[ { "study_id": "mimic_58521372", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14504940/s58521372/1675afce-31756f63-a165a417-94a2c4ab-41fa955f.jpg", "report_gt": "FINAL REPORT\n EXAM: Chest frontal and lateral views.\n \n CLINICAL INFORMATION: History of CABG, presenting with chest pain for one\n day.\n \n COMPARISON: ___.\n \n FINDINGS: Frontal and lateral views of the chest were obtained. The patient\n is status post median sternotomy and CABG. No focal consolidation, pleural\n effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal\n silhouettes are stable and unremarkable. Degenerative changes are seen along\n the spine.\n \n IMPRESSION: No acute cardiopulmonary process. No evidence of pneumonia. The\n mediastinum is not widened.", "findings": "Frontal and lateral views of the chest were obtained. The patient\n is status post median sternotomy and CABG. No focal consolidation, pleural\n effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal\n silhouettes are stable and unremarkable. Degenerative changes are seen along\n the spine.", "impression": "No acute cardiopulmonary process. No evidence of pneumonia. The\n mediastinum is not widened.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p14/p14504940/s55011437/7c41a809-f93b8fdb-32b0f64f-3c464002-d1751a7c.jpg", "report": "IMPRESSION:\nNormal contour of the mediastinum without evidence of widening. \n Streaky opacities in the lung bases likely reflect atelectasis.", "findings": "", "impression": "", "study_date": "2192-10-02", "study_id": "55011437" }, "metadata": { "subject_id": "14504940", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "1.0", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "0.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2193-10-17", "admission_info": { "hadm_id": 23139095, "admittime": "2193-10-17 17:59:00", "dischtime": "2193-10-18 00:19:00", "admission_type": "EU OBSERVATION", "demographics": { "age": 65, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "78650", "version": 9, "description": "Chest pain, unspecified" }, { "code": "4439", "version": 9, "description": "Peripheral vascular disease, unspecified" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" } ], "labs": [] }, "age": 65, "sex": "M", "indication": "" }, "eval_track": "followup", "lateral_image_path": "images/mimic/p14/p14504940/s58521372/ba93c845-aff601a7-a7342bac-ad387748-7af110b6.jpg" }, { "study_id": "mimic_50035498", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18309149/s50035498/2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6.jpg", "report_gt": "FINAL REPORT\n TYPE OF EXAMINATION: Chest PA and lateral.\n \n INDICATION: ___-year-old male patient with right-sided VATS procedure,\n decortication, evaluate for pneumothorax following chest tube removal.\n \n FINDINGS: PA and lateral chest views were obtained with patient in upright\n position. Analysis is performed in direct comparison with the next preceding\n similar study of ___. During the examination interval, the two\n right-sided chest tubes have been removed. No pneumothorax has developed. \n Pleural thickenings and blunting of lateral pleural sinus in right hemithorax\n persist rather unchanged. No new abnormalities.\n \n IMPRESSION: Stable chest findings, no evidence of pneumothorax following\n chest tube removals.", "findings": "PA and lateral chest views were obtained with patient in upright\n position. Analysis is performed in direct comparison with the next preceding\n similar study of ___. During the examination interval, the two\n right-sided chest tubes have been removed. No pneumothorax has developed. \n Pleural thickenings and blunting of lateral pleural sinus in right hemithorax\n persist rather unchanged. No new abnormalities.", "impression": "Stable chest findings, no evidence of pneumothorax following\n chest tube removals.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p18/p18309149/s54224807/21e742f7-ee50e64f-508ad946-db407641-972bfa79.jpg", "report": "FINDINGS:\nIn comparison with the study of ___, there is some decrease in the\n opacification at the right base. Chest tubes remain in place, and there is no\n evidence of pneumothorax. Some residual atelectasis and effusion are noted. \n The possibility of supervening pneumonia at the right base could not be\n excluded.\n \n The left lung is essentially clear with mild atelectatic changes at the base.\n \n Subcutaneous emphysema persists along the right lateral upper abdominal wall.", "findings": "", "impression": "", "study_date": "2190-11-03", "study_id": "54224807" }, "metadata": { "subject_id": "18309149", "view_position": "PA", "comparison": "with the next preceding", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "0.0", "Support Devices": "1.0" }, "study_date": "2190-11-04", "admission_info": { "hadm_id": 24206426, "admittime": "2190-10-28 21:41:00", "dischtime": "2190-11-05 16:50:00", "admission_type": "EW EMER.", "demographics": { "age": 52, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5109", "version": 9, "description": "Empyema without mention of fistula" }, { "code": "5070", "version": 9, "description": "Pneumonitis due to inhalation of food or vomitus" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "5569", "version": 9, "description": "Ulcerative colitis, unspecified" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "V707", "version": 9, "description": "Examination of participant in clinical trial" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "7243", "version": 9, "description": "Sciatica" } ], "labs": [ { "label": "Hemoglobin", "value": "12.