,path_to_image,deid_patient_id,report,section_findings,section_impression,section_summary 93094,CheXpert_Demo_Images\train\patient22344\study2\view1_frontal.jpg,patient22344,"NARRATIVE: AP VIEW OF THE CHEST: 11/24/16 AT 1051 HOURS COMPARISON: 24 November. CLINICAL HISTORY: Fifty-six-year-old male after PICC line placement. IMPRESSION: AP VIEW OF THE CHEST ON 11/24/2016 AT 1051 HOURS SHOWS INTERVAL PLACEMENT OF LEFT UPPER EXTREMITY PICC WITH ITS TIP PROJECTING IN THE REGION OF THE SUPERIOR VENA CAVA. ADVISE ADVANCEMENT BY APPROXIMATELY 1 CM FOR PLACEMENT IN THE REGION OF THE ATRIOCAVAL JUNCTION. NO EVIDENCE OF INFILTRATES, EDEMA, OR EFFUSION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 9923151654 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AP VIEW OF THE CHEST ON 11/24/2016 AT 1051 HOURS SHOWS INTERVAL PLACEMENT OF LEFT UPPER EXTREMITY PICC WITH ITS TIP PROJECTING IN THE REGION OF THE SUPERIOR VENA CAVA. ADVISE ADVANCEMENT BY APPROXIMATELY 1 CM FOR PLACEMENT IN THE REGION OF THE ATRIOCAVAL JUNCTION. NO EVIDENCE OF INFILTRATES, EDEMA, OR EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 207314,CheXpert_Demo_Images\train\patient53539\study1\view1_frontal.jpg,patient53539,"NARRATIVE: EXAM: Chest 1 View, 11/16/2008 CLINICAL HISTORY: 33-year-old male with shortness of breath COMPARISON: 11/16/08 IMPRESSION: 1.SINGLE PORTABLE SEMIUPRIGHT RADIOGRAPH OF THE CHEST AGAIN DEMONSTRATES A SIGNIFICANT S-SHAPED SCOLIOSIS OF THE THORACOLUMBAR SPINE, SIMILAR COMPARED TO PRIOR. 2.THERE ARE BILATERAL LOW LUNG VOLUMES WITH ELEVATION OF THE RIGHT HEMIDIAPHRAGM. 3.VASCULAR CROWDING IS LIKELY SECONDARY TO LOW LUNG VOLUMES. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, PULMONARY EDEMA, OR PNEUMOTHORAX IS SEEN. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8567619757 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE PORTABLE SEMIUPRIGHT RADIOGRAPH OF THE CHEST AGAIN DEMONSTRATES A SIGNIFICANT S-SHAPED SCOLIOSIS OF THE THORACOLUMBAR SPINE, SIMILAR COMPARED TO PRIOR. 2.THERE ARE BILATERAL LOW LUNG VOLUMES WITH ELEVATION OF THE RIGHT HEMIDIAPHRAGM. 3.VASCULAR CROWDING IS LIKELY SECONDARY TO LOW LUNG VOLUMES. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, PULMONARY EDEMA, OR PNEUMOTHORAX IS SEEN. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 69817,CheXpert_Demo_Images\train\patient16736\study1\view2_lateral.jpg,patient16736,"NARRATIVE: CHEST TWO VIEWS: 7/22/2014 COMPARISON: Prior chest, 7-22-2014 CLINICAL DATA: 59-year-old male with history of coronary artery bypass graft and syncope. Evaluate for infiltrates. IMPRESSION: 1. THERE HAS BEEN INTERVAL REMOVAL OF RIGHT INTERNAL JUGULAR LINE AND LEFT CHEST TUBE. THERE IS NO ASSOCIATED PNEUMOTHORAX. 2. THERE HAS BEEN INTERVAL INCREASE IN AERATION OF BOTH LUNGS BILATERALLY. THERE HAS BEEN INTERVAL DECREASE IN BIBASILAR OPACITIES AND EFFUSION. THERE IS REDEMONSTRATION OF LEFT LOWER LUNG RETROCARDIAC OPACITY. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Hope, Anthony on: 7/22/2014 ACCESSION NUMBER: 1549588728Y This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE HAS BEEN INTERVAL REMOVAL OF RIGHT INTERNAL JUGULAR LINE AND LEFT CHEST TUBE. THERE IS NO ASSOCIATED PNEUMOTHORAX. 2. THERE HAS BEEN INTERVAL INCREASE IN AERATION OF BOTH LUNGS BILATERALLY. THERE HAS BEEN INTERVAL DECREASE IN BIBASILAR OPACITIES AND EFFUSION. THERE IS REDEMONSTRATION OF LEFT LOWER LUNG RETROCARDIAC OPACITY. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Hope, Anthony on: 7/22/2014 " 195755,CheXpert_Demo_Images\train\patient47831\study1\view1_frontal.jpg,patient47831,"NARRATIVE: CHEST: 7-31-2020 COMPARISON: 7-31-2020 CLINICAL INFORMATION: AS. Postoperative. IMPRESSION: AP SEMI-ERECT FILM. THERE HAS BEEN A MEDIAN STERNOTOMY WITH A MEDIASTINAL DRAIN IN PLACE. RIGHT IJ VENOUS CATHETER IS ALSO PRESENT. LUNG VOLUMES ARE EXTREMELY LOW WITH LIKELY MILD PULMONARY EDEMA AND SMALL BILATERAL PLEURAL EFFUSIONS. NO SIGNIFICANT INTERVAL CHANGE. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: #ZSEQZPD This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AP SEMI-ERECT FILM. THERE HAS BEEN A MEDIAN STERNOTOMY WITH A MEDIASTINAL DRAIN IN PLACE. RIGHT IJ VENOUS CATHETER IS ALSO PRESENT. LUNG VOLUMES ARE EXTREMELY LOW WITH LIKELY MILD PULMONARY EDEMA AND SMALL BILATERAL PLEURAL EFFUSIONS. NO SIGNIFICANT INTERVAL CHANGE. "," 2 ABNORMAL, PREVIOUSLY REPORTED. " 44266,CheXpert_Demo_Images\train\patient10821\study1\view1_frontal.jpg,patient10821,"NARRATIVE: PORTABLE CHEST RADIOGRAPH, ONE VIEW: 12/30/2016 AT 1649 HOURS. CHEST RADIOGRAPH TWO VIEWS: 12/30/2016. CLINICAL HISTORY: 69-year-old female, status post trauma. COMPARISON: None. TECHNIQUE: Single portable AP supine view of the chest followed by Frontal and lateral views of the chest. FINDINGS: Initial portable AP supine chest radiograph from 12/30 at 1649 hours demonstrates lordotic projection and underlying trauma board, which limits the evaluation. Trachea midline. Cardiomediastinal silhouette is mildly prominent, but this may be secondary to technique and position. Cardiac silhouette appears mildly enlarged. There is a calcified lymph node in the left hilum. The bilateral lung fields exhibit left retrocardiac air space opacities. There is mild blunting of the left costophrenic angle, denoting a possible small pleural effusion. There are nondisplaced fractures involving the lateral aspect of the right seventh, eighth, and ninth ribs. There is no supine evidence of pneumothorax in either lung fields. Follow-up frontal and lateral views of the chest from 12-30-2016 at 2000 hours demonstrates the mediastinum to be within normal limits. The cardiac silhouette again appears mildly enlarged. Calcified left hilar lymph nodes are again seen. There are faint opacities in the right lower lobe and a nodular opacity in the peripheral left lower lobe. The left costophrenic angle appears sharp. There is mild blunting of the right costophrenic angle that is only seen on the frontal view and may represent a small amount of pleural fluid given the aforementioned osseous findings. The right lower rib fractures previously described are better seen on the prior examination. No pneumothoraces are present. No other acute osseous abnormalities are appreciated. IMPRESSION: 1. RIGHT SEVENTH, EIGHTH, AND NINTH RIB NONDISPLACED FRACTURES, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. SEEN ON LATER EXAMINATION, THERE ARE FAINT OPACITIES IN THE RIGHT LOWER LOBE AND MINIMAL PLEURAL FLUID, WHICH MAY BE RELATED TO ADJACENT RIB FRACTURES. NODULAR OPACITIES ARE SEEN IN THE PERIPHERAL LEFT LOWER LOBE. 3. MILD CARDIOMEGALY. CARDIOMEDIASTINAL SILHOUETTE IS OTHERWISE UNREMARKABLE. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #413302 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Initial portable AP supine chest radiograph from 12/30 at 1649 hours demonstrates lordotic projection and underlying trauma board, which limits the evaluation. Trachea midline. Cardiomediastinal silhouette is mildly prominent, but this may be secondary to technique and position. Cardiac silhouette appears mildly enlarged. There is a calcified lymph node in the left hilum. The bilateral lung fields exhibit left retrocardiac air space opacities. There is mild blunting of the left costophrenic angle, denoting a possible small pleural effusion. There are nondisplaced fractures involving the lateral aspect of the right seventh, eighth, and ninth ribs. There is no supine evidence of pneumothorax in either lung fields. Follow-up frontal and lateral views of the chest from 12-30-2016 at 2000 hours demonstrates the mediastinum to be within normal limits. The cardiac silhouette again appears mildly enlarged. Calcified left hilar lymph nodes are again seen. There are faint opacities in the right lower lobe and a nodular opacity in the peripheral left lower lobe. The left costophrenic angle appears sharp. There is mild blunting of the right costophrenic angle that is only seen on the frontal view and may represent a small amount of pleural fluid given the aforementioned osseous findings. The right lower rib fractures previously described are better seen on the prior examination. No pneumothoraces are present. No other acute osseous abnormalities are appreciated. "," 1. RIGHT SEVENTH, EIGHTH, AND NINTH RIB NONDISPLACED FRACTURES, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. SEEN ON LATER EXAMINATION, THERE ARE FAINT OPACITIES IN THE RIGHT LOWER LOBE AND MINIMAL PLEURAL FLUID, WHICH MAY BE RELATED TO ADJACENT RIB FRACTURES. NODULAR OPACITIES ARE SEEN IN THE PERIPHERAL LEFT LOWER LOBE. 3. MILD CARDIOMEGALY. CARDIOMEDIASTINAL SILHOUETTE IS OTHERWISE UNREMARKABLE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 212669,CheXpert_Demo_Images\train\patient56879\study1\view1_frontal.jpg,patient56879,"NARRATIVE: PORTABLE CHEST, 10/3/2015: COMPARISON: There are no prior films available for comparison. FINDINGS: Single erect AP radiograph of the chest demonstrates a normal cardiomediastinal silhouette. There is a right-sided chest tube within the right lung apex without evidence of a definite pneumothorax on this erect radiograph. There is a small amount of subcutaneous gas within the right lateral chest wall. A focal area of parenchymal opacity is noted in the right lower lung zone, presumably atelectasis, although attention on follow-up is recommended. No evidence of pulmonary edema. Osseous structures are unremarkable. IMPRESSION: 1. POST-SURGICAL CHANGES WITH RIGHT CHEST TUBE IN THE LUNG APEX AND WITHOUT A DEFINITE PNEUMOTHORAX VISUALIZED ON THIS ERECT RADIOGRAPH. 2. FOCAL PARENCHYMAL OPACITY IN THE RIGHT LOWER LUNG ZONE, LIKELY REPRESENTING ATELECTASIS ALTHOUGH ATTENTION ON A FOLLOW-UP FILM IS RECOMMENDED. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: JANE, DAVID on: 10/3/2015 __________________________________ ACCESSION NUMBER: 6997250363 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single erect AP radiograph of the chest demonstrates a normal cardiomediastinal silhouette. There is a right-sided chest tube within the right lung apex without evidence of a definite pneumothorax on this erect radiograph. There is a small amount of subcutaneous gas within the right lateral chest wall. A focal area of parenchymal opacity is noted in the right lower lung zone, presumably atelectasis, although attention on follow-up is recommended. No evidence of pulmonary edema. Osseous structures are unremarkable. "," 1. POST-SURGICAL CHANGES WITH RIGHT CHEST TUBE IN THE LUNG APEX AND WITHOUT A DEFINITE PNEUMOTHORAX VISUALIZED ON THIS ERECT RADIOGRAPH. 2. FOCAL PARENCHYMAL OPACITY IN THE RIGHT LOWER LUNG ZONE, LIKELY REPRESENTING ATELECTASIS ALTHOUGH ATTENTION ON A FOLLOW-UP FILM IS RECOMMENDED. "," 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: JANE, DAVID on: 10/3/2015 __________________________________ " 139202,CheXpert_Demo_Images\train\patient33475\study2\view1_frontal.jpg,patient33475,"NARRATIVE: EXAM: Chest 2 Views, 3/25/2006. HISTORY: 100 year old Male, Chest pain. COMPARISON: 3-25-2006. FINDINGS: There is dense consolidation of the right middle lobe. The left lung appears to be clear. The cardiac silhouette and pulmonary vasculature are within normal limits. There is aortic atherosclerosis. No acute osseous abnormality is identified. IMPRESSION: 1. RIGHT MIDDLE LOBE PNEUMONIA. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. ACCESSION NUMBER: MKCZVQI This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is dense consolidation of the right middle lobe. The left lung appears to be clear. The cardiac silhouette and pulmonary vasculature are within normal limits. There is aortic atherosclerosis. No acute osseous abnormality is identified. "," 1. RIGHT MIDDLE LOBE PNEUMONIA. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. " 203252,CheXpert_Demo_Images\train\patient51133\study1\view1_frontal.jpg,patient51133,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: October 14th, 2008 CLINICAL HISTORY: 31 years of age, Male, Post-op CV surgery. COMPARISON: 10/14/2008 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Unchanged support devices. Postsurgical status with evidence of prior aortic valve replacement and 3 sternal cerclage wires. Grossly stable widening of the upper mediastinum. Unchanged left more than right basilar opacities. Possible small right apical pneumothorax versus summation effect. IMPRESSION: 1. Possible small right apical pneumothorax versus summation of shadows. 2. Otherwise stable cardiopulmonary findings. ACCESSION NUMBER: fa-zf-uq-xb-q This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Unchanged support devices. Postsurgical status with evidence of prior aortic valve replacement and 3 sternal cerclage wires. Grossly stable widening of the upper mediastinum. Unchanged left more than right basilar opacities. Possible small right apical pneumothorax versus summation effect. "," 1. Possible small right apical pneumothorax versus summation of shadows. 2. Otherwise stable cardiopulmonary findings. ", 198923,CheXpert_Demo_Images\train\patient49172\study1\view1_frontal.jpg,patient49172,"NARRATIVE: CLINICAL HISTORY: A 74-year-old-female, status post line placement. TECHNIQUE: Single frontal view of chest on 11/28/2002. COMPARISON: 11/28/02. IMPRESSION: 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR LINE WITH THE TIP OVERLYING THE MID SUPERIOR VENA CAVA. 2. NO PNEUMOTHORAX. 