[ { "study_id": "mimic_59239338", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10402372/s59239338/2ae8ec41-067f24d2-3f3ea6b7-113cb63b-aa3cc9e0.jpg", "report_gt": "FINAL REPORT\n HISTORY: Right lower lobe nodule with bronchiectasis and pseudomonas\n colonization.\n \n FINDINGS: In comparison with the study of ___, there is little overall\n change in the peribronchial thickening and impaction with extensive bibasilar\n bronchiectasis. This is again extremely well seen on the lateral radiograph. \n Hyperexpansion of the lungs is consistent with emphysema and the cardiac size\n is normal. No evidence of pulmonary edema.\n \n No evidence of acute focal pneumonia.\n \n IMPRESSION: Little change in the severe bronchiectasis and emphysema.", "findings": "In comparison with the study of ___, there is little overall\n change in the peribronchial thickening and impaction with extensive bibasilar\n bronchiectasis. This is again extremely well seen on the lateral radiograph. \n Hyperexpansion of the lungs is consistent with emphysema and the cardiac size\n is normal. No evidence of pulmonary edema.\n \n No evidence of acute focal pneumonia.", "impression": "Little change in the severe bronchiectasis and emphysema.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10402372/s54715839/b4220d24-884a0275-1552d547-a339b365-4417b9d5.jpg", "report": "FINDINGS:\nwould therefore be attributed to\n decompensation of emphysema and bronchiectasis.\n\nIMPRESSION:\nPA and lateral chest compared to ___ through ___,\n extent of peribronchial thickening and impaction of extensive bibasilar\n bronchiectasis may have increased slightly since the most recent prior lateral\n chest radiograph, ___. There is really no change in the appearance of\n the frontal views as recently as ___. Generalized hyperinflation is\n due to emphysema. Heart size is normal. There is no pulmonary edema,\n consolidation. A tiny right pleural effusion may be new, but probably not\n clinically significant. Findings would therefore be attributed to\n decompensation of emphysema and bronchiectasis.", "findings": "would therefore be attributed to\n decompensation of emphysema and bronchiectasis.", "impression": "", "study_date": "2144-11-05", "study_id": "54715839" }, "metadata": { "subject_id": "10402372", "view_position": "PA", "comparison": "with the study of ___, there is little overall", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2144-11-24", "admission_info": { "hadm_id": 24455804, "admittime": "2144-11-05 16:43:00", "dischtime": "2144-12-20 16:00:00", "admission_type": "EW EMER.", "demographics": { "age": 58, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "23875", "version": 9, "description": "Myelodysplastic syndrome, unspecified" }, { "code": "570", "version": 9, "description": "Acute and subacute necrosis of liver" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "03811", "version": 9, "description": "Methicillin susceptible Staphylococcus aureus septicemia" }, { "code": "262", "version": 9, "description": "Other severe protein-calorie malnutrition" }, { "code": "4821", "version": 9, "description": "Pneumonia due to Pseudomonas" }, { "code": "48242", "version": 9, "description": "Methicillin resistant pneumonia due to Staphylococcus aureus" }, { "code": "2884", "version": 9, "description": "Hemophagocytic syndromes" }, { "code": "28419", "version": 9, "description": "Other pancytopenia" }, { "code": "2536", "version": 9, "description": "Other disorders of neurohypophysis" }, { "code": "4941", "version": 9, "description": "Bronchiectasis with acute exacerbation" }, { "code": "V850", "version": 9, "description": "Body Mass Index less than 19, adult" }, { "code": "5180", "version": 9, "description": "Pulmonary collapse" }, { "code": "99662", "version": 9, "description": "Infection and inflammatory reaction due to other vascular device, implant, and graft" }, { "code": "27949", "version": 9, "description": "Autoimmune disease, not elsewhere classified" }, { "code": "4928", "version": 9, "description": "Other emphysema" }, { "code": "57142", "version": 9, "description": "Autoimmune hepatitis" }, { "code": "6970", "version": 9, "description": "Lichen planus" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "2410", "version": 9, "description": "Nontoxic uninodular goiter" }, { "code": "28850", "version": 9, "description": "Leukocytopenia, unspecified" }, { "code": "30000", "version": 9, "description": "Anxiety state, unspecified" }, { "code": "E9305", "version": 9, "description": "Cephalosporin group causing adverse effects in therapeutic use" }, { "code": "V5865", "version": 9, "description": "Long-term (current) use of steroids" }, { "code": "2859", "version": 9, "description": "Anemia, unspecified" }, { "code": "37300", "version": 9, "description": "Blepharitis, unspecified" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "9349", "version": 9, "description": "Foreign body in respiratory tree, unspecified" } ], "labs": [ { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "25", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "103", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.4", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.6", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "13", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "11.2", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "34.1", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "161", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "1.5", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "2.0", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup", "lateral_image_path": "images/mimic/p10/p10402372/s59239338/3a482f4e-16d6aea0-57ca6763-e23182b9-ae66b9e9.jpg" }, { "study_id": "mimic_54389393", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11052273/s54389393/d7395617-98bb6ef8-6f0187e5-2c3df909-6f3a57c4.jpg", "report_gt": "FINAL REPORT\n PORTABLE CHEST, ___\n \n HISTORY: ___-year-old female with shortness of breath.\n \n COMPARISON: ___.\n \n FINDINGS: Single portable view of the chest. Bibasilar opacities with\n blunting of the costophrenic angles which could be due to effusions. There\n are indistinct pulmonary vascular markings. Relatively lentiform-shaped\n opacity over the right mid lung is suggestive of fluid within the fissure. \n The cardiac silhouette is enlarged, similar to prior. Atherosclerotic\n calcifications are noted.\n \n IMPRESSION: Pulmonary vascular congestion, small effusions with probable\n fluid in the right fissure.", "findings": "Single portable view of the chest. Bibasilar opacities with\n blunting of the costophrenic angles which could be due to effusions. There\n are indistinct pulmonary vascular markings. Relatively lentiform-shaped\n opacity over the right mid lung is suggestive of fluid within the fissure. \n The cardiac silhouette is enlarged, similar to prior. Atherosclerotic\n calcifications are noted.", "impression": "Pulmonary vascular congestion, small effusions with probable\n fluid in the right fissure.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p11/p11052273/s53702175/e35b1970-3dfc9412-ec657374-09990870-561ca892.jpg", "report": "FINDINGS:\nAP and lateral views of the chest. \n \n Thereis hyperinflation, consistent with background COPD. There is increased\n diffuse parenchymal opacities bilaterally, more prominent at the bases\n consistent with mild pulmonary edema. There are small bilateral pleural\n effusions layering posteriorly, left greater than right. There is fluid in\n the major fissure seen on the lateral view. There is moderate cardiomegaly. \n No pneumothorax. The left hemidiaphragm is elevated laterally.\n\nIMPRESSION:\nModerate cardiomegaly, mild pulmonary edema and small bilateral\n pleural effusions consistent with CHF.", "findings": "AP and lateral views of the chest. \n \n Thereis hyperinflation, consistent with background COPD. There is increased\n diffuse parenchymal opacities bilaterally, more prominent at the bases\n consistent with mild pulmonary edema. There are small bilateral pleural\n effusions layering posteriorly, left greater than right. There is fluid in\n the major fissure seen on the lateral view. There is moderate cardiomegaly. \n No pneumothorax. The left hemidiaphragm is elevated laterally.", "impression": "", "study_date": "2133-12-31", "study_id": "53702175" }, "metadata": { "subject_id": "11052273", "view_position": "AP", "comparison": "___.", "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": "2134-04-13", "admission_info": { "hadm_id": 23945184, "admittime": "2134-04-13 19:35:00", "dischtime": "2134-04-18 15:50:00", "admission_type": "EW EMER.", "demographics": { "age": 79, "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": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "496", "version": 9, "description": "Chronic airway obstruction, not elsewhere classified" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "2809", "version": 9, "description": "Iron deficiency anemia, unspecified" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "27800", "version": 9, "description": "Obesity, unspecified" } ], "labs": [ { "label": "Hemoglobin", "value": "7.1", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "26.7", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "261", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "9.1", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "15", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "27", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "104", "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": "4.6", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "141", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "BUN", "value": "24", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "mimic_58736291", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10402372/s58736291/c4713b43-d31ad200-30f7309b-ba7d87e3-b69db479.