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{
"study_id": "mimic_50639335",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p12/p12475198/s50639335/e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___-year-old man status post cardiac arrest.\n \n COMPARISON: Outside chest radiograph from earlier today.\n \n FINDINGS:\n \n A single portable frontal upright view of the chest is provided. External\n pacing wires and electronics partially obscure the view. Moderate\n cardiomegaly is unchanged. Lung volumes have slightly increased. Mild\n pulmonary edema persists. There is no focal consolidation, large pleural\n effusion or pneumothorax. Sternotomy wires are noted.\n \n IMPRESSION:\n \n Moderate cardiomegaly and mild pulmonary edema.",
"findings": "A single portable frontal upright view of the chest is provided. External\n pacing wires and electronics partially obscure the view. Moderate\n cardiomegaly is unchanged. Lung volumes have slightly increased. Mild\n pulmonary edema persists. There is no focal consolidation, large pleural\n effusion or pneumothorax. Sternotomy wires are noted.",
"impression": "Moderate cardiomegaly and mild pulmonary edema.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p12/p12475198/s58387960/8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f.jpg",
"report": "FINDINGS:\nAP view of the chest. A temporary pacemaker lead is unchanged and\n in appropriate position. Mild cardiomegaly is unchanged. No focal\n consolidation, pleural effusion or pneumothorax.\n\nIMPRESSION:\nTemporary pacemaker lead is in appropriate position. No acute\n cardiopulmonary process.",
"findings": "AP view of the chest. A temporary pacemaker lead is unchanged and\n in appropriate position. Mild cardiomegaly is unchanged. No focal\n consolidation, pleural effusion or pneumothorax.",
"impression": "",
"study_date": "2156-07-13",
"study_id": "58387960"
},
"metadata": {
"subject_id": "12475198",
"view_position": "AP",
"comparison": "Outside chest radiograph from earlier today.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "1.0",
"Consolidation": "",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2156-07-29"
},
"eval_track": "followup"
},
{
"study_id": "mimic_50289849",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p10/p10933609/s50289849/add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a.jpg",
"report_gt": "FINAL REPORT\n EXAM: Chest frontal and lateral views.\n \n CLINICAL INFORMATION: ___-year-old male with history of altered mental status,\n concern for infectious etiology.\n \n COMPARISON: ___.\n \n FINDINGS: Frontal and lateral views of the chest were obtained. There is\n interval increase in bilateral upper lobe opacities, right greater than left. \n Evidence of scarring is again seen with retraction of the hila bilaterally. \n No large pleural effusion or pneumothorax is seen. Evidence of a left-sided\n rib fracture is again seen, although not well evaluated. Cardiac and\n mediastinal silhouettes are stable.\n \n IMPRESSION: Interval increase in bilateral upper lobe, right greater than\n left opacities raises concern for infectious process superimposed on chronic\n changes.",
"findings": "Frontal and lateral views of the chest were obtained. There is\n interval increase in bilateral upper lobe opacities, right greater than left. \n Evidence of scarring is again seen with retraction of the hila bilaterally. \n No large pleural effusion or pneumothorax is seen. Evidence of a left-sided\n rib fracture is again seen, although not well evaluated. Cardiac and\n mediastinal silhouettes are stable.",
"impression": "Interval increase in bilateral upper lobe, right greater than\n left opacities raises concern for infectious process superimposed on chronic\n changes.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p10/p10933609/s55447530/67046a75-310cfff1-2dd57e2f-6208c141-d18736f5.jpg",
"report": "FINDINGS:\nPA and lateral views of the chest were obtained. Linear opacities\n in the upper lungs are noted with associated retraction of the hila likely\n reflecting scarring in this patient with prior pneumonia. Subtle opacity in\n the left lower lobe retrocardiac region is of unclear etiology. No large\n effusion or pneumothorax. Old left lower rib fractures are noted.\n\nIMPRESSION:\nAreas of scarring in the upper lungs. Subtle opacity in left\n lower lobe. Please correlate with CT chest performed earlier same day for\n further details.",
"findings": "PA and lateral views of the chest were obtained. Linear opacities\n in the upper lungs are noted with associated retraction of the hila likely\n reflecting scarring in this patient with prior pneumonia. Subtle opacity in\n the left lower lobe retrocardiac region is of unclear etiology. No large\n effusion or pneumothorax. Old left lower rib fractures are noted.",
"impression": "",
"study_date": "2151-05-14",
"study_id": "55447530"
},
"metadata": {
"subject_id": "10933609",
"view_position": "PA",
"comparison": "___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "-1.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2151-05-26",
"admission_info": {
"hadm_id": 28537984,
"admittime": "2151-05-26 19:03:00",
"dischtime": "2151-06-03 17:19:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 55,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "486",
"version": 9,
"description": "Pneumonia, organism unspecified"
},
{
"code": "34830",
"version": 9,
"description": "Encephalopathy, unspecified"
},
{
"code": "2639",
"version": 9,
"description": "Unspecified protein-calorie malnutrition"
},
{
"code": "2682",
"version": 9,
"description": "Osteomalacia, unspecified"
},
{
"code": "2689",
"version": 9,
"description": "Unspecified vitamin D deficiency"
},
{
"code": "2662",
"version": 9,
"description": "Other B-complex deficiencies"
},
{
"code": "28529",
"version": 9,
"description": "Anemia of other chronic disease"
},
{
"code": "29680",
"version": 9,
"description": "Bipolar disorder, unspecified"
},
{
"code": "34690",
"version": 9,
"description": "Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus"
},
{
"code": "28860",
"version": 9,
"description": "Leukocytosis, unspecified"
},
{
"code": "5778",
"version": 9,
"description": "Other specified diseases of pancreas"
},
{
"code": "78052",
"version": 9,
"description": "Insomnia, unspecified"
},
{
"code": "30000",
"version": 9,
"description": "Anxiety state, unspecified"
},
{
"code": "7813",
"version": 9,
"description": "Lack of coordination"
},
{
"code": "78097",
"version": 9,
"description": "Altered mental status"
},
{
"code": "3569",
"version": 9,
"description": "Unspecified hereditary and idiopathic peripheral neuropathy"
},
{
"code": "7245",
"version": 9,
"description": "Backache, unspecified"
},
{
"code": "V4586",
"version": 9,
"description": "Bariatric surgery status"
},
{
"code": "V8812",
"version": 9,
"description": "Acquired partial absence of pancreas"
}
],
"labs": [
{
"label": "Bicarbonate",
"value": "21",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "10.6",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "33.9",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "527",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "WBC",
"value": "35.8",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "3.2",
"unit": "mmol/L",
"flag": "abnormal"
},
{
"label": "Anion Gap",
"value": "13",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "107",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "0.7",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Potassium",
"value": "4.2",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "139",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "16",
"unit": "mg/dL",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_58000887",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___ year old man with CHF with weight gain and dyspnea //\n evaluate for volume overload/pulm edema/effusion\n \n TECHNIQUE: Chest PA and lateral\n \n FINDINGS: \n \n As compared to ___, interval worsening moderate pulmonary edema. \n Right moderate pleural effusion has also slightly increased. Small left\n effusion persists. Left lower lobe parenchymal opacity in the superior\n segment is now obscured by increasing pulmonary edema. Moderate cardiomegaly.\n No pneumothorax.\n \n IMPRESSION: \n \n Worsening moderate pulmonary edema as well as right moderate effusion.\n \n Left lower lobe parenchymal opacity in the superior segment is now obscured\n by increasing pulmonary edema.",
"findings": "As compared to ___, interval worsening moderate pulmonary edema. \n Right moderate pleural effusion has also slightly increased. Small left\n effusion persists. Left lower lobe parenchymal opacity in the superior\n segment is now obscured by increasing pulmonary edema. Moderate cardiomegaly.\n No pneumothorax.",
"impression": "Worsening moderate pulmonary edema as well as right moderate effusion.\n \n Left lower lobe parenchymal opacity in the superior segment is now obscured\n by increasing pulmonary edema.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p14/p14851532/s57086484/f9af4910-694f5e1f-75e4a512-0bd1c6dc-e4616d88.jpg",
"report": "FINDINGS:\nHeart size is enlarged but stable. There are chronic coarsened interstitial\n markings. The opacity in the left suprahilar region is partially attributed\n to postsurgical scarring as well as the previously seen consolidation, however\n is not well evaluated on this single frontal projection.\n Right pleural effusion is increased, now small to moderate.\n\nIMPRESSION:\n1. Increased right pleural effusion since the prior radiographs.\n 2. Moderate cardiomegaly, stable.\n 3. Left suprahilar opacity is attributed to postsurgical scarring and a\n previously seen consolidation, however is less well evaluated on the current\n radiograph. Frontal and lateral projections can be obtained for further\n evaluation as needed.",
"findings": "Heart size is enlarged but stable. There are chronic coarsened interstitial\n markings. The opacity in the left suprahilar region is partially attributed\n to postsurgical scarring as well as the previously seen consolidation, however\n is not well evaluated on this single frontal projection.\n Right pleural effusion is increased, now small to moderate.",
"impression": "",
"study_date": "2192-12-25",
"study_id": "57086484"
},
"metadata": {
"subject_id": "14851532",
"view_position": "AP",
"comparison": "",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "-1.0",
"No Finding": "",
"Pleural Effusion": "1.0",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2192-12-29",
"admission_info": {
"hadm_id": 22039917,
"admittime": "2192-12-25 18:58:00",
"dischtime": "2193-01-19 17:00:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 79,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "I5023",
"version": 10,
"description": "Acute on chronic systolic (congestive) heart failure"
},
{
"code": "R570",
"version": 10,
"description": "Cardiogenic shock"
},
{
"code": "K7200",
"version": 10,
"description": "Acute and subacute hepatic failure without coma"
},
{
"code": "J9601",
"version": 10,
"description": "Acute respiratory failure with hypoxia"
},
{
"code": "N170",
"version": 10,
"description": "Acute kidney failure with tubular necrosis"
},
{
"code": "D6959",
"version": 10,
"description": "Other secondary thrombocytopenia"
},
{
"code": "I4892",
"version": 10,
"description": "Unspecified atrial flutter"
},
{
"code": "K567",
"version": 10,
"description": "Ileus, unspecified"
},
{
"code": "N390",
"version": 10,
"description": "Urinary tract infection, site not specified"
},
{
"code": "D689",
"version": 10,
"description": "Coagulation defect, unspecified"
},
{
"code": "I4891",
"version": 10,
"description": "Unspecified atrial fibrillation"
},
{
"code": "I2510",
"version": 10,
"description": "Atherosclerotic heart disease of native coronary artery without angina pectoris"
},
{
"code": "I10",
"version": 10,
"description": "Essential (primary) hypertension"
},
{
"code": "Z951",
"version": 10,
"description": "Presence of aortocoronary bypass graft"
},
{
"code": "Z955",
"version": 10,
"description": "Presence of coronary angioplasty implant and graft"
},
{
"code": "Z87891",
"version": 10,
"description": "Personal history of nicotine dependence"
},
{
"code": "J449",
"version": 10,
"description": "Chronic obstructive pulmonary disease, unspecified"
},
{
"code": "E119",
"version": 10,
"description": "Type 2 diabetes mellitus without complications"
},
{
"code": "Z794",
"version": 10,
"description": "Long term (current) use of insulin"
},
{
"code": "Z9981",
"version": 10,
"description": "Dependence on supplemental oxygen"
},
{
"code": "I739",
"version": 10,
"description": "Peripheral vascular disease, unspecified"
},
{
"code": "K219",
"version": 10,
"description": "Gastro-esophageal reflux disease without esophagitis"
},
{
"code": "E039",
"version": 10,
"description": "Hypothyroidism, unspecified"
},
{
"code": "Z85118",
"version": 10,
"description": "Personal history of other malignant neoplasm of bronchus and lung"
},
{
"code": "Z66",
"version": 10,
"description": "Do not resuscitate"
},
{
"code": "I255",
"version": 10,
"description": "Ischemic cardiomyopathy"
}
],
"labs": [
{
"label": "Troponin T",
"value": "___",
"unit": "ng/mL",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "12.1",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "33.2",
"unit": "g/dL",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "138",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "WBC",
"value": "9.8",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Anion Gap",
"value": "19",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "24",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "90",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Creatinine",
"value": "1.3",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.0",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "129",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "BUN",
"value": "33",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "1.5",
"unit": "mmol/L",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_52736852",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p14/p14556809/s52736852/2dfbf7e0-85ed2f34-4c60e220-a5f1fa98-464b3ce2.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___ year old woman with desaturation on RA to 70s // ?pneumonia\n \n TECHNIQUE: Chest PA and lateral\n \n COMPARISON: Chest radiograph from ___ and CT from ___\n \n FINDINGS: \n \n The lung volumes are low. Unchanged chronic elevation of right hemidiaphragm.\n No evidence of focal consolidation. No pulmonary edema. The\n cardiomediastinal and hilar contours are normal. Trace, if any, bilateral\n pleural effusions. No pneumothoraces. The single lead left ICD is intact\n without any lead terminating in the right ventricle.\n \n IMPRESSION: \n \n No acute cardiopulmonary process.",
"findings": "The lung volumes are low. Unchanged chronic elevation of right hemidiaphragm.\n No evidence of focal consolidation. No pulmonary edema. The\n cardiomediastinal and hilar contours are normal. Trace, if any, bilateral\n pleural effusions. No pneumothoraces. The single lead left ICD is intact\n without any lead terminating in the right ventricle.",
"impression": "No acute cardiopulmonary process.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p14/p14556809/s53779297/ba22c676-fe74f3b9-b6e53609-c7281450-9f52ce69.jpg",
"report": "FINDINGS:\nThe cardiac silhouette is unremarkable. The right hilum is prominent, but\n stable in comparison to multiple priors. No definite pleural effusions\n identified. There is no pneumothorax. Again seen is a left-sided AICD, with\n stable position of the single lead in the right ventricle.\n\nIMPRESSION:\nNo acute intrathoracic abnormality.",
"findings": "The cardiac silhouette is unremarkable. The right hilum is prominent, but\n stable in comparison to multiple priors. No definite pleural effusions\n identified. There is no pneumothorax. Again seen is a left-sided AICD, with\n stable position of the single lead in the right ventricle.",
"impression": "",
"study_date": "2203-04-12",
"study_id": "53779297"
},
"metadata": {
"subject_id": "14556809",
"view_position": "AP",
"comparison": "Chest radiograph from ___ and CT 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": "2204-05-19",
"admission_info": {
"hadm_id": 22913878,
"admittime": "2204-05-18 17:36:00",
"dischtime": "2204-05-24 11:40:00",
"admission_type": "DIRECT EMER.",
"demographics": {
"age": 69,
"gender": "F"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "E11621",
"version": 10,
"description": "Type 2 diabetes mellitus with foot ulcer"
},
{
"code": "L97429",
"version": 10,
"description": "Non-pressure chronic ulcer of left heel and midfoot with unspecified severity"
},
{
"code": "L97419",
"version": 10,
"description": "Non-pressure chronic ulcer of right heel and midfoot with unspecified severity"
},
{
"code": "E1140",
"version": 10,
"description": "Type 2 diabetes mellitus with diabetic neuropathy, unspecified"
},
{
"code": "Z794",
"version": 10,
"description": "Long term (current) use of insulin"
},
{
"code": "I509",
"version": 10,
"description": "Heart failure, unspecified"
},
{
"code": "F329",
"version": 10,
"description": "Major depressive disorder, single episode, unspecified"
},
{
"code": "E039",
"version": 10,
"description": "Hypothyroidism, unspecified"
},
{
"code": "M4800",
"version": 10,
"description": "Spinal stenosis, site unspecified"
},
{
"code": "M1990",
"version": 10,
"description": "Unspecified osteoarthritis, unspecified site"
},
{
"code": "E669",
"version": 10,
"description": "Obesity, unspecified"
},
{
"code": "Z6832",
"version": 10,
"description": "Body mass index [BMI] 32.0-32.9, adult"
},
{
"code": "I739",
"version": 10,
"description": "Peripheral vascular disease, unspecified"
},
{
"code": "Z87891",
"version": 10,
"description": "Personal history of nicotine dependence"
},
{
"code": "F1021",
"version": 10,
"description": "Alcohol dependence, in remission"
},
{
"code": "F1421",
"version": 10,
"description": "Cocaine dependence, in remission"
},
{
"code": "G4733",
"version": 10,
"description": "Obstructive sleep apnea (adult) (pediatric)"
},
{
"code": "B9689",
"version": 10,
"description": "Other specified bacterial agents as the cause of diseases classified elsewhere"
}
],
"labs": [
{
"label": "Hemoglobin",
"value": "13.2",
"unit": "g/dL",
"flag": "normal"
},
{
"label": "MCHC",
"value": "31.4",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "Platelet Count",
"value": "148",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "WBC",
"value": "8.1",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Anion Gap",
"value": "17",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "27",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "94",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Creatinine",
"value": "1.1",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "3.9",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "134",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "15",
"unit": "mg/dL",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_55564287",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg",
"report_gt": "FINAL REPORT\n CHEST, TWO VIEWS, ___.\n \n HISTORY: ___-year-old male with hypotension. Question pneumonia.\n \n FINDINGS: AP and lateral views of the chest are compared to previous exam\n from ___. Dual-lumen left subclavian line is in stable position.\n The lungs are clear of consolidation. Trace blunting of the left costophrenic\n angle again seen. There is no right-sided pleural effusion. \n Cardiomediastinal silhouette is stable. Surgical clips project over the\n thoracic inlet bilaterally.\n \n Osseous structures again notable for bilateral, old posterior healed rib\n fractures and mild wedging of mid thoracic vertebral bodies, unchanged since\n ___. Degenerative changes again seen at the shoulders bilaterally\n including calcification in the region of the right coracoclavicular region.\n \n IMPRESSION: No acute cardiopulmonary process.",
"findings": "AP and lateral views of the chest are compared to previous exam\n from ___. Dual-lumen left subclavian line is in stable position.\n The lungs are clear of consolidation. Trace blunting of the left costophrenic\n angle again seen. There is no right-sided pleural effusion. \n Cardiomediastinal silhouette is stable. Surgical clips project over the\n thoracic inlet bilaterally.\n \n Osseous structures again notable for bilateral, old posterior healed rib\n fractures and mild wedging of mid thoracic vertebral bodies, unchanged since\n ___. Degenerative changes again seen at the shoulders bilaterally\n including calcification in the region of the right coracoclavicular region.",
"impression": "No acute cardiopulmonary process.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p14/p14236258/s51196890/0e94f694-f43b9926-aae6e13a-c3d97e2d-3a975b5b.jpg",
"report": "IMPRESSION:\nMild cephalization which could reflect mild pulmonary venous\n congestion.",
"findings": "",
"impression": "",
"study_date": "2185-09-12",
"study_id": "51196890"
},
"metadata": {
"subject_id": "14236258",
"view_position": "AP",
"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": "2185-10-18",
"admission_info": {
"hadm_id": 24775008,
"admittime": "2185-10-18 10:41:00",
"dischtime": "2185-10-22 18:00:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 63,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "73342",
"version": 9,
"description": "Aseptic necrosis of head and neck of femur"
},
{
"code": "5856",
"version": 9,
"description": "End stage renal disease"
},
{
"code": "40391",
"version": 9,
"description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease"
},
{
"code": "4254",
"version": 9,
"description": "Other primary cardiomyopathies"
},
{
"code": "07030",
"version": 9,
"description": "Viral hepatitis B without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta"
},
{
"code": "42822",
"version": 9,
"description": "Chronic systolic heart failure"
},
{
"code": "99932",
"version": 9,
"description": "Bloodstream infection due to central venous catheter"
},
{
"code": "7907",
"version": 9,
"description": "Bacteremia"
},
{
"code": "45821",
"version": 9,
"description": "Hypotension of hemodialysis"
},
{
"code": "E8791",
"version": 9,
"description": "Kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure"
},
{
"code": "V4511",
"version": 9,
"description": "Renal dialysis status"
},
{
"code": "34590",
"version": 9,
"description": "Epilepsy, unspecified, without mention of intractable epilepsy"
},
{
"code": "43889",
"version": 9,
"description": "Other late effects of cerebrovascular disease"
},
{
"code": "72989",
"version": 9,
"description": "Other musculoskeletal symptoms referable to limbs"
},
{
"code": "412",
"version": 9,
"description": "Old myocardial infarction"
},
{
"code": "28529",
"version": 9,
"description": "Anemia of other chronic disease"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "71596",
"version": 9,
"description": "Osteoarthrosis, unspecified whether generalized or localized, lower leg"
},
{
"code": "71906",
"version": 9,
"description": "Effusion of joint, lower leg"
},
{
"code": "04189",
"version": 9,
"description": "Other specified bacterial infections in conditions classified elsewhere and of unspecified site, other specified bacteria"
},
{
"code": "2767",
"version": 9,
"description": "Hyperpotassemia"
}
],
"labs": [
{
"label": "Hemoglobin",
"value": "10.3",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "31.5",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "387",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "10.4",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Anion Gap",
"value": "25",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Bicarbonate",
"value": "18",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "CRP",
"value": "___",
"unit": "mg/L",
"flag": "abnormal"
},
{
"label": "Chloride",
"value": "100",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "10.7",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Potassium",
"value": "5.1",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "138",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "63",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "1.1",
"unit": "mmol/L",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_59557085",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p13/p13067703/s59557085/35526265-ad9db1b3-08d311e6-d1193a33-473315c3.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___-year-old male with recurrent chest pain. Question infiltrate.\n \n COMPARISON: Radiograph dated ___ and CTA dated ___.\n \n FINDINGS: Single frontal view of the chest demonstrates a left pectoral\n cardiac pacer with leads terminating in the right atrium and right ventricle. \n The heart is top normal in size. The mediastinal and hilar contours are\n within normal limits. There are increased perihilar streaky opacities, which\n suggests pulmonary edema. Right suprahilar pulmonary mass is redemonstrated,\n better correlated on cross-sectional imaging. There is dense retrocardiac\n probable atelectasis and small left pleural effusion.\n \n IMPRESSION: Mild pulmonary edema. Small left effusion.",
"findings": "Single frontal view of the chest demonstrates a left pectoral\n cardiac pacer with leads terminating in the right atrium and right ventricle. \n The heart is top normal in size. The mediastinal and hilar contours are\n within normal limits. There are increased perihilar streaky opacities, which\n suggests pulmonary edema. Right suprahilar pulmonary mass is redemonstrated,\n better correlated on cross-sectional imaging. There is dense retrocardiac\n probable atelectasis and small left pleural effusion.",
"impression": "Mild pulmonary edema. Small left effusion.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p13/p13067703/s50999536/c1875b25-77500901-b90303e0-9b5c3aac-2b57b80c.jpg",
"report": "IMPRESSION:\nStable, treated right lung malignancy. No evidence of congestive\n heart failure or other acute abnormality.",
"findings": "",
"impression": "",
"study_date": "2153-07-09",
"study_id": "50999536"
},
"metadata": {
"subject_id": "13067703",
"view_position": "AP",
"comparison": "Radiograph dated ___ and CTA dated ___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "",
"No Finding": "",
"Pleural Effusion": "1.0",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2153-07-28",
"admission_info": {
"hadm_id": 22432056,
"admittime": "2153-07-28 06:39:00",
"dischtime": "2153-07-28 20:15:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 74,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "41091",
"version": 9,
"description": "Acute myocardial infarction of unspecified site, initial episode of care"
},
{
"code": "5856",
"version": 9,
"description": "End stage renal disease"
},
{
"code": "43820",
"version": 9,
"description": "Late effects of cerebrovascular disease, hemiplegia affecting unspecified side"
},
{
"code": "2762",
"version": 9,
"description": "Acidosis"
},
{
"code": "2851",
"version": 9,
"description": "Acute posthemorrhagic anemia"
},
{
"code": "40391",
"version": 9,
"description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease"
},
{
"code": "42842",
"version": 9,
"description": "Chronic combined systolic and diastolic heart failure"
},
{
"code": "1629",
"version": 9,
"description": "Malignant neoplasm of bronchus and lung, unspecified"
},
{
"code": "41401",
"version": 9,
"description": "Coronary atherosclerosis of native coronary artery"
},
{
"code": "4142",
"version": 9,
"description": "Chronic total occlusion of coronary artery"
},
{
"code": "78551",
"version": 9,
"description": "Cardiogenic shock"
},
{
"code": "V1051",
"version": 9,
"description": "Personal history of malignant neoplasm of bladder"
},
{
"code": "4240",
"version": 9,
"description": "Mitral valve disorders"
},
{
"code": "25000",
"version": 9,
"description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled"
},
{
"code": "V4502",
"version": 9,
"description": "Automatic implantable cardiac defibrillator in situ"
},
{
"code": "4590",
"version": 9,
"description": "Hemorrhage, unspecified"
},
{
"code": "V4511",
"version": 9,
"description": "Renal dialysis status"
},
{
"code": "4275",
"version": 9,
"description": "Cardiac arrest"
},
{
"code": "4148",
"version": 9,
"description": "Other specified forms of chronic ischemic heart disease"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "53081",
"version": 9,
"description": "Esophageal reflux"
},
{
"code": "V1279",
"version": 9,
"description": "Personal history of other diseases of digestive system"
}
],
"labs": [
{
"label": "Lactate",
"value": "___",
"unit": "mmol/L",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "7.3",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "30.2",
"unit": "%",
"flag": "abnormal"
},
{
"label": "Platelet Count",
"value": "151",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "9.8",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Anion Gap",
"value": "18",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "16",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Chloride",
"value": "95",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Creatinine",
"value": "6.4",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.3",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "125",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "BUN",
"value": "53",
"unit": "mg/dL",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_53462705",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg",
"report_gt": "FINAL REPORT\n STUDY: PA and lateral chest x-ray.\n \n COMPARISON EXAM: PA and lateral chest x-ray ___.\n \n INDICATION: ___-year-old woman with bilateral effusions in ___,\n followup.\n \n FINDINGS: There has been interval removal of a right-sided PICC line. The\n cardiac silhouette remains enlarged. There has been resolution of bilateral\n pleural effusions. Again visualized are two calcified left upper lobe\n granulomas.\n \n IMPRESSION:\n 1. Resolution of bilateral pleural effusions.\n 2. Heart size remains enlarged. This could be indicative of cardiomyopathy\n or a pericardial effusion.",
"findings": "There has been interval removal of a right-sided PICC line. The\n cardiac silhouette remains enlarged. There has been resolution of bilateral\n pleural effusions. Again visualized are two calcified left upper lobe\n granulomas.",
"impression": "1. Resolution of bilateral pleural effusions.\n 2. Heart size remains enlarged. This could be indicative of cardiomyopathy\n or a pericardial effusion.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p12/p12185775/s51826366/f9b1c946-2770d2d6-e7a89dc5-0e3d42e2-77117240.jpg",
