[ { "study_id": "chexpert_patient64641_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64641/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nLines and tubes unchanged. Low lung volumes. Slight improvement in \nthe aeration of the upper lobes bilaterally. Stable cardiomediastinal \nsilhouette. Bibasilar consolidation, left greater than right, with \nsmall left pleural effusion. No evidence of pneumothorax.\n\nIMPRESSION:\n1. Low lung volumes. Slight improvement in the aeration of the upper \nlobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar \nconsolidation, left greater than right, with small left pleural \neffusion.", "findings": "Lines and tubes unchanged. Low lung volumes. Slight improvement in \nthe aeration of the upper lobes bilaterally. Stable cardiomediastinal \nsilhouette. Bibasilar consolidation, left greater than right, with \nsmall left pleural effusion. No evidence of pneumothorax.", "impression": "1. Low lung volumes. Slight improvement in the aeration of the upper \nlobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar \nconsolidation, left greater than right, with small left pleural \neffusion.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64641", "report_date_order": 3, "view_position": "AP", "comparison": "2011/11", "age": "50.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64700_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64700/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nInterval removal of right AICD. Interval placement of right IJ \napproach transvenous pacer.\n \nSevere cardiomegaly with enlarged pulmonary arteries reflecting \npulmonary hypertension. Mild left basilar opacity. No large pleural \neffusion. Right costophrenic angle is not included in field of view. \nNo visualized pneumothorax.\n\nIMPRESSION:\n1. Interval removal of right ICD with placement of right IJ approach \ntransvenous pacer. No visualized pneumothorax.\n \n2. Severe cardiomegaly with markedly enlarged pulmonary arteries, \nreflecting pulmonary hypertension.\n \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Interval removal of right AICD. Interval placement of right IJ \napproach transvenous pacer.\n \nSevere cardiomegaly with enlarged pulmonary arteries reflecting \npulmonary hypertension. Mild left basilar opacity. No large pleural \neffusion. Right costophrenic angle is not included in field of view. \nNo visualized pneumothorax.", "impression": "1. Interval removal of right ICD with placement of right IJ approach \ntransvenous pacer. No visualized pneumothorax.\n \n2. Severe cardiomegaly with markedly enlarged pulmonary arteries, \nreflecting pulmonary hypertension.\n \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64700", "report_date_order": 1, "view_position": "AP", "comparison": "Chest x-ray 30/11", "age": "79.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64615_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64615/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere is a small 2-mm radiopaque density seen within the\nleft peripheral upper lung zone. This appears calcified and most\nlikely represents old granulomatous disease. However, the patient\nhas a history of melanoma, and comparison with old studies, once\nthey are available, is recommended if there is clinical concern for\nmetastatic disease. The remainder of the lungs are clear without\nfocal air-space consolidation. The cardiomediastinal silhouette\nappears unremarkable. There is an old healing defect at the left\nclavicle demonstrated. The remainder of the bones appear\nunremarkable. Axillary clips seen within the right axilla.\n\nIMPRESSION:\n1. SMALL 2-MM NODULAR DENSITY SEEN IN THE LEFT UPPER PERIPHERAL\nLUNG ZONE, MOST LIKELY REPRESENTING OLD GRANULOMATOUS DISEASE.\n2. DEFECT SEEN WITHIN THE LEFT CLAVICLE, LIKELY REPRESENTING A\nHEALING OR OLD FRACTURE.\n3. AXILLARY CLIPS WITHIN THE RIGHT AXILLA.\n4. NO ACUTE CARDIOPULMONARY DISEASE.\n5. QUESTION OF OLD RIGHT NINTH LATERAL RIB FRACTURE.", "findings": "There is a small 2-mm radiopaque density seen within the\nleft peripheral upper lung zone. This appears calcified and most\nlikely represents old granulomatous disease. However, the patient\nhas a history of melanoma, and comparison with old studies, once\nthey are available, is recommended if there is clinical concern for\nmetastatic disease. The remainder of the lungs are clear without\nfocal air-space consolidation. The cardiomediastinal silhouette\nappears unremarkable. There is an old healing defect at the left\nclavicle demonstrated. The remainder of the bones appear\nunremarkable. Axillary clips seen within the right axilla.", "impression": "1. SMALL 2-MM NODULAR DENSITY SEEN IN THE LEFT UPPER PERIPHERAL\nLUNG ZONE, MOST LIKELY REPRESENTING OLD GRANULOMATOUS DISEASE.\n2. DEFECT SEEN WITHIN THE LEFT CLAVICLE, LIKELY REPRESENTING A\nHEALING OR OLD FRACTURE.\n3. AXILLARY CLIPS WITHIN THE RIGHT AXILLA.\n4. NO ACUTE CARDIOPULMONARY DISEASE.\n5. QUESTION OF OLD RIGHT NINTH LATERAL RIB FRACTURE.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64615", "report_date_order": 1, "view_position": "PA", "comparison": "No priors for comparison. There is a prior comparison\ndated 4-17, but it is not available online.", "age": "66.