29 } ]	[ "abnormal_non_clinically_important", "axillary_abnormality", "cardiomegaly", "normal", "paratracheal_hilar_enlargement", "rib_fracture" ]
53714	Normal mediastinal outline. No significant lung or pleural lesion. XR Femur (Thigh) Lt : No other abnormality. Calcified arteries noted.	[ "Normal", "mediastinal", "outline.", "No", "significant", "lung", "or", "pleural", "lesion.", "XR", "Femur", "(Thigh)", "Lt", ":", "No", "other", "abnormality.", "Calcified", "arteries", "noted." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "E", "O", "O", "O", "O", "O" ]	[ { "label": "normal", "start": 0, "end": 14 } ]	[ "normal" ]
53920	Following removal pf chest drain there is increased left sided pleural effusion with mediastinal shift indicative of collapsed lung.	[ "Following", "removal", "pf", "chest", "drain", "there", "is", "increased", "left", "sided", "pleural", "effusion", "with", "mediastinal", "shift", "indicative", "of", "collapsed", "lung." ]	[ "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": "consolidation", "start": 0, "end": 18 }, { "label": "mediastinum_displaced", "start": 0, "end": 18 }, { "label": "other", "start": 0, "end": 18 }, { "label": "pleural_effusion", "sta...	[ "comparison", "consolidation", "mediastinum_displaced", "other", "pleural_effusion", "volume_loss" ]
53972	No previous x-ray available for comparison. There is reduction in the left lung volume. There is some pleural thickening in the left apex. Slight opacity is also seen in the left upper zone. I am not quite sure whether these changes are due to previous lobectomy or recent development. The right lung is hyperinflated bu...	[ "No", "previous", "x-ray", "available", "for", "comparison.", "There", "is", "reduction", "in", "the", "left", "lung", "volume.", "There", "is", "some", "pleural", "thickening", "in", "the", "left", "apex.", "Slight", "opacity", "is", "also", "seen", "in", "...	[ "B", "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", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "...	[ { "label": "comparison", "start": 0, "end": 8 }, { "label": "consolidation", "start": 30, "end": 41 }, { "label": "hyperexpanded_lungs", "start": 60, "end": 70 }, { "label": "pleural_abnormality", "start": 18, "end": 29 }, { "label": "possible_diag...	[ "comparison", "consolidation", "hyperexpanded_lungs", "pleural_abnormality", "possible_diagnosis", "recommendation", "volume_loss" ]
54172	There is a small left sided pleural effusion. The right costophrenic angle is blunted probably due to pleural reaction. The heart is slightly enlarged. There is mild pulmonary congestion. No major collapse or consolidation is seen. A follow up x-ray chest is suggested.	[ "There", "is", "a", "small", "left", "sided", "pleural", "effusion.", "The", "right", "costophrenic", "angle", "is", "blunted", "probably", "due", "to", "pleural", "reaction.", "The", "heart", "is", "slightly", "enlarged.", "There", "is", "mild", "pulmonary", ...	[ "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", "E", "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "I" ]	[ { "label": "cardiomegaly", "start": 29, "end": 34 }, { "label": "interstitial_shadowing", "start": 35, "end": 40 }, { "label": "normal", "start": 41, "end": 42 }, { "label": "pleural_abnormality", "start": 11, "end": 28 }, { "label": "pleural_effus...	[ "cardiomegaly", "interstitial_shadowing", "normal", "pleural_abnormality", "pleural_effusion", "recommendation" ]
54735	The heart size is at the upper limit of normal. The lungs are slightly congested. The upper lobe pulmonary veins are mildly distended. No consolidation or pleural effusion. Features are consistent with mild cardiac failure.	[ "The", "heart", "size", "is", "at", "the", "upper", "limit", "of", "normal.", "The", "lungs", "are", "slightly", "congested.", "The", "upper", "lobe", "pulmonary", "veins", "are", "mildly", "distended.", "No", "consolidation", "or", "pleural", "effusion.", "Fe...	[ "B", "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", "E", "B", "I", "I", "I", "I", "I", "I" ]	[ { "label": "interstitial_shadowing", "start": 11, "end": 17 }, { "label": "normal", "start": 0, "end": 10 }, { "label": "normal", "start": 28, "end": 34 }, { "label": "upper_lobe_blood_diversion", "start": 18, "end": 27 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal", "upper_lobe_blood_diversion" ]
54943	XR Lumbar Spine and S.I. Joints : Multilevel moderate degenerative changes with anterior osteophytes. The bone is generally osteopaenic. The alignment and height of the lumbar and lower thoracic vertebrae are maintained. Normal sacroiliac joints. Calcified abdominal aorta and visceral branches. Multilevel marked spondy...	[ "XR", "Lumbar", "Spine", "and", "S.I.", "Joints", ":", "Multilevel", "moderate", "degenerative", "changes", "with", "anterior", "osteophytes.", "The", "bone", "is", "generally", "osteopaenic.", "The", "alignment", "and", "height", "of", "the", "lumbar", "and", "...	[ "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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "...	[]	[ "interstitial_shadowing", "normal", "object", "possible_diagnosis" ]
55116	No previous x-ray available for comparison. There is evidence of linear opacity in the left upper zone presumably due to fibrotic lesion as a result of TB. The left mid and lower zone of the lungs are markedly radiolucent. It is difficult to be sure whether this is due to hyperinflated left lung as a result of reductio...	[ "No", "previous", "x-ray", "available", "for", "comparison.", "There", "is", "evidence", "of", "linear", "opacity", "in", "the", "left", "upper", "zone", "presumably", "due", "to", "fibrotic", "lesion", "as", "a", "result", "of", "TB.", "The", "left", "mid",...	[ "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", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "apical_fibrosis", "start": 9, "end": 33 }, { "label": "comparison", "start": 0, "end": 8 }, { "label": "hyperexpanded_lungs", "start": 34, "end": 100 }, { "label": "possible_diagnosis", "start": 9, "end": 100 }, { "label": "recommendati...	[ "apical_fibrosis", "comparison", "hyperexpanded_lungs", "normal", "possible_diagnosis", "recommendation", "volume_loss" ]
55433	alignment maintained. There is some midthoracic loss of vertebral body height in keeping with osteoporosis. No marked compression/fracture. normal cardiac size. No focal active lung lesion. Rotated film with dense left hilum/prominent left pulmonary artery.	[ "alignment", "maintained.", "There", "is", "some", "midthoracic", "loss", "of", "vertebral", "body", "height", "in", "keeping", "with", "osteoporosis.", "No", "marked", "compression/fracture.", "normal", "cardiac", "size.", "No", "focal", "active", "lung", "lesion."...	[ "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", "B", "I", "I", "I", "I", "I", "I", "E", "B" ]	[ { "label": "normal", "start": 26, "end": 34 } ]	[ "normal", "technical_issue" ]
55477	AP semi-erect view. The lungs are congested. The upper lobe pulmonary veins are slightly distended. Even allowing for the projection, the heart is moderately enlarged. No consolidation or pleural effusion. Features are in keeping with cardiac failure.	[ "AP", "semi-erect", "view.", "The", "lungs", "are", "congested.", "The", "upper", "lobe", "pulmonary", "veins", "are", "slightly", "distended.", "Even", "allowing", "for", "the", "projection,", "the", "heart", "is", "moderately", "enlarged.", "No", "consolidation"...	[ "O", "O", "O", "O", "O", "O", "O", "B", "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", "E", "B", "I" ]	[ { "label": "cardiomegaly", "start": 23, "end": 34 }, { "label": "interstitial_shadowing", "start": 7, "end": 12 }, { "label": "normal", "start": 35, "end": 36 }, { "label": "paratracheal_hilar_enlargement", "start": 7, "end": 12 }, { "label": "uppe...	[ "cardiomegaly", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "possible_diagnosis", "upper_lobe_blood_diversion" ]
55830	AP erect view. The lung are congested. No consolidation or collapse. Longstanding pleural reaction at the left costophrenic angle is noted. Even allowing for the projection, the heart appears enlarged. Features are of cardiac failure. FB material projected over the soft tissues of the left side of the lower chest is th...	[ "AP", "erect", "view.", "The", "lung", "are", "congested.", "No", "consolidation", "or", "collapse.", "Longstanding", "pleural", "reaction", "at", "the", "left", "costophrenic", "angle", "is", "noted.", "Even", "allowing", "for", "the", "projection,", "the", "he...	[ "O", "O", "O", "O", "B", "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", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "...	[ { "label": "cardiomegaly", "start": 31, "end": 41 }, { "label": "consolidation", "start": 4, "end": 9 }, { "label": "normal", "start": 10, "end": 14 }, { "label": "object", "start": 48, "end": 57 }, { "label": "pleural_effusion", "start": 15, ...	[ "cardiomegaly", "consolidation", "normal", "object", "pleural_effusion", "possible_diagnosis", "technical_issue" ]
56166	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" ]
56168	Extensive opacification in the left lung due to contusion. Thin left apical haemothorax. Right lung is well expanded. Fracture left clavicle. Irregularity of the left first rib suspicious of a fracture.	[ "Extensive", "opacification", "in", "the", "left", "lung", "due", "to", "contusion.", "Thin", "left", "apical", "haemothorax.", "Right", "lung", "is", "well", "expanded.", "Fracture", "left", "clavicle.", "Irregularity", "of", "the", "left", "first", "rib", "sus...	[ "B", "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", "E", "B" ]	[ { "label": "clavicle_fracture", "start": 30, "end": 30 }, { "label": "consolidation", "start": 0, "end": 13 }, { "label": "hyperexpanded_lungs", "start": 24, "end": 29 }, { "label": "pleural_effusion", "start": 14, "end": 23 }, { "label": "pneumoth...	[ "clavicle_fracture", "consolidation", "hyperexpanded_lungs", "pleural_effusion", "pneumothorax", "rib_fracture" ]
56223	There appears to be either retrosternal thyroid or lymph node enlargement in the upper mediastinum with slight deviation of the trachea to the right. The aorta is unfolded and calcified no change. Heart size normal. Humping of the right hemidiaphragm and changed. The lungs appear clear.	[ "There", "appears", "to", "be", "either", "retrosternal", "thyroid", "or", "lymph", "node", "enlargement", "in", "the", "upper", "mediastinum", "with", "slight", "deviation", "of", "the", "trachea", "to", "the", "right.", "The", "aorta", "is", "unfolded", "and...	[ "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", "I", "I", "I", "I", "E", "...	[ { "label": "aortic_calcification", "start": 33, "end": 44 }, { "label": "mediastinum_displaced", "start": 0, "end": 32 }, { "label": "normal", "start": 45, "end": 45 }, { "label": "paratracheal_hilar_enlargement", "start": 0, "end": 32 }, { "label"...	[ "aortic_calcification", "comparison", "hemidiaphragm_elevated", "mediastinum_displaced", "normal", "paratracheal_hilar_enlargement", "unfolded_aorta" ]
56253	NAD. No secondary deposit seen. There is calcification of the intervertebral discs in the lower dorsal spine. No secondary deposit seen. Lung fields are clear. The hilar and mediastinum appear normal. No abnormality seen in the ribs. Normal heart size.	[ "NAD.", "No", "secondary", "deposit", "seen.", "There", "is", "calcification", "of", "the", "intervertebral", "discs", "in", "the", "lower", "dorsal", "spine.", "No", "secondary", "deposit", "seen.", "Lung", "fields", "are", "clear.", "The", "hilar", "and", "m...	[ "B", "I", "E", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "O", "O", "O", "O", "O", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]	[ { "label": "abnormal_non_clinically_important", "start": 8, "end": 24 }, { "label": "normal", "start": 0, "end": 7 }, { "label": "normal", "start": 30, "end": 39 }, { "label": "rib_lesion", "start": 8, "end": 24 } ]	[ "abnormal_non_clinically_important", "normal", "rib_lesion" ]
56339	There is evidence of emphysema but no focal lung lesion is identified. There is a vague superior mediastinal/left retroclavicular shadow which may be artefactual. Is there a history of a goitre, breathlessness or dysphagia? This may be evaluated further with CT thorax. Normal heart size. Normal hilar outlines noted. No...	[ "There", "is", "evidence", "of", "emphysema", "but", "no", "focal", "lung", "lesion", "is", "identified.", "There", "is", "a", "vague", "superior", "mediastinal/left", "retroclavicular", "shadow", "which", "may", "be", "artefactual.", "Is", "there", "a", "histor...	[ "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", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "emphysema", "start": 0, "end": 16 }, { "label": "mediastinum_widened", "start": 17, "end": 53 }, { "label": "possible_diagnosis", "start": 17, "end": 53 }, { "label": "recommendation", "start": 17, "end": 53 } ]	[ "emphysema", "mediastinum_widened", "normal", "possible_diagnosis", "recommendation" ]
56484	Emphysematous changes noted. There is increased parenchymal shadowing seen medially in the right upper zone, this may just represent scarring. There is obvious abnormality eminating from both hilar with fairly symmetrical looking lymphadenopathy. I note the previous history of Hodgkin's lymphoma.	[ "Emphysematous", "changes", "noted.", "There", "is", "increased", "parenchymal", "shadowing", "seen", "medially", "in", "the", "right", "upper", "zone,", "this", "may", "just", "represent", "scarring.", "There", "is", "obvious", "abnormality", "eminating", "from", ...	[ "B", "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", "E", "B", "I", "I", "I", "I", "I", "I" ]	[ { "label": "apical_fibrosis", "start": 8, "end": 33 }, { "label": "emphysema", "start": 0, "end": 7 }, { "label": "paratracheal_hilar_enlargement", "start": 34, "end": 40 } ]	[ "apical_fibrosis", "emphysema", "other", "paratracheal_hilar_enlargement" ]
56763	no focal active lung lesion. Normal cardiac size.	[ "no", "focal", "active", "lung", "lesion.", "Normal", "cardiac", "size." ]	[ "B", "I", "I", "I", "I", "I", "E", "B" ]	[ { "label": "normal", "start": 0, "end": 7 } ]	[ "normal" ]
57203	large volume COPD lungs. No focal active lung lesion. Left distal para-spinal mass noted, likely a small hiatus hernia.	[ "large", "volume", "COPD", "lungs.", "No", "focal", "active", "lung", "lesion.", "Left", "distal", "para-spinal", "mass", "noted,", "likely", "a", "small", "hiatus", "hernia." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I" ]	[ { "label": "emphysema", "start": 0, "end": 5 }, { "label": "hernia", "start": 13, "end": 18 }, { "label": "hyperexpanded_lungs", "start": 0, "end": 5 }, { "label": "normal", "start": 6, "end": 12 }, { "label": "possible_diagnosis", "start": 0, ...	[ "emphysema", "hernia", "hyperexpanded_lungs", "normal", "possible_diagnosis" ]
57248	Coarse lung parenchyma. Cardiomegaly. Multiple rib fractures. Borderline lung vasculature. There is medial subluxation of the right femur over the right tibia. Large loose body and osteophytes right knee. Marked narrowing of the joint space. Slight narrowing of the medial joint space on the left side. Appearances are o...	[ "Coarse", "lung", "parenchyma.", "Cardiomegaly.", "Multiple", "rib", "fractures.", "Borderline", "lung", "vasculature.", "There", "is", "medial", "subluxation", "of", "the", "right", "femur", "over", "the", "right", "tibia.", "Large", "loose", "body", "and", "oste...	[ "O", "O", "O", "O", "O", "O", "O", "O", "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", "...	[ { "label": "cardiomegaly", "start": 8, "end": 13 }, { "label": "rib_fracture", "start": 14, "end": 17 } ]	[ "cardiomegaly", "rib_fracture" ]