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___-year-old male with cough and fever.\n \n COMPARISON: ___.\n \n TECHNIQUE: Frontal and lateral chest radiographs were obtained.\n \n FINDINGS: No focal consolidation, pleural effusion, or pneumothorax is seen. \n Heart and mediastinal contours are within normal limits. Lungs are again\n noted to be hyperinflated.\n \n IMPRESSION: Stable chest radiographs without acute change.", "findings": "No focal consolidation, pleural effusion, or pneumothorax is seen. \n Heart and mediastinal contours are within normal limits. Lungs are again\n noted to be hyperinflated.", "impression": "Stable chest radiographs without acute change.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10402372/s51966612/b5da9d38-5e0c570b-e88b17c1-029654a9-a4f8a0b3.jpg", "report": "FINDINGS:\nFrontal and lateral views of the chest are obtained. The lungs\n remain hyperinflated, suggesting chronic obstructive pulmonary disease. No\n focal consolidation, pleural effusion, or evidence of pneumothorax is seen. \n The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar\n contours are also stable.\n\nIMPRESSION:\nNo acute cardiopulmonary process. No significant interval\n change. Please note that peribronchovascular ground-glass opacities at the\n left greater than right lung bases seen on the prior chest CT of ___\n were not appreciated on prior chest radiography on the same date and may still\n be present. Additionally, several pulmonary nodules measuring up to 3 mm are\n not not well appreciated on the current study-CT is more sensitive.", "findings": "Frontal and lateral views of the chest are obtained. The lungs\n remain hyperinflated, suggesting chronic obstructive pulmonary disease. No\n focal consolidation, pleural effusion, or evidence of pneumothorax is seen. \n The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar\n contours are also stable.", "impression": "", "study_date": "2144-09-15", "study_id": "51966612" }, "metadata": { "subject_id": "10402372", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2144-09-19", "admission_info": { "hadm_id": 27447687, "admittime": "2144-09-19 17:56:00", "dischtime": "2144-10-05 13:11:00", "admission_type": "EW EMER.", "demographics": { "age": 58, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "2381", "version": 9, "description": "Neoplasm of uncertain behavior of connective and other soft tissue" }, { "code": "7103", "version": 9, "description": "Dermatomyositis" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "1120", "version": 9, "description": "Candidiasis of mouth" }, { "code": "2536", "version": 9, "description": "Other disorders of neurohypophysis" }, { "code": "2630", "version": 9, "description": "Malnutrition of moderate degree" }, { "code": "5772", "version": 9, "description": "Cyst and pseudocyst of pancreas" }, { "code": "4941", "version": 9, "description": "Bronchiectasis with acute exacerbation" }, { "code": "99739", "version": 9, "description": "Other respiratory complications" }, { "code": "5180", "version": 9, "description": "Pulmonary collapse" }, { "code": "2731", "version": 9, "description": "Monoclonal paraproteinemia" }, { "code": "2859", "version": 9, "description": "Anemia, unspecified" }, { "code": "28850", "version": 9, "description": "Leukocytopenia, unspecified" }, { "code": "6970", "version": 9, "description": "Lichen planus" }, { "code": "7856", "version": 9, "description": "Enlargement of lymph nodes" }, { "code": "53010", "version": 9, "description": "Esophagitis, unspecified" }, { "code": "60789", "version": 9, "description": "Other specified disorders of penis" }, { "code": "37230", "version": 9, "description": "Conjunctivitis, unspecified" }, { "code": "E8786", "version": 9, "description": "Removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation" }, { "code": "37300", "version": 9, "description": "Blepharitis, unspecified" } ], "labs": [ { "label": "Hemoglobin", "value": "11.2", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "34.7", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "191", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "3.5", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "24", "unit": "mEq/L", "flag": "normal" }, { "label": "CRP", "value": "___", "unit": "mg/L", "flag": "abnormal" }, { "label": "Chloride", "value": "99", "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": "3.5", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "132", "unit": "mEq/L", "flag": "abnormal" }, { "label": "BUN", "value": "10", "unit": "mg/dL", "flag": "normal" } ] } }, "eval_track": "followup", "lateral_image_path": "images/mimic/p10/p10402372/s58736291/c09a6b81-3118c102-3127bf27-987bd433-7114e2d1.jpg" }, { "study_id": "mimic_58836461", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p15/p15192710/s58836461/201ac57d-bf4004d7-41445e4a-91f50e03-e786df90.jpg", "report_gt": "FINAL REPORT\n HISTORY: ___-year-old male with recent left pneumothorax, now with new\n pleuritic chest pain.\n \n STUDY: PA and lateral chest radiograph.\n \n COMPARISON: Multiple chest radiographs from ___ through ___.\n \n FINDINGS: The cardiomediastinal and hilar contours are normal. Subtle linear\n horizontally oriented opacities in the left costophrenic angle appear improved\n compared to prior exams and likely reflect the sequelae of resolving\n atelectasis. There is no pneumothorax. A small left pleural effusion is\n seen.\n \n IMPRESSION: Small left pleural effusion and improving atelectasis, but no\n pneumothorax.", "findings": "The cardiomediastinal and hilar contours are normal. Subtle linear\n horizontally oriented opacities in the left costophrenic angle appear improved\n compared to prior exams and likely reflect the sequelae of resolving\n atelectasis. There is no pneumothorax. A small left pleural effusion is\n seen.", "impression": "Small left pleural effusion and improving atelectasis, but no\n pneumothorax.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p15/p15192710/s58817744/b4090c18-9828842b-111e341f-0673f4ad-e42afebc.jpg", "report": "IMPRESSION:\nPA and lateral chest compared to ___.\n \n Left apical pneumothorax is tiny if any. The benefit of the lateral view. We\n can see that although the large region of opacification in the left lower lung\n is improving. There are actually two responsible abnormalities, a region of\n consolidation or atelectasis in the lingula, and a pleural collection in the\n left lower hemithorax adjacent to region of consolidation. One or both of\n these lesions is presumably a hematoma from recent transbronchial biopsy. PA\n and lateral views therefore are recommended for subsequent followup. Right\n lung is clear. The heart is normal size.", "findings": "", "impression": "", "study_date": "2115-04-12", "study_id": "58817744" }, "metadata": { "subject_id": "15192710", "view_position": "PA", "comparison": "Multiple chest radiographs from ___ through ___.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "0.0", "Support Devices": "" }, "study_date": "2115-04-23" }, "eval_track": "followup", "lateral_image_path": "images/mimic/p15/p15192710/s58836461/829c6f86-9cb29e7d-e8f6a250-91dc2e24-bf216a9e.jpg" }, { "study_id": "mimic_53351384", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13473495/s53351384/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.jpg", "report_gt": "FINAL REPORT\n INDICATION: History of Gram-negative rod bacteremia, intubated, please\n evaluate for interval change.\n \n COMPARISONS: Multiple chest radiographs dated back to ___ and CT\n from ___.\n \n TECHNIQUE: Single AP portable exam of the chest.\n \n FINDINGS: The ET tube terminates 3.9 cm above the carina. There is an\n enteric tube which extends well below the diaphragm. Again seen is severe\n cardiomegaly, stable since at least ___. The lung volumes\n continued to be low with evidence of elevated pulmonary venous pressure and\n moderate bilateral pleural effusions, left greater than right. There appears\n to be slight interval worsening of the bibasilar atelectasis. There is no\n evidence of a pneumothorax. Note is again made of stable elevation of the\n right hemidiaphragmatic contour.\n \n IMPRESSION: \n \n Slight interval worsening of atelectasis at the left lung base. Stable\n moderate bilateral pleural effusions, left greater than right.", "findings": "The ET tube terminates 3.9 cm above the carina. There is an\n enteric tube which extends well below the diaphragm. Again seen is severe\n cardiomegaly, stable since at least ___. The lung volumes\n continued to be low with evidence of elevated pulmonary venous pressure and\n moderate bilateral pleural effusions, left greater than right. There appears\n to be slight interval worsening of the bibasilar atelectasis. There is no\n evidence of a pneumothorax. Note is again made of stable elevation of the\n right hemidiaphragmatic contour.", "impression": "Slight interval worsening of atelectasis at the left lung base. Stable\n moderate bilateral pleural effusions, left greater than right.