File size: 47,098 Bytes
bcdda20
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
[
  {
    "study_id": "mimic_59697640",
    "dataset": "mimic_cxr",
    "split": "test",
    "image_path": "images/mimic/p11/p11906222/s59697640/20ae33e5-c3a0b30d-d737101f-b47e9ae1-d804765a.jpg",
    "report_gt": "FINAL REPORT\n INDICATION: Syncope. Assess for acute cardiac or pulmonary process.\n \n COMPARISON: Chest radiograph from ___.\n \n FINDINGS: Frontal and lateral radiographs of the chest were acquired. \n Multiple EKG leads project over the chest wall on both radiographs. A\n ventriculoperitoneal shunt courses along the right cervical and thoracic\n region, extending out of the field of view inferiorly. The lungs are clear. \n The heart size is normal. The mediastinal contours are normal. There are no\n pleural effusions. No pneumothorax is seen. Multiple old right-sided rib\n fractures are redemonstrated. A severe compression deformity of a mid\n thoracic vertebral body is not significantly changed.\n \n IMPRESSION: No acute cardiac or pulmonary process.",
    "findings": "Frontal and lateral radiographs of the chest were acquired. \n Multiple EKG leads project over the chest wall on both radiographs. A\n ventriculoperitoneal shunt courses along the right cervical and thoracic\n region, extending out of the field of view inferiorly. The lungs are clear. \n The heart size is normal. The mediastinal contours are normal. There are no\n pleural effusions. No pneumothorax is seen. Multiple old right-sided rib\n fractures are redemonstrated. A severe compression deformity of a mid\n thoracic vertebral body is not significantly changed.",
    "impression": "No acute cardiac or pulmonary process.",
    "is_followup": true,
    "prior_study": {
      "image_path": "images/mimic/p11/p11906222/s52008677/59a291bb-a5b73755-8efc4039-1a4e13f2-887e46d2.jpg",
      "report": "FINDINGS:\nNo focal consolidation, pleural effusion, pneumothorax, or\n pulmonary edema is detected. Heart and mediastinal contours are within normal\n limits. Aortic calcifications are again noted. A shunt catheter courses\n along the right neck, right medial chest, and right abdomen, incompletely\n imaged. Mid-thoracic vertebral body compression deformity is again noted. \n Old right rib fractures are noted. Hardware projecting over the lumbar spine\n at the inferior margin of the image is incompletely evaluated.\n\nIMPRESSION:\nStable chest radiographs without evidence for acute process.",
      "findings": "No focal consolidation, pleural effusion, pneumothorax, or\n pulmonary edema is detected. Heart and mediastinal contours are within normal\n limits. Aortic calcifications are again noted. A shunt catheter courses\n along the right neck, right medial chest, and right abdomen, incompletely\n imaged. Mid-thoracic vertebral body compression deformity is again noted. \n Old right rib fractures are noted. Hardware projecting over the lumbar spine\n at the inferior margin of the image is incompletely evaluated.",
      "impression": "",
      "study_date": "2148-09-20",
      "study_id": "52008677"
    },
    "metadata": {
      "subject_id": "11906222",
      "view_position": "AP",
      "comparison": "Chest radiograph from ___.",
      "chexpert_labels": {
        "Atelectasis": "",
        "Cardiomegaly": "",
        "Consolidation": "",
        "Edema": "",
        "Enlarged Cardiomediastinum": "",
        "Fracture": "",
        "Lung Lesion": "",
        "Lung Opacity": "",
        "No Finding": "1.0",
        "Pleural Effusion": "",
        "Pleural Other": "",
        "Pneumonia": "",
        "Pneumothorax": "",
        "Support Devices": ""
      },
      "study_date": "2148-11-27",
      "admission_info": {
        "hadm_id": 23103832,
        "admittime": "2148-11-27 16:10:00",
        "dischtime": "2148-11-28 18:04:00",
        "admission_type": "EU OBSERVATION",
        "demographics": {
          "age": 77,
          "gender": "F"
        },
        "patient_history": "",
        "physical_examination": "",
        "chief_complaint": "",
        "medications_on_admission": "",
        "discharge_diagnosis": "",
        "icd_diagnoses": [
          {
            "code": "7802",
            "version": 9,
            "description": "Syncope and collapse"
          },
          {
            "code": "4019",
            "version": 9,
            "description": "Unspecified essential hypertension"
          },
          {
            "code": "2724",
            "version": 9,
            "description": "Other and unspecified hyperlipidemia"
          },
          {
            "code": "56400",
            "version": 9,
            "description": "Constipation, unspecified"
          },
          {
            "code": "43820",
            "version": 9,
            "description": "Late effects of cerebrovascular disease, hemiplegia affecting unspecified side"
          },
          {
            "code": "V452",
            "version": 9,
            "description": "Presence of cerebrospinal fluid drainage device"
          }
        ],
        "labs": [
          {
            "label": "Anion Gap",
            "value": "13",
            "unit": "mEq/L",
            "flag": "normal"
          },
          {
            "label": "Bicarbonate",
            "value": "28",
            "unit": "mEq/L",
            "flag": "normal"
          },
          {
            "label": "Chloride",
            "value": "102",
            "unit": "mEq/L",
            "flag": "normal"
          },
          {
            "label": "Creatinine",
            "value": "0.8",