3. DECREASED LUNG VOLUMES, WITH A SLIGHT VASCULAR CROWDING AT THE BILATERAL LUNG BASES. 4. OTHERWISE, THE LUNGS APPEAR CLEAR, WITH NO NEW FOCAL CONSOLIDATIVE OPACITIES, PLEURAL EFFUSIONS, OR PULMONARY EDEMA. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR LINE WITH THE TIP OVERLYING THE MID SUPERIOR VENA CAVA. 2. NO PNEUMOTHORAX. 3. DECREASED LUNG VOLUMES, WITH A SLIGHT VASCULAR CROWDING AT THE BILATERAL LUNG BASES. 4. OTHERWISE, THE LUNGS APPEAR CLEAR, WITH NO NEW FOCAL CONSOLIDATIVE OPACITIES, PLEURAL EFFUSIONS, OR PULMONARY EDEMA. "," 4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 64936,CheXpert_Demo_Images\train\patient15637\study2\view2_lateral.jpg,patient15637,"NARRATIVE: Exam: Chest 2 Views, 8-4-2014 Clinical History: 73 years old Female with Shortness of Breath Comparison: 8-4-2014. Impression: 1. NO EVIDENCE OF PULMONARY EDEMA. HOWEVER THERE HAS BEEN MILD INCREASE IN BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT WHEN COMPARED TO PRIOR STUDY DATED 8-4-2014. 2.MILD CARDIOMEGALY, STABLE. 3.NO DEFINITE AREAS OF CONSOLIDATION TO SUGGEST AIRSPACE DISEASE. 4.OSTEOPENIA AND MILD DEGENERATIVE CHANGES OF THE THORACIC SPINE, UNCHANGED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: #318616858 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO EVIDENCE OF PULMONARY EDEMA. HOWEVER THERE HAS BEEN MILD INCREASE IN BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT WHEN COMPARED TO PRIOR STUDY DATED 8-4-2014. 2.MILD CARDIOMEGALY, STABLE. 3.NO DEFINITE AREAS OF CONSOLIDATION TO SUGGEST AIRSPACE DISEASE. 4.OSTEOPENIA AND MILD DEGENERATIVE CHANGES OF THE THORACIC SPINE, UNCHANGED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 82590,CheXpert_Demo_Images\train\patient19918\study1\view1_frontal.jpg,patient19918,"NARRATIVE: Exam: Chest 1 View, 6-2-2010 Clinical History: 47 years Female with Trauma Comparison: None IMPRESSION: 1. A SINGLE FRONTAL VIEW OF THE CHEST TAKEN ON A TRAUMA BOARD DEMONSTRATES A NORMAL HEART SIZE AND PULMONARY VASCULARITY. 2. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, OR PNEUMOTHORAX. 3. THE VISUALIZED OSSEUS AND SOFT TISSUE STRUCTURES ARE UNREMARKABLE. MULTIPLE IRREGULAR DENSITIES PROJECTING OVER THE LEFT CLAVICLE ARE LIKELY EXTERNAL. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 28402809235 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. A SINGLE FRONTAL VIEW OF THE CHEST TAKEN ON A TRAUMA BOARD DEMONSTRATES A NORMAL HEART SIZE AND PULMONARY VASCULARITY. 2. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, OR PNEUMOTHORAX. 3. THE VISUALIZED OSSEUS AND SOFT TISSUE STRUCTURES ARE UNREMARKABLE. MULTIPLE IRREGULAR DENSITIES PROJECTING OVER THE LEFT CLAVICLE ARE LIKELY EXTERNAL. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 172817,CheXpert_Demo_Images\train\patient40378\study1\view1_frontal.jpg,patient40378,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11-16-2010 CLINICAL HISTORY: 72 years of age, Male, s/p CV surgery . Questionable pneumonia. COMPARISON: Chest radiograph 11/16/2010 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Redemonstration of multiple support devices, including a tracheostomy cannula, epicardial pacing wires, median sternotomy wires, left internal jugular central venous catheter, a valvuloplasty, and spinal fusion hardware in the lower cervical spine. The cardiomediastinal silhouette is stable. Persistent diffuse bilateral nodular and groundglass opacities, unchanged. No pneumothorax. Trace left pleural effusion. IMPRESSION: 1. No significant interval change. No focal opacity to suggest pneumonia. ""Physician to Physician Radiology Consult Line: (450)626-2651"" Signed ACCESSION NUMBER: 042-403-92 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Redemonstration of multiple support devices, including a tracheostomy cannula, epicardial pacing wires, median sternotomy wires, left internal jugular central venous catheter, a valvuloplasty, and spinal fusion hardware in the lower cervical spine. The cardiomediastinal silhouette is stable. Persistent diffuse bilateral nodular and groundglass opacities, unchanged. No pneumothorax. Trace left pleural effusion. "," 1. No significant interval change. No focal opacity to suggest pneumonia. ""Physician to Physician Radiology Consult Line: (450)626-2651"" Signed ", 64165,CheXpert_Demo_Images\train\patient15463\study1\view1_frontal.jpg,patient15463,"NARRATIVE: Chest 1 View 11/1 CLINICAL IDENTITY: Male, 74 years-old REASON FOR STUDY: R/o pneumothorax. COMPARISON: NONE FINDINGS: Placement of a 2-lead AICD with the leads projecting over the right atrium and right ventricle. Possible tiny left apical pneumothorax. Trachea is midline. The cardiomediastinal borders unremarkable. Heart size is normal. Small linear opacities are noted at the bilateral bases. No pleural effusion noted. The lung fields are otherwise clear. IMPRESSION: FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES: 1.2-LEAD AICD WITH THE LEADS PROJECTING OVER THE REGION OF RIGHT ATRIUM AND RIGHT VENTRICLE. 2. POSSIBLE TINY LEFT APICAL PNEUMOTHORAX. WOULD RECOMMEND INTERVAL FOLLOW. 3.BIBASILAR LINEAR OPACITIES LIKELY REPRESENTING ATELECTASIS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION Above findings discussed with shannon arya md at 3:37 p.m. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6500428 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Placement of a 2-lead AICD with the leads projecting over the right atrium and right ventricle. Possible tiny left apical pneumothorax. Trachea is midline. The cardiomediastinal borders unremarkable. Heart size is normal. Small linear opacities are noted at the bilateral bases. No pleural effusion noted. The lung fields are otherwise clear. "," FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES: 1.2-LEAD AICD WITH THE LEADS PROJECTING OVER THE REGION OF RIGHT ATRIUM AND RIGHT VENTRICLE. 2. POSSIBLE TINY LEFT APICAL PNEUMOTHORAX. WOULD RECOMMEND INTERVAL FOLLOW. 3.BIBASILAR LINEAR OPACITIES LIKELY REPRESENTING ATELECTASIS. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION Above findings discussed with shannon arya md at 3:37 p.m. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 101081,CheXpert_Demo_Images\train\patient24317\study1\view1_frontal.jpg,patient24317,"NARRATIVE: CHEST: COMPARISON: 9/27/2002 HISTORY: 67 -year-old male with atrial fibrillation. Rule-out infiltrate or effusion. IMPRESSION: 1. TWO LEAD AICD AND STERNOTOMY SUTURE WIRES REMAIN IN PLACE. 2. CARDIOMEGALY WITH LOW LUNG VOLUMES. 3. BIBASILAR OPACITIES INCREASED IN COMPARISON. ATELECTASIS VERSUS CONSOLIDATION. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: FLYNN, MD on: 9-27-2002 ACCESSION NUMBER: VRWNSRGYVGH This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO LEAD AICD AND STERNOTOMY SUTURE WIRES REMAIN IN PLACE. 2. CARDIOMEGALY WITH LOW LUNG VOLUMES. 3. BIBASILAR OPACITIES INCREASED IN COMPARISON. ATELECTASIS VERSUS CONSOLIDATION. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: FLYNN, MD on: 9-27-2002 " 15459,CheXpert_Demo_Images\train\patient03856\study2\view1_frontal.jpg,patient03856,"NARRATIVE: Chest 1 View, 2/17/2000 HISTORY: 52 years Male, Pre-op, pt. has known pneumothorax COMPARISON: 2/17/2000 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NO EVIDENCE OF PNEUMOTHORAX. 2.LUNG VOLUMES ARE LOW, AND THERE IS A PERSISTENT RETROCARDIAC OPACITY, LIKELY ATELECTASIS. 3.CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. 4.MULTIPLE POSTERIOR LEFT-SIDED RIB FRACTURES AGAIN NOTED. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 651550942741 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NO EVIDENCE OF PNEUMOTHORAX. 2.LUNG VOLUMES ARE LOW, AND THERE IS A PERSISTENT RETROCARDIAC OPACITY, LIKELY ATELECTASIS. 3.CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. 4.MULTIPLE POSTERIOR LEFT-SIDED RIB FRACTURES AGAIN NOTED. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 211217,CheXpert_Demo_Images\train\patient55964\study1\view1_frontal.jpg,patient55964,"NARRATIVE: CHEST: 1/1/2004 CLINICAL HISTORY: 41-year-old male with CLL and brain metastases. COMPARISON: 1/1/2004. IMPRESSION: SINGLE AP VIEW OF THE CHEST DEMONSTRATES BILATERAL PLEURAL EFFUSIONS, WHICH APPEARS TO BE INCREASING ON THE RIGHT, AS WELL AS BIBASILAR ATELECTASIS VERSUS CONSOLIDATION. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr Tucker Ruby L on: 1/1/2004 ACCESSION NUMBER: 43644 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," SINGLE AP VIEW OF THE CHEST DEMONSTRATES BILATERAL PLEURAL EFFUSIONS, WHICH APPEARS TO BE INCREASING ON THE RIGHT, AS WELL AS BIBASILAR ATELECTASIS VERSUS CONSOLIDATION. "," 4 POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr Tucker Ruby L on: 1/1/2004 " 221365,CheXpert_Demo_Images\train\patient62857\study1\view1_frontal.jpg,patient62857,"NARRATIVE: Chest 1 View, 07/05 HISTORY: 63 years Male, Line COMPARISON: 7/5/2014 IMPRESSION: 1.INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CATHETER AND NASOGASTRIC TUBE. 2.NO PNEUMOTHORAX IS IDENTIFIED. THE LUNGS ARE CLEAR. THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 41204909918 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CATHETER AND NASOGASTRIC TUBE. 2.NO PNEUMOTHORAX IS IDENTIFIED. THE LUNGS ARE CLEAR. THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 212529,CheXpert_Demo_Images\train\patient56789\study1\view1_frontal.jpg,patient56789,"NARRATIVE: TWO VIEWS CHEST: 2/16/2002 CLINICAL HISTORY: This is a 93 year old female with chest pain. COMPARISON: 2-16-2002. IMPRESSION: 1. PORTABLE AP UPRIGHT AND LATERAL VIEWS OF THE CHEST AGAIN SHOW A LIKELY CALCIFIED GRANULOMA IN THE LEFT MID LUNG ZONE PERIPHERALLY. REDEMONSTRATED OPACIFICATION AT THE LEFT COSTOPHRENIC ANGLE, WHICH COULD REPRESENT A TINY RECURRENT PLEURAL EFFUSION OR PLEURAL THICKENING, ALTHOUGH THIS IS DECREASED FROM THE PRIOR EXAM. LUNGS OTHERWISE APPEAR CLEAR. 2. OLD FRACTURE DEFORMITY OF THE RIGHT HUMERAL NECK. 3. THERE IS ANTERIOR COMPRESSION OF A MID THORACIC VERTEBRAL BODY, LIKELY T7, BEST SEEN ON THE LATERAL VIEW. HOWEVER, ON THE AP VIEW THE LOSS OF HEIGHT OF T7 APPEARS STABLE IN COMPARISON TO THE 2-16-2002 EXAM. ADDITIONAL DEGENERATIVE CHANGES IN THE SPINE APPEAR STABLE. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 988731255226 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE AP UPRIGHT AND LATERAL VIEWS OF THE CHEST AGAIN SHOW A LIKELY CALCIFIED GRANULOMA IN THE LEFT MID LUNG ZONE PERIPHERALLY. REDEMONSTRATED OPACIFICATION AT THE LEFT COSTOPHRENIC ANGLE, WHICH COULD REPRESENT A TINY RECURRENT PLEURAL EFFUSION OR PLEURAL THICKENING, ALTHOUGH THIS IS DECREASED FROM THE PRIOR EXAM. LUNGS OTHERWISE APPEAR CLEAR. 2. OLD FRACTURE DEFORMITY OF THE RIGHT HUMERAL NECK. 3. THERE IS ANTERIOR COMPRESSION OF A MID THORACIC VERTEBRAL BODY, LIKELY T7, BEST SEEN ON THE LATERAL VIEW. HOWEVER, ON THE AP VIEW THE LOSS OF HEIGHT OF T7 APPEARS STABLE IN COMPARISON TO THE 2-16-2002 EXAM. ADDITIONAL DEGENERATIVE CHANGES IN THE SPINE APPEAR STABLE. "," 4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 189553,CheXpert_Demo_Images\train\patient45401\study1\view1_frontal.jpg,patient45401,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 6-30-2016. COMPARISON: Comparison is made with exam from 6/30/2016. IMPRESSION: 1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY, ATELECTASIS VERSUS CONSOLIDATION. RECOMMEND PA AND LATERAL VIEWS WITH IMPROVED INSPIRATION, IF CLINICALLY INDICATED. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Howell Camille, M.D. on: 6-30-2016 ACCESSION NUMBER: 56637 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LOW LUNG VOLUMES. 2. LEFT RETROCARDIAC OPACITY, ATELECTASIS VERSUS CONSOLIDATION. RECOMMEND PA AND LATERAL VIEWS WITH IMPROVED INSPIRATION, IF CLINICALLY INDICATED. "," 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Howell Camille, M.D. on: 6-30-2016 " 156990,CheXpert_Demo_Images\train\patient36807\study1\view1_frontal.jpg,patient36807,"NARRATIVE: SINGLE VIEW OF THE CHEST: 11-26-13 COMPARISON: Comparison is made to the previous exam from 11-26-13. IMPRESSION: 1. IN COMPARISON TO THE PREVIOUS EXAM, THERE HAS BEEN INTERVAL REMOVAL OF THE ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE. ALL OF THE TUBES AND LINES APPEAR UNCHANGED IN POSITION. 2. SIGNIFICANT INTERVAL DECREASE IN LUNG VOLUMES WITH INTERVAL DEVELOPMENT OF BILATERAL LOWER LOBE OPACITIES, RIGHT GREATER THAN LEFT, SUSPICIOUS FOR ATELECTASIS. 3. NO PNEUMOTHORAX IS VISUALIZED. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: jay kirra rn on: 11/26/2013 ACCESSION NUMBER: 363707116 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. IN COMPARISON TO THE PREVIOUS EXAM, THERE HAS BEEN INTERVAL REMOVAL OF THE ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE. ALL OF THE TUBES AND LINES APPEAR UNCHANGED IN POSITION. 2. SIGNIFICANT INTERVAL DECREASE IN LUNG VOLUMES WITH INTERVAL DEVELOPMENT OF BILATERAL LOWER LOBE OPACITIES, RIGHT GREATER THAN LEFT, SUSPICIOUS FOR ATELECTASIS. 3. NO PNEUMOTHORAX IS VISUALIZED. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: jay kirra rn on: 11/26/2013 " 61256,CheXpert_Demo_Images\train\patient14788\study1\view1_frontal.jpg,patient14788,"NARRATIVE: CHEST AP PORTABLE: 12/14/2002 CLINICAL HISTORY: Skull, bone osteomyelitis. Check for PICC line placement. IMPRESSION: 1. LEFT UPPER EXTREMITY PICC LINE TIP IS WITHIN THE DISTAL LEFT BRACHIOCEPHALIC VEIN WHICH IS UNCHANGED ON THE SUBSEQUENT FILM. LATERAL FILM ALSO DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT UPPER EXTREMITY PICC LINE WITH TIP AT THE CAVOATRIAL JUNCTION. 