"report": "FINDINGS:\nIn comparison with the study of ___, there is continued enlargement\n of the cardiac silhouette. Pulmonary vascularity is mildly engorged but less\n prominent than on the previous study. Opacification at the bases with\n obscuration of the hemidiaphragms is consistent with bilateral layering\n effusions, more prominent on the left, with underlying compressive\n atelectasis. Central catheter tip again extends to the upper to mid portion\n of the SVC.",
"findings": "",
"impression": "",
"study_date": "2189-01-04",
"study_id": "51826366"
},
"metadata": {
"subject_id": "12185775",
"view_position": "PA",
"comparison": "EXAM: PA and lateral chest x-ray ___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "1.0",
"Consolidation": "",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "",
"No Finding": "",
"Pleural Effusion": "0.0",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2189-08-02"
},
"eval_track": "followup"
},
{
"study_id": "mimic_50286241",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p19/p19991135/s50286241/a8c08cbf-15ac0dac-b76a40a0-dab826c7-18015767.jpg",
"report_gt": "FINAL REPORT\n TYPE OF EXAMINATION: Chest, PA and lateral.\n \n INDICATION: ___-year-old female patient with history of 40-pack-year smoking\n and increased right upper lobe nodule with FDG avidity on PET-CT, now status\n post right VATS converted to thoracotomy with right upper lobectomy, evaluate\n for interval change.\n \n FINDINGS: PA and lateral chest views have been obtained with patient in\n upright position. Comparison is made with the next preceding similar study of\n ___. Heart size and mediastinal structures are unchanged. The\n previously described remaining pleural densities along the upper right lateral\n chest wall in the shoulder area show diminished thickness of the pleural\n density surrounding the operative area. Postoperative localized apical\n pneumothorax has diminished further and is now barely 1 cm wide, also showing\n increasing pleural scar formation. No new abnormalities are seen. The left\n hemithorax is unchanged, though no evidence of new pulmonary abnormalities.\n \n IMPRESSION: Progression of postoperative healing, status post right upper\n lobectomy accomplished via VATS extended to thoracotomy intervention.",
"findings": "PA and lateral chest views have been obtained with patient in\n upright position. Comparison is made with the next preceding similar study of\n ___. Heart size and mediastinal structures are unchanged. The\n previously described remaining pleural densities along the upper right lateral\n chest wall in the shoulder area show diminished thickness of the pleural\n density surrounding the operative area. Postoperative localized apical\n pneumothorax has diminished further and is now barely 1 cm wide, also showing\n increasing pleural scar formation. No new abnormalities are seen. The left\n hemithorax is unchanged, though no evidence of new pulmonary abnormalities.",
"impression": "Progression of postoperative healing, status post right upper\n lobectomy accomplished via VATS extended to thoracotomy intervention.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p19/p19991135/s59381316/d122eb74-bc404dd2-45a05cd3-18505b72-5058fbdd.jpg",
"report": "FINDINGS:\nPA and lateral chest views were obtained with patient in upright\n position. Comparison is made with the next preceding similar study obtained\n four hours earlier during the same day. The previously described right-sided\n chest tube remains in unchanged position. No pneumothorax has developed and\n there is no evidence of significantly increased pleural densities during this\n interval. The right-sided chest wall emphysema described earlier has\n regressed. No new abnormalities are seen. Left-sided hemithorax is\n unremarkable.",
"findings": "",
"impression": "",
"study_date": "2126-09-14",
"study_id": "59381316"
},
"metadata": {
"subject_id": "19991135",
"view_position": "PA",
"comparison": "is made with the next preceding similar study of\n ___. Heart size and mediastinal structures are unchanged. The",
"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": "2126-09-26"
},
"eval_track": "followup"
},
{
"study_id": "mimic_53774431",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p11/p11893091/s53774431/79eee504-b1b60ab8-5e8dd843-b6ed87aa-670747b1.jpg",
"report_gt": "FINAL REPORT\n INDICATION: Respiratory distress.\n \n COMPARISON: None.\n \n FINDINGS: Portable AP chest radiograph demonstrates severe cardiomegaly, both\n interstitial and alveolar edema as well as small bilateral pleural effusions. \n A more confluent opacity is seen in the right middle lobe. There is no\n pneumothorax. Atherosclerotic calcifications are noted in the aortic arch.\n \n IMPRESSION: Marked pulmonary edema. Follow up CXR after diuresis may be\n helpful to exclude underlying pneumonia in right middle lobe.",
"findings": "Portable AP chest radiograph demonstrates severe cardiomegaly, both\n interstitial and alveolar edema as well as small bilateral pleural effusions. \n A more confluent opacity is seen in the right middle lobe. There is no\n pneumothorax. Atherosclerotic calcifications are noted in the aortic arch.",
"impression": "Marked pulmonary edema. Follow up CXR after diuresis may be\n helpful to exclude underlying pneumonia in right middle lobe.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p11/p11893091/s54669609/bc998aad-c88d87cc-d89c4aa6-63477af5-c75767d8.jpg",
"report": "IMPRESSION:\n1. There continues to be bilateral interstitial process, but this has\n improved since the prior study, and is more similar to baseline of ___,\n therefore, likely reflecting chronic age-related or small airways changes. \n More focal patchy opacity at the left base likely reflects compressive\n atelectasis given the pleural effusion, although pneumonia can not be\n excluded. No pneumothorax is seen. Overall, cardiac and mediastinal contours\n are stable.",
"findings": "",
"impression": "",
"study_date": "2155-11-09",
"study_id": "54669609"
},
"metadata": {
"subject_id": "11893091",
"view_position": "AP",
"comparison": "None.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "0.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2156-12-27",
"admission_info": {
"hadm_id": 25782796,
"admittime": "2156-12-27 02:12:00",
"dischtime": "2157-01-05 14:41:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 90,
"gender": "F"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "42833",
"version": 9,
"description": "Acute on chronic diastolic heart failure"
},
{
"code": "78551",
"version": 9,
"description": "Cardiogenic shock"
},
{
"code": "5845",
"version": 9,
"description": "Acute kidney failure with lesion of tubular necrosis"
},
{
"code": "5070",
"version": 9,
"description": "Pneumonitis due to inhalation of food or vomitus"
},
{
"code": "2851",
"version": 9,
"description": "Acute posthemorrhagic anemia"
},
{
"code": "99812",
"version": 9,
"description": "Hematoma complicating a procedure"
},
{
"code": "2762",
"version": 9,
"description": "Acidosis"
},
{
"code": "42731",
"version": 9,
"description": "Atrial fibrillation"
},
{
"code": "V5861",
"version": 9,
"description": "Long-term (current) use of anticoagulants"
},
{
"code": "41401",
"version": 9,
"description": "Coronary atherosclerosis of native coronary artery"
},
{
"code": "40390",
"version": 9,
"description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified"
},
{
"code": "5859",
"version": 9,
"description": "Chronic kidney disease, unspecified"
},
{
"code": "2724",
"version": 9,
"description": "Other and unspecified hyperlipidemia"
},
{
"code": "V1581",
"version": 9,
"description": "Personal history of noncompliance with medical treatment, presenting hazards to health"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "V4582",
"version": 9,
"description": "Percutaneous transluminal coronary angioplasty status"
},
{
"code": "79431",
"version": 9,
"description": "Nonspecific abnormal electrocardiogram [ECG] [EKG]"
},
{
"code": "42781",
"version": 9,
"description": "Sinoatrial node dysfunction"
},
{
"code": "4266",
"version": 9,
"description": "Other heart block"
}
],
"labs": [
{
"label": "Hemoglobin",
"value": "8.4",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "32.7",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "332",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "10.4",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Anion Gap",
"value": "15",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "25",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "99",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "2.0",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.1",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "135",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Troponin T",
"value": "",
"unit": "ng/mL",
"flag": "normal"
},
{
"label": "BUN",
"value": "35",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "2.5",
"unit": "mmol/L",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_52901628",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p18/p18309149/s52901628/02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78.jpg",
"report_gt": "FINAL REPORT\n INDICATION: Presumed community-acquired pneumonia with persistent oxygen\n requirement. Does he have persistent pulmonary edema or has pneumonia\n improved?\n \n COMPARISON: ___.\n \n FINDINGS: PA and lateral views of the chest. There has been a decrease in\n density of the perihilar opacities, which may represent a combination of\n pulmonary edema and pneumonia. No pleural effusions or pneumothorax. The\n cardiomediastinal contours are stable.\n \n IMPRESSION: Decrease in extent and density of the perihilar opacities since\n ___. This likely represents a decrease in pulmonary edema with\n remaining residual opacities likely representing pneumonia.",
"findings": "PA and lateral views of the chest. There has been a decrease in\n density of the perihilar opacities, which may represent a combination of\n pulmonary edema and pneumonia. No pleural effusions or pneumothorax. The\n cardiomediastinal contours are stable.",
"impression": "Decrease in extent and density of the perihilar opacities since\n ___. This likely represents a decrease in pulmonary edema with\n remaining residual opacities likely representing pneumonia.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p18/p18309149/s52145612/2f04b963-317903c2-c937a1b3-84194e4c-5ce01852.jpg",
"report": "FINDINGS:\nThere are diffuse predominantly perihilar airspace opacities with\n slightly nodular appearance, which are new from prior studies. Superimposed\n hilar adenopathy is difficult to exclude. No pleural effusion or pneumothorax\n is seen. The cardiomediastinal contours are within normal limits. No acute\n osseous abnormality is detected.\n\nIMPRESSION:\nDiffuse perihilar opacities raise concren for widespread\n pneumonia, superimposed pulmonary edema may be present. Differential diagnosis\n includes atypical pneumonia and Pneumocystis jiroveci pneumonia. ? immune\n status of patient",
"findings": "There are diffuse predominantly perihilar airspace opacities with\n slightly nodular appearance, which are new from prior studies. Superimposed\n hilar adenopathy is difficult to exclude. No pleural effusion or pneumothorax\n is seen. The cardiomediastinal contours are within normal limits. No acute\n osseous abnormality is detected.",
"impression": "",
"study_date": "2193-02-03",
"study_id": "52145612"
},
"metadata": {
"subject_id": "18309149",
"view_position": "PA",
"comparison": "___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "1.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2193-02-06",
"admission_info": {
"hadm_id": 29973613,
"admittime": "2193-02-03 17:28:00",
"dischtime": "2193-02-08 16:36:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 55,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "486",
"version": 9,
"description": "Pneumonia, organism unspecified"
},
{
"code": "42833",
"version": 9,
"description": "Acute on chronic diastolic heart failure"
},
{
"code": "4589",
"version": 9,
"description": "Hypotension, unspecified"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "5569",
"version": 9,
"description": "Ulcerative colitis, unspecified"
},
{
"code": "75310",
"version": 9,
"description": "Cystic kidney disease, unspecified"
},
{
"code": "4019",
"version": 9,
"description": "Unspecified essential hypertension"
},
{
"code": "7213",
"version": 9,
"description": "Lumbosacral spondylosis without myelopathy"
},
{
"code": "7212",
"version": 9,
"description": "Thoracic spondylosis without myelopathy"
},
{
"code": "78703",
"version": 9,
"description": "Vomiting alone"
},
{
"code": "79902",
"version": 9,
"description": "Hypoxemia"
},
{
"code": "7243",
"version": 9,
"description": "Sciatica"
},
{
"code": "33829",
"version": 9,
"description": "Other chronic pain"
},
{
"code": "30000",
"version": 9,
"description": "Anxiety state, unspecified"
},
{
"code": "311",
"version": 9,
"description": "Depressive disorder, not elsewhere classified"
},
{
"code": "V1582",
"version": 9,
"description": "Personal history of tobacco use"
},
{
"code": "V1047",
"version": 9,
"description": "Personal history of malignant neoplasm of testis"
},
{
"code": "V153",
"version": 9,
"description": "Personal history of irradiation, presenting hazards to health"
},
{
"code": "V161",
"version": 9,
"description": "Family history of malignant neoplasm of trachea, bronchus, and lung"
}
],
"labs": [
{
"label": "Anion Gap",
"value": "18",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "26",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "100",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "0.7",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "3.4",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "141",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "14",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Hemoglobin",
"value": "15.2",
"unit": "g/dL",
"flag": "normal"
},
{
"label": "MCHC",
"value": "32.5",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "271",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "16.5",
"unit": "K/uL",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_56058164",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p10/p10933609/s56058164/67106e2c-168fd4e2-52fbcc7d-4c4b2f27-5499c157.jpg",
"report_gt": "WET READ: ___ ___ ___ 2:31 PM\n Left lower lobe opacity is concerning for pneumonia or aspiration event. \n \n WET READ VERSION #1 \n ______________________________________________________________________________\n FINAL REPORT\n INDICATION: Altered mental status. Assess for pneumonia.\n \n TECHNIQUE: AP upright and lateral radiographs of the chest.\n \n COMPARISON: Chest radiograph most recently ___.\n \n FINDINGS: Basilar opacity seen on the lateral view best corresponds to a\n retrocardiac opacity suspicious for developing left lower lobe pneumonia or\n aspiration event in the setting of altered mental status. Chronic\n peribronchiolar opacities seen bilaterally are similar in distribution and\n slightly more apparent due to lower lung volumes and AP technique. There is\n no pleural effusion or pneumothorax. The heart size is normal with normal\n cardiomediastinal silhouette.\n \n IMPRESSION: Left lower lobe opacity likely reflects pneumonia or aspiration.",
"findings": "Basilar opacity seen on the lateral view best corresponds to a\n retrocardiac opacity suspicious for developing left lower lobe pneumonia or\n aspiration event in the setting of altered mental status. Chronic\n peribronchiolar opacities seen bilaterally are similar in distribution and\n slightly more apparent due to lower lung volumes and AP technique. There is\n no pleural effusion or pneumothorax. The heart size is normal with normal\n cardiomediastinal silhouette.",
"impression": "Left lower lobe opacity likely reflects pneumonia or aspiration.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p10/p10933609/s52866895/2584ab7b-dd93b49c-2783f1d8-ee64a307-80ff57b5.jpg",
"report": "FINAL REPORT\n PA AND LATERAL VIEWS OF THE CHEST\n \n REASON FOR EXAM: Gastric bypass surgery, chronic malnutrition, sepsis and\n fever.\n \n Comparison is made with prior study ___.\n \n Cardiac size is normal. A small right pleural effusion is new. There are low\n lung volumes. Persistent residual peribronchial opacities in the upper lobes\n bilaterally and medial left lower lobe have minimally improved from prior\n study. There are no new lung abnormalities. There is no evident\n pneumothorax.",
"findings": "",
"impression": "",
"study_date": "2151-03-06",
"study_id": "52866895"
},
"metadata": {
"subject_id": "10933609",
"view_position": "AP",
"comparison": "Chest radiograph most recently ___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "-1.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2151-03-21",
"admission_info": {
"hadm_id": 21416982,
"admittime": "2151-03-21 16:14:00",
"dischtime": "2151-03-24 17:02:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 55,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "5070",
"version": 9,
"description": "Pneumonitis due to inhalation of food or vomitus"
},
{
"code": "34982",
"version": 9,
"description": "Toxic encephalopathy"
},
{
"code": "29640",
"version": 9,
"description": "Bipolar I disorder, most recent episode (or current) manic, unspecified"
},
{
"code": "2639",
"version": 9,
"description": "Unspecified protein-calorie malnutrition"
},
{
"code": "78052",
"version": 9,
"description": "Insomnia, unspecified"
},
{
"code": "28860",
"version": 9,
"description": "Leukocytosis, unspecified"
},
{
"code": "30000",
"version": 9,
"description": "Anxiety state, unspecified"
},
{
"code": "31401",
"version": 9,
"description": "Attention deficit disorder with hyperactivity"
},
{
"code": "34690",
"version": 9,
"description": "Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus"
},
{
"code": "28529",
"version": 9,
"description": "Anemia of other chronic disease"
},
{
"code": "2689",
"version": 9,
"description": "Unspecified vitamin D deficiency"
},
{
"code": "2662",
"version": 9,
"description": "Other B-complex deficiencies"
},
{
"code": "V4586",
"version": 9,
"description": "Bariatric surgery status"
},
{
"code": "V4575",
"version": 9,
"description": "Acquired absence of organ, stomach"
},
{
"code": "V8812",
"version": 9,
"description": "Acquired partial absence of pancreas"
}
],
"labs": [
{
"label": "Hemoglobin",
"value": "11.5",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "32.4",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "388",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "22.5",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "Anion Gap",
"value": "10",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "26",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "112",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Creatinine",
"value": "0.9",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Potassium",
"value": "4.2",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "144",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "10",
"unit": "mg/dL",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_55438657",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p10/p10933609/s55438657/4a706f94-eae311b0-de845977-dcc52bde-4615615e.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___-year-old male with persistent pneumonia status post GI surgery\n and cough, fever, shortness of breath.\n \n COMPARISON: Multiple chest radiographs dating back ___, most\n recent ___ and CT chest ___.\n \n TECHNIQUE: PA and lateral chest radiograph.\n \n FINDINGS: Persistent largely unchanged left upper lobe, right upper lobe and\n left lower lobe peribronchial consolidation. There are stable low lung\n volumes. No pleural effusion or pneumothorax. The cardiomediastinal\n silhouette is stable within normal limits. The pleural surfaces are\n unremarkable.\n \n IMPRESSION: Persistent bilateral peribronchial consolidations which might\n represent post-pneumonic fibrosis/inflammation, organizing pneumonia,\n Wegener's granulomatosis, or less likely residual infection. Followup\n examination as clinically warranted is recommended.",
"findings": "Persistent largely unchanged left upper lobe, right upper lobe and\n left lower lobe peribronchial consolidation. There are stable low lung\n volumes. No pleural effusion or pneumothorax. The cardiomediastinal\n silhouette is stable within normal limits. The pleural surfaces are\n unremarkable.",
"impression": "Persistent bilateral peribronchial consolidations which might\n represent post-pneumonic fibrosis/inflammation, organizing pneumonia,\n Wegener's granulomatosis, or less likely residual infection. Followup\n examination as clinically warranted is recommended.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p10/p10933609/s52402828/e19a6258-3792982e-db47dccd-c9961bb6-e0aeba69.jpg",
"report": "IMPRESSION:\nImproved aeration of the left lower lobe suggesting resolving\n pneumonia.",
"findings": "",
"impression": "",
"study_date": "2151-03-26",
"study_id": "52402828"
},
"metadata": {
"subject_id": "10933609",
"view_position": "PA",
"comparison": "Multiple chest radiographs dating back ___, most",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "1.0",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "-1.0",
"Pneumonia": "-1.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2151-05-10"
},
"eval_track": "followup"
},
{
"study_id": "mimic_52874646",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p12/p12074041/s52874646/af39d55c-0622bc39-b9865798-29ff5a61-eb7cfb93.jpg",
"report_gt": "WET READ: ___ ___ ___ 6:43 PM\n IMPRESSION: New left basilar opacity worrisome for pneumonia.\n ______________________________________________________________________________\n FINAL REPORT\n CHEST RADIOGRAPH\n \n HISTORY: Altered mental status and fever.\n \n COMPARISONS: ___.\n \n TECHNIQUE: Chest, AP portable.\n \n FINDINGS: The cardiac, mediastinal, and hilar contours appear unchanged. The\n lung volumes are low. There is a patchy left basilar opacity obscuring the\n cardiac border and apex of the left hemidiaphragm, worrisome for pneumonia. \n Elsewhere, the lungs appear clear. There are no pleural effusions or\n pneumothorax.\n \n IMPRESSION: New left basilar opacity worrisome for pneumonia.",
"findings": "The cardiac, mediastinal, and hilar contours appear unchanged. The\n lung volumes are low. There is a patchy left basilar opacity obscuring the\n cardiac border and apex of the left hemidiaphragm, worrisome for pneumonia. \n Elsewhere, the lungs appear clear. There are no pleural effusions or\n pneumothorax.",
"impression": "New left basilar opacity worrisome for pneumonia.\n ______________________________________________________________________________\n FINAL REPORT\n CHEST RADIOGRAPH\n \n HISTORY: Altered mental status and fever.\n \n COMPARISONS: ___.\n \n TECHNIQUE: Chest, AP portable.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p12/p12074041/s54973829/f430ec0f-40b790de-a5178baf-9dd6c108-9fc32de6.jpg",
"report": "FINDINGS:\nThe heart is at the upper limits of normal size. Linear\n calcification projects over the right lung apex. The lungs appear otherwise\n clear. There are no pleural effusions or pneumothorax. Vascular\n calcifications are widespread. No free air is demonstrated. There are\n moderate to severe degenerative changes involving each glenohumeral joints.\n Mild degenerative changes are present along the visualized lower thoracic\n spine.\n\nIMPRESSION:\nNo evidence of acute disease.",
"findings": "The heart is at the upper limits of normal size. Linear\n calcification projects over the right lung apex. The lungs appear otherwise\n clear. There are no pleural effusions or pneumothorax. Vascular\n calcifications are widespread. No free air is demonstrated. There are\n moderate to severe degenerative changes involving each glenohumeral joints.\n Mild degenerative changes are present along the visualized lower thoracic\n spine.",
"impression": "",
"study_date": "2184-04-18",
"study_id": "54973829"
},
"metadata": {
"subject_id": "12074041",
"view_position": "AP",
"comparison": "S: ___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "1.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2184-04-30",
"admission_info": {
"hadm_id": 29829814,
"admittime": "2184-04-30 20:12:00",
"dischtime": "2184-05-05 15:32:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 79,
"gender": "F"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "0389",
"version": 9,
"description": "Unspecified septicemia"
},
{
"code": "5849",
"version": 9,
"description": "Acute kidney failure, unspecified"
},
{
"code": "5990",
"version": 9,
"description": "Urinary tract infection, site not specified"
},
{
"code": "99591",
"version": 9,
"description": "Sepsis"
},
{
"code": "0088",
"version": 9,
"description": "Intestinal infection due to other organism, not elsewhere classified"
},
{
"code": "2768",
"version": 9,
"description": "Hypopotassemia"
},
{
"code": "25051",
"version": 9,
"description": "Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled"
},
{
"code": "36201",
"version": 9,
"description": "Background diabetic retinopathy"
},
{
"code": "V707",
"version": 9,
"description": "Examination of participant in clinical trial"
},
{
"code": "496",
"version": 9,
"description": "Chronic airway obstruction, not elsewhere classified"
},
{
"code": "73300",
"version": 9,
"description": "Osteoporosis, unspecified"
},
{
"code": "2449",
"version": 9,
"description": "Unspecified acquired hypothyroidism"
},
{
"code": "311",
"version": 9,
"description": "Depressive disorder, not elsewhere classified"
},
{
"code": "41401",
"version": 9,
"description": "Coronary atherosclerosis of native coronary artery"
},
{
"code": "32723",
"version": 9,
"description": "Obstructive sleep apnea (adult)(pediatric)"
},
{
"code": "4019",
"version": 9,
"description": "Unspecified essential hypertension"
},
{
"code": "725",
"version": 9,
"description": "Polymyalgia rheumatica"
},
{
"code": "2724",
"version": 9,
"description": "Other and unspecified hyperlipidemia"
},
{
"code": "33829",
"version": 9,
"description": "Other chronic pain"
},
{
"code": "V5865",
"version": 9,
"description": "Long-term (current) use of steroids"
},
{
"code": "V5867",
"version": 9,
"description": "Long-term (current) use of insulin"
}
],
"labs": [
{
"label": "Hemoglobin",
"value": "12.3",
"unit": "g/dL",
"flag": "normal"
},
{
"label": "MCHC",
"value": "33.1",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "278",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "6.9",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Anion Gap",
"value": "14",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "20",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Chloride",
"value": "109",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Creatinine",
"value": "2.1",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.2",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "139",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Troponin T",
"value": "___",
"unit": "ng/mL",
"flag": "abnormal"
},
{
"label": "BUN",
"value": "33",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "2.1",
"unit": "mmol/L",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_57886251",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p14/p14147787/s57886251/eca4fc13-1e4006db-4372cf2e-ed001e18-a7050d3e.jpg",
"report_gt": "FINAL REPORT\n CHEST RADIOGRAPH PERFORMED ON ___\n \n COMPARISON: ___.\n \n CLINICAL HISTORY: Pulmonary sarcoid and pulmonary hypertension with shortness\n of breath and cough, question fluid overload or pneumonia.\n \n FINDINGS: PA and lateral views of the chest were provided. Streaky linear\n opacities are again seen in the mid-to-upper lungs in an unchanged pattern\n suggestive of scarring/fibrosis. No new consolidation, effusion,\n pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures\n are intact. No free air below the right hemidiaphragm.\n \n IMPRESSION: No acute findings. Stable scarring in the bilateral mid-to-upper\n lungs.",
"findings": "PA and lateral views of the chest were provided. Streaky linear\n opacities are again seen in the mid-to-upper lungs in an unchanged pattern\n suggestive of scarring/fibrosis. No new consolidation, effusion,\n pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures\n are intact. No free air below the right hemidiaphragm.",
"impression": "No acute findings. Stable scarring in the bilateral mid-to-upper\n lungs.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p14/p14147787/s51143208/8262f308-02a47750-2bb9a31e-35cf7aad-6c5121f4.jpg",
"report": "FINDINGS:\nIn comparison with study of ___, there are fibronodular changes\n again seen in the upper zones, consistent with the clinical diagnosis of\n sarcoidosis. No evidence of acute focal pneumonia, vascular congestion, or\n pleural effusion.",
"findings": "",
"impression": "",
"study_date": "2171-08-20",
"study_id": "51143208"
},
"metadata": {
"subject_id": "14147787",
"view_position": "PA",
"comparison": "___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2171-09-12",
"admission_info": {
"hadm_id": 25224001,
"admittime": "2171-09-12 22:34:00",
"dischtime": "2171-09-18 17:30:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 63,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "56211",
"version": 9,
"description": "Diverticulitis of colon (without mention of hemorrhage)"
},
{
"code": "5178",
"version": 9,
"description": "Lung involvement in other diseases classified elsewhere"
},
{
"code": "135",
"version": 9,
"description": "Sarcoidosis"
},
{
"code": "4168",
"version": 9,
"description": "Other chronic pulmonary heart diseases"
},
{
"code": "V5865",
"version": 9,
"description": "Long-term (current) use of steroids"
},
{
"code": "V1251",
"version": 9,
"description": "Personal history of venous thrombosis and embolism"
},
{
"code": "V5861",
"version": 9,
"description": "Long-term (current) use of anticoagulants"
},
{
"code": "32723",
"version": 9,
"description": "Obstructive sleep apnea (adult)(pediatric)"
},
{
"code": "49390",
"version": 9,
"description": "Asthma, unspecified type, unspecified"
},
{
"code": "2720",
"version": 9,
"description": "Pure hypercholesterolemia"
},
{
"code": "53081",
"version": 9,
"description": "Esophageal reflux"
}
],
"labs": [
{
"label": "Anion Gap",
"value": "12",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "31",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "99",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "1.0",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.2",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "138",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "14",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Hemoglobin",
"value": "12.4",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "32.7",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "186",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "13.1",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "Troponin T",
"value": "",
"unit": "ng/mL",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_59790228",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg",
