data/test100_manifest.json

[
 {
  "study_name": "Study_49464",
  "subject_id": "15287015",
  "study_id": "50542186",
  "subset": "p15",
  "dicom_id": "03a17c56-7b48fee2-360dc32c-94bbb084-39a875a3",
  "view": "AP",
  "image_relpath": "files/p15/p15287015/s50542186/03a17c56-7b48fee2-360dc32c-94bbb084-39a875a3.jpg",
  "report_relpath": "files/p15/p15287015/s50542186.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15287015/s50542186/03a17c56-7b48fee2-360dc32c-94bbb084-39a875a3.jpg",
  "positive_labels": [
   "Atelectasis",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Lung volumes are low. Heart size remains moderately enlarged with a somewhat globular configuration as seen previously. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. A small right pleural effusion is demonstrated along with patchy opacities the lung bases, likely atelectasis. No pneumothorax is present. There are no acute osseous abnormalities.",
  "impression": "Small right pleural effusion and bibasilar atelectasis.",
  "vqa": [
   {
    "question": "Detail all identified anatomical findings.",
    "answer": "atelectasis, enlarged cardiac silhouette, lung opacity, pleural effusion",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "03a17c56-7b48fee2-360dc32c-94bbb084-39a875a3"
   }
  ]
 },
 {
  "study_name": "Study_47508",
  "subject_id": "18174990",
  "study_id": "50926016",
  "subset": "p18",
  "dicom_id": "6b6a45e4-086bcb8f-75a92ad3-0246ba55-c6ad38b7",
  "view": "AP",
  "image_relpath": "files/p18/p18174990/s50926016/6b6a45e4-086bcb8f-75a92ad3-0246ba55-c6ad38b7.jpg",
  "report_relpath": "files/p18/p18174990/s50926016.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18174990/s50926016/6b6a45e4-086bcb8f-75a92ad3-0246ba55-c6ad38b7.jpg",
  "positive_labels": [
   "Edema"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "-1.0",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Pleural Effusion, Pneumonia",
  "findings": "A single portable frontal radiograph of the chest was acquired. There are widespread bilateral interstitial opacities, with a lower lung predominance, as well as subtle Kerley B lines and bilateral perihilar peribronchial cuffing. There is no focal consolidation. Small bilateral pleural effusions cannot be excluded. There is no pneumothorax. The heart is mildly enlarged. There is prominence of the azygos contour. Aortic calcifications are seen. Degenerative changes are seen at both glenohumeral joints.",
  "impression": "1. Findings consistent with mild interstitial pulmonary edema. Concomitant infection at either lung base cannot be excluded. 2. Possible small bilateral pleural effusions.",
  "vqa": [
   {
    "question": "Can you detect any abnormalities in both the right lower lung zone and left costophrenic angle?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "6b6a45e4-086bcb8f-75a92ad3-0246ba55-c6ad38b7"
   },
   {
    "question": "Point out all detectable diseases and tubes/lines within the left lower lung zone.",
    "answer": "fluid overload/heart failure, pneumonia",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "6b6a45e4-086bcb8f-75a92ad3-0246ba55-c6ad38b7"
   }
  ]
 },
 {
  "study_name": "Study_49795",
  "subject_id": "17922986",
  "study_id": "52280091",
  "subset": "p17",
  "dicom_id": "29cc4915-b1b02611-7752ea82-ff1c64c4-64e2d8f1",
  "view": "PA",
  "image_relpath": "files/p17/p17922986/s52280091/29cc4915-b1b02611-7752ea82-ff1c64c4-64e2d8f1.jpg",
  "report_relpath": "files/p17/p17922986/s52280091.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p17/p17922986/s52280091/29cc4915-b1b02611-7752ea82-ff1c64c4-64e2d8f1.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "-1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Lung Opacity\nNegative Abnormalities: Atelectasis, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Edema",
  "findings": "Relatively low lung volumes are noted. Increased interstitial markings are seen throughout the lungs without focal consolidation or effusion. Moderate cardiac enlargement is noted as well as atherosclerotic calcifications at the aortic arch. Left chest wall dual lead pacing device seen with lead tips projecting over left atrium and right ventricle. No acute osseous abnormalities.",
  "impression": "Cardiomegaly with increased interstitial markings throughout the lungs which could be due to chronic interstitial process versus interstitial edema.",
  "vqa": [
   {
    "question": "Is any presence of either vascular calcification or calcified nodule within the upper mediastinum?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "29cc4915-b1b02611-7752ea82-ff1c64c4-64e2d8f1"
   },
   {
    "question": "Can you identify any abnormalities in the aortic arch or right clavicle?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "29cc4915-b1b02611-7752ea82-ff1c64c4-64e2d8f1"
   },
   {
    "question": "Please specify all the shared abnormalities that are in both upper mediastinum and abdomen.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "29cc4915-b1b02611-7752ea82-ff1c64c4-64e2d8f1"
   },
   {
    "question": "Please determine the sex of the patient based on this image.",
    "answer": "m",
    "semantic_type": "query",
    "content_type": "gender",
    "image_id": "29cc4915-b1b02611-7752ea82-ff1c64c4-64e2d8f1"
   }
  ]
 },
 {
  "study_name": "Study_49396",
  "subject_id": "11393554",
  "study_id": "57815924",
  "subset": "p11",
  "dicom_id": "54c0e820-7d771fec-70216890-bace8e4b-b832377b",
  "view": "PA",
  "image_relpath": "files/p11/p11393554/s57815924/54c0e820-7d771fec-70216890-bace8e4b-b832377b.jpg",
  "report_relpath": "files/p11/p11393554/s57815924.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11393554/s57815924/54c0e820-7d771fec-70216890-bace8e4b-b832377b.jpg",
  "positive_labels": [
   "Lung Opacity",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity, Pleural Effusion\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Pneumonia",
  "findings": "Right-sided Port-A-Cath terminates in the upper SVC without evidence of pneumothorax.There is slight blunting of the left costophrenic angle which may be due to a trace pleural effusion with overlying atelectasis. Subtle opacity at the left mid lung is nonspecific, underlying infection not excluded. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.",
  "impression": "Trace left pleural effusion. Left mid to lower lung opacity is nonspecific but in the appropriate clinical setting, could relate to pneumonia or small airways disease.",
  "vqa": [
   {
    "question": "Can you identify any abnormalities in the left chest wall or left upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "54c0e820-7d771fec-70216890-bace8e4b-b832377b"
   },
   {
    "question": "Does this image represent an AP view?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "plane",
    "image_id": "54c0e820-7d771fec-70216890-bace8e4b-b832377b"
   }
  ]
 },
 {
  "study_name": "Study_49766",
  "subject_id": "17722165",
  "study_id": "53586089",
  "subset": "p17",
  "dicom_id": "52749ac9-9ad7ca33-900432d2-80b06a86-12b8d190",
  "view": "PA",
  "image_relpath": "files/p17/p17722165/s53586089/52749ac9-9ad7ca33-900432d2-80b06a86-12b8d190.jpg",
  "report_relpath": "files/p17/p17722165/s53586089.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p17/p17722165/s53586089/52749ac9-9ad7ca33-900432d2-80b06a86-12b8d190.jpg",
  "positive_labels": [
   "Atelectasis",
   "Edema",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Edema, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The patient is status post recent median sternotomy and coronary artery bypass surgery, with a stable post-operative appearance of the cardiomediastinal contours allowing for differences in technique and projection. Pulmonary vascularity is normal. Interval improved aeration at the lung bases with minimal residual atelectasis remaining, right greater than left. Bilateral small pleural effusions are present, but there is no visible pneumothorax.",
  "impression": "Improving bibasilar atelectasis. Resolved interstitial edema. Small pleural effusions.",
  "vqa": [
   {
    "question": "Can you identify either enlarged hilum or cabg grafts?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "52749ac9-9ad7ca33-900432d2-80b06a86-12b8d190"
   },
   {
    "question": "Please outline all the anatomical regions related to cabg grafts.",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "52749ac9-9ad7ca33-900432d2-80b06a86-12b8d190"
   },
   {
    "question": "Is the cardiac silhouette's width larger than half of the total thorax width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "52749ac9-9ad7ca33-900432d2-80b06a86-12b8d190"
   }
  ]
 },
 {
  "study_name": "Study_46412",
  "subject_id": "12411890",
  "study_id": "50829513",
  "subset": "p12",
  "dicom_id": "59c047c5-6c85deaa-2b72e10e-c1b4626e-b3d90ac7",
  "view": "AP",
  "image_relpath": "files/p12/p12411890/s50829513/59c047c5-6c85deaa-2b72e10e-c1b4626e-b3d90ac7.jpg",
  "report_relpath": "files/p12/p12411890/s50829513.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12411890/s50829513/59c047c5-6c85deaa-2b72e10e-c1b4626e-b3d90ac7.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "-1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Edema, Pneumonia",
  "findings": "Increased interstitial markings in bilateral lung bases, right greater than left, could represent mild pulmonary edema or an early infectious process. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. A right IJ central venous catheter has been withdrawn. The osseous structures and upper abdomen are unremarkable.",
  "impression": "Increased bibasilar interstitial markings, right greater the left, could represent an early atypical infectious process or mild pulmonary edema.",
  "vqa": [
   {
    "question": "List all detected anatomical findings.",
    "answer": "lung opacity, pulmonary edema/hazy opacity",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "59c047c5-6c85deaa-2b72e10e-c1b4626e-b3d90ac7"
   },
   {
    "question": "What are the abnormalities specific to left lower lung zone but not evident in left hilar structures?",
    "answer": "pneumonia",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "59c047c5-6c85deaa-2b72e10e-c1b4626e-b3d90ac7"
   }
  ]
 },
 {
  "study_name": "Study_46121",
  "subject_id": "13067703",
  "study_id": "59557085",
  "subset": "p13",
  "dicom_id": "35526265-ad9db1b3-08d311e6-d1193a33-473315c3",
  "view": "AP",
  "image_relpath": "files/p13/p13067703/s59557085/35526265-ad9db1b3-08d311e6-d1193a33-473315c3.jpg",
  "report_relpath": "files/p13/p13067703/s59557085.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p13/p13067703/s59557085/35526265-ad9db1b3-08d311e6-d1193a33-473315c3.jpg",
  "positive_labels": [
   "Edema",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema, Pleural Effusion\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Single frontal view of the chest demonstrates a left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. The heart is top normal in size. The mediastinal and hilar contours are within normal limits. There are increased perihilar streaky opacities, which suggests pulmonary edema. Right suprahilar pulmonary mass is redemonstrated, better correlated on cross-sectional imaging. There is dense retrocardiac probable atelectasis and small left pleural effusion.",
  "impression": "Mild pulmonary edema. Small left effusion.",
  "vqa": [
   {
    "question": "Are there indications of tubes/lines or devices in the right chest wall?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "35526265-ad9db1b3-08d311e6-d1193a33-473315c3"
   },
   {
    "question": "Have you noticed any anatomical findings related to either the right lung or the left mid lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "35526265-ad9db1b3-08d311e6-d1193a33-473315c3"
   },
   {
    "question": "Can you identify either diseases or tubes/lines on the X-ray?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "35526265-ad9db1b3-08d311e6-d1193a33-473315c3"
   },
   {
    "question": "Detail all the anatomical findings visible.",
    "answer": "atelectasis, lung lesion, lung opacity, mass/nodule (not otherwise specified), pleural effusion, pulmonary edema/hazy opacity",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "35526265-ad9db1b3-08d311e6-d1193a33-473315c3"
   },
   {
    "question": "Specify all the devices observed in the right atrium.",
    "answer": "cardiac pacer and wires",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "35526265-ad9db1b3-08d311e6-d1193a33-473315c3"
   },
   {
    "question": "Which anatomical finding is involved with the right hilar structures, mass/nodule (not otherwise specified) or pulmonary edema/hazy opacity?",
    "answer": "mass/nodule (not otherwise specified), pulmonary edema/hazy opacity",
    "semantic_type": "choose",
    "content_type": "attribute",
    "image_id": "35526265-ad9db1b3-08d311e6-d1193a33-473315c3"
   },
   {
    "question": "Is the width of the cardiac silhouette more than half of the thorax width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "35526265-ad9db1b3-08d311e6-d1193a33-473315c3"
   }
  ]
 },
 {
  "study_name": "Study_48334",
  "subject_id": "12790400",
  "study_id": "57782055",
  "subset": "p12",
  "dicom_id": "7540f588-8ef3e690-b553ade4-29211f96-7204f310",
  "view": "PA",
  "image_relpath": "files/p12/p12790400/s57782055/7540f588-8ef3e690-b553ade4-29211f96-7204f310.jpg",
  "report_relpath": "files/p12/p12790400/s57782055.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12790400/s57782055/7540f588-8ef3e690-b553ade4-29211f96-7204f310.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Pneumonia",
  "findings": "Cardiac silhouette size is top normal. Aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Patchy ill-defined opacities in both lung bases are present. No pleural effusion or pneumothorax is demonstrated. There are multilevel mild degenerative changes in the thoracic spine with a dextroscoliosis visualized.",
  "impression": "Patchy bibasilar airspace opacities could reflect aspiration or infection.",
  "vqa": [
   {
    "question": "Can either superior mediastinal mass/enlargement or pericardial effusion be seen?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "7540f588-8ef3e690-b553ade4-29211f96-7204f310"
   },
   {
    "question": "Please identify all the abnormalities that are in either aortic arch or carina.",
    "answer": "vascular calcification",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "7540f588-8ef3e690-b553ade4-29211f96-7204f310"
   }
  ]
 },
 {
  "study_name": "Study_46955",
  "subject_id": "16732790",
  "study_id": "52957141",
  "subset": "p16",
  "dicom_id": "9eefe438-664c25de-a0565cb3-cc5a6c04-5cb92576",
  "view": "AP",
  "image_relpath": "files/p16/p16732790/s52957141/9eefe438-664c25de-a0565cb3-cc5a6c04-5cb92576.jpg",
  "report_relpath": "files/p16/p16732790/s52957141.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16732790/s52957141/9eefe438-664c25de-a0565cb3-cc5a6c04-5cb92576.jpg",
  "positive_labels": [
   "Atelectasis",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "-1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Edema",
  "findings": "Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Cardiac silhouette size is mildly unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar. There is mild pulmonary vascular congestion. Patchy opacities in the lung bases may reflect areas of atelectasis with minimal blunting of the left costophrenic angle on the lateral view suggestive of a trace pleural effusion. No pneumothorax is present. Deformity of the right fourth rib posteriorly is unchanged and may reflect a remote fracture.",
  "impression": "Mild pulmonary vascular congestion and trace left pleural effusion. Bibasilar atelectasis.",
  "vqa": [
   {
    "question": "Can you identify any technical assessments or devices in the scan?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "9eefe438-664c25de-a0565cb3-cc5a6c04-5cb92576"
   },
   {
    "question": "Is there evidence of linear/patchy atelectasis in both the left lower lung zone and the left upper lung zone?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "9eefe438-664c25de-a0565cb3-cc5a6c04-5cb92576"
   },
   {
    "question": "Does the cardiac silhouette's width make up more than 50% of the thorax width?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "9eefe438-664c25de-a0565cb3-cc5a6c04-5cb92576"
   }
  ]
 },
 {
  "study_name": "Study_47404",
  "subject_id": "13912710",
  "study_id": "54385774",
  "subset": "p13",
  "dicom_id": "c985c544-2a478d2b-4c4ef3b4-f86c62f3-2aec45d5",
  "view": "AP",
  "image_relpath": "files/p13/p13912710/s54385774/c985c544-2a478d2b-4c4ef3b4-f86c62f3-2aec45d5.jpg",
  "report_relpath": "files/p13/p13912710/s54385774.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p13/p13912710/s54385774/c985c544-2a478d2b-4c4ef3b4-f86c62f3-2aec45d5.jpg",
  "positive_labels": [
   "Atelectasis",
   "Edema",
   "Pleural Effusion",
   "Support Devices"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": "1.0"
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Edema, Pleural Effusion, Support Devices\nNegative Abnormalities: Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumothorax\nUncertain Abnormalities: Pneumonia",
  "findings": "There has been interval removal of the Swan-Ganz catheter. A right-sided internal jugular catheter is in-situ, the tip terminates in the distal SVC. A nasoenteric tube is in-situ, the side port is at approximately the level the gastroesophageal junction and this could be advanced further into the stomach. There are persistent bilateral airspace opacities in a predominately perihilar distribution consistent with pulmonary edema. There is silhouetting of the right hemidiaphragm, unchanged compared to the prior study. This may reflect atelectasis or consolidation. Similar appearance in the left lower lobe. Probable small bilateral pleural effusions. Stable cardiomegaly.",
  "impression": "The side port for the nasogastric tube is positioned at approximately the gastroesophageal junction, this could be advanced further into the stomach. Findings consistent with pulmonary edema, pleural effusions and atelectasis. Superimposed infection cannot be excluded.",
  "vqa": [
   {
    "question": "Identify all the shared abnormalities that are in both right clavicle and carina.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "c985c544-2a478d2b-4c4ef3b4-f86c62f3-2aec45d5"
   }
  ]
 },
 {
  "study_name": "Study_47971",
  "subject_id": "18172623",
  "study_id": "58256862",
  "subset": "p18",
  "dicom_id": "19fd2064-96d2d761-8dfac104-22965f39-618dc786",
  "view": "PA",
  "image_relpath": "files/p18/p18172623/s58256862/19fd2064-96d2d761-8dfac104-22965f39-618dc786.jpg",
  "report_relpath": "files/p18/p18172623/s58256862.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18172623/s58256862/19fd2064-96d2d761-8dfac104-22965f39-618dc786.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "New right basal opacity has appeared, which may represent aspiration. Lateral view does not show the opacity. No pleural effusion, pulmonary congestion or pneumothorax is seen. The heart and mediastinal contours are normal. The right subclavian PICC line ends at the mid SVC and is in stable position.",
  "impression": "New right basilar opacity may represent aspiration. Recommend followup imaging in 24 hours to better evaluate.",
  "vqa": [
   {
    "question": "Does the right clavicle show any evidence of technical assessments or tubes/lines?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "19fd2064-96d2d761-8dfac104-22965f39-618dc786"
   },
   {
    "question": "In which location, the right hilar structures or the svc, is an abnormality displayed?",
    "answer": "svc",
    "semantic_type": "choose",
    "content_type": "abnormality",
    "image_id": "19fd2064-96d2d761-8dfac104-22965f39-618dc786"
   }
  ]
 },
 {
  "study_name": "Study_46155",
  "subject_id": "18487334",
  "study_id": "59763018",
  "subset": "p18",
  "dicom_id": "e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c",
  "view": "AP",
  "image_relpath": "files/p18/p18487334/s59763018/e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c.jpg",
  "report_relpath": "files/p18/p18487334/s59763018.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18487334/s59763018/e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Support Devices"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": "1.0"
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Support Devices\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax\nUncertain Abnormalities: None",
  "findings": "The lungs are clear. No right pleural effusion. No large left pleural effusion. No pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. Midline sternotomy wires again demonstrate disruption of the second sternotomy. Additional sternotomy wires are intact. An enteric feeding tube is seen coursing midline with tip in stomach. A left chest wall pacer device lead tips are in the right atrium and right ventricle. Right PICC tip is in the mid SVC.",
  "impression": "1. Stable mild cardiomegaly. 2. Enteric feeding tube tip in stomach, still containing stylet.",
  "vqa": [
   {
    "question": "Is there any sign of the linear/patchy atelectasis in the right hilar structures?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c"
   },
   {
    "question": "What are all the abnormalities detectable within the cardiac silhouette?",
    "answer": "cardiac pacer and wires, enlarged cardiac silhouette",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c"
   },
   {
    "question": "Please identify all the devices in either the right chest wall or the mediastinum.",
    "answer": "cardiac pacer and wires",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c"
   },
   {
    "question": "Can you point out all the anatomical areas associated with either diseases or devices?",
    "answer": "cardiac silhouette, left chest wall, mediastinum, right atrium, right chest wall",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c"
