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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": "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_patient64683_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64683/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nLow lung volumes. Increasing right basilar opacity. Persistent dense \nleft retrocardiac opacity with air bronchograms with some improved \naeration noted in the midlung zone. The mid to upper lung zones \nbilaterally are relatively clear. Decreased left pleural effusion.\n \nThe cardiomediastinal silhouette is similar in configuration and \nobscured along the left heart border. Similar perihilar vascular \nprominence.\n \nDegenerative changes of the spine.\n\nIMPRESSION:\n1. Low lung volumes. Increasing right basilar opacity which may \nrepresent atelectasis and the presence of low lung volumes though \ninfection or aspiration would be difficult to exclude. Additional \npersistent dense left retrocardiac opacity with evidence of air \nbronchograms suggesting consolidation, including pneumonia in the \nappropriate clinical setting, though there is some improved aeration \nin the left midlung zone. \n \n2. Decreased left pleural effusion.",
    "findings": "Low lung volumes. Increasing right basilar opacity. Persistent dense \nleft retrocardiac opacity with air bronchograms with some improved \naeration noted in the midlung zone. The mid to upper lung zones \nbilaterally are relatively clear. Decreased left pleural effusion.\n \nThe cardiomediastinal silhouette is similar in configuration and \nobscured along the left heart border. Similar perihilar vascular \nprominence.\n \nDegenerative changes of the spine.",
    "impression": "1. Low lung volumes. Increasing right basilar opacity which may \nrepresent atelectasis and the presence of low lung volumes though \ninfection or aspiration would be difficult to exclude. Additional \npersistent dense left retrocardiac opacity with evidence of air \nbronchograms suggesting consolidation, including pneumonia in the \nappropriate clinical setting, though there is some improved aeration \nin the left midlung zone. \n \n2. Decreased left pleural effusion.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64683",
      "report_date_order": 2,
      "view_position": "AP",
      "comparison": "11/11/2003",
      "age": "77.0",
      "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_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": "rexgrad_pGRDNB7FZ8ZW9M8J5_aGRDNMFDNTJG52CWI_s1.2.826.0.1.3680043.8.498.19165707506134053890496732472404253205",
    "dataset": "rexgradient",
    "split": "test",
    "image_path": "images/rexgradient/GRDNB7FZ8ZW9M8J5/GRDNMFDNTJG52CWI/studies/1.2.826.0.1.3680043.8.498.19165707506134053890496732472404253205/series/1.2.826.0.1.3680043.8.498.41488220987183332169600925883557598351/instances/1.2.826.0.1.3680043.8.498.61011656784969851893206441617088246614.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 acute cardiopulmonary process, specifically no pneumothorax or radiopaque foreign bodies.",
    "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.",
    "impression": "No acute cardiopulmonary process, specifically no pneumothorax or radiopaque foreign bodies.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "pGRDNB7FZ8ZW9M8J5",
      "view_position": "AP",
      "study_date": "20160304",
      "comparison": "None.",
      "indication": "Gunshot wound to left chest.",
      "age": "024Y",
      "sex": "M"
    },
    "eval_track": "baseline"
  },
  {
    "study_id": "rexgrad_pGRDN0S0HH0VWIX7A_aGRDN62R5Z1JDBID1_s1.2.826.0.1.3680043.8.498.97831574824069228874187142760521600833",
    "dataset": "rexgradient",
    "split": "test",
    "image_path": "images/rexgradient/GRDN0S0HH0VWIX7A/GRDN62R5Z1JDBID1/studies/1.2.826.0.1.3680043.8.498.97831574824069228874187142760521600833/series/1.2.826.0.1.3680043.8.498.43453542902963623125672432691519323167/instances/1.2.826.0.1.3680043.8.498.81180794945653867653252466852401456102.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 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 disease.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "pGRDN0S0HH0VWIX7A",
      "view_position": "AP",
      "study_date": "20180215",
      "comparison": "None.",
      "indication": "Initial evaluation for acute trauma, ATV accident.",
      "age": "017Y",