"report_gt": "FINAL REPORT\n PORTABLE CHEST; ___\n \n HISTORY: ___-year-old male with hypoxia and fever.\n \n COMPARISON: ___.\n \n FINDINGS: Single portable view of the chest. There is increased opacity in\n the right lung, particularly projecting over the base. Right lung base nodule\n is less well seen on the current exam, potentially projectional, and adequate\n comparison for interval change is not possible on this exam. Post-radiation\n changes are again seen in the right paratracheal region. There is also subtle\n opacity at the left lung base in the retrocardiac region. Cardiomediastinal\n silhouette is stable. No acute osseous abnormalities identified. Bridging of\n the posterior right ___ and 7th ribs are again seen.\n \n IMPRESSION: Bibasilar right greater than left opacities, new since prior,\n which could represent infection or potentially aspiration. No other change\n since prior.",
"findings": "Single portable view of the chest. There is increased opacity in\n the right lung, particularly projecting over the base. Right lung base nodule\n is less well seen on the current exam, potentially projectional, and adequate\n comparison for interval change is not possible on this exam. Post-radiation\n changes are again seen in the right paratracheal region. There is also subtle\n opacity at the left lung base in the retrocardiac region. Cardiomediastinal\n silhouette is stable. No acute osseous abnormalities identified. Bridging of\n the posterior right ___ and 7th ribs are again seen.",
"impression": "Bibasilar right greater than left opacities, new since prior,\n which could represent infection or potentially aspiration. No other change\n since prior.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p14/p14295224/s57630991/fdce2841-ba70c298-a83fb5a1-71e58044-dd1115a4.jpg",
"report": "FINAL REPORT\n REASON FOR EXAMINATION: Evaluation of the patient with pleuritic chest pain.\n \n PA and lateral upright chest radiographs were reviewed \n \n Heart size and mediastinum are stable. Previously demonstrated multifocal\n consolidations have resolved. Small amount of pleural effusion is present. \n Right lower lung pulmonary nodule appears to be slightly increased as compared\n to the prior study and might potentially be further assessed with a chest CT. \n No appreciable pleural effusion is demonstrated. No pneumothorax is seen. \n Scarring in the right upper lobe is noted.",
"findings": "",
"impression": "",
"study_date": "2161-09-05",
"study_id": "57630991"
},
"metadata": {
"subject_id": "14295224",
"view_position": "AP",
"comparison": "___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "-1.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2161-12-25",
"admission_info": {
"hadm_id": 20685438,
"admittime": "2161-12-25 20:57:00",
"dischtime": "2161-12-31 15:20:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 65,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "5070",
"version": 9,
"description": "Pneumonitis due to inhalation of food or vomitus"
},
{
"code": "5849",
"version": 9,
"description": "Acute kidney failure, unspecified"
},
{
"code": "2449",
"version": 9,
"description": "Unspecified acquired hypothyroidism"
},
{
"code": "2859",
"version": 9,
"description": "Anemia, unspecified"
},
{
"code": "27651",
"version": 9,
"description": "Dehydration"
},
{
"code": "42731",
"version": 9,
"description": "Atrial fibrillation"
},
{
"code": "71694",
"version": 9,
"description": "Arthropathy, unspecified, hand"
},
{
"code": "53081",
"version": 9,
"description": "Esophageal reflux"
},
{
"code": "V1003",
"version": 9,
"description": "Personal history of malignant neoplasm of esophagus"
},
{
"code": "V4579",
"version": 9,
"description": "Other acquired absence of organ"
},
{
"code": "V153",
"version": 9,
"description": "Personal history of irradiation, presenting hazards to health"
},
{
"code": "V8741",
"version": 9,
"description": "Personal history of antineoplastic chemotherapy"
},
{
"code": "V1046",
"version": 9,
"description": "Personal history of malignant neoplasm of prostate"
},
{
"code": "4019",
"version": 9,
"description": "Unspecified essential hypertension"
},
{
"code": "79902",
"version": 9,
"description": "Hypoxemia"
},
{
"code": "49390",
"version": 9,
"description": "Asthma, unspecified type, unspecified"
},
{
"code": "3051",
"version": 9,
"description": "Tobacco use disorder"
},
{
"code": "33822",
"version": 9,
"description": "Chronic post-thoracotomy pain"
}
],
"labs": [
{
"label": "Anion Gap",
"value": "16",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "24",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "106",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "1.2",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.3",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "142",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "18",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Hemoglobin",
"value": "10.7",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "29.9",
"unit": "%",
"flag": "abnormal"
},
{
"label": "Platelet Count",
"value": "271",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "11.7",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "2.2",
"unit": "mmol/L",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_59371821",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p19/p19454978/s59371821/603b6fc2-24054d99-32b7b09a-fd1fec08-ca0b306f.jpg",
"report_gt": "FINAL REPORT\n HISTORY: Fever and confusion. \n \n COMPARISON: Comparison is made with chest radiographs from ___ and\n ___. \n \n FINDINGS:\n \n Single portable semi upright AP image of the chest. \n \n The lungs are well expanded and clear. There is no pleural effusion or\n pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam\n with prominence of the right pulmonary artery again noted. The apparent\n enlargement of the aorta is due to adjacent atelectasis, as seen on recent CT.\n \n IMPRESSION:\n \n No acute cardiopulmonary process.",
"findings": "Single portable semi upright AP image of the chest. \n \n The lungs are well expanded and clear. There is no pleural effusion or\n pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam\n with prominence of the right pulmonary artery again noted. The apparent\n enlargement of the aorta is due to adjacent atelectasis, as seen on recent CT.",
"impression": "No acute cardiopulmonary process.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p19/p19454978/s59760473/92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c.jpg",
"report": "FINDINGS:\nLungs are normally expanded. There is no focal airspace opacity to\n suggest pneumonia. The heart is mildly enlarged, but unchanged. The\n mediastinal and hilar contours are stable with tortuosity of the aorta and\n mild prominence of the pulmonary artery, better seen on prior CT of the chest.\n Small bilateral pleural effusions persist. There is no pneumothorax. \n Compression deformity of T6 is unchanged.\n\nIMPRESSION:\nStable small bilateral pleural effusions and mildly enlarged\n cardiac silhouette similar to prior.",
"findings": "Lungs are normally expanded. There is no focal airspace opacity to\n suggest pneumonia. The heart is mildly enlarged, but unchanged. The\n mediastinal and hilar contours are stable with tortuosity of the aorta and\n mild prominence of the pulmonary artery, better seen on prior CT of the chest.\n Small bilateral pleural effusions persist. There is no pneumothorax. \n Compression deformity of T6 is unchanged.",
"impression": "",
"study_date": "2141-09-19",
"study_id": "59760473"
},
"metadata": {
"subject_id": "19454978",
"view_position": "AP",
"comparison": "Comparison is made with chest radiographs from ___ and\n ___.",
"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": "2141-09-28",
"admission_info": {
"hadm_id": 22249958,
"admittime": "2141-09-28 03:36:00",
"dischtime": "2141-10-04 17:00:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 86,
"gender": "F"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "03842",
"version": 9,
"description": "Septicemia due to escherichia coli [E. coli]"
},
{
"code": "78552",
"version": 9,
"description": "Septic shock"
},
{
"code": "0380",
"version": 9,
"description": "Streptococcal septicemia"
},
{
"code": "5761",
"version": 9,
"description": "Cholangitis"
},
{
"code": "34982",
"version": 9,
"description": "Toxic encephalopathy"
},
{
"code": "75169",
"version": 9,
"description": "Other anomalies of gallbladder, bile ducts, and liver"
},
{
"code": "28419",
"version": 9,
"description": "Other pancytopenia"
},
{
"code": "V0259",
"version": 9,
"description": "Carrier or suspected carrier of other specified bacterial diseases"
},
{
"code": "99592",
"version": 9,
"description": "Severe sepsis"
},
{
"code": "V1255",
"version": 9,
"description": "Personal history of pulmonary embolism"
},
{
"code": "V5861",
"version": 9,
"description": "Long-term (current) use of anticoagulants"
},
{
"code": "25000",
"version": 9,
"description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled"
},
{
"code": "V5862",
"version": 9,
"description": "Long-term (current) use of antibiotics"
},
{
"code": "7140",
"version": 9,
"description": "Rheumatoid arthritis"
},
{
"code": "V4365",
"version": 9,
"description": "Knee joint replacement"
},
{
"code": "79902",
"version": 9,
"description": "Hypoxemia"
},
{
"code": "7823",
"version": 9,
"description": "Edema"
},
{
"code": "53081",
"version": 9,
"description": "Esophageal reflux"
},
{
"code": "4019",
"version": 9,
"description": "Unspecified essential hypertension"
},
{
"code": "4240",
"version": 9,
"description": "Mitral valve disorders"
},
{
"code": "7244",
"version": 9,
"description": "Thoracic or lumbosacral neuritis or radiculitis, unspecified"
}
],
"labs": [
{
"label": "Anion Gap",
"value": "12",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "27",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "102",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "0.6",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "3.3",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "138",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "11",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Hemoglobin",
"value": "8.7",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "30.9",
"unit": "%",
"flag": "abnormal"
},
{
"label": "Platelet Count",
"value": "173",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "18.3",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "2.1",
"unit": "mmol/L",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_51002383",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p10/p10933609/s51002383/5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7.jpg",
"report_gt": "FINAL REPORT\n HISTORY: ___-year-old male with chest pain.\n \n COMPARISON: ___.\n \n FINDINGS:\n \n PA and lateral views of the chest. Bilateral upper lobe scarring is seen with\n superior retraction of the hila. The lung volumes are relatively low. There\n is no evidence of superimposed acute process. Cardiomediastinal silhouette is\n stable. Surgical clips in the upper abdomen again noted. Osseous structures\n are essentially unremarkable noting probable right glenoid orthopedic\n hardware. \n \n IMPRESSION:\n \n Bilateral upper lobe scarring unchanged without evidence of superimposed acute\n process.",
"findings": "PA and lateral views of the chest. Bilateral upper lobe scarring is seen with\n superior retraction of the hila. The lung volumes are relatively low. There\n is no evidence of superimposed acute process. Cardiomediastinal silhouette is\n stable. Surgical clips in the upper abdomen again noted. Osseous structures\n are essentially unremarkable noting probable right glenoid orthopedic\n hardware.",
"impression": "Bilateral upper lobe scarring unchanged without evidence of superimposed acute\n process.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p10/p10933609/s54870311/7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98.jpg",
"report": "FINDINGS:\nPA and lateral views of the chest were provided. When compared\n with multiple prior studies, there is bilateral upper lung scarring with\n slight retraction of the bronchovasculature. There is no definite sign of new\n consolidation with relative opacity at the right heart border on the frontal\n view, not convincing for pneumonia. Lung volumes are low. Heart and\n mediastinal contours appear stable. No effusion or pneumothorax.\n\nIMPRESSION:\nStable chest radiograph with upper lung scarring. Subtle opacity\n in the right lower lung, likely crowding of bronchovasculature.",
"findings": "PA and lateral views of the chest were provided. When compared\n with multiple prior studies, there is bilateral upper lung scarring with\n slight retraction of the bronchovasculature. There is no definite sign of new\n consolidation with relative opacity at the right heart border on the frontal\n view, not convincing for pneumonia. Lung volumes are low. Heart and\n mediastinal contours appear stable. No effusion or pneumothorax.",
"impression": "",
"study_date": "2151-12-20",
"study_id": "54870311"
},
"metadata": {
"subject_id": "10933609",
"view_position": "PA",
"comparison": "___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2152-02-15",
"admission_info": {
"hadm_id": 20390987,
"admittime": "2152-02-15 17:01:00",
"dischtime": "2152-02-15 23:43:00",
"admission_type": "EU OBSERVATION",
"demographics": {
"age": 56,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "78650",
"version": 9,
"description": "Chest pain, unspecified"
},
{
"code": "4019",
"version": 9,
"description": "Unspecified essential hypertension"
},
{
"code": "V4586",
"version": 9,
"description": "Bariatric surgery status"
}
],
"labs": []
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_50019396",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p13/p13881772/s50019396/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___-year-old woman with a history of CAD, CHF with chest pain,\n evaluate for pneumonia or effusion.\n \n COMPARISON: ___.\n \n FINDINGS: PA and lateral views of the chest demonstrate well-expanded lungs. \n In comparison to the prior study, there is interval obscuration of the right\n heart border and the medial right hemidiaphragm. Correlation with the lateral\n view suggests that this is likely due to interval development of small\n bilateral pleural effusions. Underlying consolidation is not excluded. No\n pneumothorax. Cardiomediastinal silhouette is otherwise stable. \n \n Of note, an air fluid level in a tubular structure posterior to the trachea on\n the lateral view is consistent with a dilated fluid-filled esophagus.\n \n IMPRESSION:\n \n 1. Interval development of small bilateral pleural effusions. Underlying\n consolidation not excluded. \n \n 2. Dilated fluid-filled esophagus.\n \n Comment: Discussed with Dr. ___ by Dr. ___ at 10:40 am on\n ___.",
"findings": "PA and lateral views of the chest demonstrate well-expanded lungs. \n In comparison to the prior study, there is interval obscuration of the right\n heart border and the medial right hemidiaphragm. Correlation with the lateral\n view suggests that this is likely due to interval development of small\n bilateral pleural effusions. Underlying consolidation is not excluded. No\n pneumothorax. Cardiomediastinal silhouette is otherwise stable. \n \n Of note, an air fluid level in a tubular structure posterior to the trachea on\n the lateral view is consistent with a dilated fluid-filled esophagus.",
"impression": "1. Interval development of small bilateral pleural effusions. Underlying\n consolidation not excluded. \n \n 2. Dilated fluid-filled esophagus.\n \n Comment: Discussed with Dr. ___ by Dr. ___ at 10:40 am on\n ___.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p13/p13881772/s53598647/0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652.jpg",
"report": "FINDINGS:\nPA and lateral views of the chest were provided. Lungs are clear\n bilaterally. No effusion or pneumothorax is seen. Cardiomediastinal\n silhouette is stable. Bony structures are intact.\n\nIMPRESSION:\nNo acute findings.",
"findings": "PA and lateral views of the chest were provided. Lungs are clear\n bilaterally. No effusion or pneumothorax is seen. Cardiomediastinal\n silhouette is stable. Bony structures are intact.",
"impression": "",
"study_date": "2130-01-27",
"study_id": "53598647"
},
"metadata": {
"subject_id": "13881772",
"view_position": "PA",
"comparison": "___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "-1.0",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "",
"No Finding": "",
"Pleural Effusion": "1.0",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2130-03-19",
"admission_info": {
"hadm_id": 23261019,
"admittime": "2130-03-19 12:37:00",
"dischtime": "2130-03-20 16:01:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 82,
"gender": "F"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "5300",
"version": 9,
"description": "Achalasia and cardiospasm"
},
{
"code": "3572",
"version": 9,
"description": "Polyneuropathy in diabetes"
},
{
"code": "2875",
"version": 9,
"description": "Thrombocytopenia, unspecified"
},
{
"code": "25041",
"version": 9,
"description": "Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled"
},
{
"code": "25061",
"version": 9,
"description": "Diabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled"
},
{
"code": "42822",
"version": 9,
"description": "Chronic systolic heart failure"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "5368",
"version": 9,
"description": "Dyspepsia and other specified disorders of function of stomach"
},
{
"code": "5363",
"version": 9,
"description": "Gastroparesis"
},
{
"code": "V5867",
"version": 9,
"description": "Long-term (current) use of insulin"
},
{
"code": "4580",
"version": 9,
"description": "Orthostatic hypotension"
},
{
"code": "2449",
"version": 9,
"description": "Unspecified acquired hypothyroidism"
},
{
"code": "73300",
"version": 9,
"description": "Osteoporosis, unspecified"
},
{
"code": "5859",
"version": 9,
"description": "Chronic kidney disease, unspecified"
},
{
"code": "412",
"version": 9,
"description": "Old myocardial infarction"
},
{
"code": "4148",
"version": 9,
"description": "Other specified forms of chronic ischemic heart disease"
},
{
"code": "41401",
"version": 9,
"description": "Coronary atherosclerosis of native coronary artery"
},
{
"code": "58381",
"version": 9,
"description": "Nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere"
}
],
"labs": [
{
"label": "Hemoglobin",
"value": "8.6",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "32.8",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "68",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "WBC",
"value": "5.2",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Anion Gap",
"value": "12",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "30",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "103",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "2.5",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.8",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "140",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "57",
"unit": "mg/dL",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"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"
},
{
"study_id": "mimic_50717913",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg",
"report_gt": "FINAL REPORT\n EXAMINATION: CHEST (AP AND LAT)\n \n INDICATION: History: ___M with hypotension at dialysis\n \n TECHNIQUE: Upright AP and lateral views of the chest\n \n COMPARISON: Chest radiograph ___, chest CTA ___\n \n FINDINGS: \n \n Left-sided dual lumen subclavian central venous catheter tip terminates within\n the proximal right atrium, coursing through a vascular stent within the left\n brachiocephalic vein and superior vena cava. Cardiac silhouette size is\n normal. Mild rightward deviation of the trachea with left superior\n mediastinal mass compatible with a known thyroid goiter is unchanged. Hilar\n contours are unchanged. Pulmonary vasculature is not engorged. Subsegmental\n atelectasis is noted in the lung bases without focal consolidation. No\n pleural effusion or pneumothorax is demonstrated. Marked degenerative changes\n of the left glenohumeral joints and remote right posterior rib are re-\n demonstrated.\n \n IMPRESSION: \n \n No pulmonary edema or pneumonia.",
"findings": "Left-sided dual lumen subclavian central venous catheter tip terminates within\n the proximal right atrium, coursing through a vascular stent within the left\n brachiocephalic vein and superior vena cava. Cardiac silhouette size is\n normal. Mild rightward deviation of the trachea with left superior\n mediastinal mass compatible with a known thyroid goiter is unchanged. Hilar\n contours are unchanged. Pulmonary vasculature is not engorged. Subsegmental\n atelectasis is noted in the lung bases without focal consolidation. No\n pleural effusion or pneumothorax is demonstrated. Marked degenerative changes\n of the left glenohumeral joints and remote right posterior rib are re-\n demonstrated.",
"impression": "No pulmonary edema or pneumonia.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p14/p14236258/s59438963/099dc924-692466a3-cd889469-1d9dee6c-3a61f779.jpg",
"report": "FINDINGS:\nWhen compared to prior, there has been no significant interval change. Lungs\n are grossly clear. There is no large effusion or edema. Cardiomediastinal\n silhouette is within normal limits. Rightward deviation of the trachea at the\n thoracic inlet is compatible with known underlying left-sided thyroid\n enlargement. Surgical clips seen projecting over the thoracic inlet. Left\n chest wall dual lumen central venous catheter is now seen. Multiple vascular\n stents project over the left upper extremity and mediastinum. Severe\n degenerative changes noted at the shoulders bilaterally. Old healed right\n posterior rib fractures are also noted.\n\nIMPRESSION:\nNo acute cardiopulmonary process.",
"findings": "When compared to prior, there has been no significant interval change. Lungs\n are grossly clear. There is no large effusion or edema. Cardiomediastinal\n silhouette is within normal limits. Rightward deviation of the trachea at the\n thoracic inlet is compatible with known underlying left-sided thyroid\n enlargement. Surgical clips seen projecting over the thoracic inlet. Left\n chest wall dual lumen central venous catheter is now seen. Multiple vascular\n stents project over the left upper extremity and mediastinum. Severe\n degenerative changes noted at the shoulders bilaterally. Old healed right\n posterior rib fractures are also noted.",
"impression": "",
"study_date": "2190-02-23",
"study_id": "59438963"
},
"metadata": {
"subject_id": "14236258",
"view_position": "AP",
"comparison": "Chest radiograph ___, chest CTA ___",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "0.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "",
"No Finding": "1.0",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "0.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2190-02-25",
"admission_info": {
"hadm_id": 28604823,
"admittime": "2190-02-25 13:27:00",
"dischtime": "2190-02-25 18:09:00",
"admission_type": "EU OBSERVATION",
"demographics": {
"age": 68,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "I959",
"version": 10,
"description": "Hypotension, unspecified"
},
{
"code": "I120",
"version": 10,
"description": "Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease"
},
{
"code": "N186",
"version": 10,
"description": "End stage renal disease"
},
{
"code": "Z992",
"version": 10,
"description": "Dependence on renal dialysis"
},
{
"code": "I509",
"version": 10,
"description": "Heart failure, unspecified"
},
{
"code": "I2510",
"version": 10,
"description": "Atherosclerotic heart disease of native coronary artery without angina pectoris"
},
{
"code": "I428",
"version": 10,
"description": "Other cardiomyopathies"
},
{
"code": "D638",
"version": 10,
"description": "Anemia in other chronic diseases classified elsewhere"
},
{
"code": "G40909",
"version": 10,
"description": "Epilepsy, unspecified, not intractable, without status epilepticus"
},
{
"code": "I69351",
"version": 10,
"description": "Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side"
},
{
"code": "Z7902",
"version": 10,
"description": "Long term (current) use of antithrombotics/antiplatelets"
},
{
"code": "Z993",
"version": 10,
"description": "Dependence on wheelchair"
}
],
"labs": [
{
"label": "Anion Gap",
"value": "27",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Bicarbonate",
"value": "23",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "101",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "13.0",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.4",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "___",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "BUN",
"value": "63",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "11.6",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "30.4",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "Platelet Count",
"value": "210",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "7.4",
"unit": "K/uL",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_59343122",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p18/p18767957/s59343122/7d6acf38-2ce33bef-4722c2e9-c0f089ec-c06a5100.jpg",
"report_gt": "FINAL REPORT\n HISTORY: ___-year-old male with shortness of breath. Question pulmonary edema\n or pneumonia.\n \n COMPARISON: ___ and inferior ___. \n \n FINDINGS:\n \n PA and lateral views of the chest. The lungs are clear of focal consolidation\n or pleural effusion. There are however increased interstitial markings\n throughout the lungs and enlarged cardiac silhouette which is unchanged from\n prior. There is no acute osseous abnormality detected.\n \n IMPRESSION:\n \n Findings suggestive of interstitial edema. No superimposed acute\n consolidation or effusion. Unchanged cardiomegaly.",
"findings": "PA and lateral views of the chest. The lungs are clear of focal consolidation\n or pleural effusion. There are however increased interstitial markings\n throughout the lungs and enlarged cardiac silhouette which is unchanged from\n prior. There is no acute osseous abnormality detected.",
"impression": "Findings suggestive of interstitial edema. No superimposed acute\n consolidation or effusion. Unchanged cardiomegaly.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p18/p18767957/s50753069/5c8c0263-8d94687e-2a7896c8-5682bae9-6aeefbc4.jpg",
"report": "FINDINGS:\nThe heart is mildly enlarged. The mediastinal and hilar contours\n are within normal limits. There is an area of increased density which projects\n over the left cardiac border. Otherwise, remaining lungs are clear. There\n are no pleural effusions, pulmonary edema, or pneumothorax.\n\nIMPRESSION:\nIncreased density along the left cardiac border for which further\n evaluation is recommended with oblique views.\n \n These findings were discussed with Dr. ___ by Dr. ___ via\n telephone on ___ at 1:25 p.m., at time of discovery.",
"findings": "The heart is mildly enlarged. The mediastinal and hilar contours\n are within normal limits. There is an area of increased density which projects\n over the left cardiac border. Otherwise, remaining lungs are clear. There\n are no pleural effusions, pulmonary edema, or pneumothorax.",
"impression": "",
"study_date": "2194-05-10",
"study_id": "50753069"
},
"metadata": {
"subject_id": "18767957",
"view_position": "PA",
"comparison": "___ and inferior ___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "1.0",
"Consolidation": "0.0",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "",
"No Finding": "",
"Pleural Effusion": "0.0",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2194-06-20",
"admission_info": {
"hadm_id": 29564452,
"admittime": "2194-06-20 16:05:00",
"dischtime": "2194-06-30 18:20:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 68,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "42833",
"version": 9,
"description": "Acute on chronic diastolic heart failure"
},
{
"code": "042",
"version": 9,
"description": "Human immunodeficiency virus [HIV] disease"
},
{
"code": "5845",
"version": 9,
"description": "Acute kidney failure with lesion of tubular necrosis"
},
{
"code": "99681",
"version": 9,
"description": "Complications of transplanted kidney"
},
{
"code": "2762",
"version": 9,
"description": "Acidosis"
},
{
"code": "V1581",
"version": 9,
"description": "Personal history of noncompliance with medical treatment, presenting hazards to health"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "25040",
"version": 9,
"description": "Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled"
},
{
"code": "58381",
"version": 9,
"description": "Nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere"
},
{
"code": "25060",
"version": 9,
"description": "Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled"
},
{
"code": "3572",
"version": 9,
"description": "Polyneuropathy in diabetes"
},
{
"code": "40390",
"version": 9,
"description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified"
},
{
"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": "60000",
"version": 9,
"description": "Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS)"
},
{
"code": "V4986",
"version": 9,
"description": "Do not resuscitate status"
},
{
"code": "25080",
"version": 9,
"description": "Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled"
}
],
"labs": [
{
"label": "Chloride",
"value": "114",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.6",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "144",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Troponin T",
"value": "___",
"unit": "ng/mL",
"flag": "abnormal"
},
{
"label": "Anion Gap",
"value": "14",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "22",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "4.0",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "BUN",
"value": "60",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "8.7",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "30.3",
"unit": "%",
"flag": "abnormal"
},
{
"label": "Platelet Count",
"value": "152",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "5.3",
"unit": "K/uL",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_59207607",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg",
"report_gt": "FINAL REPORT\n AP CHEST, 8:39 A.M., ___ \n \n HISTORY: ___-year-old man after CABG with pleural effusion.\n \n IMPRESSION: AP chest compared to ___ through ___:\n \n Opacification at the base of the right lung is due substantially to moderate\n right pleural effusion present for at least a week, but there is new\n consolidation at the upper margin of this abnormality concerning for\n pneumonia, and mild pulmonary edema has developed since ___. Severe\n cardiomegaly is more pronounced and atelectasis at the left lung base\n unchanged. Small left pleural effusion is presumed. Left-sided central\n venous catheter ends in the mid SVC. No pneumothorax. \n \n ___ was paged at 11:45 a.m. when the findings were recognized and we\n discussed the findings by telephone a minute later.",