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13473495/s53000263/021e1de7-890774b9-f2aa1f31-53b8b7b8-eb9c4fd2.jpg", "report": "FINDINGS:\nIn comparison with the study of ___, there is continued\n substantial enlargement of the cardiac silhouette with elevated pulmonary\n venous pressure. Probable bilateral layering pleural effusions with\n compressive atelectasis at the bases. In the appropriate clinical setting,\n supervening pneumonia would have to be seriously considered.", "findings": "", "impression": "", "study_date": "2141-06-30", "study_id": "53000263" }, "metadata": { "subject_id": "13473495", "view_position": "AP", "comparison": "S: Multiple chest radiographs dated back to ___ and CT", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2141-07-01", "admission_info": { "hadm_id": 25901935, "admittime": "2141-06-29 14:11:00", "dischtime": "2141-07-07 15:37:00", "admission_type": "EW EMER.", "demographics": { "age": 57, "gender": "M" }, "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": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "42823", "version": 9, "description": "Acute on chronic systolic heart failure" }, { "code": "34982", "version": 9, "description": "Toxic encephalopathy" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "8670", "version": 9, "description": "Injury to bladder and urethra, without mention of open wound into cavity" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "7921", "version": 9, "description": "Nonspecific abnormal findings in stool contents" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "27801", "version": 9, "description": "Morbid obesity" }, { "code": "2749", "version": 9, "description": "Gout, unspecified" }, { "code": "E8497", "version": 9, "description": "Accidents occurring in residential institution" }, { "code": "E8796", "version": 9, "description": "Urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" } ], "labs": [ { "label": "Anion Gap", "value": "23", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "19", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "94", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "5.6", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.8", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "131", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "53", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "11.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.8", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "201", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "16.2", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "2.5", "unit": "mmol/L", "flag": "abnormal" } ] } }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "mimic_50146341", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11022245/s50146341/b418d709-571d80f6-35f680e3-16a938ff-bde93b89.jpg", "report_gt": "PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___ 11:38 AM\n 1. Lines and tubes in place. \n 2. Increased pulmonary edema with right upper lobe and bibasilar\n consolidations.\n ______________________________________________________________________________\n FINAL REPORT\n HISTORY: ___-year-old male with endocarditis and intubated.\n \n STUDY: Portable AP semi-upright chest radiograph.\n \n COMPARISON: ___.\n \n FINDINGS: The endotracheal tube tip sits 5 cm above the carina. A left-sided\n IJ central venous catheter tip sits in the left brachiocephalic vein. The\n right-sided IJ central venous catheter tip sits in the upper SVC. The heart\n size is large but stable. The mediastinal contours are within normal limits. \n There continue to be bibasilar and perihilar opacities as well as a more\n rounded confluent opacity in the right upper lung. These findings likely\n represent increased pulmonary edema as well as right upper and lower lobe\n consolidations. Retrocardiac opacity is also compatible with a left lower\n lobe consolidation. The costophrenic angles are excluded from the study\n limiting assessment for subtle pleural effusion. There is no large\n pneumothorax.\n \n IMPRESSION: \n 1. Lines and tubes in place. \n 2. Increased pulmonary edema with right upper lobe and bibasilar\n consolidations.", "findings": "IMPRESSION (PFI): ___ ___ ___ 11:38 AM\n 1. Lines and tubes in place. \n 2. Increased pulmonary edema with right upper lobe and bibasilar\n consolidations.\n ______________________________________________________________________________\n FINAL REPORT\n HISTORY: ___-year-old male with endocarditis and intubated.\n \n STUDY: Portable AP semi-upright chest radiograph.\n \n COMPARISON: ___.\n \n FINDINGS: The endotracheal tube tip sits 5 cm above the carina. A left-sided\n IJ central venous catheter tip sits in the left brachiocephalic vein. The\n right-sided IJ central venous catheter tip sits in the upper SVC. The heart\n size is large but stable. The mediastinal contours are within normal limits. \n There continue to be bibasilar and perihilar opacities as well as a more\n rounded confluent opacity in the right upper lung. These findings likely\n represent increased pulmonary edema as well as right upper and lower lobe\n consolidations. Retrocardiac opacity is also compatible with a left lower\n lobe consolidation. The costophrenic angles are excluded from the study\n limiting assessment for subtle pleural effusion. There is no large\n pneumothorax.", "impression": "(PFI): ___ ___ ___ 11:38 AM\n 1. Lines and tubes in place. \n 2. Increased pulmonary edema with right upper lobe and bibasilar\n consolidations.\n ______________________________________________________________________________\n FINAL REPORT\n HISTORY: ___-year-old male with endocarditis and intubated.\n \n STUDY: Portable AP semi-upright chest radiograph.\n \n COMPARISON: ___.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p11/p11022245/s56303122/4b060466-eed839b9-97b85751-c9cb7084-852b9f42.jpg", "report": "FINAL REPORT\n REASON FOR EXAMINATION: Evaluation of the patient with endocarditis,\n intubated.\n \n AP radiograph of the chest was reviewed in comparison to ___.\n \n The ET tube tip is 5 cm above the carina. The right internal jugular line tip\n is at the level of mid SVC. Cardiomegaly is unchanged, moderate to severe. \n The patient continues to be in mild pulmonary edema. Right upper lobe opacity\n appears to be unchanged, representing right upper lobe consolidation, better\n appreciated on the chest CT obtained on ___. Left basal consolidation\n is better appreciated on CT and obscured by the cardiomegaly and pleural\n effusion on the current radiograph.", "findings": "", "impression": "", "study_date": "2171-10-17", "study_id": "56303122" }, "metadata": { "subject_id": "11022245", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "1.0", "Edema": "1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2171-10-18", "admission_info": { "hadm_id": 29881372, "admittime": "2171-10-15 02:22:00", "dischtime": "2171-10-28 11:45:00", "admission_type": "EW EMER.", "demographics": { "age": 60, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "0380", "version": 9, "description": "Streptococcal septicemia" }, { "code": "4210", "version": 9, "description": "Acute and subacute bacterial endocarditis" }, { "code": "41071", "version": 9, "description": "Subendocardial infarction, initial episode of care" }, { "code": "41519", "version": 9, "description": "Other pulmonary embolism and infarction" }, { "code": "43411", "version": 9, "description": "Cerebral embolism with cerebral infarction" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "5119", "version": 9, "description": "Unspecified pleural effusion" }, { "code": "78551", "version": 9, "description": "Cardiogenic shock" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "5845", "version": 9, "description": "Acute kidney failure with lesion of tubular necrosis" }, { "code": "42831", "version": 9, "description": "Acute diastolic heart failure" }, { "code": "449", "version": 9, "description": "Septic arterial embolism" }, { "code": "2761", "version": 9, "description": "Hyposmolality and/or hyponatremia" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "07054", "version": 9, "description": "Chronic hepatitis C without mention of hepatic coma" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "33829", "version": 9, "description": "Other chronic pain" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "30400", "version": 9, "description": "Opioid type dependence, unspecified" }, { "code": "7245", "version": 9, "description": "Backache, unspecified" }, { "code": "7295", "version": 9, "description": "Pain in limb" }, { "code": "3051", "version": 9, "description": "Tobacco use disorder" }, { "code": "04104", "version": 9, "description": "Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus]" }, { "code": "30000", "version": 9, "description": "Anxiety state, unspecified" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "3963", "version": 9, "description": "Mitral valve insufficiency and aortic valve insufficiency" }, { "code": "3970", "version": 9, "description": "Diseases of tricuspid valve" }, { "code": "4476", "version": 9, "description": "Arteritis, unspecified" }, { "code": "2809", "version": 9, "description": "Iron deficiency anemia, unspecified" }, { "code": "27541", "version": 9, "description": "Hypocalcemia" } ], "labs": [ { "label": "Anion Gap", "value": "17", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "18", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "111", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "2.4", "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": "140", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "92", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "7.0", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "27.3", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "284", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "16.8", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "2.8", "unit": "mmol/L", "flag": "abnormal" } ] } }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "mimic_51398188", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19075045/s51398188/406ff57a-8c66ca32-af21faa2-a53b08d6-7b5a0bdf.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___M w/large volume resuscitation, please eval for pulm edema\n \n TECHNIQUE: AP portable chest radiograph\n \n COMPARISON: ___\n \n FINDINGS: \n \n The patient is status post prior median sternotomy and CABG. A left chest\n wall dual lead pacemaker is present. A right central venous catheter is\n unchanged, the tip extending to the superior cavoatrial junction.