            "unit": "mg/dL",
            "flag": "normal"
          },
          {
            "label": "Glucose",
            "value": "___",
            "unit": "mg/dL",
            "flag": "normal"
          },
          {
            "label": "Potassium",
            "value": "4.0",
            "unit": "mEq/L",
            "flag": "normal"
          },
          {
            "label": "Sodium",
            "value": "139",
            "unit": "mEq/L",
            "flag": "normal"
          },
          {
            "label": "BUN",
            "value": "13",
            "unit": "mg/dL",
            "flag": "normal"
          },
          {
            "label": "Hemoglobin",
            "value": "11.6",
            "unit": "g/dL",
            "flag": "abnormal"
          },
          {
            "label": "MCHC",
            "value": "33.6",
            "unit": "%",
            "flag": "normal"
          },
          {
            "label": "Platelet Count",
            "value": "436",
            "unit": "K/uL",
            "flag": "normal"
          },
          {
            "label": "WBC",
            "value": "5.9",
            "unit": "K/uL",
            "flag": "normal"
          }
        ]
      }
    },
    "eval_track": "followup",
    "lateral_image_path": "images/mimic/p11/p11906222/s59697640/efc879d0-ba7f1b53-560419c8-f53bda85-6bd62bb3.jpg"
  },
  {
    "study_id": "mimic_52210901",
    "dataset": "mimic_cxr",
    "split": "test",
    "image_path": "images/mimic/p18/p18570152/s52210901/8328656b-7a7c59ec-fba66d3e-d4e3b7d3-2d5332bc.jpg",
    "report_gt": "FINAL REPORT\n INDICATION: ___ year old man with cough and fever and CLL // r/o pneumonia\n \n TECHNIQUE: Chest PA and lateral\n \n COMPARISON: ___\n \n FINDINGS: \n \n Single lead pacemaker in situ with the lead tip in the right ventricle. No\n cardiomegaly. No features of cardiac decompensation. Prominent pulmonary\n arteries suggesting pulmonary arterial hypertension. No pleural effusion. \n Consolidation in the left lower lobe.\n \n IMPRESSION: \n \n Suspected left lower lobe pneumonia.\n \n NOTIFICATION: The findings were discussed with ___, M.D. by ___\n ___, M.D. on the telephone on ___ at 3:36 PM, 10 minutes after\n discovery of the findings.",
    "findings": "Single lead pacemaker in situ with the lead tip in the right ventricle. No\n cardiomegaly. No features of cardiac decompensation. Prominent pulmonary\n arteries suggesting pulmonary arterial hypertension. No pleural effusion. \n Consolidation in the left lower lobe.",
    "impression": "Suspected left lower lobe pneumonia.",
    "is_followup": true,
    "prior_study": {
      "image_path": "images/mimic/p18/p18570152/s57576479/bdc767d8-f9566903-2dda971f-c7110e57-164c5277.jpg",
      "report": "FINDINGS:\nCompared with the radiograph of ___, the lungs are more clear, without\n focal consolidation, effusion, or pneumothorax. Lungs are slightly\n hyperexpanded. Left-sided pacemaker with lead projecting of the right\n ventricle is unchanged in position. Cardiomediastinal silhouette is normal.\n\nIMPRESSION:\nNo focal consolidation concerning for pneumonia.",
      "findings": "Compared with the radiograph of ___, the lungs are more clear, without\n focal consolidation, effusion, or pneumothorax. Lungs are slightly\n hyperexpanded. Left-sided pacemaker with lead projecting of the right\n ventricle is unchanged in position. Cardiomediastinal silhouette is normal.",
      "impression": "",
      "study_date": "2206-07-02",
      "study_id": "57576479"
    },
    "metadata": {
      "subject_id": "18570152",
      "view_position": "PA",
      "comparison": "___",
      "chexpert_labels": {
        "Atelectasis": "",
        "Cardiomegaly": "",
        "Consolidation": "",
        "Edema": "",
        "Enlarged Cardiomediastinum": "",
        "Fracture": "",
        "Lung Lesion": "",
        "Lung Opacity": "",
        "No Finding": "",
        "Pleural Effusion": "",
        "Pleural Other": "",
        "Pneumonia": "-1.0",
        "Pneumothorax": "",
        "Support Devices": ""
      },
      "study_date": "2207-01-29"
    },
    "eval_track": "followup",
    "lateral_image_path": "images/mimic/p18/p18570152/s52210901/e28d8d90-6270d7bd-ea44579d-8f6861a4-2d4a40ae.jpg"
  },
  {
    "study_id": "mimic_57361873",
    "dataset": "mimic_cxr",
    "split": "test",
    "image_path": "images/mimic/p11/p11413236/s57361873/7634db9d-273d50e3-b619164d-90d11c3f-2a46ab37.jpg",
    "report_gt": "FINAL REPORT\n INDICATION: ___F with h/o mast cell crisis presenting with cp and sob which\n she attributes to mast cell attack // acute cardiopulmonary abnormality\n \n TECHNIQUE: Chest PA and lateral\n \n COMPARISON: Chest radiograph dated ___\n \n FINDINGS: \n \n PA and lateral chest radiograph demonstrate a right chest port, its tip which\n projects within the upper superior vena cava, unchanged in position relative\n to prior study. Median sternotomy wires appear intact. Cardiomediastinal\n silhouette appears stable relative to prior examination. Heart size is mildly\n enlarged. There is no evidence of pulmonary edema. Nodular opacities\n within the in right infrahilar region likely reflect vascular shadows. Lung\n volumes are low. Bibasilar atelectasis is moderate. There is no focal opacity\n convincing for infectious process. Calcification on the AP window could be\n due to calcified nodes. No large pleural effusion or pneumothorax is\n identified.\n \n IMPRESSION: \n \n Overall stable appearance of the chest with low lung volumes and basilar\n atelectasis.",