   }
  ]
 },
 {
  "study_name": "Study_47950",
  "subject_id": "15796335",
  "study_id": "59607749",
  "subset": "p15",
  "dicom_id": "05f6713b-9e30311d-e2e743f7-a0334867-f7d1e612",
  "view": "AP",
  "image_relpath": "files/p15/p15796335/s59607749/05f6713b-9e30311d-e2e743f7-a0334867-f7d1e612.jpg",
  "report_relpath": "files/p15/p15796335/s59607749.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15796335/s59607749/05f6713b-9e30311d-e2e743f7-a0334867-f7d1e612.jpg",
  "positive_labels": [
   "Pneumothorax",
   "Support Devices"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "1.0",
   "Support Devices": "1.0"
  },
  "structured_findings": "Positive Abnormalities: Pneumothorax, Support Devices\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia\nUncertain Abnormalities: None",
  "findings": "Single AP upright portable chest radiograph is obtained. There has been interval placement of a right IJ central venous catheter. A small right apical pneumothorax is seen. No signs of tension. ET and NG tubes are unchanged.",
  "impression": "Small right apical pneumothorax status post right IJ central venous catheter placement. Catheter tip in appropriate position. Findings were posted and flagged to the ED dashboard at the time of this dictation.",
  "vqa": [
   {
    "question": "Can you find any abnormalities in either the right apical zone or the left hemidiaphragm?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "05f6713b-9e30311d-e2e743f7-a0334867-f7d1e612"
   },
   {
    "question": "Does the upper mediastinum's width represent more than 33% of the thorax width?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "05f6713b-9e30311d-e2e743f7-a0334867-f7d1e612"
   }
  ]
 },
 {
  "study_name": "Study_49018",
  "subject_id": "12130564",
  "study_id": "54663286",
  "subset": "p12",
  "dicom_id": "fd3d4157-5ea85bda-a947fbb4-e9759fbe-601f6fcf",
  "view": "PA",
  "image_relpath": "files/p12/p12130564/s54663286/fd3d4157-5ea85bda-a947fbb4-e9759fbe-601f6fcf.jpg",
  "report_relpath": "files/p12/p12130564/s54663286.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12130564/s54663286/fd3d4157-5ea85bda-a947fbb4-e9759fbe-601f6fcf.jpg",
  "positive_labels": [
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "0.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pleural Effusion\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "There is minimal left pleural effusion posteriorly. There is no consolidation or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.",
  "impression": "No evidence of pneumonia. Minimal left pleural effusion.",
  "vqa": [
   {
    "question": "Enumerate all abnormalities that are common to both right shoulder and cavoatrial junction.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "fd3d4157-5ea85bda-a947fbb4-e9759fbe-601f6fcf"
   }
  ]
 },
 {
  "study_name": "Study_46316",
  "subject_id": "14044601",
  "study_id": "56362308",
  "subset": "p14",
  "dicom_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e",
  "view": "AP",
  "image_relpath": "files/p14/p14044601/s56362308/e65bed45-5a6492c2-b85c3428-443236f1-7282712e.jpg",
  "report_relpath": "files/p14/p14044601/s56362308.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p14/p14044601/s56362308/e65bed45-5a6492c2-b85c3428-443236f1-7282712e.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "-1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Atelectasis",
  "findings": "Cardiac silhouette size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Lung volumes are low causing crowding of bronchovascular structures with possible mild pulmonary vascular engorgement but without overt pulmonary edema. Patchy opacities in lung bases may reflect areas of atelectasis in the setting of low lung volumes. No pleural effusion or pneumothorax is clearly identified. There are no acute osseous abnormalities.",
  "impression": "Low lung volumes with patchy opacities in lung bases possibly reflecting atelectasis. Possible mild pulmonary vascular engorgement.",
  "vqa": [
   {
    "question": "Is the right hilar structures showing indications of either vascular congestion or mass/nodule (not otherwise specified)?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Can you see any technical assessments or tubes/lines?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Is there evidence of abnormality in the left hilar structures or right hilar structures?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Can you see any devices?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Are both the left lung and the right mid lung zone associated with mass/nodule (not otherwise specified)?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Please point out all observable technical assessments and tubes/lines within the left lower lung zone.",
    "answer": "low lung volumes",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Enumerate all detected abnormalities.",
    "answer": "atelectasis, enlarged cardiac silhouette, linear/patchy atelectasis, lung opacity, vascular congestion",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Please indicate all anatomical locations associated with low lung volumes, but lacking cardiac pacer and wires.",
    "answer": "left lower lung zone, left lung, right lower lung zone, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "List all the technical assessments you can identify.",
    "answer": "low lung volumes",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Point out all anatomical locations where both low lung volumes and chest tube could potentially be present.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Could you list any abnormalities exclusively observed in trachea, but not in left breast?",
    "answer": "",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Can you identify the view of this x-ray?",
    "answer": "ap",
    "semantic_type": "query",
    "content_type": "plane",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   },
   {
    "question": "Does the cardiac silhouette's width go beyond half of the thoracic width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "e65bed45-5a6492c2-b85c3428-443236f1-7282712e"
   }
  ]
 },
 {
  "study_name": "Study_48988",
  "subject_id": "15227491",
  "study_id": "59047438",
  "subset": "p15",
  "dicom_id": "e1e5cf13-864d0077-fc340872-dbe3d375-8cb36049",
  "view": "AP",
  "image_relpath": "files/p15/p15227491/s59047438/e1e5cf13-864d0077-fc340872-dbe3d375-8cb36049.jpg",
  "report_relpath": "files/p15/p15227491/s59047438.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15227491/s59047438/e1e5cf13-864d0077-fc340872-dbe3d375-8cb36049.jpg",
  "positive_labels": [
   "Edema",
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "0.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema, Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "In comparison with chest radiograph from ___, diffuse bilateral interstitial markings have somewhat improved, which may reflect improvement in pulmonary edema in the background of chronic interstitial lung disease. There is no focal consolidation, pleural effusion or pneumothorax. Biapical pleural thickening is seen, unchanged. Mediastinal and hilar contours are stable. Substantial cardiomegaly is unchanged.",
  "impression": "1. Mildly improved bilateral diffuse interstitial markings likely reflects improvement in pulmonary edema in the background of chronic interstitial lung disease. 2. No evidence of pneumonia.",
  "vqa": [
   {
    "question": "Are there indications of any lung opacity within the left apical zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "e1e5cf13-864d0077-fc340872-dbe3d375-8cb36049"
   },
   {
    "question": "Mention all anatomical locations where both pleural/parenchymal scarring and interstitial lung diseases can occur.",
    "answer": "left lung, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "e1e5cf13-864d0077-fc340872-dbe3d375-8cb36049"
   },
   {
    "question": "Please list all anatomical locations having superior mediastinal mass/enlargement, but excluding pneumomediastinum.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "e1e5cf13-864d0077-fc340872-dbe3d375-8cb36049"
   }
  ]
 },
 {
  "study_name": "Study_49966",
  "subject_id": "13983639",
  "study_id": "50022512",
  "subset": "p13",
  "dicom_id": "a5b76f24-38c4bb74-f06093a0-d27adefb-8a710ffb",
  "view": "PA",
  "image_relpath": "files/p13/p13983639/s50022512/a5b76f24-38c4bb74-f06093a0-d27adefb-8a710ffb.jpg",
  "report_relpath": "files/p13/p13983639/s50022512.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p13/p13983639/s50022512/a5b76f24-38c4bb74-f06093a0-d27adefb-8a710ffb.jpg",
  "positive_labels": [
   "Lung Opacity",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "-1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Atelectasis, Pneumonia",
  "findings": "Lung volumes are low. This accentuates the size of the cardiac silhouette which appears moderately enlarged. The mediastinal contours are unremarkable. Pulmonary vasculature is normal. Patchy opacities are demonstrated in the lung bases. Small bilateral pleural effusions are also noted. No pneumothorax is present. There are mild degenerative changes in the thoracic spine.",
  "impression": "Low lung volumes. Patchy bibasilar airspace opacities may reflect atelectasis, aspiration or infection, with small bilateral pleural effusions.",
  "vqa": [
   {
    "question": "Is any diseases or tubes/lines present within the right lower lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "a5b76f24-38c4bb74-f06093a0-d27adefb-8a710ffb"
   },
   {
    "question": "Does the width of the upper mediastinum constitute more than one-third of the thorax width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "a5b76f24-38c4bb74-f06093a0-d27adefb-8a710ffb"
   }
  ]
 },
 {
  "study_name": "Study_45399",
  "subject_id": "19844485",
  "study_id": "53504804",
  "subset": "p19",
  "dicom_id": "5b433593-d02544b5-225e12eb-2d963391-108a1692",
  "view": "PA",
  "image_relpath": "files/p19/p19844485/s53504804/5b433593-d02544b5-225e12eb-2d963391-108a1692.jpg",
  "report_relpath": "files/p19/p19844485/s53504804.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19844485/s53504804/5b433593-d02544b5-225e12eb-2d963391-108a1692.jpg",
  "positive_labels": [
   "Atelectasis",
   "Lung Opacity",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "0.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Lung Opacity, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "PA and lateral views of the chest were provided. Since the prior exam, there is increased opacity at the right lung base which could represent a combination of atelectasis and effusion, though underlying pneumonia is difficult to exclude in the correct clinical setting. Lung volumes and evaluation for mild pulmonary edema is limited. There is no overt edema. No pneumothorax is seen. Bony structures appear intact.",
  "impression": "Increased opacity at the right lung base, likely a combination of effusion and atelectasis, though underlying pneumonia difficult to exclude.",
  "vqa": [
   {
    "question": "Are there any noticeable abnormalities?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "5b433593-d02544b5-225e12eb-2d963391-108a1692"
   },
   {
    "question": "Are there indications of any diseases within the left mid lung zone?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "5b433593-d02544b5-225e12eb-2d963391-108a1692"
   },
   {
    "question": "Specify all anatomical locations associated with any diseases.",
    "answer": "right lower lung zone, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "5b433593-d02544b5-225e12eb-2d963391-108a1692"
   }
  ]
 },
 {
  "study_name": "Study_48342",
  "subject_id": "17805616",
  "study_id": "52977300",
  "subset": "p17",
  "dicom_id": "0b003dfd-ad408e6c-0f94b50a-4235a2b7-82ff5fab",
  "view": "AP",
  "image_relpath": "files/p17/p17805616/s52977300/0b003dfd-ad408e6c-0f94b50a-4235a2b7-82ff5fab.jpg",
  "report_relpath": "files/p17/p17805616/s52977300.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p17/p17805616/s52977300/0b003dfd-ad408e6c-0f94b50a-4235a2b7-82ff5fab.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The lungs are hyperinflated with flattening of the diaphragms and fibrotic changes compatible with COPD. Nodular right apical opacities are again seen, grossly unchanged. There is no definite acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.",
  "impression": "Findings compatible with COPD with persistent nodular right apical opacities. No definite superimposed acute cardiopulmonary process.",
  "vqa": [
   {
    "question": "Are there traces of either mass/nodule (not otherwise specified) or calcified nodule in the right apical zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "0b003dfd-ad408e6c-0f94b50a-4235a2b7-82ff5fab"
   }
  ]
 },
 {
  "study_name": "Study_48537",
  "subject_id": "15203939",
  "study_id": "55148887",
  "subset": "p15",
  "dicom_id": "6b33c7b6-d8563008-9f8ddeab-9a3778fe-045a44b2",
  "view": "PA",
  "image_relpath": "files/p15/p15203939/s55148887/6b33c7b6-d8563008-9f8ddeab-9a3778fe-045a44b2.jpg",
  "report_relpath": "files/p15/p15203939/s55148887.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15203939/s55148887/6b33c7b6-d8563008-9f8ddeab-9a3778fe-045a44b2.jpg",
  "positive_labels": [
   "Atelectasis",
   "Lung Opacity",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Lung Opacity, Pneumonia\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "PA and lateral views of the chest provided. Increased streaky opacities in the right cardiophrenic/lower lung is likely atelectasis however developing pneumonia cannot be excluded. Lung volumes are low, accentuating the cardiac silhouette and pulmonary vasculature. There is no pulmonary edema. There is no pleural effusion.",
  "impression": "Right lower lung opacity, likely atelectasis however developing pneumonia cannot be excluded.",
  "vqa": [
   {
    "question": "Is there any evidence of anatomical findings or diseases in the trachea?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "6b33c7b6-d8563008-9f8ddeab-9a3778fe-045a44b2"
   },
   {
    "question": "Detail all the present diseases and tubes/lines.",
    "answer": "pneumonia",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "6b33c7b6-d8563008-9f8ddeab-9a3778fe-045a44b2"
   },
   {
    "question": "Please identify all the tubes/lines in either the right costophrenic angle or the right hemidiaphragm.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "6b33c7b6-d8563008-9f8ddeab-9a3778fe-045a44b2"
   }
  ]
 },
 {
  "study_name": "Study_48825",
  "subject_id": "11117146",
  "study_id": "52142604",
  "subset": "p11",
  "dicom_id": "3b561501-1d69e868-a9619d8f-2cd79782-9770017c",
  "view": "AP",
  "image_relpath": "files/p11/p11117146/s52142604/3b561501-1d69e868-a9619d8f-2cd79782-9770017c.jpg",
  "report_relpath": "files/p11/p11117146/s52142604.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11117146/s52142604/3b561501-1d69e868-a9619d8f-2cd79782-9770017c.jpg",
  "positive_labels": [
   "Edema"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "AP upright and lateral views of the chest are provided. Lung volumes are low. There is mild-to-moderate pulmonary edema with central congestion evident. No large effusion or pneumothorax. The heart size is difficult to assess. The mediastinal contour appears grossly stable. A right humeral head replacement is partially imaged. There is an abnormal appearance of the left humeral head likely chronic.",
  "impression": "Mild-to-moderate pulmonary edema.",
  "vqa": [
   {
    "question": "Are there any indications of abnormality?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "3b561501-1d69e868-a9619d8f-2cd79782-9770017c"
   },
   {
    "question": "Can we say that the cardiac silhouette's width is more than half of the thorax width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "3b561501-1d69e868-a9619d8f-2cd79782-9770017c"
   }
  ]
 },
 {
  "study_name": "Study_47346",
  "subject_id": "15889331",
  "study_id": "53552228",
  "subset": "p15",
  "dicom_id": "ee412200-669c5ce9-c4ccd06e-2e5ee563-7c816333",
  "view": "AP",
  "image_relpath": "files/p15/p15889331/s53552228/ee412200-669c5ce9-c4ccd06e-2e5ee563-7c816333.jpg",
  "report_relpath": "files/p15/p15889331/s53552228.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15889331/s53552228/ee412200-669c5ce9-c4ccd06e-2e5ee563-7c816333.jpg",
  "positive_labels": [
   "Atelectasis",
   "Lung Opacity",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Lung Opacity, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "A tracheostomy is stable in position. A Dobbhoff tube is seen terminating in the stomach antrum. Cardiomediastinal and hilar contours are unchanged. Lung volumes are low. Opacity at the left lung base is new from the prior study and likely represents atelectasis. A small right pleural effusion is unchanged. There is no evidence of pneumothorax",
  "impression": "1. Left basilar opacity is likely representative of atelectasis. 2. Small right pleural effusion unchanged.",
  "vqa": [
   {
    "question": "Under which gender category does this patient fall, male or female?",
    "answer": "m",
    "semantic_type": "choose",
    "content_type": "gender",
    "image_id": "ee412200-669c5ce9-c4ccd06e-2e5ee563-7c816333"
   }
  ]
 },
 {
  "study_name": "Study_49193",
  "subject_id": "16932330",
  "study_id": "52636916",
  "subset": "p16",
  "dicom_id": "4347a628-a725c9dc-fd8073c4-8698f524-ecaaa068",
  "view": "PA",
  "image_relpath": "files/p16/p16932330/s52636916/4347a628-a725c9dc-fd8073c4-8698f524-ecaaa068.jpg",
  "report_relpath": "files/p16/p16932330/s52636916.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16932330/s52636916/4347a628-a725c9dc-fd8073c4-8698f524-ecaaa068.jpg",
  "positive_labels": [
   "Lung Opacity",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity, Pleural Effusion\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Again noted are diffuse bilateral nodular opacities, consistent with known underlying metastases. This is better evaluated on the recent CT chest dated ___. There are small bilateral pleural effusions. No pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Left Port-A-Cath terminates at the cavoatrial junction.",
  "impression": "1. No significant interval change in numerous bilateral parenchymal opacities, consistent with metastatic disease. 2. Small bilateral pleural effusions that are new from ___.",
  "vqa": [
   {
    "question": "Can you identify either tubes/lines or devices on the X-ray?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "4347a628-a725c9dc-fd8073c4-8698f524-ecaaa068"
   },
   {
    "question": "Identify all the tubes/lines in either the left chest wall or the right costophrenic angle.",
    "answer": "chest port",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "4347a628-a725c9dc-fd8073c4-8698f524-ecaaa068"
   },
   {
    "question": "Which anatomical site is implicated with the chest port, the left clavicle or the cavoatrial junction?",
    "answer": "cavoatrial junction",
    "semantic_type": "choose",
    "content_type": "anatomy",
    "image_id": "4347a628-a725c9dc-fd8073c4-8698f524-ecaaa068"
   },
   {
    "question": "Can you specify the orientation of this chest x-ray?",
    "answer": "pa",
    "semantic_type": "query",
    "content_type": "plane",
    "image_id": "4347a628-a725c9dc-fd8073c4-8698f524-ecaaa068"
   }
  ]
 },
 {
  "study_name": "Study_47498",
  "subject_id": "17569639",
  "study_id": "58092895",
  "subset": "p17",
  "dicom_id": "7b9346a3-08588000-e7a234bc-ccd4a39e-9fea30ef",
  "view": "AP",
  "image_relpath": "files/p17/p17569639/s58092895/7b9346a3-08588000-e7a234bc-ccd4a39e-9fea30ef.jpg",
  "report_relpath": "files/p17/p17569639/s58092895.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p17/p17569639/s58092895/7b9346a3-08588000-e7a234bc-ccd4a39e-9fea30ef.jpg",
  "positive_labels": [
   "Lung Opacity",
   "Pneumothorax",
   "Support Devices"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "1.0",
   "Support Devices": "1.0"
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity, Pneumothorax, Support Devices\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia\nUncertain Abnormalities: None",
  "findings": "In comparison to the prior study there is increased opacity in the lungs bilaterally. An endotracheal tube ends in the mid thoracic trachea. Enteric tube courses below the diaphragm. Known right pneumothorax is not well seen.",
  "impression": "An endotracheal tube ends in the mid thoracic trachea. New bilateral opacities consistent with known aspiration. Known right pneumothorax is not well seen.",
  "vqa": [
   {
    "question": "Does the right lower lung zone show any evidence of anatomical findings or tubes/lines?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "7b9346a3-08588000-e7a234bc-ccd4a39e-9fea30ef"
   },
   {
    "question": "Do any devices exist?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "7b9346a3-08588000-e7a234bc-ccd4a39e-9fea30ef"
   },
   {
    "question": "Can you identify the abnormalities present only in left lower lung zone and absent in right chest wall?",
    "answer": "aspiration, lung opacity",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "7b9346a3-08588000-e7a234bc-ccd4a39e-9fea30ef"
   },
   {
    "question": "Is the cardiac silhouette's width larger than half of the total thorax width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "7b9346a3-08588000-e7a234bc-ccd4a39e-9fea30ef"
   }
  ]
 },
 {
  "study_name": "Study_47856",
  "subject_id": "11276090",
  "study_id": "59154556",
  "subset": "p11",
  "dicom_id": "eacc61f9-14cb9965-bdff713b-04f9a485-b0264af2",
  "view": "PA",
  "image_relpath": "files/p11/p11276090/s59154556/eacc61f9-14cb9965-bdff713b-04f9a485-b0264af2.jpg",
  "report_relpath": "files/p11/p11276090/s59154556.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11276090/s59154556/eacc61f9-14cb9965-bdff713b-04f9a485-b0264af2.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "-1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Atelectasis, Pneumonia",