\n \n No focal consolidation, pleural effusion or pneumothorax identified. Mild\n unchanged central pulmonary vascular congestion. The size and appearance of\n the cardiomediastinal silhouette is unchanged.\n \n Partially evaluated bilateral shoulder prostheses.\n \n IMPRESSION: \n \n Unchanged central pulmonary vascular congestion without evidence for pulmonary\n edema.", "findings": "The patient is status post prior median sternotomy and CABG. A left chest\n wall dual lead pacemaker is present. A right central venous catheter is\n unchanged, the tip extending to the superior cavoatrial junction.\n \n No focal consolidation, pleural effusion or pneumothorax identified. Mild\n unchanged central pulmonary vascular congestion. The size and appearance of\n the cardiomediastinal silhouette is unchanged.\n \n Partially evaluated bilateral shoulder prostheses.", "impression": "Unchanged central pulmonary vascular congestion without evidence for pulmonary\n edema.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19075045/s52521827/959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c.jpg", "report": "FINDINGS:\nThe lungs are moderately well inflated.\n There is unchanged mild prominence of lung vasculature without frank pulmonary\n edema.\n Mild cardiomegaly. No pleural effusions.\n Left upper chest wall pacemaker and pacer wires, right-sided central venous\n catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral\n humeral prosthesis, all remain unchanged compared to the prior radiograph.\n\nIMPRESSION:\n1. Mild prominence of lung vasculature without pulmonary edema.\n 2. No pleural effusion or pneumothorax.", "findings": "The lungs are moderately well inflated.\n There is unchanged mild prominence of lung vasculature without frank pulmonary\n edema.\n Mild cardiomegaly. No pleural effusions.\n Left upper chest wall pacemaker and pacer wires, right-sided central venous\n catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral\n humeral prosthesis, all remain unchanged compared to the prior radiograph.", "impression": "", "study_date": "2142-02-16", "study_id": "52521827" }, "metadata": { "subject_id": "19075045", "view_position": "AP", "comparison": "___", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2142-02-23", "admission_info": { "hadm_id": 28683279, "admittime": "2142-02-07 19:34:00", "dischtime": "2142-02-26 17:55:00", "admission_type": "DIRECT EMER.", "demographics": { "age": 72, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "I132", "version": 10, "description": "Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease" }, { "code": "I5033", "version": 10, "description": "Acute on chronic diastolic (congestive) heart failure" }, { "code": "N179", "version": 10, "description": "Acute kidney failure, unspecified" }, { "code": "E872", "version": 10, "description": "Acidosis" }, { "code": "D6832", "version": 10, "description": "Hemorrhagic disorder due to extrinsic circulating anticoagulants" }, { "code": "N186", "version": 10, "description": "End stage renal disease" }, { "code": "E1151", "version": 10, "description": "Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene" }, { "code": "D62", "version": 10, "description": "Acute posthemorrhagic anemia" }, { "code": "I4892", "version": 10, "description": "Unspecified atrial flutter" }, { "code": "I471", "version": 10, "description": "Supraventricular tachycardia" }, { "code": "N390", "version": 10, "description": "Urinary tract infection, site not specified" }, { "code": "K91840", "version": 10, "description": "Postprocedural hemorrhage of a digestive system organ or structure following a digestive system procedure" }, { "code": "I82612", "version": 10, "description": "Acute embolism and thrombosis of superficial veins of left upper extremity" }, { "code": "T801XXA", "version": 10, "description": "Vascular complications following infusion, transfusion and therapeutic injection, initial encounter" }, { "code": "M96841", "version": 10, "description": "Postprocedural hematoma of a musculoskeletal structure following other procedure" }, { "code": "I959", "version": 10, "description": "Hypotension, unspecified" }, { "code": "D696", "version": 10, "description": "Thrombocytopenia, unspecified" }, { "code": "I480", "version": 10, "description": "Paroxysmal atrial fibrillation" }, { "code": "T8781", "version": 10, "description": "Dehiscence of amputation stump" }, { "code": "I2510", "version": 10, "description": "Atherosclerotic heart disease of native coronary artery without angina pectoris" }, { "code": "I252", "version": 10, "description": "Old myocardial infarction" }, { "code": "G4733", "version": 10, "description": "Obstructive sleep apnea (adult) (pediatric)" }, { "code": "D469", "version": 10, "description": "Myelodysplastic syndrome, unspecified" }, { "code": "I70208", "version": 10, "description": "Unspecified atherosclerosis of native arteries of extremities, other extremity" }, { "code": "E7800", "version": 10, "description": "Pure hypercholesterolemia, unspecified" }, { "code": "B9620", "version": 10, "description": "Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere" }, { "code": "I081", "version": 10, "description": "Rheumatic disorders of both mitral and tricuspid valves" }, { "code": "Z87891", "version": 10, "description": "Personal history of nicotine dependence" }, { "code": "Z951", "version": 10, "description": "Presence of aortocoronary bypass graft" }, { "code": "Z45018", "version": 10, "description": "Encounter for adjustment and management of other part of cardiac pacemaker" }, { "code": "Z952", "version": 10, "description": "Presence of prosthetic heart valve" }, { "code": "Z859", "version": 10, "description": "Personal history of malignant neoplasm, unspecified" }, { "code": "Z7901", "version": 10, "description": "Long term (current) use of anticoagulants" }, { "code": "Z794", "version": 10, "description": "Long term (current) use of insulin" }, { "code": "T45515A", "version": 10, "description": "Adverse effect of anticoagulants, initial encounter" }, { "code": "Y835", "version": 10, "description": "Amputation of limb(s) as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure" }, { "code": "Y929", "version": 10, "description": "Unspecified place or not applicable" }, { "code": "Y838", "version": 10, "description": "Other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure" } ], "labs": [ { "label": "Hemoglobin", "value": "7.1", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.5", "unit": "g/dL", "flag": "abnormal" }, { "label": "Platelet Count", "value": "84", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "5.5", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "22", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "15", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "103", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "BNP", "value": "___", "unit": "pg/mL", "flag": "abnormal" }, { "label": "Potassium", "value": "5.2", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Sodium", "value": "135", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "110", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Lactate", "value": "___", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "mimic_50371697", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19720782/s50371697/65275408-6db6d9a9-13c023c8-a6a96579-434dee3d.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH PERFORMED ON ___\n \n Comparison with a chest CT from ___.\n \n CLINICAL HISTORY: Hypoxia, question pneumonia.\n \n FINDINGS: Portable AP upright chest radiograph obtained. In this patient\n with known small cell lung cancer, there is stable soft tissue\n density/prominence of the right pulmonary hilum which is unchanged from prior\n exams. There is a small right pleural effusion which appears stable from\n prior exam and is somewhat loculated, tracking along the right lung apex. \n There is no overt evidence of pneumonia. There are subtle nodular opacities\n within the periphery of both lungs which are of unknown etiology or\n significance. Overall heart size appears stable. Bony structures are intact.\n \n IMPRESSION: Stable right hilar prominence and right pleural effusion. Subtle\n nodular opacities in the periphery of the lungs are indeterminant. \n Nonemergent CT may be performed to further assess.", "findings": "Portable AP upright chest radiograph obtained. In this patient\n with known small cell lung cancer, there is stable soft tissue\n density/prominence of the right pulmonary hilum which is unchanged from prior\n exams. There is a small right pleural effusion which appears stable from\n prior exam and is somewhat loculated, tracking along the right lung apex. \n There is no overt evidence of pneumonia. There are subtle nodular opacities\n within the periphery of both lungs which are of unknown etiology or\n significance. Overall heart size appears stable. Bony structures are intact.", "impression": "Stable right hilar prominence and right pleural effusion. Subtle\n nodular opacities in the periphery of the lungs are indeterminant. \n Nonemergent CT may be performed to further assess.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19720782/s58510466/4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a.jpg", "report": "FINDINGS:\nPortable AP upright chest radiograph is obtained. Evaluation is\n somewhat limited given the underpenetrated technique. There is stable\n prominence of the right hilar structures with slight upward retraction of the\n right hila again noted. A small right effusion is again noted. Mild\n congestion is difficult to exclude. The heart is top normal in size. Bony\n structures appear intact.