    "findings": "PA and lateral chest radiograph demonstrate a right chest port, its tip which\n projects within the upper superior vena cava, unchanged in position relative\n to prior study. Median sternotomy wires appear intact. Cardiomediastinal\n silhouette appears stable relative to prior examination. Heart size is mildly\n enlarged. There is no evidence of pulmonary edema. Nodular opacities\n within the in right infrahilar region likely reflect vascular shadows. Lung\n volumes are low. Bibasilar atelectasis is moderate. There is no focal opacity\n convincing for infectious process. Calcification on the AP window could be\n due to calcified nodes. No large pleural effusion or pneumothorax is\n identified.",
    "impression": "Overall stable appearance of the chest with low lung volumes and basilar\n atelectasis.",
    "is_followup": true,
    "prior_study": {
      "image_path": "images/mimic/p11/p11413236/s51644170/68fca727-3938158e-eb97e5dc-141e63e2-53d66c78.jpg",
      "report": "FINDINGS:\nPatient is status post median sternotomy. Right-sided Port-A-Cath tip\n terminates in the upper SVC, unchanged. Cardiac silhouette remains moderately\n enlarged but unchanged. Multiple calcified mediastinal lymph nodes are again\n demonstrated suggestive prior granulomatous disease. The mediastinal and\n hilar contours are otherwise unremarkable. Lung volumes are persistently low\n with streaky atelectasis seen in the right lung base. No focal consolidation,\n pleural effusion or pneumothorax is seen. The pulmonary vasculature is not\n engorged.\n\nIMPRESSION:\nPersistently low lung volumes with streaky right basilar atelectasis.",
      "findings": "Patient is status post median sternotomy. Right-sided Port-A-Cath tip\n terminates in the upper SVC, unchanged. Cardiac silhouette remains moderately\n enlarged but unchanged. Multiple calcified mediastinal lymph nodes are again\n demonstrated suggestive prior granulomatous disease. The mediastinal and\n hilar contours are otherwise unremarkable. Lung volumes are persistently low\n with streaky atelectasis seen in the right lung base. No focal consolidation,\n pleural effusion or pneumothorax is seen. The pulmonary vasculature is not\n engorged.",
      "impression": "",
      "study_date": "2193-04-03",
      "study_id": "51644170"
    },
    "metadata": {
      "subject_id": "11413236",
      "view_position": "PA",
      "comparison": "Chest radiograph dated ___",
      "chexpert_labels": {
        "Atelectasis": "1.0",
        "Cardiomegaly": "",
        "Consolidation": "",
        "Edema": "",
        "Enlarged Cardiomediastinum": "",
        "Fracture": "",
        "Lung Lesion": "",
        "Lung Opacity": "",
        "No Finding": "",
        "Pleural Effusion": "",
        "Pleural Other": "",
        "Pneumonia": "",
        "Pneumothorax": "",
        "Support Devices": ""
      },
      "study_date": "2193-04-17"
    },
    "eval_track": "followup",
    "lateral_image_path": "images/mimic/p11/p11413236/s57361873/cc3d0bf3-f2bb85cd-cd67adeb-9458eb46-ac522113.jpg"
  },
  {
    "study_id": "mimic_57464511",
    "dataset": "mimic_cxr",
    "split": "test",
    "image_path": "images/mimic/p18/p18287845/s57464511/64e9fab8-be276430-8b0b8d08-b7aff644-5d287946.jpg",
    "report_gt": "FINAL REPORT\n INDICATION: ___-year-old man with fever and hypoxia. Evaluate for pneumonia.\n \n COMPARISIONS: Portable chest x-ray FROM ___.\n \n FINDINGS: PA and lateral chest radiograph is provided. There is no focal\n consolidation, pleural effusion or pneumothorax. Bibasilar opacities are\n present, more prominent on the left, which most likely represents atelectasis.\n A pacemaker is seen with leads in appropriate positioning. There are surgical\n clips seen in the epigastric area.\n \n IMPRESSION: No acute cardiopulmonary process. Bibasilar opacities most\n likely representing atelectasis.",
    "findings": "PA and lateral chest radiograph is provided. There is no focal\n consolidation, pleural effusion or pneumothorax. Bibasilar opacities are\n present, more prominent on the left, which most likely represents atelectasis.\n A pacemaker is seen with leads in appropriate positioning. There are surgical\n clips seen in the epigastric area.",
    "impression": "No acute cardiopulmonary process. Bibasilar opacities most\n likely representing atelectasis.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "subject_id": "18287845",
      "view_position": "PA",
      "comparison": "",
      "chexpert_labels": {
        "Atelectasis": "1.0",
        "Cardiomegaly": "",
        "Consolidation": "",
        "Edema": "",
        "Enlarged Cardiomediastinum": "",
        "Fracture": "",
        "Lung Lesion": "",
        "Lung Opacity": "1.0",
        "No Finding": "",
        "Pleural Effusion": "",
        "Pleural Other": "",
        "Pneumonia": "",
        "Pneumothorax": "",
        "Support Devices": ""
      },
      "study_date": "2149-09-23"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/mimic/p18/p18287845/s57464511/c3b3a7da-a23fa428-bfdf622b-e03af5b4-401c60d3.jpg"
  },
  {
    "study_id": "mimic_56415175",
    "dataset": "mimic_cxr",
    "split": "test",
    "image_path": "images/mimic/p18/p18767957/s56415175/88dd4b9d-f5dc2b18-5e9e6141-943b90b2-39b71300.jpg",
    "report_gt": "FINAL REPORT\n EXAMINATION:\n Chest: Frontal and lateral views\n \n INDICATION: History: ___M with weakness // acute process?>\n \n TECHNIQUE: Chest Frontal and Lateral\n \n COMPARISON: ___\n \n FINDINGS: \n \n The lungs are clear without focal consolidation. No pleural effusion or\n pneumothorax is seen. The cardiac and mediastinal silhouettes are\n unremarkable.\n \n IMPRESSION: \n \n No acute cardiopulmonary process.",