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "33.8", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "562", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "14.7", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "11", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "30", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "105", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.2", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "142", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "BUN", "value": "23", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Lactate", "value": "0.8", "unit": "mmol/L", "flag": "normal" } ] }, "age": 52, "sex": "M", "indication": "" }, "eval_track": "followup", "lateral_image_path": "images/mimic/p18/p18309149/s50035498/cb581d96-edd1855f-79bc7a49-e942ded5-fb83c971.jpg" }, { "study_id": "mimic_59760473", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19454978/s59760473/92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c.jpg", "report_gt": "FINAL REPORT\n INDICATION: Weakness, shortness of breath. Evaluate for infiltrate.\n \n COMPARISON: Chest radiographs ___, ___, ___. CT chest,\n ___. CTA chest ___.\n \n TECHNIQUE: Semi-upright AP and lateral radiograph of the chest.\n \n FINDINGS: Lungs are normally expanded. There is no focal airspace opacity to\n suggest pneumonia. The heart is mildly enlarged, but unchanged. The\n mediastinal and hilar contours are stable with tortuosity of the aorta and\n mild prominence of the pulmonary artery, better seen on prior CT of the chest.\n Small bilateral pleural effusions persist. There is no pneumothorax. \n Compression deformity of T6 is unchanged.\n \n IMPRESSION: Stable small bilateral pleural effusions and mildly enlarged\n cardiac silhouette similar to prior.", "findings": "Lungs are normally expanded. There is no focal airspace opacity to\n suggest pneumonia. The heart is mildly enlarged, but unchanged. The\n mediastinal and hilar contours are stable with tortuosity of the aorta and\n mild prominence of the pulmonary artery, better seen on prior CT of the chest.\n Small bilateral pleural effusions persist. There is no pneumothorax. \n Compression deformity of T6 is unchanged.", "impression": "Stable small bilateral pleural effusions and mildly enlarged\n cardiac silhouette similar to prior.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19454978/s57475408/f7d18e0b-557566af-9339243f-a8b26e9f-c974e2de.jpg", "report": "FINDINGS:\nAs compared to the previous radiograph, the patient has received a\n right-sided PICC line. The course of the line is unremarkable, the tip of the\n line projects over the mid-to-low SVC. There is no evidence of complications,\n notably no pneumothorax. Unchanged appearance of the cardiac silhouette. \n Moderate tortuosity of the thoracic aorta. Small bilateral pleural effusions.", "findings": "", "impression": "", "study_date": "2141-09-14", "study_id": "57475408" }, "metadata": { "subject_id": "19454978", "view_position": "AP", "comparison": "Chest radiographs ___, ___, ___. CT chest,\n ___. CTA chest ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "-1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2141-09-19", "admission_info": { "hadm_id": 28768601, "admittime": "2141-09-19 20:32:00", "dischtime": "2141-09-21 17:20:00", "admission_type": "EW EMER.", "demographics": { "age": 86, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "78060", "version": 9, "description": "Fever, unspecified" }, { "code": "5761", "version": 9, "description": "Cholangitis" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "75169", "version": 9, "description": "Other anomalies of gallbladder, bile ducts, and liver" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "7140", "version": 9, "description": "Rheumatoid arthritis" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "7245", "version": 9, "description": "Backache, unspecified" }, { "code": "33829", "version": 9, "description": "Other chronic pain" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "V140", "version": 9, "description": "Personal history of allergy to penicillin" }, { "code": "V148", "version": 9, "description": "Personal history of allergy to other specified medicinal agents" }, { "code": "V5862", "version": 9, "description": "Long-term (current) use of antibiotics" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "code": "7823", "version": 9, "description": "Edema" }, { "code": "78701", "version": 9, "description": "Nausea with vomiting" }, { "code": "V1255", "version": 9, "description": "Personal history of pulmonary embolism" }, { "code": "78079", "version": 9, "description": "Other malaise and fatigue" }, { "code": "79902", "version": 9, "description": "Hypoxemia" }, { "code": "71595", "version": 9, "description": "Osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh" } ], "labs": [ { "label": "Hemoglobin", "value": "7.3", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.5", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "124", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "2.2", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "12", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "31", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "99", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.5", "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": "138", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "9", "unit": "mg/dL", "flag": "normal" } ] }, "age": 86, "sex": "F", "indication": "" }, "eval_track": "followup", "lateral_image_path": "images/mimic/p19/p19454978/s59760473/2be3e6f4-47ca559c-4c3c70ec-133cd9d3-40738c4d.jpg" }, { "study_id": "mimic_56801982", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg", "report_gt": "FINAL REPORT\n CHEST X-RAY\n \n INDICATION: ___-year-old man status post right thoracotomy, decortication, now\n with chest tube x 3 to water seal. \n \n COMPARISON: Chest radiograph dated ___.