\n\nIMPRESSION:\nStable prominence and upward retraction of the right pulmonary\n hilum in this patient with known lung cancer. Right pleural effusion and\n probable mild interstitial edema.", "findings": "Portable AP upright chest radiograph is obtained. Evaluation is\n somewhat limited given the underpenetrated technique. There is stable\n prominence of the right hilar structures with slight upward retraction of the\n right hila again noted. A small right effusion is again noted. Mild\n congestion is difficult to exclude. The heart is top normal in size. Bony\n structures appear intact.", "impression": "", "study_date": "2181-01-08", "study_id": "58510466" }, "metadata": { "subject_id": "19720782", "view_position": "AP", "comparison": "with a chest CT from ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "1.0", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2181-03-26" }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "mimic_50447060", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg", "report_gt": "FINAL REPORT\n INDICATION: History of DVT and worsening shortness of breath, rule out acute\n process.\n \n COMPARISONS: Multiple chest radiographs dating back to ___.\n \n TECHNIQUE: PA and lateral radiographs of the chest.\n \n FINDINGS: Again seen, is enlargement of the cardiac silhouette. The hilar and\n mediastinal contours are stable. There has been interval improvement of the\n previously noted pulmonary edema. No new focal consolidation concerning for\n infection is identified. There are chronic areas of scarring in the left lower\n lobe, as well as a stable nodular opacity at the left heart border. \n Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are\n unchanged in position. There is no pleural effusion or pneumothorax.\n \n IMPRESSION: Overall interval improvement of the previous noted pulmonary\n edema. No pneumonia.", "findings": "Again seen, is enlargement of the cardiac silhouette. The hilar and\n mediastinal contours are stable. There has been interval improvement of the\n previously noted pulmonary edema. No new focal consolidation concerning for\n infection is identified. There are chronic areas of scarring in the left lower\n lobe, as well as a stable nodular opacity at the left heart border. \n Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are\n unchanged in position. There is no pleural effusion or pneumothorax.", "impression": "Overall interval improvement of the previous noted pulmonary\n edema. No pneumonia.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13606683/s54400622/bb11d45c-8528735b-d8630c2c-703ba5ed-e1ffb56b.jpg", "report": "WET READ: ___ ___ ___ 7:07 PM\n Left mid and lower lung opacities have worsened. Bilateral pleural effusions\n have increased. Moderate pulmonary edema. \n \n WET READ VERSION #1 \n ______________________________________________________________________________\n FINAL REPORT\n REASON FOR EXAMINATION: Evaluation of the patient with worsening hypoxia.\n \n Portable AP radiograph of the chest was reviewed in comparison to ___, obtained at 9:52 a.m.\n \n Current study demonstrates interval redevelopment of interstitial pulmonary\n edema seen in perihilar areas and lower lobes. It obscures currently the\n appearance of the left upper lobe consolidation, but no interval worsening of\n the left upper lobe consolidation demonstrated. Small amount of pleural\n effusion cannot be excluded. Pacemaker defibrillator leads are in unchanged\n position.", "findings": "", "impression": "", "study_date": "2176-11-20", "study_id": "54400622" }, "metadata": { "subject_id": "13606683", "view_position": "PA", "comparison": "S: Multiple chest radiographs dating back to ___.", "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": "2176-12-25" }, "eval_track": "followup", "lateral_image_path": "images/mimic/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg" }, { "study_id": "mimic_56129930", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11052935/s56129930/9870d11d-3a0d9c78-f49f71c6-58644dd5-ce1b85fb.jpg", "report_gt": "FINAL REPORT\n INDICATION: COPD exacerbation and possible left lower lobe pneumonia.\n \n TECHNIQUE: PA and lateral chest radiographs.\n \n COMPARISON: ___.\n \n FINDINGS: There is increased opacification in the left lung base with\n obscuration of the left hemidiaphragm when compared to ___. Again noted\n is hyperinflation and flattening of the diaphragms suggesting emphysema. The\n cardiomediastinal silhouette is within normal limits.\n \n IMPRESSION: Left lower lobe pneumonia, more apparent than on ___.", "findings": "There is increased opacification in the left lung base with\n obscuration of the left hemidiaphragm when compared to ___. Again noted\n is hyperinflation and flattening of the diaphragms suggesting emphysema. The\n cardiomediastinal silhouette is within normal limits.", "impression": "Left lower lobe pneumonia, more apparent than on ___.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p11/p11052935/s59503672/146e8390-fd657795-492c6a0b-7aaa1bef-06c08c00.jpg", "report": "FINDINGS:\nSingle portable view of the chest is compared to previous exam from\n ___. As on prior, the lungs are hyperinflated with parenchymal\n changes suggestive of emphysema, particularly at the left lung apex. \n Increased interstitial markings are identified at the left lung base. \n Elsewhere, the lungs are grossly clear. Cardiomediastinal silhouette is\n within normal limits. Osseous and soft tissue structures are unremarkable. \n Linear patchy at the right lung base is compatible with atelectasis versus\n scarring.\n\nIMPRESSION:\nIncreased interstitial markings at the left lung base,\n potentially due to chronic changes; however, in the proper clinical setting,\n component of infection is also possible. Two views of the chest may help\n further characterize.", "findings": "Single portable view of the chest is compared to previous exam from\n ___. As on prior, the lungs are hyperinflated with parenchymal\n changes suggestive of emphysema, particularly at the left lung apex. \n Increased interstitial markings are identified at the left lung base. \n Elsewhere, the lungs are grossly clear. Cardiomediastinal silhouette is\n within normal limits. Osseous and soft tissue structures are unremarkable. \n Linear patchy at the right lung base is compatible with atelectasis versus\n scarring.", "impression": "", "study_date": "2188-02-27", "study_id": "59503672" }, "metadata": { "subject_id": "11052935", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2188-02-28", "admission_info": { "hadm_id": 27136769, "admittime": "2188-02-27 17:11:00", "dischtime": "2188-02-29 18:07:00", "admission_type": "EW EMER.", "demographics": { "age": 62, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "49121", "version": 9, "description": "Obstructive chronic bronchitis with (acute) exacerbation" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "78701", "version": 9, "description": "Nausea with vomiting" }, { "code": "7213", "version": 9, "description": "Lumbosacral spondylosis without myelopathy" }, { "code": "33829", "version": 9, "description": "Other chronic pain" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "4414", "version": 9, "description": "Abdominal aneurysm without mention of rupture" }, { "code": "1104", "version": 9, "description": "Dermatophytosis of foot" }, { "code": "3004", "version": 9, "description": "Dysthymic disorder" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "78052", "version": 9, "description": "Insomnia, unspecified" }, { "code": "79311", "version": 9, "description": "Solitary pulmonary nodule" } ], "labs": [ { "label": "Lactate", "value": "1.3", "unit": "mmol/L", "flag": "normal" }, { "label": "Anion Gap", "value": "12", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "23", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "111", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "0.7", "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": "143", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "BUN", "value": "22", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "12.7", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.0", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "275", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "8.2", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "followup", "lateral_image_path": "images/mimic/p11/p11052935/s56129930/2499c15e-4605f752-e137e424-4474ef69-839ebbaa.jpg" }, { "study_id": "rexgrad_pGRDNI20T3GFAQ2NW_aGRDN3R32CVWB5SEU_s1.2.826.0.1.3680043.8.498.24629507878208829883954955009706924544", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNI20T3GFAQ2NW/GRDN3R32CVWB5SEU/studies/1.2.826.0.1.3680043.8.498.24629507878208829883954955009706924544/series/1.2.826.0.1.3680043.8.498.57757924958304893678598168955320361374/instances/1.2.826.0.1.3680043.8.498.29930367979125217657849794129178926143.png", "report_gt": "FINDINGS:\nChanges of COPD with hyperinflation and scarring in the lungs. There is a new density in the left lung base. This could be a mass or infiltrate. This is subtle but not seen on the prior study. There is no pleural effusion. Compression fracture of approximately T7 is unchanged from the prior study.\n\nIMPRESSION:\nSubtle new density in the left lung base which may be a mass or infiltrate. Follow-up chest x-ray is suggested. If this persists then CT chest is suggested for further evaluation. Compression fracture of approximately T7 is unchanged.", "findings": "Changes of COPD with hyperinflation and scarring in the lungs. There is a new density in the left lung base. This could be a mass or infiltrate. This is subtle but not seen on the prior study. There is no pleural effusion. Compression fracture of approximately T7 is unchanged from the prior study.", "impression": "Subtle new density in the left lung base which may be a mass or infiltrate. Follow-up chest x-ray is suggested. If this persists then CT chest is suggested for further evaluation. Compression fracture of approximately T7 is unchanged.