    "findings": "The lungs are clear without focal consolidation. No pleural effusion or\n pneumothorax is seen. The cardiac and mediastinal silhouettes are\n unremarkable.",
    "impression": "No acute cardiopulmonary process.",
    "is_followup": true,
    "prior_study": {
      "image_path": "images/mimic/p18/p18767957/s59375123/ee7e973e-09b18407-53d2a8d5-becd082f-6debca86.jpg",
      "report": "FINDINGS:\nThe cardiomediastinal and hilar contours are stable. There is no\n pleural effusion or pneumothorax. The lungs are well expanded and clear. \n Pulmonary vasculature is within normal limits.\n\nIMPRESSION:\nNo acute cardiopulmonary process.",
      "findings": "The cardiomediastinal and hilar contours are stable. There is no\n pleural effusion or pneumothorax. The lungs are well expanded and clear. \n Pulmonary vasculature is within normal limits.",
      "impression": "",
      "study_date": "2194-09-28",
      "study_id": "59375123"
    },
    "metadata": {
      "subject_id": "18767957",
      "view_position": "PA",
      "comparison": "___",
      "chexpert_labels": {
        "Atelectasis": "",
        "Cardiomegaly": "",
        "Consolidation": "",
        "Edema": "",
        "Enlarged Cardiomediastinum": "",
        "Fracture": "",
        "Lung Lesion": "",
        "Lung Opacity": "",
        "No Finding": "1.0",
        "Pleural Effusion": "",
        "Pleural Other": "",
        "Pneumonia": "",
        "Pneumothorax": "",
        "Support Devices": ""
      },
      "study_date": "2195-08-08",
      "admission_info": {
        "hadm_id": 27460973,
        "admittime": "2195-08-08 18:39:00",
        "dischtime": "2195-08-10 16:54:00",
        "admission_type": "EW EMER.",
        "demographics": {
          "age": 69,
          "gender": "M"
        },
        "patient_history": "",
        "physical_examination": "",
        "chief_complaint": "",
        "medications_on_admission": "",
        "discharge_diagnosis": "",
        "icd_diagnoses": [
          {
            "code": "78791",
            "version": 9,
            "description": "Diarrhea"
          },
          {
            "code": "5856",
            "version": 9,
            "description": "End stage renal disease"
          },
          {
            "code": "99681",
            "version": 9,
            "description": "Complications of transplanted kidney"
          },
          {
            "code": "40391",
            "version": 9,
            "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease"
          },
          {
            "code": "42830",
            "version": 9,
            "description": "Diastolic heart failure, unspecified"
          },
          {
            "code": "4280",
            "version": 9,
            "description": "Congestive heart failure, unspecified"
          },
          {
            "code": "V08",
            "version": 9,
            "description": "Asymptomatic human immunodeficiency virus [HIV] infection status"
          },
          {
            "code": "V4511",
            "version": 9,
            "description": "Renal dialysis status"
          },
          {
            "code": "E8780",
            "version": 9,
            "description": "Surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation"
          },
          {
            "code": "25050",
            "version": 9,
            "description": "Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled"
          },
          {
            "code": "36201",
            "version": 9,
            "description": "Background diabetic retinopathy"
          },
          {
            "code": "V5867",
            "version": 9,
            "description": "Long-term (current) use of insulin"
          },
          {
            "code": "V5865",
            "version": 9,
            "description": "Long-term (current) use of steroids"
          },
          {
            "code": "2731",
            "version": 9,
            "description": "Monoclonal paraproteinemia"
          },
          {
            "code": "71590",
            "version": 9,
            "description": "Osteoarthrosis, unspecified whether generalized or localized, site unspecified"
          },
          {
            "code": "V1581",
            "version": 9,
            "description": "Personal history of noncompliance with medical treatment, presenting hazards to health"
          },
          {
            "code": "V1869",
            "version": 9,
            "description": "Family history of other kidney diseases"
          },
          {
            "code": "V180",
            "version": 9,
            "description": "Family history of diabetes mellitus"
          },
          {
            "code": "V173",
            "version": 9,
            "description": "Family history of ischemic heart disease"
          },
          {
            "code": "V5866",
            "version": 9,
            "description": "Long-term (current) use of aspirin"
          },
          {
            "code": "30500",
            "version": 9,
            "description": "Alcohol abuse, unspecified"
          },
          {
            "code": "7197",
            "version": 9,
            "description": "Difficulty in walking"
          },
          {
            "code": "2859",
            "version": 9,
            "description": "Anemia, unspecified"
          },
          {
            "code": "78079",
            "version": 9,