57249	PA erect. There is irregularity of the lateral right hemidiaphragm where there was previous haemothorax following a stabbing. This may represent an area of scarring following direct trauma to the lateral hemidiaphragm. The remainder of the lungs and pleural spaces are clear.	[ "PA", "erect.", "There", "is", "irregularity", "of", "the", "lateral", "right", "hemidiaphragm", "where", "there", "was", "previous", "haemothorax", "following", "a", "stabbing.", "This", "may", "represent", "an", "area", "of", "scarring", "following", "direct", ...	[ "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", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "comparison", "start": 3, "end": 41 }, { "label": "interstitial_shadowing", "start": 3, "end": 41 } ]	[ "comparison", "interstitial_shadowing", "normal" ]
57624	(AP) Triple valve replacement. Pacemaker/defibrillator left chest. Previous left thoracotomy. The heart is considerably enlarged even allowing for the projection. Prominent central pulmonary arteries in keeping with pulmonary hypertension. Longstanding pleural thickening at the left costophrenic angle. The lungs are ot...	[ "(AP)", "Triple", "valve", "replacement.", "Pacemaker/defibrillator", "left", "chest.", "Previous", "left", "thoracotomy.", "The", "heart", "is", "considerably", "enlarged", "even", "allowing", "for", "the", "projection.", "Prominent", "central", "pulmonary", "arteries"...	[ "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 23, "end": 33 }, { "label": "object", "start": 0, "end": 16 }, { "label": "paratracheal_hilar_enlargement", "start": 34, "end": 41 } ]	[ "cardiomegaly", "normal", "object", "paratracheal_hilar_enlargement", "pleural_abnormality" ]
58018	There is globular enlargement of the heart in association with a left sided pleural effusion. XR Lumbar Spine and S.I. Joints : There is moderate to severe degenerative change in the lumbar spine in association with a scoliosis which is convex to the right. Large, calcified abdominal aortic aneurysm noted anteriorly. N...	[ "There", "is", "globular", "enlargement", "of", "the", "heart", "in", "association", "with", "a", "left", "sided", "pleural", "effusion.", "XR", "Lumbar", "Spine", "and", "S.I.", "Joints", ":", "There", "is", "moderate", "to", "severe", "degenerative", "change...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "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", "O", "O", "O", "O", "...	[ { "label": "cardiomegaly", "start": 0, "end": 19 }, { "label": "normal", "start": 80, "end": 84 }, { "label": "pleural_effusion", "start": 0, "end": 19 } ]	[ "cardiomegaly", "normal", "pleural_effusion" ]
58094	The heart is not enlarged. No convincing changes of COPD. There is some linear scarring seen in the left upper zone.	[ "The", "heart", "is", "not", "enlarged.", "No", "convincing", "changes", "of", "COPD.", "There", "is", "some", "linear", "scarring", "seen", "in", "the", "left", "upper", "zone." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "interstitial_shadowing", "start": 13, "end": 20 }, { "label": "normal", "start": 0, "end": 12 } ]	[ "interstitial_shadowing", "normal" ]
58123	No change since the 11th of July 2010 Vascular calcification noted. No plain film signs of osteomyelitis. If in doubt advise isotope scan or MR.	[ "No", "change", "since", "the", "11th", "of", "July", "2010", "Vascular", "calcification", "noted.", "No", "plain", "film", "signs", "of", "osteomyelitis.", "If", "in", "doubt", "advise", "isotope", "scan", "or", "MR." ]	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "E" ]	[ { "label": "aortic_calcification", "start": 0, "end": 14 }, { "label": "comparison", "start": 0, "end": 14 }, { "label": "coronary_calcification", "start": 0, "end": 14 }, { "label": "normal", "start": 15, "end": 24 } ]	[ "aortic_calcification", "comparison", "coronary_calcification", "normal", "recommendation" ]
58148	AP view. ETT in situ. Multiple displaced, serial left sided rib fractures are noted. The right hemithorax is more opaque than the left suggesting lung contusion. There is suspicion for undisplaced right sided rib fractures. The mediastinum is indistinct.	[ "AP", "view.", "ETT", "in", "situ.", "Multiple", "displaced,", "serial", "left", "sided", "rib", "fractures", "are", "noted.", "The", "right", "hemithorax", "is", "more", "opaque", "than", "the", "left", "suggesting", "lung", "contusion.", "There", "is", "susp...	[ "O", "O", "O", "B", "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", "I", "E", "B", "I", "I" ]	[ { "label": "consolidation", "start": 19, "end": 35 }, { "label": "object", "start": 3, "end": 7 }, { "label": "possible_diagnosis", "start": 19, "end": 35 }, { "label": "rib_fracture", "start": 8, "end": 18 }, { "label": "rib_fracture", "start"...	[ "consolidation", "object", "possible_diagnosis", "rib_fracture" ]
58193	NAD. There is marked wedging of L1 which could be due to osteoporosis. MR scan of the lumbar spine is suggested for further evaluation. Heart is enlarged. There is a linear atelectasis in both bases. The rest of the lung fields appear clear. There is no CCF or pleural effusion.	[ "NAD.", "There", "is", "marked", "wedging", "of", "L1", "which", "could", "be", "due", "to", "osteoporosis.", "MR", "scan", "of", "the", "lumbar", "spine", "is", "suggested", "for", "further", "evaluation.", "Heart", "is", "enlarged.", "There", "is", "a", ...	[ "B", "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", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "...	[ { "label": "atelectasis", "start": 39, "end": 49 }, { "label": "cardiomegaly", "start": 35, "end": 38 }, { "label": "normal", "start": 0, "end": 2 }, { "label": "possible_diagnosis", "start": 3, "end": 20 }, { "label": "recommendation", "start"...	[ "atelectasis", "cardiomegaly", "normal", "possible_diagnosis", "recommendation", "rib_lesion" ]
58316	small bilateral pleural effusion seen left more than right. Congestive changes are noted in lung fields. Sternal wires seen. Heart size cannot be commented as it is an AP view.	[ "small", "bilateral", "pleural", "effusion", "seen", "left", "more", "than", "right.", "Congestive", "changes", "are", "noted", "in", "lung", "fields.", "Sternal", "wires", "seen.", "Heart", "size", "cannot", "be", "commented", "as", "it", "is", "an", "AP", ...	[ "B", "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", "E", "B", "I", "I" ]	[ { "label": "interstitial_shadowing", "start": 12, "end": 21 }, { "label": "object", "start": 22, "end": 26 }, { "label": "pleural_effusion", "start": 0, "end": 11 }, { "label": "technical_issue", "start": 27, "end": 29 } ]	[ "interstitial_shadowing", "object", "pleural_effusion", "technical_issue" ]
58456	There is curvi-linear calcification in the region of the left atrial appendage, and also at the left hemidiaphragms appearance suggestive of previous asbestos exposure. Heart size at the upper limit of Normal, there is prominency of the left atrial appendage suggestive of mitral valve disease. The lungs appear hyperinf...	[ "There", "is", "curvi-linear", "calcification", "in", "the", "region", "of", "the", "left", "atrial", "appendage,", "and", "also", "at", "the", "left", "hemidiaphragms", "appearance", "suggestive", "of", "previous", "asbestos", "exposure.", "Heart", "size", "at", ...	[ "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", "E", "B", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "cardiomegaly", "start": 37, "end": 57 }, { "label": "pleural_abnormality", "start": 0, "end": 36 }, { "label": "possible_diagnosis", "start": 0, "end": 36 } ]	[ "cardiomegaly", "hemidiaphragm_elevated", "hyperexpanded_lungs", "pleural_abnormality", "possible_diagnosis" ]
58578	AP Supine portable film. ET tube in situ. Normal mediastinal contour. Lungs are clear. No bony abnormality identified.	[ "AP", "Supine", "portable", "film.", "ET", "tube", "in", "situ.", "Normal", "mediastinal", "contour.", "Lungs", "are", "clear.", "No", "bony", "abnormality", "identified." ]	[ "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E" ]	[ { "label": "normal", "start": 11, "end": 17 }, { "label": "object", "start": 6, "end": 10 } ]	[ "normal", "object" ]
59020	There has been good resolution of the previously noted consolidation in the right upper zone. Residual linear shadowing noted. Good response to medication. TB should be excluded. Heart size normal.	[ "There", "has", "been", "good", "resolution", "of", "the", "previously", "noted", "consolidation", "in", "the", "right", "upper", "zone.", "Residual", "linear", "shadowing", "noted.", "Good", "response", "to", "medication.", "TB", "should", "be", "excluded.", "H...	[ "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" ]	[ { "label": "comparison", "start": 0, "end": 28 }, { "label": "consolidation", "start": 0, "end": 28 }, { "label": "possible_diagnosis", "start": 29, "end": 29 } ]	[ "comparison", "consolidation", "normal", "possible_diagnosis" ]
59716	The heart size is slightly increased. (CTR 16.1: 31.3). There is a small area of atelectasis seen in the left lower zone. This area is fairly ill-defined and may represent an area of acute inflammation. The lungs otherwise appear clear. The lungs are generally a little plethoric in keeping with raised pulmonary venous ...	[ "The", "heart", "size", "is", "slightly", "increased.", "(CTR", "16.1:", "31.3).", "There", "is", "a", "small", "area", "of", "atelectasis", "seen", "in", "the", "left", "lower", "zone.", "This", "area", "is", "fairly", "ill-defined", "and", "may", "represen...	[ "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "O", "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", "...	[ { "label": "atelectasis", "start": 18, "end": 33 }, { "label": "cardiomegaly", "start": 0, "end": 16 }, { "label": "consolidation", "start": 34, "end": 49 }, { "label": "normal", "start": 50, "end": 53 } ]	[ "atelectasis", "cardiomegaly", "consolidation", "normal", "paratracheal_hilar_enlargement", "upper_lobe_blood_diversion" ]
60005	Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.	[ "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]	[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "interstitial_shadowing", "start": 4, "end": 11 }, { "label": "normal", "start": 12, "end": 13 }, { "label": "paratracheal_hilar_enlargement", "start": 4, "end": 11 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement" ]
60065	Suboptimal film.Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.	[ "Suboptimal", "film.Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]	[ "B", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "consolidation", "start": 9, "end": 14 }, { "label": "technical_issue", "start": 0, "end": 4 } ]	[ "cardiomegaly", "consolidation", "normal", "technical_issue" ]
60080	No obvious fracture is seen. Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.	[ "No", "obvious", "fracture", "is", "seen.", "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]	[ "B", "I", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B" ]	[ { "label": "cardiomegaly", "start": 6, "end": 9 }, { "label": "consolidation", "start": 10, "end": 17 }, { "label": "normal", "start": 0, "end": 5 }, { "label": "normal", "start": 18, "end": 18 } ]	[ "cardiomegaly", "consolidation", "normal" ]
60141	CABG noted. Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.	[ "CABG", "noted.", "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]	[ "B", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "consolidation", "start": 9, "end": 15 }, { "label": "object", "start": 0, "end": 4 } ]	[ "cardiomegaly", "consolidation", "normal", "object" ]
60149	Heart is enlarged. Lung shows changes of venous congestion and degree of cardiac failure.	[ "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion", "and", "degree", "of", "cardiac", "failure." ]	[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "interstitial_shadowing", "start": 4, "end": 13 }, { "label": "possible_diagnosis", "start": 4, "end": 13 } ]	[ "cardiomegaly", "interstitial_shadowing", "possible_diagnosis" ]
60196	Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.	[ "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]	[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "interstitial_shadowing", "start": 4, "end": 11 }, { "label": "normal", "start": 12, "end": 13 }, { "label": "paratracheal_hilar_enlargement", "start": 4, "end": 11 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement" ]
60281	Heart is mildly enlarged. Opacity seen in the right mid zone around the hilum. Prominent right descending pulmonary artery is noted. Rest of the lung shows changes of COPD. Appearances may represent consolidation secondary to infection. Suggest repeat xray and six weeks time after appropriate treatment in the first ins...	[ "Heart", "is", "mildly", "enlarged.", "Opacity", "seen", "in", "the", "right", "mid", "zone", "around", "the", "hilum.", "Prominent", "right", "descending", "pulmonary", "artery", "is", "noted.", "Rest", "of", "the", "lung", "shows", "changes", "of", "COPD.", ...	[ "B", "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", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "...	[ { "label": "abnormal_non_clinically_important", "start": 19, "end": 27 }, { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "consolidation", "start": 5, "end": 18 }, { "label": "consolidation", "start": 38, "end": 46 }, { "label": "emph...	[ "abnormal_non_clinically_important", "cardiomegaly", "consolidation", "emphysema", "hyperexpanded_lungs", "parenchymal_lesion", "possible_diagnosis", "recommendation" ]
60296	normal heart size. The lung fields are clear. However there appears to be some narrowing of the trachea in the mediastinum. The significance of this is uncertain, but in view of the history it is possible he has a mediastinal tumour.	[ "normal", "heart", "size.", "The", "lung", "fields", "are", "clear.", "However", "there", "appears", "to", "be", "some", "narrowing", "of", "the", "trachea", "in", "the", "mediastinum.", "The", "significance", "of", "this", "is", "uncertain,", "but", "in", "...	[ "B", "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", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "mediastinum_displaced", "start": 10, "end": 28 }, { "label": "normal", "start": 0, "end": 9 }, { "label": "possible_diagnosis", "start": 29, "end": 40 } ]	[ "mediastinum_displaced", "normal", "possible_diagnosis" ]
60346	Pacemaker insitu. Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.	[ "Pacemaker", "insitu.", "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]	[ "B", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "interstitial_shadowing", "start": 9, "end": 15 }, { "label": "object", "start": 0, "end": 4 }, { "label": "paratracheal_hilar_enlargement", "start": 9, "end": 15 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal", "object", "paratracheal_hilar_enlargement" ]
60352	There is a small opacity in the right upper zone laterally - ? pleural thickening or longstanding inactive lesion in the right upper zone. There is also evidence of linear atelectasis in the left base. Heart is enlarged. There is no evidence of CCF or LVF or pleural effusion. A follow up x-ray is suggested.	[ "There", "is", "a", "small", "opacity", "in", "the", "right", "upper", "zone", "laterally", "-", "?", "pleural", "thickening", "or", "longstanding", "inactive", "lesion", "in", "the", "right", "upper", "zone.", "There", "is", "also", "evidence", "of", "linea...	[ "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", "I", "E", "B", "I", "...	[ { "label": "atelectasis", "start": 29, "end": 42 }, { "label": "cardiomegaly", "start": 43, "end": 46 }, { "label": "normal", "start": 47, "end": 54 }, { "label": "parenchymal_lesion", "start": 0, "end": 28 }, { "label": "pleural_abnormality", ...	[ "atelectasis", "cardiomegaly", "normal", "parenchymal_lesion", "pleural_abnormality", "possible_diagnosis", "recommendation" ]