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64625_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64625/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe heart is within normal limits of size. The lungs are clear\nwithout focal opacity or pleural effusion. Deformity of several\nleft sided ribs appears chronic and may be the result of prior\ntrauma.\n\nIMPRESSION:\n1. NO FOCAL PULMONARY OPACITY OR PLEURAL EFFUSION. THERE IS NO\nPNEUMOTHORAX.", "findings": "The heart is within normal limits of size. The lungs are clear\nwithout focal opacity or pleural effusion. Deformity of several\nleft sided ribs appears chronic and may be the result of prior\ntrauma.", "impression": "1. NO FOCAL PULMONARY OPACITY OR PLEURAL EFFUSION. THERE IS NO\nPNEUMOTHORAX.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64625", "report_date_order": 2, "view_position": "PA", "comparison": "None available.", "age": "75.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64614_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64614/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nFrontal radiograph of the chest demonstrates normal \nappearance of cardiomediastinal silhouette, pulmonary vascularity, \nand airspaces. There is a right-sided PICC catheter with its tip \nprojecting 3 cm below the carina. There is a small left pleural \neffusion. The osseous structures are intact.\n\nIMPRESSION:\n1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. \n \n 2. SMALL LEFT PLEURAL EFFUSION.", "findings": "Frontal radiograph of the chest demonstrates normal \nappearance of cardiomediastinal silhouette, pulmonary vascularity, \nand airspaces. There is a right-sided PICC catheter with its tip \nprojecting 3 cm below the carina. There is a small left pleural \neffusion. The osseous structures are intact.", "impression": "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. \n \n 2. SMALL LEFT PLEURAL EFFUSION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64614", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "74.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64658_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64658/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe lung volumes are slightly decreased. Atelectasis is noted at\nthe left lung base with increased opacity noted. Surgical clips\nare noted overlying the region of the right hemidiaphragm. The\nheart does not appear enlarged. There is no evidence of pulmonary\nedema. Some mild pleural thickening is noted at the left apex.\n\nIMPRESSION:\n1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "findings": "The lung volumes are slightly decreased. Atelectasis is noted at\nthe left lung base with increased opacity noted. Surgical clips\nare noted overlying the region of the right hemidiaphragm. The\nheart does not appear enlarged. There is no evidence of pulmonary\nedema. Some mild pleural thickening is noted at the left apex.", "impression": "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64658", "report_date_order": 1, "view_position": "AP", "comparison": "08/10.", "age": "55.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64564_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64564/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nA single upright AP view of the chest demonstrates a \nlinear focus of opacity in the left lung base with the remainder of \nthe lung parenchyma clear. No significant pulmonary edema. Heart \nsize and cardiomediastinal silhouette are within normal limits. No \nsignificant pleural effusions. No bony abnormalities are \nappreciated.\n\nIMPRESSION:\n1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO \nATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "findings": "A single upright AP view of the chest demonstrates a \nlinear focus of opacity in the left lung base with the remainder of \nthe lung parenchyma clear. No significant pulmonary edema. Heart \nsize and cardiomediastinal silhouette are within normal limits. No \nsignificant pleural effusions. No bony abnormalities are \nappreciated.", "impression": "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO \nATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64564", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "71.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64599_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64599/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\n/\n\nIMPRESSION:\n1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH\nBILATERALLY CLEAR LUNGS.\n2. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, WHICH REPRESENTS A\nSMALL LEFT PLEURAL EFFUSION.\n3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS.\n4. SEVERAL DISCRETE LYTIC FOCI IN THE RIGHT HUMERAL DIAPHYSIS, LIKELY\nRELATED TO KNOWN UNDERLYING HISTORY OF MULTIPLE MYELOMA.", "findings": "/", "impression": "1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH\nBILATERALLY CLEAR LUNGS.\n2. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, WHICH REPRESENTS A\nSMALL LEFT PLEURAL EFFUSION.\n3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS.\n4. SEVERAL DISCRETE LYTIC FOCI IN THE RIGHT HUMERAL DIAPHYSIS, LIKELY\nRELATED TO KNOWN UNDERLYING HISTORY OF MULTIPLE MYELOMA.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64599", "report_date_order": 1, "view_position": "PA", "comparison": "1/11/2020.", "age": "69.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64604_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64604/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSingle frontal view of the chest on 12-18 at 2147\nhours demonstrates interval removal of a right chest tube with\ninterval development of a large, right sided pneumothorax. Stable\npositioning of a left sided chest tube with persistent small, left\nsided pneumothorax. Retrocardiac opacities may represent\natelectasis versus consolidation. The cardiomediastinal silhouette\nis stable.\nFollow up exam on 12/18/2014 demonstrates interval placement of a\nright chest tube with tiny, residual pneumothorax. Otherwise, no\nsignificant interval change.\n\nIMPRESSION:\n1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT\nFOLLOWING PLACEMENT OF A RIGHT CHEST TUBE.\n2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "findings": "Single frontal view of the chest on 12-18 at 2147\nhours demonstrates interval removal of a right chest tube with\ninterval development of a large, right sided pneumothorax. Stable\npositioning of a left sided chest tube with persistent small, left\nsided pneumothorax. Retrocardiac opacities may represent\natelectasis versus consolidation. The cardiomediastinal silhouette\nis stable.\nFollow up exam on 12/18/2014 demonstrates interval placement of a\nright chest tube with tiny, residual pneumothorax. Otherwise, no\nsignificant interval change.", "impression": "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT\nFOLLOWING PLACEMENT OF A RIGHT CHEST TUBE.\n2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64604", "report_date_order": 11, "view_position": "AP", "comparison": "12-18-2014 AT 0847 HOURS", "age": "35.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64732_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64732/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSlight interval decrease in lung volumes. Increased prominence of the \npulmonary vasculature, right lung greater than left, may represent \nasymmetric pulmonary edema versus secondary to decrease in lung \nvolumes. Stable cardiomediastinal silhouette. No focal consolidation. \nNo acute osseous abnormality.\n\nIMPRESSION:\n1. Slight interval decrease in lung volumes. Increased prominence of \nthe pulmonary vasculature, right lung greater than left, may \nrepresent asymmetric pulmonary edema versus secondary to decrease in \nlung volumes. Atypical or viral infection could have a similar \nappearance.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Slight interval decrease in lung volumes. Increased prominence of the \npulmonary vasculature, right lung greater than left, may represent \nasymmetric pulmonary edema versus secondary to decrease in lung \nvolumes. Stable cardiomediastinal silhouette. No focal consolidation. \nNo acute osseous abnormality.", "impression": "1. Slight interval decrease in lung volumes. Increased prominence of \nthe pulmonary vasculature, right lung greater than left, may \nrepresent asymmetric pulmonary edema versus secondary to decrease in \nlung volumes. Atypical or viral infection could have a similar \nappearance.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64732", "report_date_order": 1, "view_position": "AP", "comparison": "3/21/2020", "age": "49.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64713_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64713/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nInterval placement of a left arm PICC terminating 5.2 cm below the \ncarina. No evidence of pneumothorax. The cardiomediastinal silhouette \nis within normal limits. No evidence of effusions or pulmonary edema.\n\nIMPRESSION:\n1. Left arm PICC terminating 5.2 cm below the carina.\n \n2. Interval resolution of pulmonary edema.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Interval placement of a left arm PICC terminating 5.2 cm below the \ncarina. No evidence of pneumothorax. The cardiomediastinal silhouette \nis within normal limits. No evidence of effusions or pulmonary edema.", "impression": "1. Left arm PICC terminating 5.2 cm below the carina.\n \n2. Interval resolution of pulmonary edema.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64713", "report_date_order": 1, "view_position": "AP", "comparison": "CXR 9-11-2014", "age": "76.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64693_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64693/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\n4/2/2018 at 2019: Endotracheal tube terminates 5.2 cm above the \ncarina. Left chest wall port terminates in the left brachiocephalic \nvein. NG/OG tube tip is within the stomach. Cardiomediastinal \nsilhouette is normal in size. Lung volumes are low with bibasilar \nopacities likely reflecting atelectasis or aspiration. \nPneumoperitoneum seen on prior CT not visualized in this study. \n \n4-2-18 at 2125: Right IJ central venous catheter terminates 2.2 cm \nbelow the level the carina. Persistent bibasilar opacities. No \npneumothorax.