  "findings": "Right lung base airspace opacities appear new from prior studies and may represent atelectasis, aspiration, or early pneumonia. Bilateral upper lobe predominant reticular opacities are grossly unchanged from prior studies suggests the possibility of chronic lung disease such as hypersensitivity pneumonitis or sarcoidosis. . There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.",
  "impression": "New right lung base airspace opacity may represent atelectasis, aspiration, or early pneumonia .",
  "vqa": [
   {
    "question": "Is there any sign of the aspiration in the left upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "eacc61f9-14cb9965-bdff713b-04f9a485-b0264af2"
   },
   {
    "question": "Can any presence of both aspiration and copd/emphysema be noted in the left upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "eacc61f9-14cb9965-bdff713b-04f9a485-b0264af2"
   },
   {
    "question": "Could copd/emphysema be related to both the right lower lung zone and the left upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "eacc61f9-14cb9965-bdff713b-04f9a485-b0264af2"
   },
   {
    "question": "Identify all anatomical locations manifesting mediastinal drain, but excluding pneumomediastinum.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "eacc61f9-14cb9965-bdff713b-04f9a485-b0264af2"
   },
   {
    "question": "Which anatomical site has relevance to the aspiration, the right lower lung zone or the left upper lung zone?",
    "answer": "left upper lung zone, right lower lung zone",
    "semantic_type": "choose",
    "content_type": "anatomy",
    "image_id": "eacc61f9-14cb9965-bdff713b-04f9a485-b0264af2"
   }
  ]
 },
 {
  "study_name": "Study_49530",
  "subject_id": "11512225",
  "study_id": "52711754",
  "subset": "p11",
  "dicom_id": "088dda1b-9d11eec6-441276d0-05b5e15c-369b68eb",
  "view": "AP",
  "image_relpath": "files/p11/p11512225/s52711754/088dda1b-9d11eec6-441276d0-05b5e15c-369b68eb.jpg",
  "report_relpath": "files/p11/p11512225/s52711754.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11512225/s52711754/088dda1b-9d11eec6-441276d0-05b5e15c-369b68eb.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Edema",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "-1.0",
   "Cardiomegaly": "1.0",
   "Consolidation": "-1.0",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Edema, Pleural Effusion\nNegative Abnormalities: Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Atelectasis, Consolidation",
  "findings": "ET and NG tube are nominal in position. Cardiomegaly could be slightly more pronounced. Again seen are bilateral right greater left effusions with underlying collapse and/or consolidation. Also again seen is CHF, with upper zone redistribution, vascular plethora and probable vascular blurring. On today's exam, there is increased obscuration of the right hemidiaphragm, which could reflect increased collapse/ consolidation at the right base. Biapical pleural scarring, with surface calcification again noted. There is also nearby vascular calcification.",
  "impression": "Question interval increase in degree of cardiomegaly. CHF and bilateral effusions again seen. Bibasilar collapse and/or consolidation. This is likely worse on the right, where the right hemidiaphragm is now obscured.",
  "vqa": [
   {
    "question": "Can you see both enteric tube and lobar/segmental collapse in the X-ray?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "088dda1b-9d11eec6-441276d0-05b5e15c-369b68eb"
   },
   {
    "question": "Please specify all the shared abnormalities that are in both cardiac silhouette and right apical zone.",
    "answer": "lung opacity",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "088dda1b-9d11eec6-441276d0-05b5e15c-369b68eb"
   },
   {
    "question": "Please provide a list of all anatomical findings in either the left apical zone or the right hilar structures.",
    "answer": "lung opacity, pleural/parenchymal scarring, pulmonary edema/hazy opacity, vascular congestion, vascular redistribution",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "088dda1b-9d11eec6-441276d0-05b5e15c-369b68eb"
   }
  ]
 },
 {
  "study_name": "Study_46457",
  "subject_id": "13999026",
  "study_id": "50875344",
  "subset": "p13",
  "dicom_id": "01ecc4b5-fc3b01c2-9f2268ae-697b9bf9-97836e87",
  "view": "PA",
  "image_relpath": "files/p13/p13999026/s50875344/01ecc4b5-fc3b01c2-9f2268ae-697b9bf9-97836e87.jpg",
  "report_relpath": "files/p13/p13999026/s50875344.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p13/p13999026/s50875344/01ecc4b5-fc3b01c2-9f2268ae-697b9bf9-97836e87.jpg",
  "positive_labels": [
   "Atelectasis",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "PA and lateral views of the chest. Small left pleural effusion and trace left pleural effusion is unchanged. Opacification of the left lung base is unchanged and likely represents atelectasis. Heart size is top normal. The upper lungs are clear. No pneumothorax.",
  "impression": "No change in small left pleural effusion with adjacent atelectasis and trace right pleural effusion.",
  "vqa": [
   {
    "question": "Specify all the abnormalities observed in the image.",
    "answer": "atelectasis, lung opacity, pleural effusion",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "01ecc4b5-fc3b01c2-9f2268ae-697b9bf9-97836e87"
   }
  ]
 },
 {
  "study_name": "Study_45019",
  "subject_id": "16553329",
  "study_id": "50112134",
  "subset": "p16",
  "dicom_id": "7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f",
  "view": "AP",
  "image_relpath": "files/p16/p16553329/s50112134/7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f.jpg",
  "report_relpath": "files/p16/p16553329/s50112134.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16553329/s50112134/7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f.jpg",
  "positive_labels": [
   "Atelectasis",
   "Pleural Effusion",
   "Support Devices"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": "1.0"
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Pleural Effusion, Support Devices\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax\nUncertain Abnormalities: None",
  "findings": "There has been interval placement of a right central dialysis catheter. Bilateral hilar vascular prominence is re- demonstrated with subtle nodularity in the left upper lung likely representing confluence of vasculature though a true nodule difficult to exclude. There is no convincing sign of pneumonia or overt edema. Small left effusion is present with basilar atelectasis. The cardiomediastinal silhouette is unchanged.",
  "impression": "New HD catheter in place. Prominent perihilar vascular markings with subtle nodularity in the left upper lobe requiring CT on a nonemergent basis to further assess. Small left pleural effusion with basal atelectasis.",
  "vqa": [
   {
    "question": "Can you spot either vascular congestion or prosthetic valve in the image?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f"
   },
   {
    "question": "Is mass/nodule (not otherwise specified) detectable in both the right hilar structures and the left mid lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f"
   },
   {
    "question": "In relation to the left upper lung zone, which anatomical findings applies, mass/nodule (not otherwise specified) or airspace opacity?",
    "answer": "mass/nodule (not otherwise specified)",
    "semantic_type": "choose",
    "content_type": "attribute",
    "image_id": "7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f"
   }
  ]
 },
 {
  "study_name": "Study_48207",
  "subject_id": "14404935",
  "study_id": "59481286",
  "subset": "p14",
  "dicom_id": "7efff396-60a30a78-218e533f-6cdd5111-95cc3fb3",
  "view": "PA",
  "image_relpath": "files/p14/p14404935/s59481286/7efff396-60a30a78-218e533f-6cdd5111-95cc3fb3.jpg",
  "report_relpath": "files/p14/p14404935/s59481286.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p14/p14404935/s59481286/7efff396-60a30a78-218e533f-6cdd5111-95cc3fb3.jpg",
  "positive_labels": [
   "Atelectasis"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Subtle linear opacities in the region of the right middle lobe likely represent atelectasis. No definitive focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.",
  "impression": "Minimal right middle lobe atelectasis without radiographic evidence for acute process.",
  "vqa": [
   {
    "question": "Can either atelectasis or hyperaeration be identified within the left lower lung zone?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "7efff396-60a30a78-218e533f-6cdd5111-95cc3fb3"
   }
  ]
 },
 {
  "study_name": "Study_45208",
  "subject_id": "16508811",
  "study_id": "51780323",
  "subset": "p16",
  "dicom_id": "93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd",
  "view": "AP",
  "image_relpath": "files/p16/p16508811/s51780323/93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd.jpg",
  "report_relpath": "files/p16/p16508811/s51780323.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16508811/s51780323/93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "-1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Edema",
  "findings": "The cardiac and mediastinal contours appear stable. Although less striking than on the last study, there is perihilar congestive change above that of an earlier baseline study from ___. There are also patchy opacities at both lung bases, more prominent in the retrocardiac area than at the right lung base, decreased from ___ but retrocardiac opacity was not present in ___ so is not necessarily chronic.",
  "impression": "Findings suggest mild vascular congestion. Opacities at the lung bases, particularly the left lower lobe, which are indeterminate as to etiology and chronicity.",
  "vqa": [
   {
    "question": "Can you confirm if this image is in the AP or PA view?",
    "answer": "ap",
    "semantic_type": "choose",
    "content_type": "plane",
    "image_id": "93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd"
   }
  ]
 },
 {
  "study_name": "Study_49867",
  "subject_id": "14131135",
  "study_id": "57933450",
  "subset": "p14",
  "dicom_id": "942bb7a3-5c06de15-54240df9-75c1d62e-251b0c59",
  "view": "PA",
  "image_relpath": "files/p14/p14131135/s57933450/942bb7a3-5c06de15-54240df9-75c1d62e-251b0c59.jpg",
  "report_relpath": "files/p14/p14131135/s57933450.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p14/p14131135/s57933450/942bb7a3-5c06de15-54240df9-75c1d62e-251b0c59.jpg",
  "positive_labels": [
   "Enlarged Cardiomediastinum",
   "Lung Opacity",
   "Pleural Other"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "-1.0",
   "Edema": "",
   "Enlarged Cardiomediastinum": "1.0",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "1.0",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Enlarged Cardiomediastinum, Lung Opacity, Pleural Other\nNegative Abnormalities: Atelectasis, Cardiomegaly, Edema, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Consolidation",
  "findings": "Heart size is at the upper limits of normal and unchanged. The pulmonary vasculature is normal. The lungs are hyperinflated as before with a background of emphysema. There is focal scarring and nodularity in the left upper lobe, better assessed on the prior CT. Post-radiation fibrosis along the left mediastinal and hilar contour is redemonstrated. No new focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are degenerative changes of visualized spine. Cholecystectomy clips in the right upper quadrant.",
  "impression": "No new focal consolidation.Unchanged post-radiation fibrosis in the left mediastinal and hilar contour. Focal scarring and nodularity in the left upper lobe is better assessed on the prior CT.",
  "vqa": [
   {
    "question": "Is there any sign of the presence of either chest port or interstitial lung diseases in the right lung?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "942bb7a3-5c06de15-54240df9-75c1d62e-251b0c59"
   }
  ]
 },
 {
  "study_name": "Study_49903",
  "subject_id": "19441625",
  "study_id": "50334566",
  "subset": "p19",
  "dicom_id": "106c0396-ca6b6dbf-f2309863-fb118e53-68b60314",
  "view": "PA",
  "image_relpath": "files/p19/p19441625/s50334566/106c0396-ca6b6dbf-f2309863-fb118e53-68b60314.jpg",
  "report_relpath": "files/p19/p19441625/s50334566.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19441625/s50334566/106c0396-ca6b6dbf-f2309863-fb118e53-68b60314.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "-1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Atelectasis",
  "findings": "PA and lateral views of the chest were compared to previous exam from ___. Linear opacity at the lung bases is most suggestive of atelectasis. There is, however, somewhat patchy but still linear opacity in the right upper lung on the frontal exam, not clearly located on the lateral. The lungs are otherwise clear. There is no effusion. Cardiomediastinal silhouette is within normal limits as are the osseous and soft tissue structures.",
  "impression": "Patchy but somewhat linear opacity in the right upper lung, this could be due to atelectasis; however, early, developing infiltrate is also possible. Clinical correlation suggested.",
  "vqa": [
   {
    "question": "Can any presence of both linear/patchy atelectasis and infiltration be noted in the right upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "106c0396-ca6b6dbf-f2309863-fb118e53-68b60314"
   },
   {
    "question": "Can infiltration be associated with either the right mid lung zone or the right upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "106c0396-ca6b6dbf-f2309863-fb118e53-68b60314"
   },
   {
    "question": "Are any abnormalities apparent?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "106c0396-ca6b6dbf-f2309863-fb118e53-68b60314"
   }
  ]
 },
 {
  "study_name": "Study_47455",
  "subject_id": "12792960",
  "study_id": "54430049",
  "subset": "p12",
  "dicom_id": "197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093",
  "view": "PA",
  "image_relpath": "files/p12/p12792960/s54430049/197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093.jpg",
  "report_relpath": "files/p12/p12792960/s54430049.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12792960/s54430049/197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093.jpg",
  "positive_labels": [
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The heart is mildly enlarged. There is mild unfolding of the thoracic aorta. These features can be seen with a history of hypertension. There is no pleural effusion or pneumothorax. The lungs appear clear. The osseous structures are unremarkable.",
  "impression": "Mild cardiomegaly. No evidence of acute disease.",
  "vqa": [
   {
    "question": "Can you identify any diseases?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093"
   },
   {
    "question": "Can you observe any devices or diseases?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093"
   },
   {
    "question": "Enumerate all the anatomical findings and tubes/lines observed.",
    "answer": "enlarged cardiac silhouette, tortuous aorta",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093"
   },
   {
    "question": "Please list all anatomical locations that could potentially have either airspace opacity or goiter.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093"
   },
   {
    "question": "Which anatomical findings, pleural/parenchymal scarring or lobar/segmental collapse, is associated with the right mid lung zone?",
    "answer": "",
    "semantic_type": "choose",
    "content_type": "attribute",
    "image_id": "197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093"
   },
   {
    "question": "What is the gender of this patient, male or female?",
    "answer": "f",
    "semantic_type": "choose",
    "content_type": "gender",
    "image_id": "197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093"
   },
   {
    "question": "Does the upper mediastinum's size exceed one-third of the thoracic width?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "197f2bbd-6d7a52c5-9df58f83-fbc45f8a-3f35d093"
   }
  ]
 },
 {
  "study_name": "Study_49543",
  "subject_id": "12239834",
  "study_id": "50554883",
  "subset": "p12",
  "dicom_id": "c1770d5d-89af4a61-60779935-0358d3d4-94a12289",
  "view": "PA",
  "image_relpath": "files/p12/p12239834/s50554883/c1770d5d-89af4a61-60779935-0358d3d4-94a12289.jpg",
  "report_relpath": "files/p12/p12239834/s50554883.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12239834/s50554883/c1770d5d-89af4a61-60779935-0358d3d4-94a12289.jpg",
  "positive_labels": [
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pneumonia\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "There has been significant decrease but incomplete resolution of previously seen consolidation within the right lower lobe. There are no new areas of focal consolidation noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits and stable. The pleural surfaces are unremarkable.",
  "impression": "Significant improvement but incomplete resolution of previously seen pneumonia. Follow up study is recommended in ___ weeks to confirm resolution of findings.",
  "vqa": [
   {
    "question": "Does the cardiac silhouette show any evidence of diseases or devices?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "c1770d5d-89af4a61-60779935-0358d3d4-94a12289"
   },
   {
    "question": "Provide a list of all devices only in the cardiac silhouette and not in the right clavicle.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "c1770d5d-89af4a61-60779935-0358d3d4-94a12289"
   }
  ]
 },
 {
  "study_name": "Study_45429",
  "subject_id": "18855147",
  "study_id": "53815637",
  "subset": "p18",
  "dicom_id": "482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81",
  "view": "AP",
  "image_relpath": "files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg",
  "report_relpath": "files/p18/p18855147/s53815637.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Lung Opacity\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Patient has received a new right dual-lumen dialysis catheter through the right internal jugular approach ending at mid SVC. Bilateral lung demonstrates increased interstitial marking and pulmonary vascular prominence likely from cardiac decompensation. Heart size is mildly enlarged, but unchanged to prior studies. Small pleural effusions seen on previous radiograph dated ___ have resolved. No pneumothorax. No discrete opacities concerning for pneumonia. Mediastinal silhouette is normal.",
  "impression": "Prominent interstitial marking, mildly enlarged heart size and prominent vascular markings likely from cardiac decompensation.",
  "vqa": [
   {
    "question": "Could airspace opacity be related to either the left hilar structures or the right costophrenic angle?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81"
   },
   {
    "question": "Are there signs of abnormalities in both the left lower lung zone and the right atrium?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81"
   },
   {
    "question": "Point out all the common anatomical findings between the right lung and right upper lung zone.",
    "answer": "lung opacity, vascular congestion, vascular redistribution",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81"
   },
   {
    "question": "Which anatomical location is suggestive of the airspace opacity, the left lower lung zone or the left costophrenic angle?",
    "answer": "left costophrenic angle",
    "semantic_type": "choose",
    "content_type": "anatomy",
    "image_id": "482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81"
   }
  ]
 },
 {
  "study_name": "Study_49827",
  "subject_id": "18978846",
  "study_id": "52144583",
  "subset": "p18",
  "dicom_id": "e016e385-82689555-d95ac098-bb7c9978-8428632a",
  "view": "AP",
  "image_relpath": "files/p18/p18978846/s52144583/e016e385-82689555-d95ac098-bb7c9978-8428632a.jpg",
  "report_relpath": "files/p18/p18978846/s52144583.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18978846/s52144583/e016e385-82689555-d95ac098-bb7c9978-8428632a.jpg",
  "positive_labels": [
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "-1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pleural Effusion\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Edema",
  "findings": "The cardiomediastinal contours are stable allowing for differences in patient positioning. There is a new small left pleural effusion, and there may also be a small right pleural effusion. There is no pneumothorax. Continued indistinctness of pulmonary hila with increased interstitial markings is consistent with interstitial pulmonary edema.",
  "impression": "New small left pleural effusion with a probable small right pleural effusion and mild vascular congestion.",
  "vqa": [
   {
    "question": "Is there any presence of abnormalities?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "e016e385-82689555-d95ac098-bb7c9978-8428632a"
   }
  ]
 },
 {
  "study_name": "Study_45206",
  "subject_id": "12530259",
  "study_id": "51770967",
  "subset": "p12",
  "dicom_id": "dd9cfc23-b05701f2-26215d83-46297578-48e163ea",
  "view": "PA",
  "image_relpath": "files/p12/p12530259/s51770967/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg",
  "report_relpath": "files/p12/p12530259/s51770967.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12530259/s51770967/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg",
  "positive_labels": [
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pneumonia\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "In the left perihilar region, there is a hazy opacification consistent with pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is elevation of the left hemidiaphragm, which is stable from the prior exam.",
  "impression": "Left perihilar pneumonia. Recommend followup radiographs after treatment to ensure resolution.",
  "vqa": [