"findings": "were recognized and we\n discussed the findings by telephone a minute later.",
"impression": "AP chest compared to ___ through ___:\n \n Opacification at the base of the right lung is due substantially to moderate\n right pleural effusion present for at least a week, but there is new\n consolidation at the upper margin of this abnormality concerning for\n pneumonia, and mild pulmonary edema has developed since ___. Severe\n cardiomegaly is more pronounced and atelectasis at the left lung base\n unchanged. Small left pleural effusion is presumed. Left-sided central\n venous catheter ends in the mid SVC. No pneumothorax. \n \n ___ was paged at 11:45 a.m. when the findings were recognized and we\n discussed the findings by telephone a minute later.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg",
"report": "FINDINGS:\nSupport and monitoring devices are in standard position, and\n cardiomediastinal contours are stable. Mass-like area of consolidation at\n left apex appears slightly less dense and has been more fully evaluated by\n recent CT. Moderate layering right pleural effusion and small left pleural\n effusion are similar, with adjacent bibasilar areas of atelectasis or\n consolidation.",
"findings": "",
"impression": "",
"study_date": "2191-03-16",
"study_id": "54155919"
},
"metadata": {
"subject_id": "14851532",
"view_position": "AP",
"comparison": "",
"chexpert_labels": {
"Atelectasis": "1.0",
"Cardiomegaly": "1.0",
"Consolidation": "1.0",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "1.0",
"Pleural Other": "",
"Pneumonia": "-1.0",
"Pneumothorax": "0.0",
"Support Devices": "1.0"
},
"study_date": "2191-03-17",
"admission_info": {
"hadm_id": 22145629,
"admittime": "2191-03-08 14:21:00",
"dischtime": "2191-03-25 14:15:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 78,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "51851",
"version": 9,
"description": "Acute respiratory failure following trauma and surgery"
},
{
"code": "0389",
"version": 9,
"description": "Unspecified septicemia"
},
{
"code": "99592",
"version": 9,
"description": "Severe sepsis"
},
{
"code": "2866",
"version": 9,
"description": "Defibrination syndrome"
},
{
"code": "78552",
"version": 9,
"description": "Septic shock"
},
{
"code": "486",
"version": 9,
"description": "Pneumonia, organism unspecified"
},
{
"code": "42823",
"version": 9,
"description": "Acute on chronic systolic heart failure"
},
{
"code": "5119",
"version": 9,
"description": "Unspecified pleural effusion"
},
{
"code": "99831",
"version": 9,
"description": "Disruption of internal operation (surgical) wound"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "8072",
"version": 9,
"description": "Closed fracture of sternum"
},
{
"code": "72992",
"version": 9,
"description": "Nontraumatic hematoma of soft tissue"
},
{
"code": "59971",
"version": 9,
"description": "Gross hematuria"
},
{
"code": "E9342",
"version": 9,
"description": "Anticoagulants causing adverse effects in therapeutic use"
},
{
"code": "E8782",
"version": 9,
"description": "Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation"
},
{
"code": "41400",
"version": 9,
"description": "Coronary atherosclerosis of unspecified type of vessel, native or graft"
},
{
"code": "V4581",
"version": 9,
"description": "Aortocoronary bypass status"
},
{
"code": "V4582",
"version": 9,
"description": "Percutaneous transluminal coronary angioplasty status"
},
{
"code": "412",
"version": 9,
"description": "Old myocardial infarction"
},
{
"code": "42731",
"version": 9,
"description": "Atrial fibrillation"
},
{
"code": "42789",
"version": 9,
"description": "Other specified cardiac dysrhythmias"
},
{
"code": "25000",
"version": 9,
"description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled"
},
{
"code": "V5867",
"version": 9,
"description": "Long-term (current) use of insulin"
},
{
"code": "496",
"version": 9,
"description": "Chronic airway obstruction, not elsewhere classified"
},
{
"code": "2449",
"version": 9,
"description": "Unspecified acquired hypothyroidism"
},
{
"code": "V1272",
"version": 9,
"description": "Personal history of colonic polyps"
},
{
"code": "V1011",
"version": 9,
"description": "Personal history of malignant neoplasm of bronchus and lung"
},
{
"code": "V1009",
"version": 9,
"description": "Personal history of malignant neoplasm of other gastrointestinal tract"
},
{
"code": "4019",
"version": 9,
"description": "Unspecified essential hypertension"
},
{
"code": "2724",
"version": 9,
"description": "Other and unspecified hyperlipidemia"
},
{
"code": "44020",
"version": 9,
"description": "Atherosclerosis of native arteries of the extremities, unspecified"
},
{
"code": "60001",
"version": 9,
"description": "Hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (LUTS)"
},
{
"code": "311",
"version": 9,
"description": "Depressive disorder, not elsewhere classified"
},
{
"code": "2800",
"version": 9,
"description": "Iron deficiency anemia secondary to blood loss (chronic)"
}
],
"labs": [
{
"label": "Hemoglobin",
"value": "8.9",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "32.0",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "240",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "17.8",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "Anion Gap",
"value": "18",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "23",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "93",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Creatinine",
"value": "1.5",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.8",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "129",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "BUN",
"value": "34",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "2.0",
"unit": "mmol/L",
"flag": "normal"
},
{
"label": "Troponin T",
"value": "___",
"unit": "ng/mL",
"flag": "abnormal"
},
{
"label": "BNP",
"value": "",
"unit": "pg/mL",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_59166131",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p10/p10274145/s59166131/2cc38dd6-d1f5970f-055155bc-e9e8fccd-8ec98168.jpg",
"report_gt": "FINAL REPORT\n INDICATION: Evaluate possible right lower lobe pneumonia.\n \n COMPARISONS: Chest radiograph, ___. Chest radiograph, ___.\n \n FINDINGS: The previously seen right lower lobe opacification has decreased\n substantially. There has also been a mild decrease in the amount of vascular\n engorgement suggesting improvement in mild biventricular heart failure. In\n retrospect, given the rapid change, the opacification likely represented fluid\n overload. The heart size is at the upper limits of normal. The sternal wires\n are intact and midline. There is longstanding midline lucency in the\n manubrium and upper body is due to incomplete sternal fusion; there is no\n evidence of other incision complications. A PICC can be traced to the mid SVC.\n \n IMPRESSION:\n 1. Mild improvement of pulmonary vascular congestion.\n 2. Less opacification at the right lower; no evidence of pneumonia on today's\n radiograph.\n \n Results were communicated with the surgery team by Dr. ___.",
"findings": "The previously seen right lower lobe opacification has decreased\n substantially. There has also been a mild decrease in the amount of vascular\n engorgement suggesting improvement in mild biventricular heart failure. In\n retrospect, given the rapid change, the opacification likely represented fluid\n overload. The heart size is at the upper limits of normal. The sternal wires\n are intact and midline. There is longstanding midline lucency in the\n manubrium and upper body is due to incomplete sternal fusion; there is no\n evidence of other incision complications. A PICC can be traced to the mid SVC.",
"impression": "1. Mild improvement of pulmonary vascular congestion.\n 2. Less opacification at the right lower; no evidence of pneumonia on today's\n radiograph.\n \n Results were communicated with the surgery team by Dr. ___.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p10/p10274145/s56140866/7b43b8ff-190d3ca9-03cfbbd3-45ad3d0d-72d06c1c.jpg",
"report": "FINDINGS:\nTwo images of the chest shows a small consolidation at the right base, most\n consistent with pneumonia. There are no other consolidations. There is no\n evidence of interstitial edema. There are no pleural effusions. The heart\n size is at the upper limits of normal. The mediastinal contours are normal. \n There are sternotomy wires in place.\n\nIMPRESSION:\nConsolidation in the right base is most consistent with\n pneumonia.\n \n Results were communicated with Dr. ___ at 11:10 a.m. on ___ via\n telephone by Dr. ___.",
"findings": "Two images of the chest shows a small consolidation at the right base, most\n consistent with pneumonia. There are no other consolidations. There is no\n evidence of interstitial edema. There are no pleural effusions. The heart\n size is at the upper limits of normal. The mediastinal contours are normal. \n There are sternotomy wires in place.",
"impression": "",
"study_date": "2174-06-10",
"study_id": "56140866"
},
"metadata": {
"subject_id": "10274145",
"view_position": "PA",
"comparison": "S: Chest radiograph, ___. Chest radiograph, ___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "-1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "0.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "0.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2174-06-11",
"admission_info": {
"hadm_id": 24521778,
"admittime": "2174-06-01 20:24:00",
"dischtime": "2174-06-12 14:20:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 54,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "25083",
"version": 9,
"description": "Diabetes with other specified manifestations, type I [juvenile type], uncontrolled"
},
{
"code": "0389",
"version": 9,
"description": "Unspecified septicemia"
},
{
"code": "99592",
"version": 9,
"description": "Severe sepsis"
},
{
"code": "71107",
"version": 9,
"description": "Pyogenic arthritis, ankle and foot"
},
{
"code": "42830",
"version": 9,
"description": "Diastolic heart failure, unspecified"
},
{
"code": "73007",
"version": 9,
"description": "Acute osteomyelitis, ankle and foot"
},
{
"code": "2869",
"version": 9,
"description": "Other and unspecified coagulation defects"
},
{
"code": "5849",
"version": 9,
"description": "Acute kidney failure, unspecified"
},
{
"code": "7135",
"version": 9,
"description": "Arthropathy associated with neurological disorders"
},
{
"code": "V5867",
"version": 9,
"description": "Long-term (current) use of insulin"
},
{
"code": "36201",
"version": 9,
"description": "Background diabetic retinopathy"
},
{
"code": "3572",
"version": 9,
"description": "Polyneuropathy in diabetes"
},
{
"code": "58381",
"version": 9,
"description": "Nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere"
},
{
"code": "41400",
"version": 9,
"description": "Coronary atherosclerosis of unspecified type of vessel, native or graft"
},
{
"code": "V4581",
"version": 9,
"description": "Aortocoronary bypass status"
},
{
"code": "412",
"version": 9,
"description": "Old myocardial infarction"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "40390",
"version": 9,
"description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified"
},
{
"code": "5859",
"version": 9,
"description": "Chronic kidney disease, unspecified"
},
{
"code": "2724",
"version": 9,
"description": "Other and unspecified hyperlipidemia"
},
{
"code": "70715",
"version": 9,
"description": "Ulcer of other part of foot"
},
{
"code": "7318",
"version": 9,
"description": "Other bone involvement in diseases classified elsewhere"
},
{
"code": "28521",
"version": 9,
"description": "Anemia in chronic kidney disease"
},
{
"code": "V4585",
"version": 9,
"description": "Insulin pump status"
},
{
"code": "25063",
"version": 9,
"description": "Diabetes with neurological manifestations, type I [juvenile type], uncontrolled"
},
{
"code": "25043",
"version": 9,
"description": "Diabetes with renal manifestations, type I [juvenile type], uncontrolled"
},
{
"code": "25053",
"version": 9,
"description": "Diabetes with ophthalmic manifestations, type I [juvenile type], uncontrolled"
},
{
"code": "23871",
"version": 9,
"description": "Essential thrombocythemia"
}
],
"labs": [
{
"label": "Anion Gap",
"value": "15",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "27",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "98",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "1.5",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.2",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "136",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "33",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "6.7",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "32.6",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "425",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "15.1",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "Troponin T",
"value": "",
"unit": "ng/mL",
"flag": "normal"
},
{
"label": "CRP",
"value": "___",
"unit": "mg/L",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_52412265",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p13/p13473495/s52412265/a6aad5da-2b346586-e6b4b977-d71b3973-925a1eb1.jpg",
"report_gt": "FINAL REPORT\n PA AND LATERAL RADIOGRAPH OF THE CHEST\n \n CLINICAL INDICATION: ___-year-old male with chest pain.\n \n TECHNIQUE: PA and lateral radiographs of the chest were obtained.\n \n COMPARISON: ___.\n \n FINDINGS:\n \n Redemonstration of moderate-to-severe cardiomegaly is noted. There is\n pulmonary vascular congestion consistent with edema. There is vague increased\n opacity at the left costophrenic angle which may reflect atelectasis versus a\n small pleural effusion. Redemonstration of a left subclavian venous stent is\n again noted. There is no evidence of pneumoperitoneum. Osseous structures\n are unchanged.\n \n IMPRESSION:\n \n 1. Opacity at left costophrenic angle likely reflects atelectasis vs. pleural\n fluid.\n \n 2. Pulmonary edema.",
"findings": "Redemonstration of moderate-to-severe cardiomegaly is noted. There is\n pulmonary vascular congestion consistent with edema. There is vague increased\n opacity at the left costophrenic angle which may reflect atelectasis versus a\n small pleural effusion. Redemonstration of a left subclavian venous stent is\n again noted. There is no evidence of pneumoperitoneum. Osseous structures\n are unchanged.",
"impression": "1. Opacity at left costophrenic angle likely reflects atelectasis vs. pleural\n fluid.\n \n 2. Pulmonary edema.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p13/p13473495/s51168408/a274e07c-68b358c4-454f3eab-c28f2256-061b00e2.jpg",
"report": "FINDINGS:\nThere is similar moderate-to-severe cardiomegaly. The cardiac,\n mediastinal and hilar contours appear stable. The pulmonary vasculature is\n engorged and indistinct including upper zone redistribution. Fissures are\n thickened. A linear opacity in the left mid lung appears unchanged and\n suggests minor scarring or atelectasis. A left subclavian venous stent is\n again demonstrated. There has been no significant change.\n\nIMPRESSION:\nFindings suggesting mild pulmonary edema. Similar cardiomegaly. \n Stable mediastinal contours.",
"findings": "There is similar moderate-to-severe cardiomegaly. The cardiac,\n mediastinal and hilar contours appear stable. The pulmonary vasculature is\n engorged and indistinct including upper zone redistribution. Fissures are\n thickened. A linear opacity in the left mid lung appears unchanged and\n suggests minor scarring or atelectasis. A left subclavian venous stent is\n again demonstrated. There has been no significant change.",
"impression": "",
"study_date": "2142-03-30",
"study_id": "51168408"
},
"metadata": {
"subject_id": "13473495",
"view_position": "AP",
"comparison": "___.",
"chexpert_labels": {
"Atelectasis": "1.0",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "1.0",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2142-04-15"
},
"eval_track": "followup"
},
{
"study_id": "mimic_53423060",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p18/p18309149/s53423060/74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___-year-old man status post right chest tube thoracotomy, right\n video-assisted decortication of lung, recent pneumonia with effusion and chest\n tube, assess interval change.\n \n COMPARISONS: PA and lateral chest radiograph from ___ as well as\n multiple other priors.\n \n FINDINGS: Since most recent prior radiograph, there has been resolution of\n opacity in the right mid lung. Again seen are chronic pleural changes on the\n right and thickening of the minor fissure. The cardiomediastinal silhouette\n is normal. Left hemithorax is unremarkable.\n \n IMPRESSION:\n 1. Stable chronic pleural changes on the right.\n 2. Resolved opacity in the right mid lung zone.",
"findings": "Since most recent prior radiograph, there has been resolution of\n opacity in the right mid lung. Again seen are chronic pleural changes on the\n right and thickening of the minor fissure. The cardiomediastinal silhouette\n is normal. Left hemithorax is unremarkable.",
"impression": "1. Stable chronic pleural changes on the right.\n 2. Resolved opacity in the right mid lung zone.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p18/p18309149/s59608718/c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437.jpg",
"report": "FINDINGS:\nPA and lateral chest radiographs demonstrate no interval change\n from ___. Small right pleural effusion, adjacent atelectasis, and scar\n formation are stable. The cardiomediastinal silhouette is normal. The left\n hemithorax is unremarkable.\n\nIMPRESSION:\nStable small right pleural effusion compared to ___. \n This study neither suggests nor excludes the diagnosis of pulmonary embolism.",
"findings": "PA and lateral chest radiographs demonstrate no interval change\n from ___. Small right pleural effusion, adjacent atelectasis, and scar\n formation are stable. The cardiomediastinal silhouette is normal. The left\n hemithorax is unremarkable.",
"impression": "",
"study_date": "2190-11-22",
"study_id": "59608718"
},
"metadata": {
"subject_id": "18309149",
"view_position": "PA",
"comparison": "S: PA and lateral chest radiograph from ___ as well as",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2190-12-16"
},
"eval_track": "followup"
},
{
"study_id": "mimic_59748962",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p15/p15840907/s59748962/1dfc0e48-5089885c-04550c95-ad10c948-f2488a05.jpg",
"report_gt": "FINAL REPORT\n HISTORY: ESRD and CAD status post stenting with CHF and chest heaviness,\n dyspnea and cough.\n \n COMPARISON: Comparison is made to radiographs of the chest from ___\n and ___.\n \n FINDINGS: PA and lateral views of the chest demonstrate moderate-to-severe\n cardiomegaly, similar in comparison with the prior AP radiograph, but\n increased since ___. There is interval improvement in right lower\n lobe opacity since the prior study, however hazy opacification persists,\n difficult to discern whether new since the prior study or whether never fully\n resolved. Infection vs assymetric pulmonary edema. The cardiac silhouette\n remains quite enlarged, which may be due to cardiomyopathy or pericardial\n effusion. Coronary artery calcification/stenting is seen. There is no pleural\n effusion or pneumothorax. \n \n IMPRESSION: Interval improvement in right lower lobe opacity since the prior\n study, however hazy opacification persists, difficult to discern whether new\n since the prior study or whether never fully resolved. Infection vs\n assymetric pulmonary edema. Recommend follow-up to resolution and consider\n chest CT to exclude an underlying lesion as was also suggested on prior chest\n radiograph from ___.\n \n Cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy\n or pericardial effusion.",
"findings": "PA and lateral views of the chest demonstrate moderate-to-severe\n cardiomegaly, similar in comparison with the prior AP radiograph, but\n increased since ___. There is interval improvement in right lower\n lobe opacity since the prior study, however hazy opacification persists,\n difficult to discern whether new since the prior study or whether never fully\n resolved. Infection vs assymetric pulmonary edema. The cardiac silhouette\n remains quite enlarged, which may be due to cardiomyopathy or pericardial\n effusion. Coronary artery calcification/stenting is seen. There is no pleural\n effusion or pneumothorax.",
"impression": "Interval improvement in right lower lobe opacity since the prior\n study, however hazy opacification persists, difficult to discern whether new\n since the prior study or whether never fully resolved. Infection vs\n assymetric pulmonary edema. Recommend follow-up to resolution and consider\n chest CT to exclude an underlying lesion as was also suggested on prior chest\n radiograph from ___.\n \n Cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy\n or pericardial effusion.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p15/p15840907/s57339166/38b3b47d-6984aed6-acb1ea60-2c93049b-1ccdfc91.jpg",
"report": "FINDINGS:\nCompared to ___ there is increased opacification within the right lower\n lobe with silhouetting of the right hemidiaphragm. This may represent right\n lower lobe atelectasis, however infectious process or asymmetric edema cannot\n be excluded. Additional areas of opacification in the right upper lung may\n represent asymmetric pulmonary edema. Cardiac silhouette is enlarged likely\n representing volume overload. A PA and lateral chest radiograph may be\n obtained to help localize area of consolidation. A Chest CT with contrast\n should be obtained once the patient is more stable to rule out presence of\n underlying mass. Findings were discussed with Dr. ___ is at 16:48 on ___ via telephone.",
"findings": "",
"impression": "",
"study_date": "2141-11-22",
"study_id": "57339166"
},
"metadata": {
"subject_id": "15840907",
"view_position": "PA",
"comparison": "Comparison is made to radiographs of the chest from ___",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "1.0",
"Consolidation": "",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "1.0",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2142-07-20",
"admission_info": {
"hadm_id": 29836998,
"admittime": "2142-07-20 14:01:00",
"dischtime": "2142-07-24 13:30:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 67,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "42823",
"version": 9,
"description": "Acute on chronic systolic heart failure"
},
{
"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": "4239",
"version": 9,
"description": "Unspecified disease of pericardium"
},
{
"code": "5855",
"version": 9,
"description": "Chronic kidney disease, Stage V"
},
{
"code": "25080",
"version": 9,
"description": "Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled"
},
{
"code": "2761",
"version": 9,
"description": "Hyposmolality and/or hyponatremia"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"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": "41401",
"version": 9,
"description": "Coronary atherosclerosis of native coronary artery"
},
{
"code": "V4582",
"version": 9,
"description": "Percutaneous transluminal coronary angioplasty status"
},
{
"code": "2724",
"version": 9,
"description": "Other and unspecified hyperlipidemia"
},
{
"code": "V1005",
"version": 9,
"description": "Personal history of malignant neoplasm of large intestine"
},
{
"code": "V1083",
"version": 9,
"description": "Personal history of other malignant neoplasm of skin"
},
{
"code": "V5867",
"version": 9,
"description": "Long-term (current) use of insulin"
},
{
"code": "28521",
"version": 9,
"description": "Anemia in chronic kidney disease"
}
],
"labs": [
{
"label": "Troponin T",
"value": "___",
"unit": "ng/mL",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "10.6",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "32.0",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "181",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "5.6",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Anion Gap",
"value": "14",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "26",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "102",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "3.3",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "normal"
},
{
"label": "Potassium",
"value": "3.3",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "139",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "95",
"unit": "mg/dL",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_57540712",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p13/p13353878/s57540712/e90de45f-b12a6a45-721981dc-7df46eae-aa3318e1.jpg",
"report_gt": "FINAL REPORT\n EXAM: Chest frontal and lateral views.\n \n CLINICAL INFORMATION: History of COPD and shortness of breath.\n \n COMPARISON: ___.\n \n FINDINGS: Frontal and lateral views of the chest were obtained. Previously\n seen left perihilar consolidation has resolved in the interval. The bilateral\n pleural effusions have also resolved. Paratracheal opacity in the upper\n thorax, likely secondary to goiter seen on chest CT from ___, in\n conjunction with mediastinal nodes also seen on that study. No focal\n consolidation, pleural effusion, or evidence of pneumothorax is seen. The\n cardiac silhouette is top normal to mildly enlarged, with left ventricular\n configuration. Mediastinal contours are stable. There is an old rib\n deformity/fracture of the posterior lateral left seventh rib, also seen on the\n prior chest CT.\n \n IMPRESSION:\n 1. No acute cardiopulmonary process.\n 2. Paratracheal opacity most likely relates to enlarged thyroid gland seen on\n chest CT from ___, and followup recommendations per that CT remains.",
"findings": "Frontal and lateral views of the chest were obtained. Previously\n seen left perihilar consolidation has resolved in the interval. The bilateral\n pleural effusions have also resolved. Paratracheal opacity in the upper\n thorax, likely secondary to goiter seen on chest CT from ___, in\n conjunction with mediastinal nodes also seen on that study. No focal\n consolidation, pleural effusion, or evidence of pneumothorax is seen. The\n cardiac silhouette is top normal to mildly enlarged, with left ventricular\n configuration. Mediastinal contours are stable. There is an old rib\n deformity/fracture of the posterior lateral left seventh rib, also seen on the\n prior chest CT.",
"impression": "1. No acute cardiopulmonary process.\n 2. Paratracheal opacity most likely relates to enlarged thyroid gland seen on\n chest CT from ___, and followup recommendations per that CT remains.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p13/p13353878/s56538372/38fd10a6-9bc66421-6001dcd9-d1906370-18d01e97.jpg",
"report": "FINAL REPORT\n PA AND LATERAL VIEWS OF THE CHEST\n \n REASON FOR EXAM: COPD, hypertension, patient with history of PE, on Coumadin,\n with recent fevers.\n \n Comparison is made with prior study, ___.\n \n Mild cardiomegaly is stable. Mild-to-moderate pulmonary edema is new. There\n has been interval worsening in left perihilar consolidation, most likely\n consistent with pneumonia. Continued followup is recommended until\n resolution. Small bilateral pleural effusions, left greater than right, have\n increased. There is no evident pneumothorax.",
"findings": "",
"impression": "",
"study_date": "2188-05-09",
"study_id": "56538372"
},
"metadata": {
"subject_id": "13353878",
"view_position": "PA",
"comparison": "___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "",
"Enlarged Cardiomediastinum": "",
"Fracture": "",
"Lung Lesion": "",
"Lung Opacity": "1.0",
"No Finding": "",
"Pleural Effusion": "",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2189-04-15",
"admission_info": {
"hadm_id": 22143940,
"admittime": "2189-04-15 21:55:00",
"dischtime": "2189-04-19 14:03:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 88,
"gender": "F"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "49322",
"version": 9,
"description": "Chronic obstructive asthma with (acute) exacerbation"
},
{
"code": "25042",
"version": 9,
"description": "Diabetes with renal manifestations, type II or unspecified type, uncontrolled"
},
{
"code": "40390",
"version": 9,
"description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified"
},
{
"code": "5853",
"version": 9,
"description": "Chronic kidney disease, Stage III (moderate)"
},
{
"code": "V1255",
"version": 9,
"description": "Personal history of pulmonary embolism"
},
{
"code": "V5861",
"version": 9,
"description": "Long-term (current) use of anticoagulants"
},
{
"code": "V1582",
"version": 9,
"description": "Personal history of tobacco use"
},
{
"code": "56210",
"version": 9,
"description": "Diverticulosis of colon (without mention of hemorrhage)"
},
{
"code": "2724",
"version": 9,
"description": "Other and unspecified hyperlipidemia"
},
{
"code": "5939",
"version": 9,
"description": "Unspecified disorder of kidney and ureter"
}
],
"labs": [
{
"label": "Anion Gap",
"value": "19",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "21",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Chloride",
"value": "99",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "1.3",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "4.9",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "134",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "28",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "11.9",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "35.4",
"unit": "%",
"flag": "abnormal"
},
{
"label": "Platelet Count",
"value": "266",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "8.5",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Lactate",
"value": "3.9",
"unit": "mmol/L",
"flag": "abnormal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_56291217",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p13/p13979643/s56291217/384cf52b-9692fbc2-b3a9f35b-7afe21a3-e935fdb1.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___-year-old man with NG tube replacement.\n \n COMPARISON: ___.\n \n FINDINGS: A single portable chest film was obtained. A tip of a newly placed\n NG tube is now seen around the level of the diaphragmatic hiatus. Lung\n volumes are low, accentuating the pulmonary vasculature.\n \n IMPRESSION: Replaced NG tube tip near the gastroesophageal junction. It\n should be advanced further into the stomach and a repeat film taken before\n use. Findings were discussed with Dr. ___ ___ telephone at ___ on\n ___.",
"findings": "A single portable chest film was obtained. A tip of a newly placed\n NG tube is now seen around the level of the diaphragmatic hiatus. Lung\n volumes are low, accentuating the pulmonary vasculature.",