            "description": "Other malaise and fatigue"
          }
        ],
        "labs": [
          {
            "label": "Anion Gap",
            "value": "18",
            "unit": "mEq/L",
            "flag": "normal"
          },
          {
            "label": "Bicarbonate",
            "value": "27",
            "unit": "mEq/L",
            "flag": "normal"
          },
          {
            "label": "Chloride",
            "value": "97",
            "unit": "mEq/L",
            "flag": "normal"
          },
          {
            "label": "Creatinine",
            "value": "7.5",
            "unit": "mg/dL",
            "flag": "abnormal"
          },
          {
            "label": "Glucose",
            "value": "___",
            "unit": "mg/dL",
            "flag": "abnormal"
          },
          {
            "label": "Potassium",
            "value": "5.4",
            "unit": "mEq/L",
            "flag": "abnormal"
          },
          {
            "label": "Sodium",
            "value": "137",
            "unit": "mEq/L",
            "flag": "normal"
          },
          {
            "label": "BUN",
            "value": "58",
            "unit": "mg/dL",
            "flag": "abnormal"
          },
          {
            "label": "Hemoglobin",
            "value": "12.9",
            "unit": "g/dL",
            "flag": "abnormal"
          },
          {
            "label": "MCHC",
            "value": "31.1",
            "unit": "%",
            "flag": "normal"
          },
          {
            "label": "Platelet Count",
            "value": "163",
            "unit": "K/uL",
            "flag": "normal"
          },
          {
            "label": "WBC",
            "value": "3.9",
            "unit": "K/uL",
            "flag": "abnormal"
          }
        ]
      }
    },
    "eval_track": "followup",
    "lateral_image_path": "images/mimic/p18/p18767957/s56415175/638c566a-13e88650-9b767af5-d532eda6-7120af1b.jpg"
  },
  {
    "study_id": "rexgrad_pGRDNCX36GPDFR1U9_aGRDNQQNYYY6G233F_s1.2.826.0.1.3680043.8.498.33822916114433586816287211625536302084",
    "dataset": "rexgradient",
    "split": "test",
    "image_path": "images/rexgradient/GRDNCX36GPDFR1U9/GRDNQQNYYY6G233F/studies/1.2.826.0.1.3680043.8.498.33822916114433586816287211625536302084/series/1.2.826.0.1.3680043.8.498.17584072942033215871645398276696484770/instances/1.2.826.0.1.3680043.8.498.49897709924690352535976392865595240553.png",
    "report_gt": "FINDINGS:\nHeart size is normal. Mediastinal shadows are normal. Lungs are clear. No effusions. No bony abnormalities.\n\nIMPRESSION:\nNormal chest",
    "findings": "Heart size is normal. Mediastinal shadows are normal. Lungs are clear. No effusions. No bony abnormalities.",
    "impression": "Normal chest",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "pGRDNCX36GPDFR1U9",
      "view_position": "PA",
      "study_date": "20131121",
      "comparison": "None.",
      "indication": "Cough. Pleuritic chest pain.",
      "age": "038Y",
      "sex": "F"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/rexgradient/GRDNCX36GPDFR1U9/GRDNQQNYYY6G233F/studies/1.2.826.0.1.3680043.8.498.33822916114433586816287211625536302084/series/1.2.826.0.1.3680043.8.498.26499514510371858690035247276847494581/instances/1.2.826.0.1.3680043.8.498.65421092922190870498080120562549417568.png"
  },
  {
    "study_id": "rexgrad_pGRDNHJ7NR08GWU3I_aGRDNZK4Y64K7D468_s1.2.826.0.1.3680043.8.498.36672213791195647649068417919769551965",
    "dataset": "rexgradient",
    "split": "test",
    "image_path": "images/rexgradient/GRDNHJ7NR08GWU3I/GRDNZK4Y64K7D468/studies/1.2.826.0.1.3680043.8.498.36672213791195647649068417919769551965/series/1.2.826.0.1.3680043.8.498.91087263025138965326773638213047146126/instances/1.2.826.0.1.3680043.8.498.15585917279908932922767549492157630636.png",
    "report_gt": "FINDINGS:\nThe lungs are clear and slightly hyperaerated. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is seen.\n\nIMPRESSION:\nNo active lung disease. Slight hyperaeration.",
    "findings": "The lungs are clear and slightly hyperaerated. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is seen.",
    "impression": "No active lung disease. Slight hyperaeration.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "pGRDNHJ7NR08GWU3I",
      "view_position": "PA",
      "study_date": "20131204",
      "comparison": "None.",
      "indication": "Preop for prostate seed implantation",
      "age": "056Y",
      "sex": "M"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/rexgradient/GRDNHJ7NR08GWU3I/GRDNZK4Y64K7D468/studies/1.2.826.0.1.3680043.8.498.36672213791195647649068417919769551965/series/1.2.826.0.1.3680043.8.498.76539955404158712296572004125194715223/instances/1.2.826.0.1.3680043.8.498.23040306405812489256806706774878186931.png"
  },
  {
    "study_id": "rexgrad_pGRDNCRGF5DNEB2XV_aGRDNLMXJL8XHUFIC_s1.2.826.0.1.3680043.8.498.68878050044886972705795522263042629149",
    "dataset": "rexgradient",
    "split": "test",
    "image_path": "images/rexgradient/GRDNCRGF5DNEB2XV/GRDNLMXJL8XHUFIC/studies/1.2.826.0.1.3680043.8.498.68878050044886972705795522263042629149/series/1.2.826.0.1.3680043.8.498.43011840713483897600466146568804561351/instances/1.2.826.0.1.3680043.8.498.14204844411546522134907595428402924717.png",
    "report_gt": "FINDINGS:\nLow lung volumes. The cardiothymic silhouette is normal. There is diffuse central airway thickening with possible peribronchial inflammation. There is no consolidation, significant pleural effusion or pneumothorax. The bones appear unremarkable.\n\nIMPRESSION:\nCentral airway thickening with possible peribronchial inflammation. No consolidation.",