   {
    "question": "Does the left hemidiaphragm exhibit any anatomical findings or tubes/lines?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "dd9cfc23-b05701f2-26215d83-46297578-48e163ea"
   },
   {
    "question": "Is linear/patchy atelectasis present within the left upper lung zone?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "dd9cfc23-b05701f2-26215d83-46297578-48e163ea"
   },
   {
    "question": "List all abnormalities observed in either left chest wall or left hemidiaphragm.",
    "answer": "elevated hemidiaphragm",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "dd9cfc23-b05701f2-26215d83-46297578-48e163ea"
   },
   {
    "question": "Please mention all detectable abnormalities in the abdomen.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "dd9cfc23-b05701f2-26215d83-46297578-48e163ea"
   }
  ]
 },
 {
  "study_name": "Study_47642",
  "subject_id": "18336565",
  "study_id": "54108854",
  "subset": "p18",
  "dicom_id": "dc9abd7e-b32353f0-da976da4-0b857306-a18efca4",
  "view": "PA",
  "image_relpath": "files/p18/p18336565/s54108854/dc9abd7e-b32353f0-da976da4-0b857306-a18efca4.jpg",
  "report_relpath": "files/p18/p18336565/s54108854.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18336565/s54108854/dc9abd7e-b32353f0-da976da4-0b857306-a18efca4.jpg",
  "positive_labels": [
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pneumonia\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Slight increased opacification in the left lower lung. Subsegmental atelectasis in the right lower lung, unchanged from prior. No pulmonary edema, pleural effusion, or pneumothorax. No cardiomegaly. Stable mediastinum and hila. Pleura is unremarkable. No subdiaphragmatic intra-abdominal free air.",
  "impression": "Left lower lobe pneumonia.",
  "vqa": [
   {
    "question": "Are either enlarged cardiac silhouette or endotracheal tube detectable?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "dc9abd7e-b32353f0-da976da4-0b857306-a18efca4"
   }
  ]
 },
 {
  "study_name": "Study_49622",
  "subject_id": "17063025",
  "study_id": "56210171",
  "subset": "p17",
  "dicom_id": "6a332814-487b3cb4-f9e1c43d-fa11c7de-60224fb7",
  "view": "AP",
  "image_relpath": "files/p17/p17063025/s56210171/6a332814-487b3cb4-f9e1c43d-fa11c7de-60224fb7.jpg",
  "report_relpath": "files/p17/p17063025/s56210171.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p17/p17063025/s56210171/6a332814-487b3cb4-f9e1c43d-fa11c7de-60224fb7.jpg",
  "positive_labels": [
   "Lung Lesion",
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "0.0",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "1.0",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Lesion, Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The lungs are hyperinflated. Biapical scarring and increased interstitial markings are seen throughout the lungs likely due to patient's underlying COPD. There is no focal consolidation worrisome for infection. Nodular opacity projecting over the anterior right fifth rib which may represent the nipple shadow in should be followed on subsequent exams. Calcified densities projecting over the right axilla are presumably in the soft tissues. Additional adjacent calcific densities projecting over the right lateral lung are unchanged. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications again noted at the aortic arch.",
  "impression": "Hyperinflation without focal consolidation. Followup on future exams of the nodular opacity over the right mid lung suggested.",
  "vqa": [
   {
    "question": "Specify all anatomical locations associated with either technical assessments or devices.",
    "answer": "right breast, right chest wall, right lower lung zone, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "6a332814-487b3cb4-f9e1c43d-fa11c7de-60224fb7"
   },
   {
    "question": "In terms of anatomical findings, which is indicative, spinal degenerative changes or increased reticular markings/ild pattern?",
    "answer": "",
    "semantic_type": "choose",
    "content_type": "attribute",
    "image_id": "6a332814-487b3cb4-f9e1c43d-fa11c7de-60224fb7"
   }
  ]
 },
 {
  "study_name": "Study_46242",
  "subject_id": "10766131",
  "study_id": "56515331",
  "subset": "p10",
  "dicom_id": "d38412fd-b30c8645-b9c28409-ae8ab9b9-1aeeeb67",
  "view": "AP",
  "image_relpath": "files/p10/p10766131/s56515331/d38412fd-b30c8645-b9c28409-ae8ab9b9-1aeeeb67.jpg",
  "report_relpath": "files/p10/p10766131/s56515331.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p10/p10766131/s56515331/d38412fd-b30c8645-b9c28409-ae8ab9b9-1aeeeb67.jpg",
  "positive_labels": [
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Left chest wall dual lead pacing device is again noted. The lungs are clear without consolidation, effusion, or vascular congestion. Cardiac silhouette is enlarged, unchanged. No acute osseous abnormalities.",
  "impression": "Cardiomegaly without acute cardiopulmonary process.",
  "vqa": [
   {
    "question": "Is there any occurrence of cardiac pacer and wires in the left chest wall?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "d38412fd-b30c8645-b9c28409-ae8ab9b9-1aeeeb67"
   }
  ]
 },
 {
  "study_name": "Study_46248",
  "subject_id": "19735078",
  "study_id": "52648435",
  "subset": "p19",
  "dicom_id": "aebe53e5-fde96800-3462016f-98cbe93e-b5f147e4",
  "view": "PA",
  "image_relpath": "files/p19/p19735078/s52648435/aebe53e5-fde96800-3462016f-98cbe93e-b5f147e4.jpg",
  "report_relpath": "files/p19/p19735078/s52648435.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19735078/s52648435/aebe53e5-fde96800-3462016f-98cbe93e-b5f147e4.jpg",
  "positive_labels": [
   "Atelectasis",
   "Cardiomegaly",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": "0.0"
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Cardiomegaly, Pleural Effusion\nNegative Abnormalities: Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Frontal and lateral views of the chest were obtained. The cardiac silhouette remains enlarged, similar in configuration, but is somewhat of a globular configuration. Underlying pericardial effusion is not excluded. There is bibasilar atelectasis. Slight blunting of the bilateral costophrenic angles suggests trace pleural effusions. The mediastinal contours are stable. No overt pulmonary edema is seen.",
  "impression": "Bibasilar atelectasis. Trace bilateral pleural effusions. Persistent enlargement of the cardiac silhouette, underlying pericardial effusion not excluded. No chest tube is seen on the images.",
  "vqa": [
   {
    "question": "Are signs of pericardial effusion present in either the cardiac silhouette or the mediastinum?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "aebe53e5-fde96800-3462016f-98cbe93e-b5f147e4"
   },
   {
    "question": "Are there abnormal findings in the right hilar structures or right mid lung zone?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "aebe53e5-fde96800-3462016f-98cbe93e-b5f147e4"
   },
   {
    "question": "Please detail all anatomical locations associated with either technical assessments or diseases.",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "aebe53e5-fde96800-3462016f-98cbe93e-b5f147e4"
   }
  ]
 },
 {
  "study_name": "Study_47536",
  "subject_id": "12591205",
  "study_id": "53727165",
  "subset": "p12",
  "dicom_id": "91d60a25-3d6faeec-fe73991a-979e9349-3bc115a4",
  "view": "AP",
  "image_relpath": "files/p12/p12591205/s53727165/91d60a25-3d6faeec-fe73991a-979e9349-3bc115a4.jpg",
  "report_relpath": "files/p12/p12591205/s53727165.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12591205/s53727165/91d60a25-3d6faeec-fe73991a-979e9349-3bc115a4.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Pneumonia",
  "findings": "The right lower lobe opacity is new since ___. The cardiomediastinal silhouette is unchanged from prior exam. There is tortuous thoracic aorta secondary to moderate right convex at mid thoracic and left convex at upper lumbar scoliosis. Otherwise, there is no acute osseous abnormalities. No pleural abnormalities are seen. Patient status post left upper chest cardiac pacer with dual leads in unchanged positioning.",
  "impression": "Right lower lobe opacity, may indicate pneumonia in the right clinical setting.",
  "vqa": [
   {
    "question": "Please identify all anatomical sites associated with any devices.",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "91d60a25-3d6faeec-fe73991a-979e9349-3bc115a4"
   }
  ]
 },
 {
  "study_name": "Study_46286",
  "subject_id": "16142940",
  "study_id": "53606881",
  "subset": "p16",
  "dicom_id": "162cc55b-f085edbc-f35ebe99-e5f82dc8-bf38fa96",
  "view": "PA",
  "image_relpath": "files/p16/p16142940/s53606881/162cc55b-f085edbc-f35ebe99-e5f82dc8-bf38fa96.jpg",
  "report_relpath": "files/p16/p16142940/s53606881.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16142940/s53606881/162cc55b-f085edbc-f35ebe99-e5f82dc8-bf38fa96.jpg",
  "positive_labels": [
   "Atelectasis",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Large right pleural effusion is slightly increased in size compared to the previous study. Trace left pleural effusion is likely unchanged in the interval. Compressive bibasilar atelectasis is re- demonstrated. The heart size is difficult to assess given the presence of the large right pleural effusion. Atherosclerotic calcifications are noted diffusely throughout the thoracic aorta. No pulmonary vascular congestion is present. There is no pneumothorax. No acute osseous abnormality is detected.",
  "impression": "Slight interval increase in size of large right pleural effusion and relatively unchanged trace left pleural effusion. Bibasilar compressive atelectasis.",
  "vqa": [
   {
    "question": "Are either vascular calcification or pulmonary edema/hazy opacity detectable?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "162cc55b-f085edbc-f35ebe99-e5f82dc8-bf38fa96"
   },
   {
    "question": "Is there any evidence of diseases or tubes/lines?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "162cc55b-f085edbc-f35ebe99-e5f82dc8-bf38fa96"
   },
   {
    "question": "Are there any devices associated with either the aortic arch or the svc?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "162cc55b-f085edbc-f35ebe99-e5f82dc8-bf38fa96"
   },
   {
    "question": "What abnormalities can you enumerate?",
    "answer": "atelectasis, lung opacity, pleural effusion, vascular calcification",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "162cc55b-f085edbc-f35ebe99-e5f82dc8-bf38fa96"
   }
  ]
 },
 {
  "study_name": "Study_45905",
  "subject_id": "16672854",
  "study_id": "57752575",
  "subset": "p16",
  "dicom_id": "3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa",
  "view": "AP",
  "image_relpath": "files/p16/p16672854/s57752575/3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa.jpg",
  "report_relpath": "files/p16/p16672854/s57752575.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16672854/s57752575/3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa.jpg",
  "positive_labels": [
   "Atelectasis"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "-1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis\nNegative Abnormalities: Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Edema",
  "findings": "The patient is status post median sternotomy and CABG. The heart size remains moderately enlarged. The mediastinal contour is unremarkable and unchanged. Mild pulmonary vascular congestion is improved compared to the previous exam. Retrocardiac streaky opacity likely reflects atelectasis. Blunting of the right costophrenic sulcus suggests that there may be a trace pleural effusion. No pneumothorax is identified. Degenerative changes of the right glenohumeral joint with joint space narrowing and osteophytic spurring is present.",
  "impression": "Mild pulmonary vascular congestion and retrocardiac atelectasis.",
  "vqa": [
   {
    "question": "Does breast/nipple shadows appear in both the left breast and the right breast?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa"
   },
   {
    "question": "Identify all the abnormalities located in either left mid lung zone or right shoulder.",
    "answer": "shoulder osteoarthritis",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa"
   },
   {
    "question": "Considering our findings, which anatomical finding is more closely related, shoulder osteoarthritis or superior mediastinal mass/enlargement?",
    "answer": "shoulder osteoarthritis",
    "semantic_type": "choose",
    "content_type": "attribute",
    "image_id": "3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa"
   },
   {
    "question": "Which projection is shown in this image, AP or PA?",
    "answer": "ap",
    "semantic_type": "choose",
    "content_type": "plane",
    "image_id": "3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa"
   }
  ]
 },
 {
  "study_name": "Study_45794",
  "subject_id": "18512911",
  "study_id": "56917340",
  "subset": "p18",
  "dicom_id": "8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350",
  "view": "PA",
  "image_relpath": "files/p18/p18512911/s56917340/8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350.jpg",
  "report_relpath": "files/p18/p18512911/s56917340.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18512911/s56917340/8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350.jpg",
  "positive_labels": [
   "Lung Opacity",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "-1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "0.0",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity, Pneumonia\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Atelectasis",
  "findings": "Chest PA and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Stable mild cardiomegaly evident. Increased opacity overlying the right diaphragm on background of right lower lung atelectasis, may indicate pneumonia. No pleural effusion or pneumothorax evident. Stable L1 and T12 compression fractures. Stable degenerative changes of the right shoulder.",
  "impression": "Increased opacity of right lower lung may reflect worsening atelectasis, though in proper clinical setting, pneumonia is a possibility. No pleural effusion evident.",
  "vqa": [
   {
    "question": "Are either lung lesion or shoulder osteoarthritis detectable?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350"
   },
   {
    "question": "What are all the technical assessments and diseases found in the image?",
    "answer": "pneumonia",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350"
   }
  ]
 },
 {
  "study_name": "Study_47901",
  "subject_id": "11560123",
  "study_id": "58886051",
  "subset": "p11",
  "dicom_id": "d16cc57a-6bb2bfa5-b7a69968-8723107f-627666f6",
  "view": "PA",
  "image_relpath": "files/p11/p11560123/s58886051/d16cc57a-6bb2bfa5-b7a69968-8723107f-627666f6.jpg",
  "report_relpath": "files/p11/p11560123/s58886051.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11560123/s58886051/d16cc57a-6bb2bfa5-b7a69968-8723107f-627666f6.jpg",
  "positive_labels": [
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is mildly enlarged. Pulmonary vasculature is within normal limits. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified.",
  "impression": "Mild cardiomegaly. No acute cardiopulmonary abnormality.",
  "vqa": [
   {
    "question": "Is there any indication of tubes/lines?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "d16cc57a-6bb2bfa5-b7a69968-8723107f-627666f6"
   }
  ]
 },
 {
  "study_name": "Study_46085",
  "subject_id": "19028690",
  "study_id": "59286076",
  "subset": "p19",
  "dicom_id": "3706cb8c-281ab1eb-f066978e-bce7d893-4b60bca9",
  "view": "AP",
  "image_relpath": "files/p19/p19028690/s59286076/3706cb8c-281ab1eb-f066978e-bce7d893-4b60bca9.jpg",
  "report_relpath": "files/p19/p19028690/s59286076.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19028690/s59286076/3706cb8c-281ab1eb-f066978e-bce7d893-4b60bca9.jpg",
  "positive_labels": [
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "0.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "0.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "There are low lung volumes without focal consolidation, effusion, or pneumothorax. The cardiac silhouette is moderately enlarged, there is stable widening of the mediastinum. Pulmonary vasculature appears normal.",
  "impression": "Low lung volumes, without pneumonia or CHF. Moderate cardiac enlargement is stable in appearance.",
  "vqa": [
   {
    "question": "Please mention all anatomical locations linked to enlarged cardiac silhouette, but not to shoulder osteoarthritis.",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "3706cb8c-281ab1eb-f066978e-bce7d893-4b60bca9"
   }
  ]
 },
 {
  "study_name": "Study_49925",
  "subject_id": "11506052",
  "study_id": "54622339",
  "subset": "p11",
  "dicom_id": "8098d5bb-d4157b6c-fc12aca8-30764784-666a9274",
  "view": "AP",
  "image_relpath": "files/p11/p11506052/s54622339/8098d5bb-d4157b6c-fc12aca8-30764784-666a9274.jpg",
  "report_relpath": "files/p11/p11506052/s54622339.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11506052/s54622339/8098d5bb-d4157b6c-fc12aca8-30764784-666a9274.jpg",
  "positive_labels": [
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pneumonia\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Compared with the immediate prior radiographs, the multifocal areas of airspace opacity have increased in extent and severity, compatible with progression of multifocal pneumonia. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. A well-healed lateral sixth rib fracture is incidentally noted.",
  "impression": "Increased extent and severity of multifocal pneumonia.",
  "vqa": [
   {
    "question": "Please detail all the present abnormalities.",
    "answer": "airspace opacity, lung opacity, pneumonia, rib fracture",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "8098d5bb-d4157b6c-fc12aca8-30764784-666a9274"
   }
  ]
 },
 {
  "study_name": "Study_47757",
  "subject_id": "12765666",
  "study_id": "59930730",
  "subset": "p12",
  "dicom_id": "80f680c0-c5cb6f4e-d1cb25af-095d528f-062c8943",
  "view": "PA",
  "image_relpath": "files/p12/p12765666/s59930730/80f680c0-c5cb6f4e-d1cb25af-095d528f-062c8943.jpg",
  "report_relpath": "files/p12/p12765666/s59930730.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12765666/s59930730/80f680c0-c5cb6f4e-d1cb25af-095d528f-062c8943.jpg",
  "positive_labels": [
   "Pleural Effusion",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "-1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pleural Effusion, Pneumonia\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Atelectasis",
  "findings": "Frontal and lateral chest radiographs were obtained.",
  "impression": "Left lower lobe collapse with a left pleural effusion, pneumonia cannot be excluded.",
  "vqa": [
   {
    "question": "Are there indications of any technical assessments within the left mid lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "80f680c0-c5cb6f4e-d1cb25af-095d528f-062c8943"
   },
   {
    "question": "Please identify all technical assessments observable in the right mid lung zone.",
    "answer": "low lung volumes",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "80f680c0-c5cb6f4e-d1cb25af-095d528f-062c8943"
   },
   {
    "question": "Can we say that the upper mediastinum's width is wider than a third of the thorax width?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "80f680c0-c5cb6f4e-d1cb25af-095d528f-062c8943"
   }
  ]
 },
 {
  "study_name": "Study_47321",
  "subject_id": "17838691",
  "study_id": "55404500",
  "subset": "p17",
  "dicom_id": "9c881647-5795a8df-ff72bd08-46ff5c8d-69976fcf",
  "view": "AP",
  "image_relpath": "files/p17/p17838691/s55404500/9c881647-5795a8df-ff72bd08-46ff5c8d-69976fcf.jpg",
  "report_relpath": "files/p17/p17838691/s55404500.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p17/p17838691/s55404500/9c881647-5795a8df-ff72bd08-46ff5c8d-69976fcf.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "-1.0",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Lung Lesion, Pneumonia",
  "findings": "Diffuse interstitial markings are noted, right greater than left. Additionally, there is a right upper lobe opacity with mediastinal shift towards the right. This is suggestive of underlying volume loss, possibly prior lobectomy changes. However, if there is no history of surgery, underlying malignancy should be considered. Superimposed post-obstructive pneumonia is possible. Atelectasis is noted at the left lung base. No substantial pleural effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.",
  "impression": "Right upper lobe opacity and volume loss. While this may reflect prior lobectomy change, there may be an underlying mass with possible post-obstructive pneumonia, and should be further investigated with CT.",
  "vqa": [
   {
    "question": "Is the left lung showing indications of mass/nodule (not otherwise specified)?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "9c881647-5795a8df-ff72bd08-46ff5c8d-69976fcf"
   },
   {
    "question": "Is any abnormality evident in the right mid lung zone or right upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "9c881647-5795a8df-ff72bd08-46ff5c8d-69976fcf"
   }
  ]
 },
 {
  "study_name": "Study_46205",
  "subject_id": "10568523",
  "study_id": "58303938",
  "subset": "p10",
  "dicom_id": "68cdebce-3f2edb32-af5c5c73-61c0e3dd-4482cf87",
  "view": "PA",
  "image_relpath": "files/p10/p10568523/s58303938/68cdebce-3f2edb32-af5c5c73-61c0e3dd-4482cf87.jpg",
  "report_relpath": "files/p10/p10568523/s58303938.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p10/p10568523/s58303938/68cdebce-3f2edb32-af5c5c73-61c0e3dd-4482cf87.jpg",
  "positive_labels": [
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pneumonia\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "There has been complete resolution of previous consolidations involving the right upper and lower lobes. The lungs are now clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.",