\n \n TECHNIQUE: Frontal and lateral radiographs.\n \n FINDINGS: The three chest tubes remain stable in position compared to the\n prior study. The appearance of the right hemithorax including the clips is\n unchanged as compared to the previous examination; however, it appears that\n the soft tissue collection of air has increased in size. There is increased\n gas filling of colon interposed between the chest wall and the liver, and\n continued elevation of the right hemidiaphragm. Unchanged normal appearance\n of the cardiac silhouette and the left lung. No current evidence of\n pneumothorax. \n \n IMPRESSION: Findings remain stable compared to the previous study with the\n exception of increased air with the soft tissues of the right lateral chest\n wall.", "findings": "The three chest tubes remain stable in position compared to the\n prior study. The appearance of the right hemithorax including the clips is\n unchanged as compared to the previous examination; however, it appears that\n the soft tissue collection of air has increased in size. There is increased\n gas filling of colon interposed between the chest wall and the liver, and\n continued elevation of the right hemidiaphragm. Unchanged normal appearance\n of the cardiac silhouette and the left lung. No current evidence of\n pneumothorax.", "impression": "Findings remain stable compared to the previous study with the\n exception of increased air with the soft tissues of the right lateral chest\n wall.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13352405/s53207240/876608af-2d7efebf-d51bcb03-9b230997-e9f7797a.jpg", "report": "FINDINGS:\nAs compared to the previous radiograph, the three right-sided chest\n tubes are in unchanged position. There is no convincing evidence of right\n pneumothorax. Extensive soft tissue air collection in the cervical and\n thoracic right-sided soft tissues. Mild-to-moderate pleural effusions with\n areas of atelectasis at the right lung base. Mild elevation of the right\n hemidiaphragm.\n \n Borderline size of the cardiac silhouette, no left pleural effusion,\n normal-appearing left lung.\n \n The clips in the right chest wall are in unchanged position.", "findings": "", "impression": "", "study_date": "2155-01-26", "study_id": "53207240" }, "metadata": { "subject_id": "13352405", "view_position": "PA", "comparison": "Chest radiograph dated ___.", "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": "2155-01-27", "admission_info": { "hadm_id": 24745884, "admittime": "2155-01-23 18:35:00", "dischtime": "2155-01-30 15:40:00", "admission_type": "EW EMER.", "demographics": { "age": 66, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5109", "version": 9, "description": "Empyema without mention of fistula" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "2639", "version": 9, "description": "Unspecified protein-calorie malnutrition" }, { "code": "04184", "version": 9, "description": "Other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes" }, { "code": "7802", "version": 9, "description": "Syncope and collapse" }, { "code": "4588", "version": 9, "description": "Other specified hypotension" }, { "code": "7423", "version": 9, "description": "Congenital hydrocephalus" }, { "code": "34590", "version": 9, "description": "Epilepsy, unspecified, without mention of intractable epilepsy" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "7812", "version": 9, "description": "Abnormality of gait" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "7921", "version": 9, "description": "Nonspecific abnormal findings in stool contents" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "79092", "version": 9, "description": "Abnormal coagulation profile" }, { "code": "V1588", "version": 9, "description": "History of fall" }, { "code": "60001", "version": 9, "description": "Hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (LUTS)" }, { "code": "78830", "version": 9, "description": "Urinary incontinence, unspecified" }, { "code": "79959", "version": 9, "description": "Other signs and symptoms involving cognition" }, { "code": "29410", "version": 9, "description": "Dementia in conditions classified elsewhere without behavioral disturbance" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "28529", "version": 9, "description": "Anemia of other chronic disease" }, { "code": "2738", "version": 9, "description": "Other disorders of plasma protein metabolism" }, { "code": "2690", "version": 9, "description": "Deficiency of vitamin K" }, { "code": "V851", "version": 9, "description": "Body Mass Index between 19-24, adult" }, { "code": "33119", "version": 9, "description": "Other frontotemporal dementia" } ], "labs": [ { "label": "Anion Gap", "value": "14", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "27", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "102", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.8", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.3", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "139", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "14", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "8.8", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.4", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "706", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "16.2", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "0.8", "unit": "mmol/L", "flag": "normal" } ] }, "age": 66, "sex": "M", "indication": "" }, "eval_track": "followup", "lateral_image_path": "images/mimic/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg" }, { "study_id": "mimic_59568059", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p17/p17327592/s59568059/0edc4350-79bed040-c995383a-424e4573-a701ab07.