\n\nIMPRESSION:\n1. Right IJ central venous catheter terminates in the lower SVC. No \npneumothorax.\n \n2. Left chest wall port tip in the left brachiocephalic vein. \n \n3. Previously seen pneumoperitoneum not visualized in this study, but \nmay be due to differences in technique. \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "4/2/2018 at 2019: Endotracheal tube terminates 5.2 cm above the \ncarina. Left chest wall port terminates in the left brachiocephalic \nvein. NG/OG tube tip is within the stomach. Cardiomediastinal \nsilhouette is normal in size. Lung volumes are low with bibasilar \nopacities likely reflecting atelectasis or aspiration. \nPneumoperitoneum seen on prior CT not visualized in this study. \n \n4-2-18 at 2125: Right IJ central venous catheter terminates 2.2 cm \nbelow the level the carina. Persistent bibasilar opacities. No \npneumothorax.", "impression": "1. Right IJ central venous catheter terminates in the lower SVC. No \npneumothorax.\n \n2. Left chest wall port tip in the left brachiocephalic vein. \n \n3. Previously seen pneumoperitoneum not visualized in this study, but \nmay be due to differences in technique. \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64693", "report_date_order": 1, "view_position": "AP", "comparison": "CT from 4/2/2018.", "age": "67.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64682_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64682/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nAP semierect view of the chest demonstrates low left lung \nvolume, and a moderate left pleural effusion and associated \natelectasis persists, unchanged. Right lung remains clear. \nPostoperative stabilization of the lower cervical and upper thoracic \nspine are again noted unchanged.\n \nEndotracheal tube has been removed.\n\nIMPRESSION:\n1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. \nTHESE ARE UNCHANGED DESPITE EXTUBATION.", "findings": "AP semierect view of the chest demonstrates low left lung \nvolume, and a moderate left pleural effusion and associated \natelectasis persists, unchanged. Right lung remains clear. \nPostoperative stabilization of the lower cervical and upper thoracic \nspine are again noted unchanged.\n \nEndotracheal tube has been removed.", "impression": "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. \nTHESE ARE UNCHANGED DESPITE EXTUBATION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64682", "report_date_order": 1, "view_position": "AP", "comparison": "12/14/2008", "age": "62.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64626_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64626/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is within\nnormal limits. The diaphragmatic borders are well visualized.\nThere is no evidence of pneumothorax. There is placement of a\nleft-sided single lead pacemaker. The lungs are clear. New\nosseous volar soft tissue abnormalities.\n\nIMPRESSION:\n1. PLACEMENT OF A LEFT-SIDED SINGLE LEAD AND PACER WITH NO\nEVIDENCE OF PNEUMOTHORAX.\n2. LUNGS CLEAR.", "findings": "The trachea is midline. The cardiomediastinal silhouette is within\nnormal limits. The diaphragmatic borders are well visualized.\nThere is no evidence of pneumothorax. There is placement of a\nleft-sided single lead pacemaker. The lungs are clear. New\nosseous volar soft tissue abnormalities.", "impression": "1. PLACEMENT OF A LEFT-SIDED SINGLE LEAD AND PACER WITH NO\nEVIDENCE OF PNEUMOTHORAX.\n2. LUNGS CLEAR.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64626", "report_date_order": 1, "view_position": "AP", "comparison": "STUDY:\nNone.", "age": "74.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64565_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64565/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSingle portable AP upright view of the chest with a \nlordotic projection demonstrates a cardiac silhouette that is mildly \nenlarged. There is minimal tortuosity of the thoracic aorta. \nAtherosclerotic calcification of the aortic knob is present. The \nbilateral hila are within normal limits. The bilateral lung fields \nare clear, without evidence of frank consolidation. No pneumothorax \nor pleural effusion is seen. The visualized osseous structures \nreveal no acute abnormalities.\n\nIMPRESSION:\n1. MILD CARDIOMEGALY. \n \n 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY \nABNORMALITIES.", "findings": "Single portable AP upright view of the chest with a \nlordotic projection demonstrates a cardiac silhouette that is mildly \nenlarged. There is minimal tortuosity of the thoracic aorta. \nAtherosclerotic calcification of the aortic knob is present. The \nbilateral hila are within normal limits. The bilateral lung fields \nare clear, without evidence of frank consolidation. No pneumothorax \nor pleural effusion is seen. The visualized osseous structures \nreveal no acute abnormalities.", "impression": "1. MILD CARDIOMEGALY. \n \n 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY \nABNORMALITIES.