"impression": "Replaced NG tube tip near the gastroesophageal junction. It\n should be advanced further into the stomach and a repeat film taken before\n use. Findings were discussed with Dr. ___ ___ telephone at ___ on\n ___.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p13/p13979643/s54753684/2ff152b9-2b4549f1-9fc64fbd-baf8d8e4-cafcdbee.jpg",
"report": "IMPRESSION:\nMild pulmonary vascular congestion. Subtle opacity in the right upper lung,\n possibly representing a confluence of shadows, but follow-up radiographs are\n recommended to assess for interval change.",
"findings": "",
"impression": "",
"study_date": "2195-02-18",
"study_id": "54753684"
},
"metadata": {
"subject_id": "13979643",
"view_position": "AP",
"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": "1.0"
},
"study_date": "2195-02-19",
"admission_info": {
"hadm_id": 25507998,
"admittime": "2195-02-19 07:06:00",
"dischtime": "2195-04-10 11:28:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 95,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "56081",
"version": 9,
"description": "Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection)"
},
{
"code": "5070",
"version": 9,
"description": "Pneumonitis due to inhalation of food or vomitus"
},
{
"code": "486",
"version": 9,
"description": "Pneumonia, organism unspecified"
},
{
"code": "34831",
"version": 9,
"description": "Metabolic encephalopathy"
},
{
"code": "5849",
"version": 9,
"description": "Acute kidney failure, unspecified"
},
{
"code": "5119",
"version": 9,
"description": "Unspecified pleural effusion"
},
{
"code": "5990",
"version": 9,
"description": "Urinary tract infection, site not specified"
},
{
"code": "99749",
"version": 9,
"description": "Other digestive system complications"
},
{
"code": "2630",
"version": 9,
"description": "Malnutrition of moderate degree"
},
{
"code": "2761",
"version": 9,
"description": "Hyposmolality and/or hyponatremia"
},
{
"code": "04104",
"version": 9,
"description": "Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus]"
},
{
"code": "0416",
"version": 9,
"description": "Proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site"
},
{
"code": "5601",
"version": 9,
"description": "Paralytic ileus"
},
{
"code": "E8788",
"version": 9,
"description": "Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation"
},
{
"code": "29040",
"version": 9,
"description": "Vascular dementia, uncomplicated"
},
{
"code": "4370",
"version": 9,
"description": "Cerebral atherosclerosis"
},
{
"code": "28860",
"version": 9,
"description": "Leukocytosis, unspecified"
},
{
"code": "4019",
"version": 9,
"description": "Unspecified essential hypertension"
},
{
"code": "34590",
"version": 9,
"description": "Epilepsy, unspecified, without mention of intractable epilepsy"
},
{
"code": "V1005",
"version": 9,
"description": "Personal history of malignant neoplasm of large intestine"
},
{
"code": "V4572",
"version": 9,
"description": "Acquired absence of intestine (large) (small)"
},
{
"code": "73300",
"version": 9,
"description": "Osteoporosis, unspecified"
},
{
"code": "311",
"version": 9,
"description": "Depressive disorder, not elsewhere classified"
},
{
"code": "42789",
"version": 9,
"description": "Other specified cardiac dysrhythmias"
},
{
"code": "V1251",
"version": 9,
"description": "Personal history of venous thrombosis and embolism"
}
],
"labs": [
{
"label": "Hemoglobin",
"value": "12.9",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "33.0",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "651",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "WBC",
"value": "20.6",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "Anion Gap",
"value": "14",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "31",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "98",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "1.7",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "5.5",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Sodium",
"value": "137",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "BUN",
"value": "33",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "1.3",
"unit": "mmol/L",
"flag": "normal"
},
{
"label": "Troponin T",
"value": "___",
"unit": "ng/mL",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_52673752",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p15/p15809646/s52673752/2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___-year-old male patient with respiratory failure. Study\n requested for evaluation of interval change.\n \n COMPARISON: Prior chest radiograph from ___.\n \n TECHNIQUE: Portable AP chest radiograph.\n \n FINDINGS: As compared to prior chest radiograph from ___, there\n has been interval improvement of opacities along the right lower lung. There\n is bibasilar atelectasis. Mild cardiomegaly is unchanged. There are no\n pleural effusions or pneumothorax. An ET tube ends 3.9 cm above the carina. \n Right jugular line is unchanged in position.\n \n IMPRESSION: Interval improvement of opacities along the right lower lung with\n bibasilar atelectasis.",
"findings": "As compared to prior chest radiograph from ___, there\n has been interval improvement of opacities along the right lower lung. There\n is bibasilar atelectasis. Mild cardiomegaly is unchanged. There are no\n pleural effusions or pneumothorax. An ET tube ends 3.9 cm above the carina. \n Right jugular line is unchanged in position.",
"impression": "Interval improvement of opacities along the right lower lung with\n bibasilar atelectasis.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p15/p15809646/s54479348/5e2d7a5c-0cca16ec-3dff48d4-bab26e70-6bea7f6d.jpg",
"report": "FINDINGS:\nNew ET tube ends 2.9 cm above the carina. Right jugular line is in lower SVC.\n Left upper lobe rounded atelectasis was better assessed in recent CT, and\n there is minimal chronic thickening of the pleura at the costodiaphragmatic\n angles.\n\nIMPRESSION:\n1. Tube and lines are in adequate position.\n 2. The remaining of the exam is unchanged without significant acute\n cardiopulmonary findings.",
"findings": "New ET tube ends 2.9 cm above the carina. Right jugular line is in lower SVC.\n Left upper lobe rounded atelectasis was better assessed in recent CT, and\n there is minimal chronic thickening of the pleura at the costodiaphragmatic\n angles.",
"impression": "",
"study_date": "2146-12-07",
"study_id": "54479348"
},
"metadata": {
"subject_id": "15809646",
"view_position": "AP",
"comparison": "Prior chest radiograph from ___.",
"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": "2146-12-08",
"admission_info": {
"hadm_id": 24329200,
"admittime": "2146-12-05 09:14:00",
"dischtime": "2146-12-15 17:38:00",
"admission_type": "EW EMER.",
"demographics": {
"age": 78,
"gender": "M"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "0389",
"version": 9,
"description": "Unspecified septicemia"
},
{
"code": "51881",
"version": 9,
"description": "Acute respiratory failure"
},
{
"code": "78552",
"version": 9,
"description": "Septic shock"
},
{
"code": "42833",
"version": 9,
"description": "Acute on chronic diastolic heart failure"
},
{
"code": "34982",
"version": 9,
"description": "Toxic encephalopathy"
},
{
"code": "49121",
"version": 9,
"description": "Obstructive chronic bronchitis with (acute) exacerbation"
},
{
"code": "5849",
"version": 9,
"description": "Acute kidney failure, unspecified"
},
{
"code": "4239",
"version": 9,
"description": "Unspecified disease of pericardium"
},
{
"code": "2930",
"version": 9,
"description": "Delirium due to conditions classified elsewhere"
},
{
"code": "99592",
"version": 9,
"description": "Severe sepsis"
},
{
"code": "42731",
"version": 9,
"description": "Atrial fibrillation"
},
{
"code": "V462",
"version": 9,
"description": "Other dependence on machines, supplemental oxygen"
},
{
"code": "515",
"version": 9,
"description": "Postinflammatory pulmonary fibrosis"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "56210",
"version": 9,
"description": "Diverticulosis of colon (without mention of hemorrhage)"
},
{
"code": "3051",
"version": 9,
"description": "Tobacco use disorder"
},
{
"code": "501",
"version": 9,
"description": "Asbestosis"
},
{
"code": "30000",
"version": 9,
"description": "Anxiety state, unspecified"
},
{
"code": "V4986",
"version": 9,
"description": "Do not resuscitate status"
}
],
"labs": [
{
"label": "Anion Gap",
"value": "18",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "22",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Chloride",
"value": "100",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "3.7",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "3.9",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "136",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Troponin T",
"value": "___",
"unit": "ng/mL",
"flag": "abnormal"
},
{
"label": "BUN",
"value": "39",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "12.6",
"unit": "g/dL",
"flag": "abnormal"
},
{
"label": "MCHC",
"value": "32.8",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "238",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "WBC",
"value": "22.7",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "Lactate",
"value": "1.6",
"unit": "mmol/L",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "mimic_57363067",
"dataset": "mimic_cxr",
"split": "test",
"image_path": "images/mimic/p11/p11934114/s57363067/d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac.jpg",
"report_gt": "FINAL REPORT\n INDICATION: ___-year-old female with urosepsis and respiratory distress with\n new oxygen requirement. Evaluate for acute prior cardiopulmonary process.\n \n EXAMINATION: Multiple frontal chest radiographs.\n \n COMPARISONS: ___ and ___.\n \n FINDINGS:\n \n There is interval worsening of now mild-to-moderate interstitial pulmonary\n edema and small-to-moderate bilateral layering pleural effusions. There is no\n evidence of pneumothorax. There is associated bibasilar atelectasis with no\n focal opacities concerning for pneumonia. The cardiomediastinal and hilar\n contours are stable demonstrating moderate cardiomegaly. Note is made of\n multiple left-sided rib fractures that in retrospect can be demonstrated on\n radiographs from ___.\n \n IMPRESSION:\n 1. Worsened now mild-to-moderate interstitial pulmonary edema and\n small-to-moderate bilateral layering pleural effusions.\n \n 2. Left-sided rib fractures in retrospect apparent since at least ___.",
"findings": "There is interval worsening of now mild-to-moderate interstitial pulmonary\n edema and small-to-moderate bilateral layering pleural effusions. There is no\n evidence of pneumothorax. There is associated bibasilar atelectasis with no\n focal opacities concerning for pneumonia. The cardiomediastinal and hilar\n contours are stable demonstrating moderate cardiomegaly. Note is made of\n multiple left-sided rib fractures that in retrospect can be demonstrated on\n radiographs from ___.",
"impression": "1. Worsened now mild-to-moderate interstitial pulmonary edema and\n small-to-moderate bilateral layering pleural effusions.\n \n 2. Left-sided rib fractures in retrospect apparent since at least ___.",
"is_followup": true,
"prior_study": {
"image_path": "images/mimic/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg",
"report": "FINDINGS:\nIn comparison with study of ___, there has been placement of a\n nasogastric tube with tip in the distal stomach. Otherwise, there is little\n overall change with large right and moderate left pleural effusion with\n enlargement of the cardiac silhouette and evidence of pulmonary vascular\n congestion.",
"findings": "",
"impression": "",
"study_date": "2136-04-27",
"study_id": "52625540"
},
"metadata": {
"subject_id": "11934114",
"view_position": "AP",
"comparison": "S: ___ and ___.",
"chexpert_labels": {
"Atelectasis": "",
"Cardiomegaly": "",
"Consolidation": "",
"Edema": "1.0",
"Enlarged Cardiomediastinum": "",
"Fracture": "1.0",
"Lung Lesion": "",
"Lung Opacity": "",
"No Finding": "",
"Pleural Effusion": "1.0",
"Pleural Other": "",
"Pneumonia": "",
"Pneumothorax": "",
"Support Devices": ""
},
"study_date": "2136-05-05",
"admission_info": {
"hadm_id": 21617583,
"admittime": "2136-04-07 14:40:00",
"dischtime": "2136-05-07 17:48:00",
"admission_type": "URGENT",
"demographics": {
"age": 84,
"gender": "F"
},
"patient_history": "",
"physical_examination": "",
"chief_complaint": "",
"medications_on_admission": "",
"discharge_diagnosis": "",
"icd_diagnoses": [
{
"code": "03842",
"version": 9,
"description": "Septicemia due to escherichia coli [E. coli]"
},
{
"code": "70724",
"version": 9,
"description": "Pressure ulcer, stage IV"
},
{
"code": "70703",
"version": 9,
"description": "Pressure ulcer, lower back"
},
{
"code": "34982",
"version": 9,
"description": "Toxic encephalopathy"
},
{
"code": "5845",
"version": 9,
"description": "Acute kidney failure with lesion of tubular necrosis"
},
{
"code": "42823",
"version": 9,
"description": "Acute on chronic systolic heart failure"
},
{
"code": "5990",
"version": 9,
"description": "Urinary tract infection, site not specified"
},
{
"code": "00845",
"version": 9,
"description": "Intestinal infection due to Clostridium difficile"
},
{
"code": "2532",
"version": 9,
"description": "Panhypopituitarism"
},
{
"code": "28731",
"version": 9,
"description": "Immune thrombocytopenic purpura"
},
{
"code": "73018",
"version": 9,
"description": "Chronic osteomyelitis, other specified sites"
},
{
"code": "2761",
"version": 9,
"description": "Hyposmolality and/or hyponatremia"
},
{
"code": "6828",
"version": 9,
"description": "Cellulitis and abscess of other specified sites"
},
{
"code": "2930",
"version": 9,
"description": "Delirium due to conditions classified elsewhere"
},
{
"code": "V850",
"version": 9,
"description": "Body Mass Index less than 19, adult"
},
{
"code": "99592",
"version": 9,
"description": "Severe sepsis"
},
{
"code": "2631",
"version": 9,
"description": "Malnutrition of mild degree"
},
{
"code": "40390",
"version": 9,
"description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified"
},
{
"code": "5853",
"version": 9,
"description": "Chronic kidney disease, Stage III (moderate)"
},
{
"code": "4280",
"version": 9,
"description": "Congestive heart failure, unspecified"
},
{
"code": "29040",
"version": 9,
"description": "Vascular dementia, uncomplicated"
},
{
"code": "3963",
"version": 9,
"description": "Mitral valve insufficiency and aortic valve insufficiency"
},
{
"code": "3970",
"version": 9,
"description": "Diseases of tricuspid valve"
},
{
"code": "56409",
"version": 9,
"description": "Other constipation"
},
{
"code": "41401",
"version": 9,
"description": "Coronary atherosclerosis of native coronary artery"
},
{
"code": "2512",
"version": 9,
"description": "Hypoglycemia, unspecified"
},
{
"code": "2767",
"version": 9,
"description": "Hyperpotassemia"
},
{
"code": "2859",
"version": 9,
"description": "Anemia, unspecified"
},
{
"code": "53081",
"version": 9,
"description": "Esophageal reflux"
},
{
"code": "5293",
"version": 9,
"description": "Hypertrophy of tongue papillae"
},
{
"code": "311",
"version": 9,
"description": "Depressive disorder, not elsewhere classified"
},
{
"code": "V5865",
"version": 9,
"description": "Long-term (current) use of steroids"
},
{
"code": "V1302",
"version": 9,
"description": "Personal history, urinary (tract) infection"
},
{
"code": "V4364",
"version": 9,
"description": "Hip joint replacement"
},
{
"code": "V4986",
"version": 9,
"description": "Do not resuscitate status"
},
{
"code": "V1254",
"version": 9,
"description": "Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits"
},
{
"code": "E9308",
"version": 9,
"description": "Other specified antibiotics causing adverse effects in therapeutic use"
},
{
"code": "E9315",
"version": 9,
"description": "Other antiprotozoal drugs causing adverse effects in therapeutic use"
}
],
"labs": [
{
"label": "Anion Gap",
"value": "19",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Bicarbonate",
"value": "16",
"unit": "mEq/L",
"flag": "abnormal"
},
{
"label": "Chloride",
"value": "104",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Creatinine",
"value": "1.8",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Glucose",
"value": "___",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Potassium",
"value": "3.9",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Sodium",
"value": "135",
"unit": "mEq/L",
"flag": "normal"
},
{
"label": "Troponin T",
"value": "",
"unit": "ng/mL",
"flag": "normal"
},
{
"label": "BUN",
"value": "34",
"unit": "mg/dL",
"flag": "abnormal"
},
{
"label": "Hemoglobin",
"value": "12.5",
"unit": "g/dL",
"flag": "normal"
},
{
"label": "MCHC",
"value": "32.8",
"unit": "%",
"flag": "normal"
},
{
"label": "Platelet Count",
"value": "___",
"unit": "K/uL",
"flag": "abnormal"
},
{
"label": "WBC",
"value": "___",
"unit": "K/uL",
"flag": "normal"
},
{
"label": "Lactate",
"value": "___",
"unit": "mmol/L",
"flag": "normal"
}
]
}
},
"eval_track": "followup"
},
{
"study_id": "chexpert_patient64641_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64641/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nLines and tubes unchanged. Low lung volumes. Slight improvement in \nthe aeration of the upper lobes bilaterally. Stable cardiomediastinal \nsilhouette. Bibasilar consolidation, left greater than right, with \nsmall left pleural effusion. No evidence of pneumothorax.\n\nIMPRESSION:\n1. Low lung volumes. Slight improvement in the aeration of the upper \nlobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar \nconsolidation, left greater than right, with small left pleural \neffusion.",
"findings": "Lines and tubes unchanged. Low lung volumes. Slight improvement in \nthe aeration of the upper lobes bilaterally. Stable cardiomediastinal \nsilhouette. Bibasilar consolidation, left greater than right, with \nsmall left pleural effusion. No evidence of pneumothorax.",
"impression": "1. Low lung volumes. Slight improvement in the aeration of the upper \nlobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar \nconsolidation, left greater than right, with small left pleural \neffusion.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64641",
"report_date_order": 3,
"view_position": "AP",
"comparison": "2011/11",
"age": "50.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64700_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64700/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nInterval removal of right AICD. Interval placement of right IJ \napproach transvenous pacer.\n \nSevere cardiomegaly with enlarged pulmonary arteries reflecting \npulmonary hypertension. Mild left basilar opacity. No large pleural \neffusion. Right costophrenic angle is not included in field of view. \nNo visualized pneumothorax.\n\nIMPRESSION:\n1. Interval removal of right ICD with placement of right IJ approach \ntransvenous pacer. No visualized pneumothorax.\n \n2. Severe cardiomegaly with markedly enlarged pulmonary arteries, \nreflecting pulmonary hypertension.\n \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
"findings": "Interval removal of right AICD. Interval placement of right IJ \napproach transvenous pacer.\n \nSevere cardiomegaly with enlarged pulmonary arteries reflecting \npulmonary hypertension. Mild left basilar opacity. No large pleural \neffusion. Right costophrenic angle is not included in field of view. \nNo visualized pneumothorax.",
"impression": "1. Interval removal of right ICD with placement of right IJ approach \ntransvenous pacer. No visualized pneumothorax.\n \n2. Severe cardiomegaly with markedly enlarged pulmonary arteries, \nreflecting pulmonary hypertension.\n \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": "patient64700",
"report_date_order": 1,
"view_position": "AP",
"comparison": "Chest x-ray 30/11",
"age": "79.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"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"
},
{
"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"
},
{
"study_id": "chexpert_patient64614_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64614/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nFrontal radiograph of the chest demonstrates normal \nappearance of cardiomediastinal silhouette, pulmonary vascularity, \nand airspaces. There is a right-sided PICC catheter with its tip \nprojecting 3 cm below the carina. There is a small left pleural \neffusion. The osseous structures are intact.\n\nIMPRESSION:\n1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. \n \n 2. SMALL LEFT PLEURAL EFFUSION.",
"findings": "Frontal radiograph of the chest demonstrates normal \nappearance of cardiomediastinal silhouette, pulmonary vascularity, \nand airspaces. There is a right-sided PICC catheter with its tip \nprojecting 3 cm below the carina. There is a small left pleural \neffusion. The osseous structures are intact.",
"impression": "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. \n \n 2. SMALL LEFT PLEURAL EFFUSION.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64614",
"report_date_order": 1,
"view_position": "AP",
"comparison": "None.",
"age": "74.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64658_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64658/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nThe lung volumes are slightly decreased. Atelectasis is noted at\nthe left lung base with increased opacity noted. Surgical clips\nare noted overlying the region of the right hemidiaphragm. The\nheart does not appear enlarged. There is no evidence of pulmonary\nedema. Some mild pleural thickening is noted at the left apex.\n\nIMPRESSION:\n1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.",
"findings": "The lung volumes are slightly decreased. Atelectasis is noted at\nthe left lung base with increased opacity noted. Surgical clips\nare noted overlying the region of the right hemidiaphragm. The\nheart does not appear enlarged. There is no evidence of pulmonary\nedema. Some mild pleural thickening is noted at the left apex.",
"impression": "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64658",
"report_date_order": 1,
"view_position": "AP",
"comparison": "08/10.",
"age": "55.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64564_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64564/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nA single upright AP view of the chest demonstrates a \nlinear focus of opacity in the left lung base with the remainder of \nthe lung parenchyma clear. No significant pulmonary edema. Heart \nsize and cardiomediastinal silhouette are within normal limits. No \nsignificant pleural effusions. No bony abnormalities are \nappreciated.\n\nIMPRESSION:\n1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO \nATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.",
"findings": "A single upright AP view of the chest demonstrates a \nlinear focus of opacity in the left lung base with the remainder of \nthe lung parenchyma clear. No significant pulmonary edema. Heart \nsize and cardiomediastinal silhouette are within normal limits. No \nsignificant pleural effusions. No bony abnormalities are \nappreciated.",
"impression": "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO \nATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64564",
"report_date_order": 1,
"view_position": "AP",
"comparison": "None.",
"age": "71.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64599_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64599/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\n/\n\nIMPRESSION:\n1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH\nBILATERALLY CLEAR LUNGS.\n2. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, WHICH REPRESENTS A\nSMALL LEFT PLEURAL EFFUSION.\n3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS.\n4. SEVERAL DISCRETE LYTIC FOCI IN THE RIGHT HUMERAL DIAPHYSIS, LIKELY\nRELATED TO KNOWN UNDERLYING HISTORY OF MULTIPLE MYELOMA.",
"findings": "/",
"impression": "1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH\nBILATERALLY CLEAR LUNGS.\n2. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, WHICH REPRESENTS A\nSMALL LEFT PLEURAL EFFUSION.\n3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS.\n4. SEVERAL DISCRETE LYTIC FOCI IN THE RIGHT HUMERAL DIAPHYSIS, LIKELY\nRELATED TO KNOWN UNDERLYING HISTORY OF MULTIPLE MYELOMA.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64599",
"report_date_order": 1,
"view_position": "PA",
"comparison": "1/11/2020.",
"age": "69.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64604_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64604/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nSingle frontal view of the chest on 12-18 at 2147\nhours demonstrates interval removal of a right chest tube with\ninterval development of a large, right sided pneumothorax. Stable\npositioning of a left sided chest tube with persistent small, left\nsided pneumothorax. Retrocardiac opacities may represent\natelectasis versus consolidation. The cardiomediastinal silhouette\nis stable.\nFollow up exam on 12/18/2014 demonstrates interval placement of a\nright chest tube with tiny, residual pneumothorax. Otherwise, no\nsignificant interval change.\n\nIMPRESSION:\n1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT\nFOLLOWING PLACEMENT OF A RIGHT CHEST TUBE.\n2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.",
"findings": "Single frontal view of the chest on 12-18 at 2147\nhours demonstrates interval removal of a right chest tube with\ninterval development of a large, right sided pneumothorax. Stable\npositioning of a left sided chest tube with persistent small, left\nsided pneumothorax. Retrocardiac opacities may represent\natelectasis versus consolidation. The cardiomediastinal silhouette\nis stable.\nFollow up exam on 12/18/2014 demonstrates interval placement of a\nright chest tube with tiny, residual pneumothorax. Otherwise, no\nsignificant interval change.",
"impression": "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT\nFOLLOWING PLACEMENT OF A RIGHT CHEST TUBE.\n2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64604",
"report_date_order": 11,
"view_position": "AP",
"comparison": "12-18-2014 AT 0847 HOURS",
"age": "35.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64732_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64732/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nSlight interval decrease in lung volumes. Increased prominence of the \npulmonary vasculature, right lung greater than left, may represent \nasymmetric pulmonary edema versus secondary to decrease in lung \nvolumes. Stable cardiomediastinal silhouette. No focal consolidation. \nNo acute osseous abnormality.\n\nIMPRESSION:\n1. Slight interval decrease in lung volumes. Increased prominence of \nthe pulmonary vasculature, right lung greater than left, may \nrepresent asymmetric pulmonary edema versus secondary to decrease in \nlung volumes. Atypical or viral infection could have a similar \nappearance.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
"findings": "Slight interval decrease in lung volumes. Increased prominence of the \npulmonary vasculature, right lung greater than left, may represent \nasymmetric pulmonary edema versus secondary to decrease in lung \nvolumes. Stable cardiomediastinal silhouette. No focal consolidation. \nNo acute osseous abnormality.",
"impression": "1. Slight interval decrease in lung volumes. Increased prominence of \nthe pulmonary vasculature, right lung greater than left, may \nrepresent asymmetric pulmonary edema versus secondary to decrease in \nlung volumes. Atypical or viral infection could have a similar \nappearance.\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": "patient64732",
"report_date_order": 1,
"view_position": "AP",
"comparison": "3/21/2020",
"age": "49.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64713_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64713/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nInterval placement of a left arm PICC terminating 5.2 cm below the \ncarina. No evidence of pneumothorax. The cardiomediastinal silhouette \nis within normal limits. No evidence of effusions or pulmonary edema.\n\nIMPRESSION:\n1. Left arm PICC terminating 5.2 cm below the carina.\n \n2. Interval resolution of pulmonary edema.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
"findings": "Interval placement of a left arm PICC terminating 5.2 cm below the \ncarina. No evidence of pneumothorax. The cardiomediastinal silhouette \nis within normal limits. No evidence of effusions or pulmonary edema.",
"impression": "1. Left arm PICC terminating 5.2 cm below the carina.\n \n2. Interval resolution of pulmonary edema.\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": "patient64713",
"report_date_order": 1,
"view_position": "AP",
"comparison": "CXR 9-11-2014",
"age": "76.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64693_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64693/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\n4/2/2018 at 2019: Endotracheal tube terminates 5.2 cm above the \ncarina. Left chest wall port terminates in the left brachiocephalic \nvein. NG/OG tube tip is within the stomach. Cardiomediastinal \nsilhouette is normal in size. Lung volumes are low with bibasilar \nopacities likely reflecting atelectasis or aspiration. \nPneumoperitoneum seen on prior CT not visualized in this study. \n \n4-2-18 at 2125: Right IJ central venous catheter terminates 2.2 cm \nbelow the level the carina. Persistent bibasilar opacities. No \npneumothorax.\n\nIMPRESSION:\n1. Right IJ central venous catheter terminates in the lower SVC. No \npneumothorax.\n \n2. Left chest wall port tip in the left brachiocephalic vein. \n \n3. Previously seen pneumoperitoneum not visualized in this study, but \nmay be due to differences in technique. \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
"findings": "4/2/2018 at 2019: Endotracheal tube terminates 5.2 cm above the \ncarina. Left chest wall port terminates in the left brachiocephalic \nvein. NG/OG tube tip is within the stomach. Cardiomediastinal \nsilhouette is normal in size. Lung volumes are low with bibasilar \nopacities likely reflecting atelectasis or aspiration. \nPneumoperitoneum seen on prior CT not visualized in this study. \n \n4-2-18 at 2125: Right IJ central venous catheter terminates 2.2 cm \nbelow the level the carina. Persistent bibasilar opacities. No \npneumothorax.",
"impression": "1. Right IJ central venous catheter terminates in the lower SVC. No \npneumothorax.\n \n2. Left chest wall port tip in the left brachiocephalic vein. \n \n3. Previously seen pneumoperitoneum not visualized in this study, but \nmay be due to differences in technique. \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": "patient64693",
"report_date_order": 1,
"view_position": "AP",
"comparison": "CT from 4/2/2018.",