  "impression": "Resolved multifocal pneumonia.",
  "vqa": [
   {
    "question": "Does the neck show any abnormality?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "68cdebce-3f2edb32-af5c5c73-61c0e3dd-4482cf87"
   }
  ]
 },
 {
  "study_name": "Study_48708",
  "subject_id": "10624765",
  "study_id": "57375608",
  "subset": "p10",
  "dicom_id": "094e8ff9-5d6cb5bd-070177b0-040659b7-ce343c99",
  "view": "AP",
  "image_relpath": "files/p10/p10624765/s57375608/094e8ff9-5d6cb5bd-070177b0-040659b7-ce343c99.jpg",
  "report_relpath": "files/p10/p10624765/s57375608.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p10/p10624765/s57375608/094e8ff9-5d6cb5bd-070177b0-040659b7-ce343c99.jpg",
  "positive_labels": [
   "Atelectasis",
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "0.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "0.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Cardiomegaly\nNegative Abnormalities: Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "AP upright and lateral views of the chest provided. Lung volumes are low limiting assessment with scattered areas of atelectasis. The heart is mildly enlarged. The aorta appears unfolded. No convincing signs of pneumonia or overt CHF. No large effusion or pneumothorax. Bony structures appear grossly intact.",
  "impression": "Mild cardiomegaly, scattered atelectasis. No overt signs of pneumonia or edema.",
  "vqa": [
   {
    "question": "Can you see both hyperaeration and increased reticular markings/ild pattern in the X-ray?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "094e8ff9-5d6cb5bd-070177b0-040659b7-ce343c99"
   }
  ]
 },
 {
  "study_name": "Study_49805",
  "subject_id": "14265567",
  "study_id": "59323131",
  "subset": "p14",
  "dicom_id": "35b38176-7166305c-c32a6a5a-dfa23c24-9f6e2f16",
  "view": "PA",
  "image_relpath": "files/p14/p14265567/s59323131/35b38176-7166305c-c32a6a5a-dfa23c24-9f6e2f16.jpg",
  "report_relpath": "files/p14/p14265567/s59323131.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p14/p14265567/s59323131/35b38176-7166305c-c32a6a5a-dfa23c24-9f6e2f16.jpg",
  "positive_labels": [
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "PA and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valve are noted. The heart is mildly enlarged as on prior. Lungs are clear without focal consolidation, large effusion or pneumothorax. Mediastinal contour is normal. No overt signs of edema or congestion. Bony structures are intact.",
  "impression": "Cardiomegaly unchanged.",
  "vqa": [
   {
    "question": "Can you mention all anatomical locations related to either chest tube or prosthetic valve?",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "35b38176-7166305c-c32a6a5a-dfa23c24-9f6e2f16"
   }
  ]
 },
 {
  "study_name": "Study_45605",
  "subject_id": "19061282",
  "study_id": "55403688",
  "subset": "p19",
  "dicom_id": "407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187",
  "view": "AP",
  "image_relpath": "files/p19/p19061282/s55403688/407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187.jpg",
  "report_relpath": "files/p19/p19061282/s55403688.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19061282/s55403688/407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Consolidation"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "1.0",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Consolidation\nNegative Abnormalities: Atelectasis, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Again, the bones are diffusely sclerotic. The somewhat limits assessment for underlying focal consolidation, however, previously seen multifocal consolidations bilaterally on ___ have significantly decreased in the interval. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged. Mediastinal contours are stable. Several vascular stents are re- demonstrated.",
  "impression": "Osseous sclerosis limits assessment for underlying focal consolidation. Interval decrease in pulmonary consolidations compared to ___. No definite new focal consolidation. Moderate cardiomegaly.",
  "vqa": [
   {
    "question": "Are both the spine and left clavicle showing any abnormalities?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187"
   },
   {
    "question": "Can you provide a list of all abnormalities found only in right clavicle and not in cavoatrial junction?",
    "answer": "bone lesion",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187"
   },
   {
    "question": "Enumerate all abnormalities that are common to both spine and left clavicle.",
    "answer": "bone lesion",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187"
   }
  ]
 },
 {
  "study_name": "Study_49831",
  "subject_id": "19270543",
  "study_id": "51284142",
  "subset": "p19",
  "dicom_id": "1b3c0bd5-87282796-53cb4901-4b6dbe44-8e471da8",
  "view": "AP",
  "image_relpath": "files/p19/p19270543/s51284142/1b3c0bd5-87282796-53cb4901-4b6dbe44-8e471da8.jpg",
  "report_relpath": "files/p19/p19270543/s51284142.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19270543/s51284142/1b3c0bd5-87282796-53cb4901-4b6dbe44-8e471da8.jpg",
  "positive_labels": [
   "Atelectasis",
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Cardiomegaly\nNegative Abnormalities: Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The patient is status post median sternotomy. The heart size is mildly enlarged, increased in size compared to the previous study. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Minimal atelectasis is noted at the lung bases. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.",
  "impression": "Mild bibasilar atelectasis. Slightly enlarged heart size compared to the previous exam.",
  "vqa": [
   {
    "question": "Are there any noticeable atelectasis?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "1b3c0bd5-87282796-53cb4901-4b6dbe44-8e471da8"
   },
   {
    "question": "Is this image in the PA view?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "plane",
    "image_id": "1b3c0bd5-87282796-53cb4901-4b6dbe44-8e471da8"
   }
  ]
 },
 {
  "study_name": "Study_48267",
  "subject_id": "19637282",
  "study_id": "56317223",
  "subset": "p19",
  "dicom_id": "79c23c3c-be3e3998-42e419b9-e1aeff27-18144c3f",
  "view": "AP",
  "image_relpath": "files/p19/p19637282/s56317223/79c23c3c-be3e3998-42e419b9-e1aeff27-18144c3f.jpg",
  "report_relpath": "files/p19/p19637282/s56317223.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19637282/s56317223/79c23c3c-be3e3998-42e419b9-e1aeff27-18144c3f.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Pneumonia",
  "findings": "The ETT and enteric tube are unchanged in position. Cardiac silhouette is within normal limits. Right upper lobe opacity is again identified, unchanged. There is prominence of both hilar regions and new patchy opacity in the left upper lung which may represent developing infiltrate. There is no pleural effusion.",
  "impression": "New patchy opacity in the left upper lung may represent developing infection.",
  "vqa": [
   {
    "question": "Is there any sign of the infiltration in the left upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "79c23c3c-be3e3998-42e419b9-e1aeff27-18144c3f"
   },
   {
    "question": "Are there indications of either infiltration or lobar/segmental collapse in the left upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "79c23c3c-be3e3998-42e419b9-e1aeff27-18144c3f"
   },
   {
    "question": "Are there any anatomical findings found related to both the aortic arch and the right shoulder?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "79c23c3c-be3e3998-42e419b9-e1aeff27-18144c3f"
   }
  ]
 },
 {
  "study_name": "Study_47127",
  "subject_id": "11098660",
  "study_id": "57595015",
  "subset": "p11",
  "dicom_id": "4bc38fb1-fdbea90d-cf0a5ec6-881d1184-675bbef5",
  "view": "AP",
  "image_relpath": "files/p11/p11098660/s57595015/4bc38fb1-fdbea90d-cf0a5ec6-881d1184-675bbef5.jpg",
  "report_relpath": "files/p11/p11098660/s57595015.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11098660/s57595015/4bc38fb1-fdbea90d-cf0a5ec6-881d1184-675bbef5.jpg",
  "positive_labels": [
   "Pleural Effusion",
   "Support Devices"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "-1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": "1.0"
  },
  "structured_findings": "Positive Abnormalities: Pleural Effusion, Support Devices\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax\nUncertain Abnormalities: Edema",
  "findings": "Endotracheal tube and Swan ganz were placed, the latter has the tip in the outflow tract The alignment of the sternotomy wires is unchanged. Heart appears bigger, with increased perihilar vascular drawings for vascular congestion. There is pleural effusion on the left side. No signs of pneumothorax IMPRESSION",
  "impression": "There is an increased vascular congestion along with pleural effusion on the left side. Positioning of monitoring device",
  "vqa": [
   {
    "question": "Is swan-ganz catheter relevant to either the cardiac silhouette or the right atrium?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "4bc38fb1-fdbea90d-cf0a5ec6-881d1184-675bbef5"
   },
   {
    "question": "Identify all the shared abnormalities that are in both left lung and neck.",
    "answer": "swan-ganz catheter",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "4bc38fb1-fdbea90d-cf0a5ec6-881d1184-675bbef5"
   },
   {
    "question": "Provide a list of all detected anatomical findings and devices.",
    "answer": "enlarged hilum, lung opacity, pleural effusion, vascular congestion",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "4bc38fb1-fdbea90d-cf0a5ec6-881d1184-675bbef5"
   }
  ]
 },
 {
  "study_name": "Study_49969",
  "subject_id": "10749616",
  "study_id": "51034482",
  "subset": "p10",
  "dicom_id": "b82cab98-73da4d31-4fa80217-6ed55287-3531a95c",
  "view": "AP",
  "image_relpath": "files/p10/p10749616/s51034482/b82cab98-73da4d31-4fa80217-6ed55287-3531a95c.jpg",
  "report_relpath": "files/p10/p10749616/s51034482.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p10/p10749616/s51034482/b82cab98-73da4d31-4fa80217-6ed55287-3531a95c.jpg",
  "positive_labels": [
   "Edema"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Pneumonia",
  "findings": "AP single view of the chest has been obtained with patient in semi-upright position. Available for comparison is a previous examination of ___. There is evidence of cardiac enlargement and marked pulmonary vascular congestion. Hazy density of the bases suggestive of additional pleural effusions. Within the left hemithorax, a few patchy central infiltrates are noted probably related to additional overlying infectious processes. There is no evidence of pneumothorax.",
  "impression": "Cardiac congestion and bilateral pulmonary edema with possible overlying infectious processes. Referring physician, ___. ___ was paged at the time of reporting at 1:___ p.m.",
  "vqa": [
   {
    "question": "Is there a detection of either increased reticular markings/ild pattern or fluid overload/heart failure within the left lung?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "b82cab98-73da4d31-4fa80217-6ed55287-3531a95c"
   },
   {
    "question": "Can you describe all the tubes/lines in either the right lower lung zone or the left costophrenic angle?",
    "answer": "",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "b82cab98-73da4d31-4fa80217-6ed55287-3531a95c"
   }
  ]
 },
 {
  "study_name": "Study_48403",
  "subject_id": "19955994",
  "study_id": "54535614",
  "subset": "p19",
  "dicom_id": "4c0867d3-605e214e-8934d3af-24c2996b-b4f085fc",
  "view": "AP",
  "image_relpath": "files/p19/p19955994/s54535614/4c0867d3-605e214e-8934d3af-24c2996b-b4f085fc.jpg",
  "report_relpath": "files/p19/p19955994/s54535614.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19955994/s54535614/4c0867d3-605e214e-8934d3af-24c2996b-b4f085fc.jpg",
  "positive_labels": [
   "Atelectasis",
   "Pleural Effusion",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Pleural Effusion, Pneumonia\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The left lung base is densely opacified by a combination of pleural effusion and lower lobe collapse. Heterogeneous density in the right lower hemithorax is also likely a combination of pleural effusion and atelectasis. A large area of vaguely increased radiodensity in the right upper lobe is probably consolidation. Heart size is top-normal. There is no pneumothorax.",
  "impression": "1. Left pleural effusion and lower lobe collapse. Smaller right pleural effusion and less severe atelectasis. 2. Right upper pneumonia.",
  "vqa": [
   {
    "question": "Please specify all the shared abnormalities that are in both right mid lung zone and left costophrenic angle.",
    "answer": "lung opacity",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "4c0867d3-605e214e-8934d3af-24c2996b-b4f085fc"
   }
  ]
 },
 {
  "study_name": "Study_48547",
  "subject_id": "15281401",
  "study_id": "58623056",
  "subset": "p15",
  "dicom_id": "735a7165-ee8dba2e-edc15e55-8e69bdca-06d4ea06",
  "view": "AP",
  "image_relpath": "files/p15/p15281401/s58623056/735a7165-ee8dba2e-edc15e55-8e69bdca-06d4ea06.jpg",
  "report_relpath": "files/p15/p15281401/s58623056.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15281401/s58623056/735a7165-ee8dba2e-edc15e55-8e69bdca-06d4ea06.jpg",
  "positive_labels": [
   "Edema"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "-1.0",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema\nNegative Abnormalities: Atelectasis, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Cardiomegaly",
  "findings": "Compared with the prior radiograph, mild to moderate cardiomegaly with a calcified aortic knob is stable. The NG tube has been removed. The pulmonary edema has redistributed, with more clear upper lungs but increased edema in the bilateral lower lungs. Bibasilar atelectasis is unchanged. Findings are consistent with heart failure. No focal consolidation concerning for pneumonia.",
  "impression": "Heart failure and redistribution of pulmonary edema, which is more pronounced in the lower lungs.",
  "vqa": [
   {
    "question": "Is the left hilar structures showing indications of vascular redistribution?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "735a7165-ee8dba2e-edc15e55-8e69bdca-06d4ea06"
   },
   {
    "question": "Do both the mediastinum and the upper mediastinum show any abnormalities?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "735a7165-ee8dba2e-edc15e55-8e69bdca-06d4ea06"
   },
   {
    "question": "Mention all anatomical locations showing vascular redistribution, but not swan-ganz catheter.",
    "answer": "left hilar structures, left lower lung zone, left lung, left upper lung zone, right hilar structures, right lower lung zone, right lung, right upper lung zone",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "735a7165-ee8dba2e-edc15e55-8e69bdca-06d4ea06"
   },
   {
    "question": "Name all identifiable technical assessments and anatomical findings in the left upper lung zone.",
    "answer": "lung opacity, pulmonary edema/hazy opacity, vascular redistribution",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "735a7165-ee8dba2e-edc15e55-8e69bdca-06d4ea06"
   },
   {
    "question": "Which anatomical site is implicated with the fluid overload/heart failure, the right lower lung zone or the left costophrenic angle?",
    "answer": "right lower lung zone",
    "semantic_type": "choose",
    "content_type": "anatomy",
    "image_id": "735a7165-ee8dba2e-edc15e55-8e69bdca-06d4ea06"
   }
  ]
 },
 {
  "study_name": "Study_48268",
  "subject_id": "19710787",
  "study_id": "58150534",
  "subset": "p19",
  "dicom_id": "1b1a043e-92f851b8-99818858-f23e7bf0-219423e9",
  "view": "AP",
  "image_relpath": "files/p19/p19710787/s58150534/1b1a043e-92f851b8-99818858-f23e7bf0-219423e9.jpg",
  "report_relpath": "files/p19/p19710787/s58150534.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19710787/s58150534/1b1a043e-92f851b8-99818858-f23e7bf0-219423e9.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Compared to most recent prior exam, there has been little interval change. Right lower lung opacity is similar in extent but decreased in density compared to prior. No pneumothorax is seen. Endotracheal tube, right internal jugular catheter, and esophageal catheter are similarly positioned with esophageal catheter tip out of view.",
  "impression": "Persistent slightly improved right lower lung opacity.",
  "vqa": [
   {
    "question": "Can you observe either consolidation or airspace opacity in the image?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "1b1a043e-92f851b8-99818858-f23e7bf0-219423e9"
   }
  ]
 },
 {
  "study_name": "Study_46147",
  "subject_id": "16043240",
  "study_id": "59721249",
  "subset": "p16",
  "dicom_id": "bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1",
  "view": "PA",
  "image_relpath": "files/p16/p16043240/s59721249/bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1.jpg",
  "report_relpath": "files/p16/p16043240/s59721249.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16043240/s59721249/bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1.jpg",
  "positive_labels": [
   "Atelectasis"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "PA and lateral views of the chest are obtained. The previously noted right IJ central venous catheter has been removed. Midline sternotomy wires and mediastinal clips are stable. There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study. The right lung is clear. Heart is top normal. Mediastinal contour is stable. Bony structures are intact. Right AC joint arthropathy is again noted. No free air below the right hemidiaphragm.",
  "impression": "Persistent left lung base atelectasis. Otherwise, unremarkable.",
  "vqa": [
   {
    "question": "Is the left lower lung zone displaying any abnormalities?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1"
   },
   {
    "question": "Which anatomical sites are relevant to shoulder osteoarthritis?",
    "answer": "right clavicle, right shoulder",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1"
   }
  ]
 },
 {
  "study_name": "Study_46077",
  "subject_id": "10933609",
  "study_id": "59225625",
  "subset": "p10",
  "dicom_id": "7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29",
  "view": "PA",
  "image_relpath": "files/p10/p10933609/s59225625/7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29.jpg",
  "report_relpath": "files/p10/p10933609/s59225625.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p10/p10933609/s59225625/7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29.jpg",
  "positive_labels": [
   "Consolidation",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "1.0",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Consolidation, Pneumonia\nNegative Abnormalities: Atelectasis, Cardiomegaly, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Frontal and lateral views of the chest are compared to previous exam from ___. There is new multifocal consolidation in the right upper lobe, within the right perihilar region and possibly in the retrocardiac region as well. Lungs are otherwise notable for parenchymal architectural distortion at the upper lungs bilaterally. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.",
  "impression": "Multifocal regions of consolidation, new since exam from two weeks prior, compatible with pneumonia in the proper clinical setting. Recommend repeat after treatment to document resolution.",
  "vqa": [
   {
    "question": "Does consolidation relate to either the left hilar structures or the left upper lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29"
   },
   {
    "question": "What are all the abnormalities observable in the right mid lung zone?",
    "answer": "consolidation, lung opacity",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29"
   },
   {
    "question": "Detail all the diseases visible.",
    "answer": "pneumonia",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29"
   },
   {
    "question": "Which anatomical location corresponds to the consolidation, the right lower lung zone or the left hilar structures?",
    "answer": "left hilar structures, right lower lung zone",
    "semantic_type": "choose",
    "content_type": "anatomy",
    "image_id": "7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29"
   }
  ]
 },
 {
  "study_name": "Study_47970",
  "subject_id": "17523577",
  "study_id": "57749548",
  "subset": "p17",
  "dicom_id": "b6078124-48f6dd81-caac590a-5bbbf4c7-8425442a",
  "view": "PA",
  "image_relpath": "files/p17/p17523577/s57749548/b6078124-48f6dd81-caac590a-5bbbf4c7-8425442a.jpg",
  "report_relpath": "files/p17/p17523577/s57749548.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p17/p17523577/s57749548/b6078124-48f6dd81-caac590a-5bbbf4c7-8425442a.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Lung Lesion",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "-1.0",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "1.0",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Lung Lesion, Pneumonia\nNegative Abnormalities: Atelectasis, Edema, Enlarged Cardiomediastinum, Fracture, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Consolidation",
  "findings": "Minimal basilar atelectasis is seen without definite focal consolidation. There is no pleural effusion or pneumothorax. 1 cm left lower lobe pulmonary nodule is grossly stable. Cardiac silhouette is top-normal in size, appears less prominent as compared to the prior study. Mediastinal contours are unremarkable. Evidence of DISH is seen along the spine.",
  "impression": "No definite new focal consolidation to suggest pneumonia. Grossly stable 1 cm left lower lobe pulmonary nodule. Top-normal in size cardiac silhouette, appears less prominent as compared to the prior study.",
  "vqa": [
   {
    "question": "What are all the anatomical findings and devices present in the image?",
    "answer": "atelectasis, lung lesion, lung opacity, mass/nodule (not otherwise specified)",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "b6078124-48f6dd81-caac590a-5bbbf4c7-8425442a"