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64565", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "88.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64634_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64634/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nInterval placement of left PICC line, which terminates at the \ncavoatrial junction. Unchanged right IJ, NG/OG tube.\n \nSuboptimal study due to persistent marked rotation of the patient. \nPersistent left basilar opacity again seen elevation of the left \nhemidiaphragm. Low lung volumes. No visualized in the thorax.\n\nIMPRESSION:\n1. Interval placement of left PICC line, which terminates at the \ncavoatrial junction. No visualized pneumothorax.\n \n2. No other significant interval change.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Interval placement of left PICC line, which terminates at the \ncavoatrial junction. Unchanged right IJ, NG/OG tube.\n \nSuboptimal study due to persistent marked rotation of the patient. \nPersistent left basilar opacity again seen elevation of the left \nhemidiaphragm. Low lung volumes. No visualized in the thorax.", "impression": "1. Interval placement of left PICC line, which terminates at the \ncavoatrial junction. No visualized pneumothorax.\n \n2. No other significant interval change.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64634", "report_date_order": 2, "view_position": "AP", "comparison": "Chest x-ray 9-15-2004", "age": "39.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64670_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64670/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere has been a midline thoracotomy. ET tube is present \n4 cm above the carina. Two right IJ lines have their TIPS in the \nregion of the SVC. There is a midline chest tube and a left chest \ntube. There is a nasogastric tube present. The cardiac silhouette \nis within normal limits. There is some retrocardiac opacity \nsilhouetting the descending aorta and medial hemidiaphragm. The \npulmonary vascularity is normal. No other focal pulmonary \nparenchymal abnormalities are identified.\n\nIMPRESSION:\n1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS \nDESCRIBED. \n \n 2. NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.", "findings": "There has been a midline thoracotomy. ET tube is present \n4 cm above the carina. Two right IJ lines have their TIPS in the \nregion of the SVC. There is a midline chest tube and a left chest \ntube. There is a nasogastric tube present. The cardiac silhouette \nis within normal limits. There is some retrocardiac opacity \nsilhouetting the descending aorta and medial hemidiaphragm. The \npulmonary vascularity is normal. No other focal pulmonary \nparenchymal abnormalities are identified.", "impression": "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS \nDESCRIBED. \n \n 2. NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64670", "report_date_order": 1, "view_position": "AP", "comparison": "Comparison is made with the previous film from October 30th \nat 1416.", "age": "73.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64633_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64633/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere is no change in the right-sided central venous catheter. An NG \ntube is present. There is no change in the enlargement of the cardiac \nsilhouette. There are bilateral bibasilar opacities compatible with \neffusions and/or atelectasis that has increased on the right. There \nis diffuse bronchovascular marking prominence is also present \ncompatible with edema or infection.\n\nIMPRESSION:\n1. Increase in right pleural effusion and otherwise no change in \nbibasilar opacities compatible with consolidation and/or atelectasis.", "findings": "There is no change in the right-sided central venous catheter. An NG \ntube is present. There is no change in the enlargement of the cardiac \nsilhouette. There are bilateral bibasilar opacities compatible with \neffusions and/or atelectasis that has increased on the right. There \nis diffuse bronchovascular marking prominence is also present \ncompatible with edema or infection.", "impression": "1. Increase in right pleural effusion and otherwise no change in \nbibasilar opacities compatible with consolidation and/or atelectasis.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64633", "report_date_order": 4, "view_position": "AP", "comparison": "12-24-01", "age": "61.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64607_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64607/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nAP erect chest radiograph demonstrates interval left sided \nthoracotomy, with an osteotomy through the left posterior sixth rib \nand suture material in the left suprahilar region. A left apical \nchest drain is seen in place, with a tiny pneumothorax along the left \nlateral chest wall peripherally, as well as subcutaneous emphysema. \nThe previously noted bulla at the left base is not seen on the \ncurrent radiograph, but this may be positional. The left lung \notherwise appears clear. Moderate atelectasis is seen at the right \nbase, which otherwise appears clear.