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PA AND LAT)\n \n INDICATION: ___F with chest pain.\n \n COMPARISON: ___\n \n FINDINGS: \n \n PA and lateral views of the chest provided. Midline sternotomy wires noted. \n Stable elevation of the right hemidiaphragm is again seen with chronic right\n basal atelectasis. Subtle retrocardiac linear density may represent focal\n areas of scarring as this appears unchanged from prior exam. No convincing\n signs of pneumonia or CHF. No large effusion or pneumothorax is seen.\n Cardiomediastinal silhouette is stable. Bony structures are intact. No free\n air below the right hemidiaphragm.\n \n IMPRESSION: \n \n No acute findings.", "findings": "PA and lateral views of the chest provided. Midline sternotomy wires noted. \n Stable elevation of the right hemidiaphragm is again seen with chronic right\n basal atelectasis. Subtle retrocardiac linear density may represent focal\n areas of scarring as this appears unchanged from prior exam. No convincing\n signs of pneumonia or CHF. No large effusion or pneumothorax is seen.\n Cardiomediastinal silhouette is stable. Bony structures are intact. No free\n air below the right hemidiaphragm.", "impression": "No acute findings.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p17/p17327592/s52874049/a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa.jpg", "report": "FINDINGS:\nPatient is status post median sternotomy and CABG. Heart size is normal. The\n mediastinal contours are unchanged. Right hemidiaphragm remains elevated with\n associated right basilar atelectasis. Pulmonary vasculature is not engorged.\n Left lung is grossly clear. No pleural effusion or pneumothorax is\n demonstrated. There are no acute osseous abnormalities. Mild to moderate\n multilevel degenerative changes are noted in the thoracic spine.\n\nIMPRESSION:\nUnchanged chronic elevation of the right hemidiaphragm with right basilar\n atelectasis. No new focal consolidation.", "findings": "Patient is status post median sternotomy and CABG. Heart size is normal. The\n mediastinal contours are unchanged. Right hemidiaphragm remains elevated with\n associated right basilar atelectasis. Pulmonary vasculature is not engorged.\n Left lung is grossly clear. No pleural effusion or pneumothorax is\n demonstrated. There are no acute osseous abnormalities. Mild to moderate\n multilevel degenerative changes are noted in the thoracic spine.", "impression": "", "study_date": "2168-03-24", "study_id": "52874049" }, "metadata": { "subject_id": "17327592", "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": "2168-04-13", "admission_info": { "hadm_id": 25500501, "admittime": "2168-04-13 18:10:00", "dischtime": "2168-04-15 16:20:00", "admission_type": "EW EMER.", "demographics": { "age": 67, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "78609", "version": 9, "description": "Other respiratory abnormalities" }, { "code": "5559", "version": 9, "description": "Regional enteritis of unspecified site" }, { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "49390", "version": 9, "description": "Asthma, unspecified type, unspecified" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "30000", "version": 9, "description": "Anxiety state, unspecified" }, { "code": "3548", "version": 9, "description": "Other mononeuritis of upper limb" }, { "code": "V1272", "version": 9, "description": "Personal history of colonic polyps" }, { "code": "V5866", "version": 9, "description": "Long-term (current) use of aspirin" } ], "labs": [ { "label": "Hemoglobin", "value": "11.0", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "34.1", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "203", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "5.1", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "12", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "25", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "106", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.9", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "139", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "11", "unit": "mg/dL", "flag": "normal" } ] }, "age": 67, "sex": "F", "indication": "" }, "eval_track": "followup", "lateral_image_path": "images/mimic/p17/p17327592/s59568059/a163cafe-64ffc35b-319d99b1-4a167e5b-fff059e0.jpg" }, { "study_id": "rexgrad_pGRDNWXK43H54409R_aGRDNX29Y5KF6GNYX_s1.2.826.0.1.3680043.8.498.69725942021541963293320750499174719819", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNWXK43H54409R/GRDNX29Y5KF6GNYX/studies/1.2.826.0.1.3680043.8.498.69725942021541963293320750499174719819/series/1.2.826.0.1.3680043.8.498.10235363286531596993006901497349044584/instances/1.2.826.0.1.3680043.8.498.66820966216506893287427683013610841226.png", "report_gt": "FINDINGS:\nDiffuse interstitial prominence noted, likely chronic interstitial lung disease. Heart is normal size. There is elevation of the left hemidiaphragm. No acute opacities or effusions. Severe degenerative changes in the shoulders. No acute bony abnormality.\n\nIMPRESSION:\nStable chronic changes. No acute findings.", "findings": "Diffuse interstitial prominence noted, likely chronic interstitial lung disease. Heart is normal size. There is elevation of the left hemidiaphragm. No acute opacities or effusions. Severe degenerative changes in the shoulders. No acute bony abnormality.", "impression": "Stable chronic changes. No acute findings.