    "findings": "Low lung volumes. The cardiothymic silhouette is normal. There is diffuse central airway thickening with possible peribronchial inflammation. There is no consolidation, significant pleural effusion or pneumothorax. The bones appear unremarkable.",
    "impression": "Central airway thickening with possible peribronchial inflammation. No consolidation.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "pGRDNCRGF5DNEB2XV",
      "view_position": "AP",
      "study_date": "20190820",
      "comparison": "None.",
      "indication": "20-month-old with congestion for 2 weeks. More recent onset of cough and fever.",
      "age": "019M",
      "sex": "F"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/rexgradient/GRDNCRGF5DNEB2XV/GRDNLMXJL8XHUFIC/studies/1.2.826.0.1.3680043.8.498.68878050044886972705795522263042629149/series/1.2.826.0.1.3680043.8.498.58322760060688849452969143375198072887/instances/1.2.826.0.1.3680043.8.498.81272611114181355797374290734028633868.png"
  },
  {
    "study_id": "rexgrad_pGRDNO94OM2EK7LT4_aGRDNPY1N8UMH0M49_s1.2.826.0.1.3680043.8.498.36085719381514374998651020413949527674",
    "dataset": "rexgradient",
    "split": "test",
    "image_path": "images/rexgradient/GRDNO94OM2EK7LT4/GRDNPY1N8UMH0M49/studies/1.2.826.0.1.3680043.8.498.36085719381514374998651020413949527674/series/1.2.826.0.1.3680043.8.498.94939821831940527743164159888362437233/instances/1.2.826.0.1.3680043.8.498.80944856672845915003135989623570539236.png",
    "report_gt": "FINDINGS:\nNormal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.\n\nIMPRESSION:\nNegative. No acute cardiopulmonary abnormality.",
    "findings": "Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.",
    "impression": "Negative. No acute cardiopulmonary abnormality.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "pGRDNO94OM2EK7LT4",
      "view_position": "AP",
      "study_date": "20221103",
      "comparison": "None.",
      "indication": "20-year-old female with nonproductive cough and shortness of breath.",
      "age": "020Y",
      "sex": "F"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/rexgradient/GRDNO94OM2EK7LT4/GRDNPY1N8UMH0M49/studies/1.2.826.0.1.3680043.8.498.36085719381514374998651020413949527674/series/1.2.826.0.1.3680043.8.498.94939821831940527743164159888362437233/instances/1.2.826.0.1.3680043.8.498.32627585929990862274249796957881657151.png"
  },
  {
    "study_id": "rexgrad_pGRDN3MHCAVG7YS3V_aGRDNZ5RTEM2H3MC4_s1.2.826.0.1.3680043.8.498.54241040276471732108834929144033941295",
    "dataset": "rexgradient",
    "split": "test",
    "image_path": "images/rexgradient/GRDN3MHCAVG7YS3V/GRDNZ5RTEM2H3MC4/studies/1.2.826.0.1.3680043.8.498.54241040276471732108834929144033941295/series/1.2.826.0.1.3680043.8.498.70079332463910849655838089764680389514/instances/1.2.826.0.1.3680043.8.498.95798804064238854460557882650604936380.png",
    "report_gt": "FINDINGS:\nShallow lung inflation. Linear opacities in lung bases likely reflect atelectasis. No focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. Normal cardiomediastinal contours.\n\nIMPRESSION:\nNo active cardiopulmonary disease.",
    "findings": "Shallow lung inflation. Linear opacities in lung bases likely reflect atelectasis. No focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. Normal cardiomediastinal contours.",
    "impression": "No active cardiopulmonary disease.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "pGRDN3MHCAVG7YS3V",
      "view_position": "AP",
      "study_date": "20171202",
      "comparison": "None.",
      "indication": "Smoking history.",
      "age": "069Y",
      "sex": "M"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/rexgradient/GRDN3MHCAVG7YS3V/GRDNZ5RTEM2H3MC4/studies/1.2.826.0.1.3680043.8.498.54241040276471732108834929144033941295/series/1.2.826.0.1.3680043.8.498.76682776053884878442157294986269201156/instances/1.2.826.0.1.3680043.8.498.48089566379942159877102729746951270059.png"
  },
  {
    "study_id": "iu_CXR145_IM-0290",
    "dataset": "iu_xray",
    "split": "test",
    "image_path": "images/iu_xray/images/images_normalized/145_IM-0290-1001.dcm.png",
    "report_gt": "FINDINGS:\nRight costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.\n\nIMPRESSION:\nLarge right pleural effusion and patchy left lower lobe airspace disease.",
    "findings": "Right costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.",
    "impression": "Large right pleural effusion and patchy left lower lobe airspace disease.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "case_id": "CXR145_IM-0290",
      "comparison": "None",
      "indication": "Indication: dyspnea Comparison: None"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/iu_xray/images/images_normalized/145_IM-0290-2001.dcm.png"
  },
  {
    "study_id": "iu_CXR2784_IM-1220",
    "dataset": "iu_xray",
    "split": "test",
    "image_path": "images/iu_xray/images/images_normalized/2784_IM-1220-1001.dcm.png",
    "report_gt": "FINDINGS:\nThe heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormalities.",
    "findings": "The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.",
    "impression": "No acute cardiopulmonary abnormalities.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "case_id": "CXR2784_IM-1220",
      "comparison": "Radiograph Chest PA and Lateral XXXX, XXXX.",
      "indication": "Indication: Short of breath, XXXX and wheezing. Comparison: Radiograph Chest PA and Lateral XXXX, XXXX."