60405	Lung appear grossly clear.	[ "Lung", "appear", "grossly", "clear." ]	[ "B", "I", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 3 } ]	[ "normal" ]
60450	Chest X-Ray AP- The Lungs do not show any evidence of cavitation or consolidation. Large volume lungs with dense and calcified punctate opacities noted in both lung fields but particularly in the left upper zone and is in keeping with old TB. The left hilum is elevated secondary to fibrosis and the left CP angle is blu...	[ "Chest", "X-Ray", "AP-", "The", "Lungs", "do", "not", "show", "any", "evidence", "of", "cavitation", "or", "consolidation.", "Large", "volume", "lungs", "with", "dense", "and", "calcified", "punctate", "opacities", "noted", "in", "both", "lung", "fields", "but...	[ "O", "O", "O", "O", "O", "O", "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", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...	[ { "label": "interstitial_shadowing", "start": 53, "end": 70 }, { "label": "normal", "start": 6, "end": 19 }, { "label": "parenchymal_lesion", "start": 20, "end": 52 }, { "label": "pleural_effusion", "start": 53, "end": 70 }, { "label": "possible_di...	[ "interstitial_shadowing", "normal", "parenchymal_lesion", "pleural_effusion", "possible_diagnosis", "recommendation" ]
60491	AP erect portable view. Even allowing for the projection, the heart appears enlarged. There is pulmonary congestion and upper lobe blood diversion as previously seen on 17/12/2007. Incidental note is made of marked degenerative change in the right shoulder and AC joints.	[ "AP", "erect", "portable", "view.", "Even", "allowing", "for", "the", "projection,", "the", "heart", "appears", "enlarged.", "There", "is", "pulmonary", "congestion", "and", "upper", "lobe", "blood", "diversion", "as", "previously", "seen", "on", "17/12/2007.", ...	[ "O", "O", "O", "O", "O", "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", "E", "B", "I", "I", "I", "I", "I", "I" ]	[ { "label": "abnormal_non_clinically_important", "start": 35, "end": 41 }, { "label": "cardiomegaly", "start": 5, "end": 15 }, { "label": "comparison", "start": 16, "end": 34 }, { "label": "consolidation", "start": 16, "end": 34 }, { "label": "rib_l...	[ "abnormal_non_clinically_important", "cardiomegaly", "comparison", "consolidation", "rib_lesion", "technical_issue", "upper_lobe_blood_diversion" ]
60680	The heart is enlarged. There is evidence of mild pulmonary congestion. There is no evidence of collapse or consolidation or pleural effusion. CHEST	[ "The", "heart", "is", "enlarged.", "There", "is", "evidence", "of", "mild", "pulmonary", "congestion.", "There", "is", "no", "evidence", "of", "collapse", "or", "consolidation", "or", "pleural", "effusion.", "CHEST" ]	[ "B", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "consolidation", "start": 5, "end": 12 }, { "label": "normal", "start": 13, "end": 22 } ]	[ "cardiomegaly", "consolidation", "normal", "other" ]
60694	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" ]
60711	XR Chest AP erect view. The lung apices are not included. The lungs are congested. No focal consolidation is seen.	[ "XR", "Chest", "AP", "erect", "view.", "The", "lung", "apices", "are", "not", "included.", "The", "lungs", "are", "congested.", "No", "focal", "consolidation", "is", "seen." ]	[ "O", "O", "O", "O", "O", "O", "O", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I" ]	[ { "label": "interstitial_shadowing", "start": 15, "end": 19 }, { "label": "paratracheal_hilar_enlargement", "start": 15, "end": 19 }, { "label": "technical_issue", "start": 7, "end": 14 } ]	[ "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "technical_issue" ]
61038	XR Chest AP erect view. There is loss of definition of the left heart border, which suggests lingular collapse as demonstrated on previous CT from 1/9/2006. There are several small nodules in the right lung, which were already visualised on the previous CT and which are in keeping with metastases. There is also an old ...	[ "XR", "Chest", "AP", "erect", "view.", "There", "is", "loss", "of", "definition", "of", "the", "left", "heart", "border,", "which", "suggests", "lingular", "collapse", "as", "demonstrated", "on", "previous", "CT", "from", "1/9/2006.", "There", "are", "several"...	[ "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", "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": 64, "end": 68 }, { "label": "atelectasis", "start": 7, "end": 34 }, { "label": "comparison", "start": 7, "end": 63 }, { "label": "parenchymal_lesion", "start": 35, "end": 63 }, { "label": "po...	[ "abnormal_non_clinically_important", "atelectasis", "comparison", "parenchymal_lesion", "possible_diagnosis", "rib_lesion" ]
61105	Some increased to lung markings are seen in the left lower zone consistent with bronchitis in only consolidation. Some fibrotic changes are seen in the right hilum and upper zone. This could be due to radiotherapy. Appearance of bony lesions as before.	[ "Some", "increased", "to", "lung", "markings", "are", "seen", "in", "the", "left", "lower", "zone", "consistent", "with", "bronchitis", "in", "only", "consolidation.", "Some", "fibrotic", "changes", "are", "seen", "in", "the", "right", "hilum", "and", "upper",...	[ "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", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I" ]	[ { "label": "bronchial_wall_thickening", "start": 0, "end": 20 }, { "label": "consolidation", "start": 0, "end": 20 }, { "label": "interstitial_shadowing", "start": 21, "end": 37 }, { "label": "possible_diagnosis", "start": 38, "end": 41 } ]	[ "bronchial_wall_thickening", "comparison", "consolidation", "interstitial_shadowing", "possible_diagnosis", "rib_lesion" ]
61279	CABG noted.Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.	[ "CABG", "noted.Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]	[ "B", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "interstitial_shadowing", "start": 9, "end": 14 }, { "label": "object", "start": 0, "end": 4 }, { "label": "paratracheal_hilar_enlargement", "start": 9, "end": 14 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal", "object", "paratracheal_hilar_enlargement" ]
61383	NAD. Lung fields are clear. Normal heart size.	[ "NAD.", "Lung", "fields", "are", "clear.", "Normal", "heart", "size." ]	[ "O", "O", "O", "B", "I", "I", "I", "E" ]	[ { "label": "normal", "start": 3, "end": 7 } ]	[ "normal" ]
61432	apparent elevation of the right hemidiaphragm noted, no previous CXR available for comparison to see whether this is old or new ,if new the differential diagnosis 1.enlarged liver 2.eventration of the right hemidiaphragm. 3.collapse right lower lobe. Heart size at the upper limit of normally, upper lobe blood vessel di...	[ "apparent", "elevation", "of", "the", "right", "hemidiaphragm", "noted,", "no", "previous", "CXR", "available", "for", "comparison", "to", "see", "whether", "this", "is", "old", "or", "new", ",if", "new", "the", "differential", "diagnosis", "1.enlarged", "liver"...	[ "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", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "E", "B", "...	[ { "label": "comparison", "start": 14, "end": 37 }, { "label": "consolidation", "start": 58, "end": 62 }, { "label": "hemidiaphragm_elevated", "start": 0, "end": 13 }, { "label": "hemidiaphragm_elevated", "start": 44, "end": 55 }, { "label": "possib...	[ "comparison", "consolidation", "hemidiaphragm_elevated", "normal", "possible_diagnosis", "rib_fracture", "upper_lobe_blood_diversion", "volume_loss" ]
61826	XR Chest there is complete opacification of the left upper lobe consistent with left upper lobe collapse/consolidation. old bilateral rib fractures noted. An underlying obstructive mass lesion cannot be excluded.	[ "XR", "Chest", "there", "is", "complete", "opacification", "of", "the", "left", "upper", "lobe", "consistent", "with", "left", "upper", "lobe", "collapse/consolidation.", "old", "bilateral", "rib", "fractures", "noted.", "An", "underlying", "obstructive", "mass", ...	[ "O", "O", "O", "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" ]	[ { "label": "abnormal_non_clinically_important", "start": 25, "end": 29 }, { "label": "consolidation", "start": 3, "end": 24 }, { "label": "rib_fracture", "start": 25, "end": 29 }, { "label": "volume_loss", "start": 3, "end": 24 } ]	[ "abnormal_non_clinically_important", "consolidation", "possible_diagnosis", "rib_fracture", "volume_loss" ]
61837	The right apical chest drain which was seen insitu and film of 5/12/07, is no longer seen. There is a moderate size Hydro pneumothorax on the right, it has not changed in size since the last radiograph. The small pleural reaction is noted on the left, this has been present on all previous films and may represent scarri...	[ "The", "right", "apical", "chest", "drain", "which", "was", "seen", "insitu", "and", "film", "of", "5/12/07,", "is", "no", "longer", "seen.", "There", "is", "a", "moderate", "size", "Hydro", "pneumothorax", "on", "the", "right,", "it", "has", "not", "chang...	[ "B", "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", "I", "I", "I", "...	[ { "label": "comparison", "start": 0, "end": 57 }, { "label": "other", "start": 0, "end": 24 }, { "label": "pleural_abnormality", "start": 51, "end": 57 }, { "label": "pleural_effusion", "start": 25, "end": 50 }, { "label": "pneumothorax", "star...	[ "comparison", "other", "pleural_abnormality", "pleural_effusion", "pneumothorax" ]
61850	Heart is enlarged.CT ratio 15/27. There is significant improvements since the eighth of December. There is reduction in the bilateral pleural effusion and pulmonary venous congestion. There is still some residual bilateral basal shadowing. There is a large hiatus hernia.	[ "Heart", "is", "enlarged.CT", "ratio", "15/27.", "There", "is", "significant", "improvements", "since", "the", "eighth", "of", "December.", "There", "is", "reduction", "in", "the", "bilateral", "pleural", "effusion", "and", "pulmonary", "venous", "congestion.", "T...	[ "B", "I", "I", "E", "B", "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", "E", "B", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 9 }, { "label": "comparison", "start": 10, "end": 19 }, { "label": "consolidation", "start": 36, "end": 39 }, { "label": "interstitial_shadowing", "start": 20, "end": 35 }, { "label": "pleural_effusion"...	[ "cardiomegaly", "comparison", "consolidation", "hernia", "interstitial_shadowing", "pleural_effusion" ]
62013	Rotation to right.Heart is enlarged. Lung shows changes of venous congestion and COPD changes. No active lung lesion seen.	[ "Rotation", "to", "right.Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion", "and", "COPD", "changes.", "No", "active", "lung", "lesion", "seen." ]	[ "B", "I", "I", "I", "E", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "emphysema", "start": 9, "end": 18 }, { "label": "hyperexpanded_lungs", "start": 9, "end": 18 }, { "label": "interstitial_shadowing", "start": 9, "end": 18 }, { "label": "possible_diagno...	[ "cardiomegaly", "emphysema", "hyperexpanded_lungs", "interstitial_shadowing", "normal", "possible_diagnosis", "technical_issue" ]
62183	Heart is enlarged as before. There is a small linear atelectasis in the left mid zone laterally. There is probably mild pulmonary congestion. No collapse or consolidation or pleural effusion seen.	[ "Heart", "is", "enlarged", "as", "before.", "There", "is", "a", "small", "linear", "atelectasis", "in", "the", "left", "mid", "zone", "laterally.", "There", "is", "probably", "mild", "pulmonary", "congestion.", "No", "collapse", "or", "consolidation", "or", "p...	[ "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", "E", "B", "I" ]	[ { "label": "atelectasis", "start": 6, "end": 21 }, { "label": "cardiomegaly", "start": 0, "end": 5 }, { "label": "comparison", "start": 0, "end": 5 }, { "label": "consolidation", "start": 22, "end": 28 }, { "label": "normal", "start": 29, "...	[ "atelectasis", "cardiomegaly", "comparison", "consolidation", "normal" ]
62293	XR Abdomen There is a calcified abdominal aortic aneurysm. There is faecal loading throughout the colon. No evidence of bowel obstruction or of perforation. There is degenerative change in both hip joints. XR Chest The heart is mildly enlarged. There is unfolding of the aortic arch.The lungs are clear. Normal hilar and...	[ "XR", "Abdomen", "There", "is", "a", "calcified", "abdominal", "aortic", "aneurysm.", "There", "is", "faecal", "loading", "throughout", "the", "colon.", "No", "evidence", "of", "bowel", "obstruction", "or", "of", "perforation.", "There", "is", "degenerative", "c...	[ "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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "...	[ { "label": "cardiomegaly", "start": 53, "end": 58 }, { "label": "unfolded_aorta", "start": 59, "end": 63 } ]	[ "cardiomegaly", "normal", "unfolded_aorta" ]
62416	comparison with the previous chest radiograph from 18/12/2007 shows that the left chest drain has been removed, and there is still completely opacification of the left side of the chest.	[ "comparison", "with", "the", "previous", "chest", "radiograph", "from", "18/12/2007", "shows", "that", "the", "left", "chest", "drain", "has", "been", "removed,", "and", "there", "is", "still", "completely", "opacification", "of", "the", "left", "side", "of", ...	[ "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" ]	[ { "label": "comparison", "start": 0, "end": 29 }, { "label": "object", "start": 0, "end": 29 }, { "label": "other", "start": 0, "end": 29 } ]	[ "comparison", "object", "other" ]
62487	Heart is enlarged. There is evidence of pulmonary congestion. No major collapse or consolidation seen. There is a large hiatus hernia.	[ "Heart", "is", "enlarged.", "There", "is", "evidence", "of", "pulmonary", "congestion.", "No", "major", "collapse", "or", "consolidation", "seen.", "There", "is", "a", "large", "hiatus", "hernia." ]	[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "E", "B", "I", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "consolidation", "start": 4, "end": 10 }, { "label": "hernia", "start": 18, "end": 20 }, { "label": "normal", "start": 11, "end": 17 } ]	[ "cardiomegaly", "consolidation", "hernia", "normal" ]
62657	AP portable semi erect film. Heart is enlarged. Lung shows changes of pulmonary oedema with bilateral pleural effusion.	[ "AP", "portable", "semi", "erect", "film.", "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "pulmonary", "oedema", "with", "bilateral", "pleural", "effusion." ]	[ "O", "O", "O", "O", "O", "O", "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 6, "end": 9 }, { "label": "consolidation", "start": 10, "end": 17 }, { "label": "pleural_effusion", "start": 10, "end": 17 } ]	[ "cardiomegaly", "consolidation", "pleural_effusion" ]
62970	heart size normal. The lungs appear clear.	[ "heart", "size", "normal.", "The", "lungs", "appear", "clear." ]	[ "B", "I", "I", "E", "B", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 6 } ]	[ "normal" ]
63170	Heart is enlarged. There appears to be mild pulmonary congestion. There is no definite evidence of pleural effusion or any major collapse or consolidation.	[ "Heart", "is", "enlarged.", "There", "appears", "to", "be", "mild", "pulmonary", "congestion.", "There", "is", "no", "definite", "evidence", "of", "pleural", "effusion", "or", "any", "major", "collapse", "or", "consolidation." ]	[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I" ]	[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "interstitial_shadowing", "start": 4, "end": 11 }, { "label": "normal", "start": 12, "end": 23 } ]	[ "cardiomegaly", "interstitial_shadowing", "normal" ]
63346	Lung appear grossly clear.	[ "Lung", "appear", "grossly", "clear." ]	[ "B", "I", "I", "I" ]	[ { "label": "normal", "start": 0, "end": 3 } ]	[ "normal" ]