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNI20T3GFAQ2NW/GRDN73QSOLRJPLRP/studies/1.2.826.0.1.3680043.8.498.58749658156112126636901778991867697293/series/1.2.826.0.1.3680043.8.498.92084022854727621521087481540824925733/instances/1.2.826.0.1.3680043.8.498.32275610491860360651255402274492831011.png", "report": "FINDINGS:\nStable chronic lung disease. No edema, infiltrate or pleural fluid identified. The heart size is normal. The bony thorax shows stable osteopenia and at least one mild compression deformity of a mid thoracic vertebral body likely around the T7 level. This was present on the recent chest x-ray but was not present on a chest x-ray dated 07/21/1995.\n\nIMPRESSION:\nStable chronic lung disease with no acute pulmonary findings. Mildly compressed mid thoracic vertebral body around the T7 level with associated osteopenia. This is new since [DATE].", "findings": "Stable chronic lung disease. No edema, infiltrate or pleural fluid identified. The heart size is normal. The bony thorax shows stable osteopenia and at least one mild compression deformity of a mid thoracic vertebral body likely around the T7 level. This was present on the recent chest x-ray but was not present on a chest x-ray dated 07/21/1995.", "impression": "Stable chronic lung disease with no acute pulmonary findings. Mildly compressed mid thoracic vertebral body around the T7 level with associated osteopenia. This is new since [DATE].", "study_date": "20100529" }, "metadata": { "patient_id": "pGRDNI20T3GFAQ2NW", "view_position": "PA", "study_date": "20100623", "comparison": "Comparison: 1/14/1996.", "indication": "Cough.", "age": "075Y", "sex": "F" }, "eval_track": "followup", "lateral_image_path": "images/rexgradient/GRDNI20T3GFAQ2NW/GRDN3R32CVWB5SEU/studies/1.2.826.0.1.3680043.8.498.24629507878208829883954955009706924544/series/1.2.826.0.1.3680043.8.498.75433752050926756014469924670488496651/instances/1.2.826.0.1.3680043.8.498.18486127024482757297104833882148978210.png" }, { "study_id": "rexgrad_pGRDNXH8337WY4AJR_aGRDNJRH5RWN048F6_s1.2.826.0.1.3680043.8.498.82371545134841209181117802661934913211", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNXH8337WY4AJR/GRDNJRH5RWN048F6/studies/1.2.826.0.1.3680043.8.498.82371545134841209181117802661934913211/series/1.2.826.0.1.3680043.8.498.65837511737627222561012470719192419549/instances/1.2.826.0.1.3680043.8.498.47523035985043113948539155553070246367.png", "report_gt": "FINDINGS:\nCardiomegaly again noted. Status post median sternotomy. Dual lead cardiac pacemaker is unchanged in position. There is small right pleural effusion decreased in size from prior exam. Persistent atelectasis or infiltrate in right base. Small residual airspace disease right midlung peripheral. There is no pneumothorax. Small left pleural effusion with left basilar atelectasis.\n\nIMPRESSION:\nThere is small right pleural effusion decreased in size from prior exam. Persistent atelectasis or infiltrate in right base. Small residual airspace disease right midlung peripheral. There is no pneumothorax. Small left pleural effusion with left basilar atelectasis.", "findings": "Cardiomegaly again noted. Status post median sternotomy. Dual lead cardiac pacemaker is unchanged in position. There is small right pleural effusion decreased in size from prior exam. Persistent atelectasis or infiltrate in right base. Small residual airspace disease right midlung peripheral. There is no pneumothorax. Small left pleural effusion with left basilar atelectasis.", "impression": "There is small right pleural effusion decreased in size from prior exam. Persistent atelectasis or infiltrate in right base. Small residual airspace disease right midlung peripheral. There is no pneumothorax. Small left pleural effusion with left basilar atelectasis.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNXH8337WY4AJR/GRDNJOP8U1J4KJ50/studies/1.2.826.0.1.3680043.8.498.23644418250933489145849200186204868783/series/1.2.826.0.1.3680043.8.498.79797623221991902046732602804368992972/instances/1.2.826.0.1.3680043.8.498.18544317463914045269085141208194994663.png", "report": "FINDINGS:\nCardiomegaly and cardiac valve replacement changes noted. Mild pulmonary vascular congestion again noted. A left pacemaker/ICD noted. Opacity overlying the mid and lower right lung again noted but appears slightly improved. This may be a combination of effusion, airspace disease/consolidation and atelectasis. There is no evidence of pneumothorax.\n\nIMPRESSION:\nSlight improvement in opacity overlying the mid and lower right lung which may be a combination of effusion, airspace disease/consolidation and atelectasis. Cardiomegaly and mild pulmonary vascular congestion.", "findings": "Cardiomegaly and cardiac valve replacement changes noted. Mild pulmonary vascular congestion again noted. A left pacemaker/ICD noted. Opacity overlying the mid and lower right lung again noted but appears slightly improved. This may be a combination of effusion, airspace disease/consolidation and atelectasis. There is no evidence of pneumothorax.", "impression": "Slight improvement in opacity overlying the mid and lower right lung which may be a combination of effusion, airspace disease/consolidation and atelectasis. Cardiomegaly and mild pulmonary vascular congestion.", "study_date": "20170516" }, "metadata": { "patient_id": "pGRDNXH8337WY4AJR", "view_position": "AP", "study_date": "20170517", "comparison": "Comparison: 10/04/12", "indication": "Post thoracentesis", "age": "062Y", "sex": "F" }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "rexgrad_pGRDN7IIH85VF00CA_aGRDN68APDS8QYPNV_s1.2.826.0.1.3680043.8.498.48946926473990057736588248031738188815", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN7IIH85VF00CA/GRDN68APDS8QYPNV/studies/1.2.826.0.1.3680043.8.498.48946926473990057736588248031738188815/series/1.2.826.0.1.3680043.8.498.11573552686413711696403640938436015742/instances/1.2.826.0.1.3680043.8.498.77205020030338496229843557119294754278.png", "report_gt": "FINDINGS:\nLung volumes are low with crowding of the bronchovascular markings. Tracheostomy is appropriately positioned. Heart size upper limits of normal. Trace pleural effusions are noted. Aeration is overall slightly decreased since the prior exam. Moderate severe bilateral glenohumeral joint degenerative change identified.\n\nIMPRESSION:\nDecreased aeration with bilateral lower lobe presumed atelectasis.", "findings": "Lung volumes are low with crowding of the bronchovascular markings. Tracheostomy is appropriately positioned. Heart size upper limits of normal. Trace pleural effusions are noted. Aeration is overall slightly decreased since the prior exam. Moderate severe bilateral glenohumeral joint degenerative change identified.", "impression": "Decreased aeration with bilateral lower lobe presumed atelectasis.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN7IIH85VF00CA/GRDN679UCTADYF07/studies/1.2.826.0.1.3680043.8.498.94068631270999577837400266355699566087/series/1.2.826.0.1.3680043.8.498.14804274055691476640630023266315494578/instances/1.2.826.0.1.3680043.8.498.27993894439514962423787443204945103094.png", "report": "FINDINGS:\nTracheostomy tube in good position. Tip is midline at the level of the trachea. Enteric feeding tube noted. The weighted tip projects over the peripyloric region. Left upper extremity approach PICC has been removed. Relatively increased linear opacities in the right base compared to the prior study most consistent with atelectasis. Overall, pulmonary vascular congestion appears improved compared to prior. Bilateral retrocardiac opacities also likely reflect atelectasis.\n\nIMPRESSION:\n1. Slightly increased retrocardiac opacities and linear right basilar opacities favored to represent atelectasis. In the appropriate clinical setting, superimposed infection or aspiration is difficult to exclude. 2. Support apparatus in satisfactory position as above.", "findings": "Tracheostomy tube in good position. Tip is midline at the level of the trachea. Enteric feeding tube noted. The weighted tip projects over the peripyloric region. Left upper extremity approach PICC has been removed. Relatively increased linear opacities in the right base compared to the prior study most consistent with atelectasis. Overall, pulmonary vascular congestion appears improved compared to prior. Bilateral retrocardiac opacities also likely reflect atelectasis.", "impression": "1. Slightly increased retrocardiac opacities and linear right basilar opacities favored to represent atelectasis. In the appropriate clinical setting, superimposed infection or aspiration is difficult to exclude. 2. Support apparatus in satisfactory position as above.", "study_date": "20121025" }, "metadata": { "patient_id": "pGRDN7IIH85VF00CA", "view_position": "AP", "study_date": "20121103", "comparison": "Comparison: 01/08/2006", "indication": "Shortness of breath, status post tracheostomy", "age": "079Y", "sex": "M" }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "rexgrad_pGRDN1VCE7XC5QVFD_aGRDNI9G49J6O0NQ0_s1.2.826.0.1.3680043.8.498.80189750852214451739312378152674220597", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN1VCE7XC5QVFD/GRDNI9G49J6O0NQ0/studies/1.2.826.0.1.3680043.8.498.80189750852214451739312378152674220597/series/1.2.826.0.1.3680043.8.498.65598259070186365889488103699091981999/instances/1.2.826.0.1.3680043.8.498.82385516945243317208839454148197042643.png", "report_gt": "FINDINGS:\nMultiple left-sided rib fractures are again noted. No pneumothorax. There is bibasilar atelectasis. Heart is normal size.\n\nIMPRESSION:\nMultiple left rib fractures without pneumothorax. Bibasilar atelectasis.", "findings": "Multiple left-sided rib fractures are again noted. No pneumothorax. There is bibasilar atelectasis. Heart is normal size.", "impression": "Multiple left rib fractures without pneumothorax. Bibasilar atelectasis.