   }
  ]
 },
 {
  "study_name": "Study_47047",
  "subject_id": "19621207",
  "study_id": "54780702",
  "subset": "p19",
  "dicom_id": "9f08c9de-06164a88-e6c79d73-6b71e45a-c0fc1f23",
  "view": "AP",
  "image_relpath": "files/p19/p19621207/s54780702/9f08c9de-06164a88-e6c79d73-6b71e45a-c0fc1f23.jpg",
  "report_relpath": "files/p19/p19621207/s54780702.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19621207/s54780702/9f08c9de-06164a88-e6c79d73-6b71e45a-c0fc1f23.jpg",
  "positive_labels": [
   "Atelectasis",
   "Lung Opacity",
   "Pleural Effusion",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Lung Opacity, Pleural Effusion, Pneumonia\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The lungs are well expanded. Blunting of the posterior costophrenic angles suggests small bilateral pleural effusions are identified. On the frontal view there is more dense opacity at the left lung base without correlative finding on the lateral view suggesting at least some component of atelectasis. Superiorly, the lungs are clear. The cardiac silhouette there is mildly enlarged. Atherosclerotic calcifications noted within the aorta. Degenerative changes seen at the shoulders bilaterally. No displaced fractures there noted. Compression deformities in the mid thoracic spine are unchanged.",
  "impression": "Small bilateral effusions. More dense retrocardiac opacity on the frontal view suggests component of atelectasis as it is not clearly delineated on the lateral view although component of infection is possible.",
  "vqa": [
   {
    "question": "Have any anatomical findings been seen associated with both the left lung and the right shoulder?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "9f08c9de-06164a88-e6c79d73-6b71e45a-c0fc1f23"
   },
   {
    "question": "Is there any evidence of abnormality?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "9f08c9de-06164a88-e6c79d73-6b71e45a-c0fc1f23"
   },
   {
    "question": "Which anatomical regions are indicative of costophrenic angle blunting?",
    "answer": "left costophrenic angle, left lung, right costophrenic angle, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "9f08c9de-06164a88-e6c79d73-6b71e45a-c0fc1f23"
   },
   {
    "question": "Indicate all detected diseases and tubes/lines within the left lower lung zone.",
    "answer": "pneumonia",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "9f08c9de-06164a88-e6c79d73-6b71e45a-c0fc1f23"
   },
   {
    "question": "Considering the anatomical findings, which is usually involved, spinal fracture or costophrenic angle blunting?",
    "answer": "costophrenic angle blunting, spinal fracture",
    "semantic_type": "choose",
    "content_type": "attribute",
    "image_id": "9f08c9de-06164a88-e6c79d73-6b71e45a-c0fc1f23"
   }
  ]
 },
 {
  "study_name": "Study_49331",
  "subject_id": "14165090",
  "study_id": "58433752",
  "subset": "p14",
  "dicom_id": "bbfc3de4-fc02b7e0-f7826d42-140293b5-73d2f138",
  "view": "AP",
  "image_relpath": "files/p14/p14165090/s58433752/bbfc3de4-fc02b7e0-f7826d42-140293b5-73d2f138.jpg",
  "report_relpath": "files/p14/p14165090/s58433752.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p14/p14165090/s58433752/bbfc3de4-fc02b7e0-f7826d42-140293b5-73d2f138.jpg",
  "positive_labels": [
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pleural Effusion\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "There is blunting of the bilateral costophrenic angles suggesting trace pleural effusions. No definite focal consolidation is seen. No pneumothorax. The cardiac and mediastinal silhouettes are stable. There is thoracic scoliosis and multilevel degenerative changes.",
  "impression": "Slight blunting of the bilateral costophrenic angles suggests trace pleural effusions.",
  "vqa": [
   {
    "question": "Does the mediastinum show any evidence of tubes/lines or devices?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "bbfc3de4-fc02b7e0-f7826d42-140293b5-73d2f138"
   }
  ]
 },
 {
  "study_name": "Study_49102",
  "subject_id": "15337600",
  "study_id": "51712685",
  "subset": "p15",
  "dicom_id": "0627a900-2cbc2fb5-19b62413-cba06cd8-ea155229",
  "view": "AP",
  "image_relpath": "files/p15/p15337600/s51712685/0627a900-2cbc2fb5-19b62413-cba06cd8-ea155229.jpg",
  "report_relpath": "files/p15/p15337600/s51712685.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15337600/s51712685/0627a900-2cbc2fb5-19b62413-cba06cd8-ea155229.jpg",
  "positive_labels": [
   "Consolidation",
   "Support Devices"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "1.0",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": "1.0"
  },
  "structured_findings": "Positive Abnormalities: Consolidation, Support Devices\nNegative Abnormalities: Atelectasis, Cardiomegaly, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax\nUncertain Abnormalities: Pneumonia",
  "findings": "AP portable upright view of the chest. There has been interval intubation with the endotracheal tube positioned 4.7 cm above the carina. Feeding tube remains in place and there is now 0 a nasogastric tube extending into the left upper abdomen. Airspace consolidation in the right lower lobe is noted as well as probable consolidation in the left lower lobe. Findings raise concern for pneumonia versus aspiration. No large effusion or pneumothorax. The heart size is unchanged. Mediastinal contours unremarkable. Coronary stents project over the left heart border. Bony structures are intact. Clips noted in the upper abdomen.",
  "impression": "Interval placement of endotracheal tube and nasogastric tube. Feeding tube remains in place. Lower lobe consolidations concerning for aspiration versus pneumonia.",
  "vqa": [
   {
    "question": "Could aspiration be related to either the left apical zone or the right mid lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "0627a900-2cbc2fb5-19b62413-cba06cd8-ea155229"
   },
   {
    "question": "In which anatomical region is an abnormality observable, the left lower lung zone or the neck?",
    "answer": "left lower lung zone, neck",
    "semantic_type": "choose",
    "content_type": "abnormality",
    "image_id": "0627a900-2cbc2fb5-19b62413-cba06cd8-ea155229"
   }
  ]
 },
 {
  "study_name": "Study_49959",
  "subject_id": "12348638",
  "study_id": "50814923",
  "subset": "p12",
  "dicom_id": "039ec5bc-9f5173af-f8d44b1a-967abfd6-fede1133",
  "view": "AP",
  "image_relpath": "files/p12/p12348638/s50814923/039ec5bc-9f5173af-f8d44b1a-967abfd6-fede1133.jpg",
  "report_relpath": "files/p12/p12348638/s50814923.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12348638/s50814923/039ec5bc-9f5173af-f8d44b1a-967abfd6-fede1133.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Edema"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Edema\nNegative Abnormalities: Atelectasis, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Interval placement of a right-sided internal jugular central venous line, with the tip terminating in the vicinity of the cavoatrial junction. The lungs remain well expanded, but there is now increased moderate central pulmonary vascular congestion and interstitial edema. No large pleural effusion or lobar consolidation. Bibasilar atelectasis is minimally changed. The heart remains moderately enlarged.",
  "impression": "Mild-to-moderate cardiomegaly with increased, moderate pulmonary vascular congestion and edema.",
  "vqa": [
   {
    "question": "Is there any evidence of either vascular congestion or enlarged hilum in the right hilar structures?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "039ec5bc-9f5173af-f8d44b1a-967abfd6-fede1133"
   },
   {
    "question": "Do both the neck and the cavoatrial junction reveal any abnormalities?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "039ec5bc-9f5173af-f8d44b1a-967abfd6-fede1133"
   },
   {
    "question": "Name all anatomical locations that manifest enlarged hilum, but not enteric tube.",
    "answer": "left hilar structures, left lung, right hilar structures, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "039ec5bc-9f5173af-f8d44b1a-967abfd6-fede1133"
   }
  ]
 },
 {
  "study_name": "Study_47561",
  "subject_id": "15410596",
  "study_id": "58444484",
  "subset": "p15",
  "dicom_id": "8c5a9c9c-c6aaf529-40707af7-ec130dd6-f6585aed",
  "view": "AP",
  "image_relpath": "files/p15/p15410596/s58444484/8c5a9c9c-c6aaf529-40707af7-ec130dd6-f6585aed.jpg",
  "report_relpath": "files/p15/p15410596/s58444484.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15410596/s58444484/8c5a9c9c-c6aaf529-40707af7-ec130dd6-f6585aed.jpg",
  "positive_labels": [
   "Atelectasis"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Lung volumes are low. Heart size is accentuated as a result and appears mildly enlarged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy and streaky opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Fusion hardware within the lower lumbar spine is partially imaged. Compression deformity of a mid lumbar vertebral body as well as mild loss of height anteriorly of a vertebral body at the thoracolumbar junction are of indeterminate age.",
  "impression": "Low lung volumes with bibasilar atelectasis. Compression deformities within the imaged thoracolumbar spine, age indeterminate.",
  "vqa": [
   {
    "question": "Please list all anatomical areas that are associated with either technical assessments or devices.",
    "answer": "left lower lung zone, left lung, right lower lung zone, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "8c5a9c9c-c6aaf529-40707af7-ec130dd6-f6585aed"
   },
   {
    "question": "What are all the technical assessments and devices you can identify in the image?",
    "answer": "low lung volumes",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "8c5a9c9c-c6aaf529-40707af7-ec130dd6-f6585aed"
   }
  ]
 },
 {
  "study_name": "Study_49615",
  "subject_id": "16603653",
  "study_id": "55522730",
  "subset": "p16",
  "dicom_id": "76778ab1-0724a699-a36bb0bf-409e904c-5d9b9ed2",
  "view": "AP",
  "image_relpath": "files/p16/p16603653/s55522730/76778ab1-0724a699-a36bb0bf-409e904c-5d9b9ed2.jpg",
  "report_relpath": "files/p16/p16603653/s55522730.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16603653/s55522730/76778ab1-0724a699-a36bb0bf-409e904c-5d9b9ed2.jpg",
  "positive_labels": [
   "Atelectasis",
   "Lung Opacity",
   "Pleural Effusion",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Lung Opacity, Pleural Effusion, Pneumonia\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Low lung volumes account for bibasal atelectasis. In addition there is a right-sided pleural effusion along with additional opacities which could represent atelectasis but in the correct clinical setting pneumonia cannot be ruled out. The left lung appears relatively clear. The cardiac silhouette is enlarged. No pneumothorax. Chronic bilateral shoulder abnormalities are not fully evaluated.",
  "impression": "Right pleural effusion with additional basilar opacities which likely represent atelectasis. Pneumonia in the correct clinical setting cannot be ruled out.",
  "vqa": [
   {
    "question": "Mention all technical assessments that appear in either the right lung or the cardiac silhouette.",
    "answer": "low lung volumes",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "76778ab1-0724a699-a36bb0bf-409e904c-5d9b9ed2"
   }
  ]
 },
 {
  "study_name": "Study_49547",
  "subject_id": "16390424",
  "study_id": "54138240",
  "subset": "p16",
  "dicom_id": "545a40f3-d898ae86-745a4a89-b2f8c661-9752504b",
  "view": "AP",
  "image_relpath": "files/p16/p16390424/s54138240/545a40f3-d898ae86-745a4a89-b2f8c661-9752504b.jpg",
  "report_relpath": "files/p16/p16390424/s54138240.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16390424/s54138240/545a40f3-d898ae86-745a4a89-b2f8c661-9752504b.jpg",
  "positive_labels": [
   "Lung Opacity",
   "Support Devices"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": "1.0"
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity, Support Devices\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax\nUncertain Abnormalities: None",
  "findings": "Endotracheal tube terminates approximately 5 cm from the carina. There are worsening bilateral alveolar opacities with a predominantly basilar distribution concerning for ARDS. No pleural effusion or pneumothorax is seen. The heart size is normal. Mediastinal contours are unchanged.",
  "impression": "1. Endotracheal tube in standard position. 2. Rapid interval worsening of diffuse bilateral alveolar opacities concerning for ARDS.",
  "vqa": [
   {
    "question": "Is there an indication of interstitial lung diseases in either the left lung or the left mid lung zone?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "545a40f3-d898ae86-745a4a89-b2f8c661-9752504b"
   },
   {
    "question": "Please indicate all anatomical sites connected to either endotracheal tube or rotated.",
    "answer": "carina, neck, trachea",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "545a40f3-d898ae86-745a4a89-b2f8c661-9752504b"
   },
   {
    "question": "Does this image have a PA projection?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "plane",
    "image_id": "545a40f3-d898ae86-745a4a89-b2f8c661-9752504b"
   },
   {
    "question": "Which is the correct gender for this patient, male or female?",
    "answer": "m",
    "semantic_type": "choose",
    "content_type": "gender",
    "image_id": "545a40f3-d898ae86-745a4a89-b2f8c661-9752504b"
   }
  ]
 },
 {
  "study_name": "Study_45589",
  "subject_id": "19759491",
  "study_id": "55187337",
  "subset": "p19",
  "dicom_id": "be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0",
  "view": "PA",
  "image_relpath": "files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg",
  "report_relpath": "files/p19/p19759491/s55187337.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg",
  "positive_labels": [
   "Lung Opacity",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity, Pleural Effusion\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged. There is new left lower lobe infiltrate and small left effusion. There is also a small right effusion.",
  "impression": "New left lower lobe infiltrate and effusion.",
  "vqa": [
   {
    "question": "Name all the anatomical sites associated with either tubes/lines or devices.",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0"
   }
  ]
 },
 {
  "study_name": "Study_46936",
  "subject_id": "15974128",
  "study_id": "53668700",
  "subset": "p15",
  "dicom_id": "ec66384b-07660c92-17c8cc41-ca5bcdb1-05eb9c41",
  "view": "PA",
  "image_relpath": "files/p15/p15974128/s53668700/ec66384b-07660c92-17c8cc41-ca5bcdb1-05eb9c41.jpg",
  "report_relpath": "files/p15/p15974128/s53668700.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15974128/s53668700/ec66384b-07660c92-17c8cc41-ca5bcdb1-05eb9c41.jpg",
  "positive_labels": [
   "Edema"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "-1.0",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Lung Lesion",
  "findings": "Lung volumes are now low in both lungs; left hemidiaphragm is chronically elevated. Moderate cardiomegaly is exaggerated by low lung volumes also crowding of pulmonary vasculature and simulates mild edema. Mediastinal caliber, particularly in the right lower paratracheal station is increasing. Some of the retrocardiac airspace opacity, seen best on the lateral projection, is atelectasis, but least one lung mass seen on recent abdomen and Chest CT scans, which also showed extensive central adenopathy developing over the past year. There may be new left upper lung nodules as well. Small pleural effusions are present.",
  "impression": "Borderline interstitial edema. Increasing central adenopathy and possible lung masses. CT scanning recommended for evaluation.",
  "vqa": [
   {
    "question": "Can lung lesion be detected in either the left lung or the left costophrenic angle?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "ec66384b-07660c92-17c8cc41-ca5bcdb1-05eb9c41"
   },
   {
    "question": "Is the left hemidiaphragm showing any abnormal signs?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "ec66384b-07660c92-17c8cc41-ca5bcdb1-05eb9c41"
   },
   {
    "question": "Please detail all the abnormalities identifiable within the left hilar structures.",
    "answer": "enlarged hilum, lung opacity, pulmonary edema/hazy opacity, vascular congestion",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "ec66384b-07660c92-17c8cc41-ca5bcdb1-05eb9c41"
   },
   {
    "question": "Name all the anatomical regions relevant to lung lesion.",
    "answer": "left lower lung zone, left lung, left upper lung zone, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "ec66384b-07660c92-17c8cc41-ca5bcdb1-05eb9c41"
   },
   {
    "question": "Which anatomical site has relevance to the lung lesion, the left apical zone or the left upper lung zone?",
    "answer": "left upper lung zone",
    "semantic_type": "choose",
    "content_type": "anatomy",
    "image_id": "ec66384b-07660c92-17c8cc41-ca5bcdb1-05eb9c41"
   },
   {
    "question": "Is the view in this x-ray image AP or PA?",
    "answer": "pa",
    "semantic_type": "choose",
    "content_type": "plane",
    "image_id": "ec66384b-07660c92-17c8cc41-ca5bcdb1-05eb9c41"
   }
  ]
 },
 {
  "study_name": "Study_49657",
  "subject_id": "10516278",
  "study_id": "55815300",
  "subset": "p10",
  "dicom_id": "d5f0d097-f9d57d16-1e427793-6f9c276b-c7de73c9",
  "view": "PA",
  "image_relpath": "files/p10/p10516278/s55815300/d5f0d097-f9d57d16-1e427793-6f9c276b-c7de73c9.jpg",
  "report_relpath": "files/p10/p10516278/s55815300.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p10/p10516278/s55815300/d5f0d097-f9d57d16-1e427793-6f9c276b-c7de73c9.jpg",
  "positive_labels": [
   "Lung Opacity",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "-1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "0.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Atelectasis, Pneumonia",
  "findings": "As compared to ___ chest radiograph, perihilar edema has resolved. Heart size is normal. Lungs are clear except for minor atelectasis at the left lung base and an improving patchy opacity at the right lung base. Bilateral small pleural effusions are also demonstrated.",
  "impression": "1. Resolution of perihilar edema. 2. Slight improvement in patchy right infrahilar opacity, which may be due to atelectasis or pneumonia. 3. Small bilateral pleural effusions.",
  "vqa": [
   {
    "question": "Are there indications of diseases or tubes/lines in the right hilar structures?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "d5f0d097-f9d57d16-1e427793-6f9c276b-c7de73c9"
   }
  ]
 },
 {
  "study_name": "Study_45065",
  "subject_id": "11204646",
  "study_id": "50533006",
  "subset": "p11",
  "dicom_id": "d6fbe6a9-57f6ae9d-07f24e69-1c032794-76d80d8f",
  "view": "AP",
  "image_relpath": "files/p11/p11204646/s50533006/d6fbe6a9-57f6ae9d-07f24e69-1c032794-76d80d8f.jpg",
  "report_relpath": "files/p11/p11204646/s50533006.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11204646/s50533006/d6fbe6a9-57f6ae9d-07f24e69-1c032794-76d80d8f.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "0.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Pleural Effusion\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The heart size is enlarged. The mediastinal contours demonstrate engorgement of the central venous vasculature. Additionally small bilateral pleural effusions are present with basilar atelectasis. There does not appear to be appreciable interstitial edema. There is no pneumothorax.",
  "impression": "Cardiomegaly and small bilateral pleural effusions but no evidence of CHF.",
  "vqa": [
   {
    "question": "What is the orientation of this chest x-ray?",
    "answer": "ap",
    "semantic_type": "query",
    "content_type": "plane",
    "image_id": "d6fbe6a9-57f6ae9d-07f24e69-1c032794-76d80d8f"
   }
  ]
 },
 {
  "study_name": "Study_46157",
  "subject_id": "11413236",
  "study_id": "59798652",
  "subset": "p11",
  "dicom_id": "09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c",
  "view": "AP",
  "image_relpath": "files/p11/p11413236/s59798652/09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c.jpg",
  "report_relpath": "files/p11/p11413236/s59798652.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11413236/s59798652/09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c.jpg",
  "positive_labels": [
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "-1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "-1.0",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Atelectasis, Pleural Effusion, Pneumonia",
  "findings": "Portable frontal view of the chest demonstrates low lung volumes. There is no pneumothorax. The left costophrenic angle is obscured, suggestive of a small pleural effusion. Retrocardiac opacity is noted, more conspicuous from prior exam. There is no right pleural effusion. There is apparent thickening of the minor fissure. Calcified lymph nodes within the AP window are again noted. The hilar and mediastinal silhouettes are unchanged. The heart size is top normal. There is no pulmonary edema. Port-A-Cath tip projects over cavoatrial junction. Partially imaged upper abdomen is unremarkable.",
  "impression": "Retrocardiac opacity is more conspicuous from ___ exam, which likely represents atelectasis or infection in the appropriate clinical setting. Possible small left pleural effusion.",
  "vqa": [
   {
    "question": "Indicate all anatomical locations linked with either pleural/parenchymal scarring or fluid overload/heart failure.",
    "answer": "left lung, left mid lung zone, right lung, right mid lung zone",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c"
   },
   {
    "question": "What are all the anatomical findings present in both the aortic arch and the right hilar structures?",
    "answer": "",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c"
   }
  ]
 },
 {
  "study_name": "Study_48652",