46953

Generalised marked osteopaenia and degeneration with gibbus formation. No focal deposit seen. XR Lumbar Spine and S.I. Joints : There is osteoporotic partial collapse of the L4 and L1 vertebral bodies. Normal alignment is maintained. The bone is generally osteopaenic. Degenerative scoliosis with convexity to the right....

[ "Generalised", "marked", "osteopaenia", "and", "degeneration", "with", "gibbus", "formation.", "No", "focal", "deposit", "seen.", "XR", "Lumbar", "Spine", "and", "S.I.", "Joints", ":", "There", "is", "osteoporotic", "partial", "collapse", "of", "the", "L4", "and...

[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B", "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", "O", "O", "O", "O", "...

[ { "label": "normal", "start": 15, "end": 19 } ]

[ "atelectasis", "normal", "parenchymal_lesion", "pleural_effusion", "scoliosis" ]

47085

Examination compared to the previous chest x-ray of 8th January. Pulmonary vascular congestion persists. There is now more pleural effusion at the right base. Calcification in the right mid zone peripherally is unchanged. Faint opacification of the right base could be due to a mixture of congestion and infection. All t...

[ "Examination", "compared", "to", "the", "previous", "chest", "x-ray", "of", "8th", "January.", "Pulmonary", "vascular", "congestion", "persists.", "There", "is", "now", "more", "pleural", "effusion", "at", "the", "right", "base.", "Calcification", "in", "the", "...

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

[ { "label": "comparison", "start": 0, "end": 20 }, { "label": "comparison", "start": 93, "end": 93 }, { "label": "consolidation", "start": 47, "end": 66 }, { "label": "interstitial_shadowing", "start": 15, "end": 20 }, { "label": "pleural_abnormalit...

[ "comparison", "consolidation", "interstitial_shadowing", "other", "pleural_abnormality", "pleural_effusion", "possible_diagnosis", "recommendation" ]

47228

Compression of body of T11. Probably longstanding. Calcified thoracic aorta. There are multiple nodular opacities in both lungs with inflammatory changes at the bases and pleural reaction, they vary from 1 cm to 3 cms in size , metastases is not excluded. Any known primary ?

[ "Compression", "of", "body", "of", "T11.", "Probably", "longstanding.", "Calcified", "thoracic", "aorta.", "There", "are", "multiple", "nodular", "opacities", "in", "both", "lungs", "with", "inflammatory", "changes", "at", "the", "bases", "and", "pleural", "reacti...

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

[ { "label": "abnormal_non_clinically_important", "start": 0, "end": 10 }, { "label": "aortic_calcification", "start": 11, "end": 20 }, { "label": "consolidation", "start": 21, "end": 45 }, { "label": "parenchymal_lesion", "start": 21, "end": 45 }, { ...

[ "abnormal_non_clinically_important", "aortic_calcification", "consolidation", "other", "parenchymal_lesion", "pleural_effusion", "possible_diagnosis", "rib_lesion" ]

47492

The lungs are congested. No active focal lung lesion seen, in particular no evidence of pulmonary deposits. The heart is markedly enlarged.

[ "The", "lungs", "are", "congested.", "No", "active", "focal", "lung", "lesion", "seen,", "in", "particular", "no", "evidence", "of", "pulmonary", "deposits.", "The", "heart", "is", "markedly", "enlarged." ]

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

[ { "label": "consolidation", "start": 0, "end": 5 }, { "label": "normal", "start": 6, "end": 21 }, { "label": "paratracheal_hilar_enlargement", "start": 0, "end": 5 } ]

[ "cardiomegaly", "consolidation", "normal", "paratracheal_hilar_enlargement" ]

47500

The superior mediastinum is widened presumably due to enlarged lymph nodes. This could be due to T.B. lesion. The lung fields appear clear. Normal heart size. Your patient has been referred to the T.B. clinic. CHEST

[ "The", "superior", "mediastinum", "is", "widened", "presumably", "due", "to", "enlarged", "lymph", "nodes.", "This", "could", "be", "due", "to", "T.B.", "lesion.", "The", "lung", "fields", "appear", "clear.", "Normal", "heart", "size.", "Your", "patient", "has...

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

[ { "label": "mediastinum_widened", "start": 0, "end": 14 }, { "label": "normal", "start": 27, "end": 35 }, { "label": "possible_diagnosis", "start": 15, "end": 26 } ]

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

47706

The right hilum is displaced inferiorly and there is the impression of a rounded 2cm soft tissue density mass projected over the right heart border. Ectatic thoracic aorta with mural calcification noted. Degenerative changes noted in the left AC joint. No destructive bone lesion identified. Findings are suspicious of u...

[ "The", "right", "hilum", "is", "displaced", "inferiorly", "and", "there", "is", "the", "impression", "of", "a", "rounded", "2cm", "soft", "tissue", "density", "mass", "projected", "over", "the", "right", "heart", "border.", "Ectatic", "thoracic", "aorta", "wit...

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

[ { "label": "abnormal_non_clinically_important", "start": 45, "end": 50 }, { "label": "aortic_calcification", "start": 30, "end": 44 }, { "label": "mediastinum_widened", "start": 30, "end": 44 }, { "label": "parenchymal_lesion", "start": 0, "end": 29 } ]

[ "abnormal_non_clinically_important", "aortic_calcification", "mediastinum_widened", "normal", "parenchymal_lesion", "possible_diagnosis" ]

47917

Formal report requested. Comparison is made with the previous film of 3.10.2009. There is a mild thoracic scoliosis with associated degenerative change. The heart is not enlarged. There is increased opacification in both apices. This may be partly due to composite shadows but apical fibrosis or mass cannot be excluded....

[ "Formal", "report", "requested.", "Comparison", "is", "made", "with", "the", "previous", "film", "of", "3.10.2009.", "There", "is", "a", "mild", "thoracic", "scoliosis", "with", "associated", "degenerative", "change.", "The", "heart", "is", "not", "enlarged.", "...

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

[ { "label": "comparison", "start": 5, "end": 18 }, { "label": "consolidation", "start": 41, "end": 51 }, { "label": "normal", "start": 35, "end": 40 }, { "label": "other", "start": 0, "end": 4 }, { "label": "possible_diagnosis", "start": 52, ...

[ "abnormal_non_clinically_important", "comparison", "consolidation", "normal", "other", "paratracheal_hilar_enlargement", "possible_diagnosis", "scoliosis", "technical_issue" ]

48020

AP semi-erect view. The lungs are congested. Left lung base not fully included. No active focal lung lesion seen. Normal mediastinum. Bilateral glenohumeral arthropathy is noted.

[ "AP", "semi-erect", "view.", "The", "lungs", "are", "congested.", "Left", "lung", "base", "not", "fully", "included.", "No", "active", "focal", "lung", "lesion", "seen.", "Normal", "mediastinum.", "Bilateral", "glenohumeral", "arthropathy", "is", "noted." ]

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

[ { "label": "interstitial_shadowing", "start": 7, "end": 12 }, { "label": "normal", "start": 20, "end": 25 }, { "label": "paratracheal_hilar_enlargement", "start": 7, "end": 12 }, { "label": "technical_issue", "start": 13, "end": 19 } ]

[ "abnormal_non_clinically_important", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement", "rib_lesion", "technical_issue" ]

48073

XR Lumbar Spine and S.I. Joints : Normal alignment. The bone is generally osteopaenic. There is bowing of the endplates and loss of height of the T12 vertebral body. Marked vascular calcification of the abdominal aorta with possible aneurysm. Urinary catheter is noted. AP erect view. Sternotomy wires and left sided med...

[ "XR", "Lumbar", "Spine", "and", "S.I.", "Joints", ":", "Normal", "alignment.", "The", "bone", "is", "generally", "osteopaenic.", "There", "is", "bowing", "of", "the", "endplates", "and", "loss", "of", "height", "of", "the", "T12", "vertebral", "body.", "Mark...

[ "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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "...

[]

[ "normal", "object" ]

49090

(AP) She is slightly rotated to the left. There is mild pulmonary venous congestion and perihilar bronchial wall thickening. Probable small pleural effusions bilaterally, with basal collapse. The appearances are in keeping with heart failure.

[ "(AP)", "She", "is", "slightly", "rotated", "to", "the", "left.", "There", "is", "mild", "pulmonary", "venous", "congestion", "and", "perihilar", "bronchial", "wall", "thickening.", "Probable", "small", "pleural", "effusions", "bilaterally,", "with", "basal", "col...

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

[ { "label": "atelectasis", "start": 29, "end": 34 }, { "label": "bronchial_wall_thickening", "start": 11, "end": 28 }, { "label": "interstitial_shadowing", "start": 11, "end": 28 }, { "label": "pleural_effusion", "start": 29, "end": 34 }, { "label":...

[ "atelectasis", "bronchial_wall_thickening", "interstitial_shadowing", "pleural_effusion", "possible_diagnosis", "scoliosis" ]

49525

normal cardiac size. Large volume COPD lungs. Peripheral right upper zone air space disease noted which is nonspecific, and was not present on the previous radiograph. A repeat radiograph is recommended in 6 weeks.

[ "normal", "cardiac", "size.", "Large", "volume", "COPD", "lungs.", "Peripheral", "right", "upper", "zone", "air", "space", "disease", "noted", "which", "is", "nonspecific,", "and", "was", "not", "present", "on", "the", "previous", "radiograph.", "A", "repeat", ...

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

[ { "label": "comparison", "start": 10, "end": 33 }, { "label": "consolidation", "start": 10, "end": 33 }, { "label": "emphysema", "start": 4, "end": 9 }, { "label": "hyperexpanded_lungs", "start": 4, "end": 9 }, { "label": "normal", "start": 0, ...