\n \nModerate osteophytosis in the thoracic spine. Visualized osseous \nstructures otherwise unremarkable.\n\nIMPRESSION:\n1. Interval left-sided thoracotomy and left upper lobectomy, with a \ntiny pneumothorax along the left lateral chest wall.\n \n2. Moderate atelectasis at the right base.", "findings": "AP erect chest radiograph demonstrates interval left sided \nthoracotomy, with an osteotomy through the left posterior sixth rib \nand suture material in the left suprahilar region. A left apical \nchest drain is seen in place, with a tiny pneumothorax along the left \nlateral chest wall peripherally, as well as subcutaneous emphysema. \nThe previously noted bulla at the left base is not seen on the \ncurrent radiograph, but this may be positional. The left lung \notherwise appears clear. Moderate atelectasis is seen at the right \nbase, which otherwise appears clear.\n \nModerate osteophytosis in the thoracic spine. Visualized osseous \nstructures otherwise unremarkable.", "impression": "1. Interval left-sided thoracotomy and left upper lobectomy, with a \ntiny pneumothorax along the left lateral chest wall.\n \n2. Moderate atelectasis at the right base.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64607", "report_date_order": 4, "view_position": "AP", "comparison": "11/23/2012", "age": "57.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64637_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64637/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nStable cholecystectomy clips. Interval placement of epidural catheter \nand left chest tube after resection of left upper lung zone nodule. \nNo pneumothorax. No pleural effusions. Lung fields clear. Heart size \nnormal.\n\nIMPRESSION:\n1. Post surgical changes with left-sided chest tube with no \npneumothorax.\n \n \n \nPhysician to Physician Radiology Consult Line: (720) 395-9359\nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Stable cholecystectomy clips. Interval placement of epidural catheter \nand left chest tube after resection of left upper lung zone nodule. \nNo pneumothorax. No pleural effusions. Lung fields clear. Heart size \nnormal.", "impression": "1. Post surgical changes with left-sided chest tube with no \npneumothorax.\n \n \n \nPhysician to Physician Radiology Consult Line: (720) 395-9359\nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64637", "report_date_order": 1, "view_position": "AP", "comparison": "7-5", "age": "60.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64569_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64569/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nChest x-ray 4-5-11 at 455: Removal NG tube; right chest tube \nremains in place. No pneumothorax identified. Persistent bibasilar \nparenchymal opacities, left greater than right with associated small, \nleft pleural effusion.\n \nChest x-ray 4-2011 at 1020: Interval removal of right chest tube; \nsmall right apical pneumothorax seen with this report displaced 1 cm \nfrom chest wall. No mediastinal shift. Minimal improved aeration of \nleft base.\n\nIMPRESSION:\n1. Small right pneumothorax post chest tube removal.\n \n2. Improved aeration of left lower lobe.\n \n \n \n\"Physician to Physician Radiology Consult Line: (499) 908-2178\"", "findings": "Chest x-ray 4-5-11 at 455: Removal NG tube; right chest tube \nremains in place. No pneumothorax identified. Persistent bibasilar \nparenchymal opacities, left greater than right with associated small, \nleft pleural effusion.\n \nChest x-ray 4-2011 at 1020: Interval removal of right chest tube; \nsmall right apical pneumothorax seen with this report displaced 1 cm \nfrom chest wall. No mediastinal shift. Minimal improved aeration of \nleft base.", "impression": "1. Small right pneumothorax post chest tube removal.\n \n2. Improved aeration of left lower lobe.\n \n \n \n\"Physician to Physician Radiology Consult Line: (499) 908-2178\"", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64569", "report_date_order": 9, "view_position": "AP", "comparison": "4-5-2011, 4-5-2011", "age": "67.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64613_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64613/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSmall right pleural effusion has diminished. Prior loculated small \npneumothorax at the right lung base has cleared.\nPost thoracotomy findings appear stable. The heart and vessels are \nunremarkable. Right humerus hardware again noted.\n\nIMPRESSION:\n1. Decreased fluid and resolved small pneumothorax at the right lung \nbase.", "findings": "Small right pleural effusion has diminished. Prior loculated small \npneumothorax at the right lung base has cleared.\nPost thoracotomy findings appear stable. The heart and vessels are \nunremarkable. Right humerus hardware again noted.", "impression": "1. Decreased fluid and resolved small pneumothorax at the right lung \nbase.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64613", "report_date_order": 11, "view_position": "PA", "comparison": "11-2002 and prior", "age": "30.