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN1VCE7XC5QVFD/GRDNVL6PU1UC5SSS/studies/1.2.826.0.1.3680043.8.498.57374490799745683187729524151363974167/series/1.2.826.0.1.3680043.8.498.25460157234116838151384902614748124172/instances/1.2.826.0.1.3680043.8.498.22857648553365662530005858631201753717.png", "report": "FINDINGS:\nThere is no focal parenchymal opacity. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. There are acute mildly displaced left posterolateral seventh, eighth, and ninth rib fractures.\n\nIMPRESSION:\nAcute mildly displaced left posterolateral seventh, eighth, and ninth rib fractures.", "findings": "There is no focal parenchymal opacity. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. There are acute mildly displaced left posterolateral seventh, eighth, and ninth rib fractures.", "impression": "Acute mildly displaced left posterolateral seventh, eighth, and ninth rib fractures.", "study_date": "20180414" }, "metadata": { "patient_id": "pGRDN1VCE7XC5QVFD", "view_position": "AP", "study_date": "20180415", "comparison": "Comparison: 11/08/1994.", "indication": "Left rib fracture, history of MVA.", "age": "069Y", "sex": "M" }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "rexgrad_pGRDN7W3F1HYS0YP8_aGRDNJEK0QONR33JJ_s1.2.826.0.1.3680043.8.498.90097956165984708245016524404897934461", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN7W3F1HYS0YP8/GRDNJEK0QONR33JJ/studies/1.2.826.0.1.3680043.8.498.90097956165984708245016524404897934461/series/1.2.826.0.1.3680043.8.498.53348362385198084047277844515914490673/instances/1.2.826.0.1.3680043.8.498.30345828672547924415831667878572426703.png", "report_gt": "FINDINGS:\nInterval extubation. Interval removal of nasogastric tube. Right jugular sheath in satisfactory position. Bibasilar linear airspace disease likely reflecting atelectasis. Improved left lung aeration. Trace left pleural effusion. No pneumothorax. Stable cardiomediastinal silhouette. Recent CABG. No acute osseous abnormality.\n\nIMPRESSION:\nInterval extubation. Bibasilar atelectasis with improved left lung base aeration. Trace left pleural effusion.", "findings": "Interval extubation. Interval removal of nasogastric tube. Right jugular sheath in satisfactory position. Bibasilar linear airspace disease likely reflecting atelectasis. Improved left lung aeration. Trace left pleural effusion. No pneumothorax. Stable cardiomediastinal silhouette. Recent CABG. No acute osseous abnormality.", "impression": "Interval extubation. Bibasilar atelectasis with improved left lung base aeration. Trace left pleural effusion.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN7W3F1HYS0YP8/GRDN0S7Z69CINAGK/studies/1.2.826.0.1.3680043.8.498.38218271378811671509343521460723487370/series/1.2.826.0.1.3680043.8.498.88943553629217184955212281859782585487/instances/1.2.826.0.1.3680043.8.498.69969571592888129777087814872619145293.png", "report": "FINDINGS:\nChanges of CABG. Swan-Ganz catheter tip is in the right main pulmonary artery. Endotracheal tube is 4 cm above the carina. Left basilar chest tube in place. No pneumothorax. NG tube enters the stomach. There is cardiomegaly with vascular congestion and areas of perihilar and lower lobe atelectasis. Low lung volumes.\n\nIMPRESSION:\nPostoperative changes with perihilar and lower lobe atelectasis. Low lung volumes. No pneumothorax.", "findings": "Changes of CABG. Swan-Ganz catheter tip is in the right main pulmonary artery. Endotracheal tube is 4 cm above the carina. Left basilar chest tube in place. No pneumothorax. NG tube enters the stomach. There is cardiomegaly with vascular congestion and areas of perihilar and lower lobe atelectasis. Low lung volumes.", "impression": "Postoperative changes with perihilar and lower lobe atelectasis. Low lung volumes. No pneumothorax.", "study_date": "20161124" }, "metadata": { "patient_id": "pGRDN7W3F1HYS0YP8", "view_position": "AP", "study_date": "20161126", "comparison": "Comparison: 9/3/2006", "indication": "Status post CABG", "age": "061Y", "sex": "M" }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "rexgrad_pGRDNZZOOJX3YECLB_aGRDN3Y9SZNU2EX7W_s1.2.826.0.1.3680043.8.498.40083824866256200423079551209044580922", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNZZOOJX3YECLB/GRDN3Y9SZNU2EX7W/studies/1.2.826.0.1.3680043.8.498.40083824866256200423079551209044580922/series/1.2.826.0.1.3680043.8.498.78662964209872578121079480283389943886/instances/1.2.826.0.1.3680043.8.498.27331916565365872163395543642367911713.png", "report_gt": "FINDINGS:\nThe trachea remains intubated. There is an esophagogastric tube present whose tip projects off the film. The heart is normal in size. Its margins are ill-defined. There are increased interstitial markings bilaterally and some fluffy alveolar infiltrates. These findings are not changed, however. The tip of the endotracheal tube appears to lie approximately 2.0 cm above the carina.\n\nIMPRESSION:\nThe trachea remains intubated with the tip of the tube approximately 2.0 cm above the carina. There remain findings consistent with alveolar and interstitial infiltrates little changed from yesterday's study.", "findings": "The trachea remains intubated. There is an esophagogastric tube present whose tip projects off the film. The heart is normal in size. Its margins are ill-defined. There are increased interstitial markings bilaterally and some fluffy alveolar infiltrates. These findings are not changed, however. The tip of the endotracheal tube appears to lie approximately 2.0 cm above the carina.", "impression": "The trachea remains intubated with the tip of the tube approximately 2.0 cm above the carina. There remain findings consistent with alveolar and interstitial infiltrates little changed from yesterday's study.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNZZOOJX3YECLB/GRDNDHI53UTD0K2J/studies/1.2.826.0.1.3680043.8.498.98673372365103827313076051234135410226/series/1.2.826.0.1.3680043.8.498.47088499878940257476247331621979300519/instances/1.2.826.0.1.3680043.8.498.77427554117172460113291092281026854420.png", "report": "FINDINGS:\nThe endotracheal tube tip appears to lie approximately 3 cm above the carina. There remain patchy bilateral alveolar and interstitial infiltrates. These are relatively stable in appearance. The heart remains top normal in size. The permanent pacemaker is unchanged in appearance. There is an esophagogastric tube present whose tip projects off the film.\n\nIMPRESSION:\n1. The endotracheal tube tip lies approximately 3 cm above the carina. 2. There is a stable appearance in bilateral alveolar and interstitial infiltrates.", "findings": "The endotracheal tube tip appears to lie approximately 3 cm above the carina. There remain patchy bilateral alveolar and interstitial infiltrates. These are relatively stable in appearance. The heart remains top normal in size. The permanent pacemaker is unchanged in appearance. There is an esophagogastric tube present whose tip projects off the film.", "impression": "1. The endotracheal tube tip lies approximately 3 cm above the carina. 2. There is a stable appearance in bilateral alveolar and interstitial infiltrates.", "study_date": "20060430" }, "metadata": { "patient_id": "pGRDNZZOOJX3YECLB", "view_position": "AP", "study_date": "20060501", "comparison": "Comparison is made to a study of 28 August, 2000.", "indication": "ETT placement", "age": "085Y", "sex": "O" }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "rexgrad_pGRDNTBOSYW82JWQY_aGRDN6Y7U5MY6LBJT_s1.2.826.0.1.3680043.8.498.40055335191495402818999502696577779995", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNTBOSYW82JWQY/GRDN6Y7U5MY6LBJT/studies/1.2.826.0.1.3680043.8.498.40055335191495402818999502696577779995/series/1.2.826.0.1.3680043.8.498.70350678084049983054278336969695086786/instances/1.2.826.0.1.3680043.8.498.77396816844486139287666459533404873661.png", "report_gt": "FINDINGS:\nRelatively low lung volumes. Patchy interstitial and airspace opacities in both lung bases left greater than right, slightly increased since previous exam. Probable small pleural effusions. Heart size appears upper limits normal for technique. Atheromatous aortic arch. No pneumothorax. Visualized skeletal structures are unremarkable.\n\nIMPRESSION:\n1. Bibasilar infiltrates or atelectasis, increased since previous exam. 2. Small bilateral pleural effusions persist.", "findings": "Relatively low lung volumes. Patchy interstitial and airspace opacities in both lung bases left greater than right, slightly increased since previous exam. Probable small pleural effusions. Heart size appears upper limits normal for technique. Atheromatous aortic arch. No pneumothorax. Visualized skeletal structures are unremarkable.", "impression": "1. Bibasilar infiltrates or atelectasis, increased since previous exam. 2. Small bilateral pleural effusions persist.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNTBOSYW82JWQY/GRDNEPGAALNR3EOZ/studies/1.2.826.0.1.3680043.8.498.90181261254940793906518049873218351870/series/1.2.826.0.1.3680043.8.498.28486418326630003371479822363077932102/instances/1.2.826.0.1.3680043.8.498.22700086834908054709291523593465028129.png", "report": "FINDINGS:\nThere are posterior base airspace opacities and small pleural effusions. This could be infectious. There is mild unchanged cardiomegaly. Pulmonary vasculature is normal.