[ "comparison", "consolidation", "emphysema", "hyperexpanded_lungs", "normal", "possible_diagnosis", "recommendation" ]

49591

(AP) A difficult film to interpret. Bilateral mid and lower zone opacification probably due to basal collapse and/or effusion. Ultrasound would help to distinguish between effusion and collapse.

[ "(AP)", "A", "difficult", "film", "to", "interpret.", "Bilateral", "mid", "and", "lower", "zone", "opacification", "probably", "due", "to", "basal", "collapse", "and/or", "effusion.", "Ultrasound", "would", "help", "to", "distinguish", "between", "effusion", "and"...

[ "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" ]

[ { "label": "atelectasis", "start": 9, "end": 27 }, { "label": "consolidation", "start": 9, "end": 27 }, { "label": "pleural_effusion", "start": 9, "end": 27 }, { "label": "technical_issue", "start": 0, "end": 8 } ]

[ "atelectasis", "consolidation", "pleural_effusion", "recommendation", "technical_issue" ]

49658

Heart size normal. There is paratracheal lymphadenopathy, more marked on the right. Probable left hilar lymphadenopathy. Right pleural effusion and ill-defined opacities in the right lung, potentially pleural rather than intrapulmonary. The appearances are little changed from the previous film of 26/2/10. Cervical lymp...

[ "Heart", "size", "normal.", "There", "is", "paratracheal", "lymphadenopathy,", "more", "marked", "on", "the", "right.", "Probable", "left", "hilar", "lymphadenopathy.", "Right", "pleural", "effusion", "and", "ill-defined", "opacities", "in", "the", "right", "lung,",...

[ "B", "I", "I", "E", "B", "I", "I", "I", "I", "I", "I", "I", "I", "I", "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": "comparison", "start": 56, "end": 84 }, { "label": "consolidation", "start": 29, "end": 55 }, { "label": "normal", "start": 0, "end": 3 }, { "label": "other", "start": 85, "end": 100 }, { "label": "paratracheal_hilar_enlargement", "s...

[ "comparison", "consolidation", "normal", "other", "paratracheal_hilar_enlargement", "pleural_effusion", "possible_diagnosis", "recommendation" ]

49725

Rotated film and AP projection. The mediastinum is also distorted due to scoliosis and even allowing for projection, the heart appears enlarged. There is a right paratracheal shadow extending behind the medial end of the right clavicle. Possibilities here include a retrosternal goitre but this has increased when compar...

[ "Rotated", "film", "and", "AP", "projection.", "The", "mediastinum", "is", "also", "distorted", "due", "to", "scoliosis", "and", "even", "allowing", "for", "projection,", "the", "heart", "appears", "enlarged.", "There", "is", "a", "right", "paratracheal", "shado...

[ "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", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "I", "...

[ { "label": "cardiomegaly", "start": 7, "end": 30 }, { "label": "comparison", "start": 31, "end": 105 }, { "label": "consolidation", "start": 88, "end": 105 }, { "label": "ground_glass_opacification", "start": 106, "end": 109 }, { "label": "paratrac...

[ "cardiomegaly", "comparison", "consolidation", "ground_glass_opacification", "paratracheal_hilar_enlargement", "pleural_effusion", "possible_diagnosis", "recommendation", "scoliosis", "technical_issue", "upper_lobe_blood_diversion" ]

49966

AP erect view. The lungs are slightly congested. No consolidation. The heart appears enlarged. Features are of cardiac failure. There is right glenohumeral arthropathy, probably post-traumatic. Gassy colonic loops noted in the upper abdomen.

[ "AP", "erect", "view.", "The", "lungs", "are", "slightly", "congested.", "No", "consolidation.", "The", "heart", "appears", "enlarged.", "Features", "are", "of", "cardiac", "failure.", "There", "is", "right", "glenohumeral", "arthropathy,", "probably", "post-traumat...

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

[ { "label": "abnormal_non_clinically_important", "start": 25, "end": 33 }, { "label": "cardiomegaly", "start": 14, "end": 18 }, { "label": "consolidation", "start": 4, "end": 10 }, { "label": "normal", "start": 11, "end": 13 }, { "label": "possible_...

[ "abnormal_non_clinically_important", "cardiomegaly", "consolidation", "dilated_bowel", "normal", "possible_diagnosis", "rib_lesion" ]

49980

The heart is enlarged (CTR 15.1/27.2). The lungs are slightly congested. No consolidation. No pleural effusion.

[ "The", "heart", "is", "enlarged", "(CTR", "15.1/27.2).", "The", "lungs", "are", "slightly", "congested.", "No", "consolidation.", "No", "pleural", "effusion." ]

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

[ { "label": "cardiomegaly", "start": 0, "end": 13 }, { "label": "interstitial_shadowing", "start": 15, "end": 15 } ]

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

50288

No previous films available for comparison. There is a small right sided pleural effusion. There are three rounded opacities in the right hemithorax, at the right upper zone, right midzone and right base. There is also some right basal parenchymal distortion.

[ "No", "previous", "films", "available", "for", "comparison.", "There", "is", "a", "small", "right", "sided", "pleural", "effusion.", "There", "are", "three", "rounded", "opacities", "in", "the", "right", "hemithorax,", "at", "the", "right", "upper", "zone,", "...

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

[ { "label": "comparison", "start": 0, "end": 6 }, { "label": "consolidation", "start": 18, "end": 40 }, { "label": "pleural_effusion", "start": 7, "end": 17 } ]

[ "comparison", "consolidation", "interstitial_shadowing", "pleural_effusion" ]

50514

Compared to 1st February there is increased left pleural effusion with possible underlying collapsed lung. Mediastinal shift.

[ "Compared", "to", "1st", "February", "there", "is", "increased", "left", "pleural", "effusion", "with", "possible", "underlying", "collapsed", "lung.", "Mediastinal", "shift." ]

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

[ { "label": "atelectasis", "start": 0, "end": 16 }, { "label": "comparison", "start": 0, "end": 16 }, { "label": "pleural_effusion", "start": 0, "end": 16 } ]

[ "atelectasis", "comparison", "mediastinum_displaced", "pleural_effusion" ]

50601

The lungs are congested. No consolidation. Heart size is impossible to assess on this AP projection. Findings discussed with the requesting clinical team. XR Lumbar Spine and S.I. Joints : There is generalised marked osteopaenia. There are osteoporotic superior endplate fractures at levels T12 and L2 with mild anterior...

[ "The", "lungs", "are", "congested.", "No", "consolidation.", "Heart", "size", "is", "impossible", "to", "assess", "on", "this", "AP", "projection.", "Findings", "discussed", "with", "the", "requesting", "clinical", "team.", "XR", "Lumbar", "Spine", "and", "S.I."...

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

[ { "label": "consolidation", "start": 0, "end": 5 }, { "label": "normal", "start": 6, "end": 8 }, { "label": "other", "start": 20, "end": 28 }, { "label": "technical_issue", "start": 9, "end": 19 } ]

[ "consolidation", "normal", "other", "technical_issue" ]

50666

The heart is not enlarged. There is however a rounded soft tissue shadow behind the left cardiac border along the medial margin which may be from the overlying breast but the examination should be carried-out otherwise a left lateral view. Lungs are otherwise clear. CHEST

[ "The", "heart", "is", "not", "enlarged.", "There", "is", "however", "a", "rounded", "soft", "tissue", "shadow", "behind", "the", "left", "cardiac", "border", "along", "the", "medial", "margin", "which", "may", "be", "from", "the", "overlying", "breast", "but...

[ "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": 6, "end": 44 }, { "label": "normal", "start": 0, "end": 5 }, { "label": "possible_diagnosis", "start": 6, "end": 44 }, { "label": "recommendation", "start": 6, "end": 44 } ]

[ "abnormal_non_clinically_important", "normal", "other", "possible_diagnosis", "recommendation" ]

50812

The elevation of the left hemidiaphragm is long standing as seen on the previous x-rays of April 2007 and is possibly due to eventration. It is however slightly more elevated on todays film due to more distension of the elevated bowel and stomach. Moreover there is overlying collapse consolidation above the elevated di...

[ "The", "elevation", "of", "the", "left", "hemidiaphragm", "is", "long", "standing", "as", "seen", "on", "the", "previous", "x-rays", "of", "April", "2007", "and", "is", "possibly", "due", "to", "eventration.", "It", "is", "however", "slightly", "more", "elev...

[ "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", "I", "I", "I", "I", "I", "I", "...

[ { "label": "atelectasis", "start": 55, "end": 58 }, { "label": "comparison", "start": 0, "end": 54 }, { "label": "consolidation", "start": 55, "end": 58 }, { "label": "dilated_bowel", "start": 0, "end": 54 }, { "label": "hemidiaphragm_elevated", ...

[ "atelectasis", "comparison", "consolidation", "dilated_bowel", "hemidiaphragm_elevated", "normal" ]

51051

There are fine miliary shadows in both lungs. The features would be consistent with miliary TB AN ADDENDUM HAS BEEN ENTERED AT THE END OF THIS REPORT ADDENDUM START

[ "There", "are", "fine", "miliary", "shadows", "in", "both", "lungs.", "The", "features", "would", "be", "consistent", "with", "miliary", "TB", "AN", "ADDENDUM", "HAS", "BEEN", "ENTERED", "AT", "THE", "END", "OF", "THIS", "REPORT", "ADDENDUM", "START" ]

[ "B", "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": "other", "start": 19, "end": 28 }, { "label": "parenchymal_lesion", "start": 0, "end": 9 }, { "label": "possible_diagnosis", "start": 10, "end": 18 } ]

[ "other", "parenchymal_lesion", "possible_diagnosis" ]

51197

There is some linear atelectasis in the lower zones, more on the left than on the right. The lungs are congested and the upper lobe pulmonary veins are prominent. The heart size is at the upper limit of normal.

[ "There", "is", "some", "linear", "atelectasis", "in", "the", "lower", "zones,", "more", "on", "the", "left", "than", "on", "the", "right.", "The", "lungs", "are", "congested", "and", "the", "upper", "lobe", "pulmonary", "veins", "are", "prominent.", "The", ...

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

[ { "label": "atelectasis", "start": 0, "end": 20 }, { "label": "consolidation", "start": 21, "end": 34 }, { "label": "normal", "start": 35, "end": 38 }, { "label": "upper_lobe_blood_diversion", "start": 21, "end": 34 } ]

[ "atelectasis", "consolidation", "normal", "upper_lobe_blood_diversion" ]

51465

no previous films. Markedly abnormal lungs bilaterally coarse fibrosis, lymph node calcification suggestive of previous TB infection, with probable COPD and large left upper lobe bulla. No lung consolidation/collapse. No previous films for comparison.

[ "no", "previous", "films.", "Markedly", "abnormal", "lungs", "bilaterally", "coarse", "fibrosis,", "lymph", "node", "calcification", "suggestive", "of", "previous", "TB", "infection,", "with", "probable", "COPD", "and", "large", "left", "upper", "lobe", "bulla.", ...

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

[ { "label": "bulla", "start": 4, "end": 33 }, { "label": "comparison", "start": 0, "end": 3 }, { "label": "emphysema", "start": 4, "end": 33 }, { "label": "hyperexpanded_lungs", "start": 4, "end": 33 }, { "label": "interstitial_shadowing", "star...

[ "bulla", "comparison", "emphysema", "hyperexpanded_lungs", "interstitial_shadowing", "normal", "paratracheal_hilar_enlargement" ]

51515

There is collapse of the left upper lobe, with a large hila mass. There is thickening and inflammatory change seen along the basal bronchi of the left lower lobe. The lungs are otherwise clear. There is evidence of hyperexpansion of the right lung. No bony destructive changes seen. A fast track appointment has been mad...

[ "There", "is", "collapse", "of", "the", "left", "upper", "lobe,", "with", "a", "large", "hila", "mass.", "There", "is", "thickening", "and", "inflammatory", "change", "seen", "along", "the", "basal", "bronchi", "of", "the", "left", "lower", "lobe.", "The", ...

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

[ { "label": "bronchial_wall_thickening", "start": 16, "end": 34 }, { "label": "consolidation", "start": 0, "end": 15 }, { "label": "hyperexpanded_lungs", "start": 41, "end": 53 }, { "label": "normal", "start": 35, "end": 40 }, { "label": "normal", ...

[ "bronchial_wall_thickening", "consolidation", "hyperexpanded_lungs", "normal", "other", "paratracheal_hilar_enlargement", "volume_loss" ]

51789

Compared to 1 December there now appears pathological fracture of the posterior part of the right 7th rib. There may be also metastases in the 6th ribs on both side. Bone Scan may help.

[ "Compared", "to", "1", "December", "there", "now", "appears", "pathological", "fracture", "of", "the", "posterior", "part", "of", "the", "right", "7th", "rib.", "There", "may", "be", "also", "metastases", "in", "the", "6th", "ribs", "on", "both", "side.", ...

[ "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" ]

[ { "label": "comparison", "start": 0, "end": 19 }, { "label": "rib_lesion", "start": 0, "end": 33 } ]

[ "comparison", "recommendation", "rib_lesion" ]

52121

Heart is enlarged. Border line lung vasculature. Haziness in the right lower lobe which could be due to congestion or an added mild infection. Clear pleural recesses.

[ "Heart", "is", "enlarged.", "Border", "line", "lung", "vasculature.", "Haziness", "in", "the", "right", "lower", "lobe", "which", "could", "be", "due", "to", "congestion", "or", "an", "added", "mild", "infection.", "Clear", "pleural", "recesses." ]

[ "B", "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" ]

[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "consolidation", "start": 11, "end": 26 }, { "label": "interstitial_shadowing", "start": 11, "end": 26 }, { "label": "normal", "start": 4, "end": 10 }, { "label": "possible_diagnosis", ...

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

52148

Shadowing noted in the right lower zone medially could either be due to pericardial fat pad or cyst or collapse consolidation of the right mid lobe. The rest of the lungs appear clear. No previous CXR available for comparison to see whether this is old or new. I suggest referral for the chest clinic for further assessm...