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/iu_xray/images/images_normalized/2784_IM-1220-2001.dcm.png"
  },
  {
    "study_id": "iu_CXR1265_IM-0179",
    "dataset": "iu_xray",
    "split": "test",
    "image_path": "images/iu_xray/images/images_normalized/1265_IM-0179-1001.dcm.png",
    "report_gt": "FINDINGS:\nNormal heart size. There is a round density in the AP XXXX. XXXX study performed in XXXX is not available for review at this time. Lungs are hyperinflated with flattened diaphragms. Calcified right lower lobe granuloma. No focal airspace consolidation, pneumothorax, or pleural effusion. No pulmonary edema. No acute bony abnormality.\n\nIMPRESSION:\nCircumscribed structure in the AP XXXX could represent lymphadenopathy, mass, pulmonary arterial abnormality XXXX as aneurysm, or enlargement of the left atrial appendage. As prior chest x-XXXX are not available online at this XXXX should be considered.",
    "findings": "Normal heart size. There is a round density in the AP XXXX. XXXX study performed in XXXX is not available for review at this time. Lungs are hyperinflated with flattened diaphragms. Calcified right lower lobe granuloma. No focal airspace consolidation, pneumothorax, or pleural effusion. No pulmonary edema. No acute bony abnormality.",
    "impression": "Circumscribed structure in the AP XXXX could represent lymphadenopathy, mass, pulmonary arterial abnormality XXXX as aneurysm, or enlargement of the left atrial appendage. As prior chest x-XXXX are not available online at this XXXX should be considered.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "case_id": "CXR1265_IM-0179",
      "comparison": "Images from chest x-XXXX performed on XXXX are not available at this time for comparison.",
      "indication": "Indication: XXXX-year-old female with dyspnea. Comparison: Images from chest x-XXXX performed on XXXX are not available at this time for comparison."
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/iu_xray/images/images_normalized/1265_IM-0179-2001.dcm.png"
  },
  {
    "study_id": "iu_CXR692_IM-2258",
    "dataset": "iu_xray",
    "split": "test",
    "image_path": "images/iu_xray/images/images_normalized/692_IM-2258-1001.dcm.png",
    "report_gt": "FINDINGS:\nThe lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax. There are endplate changes in the spine.\n\nIMPRESSION:\nClear lungs. No acute cardiopulmonary abnormality. .",
    "findings": "The lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax. There are endplate changes in the spine.",
    "impression": "Clear lungs. No acute cardiopulmonary abnormality. .",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "case_id": "CXR692_IM-2258",
      "comparison": "None.",
      "indication": "Indication: Pre op Sarcoma Comparison: None."
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/iu_xray/images/images_normalized/692_IM-2258-2001.dcm.png"
  },
  {
    "study_id": "iu_CXR1277_IM-0185",
    "dataset": "iu_xray",
    "split": "test",
    "image_path": "images/iu_xray/images/images_normalized/1277_IM-0185-1001.dcm.png",
    "report_gt": "FINDINGS:\nPA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or lobar air space consolidation. XXXX right middle lobe collapse appears less distinct than on prior study.\n\nIMPRESSION:\nNo acute cardiopulmonary disease.",
    "findings": "PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or lobar air space consolidation. XXXX right middle lobe collapse appears less distinct than on prior study.",
    "impression": "No acute cardiopulmonary disease.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "case_id": "CXR1277_IM-0185",
      "comparison": "XXXX",
      "indication": "Indication: Palpitation Comparison: XXXX"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/iu_xray/images/images_normalized/1277_IM-0185-2001.dcm.png"
  },
  {
    "study_id": "chexpert_patient64616_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64616/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is normal.\n \nPatchy consolidation in the left retrocardiac area which may \nrepresent atelectasis and/or early airspace disease.\n \nNo evidence of pulmonary edema, pneumothorax or pleural effusions.\n \nElevated right hemidiaphragm again noted. Colonic interposition under \nthe right hemidiaphragm also noted.\n \nDegenerative changes of the thoracic spine.\n\nIMPRESSION:\n1. Patchy consolidation in the left retrocardiac area which is \nnonspecific. May represent atelectasis versus airspace disease.\n \n2. Elevated right hemidiaphragm.",
    "findings": "The cardiomediastinal silhouette is normal.\n \nPatchy consolidation in the left retrocardiac area which may \nrepresent atelectasis and/or early airspace disease.\n \nNo evidence of pulmonary edema, pneumothorax or pleural effusions.\n \nElevated right hemidiaphragm again noted. Colonic interposition under \nthe right hemidiaphragm also noted.\n \nDegenerative changes of the thoracic spine.",
    "impression": "1. Patchy consolidation in the left retrocardiac area which is \nnonspecific. May represent atelectasis versus airspace disease.\n \n2. Elevated right hemidiaphragm.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64616",
      "report_date_order": 1,
      "view_position": "PA",
      "comparison": "04-19-2020",