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64580_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64580/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSingle frontal view of the chest demonstrates interval\nincrease in pulmonary edema with bilateral pleural effusions and\nbibasilar atelectasis versus consolidation. Cardiomediastinal\nsilhouette is unchanged and significant for vascular calcification\nand cardiomegaly. Osseous structures are unchanged.\n\nIMPRESSION:\nCHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "findings": "Single frontal view of the chest demonstrates interval\nincrease in pulmonary edema with bilateral pleural effusions and\nbibasilar atelectasis versus consolidation. Cardiomediastinal\nsilhouette is unchanged and significant for vascular calcification\nand cardiomegaly. Osseous structures are unchanged.", "impression": "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64580", "report_date_order": 9, "view_position": "AP", "comparison": "3-9-2006", "age": "84.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64583_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64583/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nConsolidation collapse of the right upper lobe is present\nassociated with left to right shift of the left upper lobe across\nthe anterior potential space. An oval slightly calcific opacity is\npresent in the right mid lung. This may represent a pleural based\ndensity. There is thickening of the minor fissure. Mild\ncardiomegaly is present. The pulmonary vascularity is slightly\nprominent in the upper lobes. Degenerative changes of the osseous\nstructures are noted.\n\nIMPRESSION:\n1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE\nPROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE\nNOT AVAILABLE.", "findings": "Consolidation collapse of the right upper lobe is present\nassociated with left to right shift of the left upper lobe across\nthe anterior potential space. An oval slightly calcific opacity is\npresent in the right mid lung. This may represent a pleural based\ndensity. There is thickening of the minor fissure. Mild\ncardiomegaly is present. The pulmonary vascularity is slightly\nprominent in the upper lobes. Degenerative changes of the osseous\nstructures are noted.", "impression": "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE\nPROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE\nNOT AVAILABLE.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64583", "report_date_order": 1, "view_position": "AP", "comparison": "", "age": "79.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64623_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64623/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nAP semierect chest radiograph demonstrates a nasoenteric tube \nprojecting over the right mediastinum, with the right apical chest \ndrain and epidural catheter, unchanged. Unchanged cardiomegaly. Low \nlung volumes, with unchanged opacification of the left base and small \nleft pleural effusion.\n \nMultilevel osteophytosis of the lower thoracic spine. Mild \ndegenerative change of the right acromioclavicular joint.\n\nIMPRESSION:\n1. Stable opacification of the left base, with small pleural effusion.", "findings": "AP semierect chest radiograph demonstrates a nasoenteric tube \nprojecting over the right mediastinum, with the right apical chest \ndrain and epidural catheter, unchanged. Unchanged cardiomegaly. Low \nlung volumes, with unchanged opacification of the left base and small \nleft pleural effusion.\n \nMultilevel osteophytosis of the lower thoracic spine. Mild \ndegenerative change of the right acromioclavicular joint.", "impression": "1. Stable opacification of the left base, with small pleural effusion.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64623", "report_date_order": 2, "view_position": "AP", "comparison": "1/18/2001", "age": "74.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64544_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64544/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nA single portable AP chest radiograph, dated 11/13/2016 \ndemonstrates midline appearance of the trachea. The cardiomediastinal \nsilhouette is unremarkable. There is a small focal left basilar \nopacity. Elsewhere, the lungs appear clear. No pleural or bony \nabnormalities are identified.\n\nIMPRESSION:\nfocal left basilar opacity, which may be consistent with atelectasis \nor early consolidation.", "findings": "A single portable AP chest radiograph, dated 11/13/2016 \ndemonstrates midline appearance of the trachea. The cardiomediastinal \nsilhouette is unremarkable. There is a small focal left basilar \nopacity. Elsewhere, the lungs appear clear. No pleural or bony \nabnormalities are identified.", "impression": "focal left basilar opacity, which may be consistent with atelectasis \nor early consolidation.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64544", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "42.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64606_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64606/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSingle lead cardiac pacer with a residual small left pleural effusion.