  "subject_id": "16301937",
  "study_id": "56474006",
  "subset": "p16",
  "dicom_id": "62a1d5b7-b68305eb-0c07a4df-8b232378-58275268",
  "view": "AP",
  "image_relpath": "files/p16/p16301937/s56474006/62a1d5b7-b68305eb-0c07a4df-8b232378-58275268.jpg",
  "report_relpath": "files/p16/p16301937/s56474006.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16301937/s56474006/62a1d5b7-b68305eb-0c07a4df-8b232378-58275268.jpg",
  "positive_labels": [
   "Edema"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "0.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Lungs are better aerated with mild pulmonary edema substantially improved from ___. Postoperative mediastinal contours and mild cardiomegaly are stable. No substantial pleural effusion. No pneumonia. Semiopaque density adjacent to the right hemidiaphragm is seen to represent subdiaphragmatic fat on previous CT of the abdomen and pelvis.",
  "impression": "Mild pulmonary edema substantially improved from ___. No evidence of pneumonia.",
  "vqa": [
   {
    "question": "Is there any sign of anatomical findings present in the cardiac silhouette?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "62a1d5b7-b68305eb-0c07a4df-8b232378-58275268"
   },
   {
    "question": "Can calcified nodule be seen?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "62a1d5b7-b68305eb-0c07a4df-8b232378-58275268"
   }
  ]
 },
 {
  "study_name": "Study_47840",
  "subject_id": "12381610",
  "study_id": "57440140",
  "subset": "p12",
  "dicom_id": "cbc294fa-72a50ca7-548db3e1-6afd4525-7f8cd0f7",
  "view": "AP",
  "image_relpath": "files/p12/p12381610/s57440140/cbc294fa-72a50ca7-548db3e1-6afd4525-7f8cd0f7.jpg",
  "report_relpath": "files/p12/p12381610/s57440140.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12381610/s57440140/cbc294fa-72a50ca7-548db3e1-6afd4525-7f8cd0f7.jpg",
  "positive_labels": [
   "Atelectasis",
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Lung Opacity\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There is minimal opacity in the right costovertebral sulcus which is likely atelectatic however may represent minimal aspiration. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.",
  "impression": "Minimal opacity at the right costovertebral sulcus which is likely atelectatic however may represent mild aspiration.",
  "vqa": [
   {
    "question": "Is there evidence of aspiration?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "cbc294fa-72a50ca7-548db3e1-6afd4525-7f8cd0f7"
   }
  ]
 },
 {
  "study_name": "Study_47391",
  "subject_id": "10790860",
  "study_id": "53809911",
  "subset": "p10",
  "dicom_id": "39891f43-cdfdbfda-ccf5eab9-b82e01c2-8540b228",
  "view": "AP",
  "image_relpath": "files/p10/p10790860/s53809911/39891f43-cdfdbfda-ccf5eab9-b82e01c2-8540b228.jpg",
  "report_relpath": "files/p10/p10790860/s53809911.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p10/p10790860/s53809911/39891f43-cdfdbfda-ccf5eab9-b82e01c2-8540b228.jpg",
  "positive_labels": [
   "Edema",
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema, Lung Opacity\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "An endotracheal tube is 4.3 cm above the carinal. A right internal jugular line terminates at the cavoatrial junction. The heart is normal in size. Left-sided common dual lead pacer is unchanged in position. Cardiomediastinal contour is normal, stable. Bibasilar consolidations are minimally improved from prior study and likely represent improving pulmonary edema. No evidence of pneumothorax.",
  "impression": "Persistent bibasilar opacities, minimally improved from the prior study consistent with improving pulmonary edema.",
  "vqa": [
   {
    "question": "Are there any indications of abnormality?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "39891f43-cdfdbfda-ccf5eab9-b82e01c2-8540b228"
   },
   {
    "question": "Is there any sign of subcutaneous air?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "39891f43-cdfdbfda-ccf5eab9-b82e01c2-8540b228"
   },
   {
    "question": "Enumerate all the abnormalities you observe.",
    "answer": "cardiac pacer and wires, consolidation, endotracheal tube, ij line, lung opacity, pulmonary edema/hazy opacity",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "39891f43-cdfdbfda-ccf5eab9-b82e01c2-8540b228"
   }
  ]
 },
 {
  "study_name": "Study_45297",
  "subject_id": "19075045",
  "study_id": "52690612",
  "subset": "p19",
  "dicom_id": "b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e",
  "view": "PA",
  "image_relpath": "files/p19/p19075045/s52690612/b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e.jpg",
  "report_relpath": "files/p19/p19075045/s52690612.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19075045/s52690612/b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e.jpg",
  "positive_labels": [
   "Atelectasis"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "-1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis\nNegative Abnormalities: Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Edema",
  "findings": "Left-sided pacer is re- demonstrated with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy, aortic valve replacement, and CABG. Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Mild upper zone pulmonary vascular redistribution is likely chronic without overt pulmonary edema. Lung volumes remain low with streaky opacities in the lung bases suggestive of atelectasis. No large pleural effusion or pneumothorax is present. Fusion hardware within the lumbar spine is partially imaged as well as hardware within the right humeral head.",
  "impression": "Chronic mild pulmonary vascular congestion without overt pulmonary edema. Bibasilar atelectasis.",
  "vqa": [
   {
    "question": "Is there any presence of either anatomical findings or diseases?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e"
   },
   {
    "question": "What are all the anatomical locations implicated with prosthetic valve?",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e"
   },
   {
    "question": "Is it true that the patient is female?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "gender",
    "image_id": "b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e"
   }
  ]
 },
 {
  "study_name": "Study_45370",
  "subject_id": "16360107",
  "study_id": "53330219",
  "subset": "p16",
  "dicom_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f",
  "view": "AP",
  "image_relpath": "files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg",
  "report_relpath": "files/p16/p16360107/s53330219.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg",
  "positive_labels": [
   "Edema",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema, Pleural Effusion\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Lung volumes continue to be low. Bilateral loculated pleural effusions are again seen and grossly unchanged. A right basilar opacity may be due to atelectasis, but there is persistent elevation of the right hemidiaphragm. Compared with the prior study, increased interstitial lung markings suggest the presence of mild interstitial pulmonary edema. Patient is post CABG with wondering median sternotomy wires, consistent with known chronic sternal dehiscence.",
  "impression": "1. Compared with the prior study, there is worsened interstitial pulmonary edema. 2. Grossly unchanged bilateral loculated pleural effusions.",
  "vqa": [
   {
    "question": "Are signs of any devices visible within the cardiac silhouette?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f"
   },
   {
    "question": "Have abnormalities been detected in both the left hilar structures and right hemidiaphragm?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f"
   },
   {
    "question": "Can you observe both enteric tube and atelectasis?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f"
   },
   {
    "question": "Enumerate all the regions in the anatomy that are related to cabg grafts.",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f"
   },
   {
    "question": "Could you point out all the anatomical areas associated with any devices?",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f"
   },
   {
    "question": "Detail all anatomical locations associated with pulmonary edema/hazy opacity, excluding those with picc.",
    "answer": "left hilar structures, left lung, right hilar structures, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f"
   },
   {
    "question": "Please list all abnormalities observed in the right hemidiaphragm.",
    "answer": "elevated hemidiaphragm",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f"
   },
   {
    "question": "Please list all identifiable anatomical findings and tubes/lines in the left upper lung zone.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f"
   },
   {
    "question": "Does the upper mediastinum measure wider than one-third of the thoracic width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f"
   }
  ]
 },
 {
  "study_name": "Study_46544",
  "subject_id": "11843475",
  "study_id": "54807007",
  "subset": "p11",
  "dicom_id": "ba21316e-4d34d49a-da3bfa30-e737e853-f7175e9a",
  "view": "AP",
  "image_relpath": "files/p11/p11843475/s54807007/ba21316e-4d34d49a-da3bfa30-e737e853-f7175e9a.jpg",
  "report_relpath": "files/p11/p11843475/s54807007.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11843475/s54807007/ba21316e-4d34d49a-da3bfa30-e737e853-f7175e9a.jpg",
  "positive_labels": [
   "Edema"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Edema\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "AP view of the chest. Endotracheal tube ends 3.1 cm from the carina in appropriate position. Right internal jugular central venous catheter ends in the right brachiocephalic vein. Left IJ central venous catheter ends at the confluence of brachiocephalic veins. The intra-aortic balloon pump has been removed. There are low lung volumes and continues to be minimal pulmonary edema and moderate cardiomegaly without substantial change. No pleural effusion or pneumothorax.",
  "impression": "Status post intra-aortic balloon pump removal, continues to be minimal pulmonary edema without substantial change.",
  "vqa": [
   {
    "question": "Are either aspiration or ij line noticeable?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "ba21316e-4d34d49a-da3bfa30-e737e853-f7175e9a"
   },
   {
    "question": "Does the left mid lung zone show any evidence of anatomical findings or diseases?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "ba21316e-4d34d49a-da3bfa30-e737e853-f7175e9a"
   },
   {
    "question": "Is calcified nodule evident in either the left mid lung zone or the right upper lung zone?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "ba21316e-4d34d49a-da3bfa30-e737e853-f7175e9a"
   },
   {
    "question": "Provide a list of all the abnormalities in either right atrium or carina.",
    "answer": "endotracheal tube",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "ba21316e-4d34d49a-da3bfa30-e737e853-f7175e9a"
   }
  ]
 },
 {
  "study_name": "Study_47359",
  "subject_id": "11162468",
  "study_id": "58837400",
  "subset": "p11",
  "dicom_id": "cdc23f3d-2d538d06-1f47a527-fa0b468e-ece10f70",
  "view": "AP",
  "image_relpath": "files/p11/p11162468/s58837400/cdc23f3d-2d538d06-1f47a527-fa0b468e-ece10f70.jpg",
  "report_relpath": "files/p11/p11162468/s58837400.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p11/p11162468/s58837400/cdc23f3d-2d538d06-1f47a527-fa0b468e-ece10f70.jpg",
  "positive_labels": [
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "A double lumen right central venous catheter terminating in the right atrium. A left-sided pacer device has three leads in stable position. Median sternotomy wires are midline and intact. The retrocardiac opacity on the lateral view is likely scarring. The cardiomediastinal silhouette, and hilar contours are normal. There is mild stable cardiomegaly. There is no pneumothorax or pleural effusion.",
  "impression": "1. No acute intrathoracic process. 2. Mild cardiomegaly is stable.",
  "vqa": [
   {
    "question": "Are there any indications of both consolidation and hyperaeration within the right lower lung zone?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "cdc23f3d-2d538d06-1f47a527-fa0b468e-ece10f70"
   },
   {
    "question": "Have any anatomical findings been observed related to both the cardiac silhouette and the left clavicle?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "cdc23f3d-2d538d06-1f47a527-fa0b468e-ece10f70"
   }
  ]
 },
 {
  "study_name": "Study_47899",
  "subject_id": "18605505",
  "study_id": "53149530",
  "subset": "p18",
  "dicom_id": "daef5c8d-33432701-c4fa2009-47c65424-a8f9fb61",
  "view": "AP",
  "image_relpath": "files/p18/p18605505/s53149530/daef5c8d-33432701-c4fa2009-47c65424-a8f9fb61.jpg",
  "report_relpath": "files/p18/p18605505/s53149530.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18605505/s53149530/daef5c8d-33432701-c4fa2009-47c65424-a8f9fb61.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Edema",
   "Lung Opacity",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Edema, Lung Opacity, Pleural Effusion\nNegative Abnormalities: Atelectasis, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Single AP supine radiograph demonstrates an enlarged heart. Obscuration of the left hemidiaphragm is suggestive of a pleural effusion. Bilateral perihilar patchy opacities may reflect mild pulmonary edema. There is no pneumothorax. Patient is status post tracheostomy. A right PICC is identified, its tip terminating within the mid SVC. No acute osseous abnormalities detected.",
  "impression": "Cardiomegalyperihilar opacities suggestive of mild pulmonary edema. Left pleural effusion.",
  "vqa": [
   {
    "question": "In which region, the right lower lung zone or the left costophrenic angle, is an abnormality presented?",
    "answer": "left costophrenic angle",
    "semantic_type": "choose",
    "content_type": "abnormality",
    "image_id": "daef5c8d-33432701-c4fa2009-47c65424-a8f9fb61"
   }
  ]
 },
 {
  "study_name": "Study_49948",
  "subject_id": "16377388",
  "study_id": "56909261",
  "subset": "p16",
  "dicom_id": "1689254b-c22021c0-aac423b5-8112ae98-aa05e219",
  "view": "AP",
  "image_relpath": "files/p16/p16377388/s56909261/1689254b-c22021c0-aac423b5-8112ae98-aa05e219.jpg",
  "report_relpath": "files/p16/p16377388/s56909261.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16377388/s56909261/1689254b-c22021c0-aac423b5-8112ae98-aa05e219.jpg",
  "positive_labels": [
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The heart is mild to moderately enlarged. The lungs appear clear. There are no pleural effusions or pneumothorax. The lung volumes are low.",
  "impression": "Stable cardiomegaly. No evidence of acute cardiopulmonary disease.",
  "vqa": [
   {
    "question": "Is there any sign of technical assessments or tubes/lines in the left lung?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "1689254b-c22021c0-aac423b5-8112ae98-aa05e219"
   }
  ]
 },
 {
  "study_name": "Study_45280",
  "subject_id": "13135946",
  "study_id": "52546073",
  "subset": "p13",
  "dicom_id": "1ec07497-ec6f4ace-baa95464-3ff6c941-6418e970",
  "view": "AP",
  "image_relpath": "files/p13/p13135946/s52546073/1ec07497-ec6f4ace-baa95464-3ff6c941-6418e970.jpg",
  "report_relpath": "files/p13/p13135946/s52546073.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p13/p13135946/s52546073/1ec07497-ec6f4ace-baa95464-3ff6c941-6418e970.jpg",
  "positive_labels": [
   "Atelectasis",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "PA and lateral views of the chest. A PICC line ends in the mid-to-low SVC. Small bilateral pleural effusions seen only on the lateral view have decreased since ___. Aside from minimal atelectasis at the posterior left lung base, the lungs are clear. The aorta is tortuous but not dilated. Heart size is normal.",
  "impression": "1. Minimal left basal atelectasis. 2. Small bilateral pleural effusions, decreased in size compared to ___. 3. No evidence of aspiration.",
  "vqa": [
   {
    "question": "Are there any indications of technical assessments or diseases?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "1ec07497-ec6f4ace-baa95464-3ff6c941-6418e970"
   }
  ]
 },
 {
  "study_name": "Study_46209",
  "subject_id": "18788806",
  "study_id": "50405523",
  "subset": "p18",
  "dicom_id": "d9fc1c51-10464a84-1e991d07-1ea5a45a-1eb2f128",
  "view": "AP",
  "image_relpath": "files/p18/p18788806/s50405523/d9fc1c51-10464a84-1e991d07-1ea5a45a-1eb2f128.jpg",
  "report_relpath": "files/p18/p18788806/s50405523.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18788806/s50405523/d9fc1c51-10464a84-1e991d07-1ea5a45a-1eb2f128.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Lung Opacity"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Lung Opacity\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "A tracheostomy tube is in place. There is hyperinflation consistent with background COPD. The cardiomediastinal silhouette, including mild cardiomegaly and prominence of the superior mediastinum, is unchanged compared with ___. There is upper zone redistribution and mild vascular blurring, without other evidence of CHF. There are patchy opacities at both lung bases. Possible minimal blunting of the left costophrenic angle, but no gross effusion identified. Again seen is calcification along the left chest wall, possibly sequela from old hemothorax. Multiple clips again noted in the upper abdomen.",
  "impression": "1. STABLE CARDIOMEGALY AND MILD VASCULAR PLETHORA. 2. BIBASILAR PATCHY OPACITIES LEFT-GREATER-THAN-RIGHT. THE POSSIBILITY OF AN EARLY PNEUMONIC INFILTRATE CANNOT BE EXCLUDED.",
  "vqa": [
   {
    "question": "Are both costophrenic angle blunting and copd/emphysema visible in the image?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "d9fc1c51-10464a84-1e991d07-1ea5a45a-1eb2f128"
   },
   {
    "question": "Enumerate all anatomical areas associated with any tubes/lines.",
    "answer": "neck, trachea",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "d9fc1c51-10464a84-1e991d07-1ea5a45a-1eb2f128"
   },
   {
    "question": "Is the width of the cardiac silhouette more than half of the thoracic width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "d9fc1c51-10464a84-1e991d07-1ea5a45a-1eb2f128"
   }
  ]
 },
 {
  "study_name": "Study_48407",
  "subject_id": "10921049",
  "study_id": "51348074",
  "subset": "p10",
  "dicom_id": "308ee45b-d5ca7924-698302b8-23eedb76-bd58927e",
  "view": "AP",
  "image_relpath": "files/p10/p10921049/s51348074/308ee45b-d5ca7924-698302b8-23eedb76-bd58927e.jpg",
  "report_relpath": "files/p10/p10921049/s51348074.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p10/p10921049/s51348074/308ee45b-d5ca7924-698302b8-23eedb76-bd58927e.jpg",
  "positive_labels": [
   "Lung Opacity",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "-1.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Lung Opacity, Pleural Effusion\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: Edema",
  "findings": "The tip of the endotracheal tube projects over the mid thoracic trachea. There has been interval placement of a gastric tube which extends below the level the diaphragms but beyond the field of view of this radiograph. Interval increasing perihilar and infrahilar airspace opacities, particular involving the right mid and lower lung zone. A small right pleural effusion is also new. These findings may reflect increasing pulmonary edema on a background of chronic lung disease. The size of the cardiomediastinal silhouette is enlarged but unchanged.",
  "impression": "Increasing opacities bilaterally, particularly involving the right mid and lower lung zones. New left pleural effusion. These findings may reflect worsening pulmonary edema on a background of chronic lung disease.",
  "vqa": [
   {
    "question": "Can any presence of both copd/emphysema and airspace opacity be noted in the right hilar structures?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "308ee45b-d5ca7924-698302b8-23eedb76-bd58927e"
   },
   {
    "question": "Can you identify any abnormalities in the left hemidiaphragm or right clavicle?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "308ee45b-d5ca7924-698302b8-23eedb76-bd58927e"
   },
   {
    "question": "Could you detail any abnormalities that are exclusive to right costophrenic angle and not present in left mid lung zone?",
    "answer": "pleural effusion",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "308ee45b-d5ca7924-698302b8-23eedb76-bd58927e"
   },
   {
    "question": "Which anatomical location, the cardiac silhouette or the left costophrenic angle, indicates an abnormality?",
    "answer": "cardiac silhouette, left costophrenic angle",
    "semantic_type": "choose",
    "content_type": "abnormality",
    "image_id": "308ee45b-d5ca7924-698302b8-23eedb76-bd58927e"
   },
   {
    "question": "Can we say that the upper mediastinum's width is wider than a third of the thorax width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "308ee45b-d5ca7924-698302b8-23eedb76-bd58927e"
   }
  ]
 },
 {
  "study_name": "Study_47301",
  "subject_id": "17125981",
  "study_id": "53511953",
  "subset": "p17",
  "dicom_id": "74ddbe19-d6c78dbc-e9646724-8c05b31b-8183ff6f",
  "view": "PA",
  "image_relpath": "files/p17/p17125981/s53511953/74ddbe19-d6c78dbc-e9646724-8c05b31b-8183ff6f.jpg",
  "report_relpath": "files/p17/p17125981/s53511953.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p17/p17125981/s53511953/74ddbe19-d6c78dbc-e9646724-8c05b31b-8183ff6f.jpg",
  "positive_labels": [
   "Consolidation",
   "Pleural Effusion",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "1.0",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Consolidation, Pleural Effusion, Pneumonia\nNegative Abnormalities: Atelectasis, Cardiomegaly, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "AP and lateral views of the chest demonstrate low lung volumes. Bibasilar consolidations and small pleural effusions are not significantly changed since prior. Perihilar vascular congestion is again noted. There is no pneumothorax. Aortic arch calcifications are present. The heart size is normal. Partially imaged upper abdomen is unremarkable.",