[ "Shadowing", "noted", "in", "the", "right", "lower", "zone", "medially", "could", "either", "be", "due", "to", "pericardial", "fat", "pad", "or", "cyst", "or", "collapse", "consolidation", "of", "the", "right", "mid", "lobe.", "The", "rest", "of", "the", "...

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[ { "label": "comparison", "start": 41, "end": 57 }, { "label": "consolidation", "start": 0, "end": 32 }, { "label": "normal", "start": 33, "end": 40 }, { "label": "recommendation", "start": 58, "end": 62 }, { "label": "volume_loss", "start": 0, ...

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

52199

The lungs are congested. The heart is enlarged. There is a large hiatus hernia. Old fracture of the right neck of humerus.

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

[ { "label": "abnormal_non_clinically_important", "start": 19, "end": 21 }, { "label": "cardiomegaly", "start": 6, "end": 10 }, { "label": "hernia", "start": 11, "end": 18 }, { "label": "interstitial_shadowing", "start": 0, "end": 5 }, { "label": "pa...

[ "abnormal_non_clinically_important", "cardiomegaly", "hernia", "interstitial_shadowing", "paratracheal_hilar_enlargement", "rib_lesion" ]

52278

No significant alteration in comparison to the previous chest x-ray of 5th December 07. Persistence small right pleural effusion. Right apical pleural thickening and fibrotic changes in the right upper lobe with deviation of the trachea to the right side. Left lung remains clear. Normal heart side. Tendency to overinfl...

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[ { "label": "apical_fibrosis", "start": 27, "end": 55 }, { "label": "comparison", "start": 0, "end": 17 }, { "label": "mediastinum_displaced", "start": 27, "end": 55 }, { "label": "normal", "start": 56, "end": 58 }, { "label": "pleural_abnormality",...

[ "apical_fibrosis", "comparison", "hyperexpanded_lungs", "mediastinum_displaced", "normal", "other", "pleural_abnormality", "pleural_effusion" ]

52339

The superior mediastinum is widened presumably due to a mass. The right hilum is also prominent. Heart is not enlarged. Due to strong suspicion of neoplasm, your patient has been Fast Tracked for further investigation.

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[ { "label": "mediastinum_widened", "start": 0, "end": 13 }, { "label": "normal", "start": 23, "end": 27 }, { "label": "other", "start": 28, "end": 34 }, { "label": "paratracheal_hilar_enlargement", "start": 14, "end": 22 } ]

[ "mediastinum_widened", "normal", "other", "paratracheal_hilar_enlargement" ]

52435

Reported by Dr Hadid Reviewed by Dr Oliver for the colorectal MDM 3/3/2010 The appearance of the left hilum has not altered since a previous examination in May 2008 and does not need further investigation. End of review Heart size normal, the lungs appear clear. The left hilum appears denser than the right, could be du...

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[ { "label": "comparison", "start": 24, "end": 48 }, { "label": "normal", "start": 52, "end": 60 }, { "label": "other", "start": 0, "end": 23 }, { "label": "other", "start": 49, "end": 51 }, { "label": "paratracheal_hilar_enlargement", "start": 2...

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

52832

The heart is enlarged. There is little pulmonary vascular congestion. There is now a small left pleural effusion. Appearances are of mild heart failure.

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[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "interstitial_shadowing", "start": 5, "end": 11 }, { "label": "normal", "start": 23, "end": 23 }, { "label": "pleural_effusion", "start": 12, "end": 22 }, { "label": "upper_lobe_blood_di...

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

53286

There is cardiomegally, upper lobe blood vessel diversion noted, the lungs appear clear, small pleural reaction obscuring the left costophrenic angle noted. the Appearance suggestive of an underlying LVF. Small cystic OA changes noted in the greater tuberosity. Cystic OA changes noted in the greater tuberosity.

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[ { "label": "abnormal_non_clinically_important", "start": 44, "end": 45 }, { "label": "cardiomegaly", "start": 0, "end": 34 }, { "label": "pleural_abnormality", "start": 0, "end": 34 }, { "label": "possible_diagnosis", "start": 35, "end": 43 }, { "l...

[ "abnormal_non_clinically_important", "cardiomegaly", "pleural_abnormality", "possible_diagnosis", "upper_lobe_blood_diversion" ]

53501

Compared with the previous x-rays, there seems to be no significant change. Some cavitation was noted at the right apex, but no significant increase in abnormal opacity in the right upper zone on this occasion. However I cannot exclude a pancoast tumour. The patient however did had a previous CT in 2009. Please see the...

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[ { "label": "abnormal_non_clinically_important", "start": 90, "end": 90 }, { "label": "cavitating_lung_lesion", "start": 16, "end": 41 }, { "label": "comparison", "start": 0, "end": 15 }, { "label": "comparison", "start": 53, "end": 89 }, { "label":...

[ "abnormal_non_clinically_important", "cavitating_lung_lesion", "comparison", "emphysema", "other", "parenchymal_lesion", "possible_diagnosis", "recommendation" ]

53604

Lung fields appear clear. Calcified opacities seen in the left supraclavicular region, left axilla and both hila. Old fracture of the right 7th rib is noted. Heart may be enlarged.

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[ { "label": "abnormal_non_clinically_important", "start": 6, "end": 29 }, { "label": "axillary_abnormality", "start": 6, "end": 29 }, { "label": "normal", "start": 0, "end": 5 }, { "label": "paratracheal_hilar_enlargement", "start": 6, "end": 29 } ]

[ "abnormal_non_clinically_important", "axillary_abnormality", "cardiomegaly", "normal", "paratracheal_hilar_enlargement", "rib_fracture" ]

53714

Normal mediastinal outline. No significant lung or pleural lesion. XR Femur (Thigh) Lt : No other abnormality. Calcified arteries noted.

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

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

[ "normal" ]

53920

Following removal pf chest drain there is increased left sided pleural effusion with mediastinal shift indicative of collapsed lung.

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[ "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": "consolidation", "start": 0, "end": 18 }, { "label": "mediastinum_displaced", "start": 0, "end": 18 }, { "label": "other", "start": 0, "end": 18 }, { "label": "pleural_effusion", "sta...

[ "comparison", "consolidation", "mediastinum_displaced", "other", "pleural_effusion", "volume_loss" ]

53972

No previous x-ray available for comparison. There is reduction in the left lung volume. There is some pleural thickening in the left apex. Slight opacity is also seen in the left upper zone. I am not quite sure whether these changes are due to previous lobectomy or recent development. The right lung is hyperinflated bu...

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[ { "label": "comparison", "start": 0, "end": 8 }, { "label": "consolidation", "start": 30, "end": 41 }, { "label": "hyperexpanded_lungs", "start": 60, "end": 70 }, { "label": "pleural_abnormality", "start": 18, "end": 29 }, { "label": "possible_diag...

[ "comparison", "consolidation", "hyperexpanded_lungs", "pleural_abnormality", "possible_diagnosis", "recommendation", "volume_loss" ]

54172

There is a small left sided pleural effusion. The right costophrenic angle is blunted probably due to pleural reaction. The heart is slightly enlarged. There is mild pulmonary congestion. No major collapse or consolidation is seen. A follow up x-ray chest is suggested.

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[ { "label": "cardiomegaly", "start": 29, "end": 34 }, { "label": "interstitial_shadowing", "start": 35, "end": 40 }, { "label": "normal", "start": 41, "end": 42 }, { "label": "pleural_abnormality", "start": 11, "end": 28 }, { "label": "pleural_effus...

[ "cardiomegaly", "interstitial_shadowing", "normal", "pleural_abnormality", "pleural_effusion", "recommendation" ]

54735

The heart size is at the upper limit of normal. The lungs are slightly congested. The upper lobe pulmonary veins are mildly distended. No consolidation or pleural effusion. Features are consistent with mild cardiac failure.

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[ { "label": "interstitial_shadowing", "start": 11, "end": 17 }, { "label": "normal", "start": 0, "end": 10 }, { "label": "normal", "start": 28, "end": 34 }, { "label": "upper_lobe_blood_diversion", "start": 18, "end": 27 } ]

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

54943

XR Lumbar Spine and S.I. Joints : Multilevel moderate degenerative changes with anterior osteophytes. The bone is generally osteopaenic. The alignment and height of the lumbar and lower thoracic vertebrae are maintained. Normal sacroiliac joints. Calcified abdominal aorta and visceral branches. Multilevel marked spondy...

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[ "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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "...

[]

[ "interstitial_shadowing", "normal", "object", "possible_diagnosis" ]

55116

No previous x-ray available for comparison. There is evidence of linear opacity in the left upper zone presumably due to fibrotic lesion as a result of TB. The left mid and lower zone of the lungs are markedly radiolucent. It is difficult to be sure whether this is due to hyperinflated left lung as a result of reductio...

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[ { "label": "apical_fibrosis", "start": 9, "end": 33 }, { "label": "comparison", "start": 0, "end": 8 }, { "label": "hyperexpanded_lungs", "start": 34, "end": 100 }, { "label": "possible_diagnosis", "start": 9, "end": 100 }, { "label": "recommendati...

[ "apical_fibrosis", "comparison", "hyperexpanded_lungs", "normal", "possible_diagnosis", "recommendation", "volume_loss" ]

55433

alignment maintained. There is some midthoracic loss of vertebral body height in keeping with osteoporosis. No marked compression/fracture. normal cardiac size. No focal active lung lesion. Rotated film with dense left hilum/prominent left pulmonary artery.

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[ { "label": "normal", "start": 26, "end": 34 } ]

[ "normal", "technical_issue" ]

55477

AP semi-erect view. The lungs are congested. The upper lobe pulmonary veins are slightly distended. Even allowing for the projection, the heart is moderately enlarged. No consolidation or pleural effusion. Features are in keeping with cardiac failure.

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[ { "label": "cardiomegaly", "start": 23, "end": 34 }, { "label": "interstitial_shadowing", "start": 7, "end": 12 }, { "label": "normal", "start": 35, "end": 36 }, { "label": "paratracheal_hilar_enlargement", "start": 7, "end": 12 }, { "label": "uppe...

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

55830

AP erect view. The lung are congested. No consolidation or collapse. Longstanding pleural reaction at the left costophrenic angle is noted. Even allowing for the projection, the heart appears enlarged. Features are of cardiac failure. FB material projected over the soft tissues of the left side of the lower chest is th...

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

[ { "label": "cardiomegaly", "start": 31, "end": 41 }, { "label": "consolidation", "start": 4, "end": 9 }, { "label": "normal", "start": 10, "end": 14 }, { "label": "object", "start": 48, "end": 57 }, { "label": "pleural_effusion", "start": 15, ...

[ "cardiomegaly", "consolidation", "normal", "object", "pleural_effusion", "possible_diagnosis", "technical_issue" ]

56166

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" ]

56168

Extensive opacification in the left lung due to contusion. Thin left apical haemothorax. Right lung is well expanded. Fracture left clavicle. Irregularity of the left first rib suspicious of a fracture.

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

[ { "label": "clavicle_fracture", "start": 30, "end": 30 }, { "label": "consolidation", "start": 0, "end": 13 }, { "label": "hyperexpanded_lungs", "start": 24, "end": 29 }, { "label": "pleural_effusion", "start": 14, "end": 23 }, { "label": "pneumoth...

[ "clavicle_fracture", "consolidation", "hyperexpanded_lungs", "pleural_effusion", "pneumothorax", "rib_fracture" ]

56223

There appears to be either retrosternal thyroid or lymph node enlargement in the upper mediastinum with slight deviation of the trachea to the right. The aorta is unfolded and calcified no change. Heart size normal. Humping of the right hemidiaphragm and changed. The lungs appear clear.

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[ { "label": "aortic_calcification", "start": 33, "end": 44 }, { "label": "mediastinum_displaced", "start": 0, "end": 32 }, { "label": "normal", "start": 45, "end": 45 }, { "label": "paratracheal_hilar_enlargement", "start": 0, "end": 32 }, { "label"...

[ "aortic_calcification", "comparison", "hemidiaphragm_elevated", "mediastinum_displaced", "normal", "paratracheal_hilar_enlargement", "unfolded_aorta" ]

56253

NAD. No secondary deposit seen. There is calcification of the intervertebral discs in the lower dorsal spine. No secondary deposit seen. Lung fields are clear. The hilar and mediastinum appear normal. No abnormality seen in the ribs. Normal heart size.

[ "NAD.", "No", "secondary", "deposit", "seen.", "There", "is", "calcification", "of", "the", "intervertebral", "discs", "in", "the", "lower", "dorsal", "spine.", "No", "secondary", "deposit", "seen.", "Lung", "fields", "are", "clear.", "The", "hilar", "and", "m...

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[ { "label": "abnormal_non_clinically_important", "start": 8, "end": 24 }, { "label": "normal", "start": 0, "end": 7 }, { "label": "normal", "start": 30, "end": 39 }, { "label": "rib_lesion", "start": 8, "end": 24 } ]

[ "abnormal_non_clinically_important", "normal", "rib_lesion" ]

56339

There is evidence of emphysema but no focal lung lesion is identified. There is a vague superior mediastinal/left retroclavicular shadow which may be artefactual. Is there a history of a goitre, breathlessness or dysphagia? This may be evaluated further with CT thorax. Normal heart size. Normal hilar outlines noted. No...

[ "There", "is", "evidence", "of", "emphysema", "but", "no", "focal", "lung", "lesion", "is", "identified.", "There", "is", "a", "vague", "superior", "mediastinal/left", "retroclavicular", "shadow", "which", "may", "be", "artefactual.", "Is", "there", "a", "histor...