"age": "67.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64682_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64682/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nAP semierect view of the chest demonstrates low left lung \nvolume, and a moderate left pleural effusion and associated \natelectasis persists, unchanged. Right lung remains clear. \nPostoperative stabilization of the lower cervical and upper thoracic \nspine are again noted unchanged.\n \nEndotracheal tube has been removed.\n\nIMPRESSION:\n1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. \nTHESE ARE UNCHANGED DESPITE EXTUBATION.",
"findings": "AP semierect view of the chest demonstrates low left lung \nvolume, and a moderate left pleural effusion and associated \natelectasis persists, unchanged. Right lung remains clear. \nPostoperative stabilization of the lower cervical and upper thoracic \nspine are again noted unchanged.\n \nEndotracheal tube has been removed.",
"impression": "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. \nTHESE ARE UNCHANGED DESPITE EXTUBATION.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64682",
"report_date_order": 1,
"view_position": "AP",
"comparison": "12/14/2008",
"age": "62.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64626_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64626/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is within\nnormal limits. The diaphragmatic borders are well visualized.\nThere is no evidence of pneumothorax. There is placement of a\nleft-sided single lead pacemaker. The lungs are clear. New\nosseous volar soft tissue abnormalities.\n\nIMPRESSION:\n1. PLACEMENT OF A LEFT-SIDED SINGLE LEAD AND PACER WITH NO\nEVIDENCE OF PNEUMOTHORAX.\n2. LUNGS CLEAR.",
"findings": "The trachea is midline. The cardiomediastinal silhouette is within\nnormal limits. The diaphragmatic borders are well visualized.\nThere is no evidence of pneumothorax. There is placement of a\nleft-sided single lead pacemaker. The lungs are clear. New\nosseous volar soft tissue abnormalities.",
"impression": "1. PLACEMENT OF A LEFT-SIDED SINGLE LEAD AND PACER WITH NO\nEVIDENCE OF PNEUMOTHORAX.\n2. LUNGS CLEAR.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64626",
"report_date_order": 1,
"view_position": "AP",
"comparison": "STUDY:\nNone.",
"age": "74.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64565_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64565/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nSingle portable AP upright view of the chest with a \nlordotic projection demonstrates a cardiac silhouette that is mildly \nenlarged. There is minimal tortuosity of the thoracic aorta. \nAtherosclerotic calcification of the aortic knob is present. The \nbilateral hila are within normal limits. The bilateral lung fields \nare clear, without evidence of frank consolidation. No pneumothorax \nor pleural effusion is seen. The visualized osseous structures \nreveal no acute abnormalities.\n\nIMPRESSION:\n1. MILD CARDIOMEGALY. \n \n 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY \nABNORMALITIES.",
"findings": "Single portable AP upright view of the chest with a \nlordotic projection demonstrates a cardiac silhouette that is mildly \nenlarged. There is minimal tortuosity of the thoracic aorta. \nAtherosclerotic calcification of the aortic knob is present. The \nbilateral hila are within normal limits. The bilateral lung fields \nare clear, without evidence of frank consolidation. No pneumothorax \nor pleural effusion is seen. The visualized osseous structures \nreveal no acute abnormalities.",
"impression": "1. MILD CARDIOMEGALY. \n \n 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY \nABNORMALITIES.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64565",
"report_date_order": 1,
"view_position": "AP",
"comparison": "None.",
"age": "88.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64634_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64634/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nInterval placement of left PICC line, which terminates at the \ncavoatrial junction. Unchanged right IJ, NG/OG tube.\n \nSuboptimal study due to persistent marked rotation of the patient. \nPersistent left basilar opacity again seen elevation of the left \nhemidiaphragm. Low lung volumes. No visualized in the thorax.\n\nIMPRESSION:\n1. Interval placement of left PICC line, which terminates at the \ncavoatrial junction. No visualized pneumothorax.\n \n2. No other significant interval change.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
"findings": "Interval placement of left PICC line, which terminates at the \ncavoatrial junction. Unchanged right IJ, NG/OG tube.\n \nSuboptimal study due to persistent marked rotation of the patient. \nPersistent left basilar opacity again seen elevation of the left \nhemidiaphragm. Low lung volumes. No visualized in the thorax.",
"impression": "1. Interval placement of left PICC line, which terminates at the \ncavoatrial junction. No visualized pneumothorax.\n \n2. No other significant interval change.\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": "patient64634",
"report_date_order": 2,
"view_position": "AP",
"comparison": "Chest x-ray 9-15-2004",
"age": "39.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64670_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64670/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nThere has been a midline thoracotomy. ET tube is present \n4 cm above the carina. Two right IJ lines have their TIPS in the \nregion of the SVC. There is a midline chest tube and a left chest \ntube. There is a nasogastric tube present. The cardiac silhouette \nis within normal limits. There is some retrocardiac opacity \nsilhouetting the descending aorta and medial hemidiaphragm. The \npulmonary vascularity is normal. No other focal pulmonary \nparenchymal abnormalities are identified.\n\nIMPRESSION:\n1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS \nDESCRIBED. \n \n 2. NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.",
"findings": "There has been a midline thoracotomy. ET tube is present \n4 cm above the carina. Two right IJ lines have their TIPS in the \nregion of the SVC. There is a midline chest tube and a left chest \ntube. There is a nasogastric tube present. The cardiac silhouette \nis within normal limits. There is some retrocardiac opacity \nsilhouetting the descending aorta and medial hemidiaphragm. The \npulmonary vascularity is normal. No other focal pulmonary \nparenchymal abnormalities are identified.",
"impression": "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS \nDESCRIBED. \n \n 2. NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64670",
"report_date_order": 1,
"view_position": "AP",
"comparison": "Comparison is made with the previous film from October 30th \nat 1416.",
"age": "73.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64633_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64633/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nThere is no change in the right-sided central venous catheter. An NG \ntube is present. There is no change in the enlargement of the cardiac \nsilhouette. There are bilateral bibasilar opacities compatible with \neffusions and/or atelectasis that has increased on the right. There \nis diffuse bronchovascular marking prominence is also present \ncompatible with edema or infection.\n\nIMPRESSION:\n1. Increase in right pleural effusion and otherwise no change in \nbibasilar opacities compatible with consolidation and/or atelectasis.",
"findings": "There is no change in the right-sided central venous catheter. An NG \ntube is present. There is no change in the enlargement of the cardiac \nsilhouette. There are bilateral bibasilar opacities compatible with \neffusions and/or atelectasis that has increased on the right. There \nis diffuse bronchovascular marking prominence is also present \ncompatible with edema or infection.",
"impression": "1. Increase in right pleural effusion and otherwise no change in \nbibasilar opacities compatible with consolidation and/or atelectasis.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64633",
"report_date_order": 4,
"view_position": "AP",
"comparison": "12-24-01",
"age": "61.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64607_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64607/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nAP erect chest radiograph demonstrates interval left sided \nthoracotomy, with an osteotomy through the left posterior sixth rib \nand suture material in the left suprahilar region. A left apical \nchest drain is seen in place, with a tiny pneumothorax along the left \nlateral chest wall peripherally, as well as subcutaneous emphysema. \nThe previously noted bulla at the left base is not seen on the \ncurrent radiograph, but this may be positional. The left lung \notherwise appears clear. Moderate atelectasis is seen at the right \nbase, which otherwise appears clear.\n \nModerate osteophytosis in the thoracic spine. Visualized osseous \nstructures otherwise unremarkable.\n\nIMPRESSION:\n1. Interval left-sided thoracotomy and left upper lobectomy, with a \ntiny pneumothorax along the left lateral chest wall.\n \n2. Moderate atelectasis at the right base.",
"findings": "AP erect chest radiograph demonstrates interval left sided \nthoracotomy, with an osteotomy through the left posterior sixth rib \nand suture material in the left suprahilar region. A left apical \nchest drain is seen in place, with a tiny pneumothorax along the left \nlateral chest wall peripherally, as well as subcutaneous emphysema. \nThe previously noted bulla at the left base is not seen on the \ncurrent radiograph, but this may be positional. The left lung \notherwise appears clear. Moderate atelectasis is seen at the right \nbase, which otherwise appears clear.\n \nModerate osteophytosis in the thoracic spine. Visualized osseous \nstructures otherwise unremarkable.",
"impression": "1. Interval left-sided thoracotomy and left upper lobectomy, with a \ntiny pneumothorax along the left lateral chest wall.\n \n2. Moderate atelectasis at the right base.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64607",
"report_date_order": 4,
"view_position": "AP",
"comparison": "11/23/2012",
"age": "57.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64637_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64637/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nStable cholecystectomy clips. Interval placement of epidural catheter \nand left chest tube after resection of left upper lung zone nodule. \nNo pneumothorax. No pleural effusions. Lung fields clear. Heart size \nnormal.\n\nIMPRESSION:\n1. Post surgical changes with left-sided chest tube with no \npneumothorax.\n \n \n \nPhysician to Physician Radiology Consult Line: (720) 395-9359\nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
"findings": "Stable cholecystectomy clips. Interval placement of epidural catheter \nand left chest tube after resection of left upper lung zone nodule. \nNo pneumothorax. No pleural effusions. Lung fields clear. Heart size \nnormal.",
"impression": "1. Post surgical changes with left-sided chest tube with no \npneumothorax.\n \n \n \nPhysician to Physician Radiology Consult Line: (720) 395-9359\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": "patient64637",
"report_date_order": 1,
"view_position": "AP",
"comparison": "7-5",
"age": "60.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64569_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64569/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nChest x-ray 4-5-11 at 455: Removal NG tube; right chest tube \nremains in place. No pneumothorax identified. Persistent bibasilar \nparenchymal opacities, left greater than right with associated small, \nleft pleural effusion.\n \nChest x-ray 4-2011 at 1020: Interval removal of right chest tube; \nsmall right apical pneumothorax seen with this report displaced 1 cm \nfrom chest wall. No mediastinal shift. Minimal improved aeration of \nleft base.\n\nIMPRESSION:\n1. Small right pneumothorax post chest tube removal.\n \n2. Improved aeration of left lower lobe.\n \n \n \n\"Physician to Physician Radiology Consult Line: (499) 908-2178\"",
"findings": "Chest x-ray 4-5-11 at 455: Removal NG tube; right chest tube \nremains in place. No pneumothorax identified. Persistent bibasilar \nparenchymal opacities, left greater than right with associated small, \nleft pleural effusion.\n \nChest x-ray 4-2011 at 1020: Interval removal of right chest tube; \nsmall right apical pneumothorax seen with this report displaced 1 cm \nfrom chest wall. No mediastinal shift. Minimal improved aeration of \nleft base.",
"impression": "1. Small right pneumothorax post chest tube removal.\n \n2. Improved aeration of left lower lobe.\n \n \n \n\"Physician to Physician Radiology Consult Line: (499) 908-2178\"",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64569",
"report_date_order": 9,
"view_position": "AP",
"comparison": "4-5-2011, 4-5-2011",
"age": "67.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64613_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64613/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nSmall right pleural effusion has diminished. Prior loculated small \npneumothorax at the right lung base has cleared.\nPost thoracotomy findings appear stable. The heart and vessels are \nunremarkable. Right humerus hardware again noted.\n\nIMPRESSION:\n1. Decreased fluid and resolved small pneumothorax at the right lung \nbase.",
"findings": "Small right pleural effusion has diminished. Prior loculated small \npneumothorax at the right lung base has cleared.\nPost thoracotomy findings appear stable. The heart and vessels are \nunremarkable. Right humerus hardware again noted.",
"impression": "1. Decreased fluid and resolved small pneumothorax at the right lung \nbase.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64613",
"report_date_order": 11,
"view_position": "PA",
"comparison": "11-2002 and prior",
"age": "30.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64580_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64580/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nSingle frontal view of the chest demonstrates interval\nincrease in pulmonary edema with bilateral pleural effusions and\nbibasilar atelectasis versus consolidation. Cardiomediastinal\nsilhouette is unchanged and significant for vascular calcification\nand cardiomegaly. Osseous structures are unchanged.\n\nIMPRESSION:\nCHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.",
"findings": "Single frontal view of the chest demonstrates interval\nincrease in pulmonary edema with bilateral pleural effusions and\nbibasilar atelectasis versus consolidation. Cardiomediastinal\nsilhouette is unchanged and significant for vascular calcification\nand cardiomegaly. Osseous structures are unchanged.",
"impression": "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64580",
"report_date_order": 9,
"view_position": "AP",
"comparison": "3-9-2006",
"age": "84.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64583_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64583/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nConsolidation collapse of the right upper lobe is present\nassociated with left to right shift of the left upper lobe across\nthe anterior potential space. An oval slightly calcific opacity is\npresent in the right mid lung. This may represent a pleural based\ndensity. There is thickening of the minor fissure. Mild\ncardiomegaly is present. The pulmonary vascularity is slightly\nprominent in the upper lobes. Degenerative changes of the osseous\nstructures are noted.\n\nIMPRESSION:\n1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE\nPROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE\nNOT AVAILABLE.",
"findings": "Consolidation collapse of the right upper lobe is present\nassociated with left to right shift of the left upper lobe across\nthe anterior potential space. An oval slightly calcific opacity is\npresent in the right mid lung. This may represent a pleural based\ndensity. There is thickening of the minor fissure. Mild\ncardiomegaly is present. The pulmonary vascularity is slightly\nprominent in the upper lobes. Degenerative changes of the osseous\nstructures are noted.",
"impression": "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE\nPROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE\nNOT AVAILABLE.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64583",
"report_date_order": 1,
"view_position": "AP",
"comparison": "",
"age": "79.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64623_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64623/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nAP semierect chest radiograph demonstrates a nasoenteric tube \nprojecting over the right mediastinum, with the right apical chest \ndrain and epidural catheter, unchanged. Unchanged cardiomegaly. Low \nlung volumes, with unchanged opacification of the left base and small \nleft pleural effusion.\n \nMultilevel osteophytosis of the lower thoracic spine. Mild \ndegenerative change of the right acromioclavicular joint.\n\nIMPRESSION:\n1. Stable opacification of the left base, with small pleural effusion.",
"findings": "AP semierect chest radiograph demonstrates a nasoenteric tube \nprojecting over the right mediastinum, with the right apical chest \ndrain and epidural catheter, unchanged. Unchanged cardiomegaly. Low \nlung volumes, with unchanged opacification of the left base and small \nleft pleural effusion.\n \nMultilevel osteophytosis of the lower thoracic spine. Mild \ndegenerative change of the right acromioclavicular joint.",
"impression": "1. Stable opacification of the left base, with small pleural effusion.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64623",
"report_date_order": 2,
"view_position": "AP",
"comparison": "1/18/2001",
"age": "74.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64544_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64544/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nA single portable AP chest radiograph, dated 11/13/2016 \ndemonstrates midline appearance of the trachea. The cardiomediastinal \nsilhouette is unremarkable. There is a small focal left basilar \nopacity. Elsewhere, the lungs appear clear. No pleural or bony \nabnormalities are identified.\n\nIMPRESSION:\nfocal left basilar opacity, which may be consistent with atelectasis \nor early consolidation.",
"findings": "A single portable AP chest radiograph, dated 11/13/2016 \ndemonstrates midline appearance of the trachea. The cardiomediastinal \nsilhouette is unremarkable. There is a small focal left basilar \nopacity. Elsewhere, the lungs appear clear. No pleural or bony \nabnormalities are identified.",
"impression": "focal left basilar opacity, which may be consistent with atelectasis \nor early consolidation.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64544",
"report_date_order": 1,
"view_position": "AP",
"comparison": "None.",
"age": "42.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"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"
},
{
"study_id": "chexpert_patient64575_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64575/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is within \nnormal limits.\n \nThe pulmonary vasculature is well-defined without evidence of \npulmonary edema.\n \nThe lungs are hyperinflated with associated flattening of the \nhemidiaphragms and lucency within the lung apices compatible with \nemphysema. There is mild biapical pleural parenchymal scarring. No \nfocal consolidation. There is a 7-mm nodule which projects over the \nposterior left 10th rib with a possible correlate on the lateral view.\n \nThere is blunting of the left costophrenic angle suggestive of a \nsmall effusion or pleural thickening.\n \nThe visualized osseous structures are mildly osteopenic. \nDegenerative changes are noted involving the thoracic spine.\n\nIMPRESSION:\n1.NO ACUTE CARDIOPULMONARY PROCESS.\n \n2.MODERATE EMPHYSEMATOUS CHANGES.\n \n3.7-MM NODULE PROJECTING OVER THE LEFT LUNG BASE. RECOMMEND \nCOMPARISON WITH OUTSIDE PRIOR EXAMS TO ESTABLISH TWO YEARS OF \nSTABILITY, OR A CT OF THE THORAX FOR FURTHER EVALUATION.\n \n4.IN BLUNTING OF THE LEFT COSTOPHRENIC ANGLE SUGGESTIVE OF A SMALL \nLEFT PLEURAL EFFUSION OR THICKENING.",
"findings": "The trachea is midline. The cardiomediastinal silhouette is within \nnormal limits.\n \nThe pulmonary vasculature is well-defined without evidence of \npulmonary edema.\n \nThe lungs are hyperinflated with associated flattening of the \nhemidiaphragms and lucency within the lung apices compatible with \nemphysema. There is mild biapical pleural parenchymal scarring. No \nfocal consolidation. There is a 7-mm nodule which projects over the \nposterior left 10th rib with a possible correlate on the lateral view.\n \nThere is blunting of the left costophrenic angle suggestive of a \nsmall effusion or pleural thickening.\n \nThe visualized osseous structures are mildly osteopenic. \nDegenerative changes are noted involving the thoracic spine.",
"impression": "1.NO ACUTE CARDIOPULMONARY PROCESS.\n \n2.MODERATE EMPHYSEMATOUS CHANGES.\n \n3.7-MM NODULE PROJECTING OVER THE LEFT LUNG BASE. RECOMMEND \nCOMPARISON WITH OUTSIDE PRIOR EXAMS TO ESTABLISH TWO YEARS OF \nSTABILITY, OR A CT OF THE THORAX FOR FURTHER EVALUATION.\n \n4.IN BLUNTING OF THE LEFT COSTOPHRENIC ANGLE SUGGESTIVE OF A SMALL \nLEFT PLEURAL EFFUSION OR THICKENING.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64575",
"report_date_order": 1,
"view_position": "PA",
"comparison": "No prior.",
"age": "80.0",
"sex": "Male"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64578_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64578/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nThe lungs are underinflated. The visualized lungs are otherwise \nclear. There is no pneumothorax visualized. The cardiomediastinal \nsilhouette and pulmonary vasculature are unremarkable. There is a \ntwo-lead pacer device overlying the right hemithorax, with leads in \nthe right atrium and right ventricle. The visualized osseous \nstructures are unremarkable.\n\nIMPRESSION:\nSATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF \nPNEUMOTHORAX.",
"findings": "The lungs are underinflated. The visualized lungs are otherwise \nclear. There is no pneumothorax visualized. The cardiomediastinal \nsilhouette and pulmonary vasculature are unremarkable. There is a \ntwo-lead pacer device overlying the right hemithorax, with leads in \nthe right atrium and right ventricle. The visualized osseous \nstructures are unremarkable.",
"impression": "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF \nPNEUMOTHORAX.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64578",
"report_date_order": 1,
"view_position": "AP",
"comparison": "None.",
"age": "65.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "chexpert_patient64617_study1",
"dataset": "chexpert_plus",
"split": "valid",
"image_path": "images/chexpert/patient64617/study1/view1_frontal.jpg",
"report_gt": "FINDINGS:\nThere is straightening of the left heart border with mild splaying\nof the carina. The cardiac silhouette is mildly enlarged. The\npulmonary vessels are unremarkable. No pneumothorax. No focal\nconsolidation or atelectasis.\n\nIMPRESSION:\n1. CARDIOMEGALY.\n2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT.\n3. THERE IS NO EVIDENCE FOR EDEMA.",
"findings": "There is straightening of the left heart border with mild splaying\nof the carina. The cardiac silhouette is mildly enlarged. The\npulmonary vessels are unremarkable. No pneumothorax. No focal\nconsolidation or atelectasis.",
"impression": "1. CARDIOMEGALY.\n2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT.\n3. THERE IS NO EVIDENCE FOR EDEMA.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "patient64617",
"report_date_order": 1,
"view_position": "AP",
"comparison": "None.",
"age": "56.0",
"sex": "Female"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDN00E7AJHS0528_aGRDNNPU5V6HT4KSR_s1.2.826.0.1.3680043.8.498.28984253437156041973527981143742864203",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDN00E7AJHS0528/GRDNNPU5V6HT4KSR/studies/1.2.826.0.1.3680043.8.498.28984253437156041973527981143742864203/series/1.2.826.0.1.3680043.8.498.54056081255657396541293920538930763269/instances/1.2.826.0.1.3680043.8.498.43802380382741666942234013137288903286.png",
"report_gt": "FINDINGS:\nCardiomediastinal silhouette is normal. The lungs are clear. The vascularity is normal. No pneumothorax. No bony abnormality.\n\nIMPRESSION:\nNormal chest radiography. No cause of right-sided pain identified.",
"findings": "Cardiomediastinal silhouette is normal. The lungs are clear. The vascularity is normal. No pneumothorax. No bony abnormality.",
"impression": "Normal chest radiography. No cause of right-sided pain identified.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDN00E7AJHS0528",
"view_position": "AP",
"study_date": "20140903",
"comparison": "None.",
"indication": "Right-sided chest pain.",
"age": "014Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNK8V39DS4B8PW_aGRDNHWYVUNR7QPCM_s1.2.826.0.1.3680043.8.498.96328007906578050749751713815069133990",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNK8V39DS4B8PW/GRDNHWYVUNR7QPCM/studies/1.2.826.0.1.3680043.8.498.96328007906578050749751713815069133990/series/1.2.826.0.1.3680043.8.498.37648158661188396155153335654340343864/instances/1.2.826.0.1.3680043.8.498.37125663735748368807416142362662996730.png",
"report_gt": "FINDINGS:\nNormal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Hazy upper left lung opacity. Clear right lung.\n\nIMPRESSION:\nHazy upper left lung opacity, suspicious for atypical/viral pneumonia.",
"findings": "Normal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Hazy upper left lung opacity. Clear right lung.",
"impression": "Hazy upper left lung opacity, suspicious for atypical/viral pneumonia.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNK8V39DS4B8PW",
"view_position": "AP",
"study_date": "20190707",
"comparison": "None.",
"indication": "Cough, fever, chest tightness",
"age": "048Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNC6EP4043JH7D_aGRDNT7XSQ01TD0NK_s1.2.826.0.1.3680043.8.498.34458754653486216621941395202325646582",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNC6EP4043JH7D/GRDNT7XSQ01TD0NK/studies/1.2.826.0.1.3680043.8.498.34458754653486216621941395202325646582/series/1.2.826.0.1.3680043.8.498.39026919941578068903940196088389454359/instances/1.2.826.0.1.3680043.8.498.90468408360638300428362681252662124896.png",
"report_gt": "FINDINGS:\nThere is unchanged cardiomegaly. Aortic knob calcification is seen. There is prominent pericardial pad with adjacent hazy airspace as CT. Overlying spinal fixation hardware.\n\nIMPRESSION:\nUnchanged hazy/patchy airspace opacity at the left lung base which could be atelectasis and or infarct.",
"findings": "There is unchanged cardiomegaly. Aortic knob calcification is seen. There is prominent pericardial pad with adjacent hazy airspace as CT. Overlying spinal fixation hardware.",
"impression": "Unchanged hazy/patchy airspace opacity at the left lung base which could be atelectasis and or infarct.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDNC6EP4043JH7D/GRDN7W4OJKUX18ZB/studies/1.2.826.0.1.3680043.8.498.37225577305295852721258536816114407875/series/1.2.826.0.1.3680043.8.498.61483578793573273077306225949454437438/instances/1.2.826.0.1.3680043.8.498.13982523321784892513946718281837533074.png",
"report": "FINDINGS:\nThe heart size and mediastinal contours are unchanged. Aortic knob calcifications are seen. A small left pleural effusion is seen. There is prominence of the central pulmonary vasculature. Spinal fixation hardware is noted. Overlying median sternotomy wires.\n\nIMPRESSION:\nSmall left pleural effusion over pulmonary vascular congestion.",
"findings": "The heart size and mediastinal contours are unchanged. Aortic knob calcifications are seen. A small left pleural effusion is seen. There is prominence of the central pulmonary vasculature. Spinal fixation hardware is noted. Overlying median sternotomy wires.",
"impression": "Small left pleural effusion over pulmonary vascular congestion.",
"study_date": "20211003"
},
"metadata": {
"patient_id": "pGRDNC6EP4043JH7D",
"view_position": "AP",
"study_date": "20211004",
"comparison": "Chest CT same day",
"indication": "Shortness of breath",
"age": "078Y",
"sex": "M"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDNI8WVSLN9H9BW_aGRDNPH8NC9FEUHT2_s1.2.826.0.1.3680043.8.498.28147796221249798463574615937809950459",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNI8WVSLN9H9BW/GRDNPH8NC9FEUHT2/studies/1.2.826.0.1.3680043.8.498.28147796221249798463574615937809950459/series/1.2.826.0.1.3680043.8.498.54317635901309787039710091643921243026/instances/1.2.826.0.1.3680043.8.498.84997833864147424585079914355652693452.png",
"report_gt": "FINDINGS:\nHeart size is normal. Left lower lobe linear scarring versus atelectasis noted. No pleural effusion. No acute osseous finding.\n\nIMPRESSION:\nLeft lower lobe scarring versus atelectasis. No focal acute finding otherwise.",
"findings": "Heart size is normal. Left lower lobe linear scarring versus atelectasis noted. No pleural effusion. No acute osseous finding.",
"impression": "Left lower lobe scarring versus atelectasis. No focal acute finding otherwise.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNI8WVSLN9H9BW",
"view_position": "AP",
"study_date": "20100305",
"comparison": "None",
"indication": "Preoperative, neck cellulitis",
"age": "054Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNTPRGVIJ3TEXG_aGRDNL0YXYMAOEK8S_s1.2.826.0.1.3680043.8.498.71997418997848442745743092890249391163",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNTPRGVIJ3TEXG/GRDNL0YXYMAOEK8S/studies/1.2.826.0.1.3680043.8.498.71997418997848442745743092890249391163/series/1.2.826.0.1.3680043.8.498.95312485908408734649716074439028754827/instances/1.2.826.0.1.3680043.8.498.74267093659017927840812121557403872969.png",
"report_gt": "FINDINGS:\nThe heart is enlarged with worsening diffuse edema and increasing pleural effusions bilaterally. Two lead right subclavian pacemaker is noted.\n\nIMPRESSION:\nWorsening pulmonary edema and enlarging effusions consistent with progressive congestive heart failure.",
"findings": "The heart is enlarged with worsening diffuse edema and increasing pleural effusions bilaterally. Two lead right subclavian pacemaker is noted.",
"impression": "Worsening pulmonary edema and enlarging effusions consistent with progressive congestive heart failure.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDNTPRGVIJ3TEXG/GRDNRRE7X9AJLHOY/studies/1.2.826.0.1.3680043.8.498.30527313615392313111866560544355812496/series/1.2.826.0.1.3680043.8.498.66396570632083936154993735558789499232/instances/1.2.826.0.1.3680043.8.498.16165759180346641339782981134791618011.png",