\n\nIMPRESSION:\n1. Residual small left pleural effusion.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Single lead cardiac pacer with a residual small left pleural effusion.", "impression": "1. Residual small left pleural effusion.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64606", "report_date_order": 1, "view_position": "PA", "comparison": "8/1/2019", "age": "85.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64575_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64575/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is within \nnormal limits.\n \nThe pulmonary vasculature is well-defined without evidence of \npulmonary edema.\n \nThe lungs are hyperinflated with associated flattening of the \nhemidiaphragms and lucency within the lung apices compatible with \nemphysema. There is mild biapical pleural parenchymal scarring. No \nfocal consolidation. There is a 7-mm nodule which projects over the \nposterior left 10th rib with a possible correlate on the lateral view.\n \nThere is blunting of the left costophrenic angle suggestive of a \nsmall effusion or pleural thickening.\n \nThe visualized osseous structures are mildly osteopenic. \nDegenerative changes are noted involving the thoracic spine.\n\nIMPRESSION:\n1.NO ACUTE CARDIOPULMONARY PROCESS.\n \n2.MODERATE EMPHYSEMATOUS CHANGES.\n \n3.7-MM NODULE PROJECTING OVER THE LEFT LUNG BASE. RECOMMEND \nCOMPARISON WITH OUTSIDE PRIOR EXAMS TO ESTABLISH TWO YEARS OF \nSTABILITY, OR A CT OF THE THORAX FOR FURTHER EVALUATION.\n \n4.IN BLUNTING OF THE LEFT COSTOPHRENIC ANGLE SUGGESTIVE OF A SMALL \nLEFT PLEURAL EFFUSION OR THICKENING.", "findings": "The trachea is midline. The cardiomediastinal silhouette is within \nnormal limits.\n \nThe pulmonary vasculature is well-defined without evidence of \npulmonary edema.\n \nThe lungs are hyperinflated with associated flattening of the \nhemidiaphragms and lucency within the lung apices compatible with \nemphysema. There is mild biapical pleural parenchymal scarring. No \nfocal consolidation. There is a 7-mm nodule which projects over the \nposterior left 10th rib with a possible correlate on the lateral view.\n \nThere is blunting of the left costophrenic angle suggestive of a \nsmall effusion or pleural thickening.\n \nThe visualized osseous structures are mildly osteopenic. \nDegenerative changes are noted involving the thoracic spine.", "impression": "1.NO ACUTE CARDIOPULMONARY PROCESS.\n \n2.MODERATE EMPHYSEMATOUS CHANGES.\n \n3.7-MM NODULE PROJECTING OVER THE LEFT LUNG BASE. RECOMMEND \nCOMPARISON WITH OUTSIDE PRIOR EXAMS TO ESTABLISH TWO YEARS OF \nSTABILITY, OR A CT OF THE THORAX FOR FURTHER EVALUATION.\n \n4.IN BLUNTING OF THE LEFT COSTOPHRENIC ANGLE SUGGESTIVE OF A SMALL \nLEFT PLEURAL EFFUSION OR THICKENING.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64575", "report_date_order": 1, "view_position": "PA", "comparison": "No prior.", "age": "80.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64578_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64578/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe lungs are underinflated. The visualized lungs are otherwise \nclear. There is no pneumothorax visualized. The cardiomediastinal \nsilhouette and pulmonary vasculature are unremarkable. There is a \ntwo-lead pacer device overlying the right hemithorax, with leads in \nthe right atrium and right ventricle. The visualized osseous \nstructures are unremarkable.\n\nIMPRESSION:\nSATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF \nPNEUMOTHORAX.", "findings": "The lungs are underinflated. The visualized lungs are otherwise \nclear. There is no pneumothorax visualized. The cardiomediastinal \nsilhouette and pulmonary vasculature are unremarkable. There is a \ntwo-lead pacer device overlying the right hemithorax, with leads in \nthe right atrium and right ventricle. The visualized osseous \nstructures are unremarkable.", "impression": "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF \nPNEUMOTHORAX.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64578", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "65.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64617_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64617/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere is straightening of the left heart border with mild splaying\nof the carina. The cardiac silhouette is mildly enlarged. The\npulmonary vessels are unremarkable. No pneumothorax. No focal\nconsolidation or atelectasis.\n\nIMPRESSION:\n1. CARDIOMEGALY.\n2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT.\n3. THERE IS NO EVIDENCE FOR EDEMA.", "findings": "There is straightening of the left heart border with mild splaying\nof the carina. The cardiac silhouette is mildly enlarged. The\npulmonary vessels are unremarkable. No pneumothorax. No focal\nconsolidation or atelectasis.", "impression": "1. CARDIOMEGALY.\n2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT.\n3. THERE IS NO EVIDENCE FOR EDEMA.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64617", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "56.0", "sex": "Female" }, "eval_track": "baseline" } ]