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNWXK43H54409R/GRDNBK4R1XQKRKP5/studies/1.2.826.0.1.3680043.8.498.39722318254710257795662099348578976102/series/1.2.826.0.1.3680043.8.498.51010191290445093559322288583461435830/instances/1.2.826.0.1.3680043.8.498.69730998613227943965370723570825686034.png", "report": "FINDINGS:\nThe heart is upper limits of normal in size. There is tortuosity and calcification of the thoracic aorta. The pulmonary hila appear normal. Chronic-appearing lung changes without definite acute pulmonary findings. There is a rounded nodular density left lung base. The bony thorax is intact.\n\nIMPRESSION:\nNo acute cardiopulmonary findings. 12 mm nodule at the left lung base. Surveillance is recommended. A follow-up non urgent chest CT is suggested.", "findings": "The heart is upper limits of normal in size. There is tortuosity and calcification of the thoracic aorta. The pulmonary hila appear normal. Chronic-appearing lung changes without definite acute pulmonary findings. There is a rounded nodular density left lung base. The bony thorax is intact.", "impression": "No acute cardiopulmonary findings. 12 mm nodule at the left lung base. Surveillance is recommended. A follow-up non urgent chest CT is suggested.", "study_date": "20101209" }, "metadata": { "patient_id": "pGRDNWXK43H54409R", "view_position": "AP", "study_date": "20110325", "comparison": "Comparison: 6/19/2020", "indication": "Fever.", "age": "086Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNSV54B946LPHC_aGRDNR7VX7WQFA1X9_s1.2.826.0.1.3680043.8.498.95992178337158318463271347742348071975", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNSV54B946LPHC/GRDNR7VX7WQFA1X9/studies/1.2.826.0.1.3680043.8.498.95992178337158318463271347742348071975/series/1.2.826.0.1.3680043.8.498.43497871018857988164314913914751782980/instances/1.2.826.0.1.3680043.8.498.26390230313593710240825250260247974851.png", "report_gt": "FINDINGS:\nRight internal jugular central line has its tip in the proximal right atrium. The heart is enlarged. There is persistent and slightly worsened interstitial edema and airspace filling. Volume loss is present in the lower lobes. Pleural effusions are developing.\n\nIMPRESSION:\nRadiographic worsening. Worsening diffuse pulmonary opacity and developing effusions.", "findings": "Right internal jugular central line has its tip in the proximal right atrium. The heart is enlarged. There is persistent and slightly worsened interstitial edema and airspace filling. Volume loss is present in the lower lobes. Pleural effusions are developing.", "impression": "Radiographic worsening. Worsening diffuse pulmonary opacity and developing effusions.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNSV54B946LPHC/GRDNX0KE58HI50TL/studies/1.2.826.0.1.3680043.8.498.59491328079947018165876992326933031785/series/1.2.826.0.1.3680043.8.498.71663516468591193615839438999448232945/instances/1.2.826.0.1.3680043.8.498.22940690221094710972452959316263595511.png", "report": "FINDINGS:\nA right jugular central venous catheter is seen with tip overlying the superior cavoatrial junction. No evidence of pneumothorax. New diffuse interstitial infiltrates and central perihilar airspace disease is seen, consistent with diffuse pulmonary edema. No definite pleural effusion seen on this portable exam. Heart size remains within normal limits.\n\nIMPRESSION:\nNew right internal jugular central venous catheter in appropriate position. No evidence of pneumothorax. New symmetric interstitial infiltrates with central perihilar airspace disease, most consistent with acute pulmonary edema.", "findings": "A right jugular central venous catheter is seen with tip overlying the superior cavoatrial junction. No evidence of pneumothorax. New diffuse interstitial infiltrates and central perihilar airspace disease is seen, consistent with diffuse pulmonary edema. No definite pleural effusion seen on this portable exam. Heart size remains within normal limits.", "impression": "New right internal jugular central venous catheter in appropriate position. No evidence of pneumothorax. New symmetric interstitial infiltrates with central perihilar airspace disease, most consistent with acute pulmonary edema.", "study_date": "20170121" }, "metadata": { "patient_id": "pGRDNSV54B946LPHC", "view_position": "AP", "study_date": "20170124", "comparison": "6/1/2002 and 11/10/2007.", "indication": "Respiratory failure. Sepsis.", "age": "027Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNQOBX1DI2JBND_aGRDN4WLU5EV75E7Y_s1.2.826.0.1.3680043.8.498.92724845511126058625519049917025320120", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNQOBX1DI2JBND/GRDN4WLU5EV75E7Y/studies/1.2.826.0.1.3680043.8.498.92724845511126058625519049917025320120/series/1.2.826.0.1.3680043.8.498.20561209794407116694176834233741318710/instances/1.2.826.0.1.3680043.8.498.36912315503449299822810294644520657433.png", "report_gt": "FINDINGS:\nSternal sutures and mediastinal clips are noted. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.\n\nIMPRESSION:\nNo acute pulmonary disease", "findings": "Sternal sutures and mediastinal clips are noted. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.", "impression": "No acute pulmonary disease", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNQOBX1DI2JBND/GRDNIR9HRK96W6GP/studies/1.2.826.0.1.3680043.8.498.55191401306810645645534969663812353643/series/1.2.826.0.1.3680043.8.498.66767143441875907205357454353699378196/instances/1.2.826.0.1.3680043.8.498.27069795410732704377388526770942255413.png", "report": "FINDINGS:\nMedian sternotomy wires and mediastinal clips are noted. The cardiomediastinal silhouette is within normal limits. Mild atelectatic changes noted at left base. No definite acute infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. Bony thorax is intact.