"report": "FINDINGS:\nPulmonary hyperinflation is again seen, consistent with COPD. Cardiomegaly is not significantly changed as well as diffuse interstitial edema pattern. New small right pleural effusion has developed with patchy opacity in the right lower lobe which may be due to atelectasis or pneumonia. The dual-lead transverse pacemaker remains in appropriate position.\n\nIMPRESSION:\n1. Mild congestive heart failure, without significant change. 2. New small right pleural effusion and right lower lobe atelectasis versus infiltrate. Pneumonia cannot be excluded. 3. COPD.",
"findings": "Pulmonary hyperinflation is again seen, consistent with COPD. Cardiomegaly is not significantly changed as well as diffuse interstitial edema pattern. New small right pleural effusion has developed with patchy opacity in the right lower lobe which may be due to atelectasis or pneumonia. The dual-lead transverse pacemaker remains in appropriate position.",
"impression": "1. Mild congestive heart failure, without significant change. 2. New small right pleural effusion and right lower lobe atelectasis versus infiltrate. Pneumonia cannot be excluded. 3. COPD.",
"study_date": "20060511"
},
"metadata": {
"patient_id": "pGRDNTPRGVIJ3TEXG",
"view_position": "AP",
"study_date": "20060520",
"comparison": "Comparison: 10/29/01, 08/15/09.",
"indication": "73-year-old female, congestive heart failure, shortness of breath.",
"age": "073Y",
"sex": "F"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDN79BB7QFQL9E7_aGRDNF98MGFKNZXUZ_s1.2.826.0.1.3680043.8.498.18962415440898501694932330954415471088",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDN79BB7QFQL9E7/GRDNF98MGFKNZXUZ/studies/1.2.826.0.1.3680043.8.498.18962415440898501694932330954415471088/series/1.2.826.0.1.3680043.8.498.12122317921935150852810160361728539072/instances/1.2.826.0.1.3680043.8.498.20008937162250653793610943499852088849.png",
"report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNo active cardiopulmonary disease.",
"findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.",
"impression": "No active cardiopulmonary disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDN79BB7QFQL9E7",
"view_position": "PA",
"study_date": "20151124",
"comparison": "None.",
"indication": "Hypertension",
"age": "051Y",
"sex": "F"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNIN858JTND638_aGRDNB96GB4FM55WI_s1.2.826.0.1.3680043.8.498.95000529926621982704881353684881720838",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNIN858JTND638/GRDNB96GB4FM55WI/studies/1.2.826.0.1.3680043.8.498.95000529926621982704881353684881720838/series/1.2.826.0.1.3680043.8.498.41753327700785383803501694192561180691/instances/1.2.826.0.1.3680043.8.498.38339337036467928308895038665512602593.png",
"report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNo active cardiopulmonary disease.",
"findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.",
"impression": "No active cardiopulmonary disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNIN858JTND638",
"view_position": "PA",
"study_date": "20140725",
"comparison": "None.",
"indication": "Cough",
"age": "062Y",
"sex": "F"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDN3HSBTHPRKW2X_aGRDN62P1VRN2GMVA_s1.2.826.0.1.3680043.8.498.54724783194286971781839196217396492275",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDN3HSBTHPRKW2X/GRDN62P1VRN2GMVA/studies/1.2.826.0.1.3680043.8.498.54724783194286971781839196217396492275/series/1.2.826.0.1.3680043.8.498.56069037463696417622007222595727538946/instances/1.2.826.0.1.3680043.8.498.92617770923771965119384130391485756494.png",
"report_gt": "FINDINGS:\nWorsening of perihilar airspace filling right more than left. Differential diagnosis remains that of asymmetric pneumonia versus is asymmetric pulmonary edema. Infectious pneumonia is favored. The pattern does not appear typical of coronavirus pneumonia by imaging.\n\nIMPRESSION:\nWorsening of perihilar airspace filling right more than left. Ejection and favored over asymmetric edema. Pattern is not typical of coronavirus.",
"findings": "Worsening of perihilar airspace filling right more than left. Differential diagnosis remains that of asymmetric pneumonia versus is asymmetric pulmonary edema. Infectious pneumonia is favored. The pattern does not appear typical of coronavirus pneumonia by imaging.",
"impression": "Worsening of perihilar airspace filling right more than left. Ejection and favored over asymmetric edema. Pattern is not typical of coronavirus.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDN3HSBTHPRKW2X/GRDN6FSZP75U1AHC/studies/1.2.826.0.1.3680043.8.498.32249891946863798572224236419608777138/series/1.2.826.0.1.3680043.8.498.13171727301568283650685027426463447579/instances/1.2.826.0.1.3680043.8.498.94079532241446545414891405552224984015.png",
"report": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits with mildly prominent cardiac silhouette likely due to AP portable technique. Increased interstitial markings and airspace opacities of the mid to lower lung zones. No pleural effusion. No pneumothorax. No acute osseous abnormality.\n\nIMPRESSION:\nFindings suggestive of atypical/viral pneumonia. COVID-19 infection not excluded.",
"findings": "The heart size and mediastinal contours are within normal limits with mildly prominent cardiac silhouette likely due to AP portable technique. Increased interstitial markings and airspace opacities of the mid to lower lung zones. No pleural effusion. No pneumothorax. No acute osseous abnormality.",
"impression": "Findings suggestive of atypical/viral pneumonia. COVID-19 infection not excluded.",
"study_date": "20220213"
},
"metadata": {
"patient_id": "pGRDN3HSBTHPRKW2X",
"view_position": "AP",
"study_date": "20220216",
"comparison": "Comparison with radiography from 07/10/2005 and CT from 05/14/2006.",
"indication": "Acute respiratory failure.",
"age": "058Y",
"sex": "M"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDNFSNKZACK2NY8_aGRDNP0W4IHY7XCB9_s1.2.826.0.1.3680043.8.498.82074052543643291706562326592262673291",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNFSNKZACK2NY8/GRDNP0W4IHY7XCB9/studies/1.2.826.0.1.3680043.8.498.82074052543643291706562326592262673291/series/1.2.826.0.1.3680043.8.498.98631418161706206987950454916861700542/instances/1.2.826.0.1.3680043.8.498.23021998170584325645099260375647813026.png",
"report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNo active cardiopulmonary disease.",
"findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.",
"impression": "No active cardiopulmonary disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNFSNKZACK2NY8",
"view_position": "AP",
"study_date": "20180127",
"comparison": "None.",
"indication": "Flu-like symptoms with fever, myalgia and cough since yesterday",
"age": "020Y",
"sex": "F"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNA8EH4K52DGU7_aGRDNCFRIJCV7CAN7_s1.2.826.0.1.3680043.8.498.62560255096971440659916029265318082264",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNA8EH4K52DGU7/GRDNCFRIJCV7CAN7/studies/1.2.826.0.1.3680043.8.498.62560255096971440659916029265318082264/series/1.2.826.0.1.3680043.8.498.69460793955811389912992492435000355357/instances/1.2.826.0.1.3680043.8.498.37413493201061089936997914458765841863.png",
"report_gt": "FINDINGS:\nThe lungs are hyperexpanded. Interstitial markings are chronically coarsened. There is no focal airspace consolidation, pulmonary edema, or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Prominence of the right cardiomediastinal contour may be related to aortic tortuosity/unfolding, but ascending aortic aneurysm could produce this appearance. Imaged bony structures of the thorax are intact.\n\nIMPRESSION:\nEmphysema. Prominence of the right cardiomediastinal contour. Please see report above.",
"findings": "The lungs are hyperexpanded. Interstitial markings are chronically coarsened. There is no focal airspace consolidation, pulmonary edema, or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Prominence of the right cardiomediastinal contour may be related to aortic tortuosity/unfolding, but ascending aortic aneurysm could produce this appearance. Imaged bony structures of the thorax are intact.",
"impression": "Emphysema. Prominence of the right cardiomediastinal contour. Please see report above.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNA8EH4K52DGU7",
"view_position": "PA",
"study_date": "20090110",
"comparison": "None",
"indication": "Shortness of breath. Smoking history. Cough.",
"age": "056Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNIK7H53TUXSUI_aGRDN9VTIHH0VAWMJ_s1.2.826.0.1.3680043.8.498.32889983803142659088810041514166942767",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNIK7H53TUXSUI/GRDN9VTIHH0VAWMJ/studies/1.2.826.0.1.3680043.8.498.32889983803142659088810041514166942767/series/1.2.826.0.1.3680043.8.498.13676040071346647276003979339051705602/instances/1.2.826.0.1.3680043.8.498.64121432363664228324385020032910536720.png",
"report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNormal chest.",
"findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.",
"impression": "Normal chest.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNIK7H53TUXSUI",
"view_position": "AP",
"study_date": "20181021",
"comparison": "None.",
"indication": "Fatigue, nausea and vomiting for several days, feeling unwell.",
"age": "020Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDN1DGSX0NHRBBL_aGRDN687IWRJ08IGW_s1.2.826.0.1.3680043.8.498.45298820698914817164110400623345571007",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDN1DGSX0NHRBBL/GRDN687IWRJ08IGW/studies/1.2.826.0.1.3680043.8.498.45298820698914817164110400623345571007/series/1.2.826.0.1.3680043.8.498.75328879883163537894645850661473242557/instances/1.2.826.0.1.3680043.8.498.65267911103802453785891988194739539494.png",
"report_gt": "FINDINGS:\nLungs are clear. No pleural effusion. Heart size normal. No focal bony abnormality.\n\nIMPRESSION:\nNo acute disease.",
"findings": "Lungs are clear. No pleural effusion. Heart size normal. No focal bony abnormality.",
"impression": "No acute disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDN1DGSX0NHRBBL",
"view_position": "AP",
"study_date": "20101128",
"comparison": "None available.",
"indication": "Cough.",
"age": "048Y",
"sex": "F"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNGZ0ZXF9BLNU6_aGRDNQWIA4ZSSB5BA_s1.2.826.0.1.3680043.8.498.14231155731507711946613114418251639629",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNGZ0ZXF9BLNU6/GRDNQWIA4ZSSB5BA/studies/1.2.826.0.1.3680043.8.498.14231155731507711946613114418251639629/series/1.2.826.0.1.3680043.8.498.34360995760536902585220012828379678738/instances/1.2.826.0.1.3680043.8.498.53668844127479255028056348723441731504.png",
"report_gt": "FINDINGS:\nThe cardiac silhouette, mediastinal and hilar contours are within normal limits. Patchy right middle and lower lobe infiltrates are noted. Possible area of pleural calcification. The left lung is clear except for minimal left basilar atelectasis. No effusions.\n\nIMPRESSION:\nRight basilar infiltrates and possible pleural calcification.",
"findings": "The cardiac silhouette, mediastinal and hilar contours are within normal limits. Patchy right middle and lower lobe infiltrates are noted. Possible area of pleural calcification. The left lung is clear except for minimal left basilar atelectasis. No effusions.",
"impression": "Right basilar infiltrates and possible pleural calcification.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNGZ0ZXF9BLNU6",
"view_position": "AP",
"study_date": "20130204",
"comparison": "None",
"indication": "Back pain and chest pain.",
"age": "034Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNCOSI6F7P2R9F_aGRDNT7C8ZU9CK1M2_s1.2.826.0.1.3680043.8.498.17841867066261309398834745593399805842",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNCOSI6F7P2R9F/GRDNT7C8ZU9CK1M2/studies/1.2.826.0.1.3680043.8.498.17841867066261309398834745593399805842/series/1.2.826.0.1.3680043.8.498.91910572472022678514650387870864497612/instances/1.2.826.0.1.3680043.8.498.63212899723324385755677358027591859724.png",
"report_gt": "FINDINGS:\nLung volumes are low without edema, pneumonia, or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Interstitial markings are diffusely coarsened with chronic features. Imaged bony structures of the thorax are intact.\n\nIMPRESSION:\nLow lung volumes with mild chronic interstitial coarsening. No pneumonia or edema.",
"findings": "Lung volumes are low without edema, pneumonia, or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Interstitial markings are diffusely coarsened with chronic features. Imaged bony structures of the thorax are intact.",
"impression": "Low lung volumes with mild chronic interstitial coarsening. No pneumonia or edema.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNCOSI6F7P2R9F",
"view_position": "AP",
"study_date": "20100831",
"comparison": "None.",
"indication": "Preop for umbilical hernia repair.",
"age": "055Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNAOH089S4KILE_aGRDNL8WX68TY8VFF_s1.2.826.0.1.3680043.8.498.54660194999540870870090672136093736595",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNAOH089S4KILE/GRDNL8WX68TY8VFF/studies/1.2.826.0.1.3680043.8.498.54660194999540870870090672136093736595/series/1.2.826.0.1.3680043.8.498.37527685134512565680756773247883437206/instances/1.2.826.0.1.3680043.8.498.18490782950667677481248794996448073649.png",
"report_gt": "FINDINGS:\nNo infiltrate, congestive heart failure or pneumothorax. Heart size within normal limits. Slightly prominent aortic knob. Mild thoracic spine degenerative changes.\n\nIMPRESSION:\nNo infiltrate, congestive heart failure or pneumothorax.",
"findings": "No infiltrate, congestive heart failure or pneumothorax. Heart size within normal limits. Slightly prominent aortic knob. Mild thoracic spine degenerative changes.",
"impression": "No infiltrate, congestive heart failure or pneumothorax.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNAOH089S4KILE",
"view_position": "AP",
"study_date": "20111223",
"comparison": "None.",
"indication": "Left-sided chest pain. Nonsmoker.",
"age": "051Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDN50MCZ86784JJ_aGRDNC2QIJAFJSG8V_s1.2.826.0.1.3680043.8.498.82320936444278867566587879892262526326",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDN50MCZ86784JJ/GRDNC2QIJAFJSG8V/studies/1.2.826.0.1.3680043.8.498.82320936444278867566587879892262526326/series/1.2.826.0.1.3680043.8.498.24315630369634672213406695993153859531/instances/1.2.826.0.1.3680043.8.498.92666425653848906461092025172672189880.png",
"report_gt": "FINDINGS:\n6078 hours. The lungs are clear without focal pneumonia, edema, pneumothorax or pleural effusion. Cardiopericardial silhouette is at upper limits of normal for size. The visualized bony structures of the thorax show no acute abnormality.\n\nIMPRESSION:\nNo active disease.",
"findings": "6078 hours. The lungs are clear without focal pneumonia, edema, pneumothorax or pleural effusion. Cardiopericardial silhouette is at upper limits of normal for size. The visualized bony structures of the thorax show no acute abnormality.",
"impression": "No active disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDN50MCZ86784JJ",
"view_position": "AP",
"study_date": "20220619",
"comparison": "None.",
"indication": "3 day history of weakness.",
"age": "080Y",
"sex": "F"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNF99PQ8VDPZ7F_aGRDNKU9KM9XIELAP_s1.2.826.0.1.3680043.8.498.17414472046198634125388822092734167554",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNF99PQ8VDPZ7F/GRDNKU9KM9XIELAP/studies/1.2.826.0.1.3680043.8.498.17414472046198634125388822092734167554/series/1.2.826.0.1.3680043.8.498.61707623404799486059588323212776392566/instances/1.2.826.0.1.3680043.8.498.89711750564172531675833253233688701417.png",
"report_gt": "FINDINGS:\nBoth lungs are clear. Hiatal hernia is again noted. Heart size is normal. Severe thoracolumbar S-shaped scoliosis is noted with probable lumbar spinal dysraphism. Ventricular peritoneal shunt tubing is seen overlying the left hemithorax.\n\nIMPRESSION:\nNo active cardiopulmonary disease. Hiatal hernia again noted.",
"findings": "Both lungs are clear. Hiatal hernia is again noted. Heart size is normal. Severe thoracolumbar S-shaped scoliosis is noted with probable lumbar spinal dysraphism. Ventricular peritoneal shunt tubing is seen overlying the left hemithorax.",
"impression": "No active cardiopulmonary disease. Hiatal hernia again noted.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDNF99PQ8VDPZ7F/GRDN0ZJXM9JJAVMM/studies/1.2.826.0.1.3680043.8.498.58397750893389912821584674750669118378/series/1.2.826.0.1.3680043.8.498.69704644112677762976275901341676216251/instances/1.2.826.0.1.3680043.8.498.53347425964866315450592445573604746765.png",
"report": "FINDINGS:\nThe endotracheal tube tip is 2.8 cm above the carina. The left central line tip is at the cavoatrial junction. Significant scoliosis with rotation of the mediastinal structures with the heart appearing top normal in size. Bilateral pleural effusions and atelectatic changes suspected. This limits detection of basilar region of consolidation. Pulmonary vascular prominence. There may be a small hiatal hernia.\n\nIMPRESSION:\nNo significant change.",
"findings": "The endotracheal tube tip is 2.8 cm above the carina. The left central line tip is at the cavoatrial junction. Significant scoliosis with rotation of the mediastinal structures with the heart appearing top normal in size. Bilateral pleural effusions and atelectatic changes suspected. This limits detection of basilar region of consolidation. Pulmonary vascular prominence. There may be a small hiatal hernia.",
"impression": "No significant change.",
"study_date": "20070326"
},
"metadata": {
"patient_id": "pGRDNF99PQ8VDPZ7F",
"view_position": "AP",
"study_date": "20070426",
"comparison": "Comparison: 11/7/1.",
"indication": "Dehydration.",
"age": "034Y",
"sex": "F"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDNSZ9D98EA9432_aGRDNN81XM45060TK_s1.2.826.0.1.3680043.8.498.44801025104387225981075562701609964394",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNSZ9D98EA9432/GRDNN81XM45060TK/studies/1.2.826.0.1.3680043.8.498.44801025104387225981075562701609964394/series/1.2.826.0.1.3680043.8.498.83257895750965989258347026558824207739/instances/1.2.826.0.1.3680043.8.498.33414101425163175244339832558296240879.png",
"report_gt": "FINDINGS:\nThere is a patchy increase in density at the left base compatible with atelectasis. No definite pleural effusion is seen. No definite pneumothorax is observed. The previously present left chest tube has been removed.\n\nIMPRESSION:\nPlease see above.",
"findings": "There is a patchy increase in density at the left base compatible with atelectasis. No definite pleural effusion is seen. No definite pneumothorax is observed. The previously present left chest tube has been removed.",
"impression": "Please see above.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDNSZ9D98EA9432/GRDNZGWUWCRTVZIY/studies/1.2.826.0.1.3680043.8.498.31953826979517540703073742980219234170/series/1.2.826.0.1.3680043.8.498.93874431369346698937313709514477962946/instances/1.2.826.0.1.3680043.8.498.22038657380247889686927140843020138313.png",
"report": "FINDINGS:\nA left chest tube remains present. No pneumothorax or pleural effusion is identified. Heart size is within normal limits for AP technique.\n\nIMPRESSION:\n1. No acute changes are identified. 2. A left chest tube remains present.",
"findings": "A left chest tube remains present. No pneumothorax or pleural effusion is identified. Heart size is within normal limits for AP technique.",
"impression": "1. No acute changes are identified. 2. A left chest tube remains present.",
"study_date": "20130918"
},
"metadata": {
"patient_id": "pGRDNSZ9D98EA9432",
"view_position": "AP",
"study_date": "20130919",
"comparison": "Comparison is made to the prior exam of 03/13/2015.",
"indication": "Assess for Pleural Effusion",
"age": "043Y",
"sex": "M"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDNMCL2CEDN5OYY_aGRDNFM42148E45UA_s1.2.826.0.1.3680043.8.498.89797188420968190611579010289712348120",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNMCL2CEDN5OYY/GRDNFM42148E45UA/studies/1.2.826.0.1.3680043.8.498.89797188420968190611579010289712348120/series/1.2.826.0.1.3680043.8.498.35696203857668412043140700163098160753/instances/1.2.826.0.1.3680043.8.498.64557738184305014574568337803893479280.png",
"report_gt": "FINDINGS:\nNo fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.\n\nIMPRESSION:\nNo acute rib fracture is noted.",
"findings": "No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.",
"impression": "No acute rib fracture is noted.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNMCL2CEDN5OYY",
"view_position": "AP",
"study_date": "20180618",
"comparison": "None.",
"indication": "Left rib pain following fall from ladder, initial encounter",
"age": "032Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNN1NAQARTZE99_aGRDN5UM5TWGTP0D9_s1.2.826.0.1.3680043.8.498.31964222225237296892697994681683183603",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNN1NAQARTZE99/GRDN5UM5TWGTP0D9/studies/1.2.826.0.1.3680043.8.498.31964222225237296892697994681683183603/series/1.2.826.0.1.3680043.8.498.35465698393315856717581417719280044341/instances/1.2.826.0.1.3680043.8.498.67595497420462496942757839692409065278.png",
"report_gt": "FINDINGS:\nThe lungs are well-expanded and clear. The heart and mediastinal structures are normal. There is no pleural effusion. The trachea is midline. The bony thorax is unremarkable.\n\nIMPRESSION:\nNo at evidence of an aspirated foreign body. No air trapping. There is no active cardiopulmonary disease.",
"findings": "The lungs are well-expanded and clear. The heart and mediastinal structures are normal. There is no pleural effusion. The trachea is midline. The bony thorax is unremarkable.",
"impression": "No at evidence of an aspirated foreign body. No air trapping. There is no active cardiopulmonary disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNN1NAQARTZE99",
"view_position": "PA",
"study_date": "20180514",
"comparison": "None in PACs.",
"indication": "Aspirated a bone which is suspected to be stuck in the throat. The patient is unable to speak or swallow.",
"age": "035Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNUPDREFUF7H6P_aGRDNK7PTUJ2CCGN9_s1.2.826.0.1.3680043.8.498.72269631197623131414699269909904484332",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNUPDREFUF7H6P/GRDNK7PTUJ2CCGN9/studies/1.2.826.0.1.3680043.8.498.72269631197623131414699269909904484332/series/1.2.826.0.1.3680043.8.498.93413684959801298814876941887777452445/instances/1.2.826.0.1.3680043.8.498.53353865952448077699933939657005048763.png",
"report_gt": "FINDINGS:\nHeart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.\n\nIMPRESSION:\nNo active disease.",
"findings": "Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.",
"impression": "No active disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNUPDREFUF7H6P",
"view_position": "AP",
"study_date": "20100818",
"comparison": "None",
"indication": "Shortness of breath, pain.",
"age": "059Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDND8FBY15OVDCX_aGRDNWQVZ2D3VFV77_s1.2.826.0.1.3680043.8.498.45364174232974819527312865330717371392",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDND8FBY15OVDCX/GRDNWQVZ2D3VFV77/studies/1.2.826.0.1.3680043.8.498.45364174232974819527312865330717371392/series/1.2.826.0.1.3680043.8.498.18397380850217771472230868091704754854/instances/1.2.826.0.1.3680043.8.498.57121086894327465472556479841431436747.png",
"report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Endotracheal tube is identified with distal tip in the proximal right mainstem bronchus, retraction by 5-6 cm recommended. There is no pneumothorax. There is no focal pneumonia, pulmonary edema, or pleural effusion. Subcutaneous emphysema of bilateral neck are noted. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nSubcutaneous emphysema of bilateral neck noted. Endotracheal tube is identified distal tip in the proximal right mainstem bronchus, retraction by 5-6 cm is recommended. These results will be called to the ordering clinician or representative by the Radiologist Assistant, and communication documented in the PACS or zVision Dashboard.",
"findings": "The heart size and mediastinal contours are within normal limits. Endotracheal tube is identified with distal tip in the proximal right mainstem bronchus, retraction by 5-6 cm recommended. There is no pneumothorax. There is no focal pneumonia, pulmonary edema, or pleural effusion. Subcutaneous emphysema of bilateral neck are noted. The visualized skeletal structures are unremarkable.",
"impression": "Subcutaneous emphysema of bilateral neck noted. Endotracheal tube is identified distal tip in the proximal right mainstem bronchus, retraction by 5-6 cm is recommended. These results will be called to the ordering clinician or representative by the Radiologist Assistant, and communication documented in the PACS or zVision Dashboard.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDND8FBY15OVDCX",
"view_position": "AP",
"study_date": "20180323",
"comparison": "None.",
"indication": "Gunshot wound to the neck.",
"age": "025Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNFC2BS0LZR171_aGRDNLND82GC7GVIE_s1.2.826.0.1.3680043.8.498.49375718396912301147825660222177919359",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNFC2BS0LZR171/GRDNLND82GC7GVIE/studies/1.2.826.0.1.3680043.8.498.49375718396912301147825660222177919359/series/1.2.826.0.1.3680043.8.498.57818167026623628935604067778122303041/instances/1.2.826.0.1.3680043.8.498.56552573589076646935321877248578284701.png",
"report_gt": "FINDINGS:\nTrachea is midline. Heart size normal. Emphysema. Lungs are otherwise clear. No pleural fluid.\n\nIMPRESSION:\nEmphysema without acute finding.",
"findings": "Trachea is midline. Heart size normal. Emphysema. Lungs are otherwise clear. No pleural fluid.",
"impression": "Emphysema without acute finding.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDNFC2BS0LZR171/GRDNTKCK8U4P10ZE/studies/1.2.826.0.1.3680043.8.498.95222235452221484869973356356811827310/series/1.2.826.0.1.3680043.8.498.68265684820444648930061463334769474818/instances/1.2.826.0.1.3680043.8.498.43754620435408173040023099783128133768.png",
"report": "FINDINGS:\nUnderlying COPD. Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Improved interstitial thickening. Slight improvement in the peripheral left mid lung airspace disease. Probable atelectasis the right lung base which is unchanged.\n\nIMPRESSION:\nImproved aeration. Decreased left mid lung airspace disease and diffuse interstitial prominence. Underlying COPD and probable right base atelectasis remain.",
"findings": "Underlying COPD. Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Improved interstitial thickening. Slight improvement in the peripheral left mid lung airspace disease. Probable atelectasis the right lung base which is unchanged.",
"impression": "Improved aeration. Decreased left mid lung airspace disease and diffuse interstitial prominence. Underlying COPD and probable right base atelectasis remain.",
"study_date": "20101222"
},
"metadata": {
"patient_id": "pGRDNFC2BS0LZR171",
"view_position": "PA",
"study_date": "20110215",
"comparison": "Comparison: 11/27/2020",
"indication": "Cough, shortness of breath and chest pain.",
"age": "068Y",
"sex": "M"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDNEGEGGNEK9YA1_aGRDN6IJONPB33VOT_s1.2.826.0.1.3680043.8.498.33336063078263869160768109828825140351",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNEGEGGNEK9YA1/GRDN6IJONPB33VOT/studies/1.2.826.0.1.3680043.8.498.33336063078263869160768109828825140351/series/1.2.826.0.1.3680043.8.498.26032821689964439277741052418841262746/instances/1.2.826.0.1.3680043.8.498.50201734311458316774789659656380270719.png",
"report_gt": "FINDINGS:\nThe heart size borderline. The hila and mediastinum are normal. Mild opacity seen in the left base on the frontal view. No other acute abnormalities.\n\nIMPRESSION:\nMild opacity in the left base could represent atelectasis or subtle infiltrate. Recommend follow-up to resolution.",
"findings": "The heart size borderline. The hila and mediastinum are normal. Mild opacity seen in the left base on the frontal view. No other acute abnormalities.",
"impression": "Mild opacity in the left base could represent atelectasis or subtle infiltrate. Recommend follow-up to resolution.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDNEGEGGNEK9YA1/GRDNBPIA6MTB4S60/studies/1.2.826.0.1.3680043.8.498.25916794215399907153375569889180566465/series/1.2.826.0.1.3680043.8.498.54718713008978061182678095672503155634/instances/1.2.826.0.1.3680043.8.498.11912539185481702740107980431176193848.png",
"report": "FINDINGS:\nCardiac enlargement. No active infiltrates or failure. No effusion or pneumothorax. Osteopenia.\n\nIMPRESSION:\nCardiomegaly. No active disease.",
"findings": "Cardiac enlargement. No active infiltrates or failure. No effusion or pneumothorax. Osteopenia.",
"impression": "Cardiomegaly. No active disease.",
"study_date": "20180607"
},
"metadata": {
"patient_id": "pGRDNEGEGGNEK9YA1",
"view_position": "AP",
"study_date": "20180616",
"comparison": "December 11, 2022",
"indication": "Hemoptysis and fever.",
"age": "067Y",
"sex": "F"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDNKKI7BDE3G9S4_aGRDNS8G30P8NWQRQ_s1.2.826.0.1.3680043.8.498.59749438574174553775862290713617571487",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNKKI7BDE3G9S4/GRDNS8G30P8NWQRQ/studies/1.2.826.0.1.3680043.8.498.59749438574174553775862290713617571487/series/1.2.826.0.1.3680043.8.498.42272919279458147037178125287142596397/instances/1.2.826.0.1.3680043.8.498.65565993568464402990016196089367403520.png",
"report_gt": "FINDINGS:\nHeart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax. Left shoulder arthroplasty. Calcification of the aortic arch.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.",
"findings": "Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax. Left shoulder arthroplasty. Calcification of the aortic arch.",
"impression": "No acute cardiopulmonary abnormality.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNKKI7BDE3G9S4",
"view_position": "AP",
"study_date": "20240318",
"comparison": "None.",
"indication": "Seizure",
"age": "074Y",
"sex": "M"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNMHN545WBN1EK_aGRDNO3SS8U3ZQIUP_s1.2.826.0.1.3680043.8.498.64791248665903311095448855832316200492",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNMHN545WBN1EK/GRDNO3SS8U3ZQIUP/studies/1.2.826.0.1.3680043.8.498.64791248665903311095448855832316200492/series/1.2.826.0.1.3680043.8.498.59497643612285028489809960270624590452/instances/1.2.826.0.1.3680043.8.498.92987997229545624686578404665336744525.png",