\n\nIMPRESSION:\nPosterior base opacities and small effusions. Infectious infiltrates are a consideration, although it could represent atelectasis.", "findings": "There are posterior base airspace opacities and small pleural effusions. This could be infectious. There is mild unchanged cardiomegaly. Pulmonary vasculature is normal.", "impression": "Posterior base opacities and small effusions. Infectious infiltrates are a consideration, although it could represent atelectasis.", "study_date": "20170125" }, "metadata": { "patient_id": "pGRDNTBOSYW82JWQY", "view_position": "AP", "study_date": "20170302", "comparison": "Comparison: 11/1/2004", "indication": "Healthcare associated pneumonia", "age": "090Y", "sex": "M" }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "rexgrad_pGRDNU9CL4IOYR31U_aGRDNY4HONO5OS0EH_s1.2.826.0.1.3680043.8.498.15639826060207187106150657854030956903", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNU9CL4IOYR31U/GRDNY4HONO5OS0EH/studies/1.2.826.0.1.3680043.8.498.15639826060207187106150657854030956903/series/1.2.826.0.1.3680043.8.498.58742119101337460588745998839069621730/instances/1.2.826.0.1.3680043.8.498.54393682877421526843816697420067703706.png", "report_gt": "FINDINGS:\nPostoperative changes with sternotomy and vascular markers in the mediastinum. Surgical clips. Improved inspiratory effort since yesterday. Small bilateral pleural effusions. Atelectasis in both lung bases. Small left apical pneumothorax. Multiple left rib fractures.\n\nIMPRESSION:\nSmall bilateral pleural effusions. Bilateral basilar atelectasis. Tiny left apical pneumothorax. Left rib fractures.", "findings": "Postoperative changes with sternotomy and vascular markers in the mediastinum. Surgical clips. Improved inspiratory effort since yesterday. Small bilateral pleural effusions. Atelectasis in both lung bases. Small left apical pneumothorax. Multiple left rib fractures.", "impression": "Small bilateral pleural effusions. Bilateral basilar atelectasis. Tiny left apical pneumothorax. Left rib fractures.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNU9CL4IOYR31U/GRDNY9KSWABL16V7/studies/1.2.826.0.1.3680043.8.498.75728149871575034300478052341311186732/series/1.2.826.0.1.3680043.8.498.42827460976754090223454247566280220178/instances/1.2.826.0.1.3680043.8.498.45922864439565620986388487857123303056.png", "report": "FINDINGS:\nRight IJ Swan-Ganz catheter unchanged. Interval extubation and removal of nasogastric tube. The mediastinal drain and 2 left chest tubes remain in place. No pneumothorax. Cardiomegaly accentuated by AP portable technique. Probable small left pleural effusion. Mild bibasilar atelectasis is not significantly changed.\n\nIMPRESSION:\n1. Extubation and removal of nasogastric tube. 2. Otherwise similar low lung volumes with small left pleural effusion and bibasilar atelectasis.", "findings": "Right IJ Swan-Ganz catheter unchanged. Interval extubation and removal of nasogastric tube. The mediastinal drain and 2 left chest tubes remain in place. No pneumothorax. Cardiomegaly accentuated by AP portable technique. Probable small left pleural effusion. Mild bibasilar atelectasis is not significantly changed.", "impression": "1. Extubation and removal of nasogastric tube. 2. Otherwise similar low lung volumes with small left pleural effusion and bibasilar atelectasis.", "study_date": "20120928" }, "metadata": { "patient_id": "pGRDNU9CL4IOYR31U", "view_position": "AP", "study_date": "20120930", "comparison": "Comparison: 09/04/2002", "indication": "Follow-up heart surgery post chest tube removal.", "age": "061Y", "sex": "M" }, "eval_track": "followup", "lateral_image_path": "images/rexgradient/GRDNU9CL4IOYR31U/GRDNY4HONO5OS0EH/studies/1.2.826.0.1.3680043.8.498.15639826060207187106150657854030956903/series/1.2.826.0.1.3680043.8.498.29919641511358140775155806665663464834/instances/1.2.826.0.1.3680043.8.498.35900982221325644091188781633348325792.png" }, { "study_id": "rexgrad_pGRDNIQ592YV99ICL_aGRDNDL6034DYJUXO_s1.2.826.0.1.3680043.8.498.40750562502398740163186275445752381504", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNIQ592YV99ICL/GRDNDL6034DYJUXO/studies/1.2.826.0.1.3680043.8.498.40750562502398740163186275445752381504/series/1.2.826.0.1.3680043.8.498.45603359724899093801257915514108985228/instances/1.2.826.0.1.3680043.8.498.17071675390250297235601651855987307329.png", "report_gt": "FINDINGS:\nThere is mild cardiomegaly. The pulmonary vasculature is normal. There is a small area of interstitial and alveolar opacity in the right lung base, increased in size since prior study. There is no pneumothorax. There is no acute bone lesion.\n\nIMPRESSION:\nThere is increasing interstitial and alveolar opacity in the right lung base which may represent pneumonia or atelectasis. There is mild cardiomegaly.", "findings": "There is mild cardiomegaly. The pulmonary vasculature is normal. There is a small area of interstitial and alveolar opacity in the right lung base, increased in size since prior study. There is no pneumothorax. There is no acute bone lesion.", "impression": "There is increasing interstitial and alveolar opacity in the right lung base which may represent pneumonia or atelectasis. There is mild cardiomegaly.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNIQ592YV99ICL/GRDNDEU7DVKR5EP4/studies/1.2.826.0.1.3680043.8.498.89318909087283286027815333369934733481/series/1.2.826.0.1.3680043.8.498.93347706666888867624940652891203874273/instances/1.2.826.0.1.3680043.8.498.62597750560877439255183715424080298048.png", "report": "FINDINGS:\nThere is mild cardiomegaly. There is increasing alveolar opacity in the left lower lobe and there is a small left pleural effusion. There are interstitial opacities in the right lung base. The mid and upper portions of the lungs are clear. There is no pneumothorax. The pulmonary vasculature is normal. There is no acute bone lesion.\n\nIMPRESSION:\nIncreasing alveolar opacity in the left lower lobe most likely representing pneumonia. There is a small left pleural effusion. There are interstitial opacities in the right lung base most likely representing subsegmental atelectasis.", "findings": "There is mild cardiomegaly. There is increasing alveolar opacity in the left lower lobe and there is a small left pleural effusion. There are interstitial opacities in the right lung base. The mid and upper portions of the lungs are clear. There is no pneumothorax. The pulmonary vasculature is normal. There is no acute bone lesion.", "impression": "Increasing alveolar opacity in the left lower lobe most likely representing pneumonia. There is a small left pleural effusion. There are interstitial opacities in the right lung base most likely representing subsegmental atelectasis.", "study_date": "20201226" }, "metadata": { "patient_id": "pGRDNIQ592YV99ICL", "view_position": "AP", "study_date": "20201229", "comparison": "The prior study was reviewed from 07/20/1994.", "indication": "Shortness of air. History of asthma.", "age": "071Y", "sex": "M" }, "eval_track": "followup", "lateral_image_path": null }, { "study_id": "rexgrad_pGRDND7ZYWIG3EV5C_aGRDNYNQEV6G9294M_s1.2.826.0.1.3680043.8.498.39858608453064335695600518656052007074", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDND7ZYWIG3EV5C/GRDNYNQEV6G9294M/studies/1.2.826.0.1.3680043.8.498.39858608453064335695600518656052007074/series/1.2.826.0.1.3680043.8.498.88737080676392637889401541796166418674/instances/1.2.826.0.1.3680043.8.498.23611453438884550587088113637662421863.png", "report_gt": "FINDINGS:\nThe cardiac silhouette remains borderline enlarged. No significant change in right basilar pleural and parenchymal scarring. Stable post thoracotomy rib deformity on the right. Stable right subclavian pacemaker leads. Interval minimal linear density at the left lateral lung base. Thoracic spine degenerative changes.\n\nIMPRESSION:\nInterval minimal left basilar linear atelectasis or scarring.", "findings": "The cardiac silhouette remains borderline enlarged. No significant change in right basilar pleural and parenchymal scarring. Stable post thoracotomy rib deformity on the right. Stable right subclavian pacemaker leads. Interval minimal linear density at the left lateral lung base. Thoracic spine degenerative changes.", "impression": "Interval minimal left basilar linear atelectasis or scarring.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDND7ZYWIG3EV5C/GRDN6B8P3R4DO9BJ/studies/1.2.826.0.1.3680043.8.498.54297067241742032281827095546495083663/series/1.2.826.0.1.3680043.8.498.23632555434301797223983220724138417024/instances/1.2.826.0.1.3680043.8.498.44316740210593931182028516259036453464.png", "report": "FINDINGS:\nTrachea is midline. Heart size stable. Right subclavian pacemaker lead tips project over the right atrium and right ventricle. Pleural parenchymal scarring and volume loss are seen at the base of the right hemithorax. There is deformity of the right seventh rib, which may be postoperative or post-traumatic in etiology. Mild scarring at the left lung base. On the lateral view, calcifications are seen along the anterior chest, and are presumably pleural in location. No pleural fluid.\n\nIMPRESSION:\nBibasilar scarring without acute finding.", "findings": "Trachea is midline. Heart size stable. Right subclavian pacemaker lead tips project over the right atrium and right ventricle. Pleural parenchymal scarring and volume loss are seen at the base of the right hemithorax. There is deformity of the right seventh rib, which may be postoperative or post-traumatic in etiology. Mild scarring at the left lung base. On the lateral view, calcifications are seen along the anterior chest, and are presumably pleural in location. No pleural fluid.", "impression": "Bibasilar scarring without acute finding.", "study_date": "20101231" }, "metadata": { "patient_id": "pGRDND7ZYWIG3EV5C", "view_position": "PA", "study_date": "20110225", "comparison": "Comparison: 05/13/2021.", "indication": "Left internal carotid artery stenosis. Preoperative evaluation. Treated hypertension.", "age": "086Y", "sex": "M" }, "eval_track": "followup", "lateral_image_path": "images/rexgradient/GRDND7ZYWIG3EV5C/GRDNYNQEV6G9294M/studies/1.2.826.0.1.3680043.8.498.39858608453064335695600518656052007074/series/1.2.826.0.1.3680043.8.498.47621792486937333473597008772331244888/instances/1.2.826.0.1.3680043.8.498.95825087030508575760678917075897302410.png" } ]