  "impression": "Persistent bibasilar consolidations with small pleural effusions, most compatible with infection.",
  "vqa": [
   {
    "question": "Is the right lung displaying any abnormalities?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "74ddbe19-d6c78dbc-e9646724-8c05b31b-8183ff6f"
   },
   {
    "question": "Please name all diseases only found in the left lung and not in the right mid lung zone.",
    "answer": "pneumonia",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "74ddbe19-d6c78dbc-e9646724-8c05b31b-8183ff6f"
   },
   {
    "question": "Is the width of the cardiac silhouette more than half of the thoracic width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "74ddbe19-d6c78dbc-e9646724-8c05b31b-8183ff6f"
   }
  ]
 },
 {
  "study_name": "Study_46894",
  "subject_id": "12796240",
  "study_id": "54742681",
  "subset": "p12",
  "dicom_id": "90f6852d-1021083d-4805bc28-dcc739c8-ae480115",
  "view": "PA",
  "image_relpath": "files/p12/p12796240/s54742681/90f6852d-1021083d-4805bc28-dcc739c8-ae480115.jpg",
  "report_relpath": "files/p12/p12796240/s54742681.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p12/p12796240/s54742681/90f6852d-1021083d-4805bc28-dcc739c8-ae480115.jpg",
  "positive_labels": [
   "Cardiomegaly"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "0.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "PA and lateral views of the chest demonstrate well-expanded lungs. There is no focal consolidation. Heart is mildly enlarged. Cardiomediastinal contours are unremarkable. There is no pleural effusion or pneumothorax.",
  "impression": "1. Mild cardiomegaly. 2. No evidence of pneumonia.",
  "vqa": [
   {
    "question": "Can you tell me the gender of this patient?",
    "answer": "f",
    "semantic_type": "query",
    "content_type": "gender",
    "image_id": "90f6852d-1021083d-4805bc28-dcc739c8-ae480115"
   }
  ]
 },
 {
  "study_name": "Study_48296",
  "subject_id": "18083755",
  "study_id": "55260016",
  "subset": "p18",
  "dicom_id": "ad19092f-10aad38a-26a8b8e2-c0810554-8f0f1753",
  "view": "AP",
  "image_relpath": "files/p18/p18083755/s55260016/ad19092f-10aad38a-26a8b8e2-c0810554-8f0f1753.jpg",
  "report_relpath": "files/p18/p18083755/s55260016.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18083755/s55260016/ad19092f-10aad38a-26a8b8e2-c0810554-8f0f1753.jpg",
  "positive_labels": [
   "Cardiomegaly",
   "Pneumothorax"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "1.0",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Cardiomegaly, Pneumothorax\nNegative Abnormalities: Atelectasis, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Support Devices\nUncertain Abnormalities: None",
  "findings": "A left-sided pacer and dual leads is in stable position. A drain overlies the left heart/left hemi thorax. The heart is enlarged and globular in contour. There is trace pneumopericardium, consistent with recent pericardiocentesis. Surgical material projects over the right midlung, as before. No focal consolidation is identified. There is a small left basal pneumothorax.",
  "impression": "Small left basal pneumothorax. Globular, enlarged heart consistent with pericardial effusion. Minimal pericardial air consistent with recent pericardiocentesis.",
  "vqa": [
   {
    "question": "Is there a detection of both enlarged cardiac silhouette and pneumomediastinum within the cardiac silhouette?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "ad19092f-10aad38a-26a8b8e2-c0810554-8f0f1753"
   },
   {
    "question": "Is there a detection of either cyst/bullae or pneumomediastinum within the right hilar structures?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "ad19092f-10aad38a-26a8b8e2-c0810554-8f0f1753"
   },
   {
    "question": "Identify all the diseases in either the mediastinum or the neck.",
    "answer": "pericardial effusion",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "ad19092f-10aad38a-26a8b8e2-c0810554-8f0f1753"
   },
   {
    "question": "Please list all anatomical locations that could have both cardiac pacer and wires and pneumomediastinum.",
    "answer": "cardiac silhouette, mediastinum",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "ad19092f-10aad38a-26a8b8e2-c0810554-8f0f1753"
   },
   {
    "question": "Considering the anatomical findings, which is usually involved, infiltration or pneumomediastinum?",
    "answer": "pneumomediastinum",
    "semantic_type": "choose",
    "content_type": "attribute",
    "image_id": "ad19092f-10aad38a-26a8b8e2-c0810554-8f0f1753"
   }
  ]
 },
 {
  "study_name": "Study_47506",
  "subject_id": "19933545",
  "study_id": "57122541",
  "subset": "p19",
  "dicom_id": "ccf41970-4d62369b-baf8b652-20267eab-f66522d4",
  "view": "PA",
  "image_relpath": "files/p19/p19933545/s57122541/ccf41970-4d62369b-baf8b652-20267eab-f66522d4.jpg",
  "report_relpath": "files/p19/p19933545/s57122541.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p19/p19933545/s57122541/ccf41970-4d62369b-baf8b652-20267eab-f66522d4.jpg",
  "positive_labels": [
   "Atelectasis"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "0.0",
   "Pneumothorax": "0.0",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Cardiomediastinal and hilar contours are normal. Minimal streaky atelectasis at the left base is stable. There is no focal consolidation, pleural effusion or pneumothorax.",
  "impression": "Minimal left basal atelectasis. No pneumonia. No pneumothorax.",
  "vqa": [
   {
    "question": "Does the width of the upper mediastinum surpass one-third of the thoracic width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "ccf41970-4d62369b-baf8b652-20267eab-f66522d4"
   }
  ]
 },
 {
  "study_name": "Study_46885",
  "subject_id": "15723516",
  "study_id": "50352325",
  "subset": "p15",
  "dicom_id": "c1f47640-7f9c38af-b0661fc9-c27a26ac-558d9c53",
  "view": "PA",
  "image_relpath": "files/p15/p15723516/s50352325/c1f47640-7f9c38af-b0661fc9-c27a26ac-558d9c53.jpg",
  "report_relpath": "files/p15/p15723516/s50352325.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15723516/s50352325/c1f47640-7f9c38af-b0661fc9-c27a26ac-558d9c53.jpg",
  "positive_labels": [
   "Atelectasis",
   "Cardiomegaly",
   "Lung Opacity",
   "Pleural Effusion",
   "Pneumonia"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "1.0",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "1.0",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Cardiomegaly, Lung Opacity, Pleural Effusion, Pneumonia\nNegative Abnormalities: Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, No Finding, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "PA and lateral views of the chest provided. There has been interval removal of the Swan-Ganz catheter and intra-aortic balloon pump. Cardiomegaly is re- demonstrated with left basal consolidation concerning for atelectasis or pneumonia. Associated left pleural effusion is likely present, small to moderate. Right lung is clear. No pneumothorax or edema. Mediastinal contour stable. Bony structures are intact.",
  "impression": "Left basal opacity likely represents a combination of atelectasis and pneumonia as well as a left pleural effusion. Cardiomegaly is unchanged.",
  "vqa": [
   {
    "question": "Are there any abnormalities that are unique to left costophrenic angle and not identified in right shoulder?",
    "answer": "lung opacity, pleural effusion",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "c1f47640-7f9c38af-b0661fc9-c27a26ac-558d9c53"
   }
  ]
 },
 {
  "study_name": "Study_48151",
  "subject_id": "15273643",
  "study_id": "56780822",
  "subset": "p15",
  "dicom_id": "ee1c9d2f-83d7e039-5b407aa2-b2ac16ab-52f45144",
  "view": "AP",
  "image_relpath": "files/p15/p15273643/s56780822/ee1c9d2f-83d7e039-5b407aa2-b2ac16ab-52f45144.jpg",
  "report_relpath": "files/p15/p15273643/s56780822.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15273643/s56780822/ee1c9d2f-83d7e039-5b407aa2-b2ac16ab-52f45144.jpg",
  "positive_labels": [
   "Atelectasis",
   "Support Devices"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "-1.0",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": "1.0"
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Support Devices\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax\nUncertain Abnormalities: Pleural Effusion",
  "findings": "Moderate cardiomegaly is seen which may be exaggerated secondary to low lung volumes. A right PICC line is seen which terminates in the mid SVC. No pneumothorax is seen. Mild bibasilar atelectasis is seen with probable bilateral small pleural effusions. No pleural effusions are visualized",
  "impression": "1. The right PICC line terminates in the mid SVC. 2. Mild bibasilar atelectasis and probable bilateral small pleural effusions.",
  "vqa": [
   {
    "question": "Can you find either technical assessments or tubes/lines in the image?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "ee1c9d2f-83d7e039-5b407aa2-b2ac16ab-52f45144"
   },
   {
    "question": "Please enumerate all anatomical sites associated with any technical assessments.",
    "answer": "cardiac silhouette, left lung, mediastinum, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "ee1c9d2f-83d7e039-5b407aa2-b2ac16ab-52f45144"
   }
  ]
 },
 {
  "study_name": "Study_48486",
  "subject_id": "14918489",
  "study_id": "51864281",
  "subset": "p14",
  "dicom_id": "497f80f8-da9fa843-c123f6a1-5c4bc638-d554d399",
  "view": "PA",
  "image_relpath": "files/p14/p14918489/s51864281/497f80f8-da9fa843-c123f6a1-5c4bc638-d554d399.jpg",
  "report_relpath": "files/p14/p14918489/s51864281.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p14/p14918489/s51864281/497f80f8-da9fa843-c123f6a1-5c4bc638-d554d399.jpg",
  "positive_labels": [
   "Atelectasis",
   "Pleural Effusion"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "1.0",
   "Pleural Other": "",
   "Pneumonia": "0.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis, Pleural Effusion\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "PA and lateral views of the chest provided. There is a moderate left pleural effusion likely with compressive left lower lobe atelectasis node difficult to exclude underlying pneumonia or other pathology. Right lung is clear. Heart size cannot be assessed. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.",
  "impression": "Moderate left pleural effusion with underlying atelectasis, difficult to exclude pneumonia or other acute process.",
  "vqa": [
   {
    "question": "Is the left costophrenic angle showing any abnormal signs?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "abnormality",
    "image_id": "497f80f8-da9fa843-c123f6a1-5c4bc638-d554d399"
   },
   {
    "question": "Is vascular calcification present in both the left hilar structures and the upper mediastinum?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "497f80f8-da9fa843-c123f6a1-5c4bc638-d554d399"
   },
   {
    "question": "Can you identify the patient's gender?",
    "answer": "f",
    "semantic_type": "query",
    "content_type": "gender",
    "image_id": "497f80f8-da9fa843-c123f6a1-5c4bc638-d554d399"
   }
  ]
 },
 {
  "study_name": "Study_45476",
  "subject_id": "18517718",
  "study_id": "54151404",
  "subset": "p18",
  "dicom_id": "6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183",
  "view": "AP",
  "image_relpath": "files/p18/p18517718/s54151404/6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183.jpg",
  "report_relpath": "files/p18/p18517718/s54151404.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p18/p18517718/s54151404/6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183.jpg",
  "positive_labels": [
   "Atelectasis"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "0.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The previously seen pulmonary edema has resolved. There is no edema, pneumonia, pleural effusion, or pneumothorax. Bibasilar atelectasis is unchanged, including atelectasis in the retrocardiac region. Elevation of the right hemidiaphragm is stable. The cardiomediastinal silhouette is normal. A feeding tube is seen in the stomach with the tip out of the field of view.",
  "impression": "1. Resolution of pulmonary edema. 2. Stable bibasilar atelectasis.",
  "vqa": [
   {
    "question": "Which anatomical locations are associated with enteric tube, but not chest tube?",
    "answer": "abdomen, mediastinum, neck",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183"
   },
   {
    "question": "Enumerate all anatomical areas associated with any anatomical findings.",
    "answer": "left lower lung zone, left lung, right hemidiaphragm, right lower lung zone, right lung",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183"
   },
   {
    "question": "Can you identify the abnormalities present only in right lower lung zone and absent in left mid lung zone?",
    "answer": "atelectasis, lung opacity",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183"
   }
  ]
 },
 {
  "study_name": "Study_45372",
  "subject_id": "13291370",
  "study_id": "53346804",
  "subset": "p13",
  "dicom_id": "0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab",
  "view": "AP",
  "image_relpath": "files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg",
  "report_relpath": "files/p13/p13291370/s53346804.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg",
  "positive_labels": [
   "Consolidation"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "1.0",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "-1.0",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Consolidation\nNegative Abnormalities: Atelectasis, Cardiomegaly, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumothorax, Support Devices\nUncertain Abnormalities: Pneumonia",
  "findings": "Portable AP upright view of the chest was provided. Midline sternotomy wires are again noted. There is a left chest wall pacer with lead tip in the region of the right ventricle. The heart is top normal in size. The mediastinum is slightly prominent, stable, reflecting an unfolded thoracic aorta. Aortic calcifications are present. Increased perihilar opacity is noted as well as consolidation containing an air bronchogram within the right upper lobe. Findings are concerning for pneumonia. No effusion is seen. There is no pneumothorax. The bony structures appear intact.",
  "impression": "Perihilar and right upper lobe consolidation concerning for pneumonia.",
  "vqa": [
   {
    "question": "What are all the diseases present in both the right hilar structures and the right mid lung zone?",
    "answer": "pneumonia",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab"
   }
  ]
 },
 {
  "study_name": "Study_48089",
  "subject_id": "16345536",
  "study_id": "50329452",
  "subset": "p16",
  "dicom_id": "57559661-f36b2fd8-c0881dd6-a17429ea-e9d45249",
  "view": "AP",
  "image_relpath": "files/p16/p16345536/s50329452/57559661-f36b2fd8-c0881dd6-a17429ea-e9d45249.jpg",
  "report_relpath": "files/p16/p16345536/s50329452.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p16/p16345536/s50329452/57559661-f36b2fd8-c0881dd6-a17429ea-e9d45249.jpg",
  "positive_labels": [
   "Atelectasis"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "Endotracheal tube and right PICC are in appropriate position. Since the prior radiograph, there has been little interval change with persistent low lung volumes and linear atelectasis or fluid along the right minor fissure and asymmetric left greater than right pulmonary opacities which is likely retrocardiac atelectasis. Mediastinal silhouette remains unchanged with engorgement of pulmonary vessels.",
  "impression": "Overall unchanged examination with persistent low lung volumes and retrocardiac atelectasis.",
  "vqa": [
   {
    "question": "Can any presence of both low lung volumes and linear/patchy atelectasis be noted in the left mid lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "57559661-f36b2fd8-c0881dd6-a17429ea-e9d45249"
   },
   {
    "question": "Is there any occurrence of either mass/nodule (not otherwise specified) or linear/patchy atelectasis in the left lower lung zone?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "57559661-f36b2fd8-c0881dd6-a17429ea-e9d45249"
   },
   {
    "question": "Please detail all the abnormalities identifiable within the left lower lung zone.",
    "answer": "atelectasis, linear/patchy atelectasis, lung opacity",
    "semantic_type": "query",
    "content_type": "abnormality",
    "image_id": "57559661-f36b2fd8-c0881dd6-a17429ea-e9d45249"
   },
   {
    "question": "Outline all the observed technical assessments and devices.",
    "answer": "low lung volumes",
    "semantic_type": "query",
    "content_type": "attribute",
    "image_id": "57559661-f36b2fd8-c0881dd6-a17429ea-e9d45249"
   }
  ]
 },
 {
  "study_name": "Study_47677",
  "subject_id": "15677928",
  "study_id": "50997596",
  "subset": "p15",
  "dicom_id": "c70cacf3-02d8690c-4e2e41e7-a0fbe1dc-a9e78a4c",
  "view": "AP",
  "image_relpath": "files/p15/p15677928/s50997596/c70cacf3-02d8690c-4e2e41e7-a0fbe1dc-a9e78a4c.jpg",
  "report_relpath": "files/p15/p15677928/s50997596.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p15/p15677928/s50997596/c70cacf3-02d8690c-4e2e41e7-a0fbe1dc-a9e78a4c.jpg",
  "positive_labels": [
   "Atelectasis"
  ],
  "chex": {
   "Atelectasis": "1.0",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "0.0",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Atelectasis\nNegative Abnormalities: Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pleural Other, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "The right internal jugular central venous catheter has been removed. Mild to moderate enlargement of the cardiac silhouette is unchanged. The mediastinal contour is similar. No pulmonary edema is present, and the hilar contours are unchanged. There is minimal retrocardiac patchy opacity, likely atelectasis. No large pleural effusion or pneumothorax is detected, however, the left costophrenic angle is not completely included in the field of view.",
  "impression": "Retrocardiac atelectasis. No evidence of pulmonary edema.",
  "vqa": [
   {
    "question": "Is pneumonia observable in the image?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "c70cacf3-02d8690c-4e2e41e7-a0fbe1dc-a9e78a4c"
   },
   {
    "question": "Is there evidence of lung lesion in either the mediastinum or the right upper lung zone?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "c70cacf3-02d8690c-4e2e41e7-a0fbe1dc-a9e78a4c"
   },
   {
    "question": "Is there evidence of any anatomical findings in either the right hilar structures or the right hemidiaphragm?",
    "answer": "no",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "c70cacf3-02d8690c-4e2e41e7-a0fbe1dc-a9e78a4c"
   },
   {
    "question": "State all anatomical locations where we might find either consolidation or lung lesion.",
    "answer": "",
    "semantic_type": "query",
    "content_type": "anatomy",
    "image_id": "c70cacf3-02d8690c-4e2e41e7-a0fbe1dc-a9e78a4c"
   }
  ]
 },
 {
  "study_name": "Study_45797",
  "subject_id": "10439781",
  "study_id": "56925922",
  "subset": "p10",
  "dicom_id": "bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1",
  "view": "PA",
  "image_relpath": "files/p10/p10439781/s56925922/bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1.jpg",
  "report_relpath": "files/p10/p10439781/s56925922.txt",
  "jpg_url": "https://physionet.org/files/mimic-cxr-jpg/2.1.0/files/p10/p10439781/s56925922/bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1.jpg",
  "positive_labels": [
   "Pleural Other"
  ],
  "chex": {
   "Atelectasis": "",
   "Cardiomegaly": "",
   "Consolidation": "",
   "Edema": "",
   "Enlarged Cardiomediastinum": "",
   "Fracture": "",
   "Lung Lesion": "",
   "Lung Opacity": "",
   "No Finding": "",
   "Pleural Effusion": "",
   "Pleural Other": "1.0",
   "Pneumonia": "",
   "Pneumothorax": "",
   "Support Devices": ""
  },
  "structured_findings": "Positive Abnormalities: Pleural Other\nNegative Abnormalities: Atelectasis, Cardiomegaly, Consolidation, Edema, Enlarged Cardiomediastinum, Fracture, Lung Lesion, Lung Opacity, No Finding, Pleural Effusion, Pneumonia, Pneumothorax, Support Devices\nUncertain Abnormalities: None",
  "findings": "A Port-A-Cath terminates in the upper right atrium. The cardiac, mediastinal and hilar contours appear unchanged. Fine reticulation associated with pulmonary fibrosis appears very similar within each lung in extent and distribution with no significant superimposed change. The lung volumes are low. There is no pleural effusion or pneumothorax. Multiple compression deformities including lower thoracic vertebroplasties appear unchanged.",
  "impression": "No evidence of acute disease. Severe pulmonary fibrosis, not significantly changed.",
  "vqa": [
   {
    "question": "Can increased reticular markings/ild pattern be detected?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1"
   },
   {
    "question": "Are both spinal fracture and increased reticular markings/ild pattern present together?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "presence",
    "image_id": "bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1"
   },
   {
    "question": "Within the anatomical findings, which is typically associated, spinal fracture or increased reticular markings/ild pattern?",
    "answer": "increased reticular markings/ild pattern, spinal fracture",
    "semantic_type": "choose",
    "content_type": "attribute",
    "image_id": "bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1"
   },
   {
    "question": "Does the upper mediastinum's width represent more than one-third of the thorax width?",
    "answer": "yes",
    "semantic_type": "verify",
    "content_type": "size",
    "image_id": "bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1"
   }
  ]
 }
]