"report_gt": "FINDINGS:\nBullet again noted within the right lower lung. Right chest tube remains in place with small apical and basilar pneumothorax, slightly decreased since prior study. Opacity at the right lung base likely reflects contusion. Left lung is clear. Heart is normal size.\n\nIMPRESSION:\nSlight decreased size of the right pneumothorax, now less than 5%.",
"findings": "Bullet again noted within the right lower lung. Right chest tube remains in place with small apical and basilar pneumothorax, slightly decreased since prior study. Opacity at the right lung base likely reflects contusion. Left lung is clear. Heart is normal size.",
"impression": "Slight decreased size of the right pneumothorax, now less than 5%.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDNMHN545WBN1EK/GRDNKOPKTN1J2SAZ/studies/1.2.826.0.1.3680043.8.498.79621545849691834943847793039034982096/series/1.2.826.0.1.3680043.8.498.14589855654966414584177861323875041071/instances/1.2.826.0.1.3680043.8.498.28483347698739816020138957513883265215.png",
"report": "FINDINGS:\nMetallic ballistic fragment demonstrated in the right lateral chest at the level of the eighth rib. Hazy infiltrates in the right lung base consistent with contusion. Blunting of the right costophrenic angle suggesting pleural fluid. Nondisplaced fracture suggested in the posterior right eighth and ninth ribs. Left lung is clear. Normal heart size and pulmonary vascularity. No visible pneumothorax. Thoracic scoliosis convex towards the right.\n\nIMPRESSION:\nBallistic fragment demonstrated in the right lower chest with findings of right lung contusion, right pleural fluid collection, and nondisplaced rib fractures.",
"findings": "Metallic ballistic fragment demonstrated in the right lateral chest at the level of the eighth rib. Hazy infiltrates in the right lung base consistent with contusion. Blunting of the right costophrenic angle suggesting pleural fluid. Nondisplaced fracture suggested in the posterior right eighth and ninth ribs. Left lung is clear. Normal heart size and pulmonary vascularity. No visible pneumothorax. Thoracic scoliosis convex towards the right.",
"impression": "Ballistic fragment demonstrated in the right lower chest with findings of right lung contusion, right pleural fluid collection, and nondisplaced rib fractures.",
"study_date": "20170221"
},
"metadata": {
"patient_id": "pGRDNMHN545WBN1EK",
"view_position": "AP",
"study_date": "20170224",
"comparison": "Comparison: 01/07/1999",
"indication": "Right pneumothorax, chest tube",
"age": "020Y",
"sex": "M"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDNBRYPCFUL3G5S_aGRDNXWGEZNGZY961_s1.2.826.0.1.3680043.8.498.98518342202375660062034746317293770848",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNBRYPCFUL3G5S/GRDNXWGEZNGZY961/studies/1.2.826.0.1.3680043.8.498.98518342202375660062034746317293770848/series/1.2.826.0.1.3680043.8.498.29086896475404524635801312220146967980/instances/1.2.826.0.1.3680043.8.498.13491641515274024684963296929870415298.png",
"report_gt": "FINDINGS:\nTrachea is midline. Heart size normal. Thoracic aorta is calcified. Apparent asymmetric prominence of the right hilar region is likely due to patient rotation. Lungs are hyperinflated but clear. Right apical pleural thickening. No pleural fluid.\n\nIMPRESSION:\nNo acute findings.",
"findings": "Trachea is midline. Heart size normal. Thoracic aorta is calcified. Apparent asymmetric prominence of the right hilar region is likely due to patient rotation. Lungs are hyperinflated but clear. Right apical pleural thickening. No pleural fluid.",
"impression": "No acute findings.",
"is_followup": false,
"prior_study": null,
"metadata": {
"patient_id": "pGRDNBRYPCFUL3G5S",
"view_position": "PA",
"study_date": "20140416",
"comparison": "None.",
"indication": "Anterior cervical decompression, preop.",
"age": "082Y",
"sex": "F"
},
"eval_track": "baseline"
},
{
"study_id": "rexgrad_pGRDNA70YS0Z4OEC7_aGRDND58ICL4JWJYR_s1.2.826.0.1.3680043.8.498.92235670462802613920082050971953666983",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNA70YS0Z4OEC7/GRDND58ICL4JWJYR/studies/1.2.826.0.1.3680043.8.498.92235670462802613920082050971953666983/series/1.2.826.0.1.3680043.8.498.13885057968318796747909590763035243015/instances/1.2.826.0.1.3680043.8.498.92708708254176714312023509038634954147.png",
"report_gt": "FINDINGS:\nPatient rotated to the left. Mediastinal is unremarkable. Cardiomegaly with prominent vascular prominence and mild interstitial prominence present. Similar findings noted on prior study. Findings consistent with mild CHF. Given the degree of cardiomegaly, cardiac echo may prove useful. Degenerative changes cervicothoracic spine and both shoulders.\n\nIMPRESSION:\nMild CHF. Given the prominence of the heart size, cardiac echo may prove useful.",
"findings": "Patient rotated to the left. Mediastinal is unremarkable. Cardiomegaly with prominent vascular prominence and mild interstitial prominence present. Similar findings noted on prior study. Findings consistent with mild CHF. Given the degree of cardiomegaly, cardiac echo may prove useful. Degenerative changes cervicothoracic spine and both shoulders.",
"impression": "Mild CHF. Given the prominence of the heart size, cardiac echo may prove useful.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDNA70YS0Z4OEC7/GRDNP3KAJK2AVXN8/studies/1.2.826.0.1.3680043.8.498.48538285094718048704713496819266606259/series/1.2.826.0.1.3680043.8.498.34333798006190340890385796121824651931/instances/1.2.826.0.1.3680043.8.498.79578259746981016525454818472734743143.png",
"report": "FINDINGS:\nThe patient has taken a shallow inspiration. There is thickening of the interstitial markings. Area of increased density projects within the hilar regions. The cardiac silhouette is enlarged. The visualized bony skeleton is osteopenic.\n\nIMPRESSION:\n1. Shallow inspiration. 2. Cardiomegaly. 3. Atelectasis versus infiltrate within the lung bases. 4. Underlying component of pulmonary edema versus nonedematous interstitial infiltrate is also of diagnostic consideration.",
"findings": "The patient has taken a shallow inspiration. There is thickening of the interstitial markings. Area of increased density projects within the hilar regions. The cardiac silhouette is enlarged. The visualized bony skeleton is osteopenic.",
"impression": "1. Shallow inspiration. 2. Cardiomegaly. 3. Atelectasis versus infiltrate within the lung bases. 4. Underlying component of pulmonary edema versus nonedematous interstitial infiltrate is also of diagnostic consideration.",
"study_date": "20130527"
},
"metadata": {
"patient_id": "pGRDNA70YS0Z4OEC7",
"view_position": "AP",
"study_date": "20130604",
"comparison": "Prior chest x-ray of 3/3/1991.",
"indication": "Chest pain",
"age": "055Y",
"sex": "M"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDNC6ITDZFUWC1E_aGRDNZHBPP1Q9ZYUJ_s1.2.826.0.1.3680043.8.498.80049228387772321116680748582777026351",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDNC6ITDZFUWC1E/GRDNZHBPP1Q9ZYUJ/studies/1.2.826.0.1.3680043.8.498.80049228387772321116680748582777026351/series/1.2.826.0.1.3680043.8.498.56212443533878817047953796669514603776/instances/1.2.826.0.1.3680043.8.498.92723675826364783344391208287138927650.png",
"report_gt": "FINDINGS:\nThe degree of inspiration is shallow. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.\n\nIMPRESSION:\nNo edema or consolidation. Shallow degree of inspiration.",
"findings": "The degree of inspiration is shallow. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.",
"impression": "No edema or consolidation. Shallow degree of inspiration.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDNC6ITDZFUWC1E/GRDNGS7KD65GP1PI/studies/1.2.826.0.1.3680043.8.498.49726291349512801435915964606598316357/series/1.2.826.0.1.3680043.8.498.66209015585937614896667570277196929919/instances/1.2.826.0.1.3680043.8.498.24728727434864268407318966505083463957.png",
"report": "FINDINGS:\nThere are low lung volumes. Heart size and pulmonary vasculature are prominent, likely accentuated by technique. Resolution of previous left lower lobe consolidation. No confluent airspace disease. No large pleural effusion or pneumothorax. No acute osseous abnormalities are seen.\n\nIMPRESSION:\nVery low lung volumes accentuating the cardiac silhouette and pulmonary vasculature. Pulmonary vascular congestion not excluded. No confluent airspace disease to suggest pneumonia.",
"findings": "There are low lung volumes. Heart size and pulmonary vasculature are prominent, likely accentuated by technique. Resolution of previous left lower lobe consolidation. No confluent airspace disease. No large pleural effusion or pneumothorax. No acute osseous abnormalities are seen.",
"impression": "Very low lung volumes accentuating the cardiac silhouette and pulmonary vasculature. Pulmonary vascular congestion not excluded. No confluent airspace disease to suggest pneumonia.",
"study_date": "20160920"
},
"metadata": {
"patient_id": "pGRDNC6ITDZFUWC1E",
"view_position": "AP",
"study_date": "20161009",
"comparison": "February 15, 1993",
"indication": "Cough and anemia",
"age": "068Y",
"sex": "F"
},
"eval_track": "followup"
},
{
"study_id": "rexgrad_pGRDN0T1EGH850XQY_aGRDN1ELPOWATPC2K_s1.2.826.0.1.3680043.8.498.63988719516416667725478664819829693893",
"dataset": "rexgradient",
"split": "test",
"image_path": "images/rexgradient/GRDN0T1EGH850XQY/GRDN1ELPOWATPC2K/studies/1.2.826.0.1.3680043.8.498.63988719516416667725478664819829693893/series/1.2.826.0.1.3680043.8.498.91260376417834639371767667237176045970/instances/1.2.826.0.1.3680043.8.498.44373717966846325447180543995139664241.png",
"report_gt": "FINDINGS:\nThe lungs are well-aerated. Mild left basilar airspace opacity could reflect mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Chronic left-sided rib deformities are again noted.\n\nIMPRESSION:\nMild left basilar airspace opacity could reflect mild pneumonia.",
"findings": "The lungs are well-aerated. Mild left basilar airspace opacity could reflect mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Chronic left-sided rib deformities are again noted.",
"impression": "Mild left basilar airspace opacity could reflect mild pneumonia.",
"is_followup": true,
"prior_study": {
"image_path": "images/rexgradient/GRDN0T1EGH850XQY/GRDN0Z6R80PF6OL3/studies/1.2.826.0.1.3680043.8.498.13796594050412963687733400106788727586/series/1.2.826.0.1.3680043.8.498.66834694322896150577178667457092766590/instances/1.2.826.0.1.3680043.8.498.57127627166386987030191468289011678108.png",
"report": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Old left rib fractures are noted.\n\nIMPRESSION:\nNo active cardiopulmonary disease.",
"findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Old left rib fractures are noted.",
"impression": "No active cardiopulmonary disease.",
"study_date": "20180610"
},
"metadata": {
"patient_id": "pGRDN0T1EGH850XQY",
"view_position": "AP",
"study_date": "20180803",
"comparison": "Chest radiograph performed 4/26/2005",
"indication": "Acute onset of fever and cough. Initial encounter.",
"age": "039Y",
"sex": "F"
},
"eval_track": "followup"
},
{
"study_id": "iu_CXR3340_IM-1601",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3340_IM-1601-1001.dcm.png",
"report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.\n\nIMPRESSION:\nChronic lung changes without acute abnormality.",
"findings": "The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",
"impression": "Chronic lung changes without acute abnormality.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3340_IM-1601",
"comparison": "XXXX, XXXX.",
"indication": "Indication: XXXX-year-old female. Altered mental status. Comparison: XXXX, XXXX."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR1410_IM-0260",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/1410_IM-0260-1001.dcm.png",
"report_gt": "FINDINGS:\nThe heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.\n\nIMPRESSION:\n1. No acute radiographic cardiopulmonary process.",
"findings": "The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.",
"impression": "1. No acute radiographic cardiopulmonary process.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR1410_IM-0260",
"comparison": "None.",
"indication": "Indication: XXXX-year-old female with history of XXXX. Comparison: None."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR1460_IM-0298",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/1460_IM-0298-1001.dcm.png",
"report_gt": "FINDINGS:\nCardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.\n\nIMPRESSION:\nNegative chest x-XXXX.",
"findings": "Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.",
"impression": "Negative chest x-XXXX.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR1460_IM-0298",
"comparison": "None.",
"indication": "Indication: XXXX. Comparison: None."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR290_IM-1303",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/290_IM-1303-1001.dcm.png",
"report_gt": "FINDINGS:\nThe lungs are clear. There are multiple surgical XXXX seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal.\n\nIMPRESSION:\n1. No active disease. 2. There are numerous small surgical clips seen overlying the upper thorax bilaterally and the lower cervical region of uncertain significance.",
"findings": "The lungs are clear. There are multiple surgical XXXX seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal.",
"impression": "1. No active disease. 2. There are numerous small surgical clips seen overlying the upper thorax bilaterally and the lower cervical region of uncertain significance.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR290_IM-1303",
"comparison": "",
"indication": "Indication: Occasional chest pain and shortness of breath. Comparison: None"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR379_IM-1903",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/379_IM-1903-4004.dcm.png",
"report_gt": "FINDINGS:\nThere has been interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse XXXX. XXXX airspace opacities are identified with bilateral pleural effusions.\n\nIMPRESSION:\n1. Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. 2. Bibasilar airspace opacities and bilateral pleural effusions.",
"findings": "There has been interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse XXXX. XXXX airspace opacities are identified with bilateral pleural effusions.",
"impression": "1. Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. 2. Bibasilar airspace opacities and bilateral pleural effusions.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR379_IM-1903",
"comparison": "AP and lateral chest XXXX.",
"indication": "Indication: XXXX year old dialysis catheter placement. Comparison: AP and lateral chest XXXX."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR1319_IM-0205",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/1319_IM-0205-1001.dcm.png",
"report_gt": "FINDINGS:\nThe heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.\n\nIMPRESSION:\nNo evidence of active disease.",
"findings": "The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.",
"impression": "No evidence of active disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR1319_IM-0205",
"comparison": "None",
"indication": "Indication: Transplant, XXXX evaluation Comparison: None"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR3522_IM-1720",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3522_IM-1720-1001.dcm.png",
"report_gt": "FINDINGS:\nLungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.\n\nIMPRESSION:\nNo acute cardiopulmonary process.",
"findings": "Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.",
"impression": "No acute cardiopulmonary process.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3522_IM-1720",
"comparison": "XXXX",
"indication": "Indication: Dyspnea. Comparison: XXXX"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR3981_IM-2039",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3981_IM-2039-1001.dcm.png",
"report_gt": "FINDINGS:\nThe lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.\n\nIMPRESSION:\nNo acute pulmonary disease.",
"findings": "The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.",
"impression": "No acute pulmonary disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3981_IM-2039",
"comparison": "None",
"indication": "Indication: XXXX vehicle accident with left shoulder pain. Comparison: None"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR3112_IM-1461",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3112_IM-1461-1001.dcm.png",
"report_gt": "FINDINGS:\nThe heart is normal in size. The mediastinum is unremarkable. The lungs are clear.\n\nIMPRESSION:\nNo acute disease.",
"findings": "The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.",
"impression": "No acute disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3112_IM-1461",
"comparison": "",
"indication": "Indication: test ca; r/o XXXX XXXX Comparison: None"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR1188_IM-0127",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/1188_IM-0127-1001.dcm.png",
"report_gt": "FINDINGS:\nBoth lungs are clear and expanded. Heart and mediastinum normal.\n\nIMPRESSION:\nNo active disease.",
"findings": "Both lungs are clear and expanded. Heart and mediastinum normal.",
"impression": "No active disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR1188_IM-0127",
"comparison": "None.",
"indication": "Indication: chest pain Comparison: None."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR3784_IM-1898",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3784_IM-1898-2001.dcm.png",
"report_gt": "FINDINGS:\nAP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.\n\nIMPRESSION:\nNo acute abnormality.",
"findings": "AP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.",
"impression": "No acute abnormality.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3784_IM-1898",
"comparison": "None",
"indication": "Indication: -- XXXX Comparison: None"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR771_IM-2316",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/771_IM-2316-2001.dcm.png",
"report_gt": "FINDINGS:\nHeart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.\n\nIMPRESSION:\nNo acute cardiopulmonary disease.",
"findings": "Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",
"impression": "No acute cardiopulmonary disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR771_IM-2316",
"comparison": "XXXX",
"indication": "Indication: Chest pain Comparison: XXXX"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR2446_IM-0982",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/2446_IM-0982-1001.dcm.png",
"report_gt": "FINDINGS:\nThe heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. The aorta is tortuous, but the heart and mediastinum otherwise normal.\n\nIMPRESSION:\nNo active disease.",
"findings": "The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. The aorta is tortuous, but the heart and mediastinum otherwise normal.",
"impression": "No active disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR2446_IM-0982",
"comparison": "None",
"indication": "Indication: Chest pain. Comparison: None"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR107_IM-0049",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/107_IM-0049-1001.dcm.png",
"report_gt": "FINDINGS:\nThe lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.",
"findings": "The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",
"impression": "No acute cardiopulmonary abnormality.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR107_IM-0049",
"comparison": "Two-view chest radiograph dated XXXX, XXXX.",
"indication": "Indication: XXXX-year-old woman with chest pain. Comparison: Two-view chest radiograph dated XXXX, XXXX."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR106_IM-0042",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/106_IM-0042-1001.dcm.png",
"report_gt": "FINDINGS:\nHeart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.\n\nIMPRESSION:\nNo acute cardiopulmonary process. If there is concern for soft tissue bone or bony abnormality of the thorax, XXXX.",
"findings": "Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.",
"impression": "No acute cardiopulmonary process. If there is concern for soft tissue bone or bony abnormality of the thorax, XXXX.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR106_IM-0042",
"comparison": "None.",
"indication": "Indication: XXXX, XXXX on anterior midline chest for one knee are Comparison: None."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR2797_IM-1229",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/2797_IM-1229-1001.dcm.png",
"report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormalities. .",
"findings": "The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.",
"impression": "No acute cardiopulmonary abnormalities. .",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR2797_IM-1229",
"comparison": "None available.",
"indication": "Indication: The patient is a XXXX-year-old XXXX with chest pain and shortness of breath for one XXXX. Comparison: None available."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR1094_IM-0065",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/1094_IM-0065-1001.dcm.png",
"report_gt": "FINDINGS:\nNo acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe XXXX density XXXX representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.\n\nIMPRESSION:\nNo focal lung consolidation.",
"findings": "No acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe XXXX density XXXX representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.",
"impression": "No focal lung consolidation.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR1094_IM-0065",
"comparison": "None.",
"indication": "Indication: XXXX-year-old XXXX with dyspnea. History of cystic fibrosis. Comparison: None."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR3321_IM-1588",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3321_IM-1588-1001.dcm.png",
"report_gt": "FINDINGS:\nXXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.\n\nIMPRESSION:\n1. No acute pulmonary disease.",
"findings": "XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.",
"impression": "1. No acute pulmonary disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3321_IM-1588",
"comparison": "none",
"indication": "Indication: SYNCOPE Comparison: none"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR3964_IM-2028",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3964_IM-2028-1001.dcm.png",
"report_gt": "FINDINGS:\nThe heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.\n\nIMPRESSION:\nEmphysema without acute disease.",
"findings": "The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.",
"impression": "Emphysema without acute disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3964_IM-2028",
"comparison": "None",
"indication": "Indication: 60XXXX XXXX with XXXX and XXXX loss Comparison: None"
},
"eval_track": "baseline"
},
{
"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"
},
{
"study_id": "iu_CXR3063_IM-1428",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3063_IM-1428-1001.dcm.png",
"report_gt": "FINDINGS:\nLungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.",
"findings": "Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.",
"impression": "No acute cardiopulmonary abnormality.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3063_IM-1428",
"comparison": "No comparisons are available",
"indication": "Indication: Chest pain Comparison: No comparisons are available"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR1919_IM-0598",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/1919_IM-0598-1001.dcm.png",
"report_gt": "FINDINGS:\nHyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms suggestive of chronic emphysematous lung disease. Heart size within normal limits. Bibasilar, right greater than left atelectasis/airspace disease noted. No pneumothorax or large pleural effusion. No acute bony abnormality.\n\nIMPRESSION:\nChronic emphysematous lung disease with mild bibasilar, right greater than left airspace disease/atelectasis.",
"findings": "Hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms suggestive of chronic emphysematous lung disease. Heart size within normal limits. Bibasilar, right greater than left atelectasis/airspace disease noted. No pneumothorax or large pleural effusion. No acute bony abnormality.",
"impression": "Chronic emphysematous lung disease with mild bibasilar, right greater than left airspace disease/atelectasis.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR1919_IM-0598",
"comparison": "Two-view chest radiograph dated XXXX, XXXX.",
"indication": "Indication: XXXX-year-old male shortness of breath. Comparison: Two-view chest radiograph dated XXXX, XXXX."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR628_IM-2208",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/628_IM-2208-4001.dcm.png",
"report_gt": "FINDINGS:\nFrontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. Cardiac silhouette at the upper limits of normal in size. Tortuous ectatic aorta. The aortic XXXX is near 5 cm in diameter. There is a retrocardiac left paraspinal bulge concerning for a descending thoracic aortic aneurysm. There is biapical scarring. No XXXX focal airspace consolidation or pleural effusion. XXXX spine spondylitic changes.\n\nIMPRESSION:\n1. Stable aneurysmal enlargement of the XXXX and descending aorta. Chest CTA could be obtained as a XXXX. 2. Borderline heart size. 3. No acute pulmonary disease process.",
"findings": "Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. Cardiac silhouette at the upper limits of normal in size. Tortuous ectatic aorta. The aortic XXXX is near 5 cm in diameter. There is a retrocardiac left paraspinal bulge concerning for a descending thoracic aortic aneurysm. There is biapical scarring. No XXXX focal airspace consolidation or pleural effusion. XXXX spine spondylitic changes.",
"impression": "1. Stable aneurysmal enlargement of the XXXX and descending aorta. Chest CTA could be obtained as a XXXX. 2. Borderline heart size. 3. No acute pulmonary disease process.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR628_IM-2208",
"comparison": "XXXX, XXXX.",
"indication": "Indication: Shortness of breath with XXXX for 4 days. History of COPD. Comparison: XXXX, XXXX."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR3446_IM-1669",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3446_IM-1669-1001.dcm.png",
"report_gt": "FINDINGS:\nCardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.\n\nIMPRESSION:\nNegative chest x-XXXX.",
"findings": "Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.",
"impression": "Negative chest x-XXXX.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3446_IM-1669",
"comparison": "None.",
"indication": "Indication: Nightsweats for 3 months Comparison: None."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR3883_IM-1971",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3883_IM-1971-1001.dcm.png",
"report_gt": "FINDINGS:\nNo pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.",
"findings": "No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.",
"impression": "No acute cardiopulmonary abnormality.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3883_IM-1971",
"comparison": "None.",
"indication": "Indication: The patient is a XXXX-year-old female with left-sided chest pain. Comparison: None."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR497_IM-2114",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/497_IM-2114-1001.dcm.png",
"report_gt": "FINDINGS:\nHeart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.\n\nIMPRESSION:\nNormal chest.",
"findings": "Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",
"impression": "Normal chest.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR497_IM-2114",
"comparison": "",
"indication": "Indication: chest pain history of Hodgkin's disease Comparison: None"
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR1796_IM-0517",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/1796_IM-0517-1002.dcm.png",
"report_gt": "FINDINGS:\nThe lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality..",
"findings": "The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",
"impression": "No acute cardiopulmonary abnormality..",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR1796_IM-0517",
"comparison": "Two-view chest dated XXXX, XXXX.",
"indication": "Indication: XXXX-year-old female with history of right cervical lymphadenopathy.. Comparison: Two-view chest dated XXXX, XXXX."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR2061_IM-0698",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/2061_IM-0698-1001.dcm.png",
"report_gt": "FINDINGS:\nThe heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.\n\nIMPRESSION:\n1. No acute cardiopulmonary disease.",
"findings": "The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.",
"impression": "1. No acute cardiopulmonary disease.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR2061_IM-0698",
"comparison": "CT of the chest with contrast XXXX.",
"indication": "Indication: XXXX-year-old with chest pain. Comparison: CT of the chest with contrast XXXX."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR1133_IM-0090",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/1133_IM-0090-1001.dcm.png",
"report_gt": "FINDINGS:\nLungs are hyperexpanded. No infiltrates or masses. The eventration of the left hemidiaphragm identified previously is largely unchanged since the previous computed tomogram. Pulmonary XXXX are normal.\n\nIMPRESSION:\nFindings of COPD with no acute changes.",
"findings": "Lungs are hyperexpanded. No infiltrates or masses. The eventration of the left hemidiaphragm identified previously is largely unchanged since the previous computed tomogram. Pulmonary XXXX are normal.",
"impression": "Findings of COPD with no acute changes.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR1133_IM-0090",
"comparison": "XXXX XXXX, XXXX.",
"indication": "Indication: recurrent XXXX Comparison: XXXX XXXX, XXXX."
},
"eval_track": "baseline"
},
{
"study_id": "iu_CXR3220_IM-1522",
"dataset": "iu_xray",
"split": "test",
"image_path": "images/iu_xray/images/images_normalized/3220_IM-1522-1001.dcm.png",
"report_gt": "FINDINGS:\nLungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.\n\nIMPRESSION:\nNo acute cardiopulmonary process.",
"findings": "Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.",
"impression": "No acute cardiopulmonary process.",
"is_followup": false,
"prior_study": null,
"metadata": {
"case_id": "CXR3220_IM-1522",
"comparison": "XXXX",
"indication": "Indication: Chest pain. Comparison: XXXX"
},
"eval_track": "baseline"
}
] |