\n\nIMPRESSION:\nMild left base atelectasis.", "findings": "Median sternotomy wires and mediastinal clips are noted. The cardiomediastinal silhouette is within normal limits. Mild atelectatic changes noted at left base. No definite acute infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. Bony thorax is intact.", "impression": "Mild left base atelectasis.", "study_date": "20130702" }, "metadata": { "patient_id": "pGRDNQOBX1DI2JBND", "view_position": "AP", "study_date": "20130821", "comparison": "Comparison: 04*26*03", "indication": "Chest pain", "age": "", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN7OPZX2AV78BE_aGRDNBOYCWMKM4KME_s1.2.826.0.1.3680043.8.498.56651780575583880434079958146998426220", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN7OPZX2AV78BE/GRDNBOYCWMKM4KME/studies/1.2.826.0.1.3680043.8.498.56651780575583880434079958146998426220/series/1.2.826.0.1.3680043.8.498.76770260331292123714028011251171364930/instances/1.2.826.0.1.3680043.8.498.80708650252526681366052918441582227806.png", "report_gt": "FINDINGS:\nTracheostomy tube in satisfactory position. The cardiac silhouette remains mildly enlarged. Moderate-sized left pleural effusion and small right pleural effusion, both mildly increased. No significant change in bilateral airspace opacity. Diffuse, patchy bone sclerosis is again demonstrated as well with scoliosis and thoracic spine degenerative changes.\n\nIMPRESSION:\n1. Moderate-sized left pleural effusion and small right pleural effusion, both mildly increased. 2. Increased patchy atelectasis or pneumonia at the left lung base. 3. Otherwise, stable bilateral pneumonia, alveolar edema or ARDS. 4. Stable diffuse sclerotic bony metastatic disease.", "findings": "Tracheostomy tube in satisfactory position. The cardiac silhouette remains mildly enlarged. Moderate-sized left pleural effusion and small right pleural effusion, both mildly increased. No significant change in bilateral airspace opacity. Diffuse, patchy bone sclerosis is again demonstrated as well with scoliosis and thoracic spine degenerative changes.", "impression": "1. Moderate-sized left pleural effusion and small right pleural effusion, both mildly increased. 2. Increased patchy atelectasis or pneumonia at the left lung base. 3. Otherwise, stable bilateral pneumonia, alveolar edema or ARDS. 4. Stable diffuse sclerotic bony metastatic disease.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN7OPZX2AV78BE/GRDNGFELSXZSLUVZ/studies/1.2.826.0.1.3680043.8.498.22505914119471463738255147915637828028/series/1.2.826.0.1.3680043.8.498.21818679950401535583927994748016932228/instances/1.2.826.0.1.3680043.8.498.79403343171190883602224066376049163097.png", "report": "FINDINGS:\nEndotracheal tube in good anatomic position. Diffuse bilateral pulmonary infiltrates, slightly improved. Stable cardiomegaly. Slight improvement of bilateral pleural effusions. No pneumothorax. Diffuse blastic bony metastatic disease again noted.\n\nIMPRESSION:\n1. Endotracheal tube in stable position. 2. Diffuse bilateral pulmonary infiltrates again noted. Slight improvement. Slight improvement of bilateral effusions. 3. Diffuse blastic bony metastatic disease.", "findings": "Endotracheal tube in good anatomic position. Diffuse bilateral pulmonary infiltrates, slightly improved. Stable cardiomegaly. Slight improvement of bilateral pleural effusions. No pneumothorax. Diffuse blastic bony metastatic disease again noted.", "impression": "1. Endotracheal tube in stable position. 2. Diffuse bilateral pulmonary infiltrates again noted. Slight improvement. Slight improvement of bilateral effusions. 3. Diffuse blastic bony metastatic disease.", "study_date": "20150530" }, "metadata": { "patient_id": "pGRDN7OPZX2AV78BE", "view_position": "AP", "study_date": "20150611", "comparison": "Comparison: 11/09/1991.", "indication": "Respiratory failure.", "age": "090Y", "sex": "O" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNLE2R1QQO9AD3_aGRDNB7E4TZZNBM9J_s1.2.826.0.1.3680043.8.498.69803983485849280096624469730779557693", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNLE2R1QQO9AD3/GRDNB7E4TZZNBM9J/studies/1.2.826.0.1.3680043.8.498.69803983485849280096624469730779557693/series/1.2.826.0.1.3680043.8.498.11763915556069326777645741752134964429/instances/1.2.826.0.1.3680043.8.498.40963162161374468813832449965307288359.png", "report_gt": "FINDINGS:\nThere is stable cardiomegaly. Right-sided Port-A-Cath remains in place unchanged. There is diffuse bilateral airspace disease, increasing since prior study, likely edema. Bibasilar atelectasis noted.\n\nIMPRESSION:\n1. Mild CHF. 2. Bibasilar atelectasis.", "findings": "There is stable cardiomegaly. Right-sided Port-A-Cath remains in place unchanged. There is diffuse bilateral airspace disease, increasing since prior study, likely edema. Bibasilar atelectasis noted.", "impression": "1. Mild CHF. 2. Bibasilar atelectasis.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNLE2R1QQO9AD3/GRDNYRM5BPZ43VHL/studies/1.2.826.0.1.3680043.8.498.78914982748467381564916610073201640829/series/1.2.826.0.1.3680043.8.498.70825219774731334138575152715679000148/instances/1.2.826.0.1.3680043.8.498.80867067925729891191288420483431977161.png", "report": "FINDINGS:\nRight-sided Port-A-Cath and mild cardiomegaly are unchanged. Pulmonary vascular congestion is stable, as well as small bilateral pleural effusions and bibasilar atelectasis/airspace disease.