      "age": "89.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64616/study1/view2_lateral.jpg"
  },
  {
    "study_id": "chexpert_patient64625_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64625/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nThe heart is within normal limits of size. The lungs are clear\nwithout focal opacity or pleural effusion. Deformity of several\nleft sided ribs appears chronic and may be the result of prior\ntrauma.\n\nIMPRESSION:\n1. NO FOCAL PULMONARY OPACITY OR PLEURAL EFFUSION. THERE IS NO\nPNEUMOTHORAX.",
    "findings": "The heart is within normal limits of size. The lungs are clear\nwithout focal opacity or pleural effusion. Deformity of several\nleft sided ribs appears chronic and may be the result of prior\ntrauma.",
    "impression": "1. NO FOCAL PULMONARY OPACITY OR PLEURAL EFFUSION. THERE IS NO\nPNEUMOTHORAX.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64625",
      "report_date_order": 2,
      "view_position": "PA",
      "comparison": "None available.",
      "age": "75.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64625/study1/view2_lateral.jpg"
  },
  {
    "study_id": "chexpert_patient64606_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64606/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nSingle lead cardiac pacer with a residual small left pleural effusion.\n\nIMPRESSION:\n1. Residual small left pleural effusion.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
    "findings": "Single lead cardiac pacer with a residual small left pleural effusion.",
    "impression": "1. Residual small left pleural effusion.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64606",
      "report_date_order": 1,
      "view_position": "PA",
      "comparison": "8/1/2019",
      "age": "85.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64606/study1/view2_lateral.jpg"
  },
  {
    "study_id": "chexpert_patient64615_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64615/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nThere is a small 2-mm radiopaque density seen within the\nleft peripheral upper lung zone. This appears calcified and most\nlikely represents old granulomatous disease. However, the patient\nhas a history of melanoma, and comparison with old studies, once\nthey are available, is recommended if there is clinical concern for\nmetastatic disease. The remainder of the lungs are clear without\nfocal air-space consolidation. The cardiomediastinal silhouette\nappears unremarkable. There is an old healing defect at the left\nclavicle demonstrated. The remainder of the bones appear\nunremarkable. Axillary clips seen within the right axilla.\n\nIMPRESSION:\n1. SMALL 2-MM NODULAR DENSITY SEEN IN THE LEFT UPPER PERIPHERAL\nLUNG ZONE, MOST LIKELY REPRESENTING OLD GRANULOMATOUS DISEASE.\n2. DEFECT SEEN WITHIN THE LEFT CLAVICLE, LIKELY REPRESENTING A\nHEALING OR OLD FRACTURE.\n3. AXILLARY CLIPS WITHIN THE RIGHT AXILLA.\n4. NO ACUTE CARDIOPULMONARY DISEASE.\n5. QUESTION OF OLD RIGHT NINTH LATERAL RIB FRACTURE.",
    "findings": "There is a small 2-mm radiopaque density seen within the\nleft peripheral upper lung zone. This appears calcified and most\nlikely represents old granulomatous disease. However, the patient\nhas a history of melanoma, and comparison with old studies, once\nthey are available, is recommended if there is clinical concern for\nmetastatic disease. The remainder of the lungs are clear without\nfocal air-space consolidation. The cardiomediastinal silhouette\nappears unremarkable. There is an old healing defect at the left\nclavicle demonstrated. The remainder of the bones appear\nunremarkable. Axillary clips seen within the right axilla.",
    "impression": "1. SMALL 2-MM NODULAR DENSITY SEEN IN THE LEFT UPPER PERIPHERAL\nLUNG ZONE, MOST LIKELY REPRESENTING OLD GRANULOMATOUS DISEASE.\n2. DEFECT SEEN WITHIN THE LEFT CLAVICLE, LIKELY REPRESENTING A\nHEALING OR OLD FRACTURE.\n3. AXILLARY CLIPS WITHIN THE RIGHT AXILLA.\n4. NO ACUTE CARDIOPULMONARY DISEASE.\n5. QUESTION OF OLD RIGHT NINTH LATERAL RIB FRACTURE.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64615",
      "report_date_order": 1,
      "view_position": "PA",
      "comparison": "No priors for comparison. There is a prior comparison\ndated 4-17, but it is not available online.",
      "age": "66.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64615/study1/view2_lateral.jpg"
  },
  {
    "study_id": "chexpert_patient64581_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64581/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nSlightly prominent breast shadows. Heart shadow slightly \nglobular and borderline in size but unchanged from the prior study.\n\nIMPRESSION:\nNORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS \nREQUEST.",
    "findings": "Slightly prominent breast shadows. Heart shadow slightly \nglobular and borderline in size but unchanged from the prior study.",
    "impression": "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS \nREQUEST.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64581",
      "report_date_order": 1,
      "view_position": "PA",
      "comparison": "AP portable chest dated august 31st 2007",
      "age": "80.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64581/study1/view3_lateral.jpg"
  }
]