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[ { "label": "emphysema", "start": 0, "end": 16 }, { "label": "mediastinum_widened", "start": 17, "end": 53 }, { "label": "possible_diagnosis", "start": 17, "end": 53 }, { "label": "recommendation", "start": 17, "end": 53 } ]

[ "emphysema", "mediastinum_widened", "normal", "possible_diagnosis", "recommendation" ]

56484

Emphysematous changes noted. There is increased parenchymal shadowing seen medially in the right upper zone, this may just represent scarring. There is obvious abnormality eminating from both hilar with fairly symmetrical looking lymphadenopathy. I note the previous history of Hodgkin's lymphoma.

[ "Emphysematous", "changes", "noted.", "There", "is", "increased", "parenchymal", "shadowing", "seen", "medially", "in", "the", "right", "upper", "zone,", "this", "may", "just", "represent", "scarring.", "There", "is", "obvious", "abnormality", "eminating", "from", ...

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[ { "label": "apical_fibrosis", "start": 8, "end": 33 }, { "label": "emphysema", "start": 0, "end": 7 }, { "label": "paratracheal_hilar_enlargement", "start": 34, "end": 40 } ]

[ "apical_fibrosis", "emphysema", "other", "paratracheal_hilar_enlargement" ]

56763

no focal active lung lesion. Normal cardiac size.

[ "no", "focal", "active", "lung", "lesion.", "Normal", "cardiac", "size." ]

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

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

[ "normal" ]

57203

large volume COPD lungs. No focal active lung lesion. Left distal para-spinal mass noted, likely a small hiatus hernia.

[ "large", "volume", "COPD", "lungs.", "No", "focal", "active", "lung", "lesion.", "Left", "distal", "para-spinal", "mass", "noted,", "likely", "a", "small", "hiatus", "hernia." ]

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

[ { "label": "emphysema", "start": 0, "end": 5 }, { "label": "hernia", "start": 13, "end": 18 }, { "label": "hyperexpanded_lungs", "start": 0, "end": 5 }, { "label": "normal", "start": 6, "end": 12 }, { "label": "possible_diagnosis", "start": 0, ...

[ "emphysema", "hernia", "hyperexpanded_lungs", "normal", "possible_diagnosis" ]

57248

Coarse lung parenchyma. Cardiomegaly. Multiple rib fractures. Borderline lung vasculature. There is medial subluxation of the right femur over the right tibia. Large loose body and osteophytes right knee. Marked narrowing of the joint space. Slight narrowing of the medial joint space on the left side. Appearances are o...

[ "Coarse", "lung", "parenchyma.", "Cardiomegaly.", "Multiple", "rib", "fractures.", "Borderline", "lung", "vasculature.", "There", "is", "medial", "subluxation", "of", "the", "right", "femur", "over", "the", "right", "tibia.", "Large", "loose", "body", "and", "oste...

[ "O", "O", "O", "O", "O", "O", "O", "O", "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", "...

[ { "label": "cardiomegaly", "start": 8, "end": 13 }, { "label": "rib_fracture", "start": 14, "end": 17 } ]

[ "cardiomegaly", "rib_fracture" ]

57249

PA erect. There is irregularity of the lateral right hemidiaphragm where there was previous haemothorax following a stabbing. This may represent an area of scarring following direct trauma to the lateral hemidiaphragm. The remainder of the lungs and pleural spaces are clear.

[ "PA", "erect.", "There", "is", "irregularity", "of", "the", "lateral", "right", "hemidiaphragm", "where", "there", "was", "previous", "haemothorax", "following", "a", "stabbing.", "This", "may", "represent", "an", "area", "of", "scarring", "following", "direct", ...

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

[ { "label": "comparison", "start": 3, "end": 41 }, { "label": "interstitial_shadowing", "start": 3, "end": 41 } ]

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

57624

(AP) Triple valve replacement. Pacemaker/defibrillator left chest. Previous left thoracotomy. The heart is considerably enlarged even allowing for the projection. Prominent central pulmonary arteries in keeping with pulmonary hypertension. Longstanding pleural thickening at the left costophrenic angle. The lungs are ot...

[ "(AP)", "Triple", "valve", "replacement.", "Pacemaker/defibrillator", "left", "chest.", "Previous", "left", "thoracotomy.", "The", "heart", "is", "considerably", "enlarged", "even", "allowing", "for", "the", "projection.", "Prominent", "central", "pulmonary", "arteries"...

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

[ { "label": "cardiomegaly", "start": 23, "end": 33 }, { "label": "object", "start": 0, "end": 16 }, { "label": "paratracheal_hilar_enlargement", "start": 34, "end": 41 } ]

[ "cardiomegaly", "normal", "object", "paratracheal_hilar_enlargement", "pleural_abnormality" ]

58018

There is globular enlargement of the heart in association with a left sided pleural effusion. XR Lumbar Spine and S.I. Joints : There is moderate to severe degenerative change in the lumbar spine in association with a scoliosis which is convex to the right. Large, calcified abdominal aortic aneurysm noted anteriorly. N...

[ "There", "is", "globular", "enlargement", "of", "the", "heart", "in", "association", "with", "a", "left", "sided", "pleural", "effusion.", "XR", "Lumbar", "Spine", "and", "S.I.", "Joints", ":", "There", "is", "moderate", "to", "severe", "degenerative", "change...

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[ { "label": "cardiomegaly", "start": 0, "end": 19 }, { "label": "normal", "start": 80, "end": 84 }, { "label": "pleural_effusion", "start": 0, "end": 19 } ]

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

58094

The heart is not enlarged. No convincing changes of COPD. There is some linear scarring seen in the left upper zone.

[ "The", "heart", "is", "not", "enlarged.", "No", "convincing", "changes", "of", "COPD.", "There", "is", "some", "linear", "scarring", "seen", "in", "the", "left", "upper", "zone." ]

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

[ { "label": "interstitial_shadowing", "start": 13, "end": 20 }, { "label": "normal", "start": 0, "end": 12 } ]

[ "interstitial_shadowing", "normal" ]

58123

No change since the 11th of July 2010 Vascular calcification noted. No plain film signs of osteomyelitis. If in doubt advise isotope scan or MR.

[ "No", "change", "since", "the", "11th", "of", "July", "2010", "Vascular", "calcification", "noted.", "No", "plain", "film", "signs", "of", "osteomyelitis.", "If", "in", "doubt", "advise", "isotope", "scan", "or", "MR." ]

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

[ { "label": "aortic_calcification", "start": 0, "end": 14 }, { "label": "comparison", "start": 0, "end": 14 }, { "label": "coronary_calcification", "start": 0, "end": 14 }, { "label": "normal", "start": 15, "end": 24 } ]

[ "aortic_calcification", "comparison", "coronary_calcification", "normal", "recommendation" ]

58148

AP view. ETT in situ. Multiple displaced, serial left sided rib fractures are noted. The right hemithorax is more opaque than the left suggesting lung contusion. There is suspicion for undisplaced right sided rib fractures. The mediastinum is indistinct.

[ "AP", "view.", "ETT", "in", "situ.", "Multiple", "displaced,", "serial", "left", "sided", "rib", "fractures", "are", "noted.", "The", "right", "hemithorax", "is", "more", "opaque", "than", "the", "left", "suggesting", "lung", "contusion.", "There", "is", "susp...

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[ { "label": "consolidation", "start": 19, "end": 35 }, { "label": "object", "start": 3, "end": 7 }, { "label": "possible_diagnosis", "start": 19, "end": 35 }, { "label": "rib_fracture", "start": 8, "end": 18 }, { "label": "rib_fracture", "start"...

[ "consolidation", "object", "possible_diagnosis", "rib_fracture" ]

58193

NAD. There is marked wedging of L1 which could be due to osteoporosis. MR scan of the lumbar spine is suggested for further evaluation. Heart is enlarged. There is a linear atelectasis in both bases. The rest of the lung fields appear clear. There is no CCF or pleural effusion.

[ "NAD.", "There", "is", "marked", "wedging", "of", "L1", "which", "could", "be", "due", "to", "osteoporosis.", "MR", "scan", "of", "the", "lumbar", "spine", "is", "suggested", "for", "further", "evaluation.", "Heart", "is", "enlarged.", "There", "is", "a", ...

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[ { "label": "atelectasis", "start": 39, "end": 49 }, { "label": "cardiomegaly", "start": 35, "end": 38 }, { "label": "normal", "start": 0, "end": 2 }, { "label": "possible_diagnosis", "start": 3, "end": 20 }, { "label": "recommendation", "start"...

[ "atelectasis", "cardiomegaly", "normal", "possible_diagnosis", "recommendation", "rib_lesion" ]

58316

small bilateral pleural effusion seen left more than right. Congestive changes are noted in lung fields. Sternal wires seen. Heart size cannot be commented as it is an AP view.

[ "small", "bilateral", "pleural", "effusion", "seen", "left", "more", "than", "right.", "Congestive", "changes", "are", "noted", "in", "lung", "fields.", "Sternal", "wires", "seen.", "Heart", "size", "cannot", "be", "commented", "as", "it", "is", "an", "AP", ...

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

[ { "label": "interstitial_shadowing", "start": 12, "end": 21 }, { "label": "object", "start": 22, "end": 26 }, { "label": "pleural_effusion", "start": 0, "end": 11 }, { "label": "technical_issue", "start": 27, "end": 29 } ]

[ "interstitial_shadowing", "object", "pleural_effusion", "technical_issue" ]

58456

There is curvi-linear calcification in the region of the left atrial appendage, and also at the left hemidiaphragms appearance suggestive of previous asbestos exposure. Heart size at the upper limit of Normal, there is prominency of the left atrial appendage suggestive of mitral valve disease. The lungs appear hyperinf...

[ "There", "is", "curvi-linear", "calcification", "in", "the", "region", "of", "the", "left", "atrial", "appendage,", "and", "also", "at", "the", "left", "hemidiaphragms", "appearance", "suggestive", "of", "previous", "asbestos", "exposure.", "Heart", "size", "at", ...

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

[ { "label": "cardiomegaly", "start": 37, "end": 57 }, { "label": "pleural_abnormality", "start": 0, "end": 36 }, { "label": "possible_diagnosis", "start": 0, "end": 36 } ]

[ "cardiomegaly", "hemidiaphragm_elevated", "hyperexpanded_lungs", "pleural_abnormality", "possible_diagnosis" ]

58578

AP Supine portable film. ET tube in situ. Normal mediastinal contour. Lungs are clear. No bony abnormality identified.

[ "AP", "Supine", "portable", "film.", "ET", "tube", "in", "situ.", "Normal", "mediastinal", "contour.", "Lungs", "are", "clear.", "No", "bony", "abnormality", "identified." ]

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

[ { "label": "normal", "start": 11, "end": 17 }, { "label": "object", "start": 6, "end": 10 } ]

[ "normal", "object" ]

59020

There has been good resolution of the previously noted consolidation in the right upper zone. Residual linear shadowing noted. Good response to medication. TB should be excluded. Heart size normal.

[ "There", "has", "been", "good", "resolution", "of", "the", "previously", "noted", "consolidation", "in", "the", "right", "upper", "zone.", "Residual", "linear", "shadowing", "noted.", "Good", "response", "to", "medication.", "TB", "should", "be", "excluded.", "H...

[ "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" ]

[ { "label": "comparison", "start": 0, "end": 28 }, { "label": "consolidation", "start": 0, "end": 28 }, { "label": "possible_diagnosis", "start": 29, "end": 29 } ]

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

59716

The heart size is slightly increased. (CTR 16.1: 31.3). There is a small area of atelectasis seen in the left lower zone. This area is fairly ill-defined and may represent an area of acute inflammation. The lungs otherwise appear clear. The lungs are generally a little plethoric in keeping with raised pulmonary venous ...

[ "The", "heart", "size", "is", "slightly", "increased.", "(CTR", "16.1:", "31.3).", "There", "is", "a", "small", "area", "of", "atelectasis", "seen", "in", "the", "left", "lower", "zone.", "This", "area", "is", "fairly", "ill-defined", "and", "may", "represen...

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

[ { "label": "atelectasis", "start": 18, "end": 33 }, { "label": "cardiomegaly", "start": 0, "end": 16 }, { "label": "consolidation", "start": 34, "end": 49 }, { "label": "normal", "start": 50, "end": 53 } ]

[ "atelectasis", "cardiomegaly", "consolidation", "normal", "paratracheal_hilar_enlargement", "upper_lobe_blood_diversion" ]

60005

Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.

[ "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]

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

[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "interstitial_shadowing", "start": 4, "end": 11 }, { "label": "normal", "start": 12, "end": 13 }, { "label": "paratracheal_hilar_enlargement", "start": 4, "end": 11 } ]

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

60065

Suboptimal film.Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.

[ "Suboptimal", "film.Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]

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

[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "consolidation", "start": 9, "end": 14 }, { "label": "technical_issue", "start": 0, "end": 4 } ]

[ "cardiomegaly", "consolidation", "normal", "technical_issue" ]

60080

No obvious fracture is seen. Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.

[ "No", "obvious", "fracture", "is", "seen.", "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]

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

[ { "label": "cardiomegaly", "start": 6, "end": 9 }, { "label": "consolidation", "start": 10, "end": 17 }, { "label": "normal", "start": 0, "end": 5 }, { "label": "normal", "start": 18, "end": 18 } ]

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

60141

CABG noted. Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.

[ "CABG", "noted.", "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]

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

[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "consolidation", "start": 9, "end": 15 }, { "label": "object", "start": 0, "end": 4 } ]

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

60149

Heart is enlarged. Lung shows changes of venous congestion and degree of cardiac failure.

[ "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion", "and", "degree", "of", "cardiac", "failure." ]

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

[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "interstitial_shadowing", "start": 4, "end": 13 }, { "label": "possible_diagnosis", "start": 4, "end": 13 } ]

[ "cardiomegaly", "interstitial_shadowing", "possible_diagnosis" ]

60196

Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.