      "sex": "F"
    },
    "eval_track": "baseline"
  },
  {
    "study_id": "rexgrad_pGRDNGN2IT6IA32YK_aGRDNBY2EVYYGEESS_s1.2.826.0.1.3680043.8.498.83384694009912060646178267777828114179",
    "dataset": "rexgradient",
    "split": "test",
    "image_path": "images/rexgradient/GRDNGN2IT6IA32YK/GRDNBY2EVYYGEESS/studies/1.2.826.0.1.3680043.8.498.83384694009912060646178267777828114179/series/1.2.826.0.1.3680043.8.498.50125526104458329368280576233270794392/instances/1.2.826.0.1.3680043.8.498.71988182478685008349430558684611608262.png",
    "report_gt": "FINDINGS:\nTracheostomy in place. There is abnormal density in both lower lungs that could be a combination of atelectasis, pneumonia and pleural effusions. Upper lungs are clear. Heart size appears normal.\n\nIMPRESSION:\nAbnormal bilateral lower chest density which could be a combination of atelectasis, pneumonia and pleural fluid.",
    "findings": "Tracheostomy in place. There is abnormal density in both lower lungs that could be a combination of atelectasis, pneumonia and pleural effusions. Upper lungs are clear. Heart size appears normal.",
    "impression": "Abnormal bilateral lower chest density which could be a combination of atelectasis, pneumonia and pleural fluid.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "pGRDNGN2IT6IA32YK",
      "view_position": "AP",
      "study_date": "20200729",
      "comparison": "None.",
      "indication": "Cough. Tracheostomy.",
      "age": "078Y",
      "sex": "M"
    },
    "eval_track": "baseline"
  },
  {
    "study_id": "rexgrad_pGRDN0WIJ80C2OWMX_aGRDN522YU6ZLM6Y4_s1.2.826.0.1.3680043.8.498.88668571096912563249135752778097878248",
    "dataset": "rexgradient",
    "split": "test",
    "image_path": "images/rexgradient/GRDN0WIJ80C2OWMX/GRDN522YU6ZLM6Y4/studies/1.2.826.0.1.3680043.8.498.88668571096912563249135752778097878248/series/1.2.826.0.1.3680043.8.498.53626045873562380126789147281023561364/instances/1.2.826.0.1.3680043.8.498.87299624757027904408035513386056195132.png",
    "report_gt": "FINDINGS:\nNormal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Mild streaky parahilar interstitial opacities.\n\nIMPRESSION:\nMild streaky parahilar interstitial opacities, cannot exclude atypical infection.",
    "findings": "Normal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Mild streaky parahilar interstitial opacities.",
    "impression": "Mild streaky parahilar interstitial opacities, cannot exclude atypical infection.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "pGRDN0WIJ80C2OWMX",
      "view_position": "PA",
      "study_date": "20210426",
      "comparison": "None.",
      "indication": "Dyspnea",
      "age": "064Y",
      "sex": "M"
    },
    "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_CXR3335_IM-1598",
    "dataset": "iu_xray",
    "split": "test",
    "image_path": "images/iu_xray/images/images_normalized/3335_IM-1598-1001.dcm.png",
    "report_gt": "FINDINGS:\nHeart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.\n\nIMPRESSION:\nNo acute cardiopulmonary process.",
    "findings": "Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.",
    "impression": "No acute cardiopulmonary process.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "case_id": "CXR3335_IM-1598",
      "comparison": "None.",
      "indication": "Indication: chest pain Comparison: None."
    },
    "eval_track": "baseline"
  },
  {
    "study_id": "iu_CXR344_IM-1664",
    "dataset": "iu_xray",
    "split": "test",
    "image_path": "images/iu_xray/images/images_normalized/344_IM-1664-1001.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": "CXR344_IM-1664",
      "comparison": "None.",
      "indication": "Indication: XXXX-year-old male with chest pain. Comparison: None."
    },
    "eval_track": "baseline"
  },
  {
    "study_id": "iu_CXR795_IM-2331",
    "dataset": "iu_xray",
    "split": "test",
    "image_path": "images/iu_xray/images/images_normalized/795_IM-2331-1001.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 No evidence of tuberculosis.",
    "findings": "Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",
    "impression": "Normal chest No evidence of tuberculosis.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "case_id": "CXR795_IM-2331",
      "comparison": "None.",
      "indication": "Indication: tuberculosis positive PPD Comparison: None."
    },
    "eval_track": "baseline"
  }
]