\n\nIMPRESSION:\nNo significant change from film earlier this day with cardiomegaly, pulmonary vascular congestion, bibasilar atelectasis/airspace disease, and small effusions.", "findings": "Right-sided Port-A-Cath and mild cardiomegaly are unchanged. Pulmonary vascular congestion is stable, as well as small bilateral pleural effusions and bibasilar atelectasis/airspace disease.", "impression": "No significant change from film earlier this day with cardiomegaly, pulmonary vascular congestion, bibasilar atelectasis/airspace disease, and small effusions.", "study_date": "20041106" }, "metadata": { "patient_id": "pGRDNLE2R1QQO9AD3", "view_position": "AP", "study_date": "20050201", "comparison": "01/08/2017", "indication": "CVA, shortness of breath, chest pain", "age": "064Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "chexpert_patient64650_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64650/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nModerate alveolar pulmonary edema, with associated small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. No pneumothorax. Unchanged moderate cardiomegaly.\nNo acute osseous abnormality.\n\nIMPRESSION:\n1. Moderate alveolar pulmonary edema, with small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation.\n2. Moderate cardiomegaly.\nThere are no substantial differences between the preliminary results and the impressions in this final report.\n\"Physician to Physician Radiology Consult Line: (559) 745-1823\"\nSigned", "findings": "Moderate alveolar pulmonary edema, with associated small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. No pneumothorax. Unchanged moderate cardiomegaly.\nNo acute osseous abnormality.", "impression": "1. Moderate alveolar pulmonary edema, with small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation.\n2. Moderate cardiomegaly.\nThere are no substantial differences between the preliminary results and the impressions in this final report.\n\"Physician to Physician Radiology Consult Line: (559) 745-1823\"\nSigned", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64650", "report_date_order": 1, "view_position": "AP", "comparison": "11/7/2013", "age": "86.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64682_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64682/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nAP semierect view of the chest demonstrates low left lung \nvolume, and a moderate left pleural effusion and associated \natelectasis persists, unchanged. Right lung remains clear. \nPostoperative stabilization of the lower cervical and upper thoracic \nspine are again noted unchanged.\n \nEndotracheal tube has been removed.\n\nIMPRESSION:\n1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. \nTHESE ARE UNCHANGED DESPITE EXTUBATION.", "findings": "AP semierect view of the chest demonstrates low left lung \nvolume, and a moderate left pleural effusion and associated \natelectasis persists, unchanged. Right lung remains clear. \nPostoperative stabilization of the lower cervical and upper thoracic \nspine are again noted unchanged.\n \nEndotracheal tube has been removed.", "impression": "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. \nTHESE ARE UNCHANGED DESPITE EXTUBATION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64682", "report_date_order": 1, "view_position": "AP", "comparison": "12/14/2008", "age": "62.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64668_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64668/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nStable position of cervical fusion hardware. No significant interval \nchange in diffuse mildly prominent fine reticulations in the \nbilateral lungs with more confluent airspace opacities in the \nbilateral lung bases, left greater than right with small bilateral \npleural effusions. Stable left apical pneumothorax.\n\nIMPRESSION:\n1. Stable small left apical pneumothorax.\n \n2. No significant interval change in diffuse mildly prominent fine \nreticulations in the bilateral lungs likely reflecting pulmonary \nedema with more confluent airspace opacities in the bilateral lung \nbases, left greater than right, which could reflect atelectasis as \nversus infection, with small bilateral pleural effusions.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Stable position of cervical fusion hardware. No significant interval \nchange in diffuse mildly prominent fine reticulations in the \nbilateral lungs with more confluent airspace opacities in the \nbilateral lung bases, left greater than right with small bilateral \npleural effusions. Stable left apical pneumothorax.", "impression": "1. Stable small left apical pneumothorax.\n \n2. No significant interval change in diffuse mildly prominent fine \nreticulations in the bilateral lungs likely reflecting pulmonary \nedema with more confluent airspace opacities in the bilateral lung \nbases, left greater than right, which could reflect atelectasis as \nversus infection, with small bilateral pleural effusions.\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": "patient64668", "report_date_order": 2, "view_position": "AP", "comparison": "2-24-2011 at 2004 hours", "age": "50.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64723_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64723/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nA chest wall pacing device with intact leads into the\nright atrium and right ventricle is unchanged. There is diffuse\nprominence of the pulmonary vasculature with indistinct margins\nconsistent with mild interstitial pulmonary edema. No air-space\npulmonary edema. No segmental consolidation or pleural effusion\nbilaterally. The cardiomediastinal silhouette is within normal\nlimits and unchanged. Regional osseous structures are\nunremarkable.