[ "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]

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

[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "interstitial_shadowing", "start": 4, "end": 11 }, { "label": "normal", "start": 12, "end": 13 }, { "label": "paratracheal_hilar_enlargement", "start": 4, "end": 11 } ]

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

60281

Heart is mildly enlarged. Opacity seen in the right mid zone around the hilum. Prominent right descending pulmonary artery is noted. Rest of the lung shows changes of COPD. Appearances may represent consolidation secondary to infection. Suggest repeat xray and six weeks time after appropriate treatment in the first ins...

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[ { "label": "abnormal_non_clinically_important", "start": 19, "end": 27 }, { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "consolidation", "start": 5, "end": 18 }, { "label": "consolidation", "start": 38, "end": 46 }, { "label": "emph...

[ "abnormal_non_clinically_important", "cardiomegaly", "consolidation", "emphysema", "hyperexpanded_lungs", "parenchymal_lesion", "possible_diagnosis", "recommendation" ]

60296

normal heart size. The lung fields are clear. However there appears to be some narrowing of the trachea in the mediastinum. The significance of this is uncertain, but in view of the history it is possible he has a mediastinal tumour.

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[ { "label": "mediastinum_displaced", "start": 10, "end": 28 }, { "label": "normal", "start": 0, "end": 9 }, { "label": "possible_diagnosis", "start": 29, "end": 40 } ]

[ "mediastinum_displaced", "normal", "possible_diagnosis" ]

60346

Pacemaker insitu. Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.

[ "Pacemaker", "insitu.", "Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]

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

[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "interstitial_shadowing", "start": 9, "end": 15 }, { "label": "object", "start": 0, "end": 4 }, { "label": "paratracheal_hilar_enlargement", "start": 9, "end": 15 } ]

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

60352

There is a small opacity in the right upper zone laterally - ? pleural thickening or longstanding inactive lesion in the right upper zone. There is also evidence of linear atelectasis in the left base. Heart is enlarged. There is no evidence of CCF or LVF or pleural effusion. A follow up x-ray is suggested.

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[ { "label": "atelectasis", "start": 29, "end": 42 }, { "label": "cardiomegaly", "start": 43, "end": 46 }, { "label": "normal", "start": 47, "end": 54 }, { "label": "parenchymal_lesion", "start": 0, "end": 28 }, { "label": "pleural_abnormality", ...

[ "atelectasis", "cardiomegaly", "normal", "parenchymal_lesion", "pleural_abnormality", "possible_diagnosis", "recommendation" ]

60405

Lung appear grossly clear.

[ "Lung", "appear", "grossly", "clear." ]

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

[ { "label": "normal", "start": 0, "end": 3 } ]

[ "normal" ]

60450

Chest X-Ray AP- The Lungs do not show any evidence of cavitation or consolidation. Large volume lungs with dense and calcified punctate opacities noted in both lung fields but particularly in the left upper zone and is in keeping with old TB. The left hilum is elevated secondary to fibrosis and the left CP angle is blu...

[ "Chest", "X-Ray", "AP-", "The", "Lungs", "do", "not", "show", "any", "evidence", "of", "cavitation", "or", "consolidation.", "Large", "volume", "lungs", "with", "dense", "and", "calcified", "punctate", "opacities", "noted", "in", "both", "lung", "fields", "but...

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[ { "label": "interstitial_shadowing", "start": 53, "end": 70 }, { "label": "normal", "start": 6, "end": 19 }, { "label": "parenchymal_lesion", "start": 20, "end": 52 }, { "label": "pleural_effusion", "start": 53, "end": 70 }, { "label": "possible_di...

[ "interstitial_shadowing", "normal", "parenchymal_lesion", "pleural_effusion", "possible_diagnosis", "recommendation" ]

60491

AP erect portable view. Even allowing for the projection, the heart appears enlarged. There is pulmonary congestion and upper lobe blood diversion as previously seen on 17/12/2007. Incidental note is made of marked degenerative change in the right shoulder and AC joints.

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[ { "label": "abnormal_non_clinically_important", "start": 35, "end": 41 }, { "label": "cardiomegaly", "start": 5, "end": 15 }, { "label": "comparison", "start": 16, "end": 34 }, { "label": "consolidation", "start": 16, "end": 34 }, { "label": "rib_l...

[ "abnormal_non_clinically_important", "cardiomegaly", "comparison", "consolidation", "rib_lesion", "technical_issue", "upper_lobe_blood_diversion" ]

60680

The heart is enlarged. There is evidence of mild pulmonary congestion. There is no evidence of collapse or consolidation or pleural effusion. CHEST

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[ { "label": "cardiomegaly", "start": 0, "end": 4 }, { "label": "consolidation", "start": 5, "end": 12 }, { "label": "normal", "start": 13, "end": 22 } ]

[ "cardiomegaly", "consolidation", "normal", "other" ]

60694

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" ]

60711

XR Chest AP erect view. The lung apices are not included. The lungs are congested. No focal consolidation is seen.

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

[ { "label": "interstitial_shadowing", "start": 15, "end": 19 }, { "label": "paratracheal_hilar_enlargement", "start": 15, "end": 19 }, { "label": "technical_issue", "start": 7, "end": 14 } ]

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

61038

XR Chest AP erect view. There is loss of definition of the left heart border, which suggests lingular collapse as demonstrated on previous CT from 1/9/2006. There are several small nodules in the right lung, which were already visualised on the previous CT and which are in keeping with metastases. There is also an old ...

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[ { "label": "abnormal_non_clinically_important", "start": 64, "end": 68 }, { "label": "atelectasis", "start": 7, "end": 34 }, { "label": "comparison", "start": 7, "end": 63 }, { "label": "parenchymal_lesion", "start": 35, "end": 63 }, { "label": "po...

[ "abnormal_non_clinically_important", "atelectasis", "comparison", "parenchymal_lesion", "possible_diagnosis", "rib_lesion" ]

61105

Some increased to lung markings are seen in the left lower zone consistent with bronchitis in only consolidation. Some fibrotic changes are seen in the right hilum and upper zone. This could be due to radiotherapy. Appearance of bony lesions as before.

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[ { "label": "bronchial_wall_thickening", "start": 0, "end": 20 }, { "label": "consolidation", "start": 0, "end": 20 }, { "label": "interstitial_shadowing", "start": 21, "end": 37 }, { "label": "possible_diagnosis", "start": 38, "end": 41 } ]

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

61279

CABG noted.Heart is enlarged. Lung shows changes of venous congestion. No active lung lesion seen.

[ "CABG", "noted.Heart", "is", "enlarged.", "Lung", "shows", "changes", "of", "venous", "congestion.", "No", "active", "lung", "lesion", "seen." ]

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

[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "interstitial_shadowing", "start": 9, "end": 14 }, { "label": "object", "start": 0, "end": 4 }, { "label": "paratracheal_hilar_enlargement", "start": 9, "end": 14 } ]

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

61383

NAD. Lung fields are clear. Normal heart size.

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

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

[ { "label": "normal", "start": 3, "end": 7 } ]

[ "normal" ]

61432

apparent elevation of the right hemidiaphragm noted, no previous CXR available for comparison to see whether this is old or new ,if new the differential diagnosis 1.enlarged liver 2.eventration of the right hemidiaphragm. 3.collapse right lower lobe. Heart size at the upper limit of normally, upper lobe blood vessel di...

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[ { "label": "comparison", "start": 14, "end": 37 }, { "label": "consolidation", "start": 58, "end": 62 }, { "label": "hemidiaphragm_elevated", "start": 0, "end": 13 }, { "label": "hemidiaphragm_elevated", "start": 44, "end": 55 }, { "label": "possib...

[ "comparison", "consolidation", "hemidiaphragm_elevated", "normal", "possible_diagnosis", "rib_fracture", "upper_lobe_blood_diversion", "volume_loss" ]

61826

XR Chest there is complete opacification of the left upper lobe consistent with left upper lobe collapse/consolidation. old bilateral rib fractures noted. An underlying obstructive mass lesion cannot be excluded.

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[ { "label": "abnormal_non_clinically_important", "start": 25, "end": 29 }, { "label": "consolidation", "start": 3, "end": 24 }, { "label": "rib_fracture", "start": 25, "end": 29 }, { "label": "volume_loss", "start": 3, "end": 24 } ]

[ "abnormal_non_clinically_important", "consolidation", "possible_diagnosis", "rib_fracture", "volume_loss" ]

61837

The right apical chest drain which was seen insitu and film of 5/12/07, is no longer seen. There is a moderate size Hydro pneumothorax on the right, it has not changed in size since the last radiograph. The small pleural reaction is noted on the left, this has been present on all previous films and may represent scarri...

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[ { "label": "comparison", "start": 0, "end": 57 }, { "label": "other", "start": 0, "end": 24 }, { "label": "pleural_abnormality", "start": 51, "end": 57 }, { "label": "pleural_effusion", "start": 25, "end": 50 }, { "label": "pneumothorax", "star...

[ "comparison", "other", "pleural_abnormality", "pleural_effusion", "pneumothorax" ]

61850

Heart is enlarged.CT ratio 15/27. There is significant improvements since the eighth of December. There is reduction in the bilateral pleural effusion and pulmonary venous congestion. There is still some residual bilateral basal shadowing. There is a large hiatus hernia.

[ "Heart", "is", "enlarged.CT", "ratio", "15/27.", "There", "is", "significant", "improvements", "since", "the", "eighth", "of", "December.", "There", "is", "reduction", "in", "the", "bilateral", "pleural", "effusion", "and", "pulmonary", "venous", "congestion.", "T...

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[ { "label": "cardiomegaly", "start": 0, "end": 9 }, { "label": "comparison", "start": 10, "end": 19 }, { "label": "consolidation", "start": 36, "end": 39 }, { "label": "interstitial_shadowing", "start": 20, "end": 35 }, { "label": "pleural_effusion"...

[ "cardiomegaly", "comparison", "consolidation", "hernia", "interstitial_shadowing", "pleural_effusion" ]

62013

Rotation to right.Heart is enlarged. Lung shows changes of venous congestion and COPD changes. No active lung lesion seen.

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

[ { "label": "cardiomegaly", "start": 5, "end": 8 }, { "label": "emphysema", "start": 9, "end": 18 }, { "label": "hyperexpanded_lungs", "start": 9, "end": 18 }, { "label": "interstitial_shadowing", "start": 9, "end": 18 }, { "label": "possible_diagno...

[ "cardiomegaly", "emphysema", "hyperexpanded_lungs", "interstitial_shadowing", "normal", "possible_diagnosis", "technical_issue" ]

62183

Heart is enlarged as before. There is a small linear atelectasis in the left mid zone laterally. There is probably mild pulmonary congestion. No collapse or consolidation or pleural effusion seen.

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[ { "label": "atelectasis", "start": 6, "end": 21 }, { "label": "cardiomegaly", "start": 0, "end": 5 }, { "label": "comparison", "start": 0, "end": 5 }, { "label": "consolidation", "start": 22, "end": 28 }, { "label": "normal", "start": 29, "...

[ "atelectasis", "cardiomegaly", "comparison", "consolidation", "normal" ]

62293

XR Abdomen There is a calcified abdominal aortic aneurysm. There is faecal loading throughout the colon. No evidence of bowel obstruction or of perforation. There is degenerative change in both hip joints. XR Chest The heart is mildly enlarged. There is unfolding of the aortic arch.The lungs are clear. Normal hilar and...

[ "XR", "Abdomen", "There", "is", "a", "calcified", "abdominal", "aortic", "aneurysm.", "There", "is", "faecal", "loading", "throughout", "the", "colon.", "No", "evidence", "of", "bowel", "obstruction", "or", "of", "perforation.", "There", "is", "degenerative", "c...

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[ { "label": "cardiomegaly", "start": 53, "end": 58 }, { "label": "unfolded_aorta", "start": 59, "end": 63 } ]

[ "cardiomegaly", "normal", "unfolded_aorta" ]

62416

comparison with the previous chest radiograph from 18/12/2007 shows that the left chest drain has been removed, and there is still completely opacification of the left side of the chest.

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[ { "label": "comparison", "start": 0, "end": 29 }, { "label": "object", "start": 0, "end": 29 }, { "label": "other", "start": 0, "end": 29 } ]

[ "comparison", "object", "other" ]

62487

Heart is enlarged. There is evidence of pulmonary congestion. No major collapse or consolidation seen. There is a large hiatus hernia.

[ "Heart", "is", "enlarged.", "There", "is", "evidence", "of", "pulmonary", "congestion.", "No", "major", "collapse", "or", "consolidation", "seen.", "There", "is", "a", "large", "hiatus", "hernia." ]

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[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "consolidation", "start": 4, "end": 10 }, { "label": "hernia", "start": 18, "end": 20 }, { "label": "normal", "start": 11, "end": 17 } ]

[ "cardiomegaly", "consolidation", "hernia", "normal" ]

62657

AP portable semi erect film. Heart is enlarged. Lung shows changes of pulmonary oedema with bilateral pleural effusion.

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

[ { "label": "cardiomegaly", "start": 6, "end": 9 }, { "label": "consolidation", "start": 10, "end": 17 }, { "label": "pleural_effusion", "start": 10, "end": 17 } ]

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

62970

heart size normal. The lungs appear clear.

[ "heart", "size", "normal.", "The", "lungs", "appear", "clear." ]

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

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

[ "normal" ]

63170

Heart is enlarged. There appears to be mild pulmonary congestion. There is no definite evidence of pleural effusion or any major collapse or consolidation.

[ "Heart", "is", "enlarged.", "There", "appears", "to", "be", "mild", "pulmonary", "congestion.", "There", "is", "no", "definite", "evidence", "of", "pleural", "effusion", "or", "any", "major", "collapse", "or", "consolidation." ]

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

[ { "label": "cardiomegaly", "start": 0, "end": 3 }, { "label": "interstitial_shadowing", "start": 4, "end": 11 }, { "label": "normal", "start": 12, "end": 23 } ]

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

63346

Lung appear grossly clear.

[ "Lung", "appear", "grossly", "clear." ]

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

[ { "label": "normal", "start": 0, "end": 3 } ]

[ "normal" ]