\n\nIMPRESSION:\nMILD INTERSTITIAL PULMONARY EDEMA.", "findings": "A chest wall pacing device with intact leads into the\nright atrium and right ventricle is unchanged. There is diffuse\nprominence of the pulmonary vasculature with indistinct margins\nconsistent with mild interstitial pulmonary edema. No air-space\npulmonary edema. No segmental consolidation or pleural effusion\nbilaterally. The cardiomediastinal silhouette is within normal\nlimits and unchanged. Regional osseous structures are\nunremarkable.", "impression": "MILD INTERSTITIAL PULMONARY EDEMA.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64723", "report_date_order": 5, "view_position": "AP", "comparison": "1-12-2018.", "age": "76.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64666_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64666/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nStable tubes and lines. Improving retrocardiac airspace opacity. \nAlthough the diaphragm is more clearly seen now, there is still some \nfaint residual airspace opacity and perhaps a small left pleural \neffusion. There is persistent air bronchograms at the right medial \nlung base as well.\n\nIMPRESSION:\n1. Improving retrocardiac airspace consolidation.", "findings": "Stable tubes and lines. Improving retrocardiac airspace opacity. \nAlthough the diaphragm is more clearly seen now, there is still some \nfaint residual airspace opacity and perhaps a small left pleural \neffusion. There is persistent air bronchograms at the right medial \nlung base as well.", "impression": "1. Improving retrocardiac airspace consolidation.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64666", "report_date_order": 3, "view_position": "AP", "comparison": "4/1/10 at 3:33 AM", "age": "22.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3415_IM-1650", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3415_IM-1650-1001.dcm.png", "report_gt": "FINDINGS:\nNo acute osseous abnormality. Mild degenerative changes of the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Prominence of superior mediastinal, XXXX superimposed structures. No focal area of consolidation, pleural effusion, or pneumothorax. Mild bibasilar atelectasis.\n\nIMPRESSION:\n1. No acute radiographic cardiopulmonary process.", "findings": "No acute osseous abnormality. Mild degenerative changes of the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Prominence of superior mediastinal, XXXX superimposed structures. No focal area of consolidation, pleural effusion, or pneumothorax. Mild bibasilar atelectasis.", "impression": "1. No acute radiographic cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3415_IM-1650", "comparison": "Chest radiograph on XXXX.", "indication": "Indication: XXXX-year-old XXXX with XXXX. Preop examination. Comparison: Chest radiograph on XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3250_IM-1540-1001", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3250_IM-1540-1001-0002.dcm.png", "report_gt": "FINDINGS:\nLungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.\n\nIMPRESSION:\nModerate hiatal hernia. No definite pneumonia.", "findings": "Lungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.", "impression": "Moderate hiatal hernia. No definite pneumonia.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3250_IM-1540-1001", "comparison": "", "indication": "Indication: XXXX Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR929_IM-2427", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/929_IM-2427-1001.dcm.png", "report_gt": "FINDINGS:\nNo change lung XXXX. XXXX opacities are present in the right lower lobe. No focal infiltrates. Heart and mediastinum are unremarkable. Aorta normal.\n\nIMPRESSION:\nFindings of COPD with right lung base focal atelectasis. No evidence for failure or pneumonia.", "findings": "No change lung XXXX. XXXX opacities are present in the right lower lobe. No focal infiltrates. Heart and mediastinum are unremarkable. Aorta normal.", "impression": "Findings of COPD with right lung base focal atelectasis. No evidence for failure or pneumonia.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR929_IM-2427", "comparison": "XXXX, XXXX.", "indication": "Indication: back pain Comparison: XXXX, XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR404_IM-2052", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/404_IM-2052-1001.dcm.png", "report_gt": "FINDINGS:\nArtifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.\n\nIMPRESSION:\nLimited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal XXXX). Recommend repeat chest x-XXXX.", "findings": "Artifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.", "impression": "Limited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal XXXX). Recommend repeat chest x-XXXX.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR404_IM-2052", "comparison": "None", "indication": "Indication: XXXX-year-old male, chest pain. Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3360_IM-1613", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3360_IM-1613-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Left basilar subsegmental atelectasis versus scar noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality. Specifically, no evidence of active tuberculous process.", "findings": "The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Left basilar subsegmental atelectasis versus scar noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "impression": "No acute cardiopulmonary abnormality. Specifically, no evidence of active tuberculous process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3360_IM-1613", "comparison": "None.", "indication": "Indication: XXXX-year-old woman, rule out TB.. Comparison: None." }, "eval_track": "baseline" } ]