2. POST-SURGICAL CHANGE RELATED TO PRIOR CABG WITH INTACT MIDLINE STERNOTOMY WIRES, MEDIASTINAL CLIPS AND OSTEAL RINGS ARE NOTED. 3. MILD INTERSTITIAL PULMONARY EDEMA WHICH IS DECREASING ON THE LATERAL FILM ON 1-1-16 AT 1100 HOURS. THERE IS ALSO IMPROVED AERATION AT THE LUNG BASES BILATERALLY WITH IMPROVED VISUALIZATION OF THE DIAPHRAGMS AND DECREASING ATELECTASIS. 3 END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr. Williamson Jade on: 1/1/2016 ACCESSION NUMBER: 0762917839 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LEFT UPPER EXTREMITY PICC LINE TIP IS WITHIN THE DISTAL LEFT BRACHIOCEPHALIC VEIN WHICH IS UNCHANGED ON THE SUBSEQUENT FILM. LATERAL FILM ALSO DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT UPPER EXTREMITY PICC LINE WITH TIP AT THE CAVOATRIAL JUNCTION. 2. POST-SURGICAL CHANGE RELATED TO PRIOR CABG WITH INTACT MIDLINE STERNOTOMY WIRES, MEDIASTINAL CLIPS AND OSTEAL RINGS ARE NOTED. 3. MILD INTERSTITIAL PULMONARY EDEMA WHICH IS DECREASING ON THE LATERAL FILM ON 1-1-16 AT 1100 HOURS. THERE IS ALSO IMPROVED AERATION AT THE LUNG BASES BILATERALLY WITH IMPROVED VISUALIZATION OF THE DIAPHRAGMS AND DECREASING ATELECTASIS. 3 ", 102532,CheXpert_Demo_Images\train\patient24651\study2\view1_frontal.jpg,patient24651,"NARRATIVE: CHEST X-RAY: 2/20/2017. COMPARISON: 2-20-2017. CLINICAL HISTORY: Scoliosis. Fever with green sputum. IMPRESSION: 1. AP SEMI-ERECT FILM. THE HEART SIZE IS WITHIN NORMAL LIMITS. THERE IS CEPHALIZATION OF PULMONARY VESSELS. CONSOLIDATION IS SEEN AT THE LEFT BASE, WITH A MODERATE SIZED LEFT PLEURAL EFFUSION. THERE IS ALSO A SMALL RIGHT PLEURAL EFFUSION. 2. SURGICAL INSTRUMENTATION IS SEEN WITHIN THE THORACOLUMBAR SPINE. 3. NUMEROUS OLD LEFT SIDED RIB FRACTURES ARE PRESENT. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: #87431242462 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP SEMI-ERECT FILM. THE HEART SIZE IS WITHIN NORMAL LIMITS. THERE IS CEPHALIZATION OF PULMONARY VESSELS. CONSOLIDATION IS SEEN AT THE LEFT BASE, WITH A MODERATE SIZED LEFT PLEURAL EFFUSION. THERE IS ALSO A SMALL RIGHT PLEURAL EFFUSION. 2. SURGICAL INSTRUMENTATION IS SEEN WITHIN THE THORACOLUMBAR SPINE. 3. NUMEROUS OLD LEFT SIDED RIB FRACTURES ARE PRESENT. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 3252,CheXpert_Demo_Images\train\patient00792\study1\view2_lateral.jpg,patient00792,"NARRATIVE: CHEST, TWO VIEWS: 02-07 IMPRESSION: PA AND LATERAL VIEWS OF THE CHEST WITHOUT COMPARISONS SHOW A NORMAL CARDIOMEDIASTINAL CONFIGURATION AND CLEAR LUNGS. THERE IS MILD CENTRAL BRONCHIAL WALL THICKENING INVOLVING THE LOWER LOBES. THIS COROBERATES THE CLINICAL DIAGNOSIS OF BRONCHITIS. AGAIN, NO CONSOLIDATION, EDEMA, OR EFFUSIONS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: #24803179515 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," PA AND LATERAL VIEWS OF THE CHEST WITHOUT COMPARISONS SHOW A NORMAL CARDIOMEDIASTINAL CONFIGURATION AND CLEAR LUNGS. THERE IS MILD CENTRAL BRONCHIAL WALL THICKENING INVOLVING THE LOWER LOBES. THIS COROBERATES THE CLINICAL DIAGNOSIS OF BRONCHITIS. AGAIN, NO CONSOLIDATION, EDEMA, OR EFFUSIONS. ","1-NO SIGNIFICANT ABNORMALITY " 197784,CheXpert_Demo_Images\train\patient48697\study1\view1_frontal.jpg,patient48697,"NARRATIVE: AP CHEST RADIOGRAPH: 6-2-2007 COMPARISON: No comparisons. CLINICAL HISTORY: A 58-year-old female, new ICU admission. IMPRESSION: 1. INTUBATION WITH ET TUBE TIP IN THE RIGHT MAINSTEM BRONCHUS. 2. LOW LUNG VOLUMES WITH LEFT BASE OPACITY, CONSISTENT WITH ATELECTASIS AND/OR CONSOLIDATION. THIS MAY BE RELATED TO RIGHT MAINSTEM BRONCHUS INTUBATION OR COULD REPRESENT ASPIRATION. 3. ENTERIC TUBE WITH TIP NOT SEEN. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. RESULTS WERE COMMUNICATED TO THE ICU NURSE TAKING CARE OF THE PATIENT AT APPROXIMATELY 10:00 A.M. ON 6/2/07 BY RADIOLOGY RESIDENT Dorsey Daphne Francesca, MD. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #yiCMdiLhieR This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTUBATION WITH ET TUBE TIP IN THE RIGHT MAINSTEM BRONCHUS. 2. LOW LUNG VOLUMES WITH LEFT BASE OPACITY, CONSISTENT WITH ATELECTASIS AND/OR CONSOLIDATION. THIS MAY BE RELATED TO RIGHT MAINSTEM BRONCHUS INTUBATION OR COULD REPRESENT ASPIRATION. 3. ENTERIC TUBE WITH TIP NOT SEEN. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. RESULTS WERE COMMUNICATED TO THE ICU NURSE TAKING CARE OF THE PATIENT AT APPROXIMATELY 10:00 A.M. ON 6/2/07 BY RADIOLOGY RESIDENT Dorsey Daphne Francesca, MD. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 222483,CheXpert_Demo_Images\train\patient63866\study2\view1_frontal.jpg,patient63866,"NARRATIVE: EXAM: Chest 1 View, 4/25/2018 CLINICAL HISTORY: 35 years Male Post-op COMPARISON: 4-25-2018 1344 hrs IMPRESSION: 1.A PORTABLE AP SUPINE VIEW OF THE CHEST DEMONSTRATES UNCHANGED POSITION OF THE RIGHT PICC LINE. A NEW RIGHT IJ LINE HAS BEEN PLACED WITH ITS TIP LYING AT THE SVC. THE PATIENT HAS BEEN INTUBATED WITH THE ET TUBE LYING 3.8 CM FROM THE CARINA. THERE IS ALSO A NEW NG TUBE WITH THE TIP THAT IS NOT WELL SEEN. THERE IS NO PNEUMOTHORAX. 2.THE LUNG VOLUMES HAVE IMPROVED SINCE PREVIOUS STUDY. A SMALL RIGHT PLEURAL EFFUSION HAS DEVELOPED. THE RETROCARDIAC OPACITY HAS IMPROVED SINCE PREVIOUS EXAM. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8466-454 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A PORTABLE AP SUPINE VIEW OF THE CHEST DEMONSTRATES UNCHANGED POSITION OF THE RIGHT PICC LINE. A NEW RIGHT IJ LINE HAS BEEN PLACED WITH ITS TIP LYING AT THE SVC. THE PATIENT HAS BEEN INTUBATED WITH THE ET TUBE LYING 3.8 CM FROM THE CARINA. THERE IS ALSO A NEW NG TUBE WITH THE TIP THAT IS NOT WELL SEEN. THERE IS NO PNEUMOTHORAX. 2.THE LUNG VOLUMES HAVE IMPROVED SINCE PREVIOUS STUDY. A SMALL RIGHT PLEURAL EFFUSION HAS DEVELOPED. THE RETROCARDIAC OPACITY HAS IMPROVED SINCE PREVIOUS EXAM. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 39547,CheXpert_Demo_Images\train\patient09700\study2\view1_frontal.jpg,patient09700,"NARRATIVE: EXAM: Chest 1 View, 10/9/2006 CLINICAL HISTORY: Picc line placement COMPARISON: None IMPRESSION: 1.NEW LEFT UPPER EXTREMITY PICC, WITH THE TIP IN THE RIGHT ATRIUM, 3-CM BELOW THE CAVOATRIAL JUNCTION. STERNAL WIRES AGAIN SEEN. 2.NEW RETROCARDIAC ATELECTASIS VERSUS CONSOLIDATION. 3.STABLE CARDIOMEGALY AND ATHEROSCLEROTIC CALCIFICATION OF THE AORTA. 4.POST TRAUMATIC DEFORMITY OF THE RIGHT HUMERAL HEAD AGAIN SEEN. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2460903371 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NEW LEFT UPPER EXTREMITY PICC, WITH THE TIP IN THE RIGHT ATRIUM, 3-CM BELOW THE CAVOATRIAL JUNCTION. STERNAL WIRES AGAIN SEEN. 2.NEW RETROCARDIAC ATELECTASIS VERSUS CONSOLIDATION. 3.STABLE CARDIOMEGALY AND ATHEROSCLEROTIC CALCIFICATION OF THE AORTA. 4.POST TRAUMATIC DEFORMITY OF THE RIGHT HUMERAL HEAD AGAIN SEEN. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 64744,CheXpert_Demo_Images\train\patient15591\study1\view1_frontal.jpg,patient15591,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 6/24/05 CLINICAL HISTORY: 76 years of age, Male, Critical Care follow up (ICU). COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Surgical clips projecting over the mediastinum consistent with previous CABG, mitral annuloplasty, and median sternotomy wires present. Enlarged cardiac silhouette with prominent pulmonary vasculature and haziness of the pulmonary vessels and curly B lines consistent with mild pulmonary edema. Lucency projecting over the right apex related to represent bullous disease. No visible pneumothorax. IMPRESSION: 1. Stigmata of previous CABG and mitral annuloplasty. 2. Moderate cardiomegaly with pulmonary edema. 3. Bullae in the right apex. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: uaccovx This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Surgical clips projecting over the mediastinum consistent with previous CABG, mitral annuloplasty, and median sternotomy wires present. Enlarged cardiac silhouette with prominent pulmonary vasculature and haziness of the pulmonary vessels and curly B lines consistent with mild pulmonary edema. Lucency projecting over the right apex related to represent bullous disease. No visible pneumothorax. "," 1. Stigmata of previous CABG and mitral annuloplasty. 2. Moderate cardiomegaly with pulmonary edema. 3. Bullae in the right apex. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 211105,CheXpert_Demo_Images\train\patient55887\study1\view2_lateral.jpg,patient55887,"NARRATIVE: Chest 2 Views 11-12-2002 CLINICAL HISTORY: 75 years-old Female. Cough with congestion; Hx of interstitial lung disease COMPARISON: 11-12 IMPRESSION: LIMITED EXPIRATORY RADIOGRAPH. ELEVATED RIGHT HEMIDIAPHRAGM SILHOUETTE. LOW LUNG VOLUMES WITH PERSISTENT RETICULAR BASILAR OPACITIES. NO NEW FOCAL CONSOLIDATION IDENTIFIED. NO PNEUMOTHORAX. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 6184-498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," LIMITED EXPIRATORY RADIOGRAPH. ELEVATED RIGHT HEMIDIAPHRAGM SILHOUETTE. LOW LUNG VOLUMES WITH PERSISTENT RETICULAR BASILAR OPACITIES. NO NEW FOCAL CONSOLIDATION IDENTIFIED. NO PNEUMOTHORAX. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 16527,CheXpert_Demo_Images\train\patient04120\study1\view2_lateral.jpg,patient04120,"NARRATIVE: SINGLE VIEW OF THE CHEST: 3/18/2004. COMPARISON: Single view of the chest obtained 3/18/2004. CLINICAL HISTORY: 61-year-old, rule out infiltrate. IMPRESSION: 1. DUAL LEAD LEFT SIDED PACEMAKER WITH STERNOTOMY WIRES. CARDIOMEDIASTINAL SILHOUETTE UNREMARKABLE. THE LUNGS ARE CLEAR BILATERALLY. NO EVIDENCE OF RIB FRACTURES. NO FOCAL CONSOLIDATION. END OF IMPRESSION: SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: X830G995434 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. DUAL LEAD LEFT SIDED PACEMAKER WITH STERNOTOMY WIRES. CARDIOMEDIASTINAL SILHOUETTE UNREMARKABLE. THE LUNGS ARE CLEAR BILATERALLY. NO EVIDENCE OF RIB FRACTURES. NO FOCAL CONSOLIDATION. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 212346,CheXpert_Demo_Images\train\patient56666\study1\view1_frontal.jpg,patient56666,"NARRATIVE: CHEST, ONE VIEW: 2004/2/19. COMPARISON: 19th february 04. CLINICAL HISTORY: Seventy-one year-old woman with desaturation. IMPRESSION: 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES CARDIOMEGALY WITH NO EVIDENCE OF PULMONARY EDEMA. 2. LOW LUNG VOLUMES WITH BIBASILAR OPACITIES, WHICH MAY REFLECT ATELECTASIS, THOUGH ASPIRATION CANNOT BE EXCLUDED. IF CLINICALLY INDICATED, RECOMMEND UPRIGHT PA AND LATERAL VIEWS OF THE CHEST FOR IMPROVED EVALUATION. 3. RETROCARDIAC OPACITY, LIKELY RELATED TO HIATAL HERNIA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 44NXI2Hyv This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES CARDIOMEGALY WITH NO EVIDENCE OF PULMONARY EDEMA. 2. LOW LUNG VOLUMES WITH BIBASILAR OPACITIES, WHICH MAY REFLECT ATELECTASIS, THOUGH ASPIRATION CANNOT BE EXCLUDED. IF CLINICALLY INDICATED, RECOMMEND UPRIGHT PA AND LATERAL VIEWS OF THE CHEST FOR IMPROVED EVALUATION. 3. RETROCARDIAC OPACITY, LIKELY RELATED TO HIATAL HERNIA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 178856,CheXpert_Demo_Images\train\patient42027\study7\view1_frontal.jpg,patient42027,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/21/2020 CLINICAL HISTORY: 63 years of age, Male, Evaluate subq emphysema.. COMPARISON: Chest 5/21/2020. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Left chest tube remains in place. Small left apical pneumothorax is persistent. Persistent small left sided pleural effusion. IMPRESSION: 1. Persistent left hydropneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 0R6_S This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Left chest tube remains in place. Small left apical pneumothorax is persistent. Persistent small left sided pleural effusion. "," 1. Persistent left hydropneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 194727,CheXpert_Demo_Images\train\patient47432\study2\view1_frontal.jpg,patient47432,"NARRATIVE: EXAM: Chest 1 View, 3-13-2019 CLINICAL HISTORY: Follow-up COMPARISON: 3/13/2019 IMPRESSION: 1.SINGLE PORTABLE CHEST RADIOGRAPH DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR CATHETER. 2.DESCENDING AORTIC STENT GRAFT AND LARGE ANEURYSM OF THE AORTIC ARCH. 3.LEFT PLEURAL EFFUSION UNCHANGED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 3941269 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE PORTABLE CHEST RADIOGRAPH DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR CATHETER. 2.DESCENDING AORTIC STENT GRAFT AND LARGE ANEURYSM OF THE AORTIC ARCH. 3.LEFT PLEURAL EFFUSION UNCHANGED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 219664,CheXpert_Demo_Images\train\patient61307\study1\view1_frontal.jpg,patient61307,"NARRATIVE: EXAM: Chest 1 View, 2/11/2015 CLINICAL HISTORY: Female of 39 years of age, with congestive heart failure. COMPARISON: 2/11/15 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NO FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, OR PULMONARY EDEMA. 2.APPARENT MILD ENLARGEMENT OF THE CARDIAC SILHOUETTE IS LIKELY DUE TO THE LOW LUNG VOLUMES AND SUPINE POSITIONING. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #61.84.49.8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NO FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, OR PULMONARY EDEMA. 2.APPARENT MILD ENLARGEMENT OF THE CARDIAC SILHOUETTE IS LIKELY DUE TO THE LOW LUNG VOLUMES AND SUPINE POSITIONING. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 19962,CheXpert_Demo_Images\train\patient04940\study1\view1_frontal.jpg,patient04940,"NARRATIVE: Addendum Begins I have reviewed the study and agree with the described findings. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED Addendum Ends CHEST TWO VIEWS: 10/09/18 COMPARISON: 9-18o201h0 IMPRESSION: 1. LIMITED EVALUATION, DUE TO FACT THAT PATIENT CANNOT ELEVATE HIS ARM, OF THE LATERAL PROJECTION. 2. MINIMALLY DISPLACED RIGHT SIDE ANTERIOR RIB FRACTURES OF RIB 6 AND 7 AGAIN NOTED. SMALL RIGHT-SIDED PNEUMOTHORAX PRESENT. 3. UNCHANGED PARENCHYMAL OPACITY IN THE RIGHT LOWER LUNG ZONE, WITHOUT CORRELATIVE FINDING ON THE LATERAL PROJECTION. THIS MAY REPRESENT EITHER PULMONARY CONTUSION OR A FOCAL AREA OF ASPIRATION OR PULMONARY MASS. COMPARISON WITH PRIOR FILMS SUGGESTED. NO OTHER FOCAL PULMONARY OPACITIES ARE PRESENT. 4. SMALL RIGHT-SIDED PLEURAL EFFUSION IS PRESENT. 5. NORMAL CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE. MINIMALLY DISPLACED BUT ANGULATED FRACTURE OF THE RIGHT SCAPULA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 663873 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",". ",," 2-ABNORMAL, PREVIOUSLY REPORTED Addendum Ends CHEST TWO VIEWS: 10/09/18 COMPARISON: 9-18o201h0 IMPRESSION: 1. LIMITED EVALUATION, DUE TO FACT THAT PATIENT CANNOT ELEVATE HIS ARM, OF THE LATERAL PROJECTION. 2. MINIMALLY DISPLACED RIGHT SIDE ANTERIOR RIB FRACTURES OF RIB 6 AND 7 AGAIN NOTED. SMALL RIGHT-SIDED PNEUMOTHORAX PRESENT. 3. UNCHANGED PARENCHYMAL OPACITY IN THE RIGHT LOWER LUNG ZONE, WITHOUT CORRELATIVE FINDING ON THE LATERAL PROJECTION. THIS MAY REPRESENT EITHER PULMONARY CONTUSION OR A FOCAL AREA OF ASPIRATION OR PULMONARY MASS. COMPARISON WITH PRIOR FILMS SUGGESTED. NO OTHER FOCAL PULMONARY OPACITIES ARE PRESENT. 4. SMALL RIGHT-SIDED PLEURAL EFFUSION IS PRESENT. 5. NORMAL CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE. MINIMALLY DISPLACED BUT ANGULATED FRACTURE OF THE RIGHT SCAPULA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 13472,CheXpert_Demo_Images\train\patient03379\study1\view2_lateral.jpg,patient03379,"NARRATIVE: PA AND LATERAL CHEST RADIOGRAPH: 9-11-2005 CLINICAL HISTORY: Cough. COMPARISON: None. FINDINGS: Heart size is upper limits of normal. Mediastinal contours are unremarkable. The lungs are mildly hypoinflated. There is no consolidation or pulmonary edema. There is mild bilateral bronchial wall thickening, more evident in the perihilar regions and lower lobes. On the lateral view, a 1 cm opacity directly posterior to the heart may represent confluent bronchovascular structures, a pulmonary nodule is not excluded. No pleural effusion. Degenerative changes are seen in the thoracic spine. IMPRESSION: 1. NO EVIDENCE OF CONSOLIDATION TO SUGGEST PNEUMONIA. 2. ONE CM OPACITY POSTERIOR TO THE HEART IN THE LATERAL VIEW MAY BE CONFLUENT BRONCHOVASCULAR STRUCTURES, A PULMONARY NODULE IS NOT EXCLUDED. PRIOR CHEST RADIOGRAPHS, IF AVAILABLE, MAY BE USEFUL FOR COMPARISON. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. ACCESSION NUMBER: #395619999 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Heart size is upper limits of normal. Mediastinal contours are unremarkable. The lungs are mildly hypoinflated. There is no consolidation or pulmonary edema. There is mild bilateral bronchial wall thickening, more evident in the perihilar regions and lower lobes. On the lateral view, a 1 cm opacity directly posterior to the heart may represent confluent bronchovascular structures, a pulmonary nodule is not excluded. No pleural effusion. Degenerative changes are seen in the thoracic spine. "," 1. NO EVIDENCE OF CONSOLIDATION TO SUGGEST PNEUMONIA. 2. ONE CM OPACITY POSTERIOR TO THE HEART IN THE LATERAL VIEW MAY BE CONFLUENT BRONCHOVASCULAR STRUCTURES, A PULMONARY NODULE IS NOT EXCLUDED. PRIOR CHEST RADIOGRAPHS, IF AVAILABLE, MAY BE USEFUL FOR COMPARISON. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. " 215898,CheXpert_Demo_Images\train\patient58867\study1\view1_frontal.jpg,patient58867,"NARRATIVE: CHEST, TWO VIEW: 9/27/2009. COMPARISON: 9/27/2009. IMPRESSION: 1. TWO VIEWS OF THE CHEST AGAIN DEMONSTRATE A CENTRAL VENOUS CATHETER EXTENDING FROM THE RIGHT INTERNAL JUGULAR VEIN INTO THE LOWER SUPERIOR VENA CAVA. THE LUNG VOLUMES ARE LOWER THAN SEEN ON THE PRIOR STUDY. THERE IS, HOWEVER, NO EVIDENCE OF INTERVAL PARENCHYMAL OPACITY OR SIGNIFICANT PLEURAL EFFUSION. THE APPEARANCE OF THE CARDIOMEDIASTINUM AND OSSEOUS STRUCTURES IS UNREMARKABLE. END OF IMPRESSION. SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mercado, Ellis on: 9-27-2009 ACCESSION NUMBER: #zppwtoarvmz This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO VIEWS OF THE CHEST AGAIN DEMONSTRATE A CENTRAL VENOUS CATHETER EXTENDING FROM THE RIGHT INTERNAL JUGULAR VEIN INTO THE LOWER SUPERIOR VENA CAVA. THE LUNG VOLUMES ARE LOWER THAN SEEN ON THE PRIOR STUDY. THERE IS, HOWEVER, NO EVIDENCE OF INTERVAL PARENCHYMAL OPACITY OR SIGNIFICANT PLEURAL EFFUSION. THE APPEARANCE OF THE CARDIOMEDIASTINUM AND OSSEOUS STRUCTURES IS UNREMARKABLE. "," 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mercado, Ellis on: 9-27-2009 " 213701,CheXpert_Demo_Images\train\patient57525\study1\view1_frontal.jpg,patient57525,"NARRATIVE: Exam: Chest 1 View, 12-17-2006 Clinical History: 74 years Male with Intubated Comparison: 12/17/2006 IMPRESSION: 1.PORTABLE SEMIUPRIGHT AP CHEST DEMONSTRATES INTERVAL REMOVAL OF THE ENDOTRACHEAL AND NG TUBES. FEEDING TUBE IS STABLE. 2.LUNGS ARE CLEAR WITHOUT EVIDENCE OF FOCAL CONSOLIDATION. 3.CARDIOMEDIASTINAL SILHOUETTE IS STABLE WITH REDEMONSTRATION OF ATHEROSCLEROTIC CALCIFICATION IN THE AORTIC ARCH. 4.REDEMONSTRATION OF OLD LEFT-SIDED RIB FRACTURE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: ase-zrr-kc This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PORTABLE SEMIUPRIGHT AP CHEST DEMONSTRATES INTERVAL REMOVAL OF THE ENDOTRACHEAL AND NG TUBES. FEEDING TUBE IS STABLE. 2.LUNGS ARE CLEAR WITHOUT EVIDENCE OF FOCAL CONSOLIDATION. 3.CARDIOMEDIASTINAL SILHOUETTE IS STABLE WITH REDEMONSTRATION OF ATHEROSCLEROTIC CALCIFICATION IN THE AORTIC ARCH. 4.REDEMONSTRATION OF OLD LEFT-SIDED RIB FRACTURE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 150689,CheXpert_Demo_Images\train\patient35681\study3\view1_frontal.jpg,patient35681,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 1/5/2002 CLINICAL HISTORY: Respiratory failure. COMPARISON: 1/5/02 and prior. IMPRESSION: INTERVAL INCREASE IN MEDIAL LEFT BASILAR ATELECTASIS VERSUS CONSOLIDATION. NO CHANGE IN RIGHT BASILAR ATELECTASIS VERSUS CONSOLIDATION. FINDINGS MAY BE REFLECTIVE OF NEW OR WORSENING PNEUMONIA, ASPIRATION, OR MUCOUS PLUG. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 26615188198 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," INTERVAL INCREASE IN MEDIAL LEFT BASILAR ATELECTASIS VERSUS CONSOLIDATION. NO CHANGE IN RIGHT BASILAR ATELECTASIS VERSUS CONSOLIDATION. FINDINGS MAY BE REFLECTIVE OF NEW OR WORSENING PNEUMONIA, ASPIRATION, OR MUCOUS PLUG. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 156996,CheXpert_Demo_Images\train\patient36809\study4\view1_frontal.jpg,patient36809,"NARRATIVE: CHEST, ONE VIEW: 5/24/2002 COMPARISON: Comparison is made to one view chest dated 5-24-2002. HISTORY: 73-year-old female with right thigh angiosarcoma. Evaluate for infiltrates. IMPRESSION: 1. LINES AND TUBES UNCHANGED. 2. LOW LUNG VOLUMES WITH DECREASED PULMONARY EDEMA. 3. DECREASED BIBASILAR ATELECTASIS. 4. DECREASED LEFT PLEURAL EFFUSION. 5. UNCHANGED OLD RIB FRACTURES ON THE LEFT. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: JOSE, MAYS on: 02 may ACCESSION NUMBER: #S36FWPO This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LINES AND TUBES UNCHANGED. 2. LOW LUNG VOLUMES WITH DECREASED PULMONARY EDEMA. 3. DECREASED BIBASILAR ATELECTASIS. 4. DECREASED LEFT PLEURAL EFFUSION. 5. UNCHANGED OLD RIB FRACTURES ON THE LEFT. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: JOSE, MAYS on: 02 may " 177595,CheXpert_Demo_Images\train\patient41665\study6\view1_frontal.jpg,patient41665,"NARRATIVE: Exam: Chest 1 View, 4-22-2012 Clinical History: Critical care follow-up Comparison: 4-22-2012 IMPRESSION: STABLE RIGHT CHEST TUBE AND RIGHT INTERNAL JUGULAR CATHETER. STABLE DIFFUSELY INCREASED RETICULAR INTERSTITIAL MARKINGS, WHICH MAY REFLECT MILD PULMONARY EDEMA SUPERIMPOSED ON OBSTRUCTIVE PULMONARY DISEASE. BANDLIKE PARENCHYMAL OPACITIES IN THE RIGHT LUNG ARE LIKELY POSTOPERATIVE AND ARE STABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 236HCXS8PR4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," STABLE RIGHT CHEST TUBE AND RIGHT INTERNAL JUGULAR CATHETER. STABLE DIFFUSELY INCREASED RETICULAR INTERSTITIAL MARKINGS, WHICH MAY REFLECT MILD PULMONARY EDEMA SUPERIMPOSED ON OBSTRUCTIVE PULMONARY DISEASE. BANDLIKE PARENCHYMAL OPACITIES IN THE RIGHT LUNG ARE LIKELY POSTOPERATIVE AND ARE STABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 209067,CheXpert_Demo_Images\train\patient54622\study1\view1_frontal.jpg,patient54622,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: FEBRUARY 27, 2006 CLINICAL HISTORY: 32 years of age, Male, S/p 1st rib resection eval ptx. COMPARISON: february 27, 2-27-2006 PROCEDURE COMMENTS: Portable semiupright AP view. FINDINGS: Redemonstrated is a right apical density. No obvious pneumothorax. The heart is not enlarged and there is no pulmonary vascular congestion. Right lung base atelectasis / consolidation pattern appears unchanged. Subcutaneous emphysema is evidnt. First rib resection again noted. IMPRESSION: Right apical density may represent chest wall hematoma. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #234820348 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Redemonstrated is a right apical density. No obvious pneumothorax. The heart is not enlarged and there is no pulmonary vascular congestion. Right lung base atelectasis / consolidation pattern appears unchanged. Subcutaneous emphysema is evidnt. First rib resection again noted. "," Right apical density may represent chest wall hematoma. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 55267,CheXpert_Demo_Images\train\patient13417\study6\view1_frontal.jpg,patient13417,"NARRATIVE: EXAM: Chest 1 View, 2020-05 CLINICAL HISTORY: 77-year-old female Fever COMPARISON: 5-4-20, 5/4/2020 IMPRESSION: 1.AGAIN SEEN IS A LEFT ARM PICC LINE. ITS TIP IS SEEN OVERLYING THE MID SUPERIOR VENA CAVA. 2.THERE IS REDEMONSTRATION OF THE RIGHT LUNG BASE SCARRING/ATELECTASIS. 3.THERE IS NO EVIDENCE OF CONSOLIDATION. 4.THERE IS BEEN NO SIGNIFICANT OTHER INTERVAL CHANGE SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 45895814161 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.AGAIN SEEN IS A LEFT ARM PICC LINE. ITS TIP IS SEEN OVERLYING THE MID SUPERIOR VENA CAVA. 2.THERE IS REDEMONSTRATION OF THE RIGHT LUNG BASE SCARRING/ATELECTASIS. 3.THERE IS NO EVIDENCE OF CONSOLIDATION. 4.THERE IS BEEN NO SIGNIFICANT OTHER INTERVAL CHANGE ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 84479,CheXpert_Demo_Images\train\patient20321\study7\view1_frontal.jpg,patient20321,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10/29/2006 CLINICAL HISTORY: 91 year old of age, Female, General weakness. COMPARISON: October 29 2006 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Stable intact sternotomy wires, dual lead left-sided pacer, mediastinal surgical clips, prosthetic aortic valve. Stable moderate cardiomegaly and calcified aortic knob. Increasing left greater than right bibasilar opacities which could reflect infection versus atelectasis versus aspiration. Small left greater than right pleural effusions. Increased diffuse reticular opacities which may reflect atypical infection versus pulmonary edema. No acute bony abnormalities. IMPRESSION: 1. Increasing left greater than right bibasilar opacities and small left greater than right pleural effusions. 2. Increased diffuse reticular opacities which may reflect atypical infection versus pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4O7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Stable intact sternotomy wires, dual lead left-sided pacer, mediastinal surgical clips, prosthetic aortic valve. Stable moderate cardiomegaly and calcified aortic knob. Increasing left greater than right bibasilar opacities which could reflect infection versus atelectasis versus aspiration. Small left greater than right pleural effusions. Increased diffuse reticular opacities which may reflect atypical infection versus pulmonary edema. No acute bony abnormalities. "," 1. Increasing left greater than right bibasilar opacities and small left greater than right pleural effusions. 2. Increased diffuse reticular opacities which may reflect atypical infection versus pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 5233,CheXpert_Demo_Images\train\patient01292\study5\view1_frontal.jpg,patient01292,"NARRATIVE: CHEST: COMPARISON: 9-12-2018 IMPRESSION: 1. REDUCED LUNG VOLUMES, STATUS POST- BRONCHOSCOPY. BIBASILAR ATELECTASIS. 2. SMALL RIGHT PLEURAL EFFUSION QUESTIONED. 3. STATUS POST- LUNG TRANSPLANTATION. END OF IMPRESSION: ACCESSION NUMBER: 351 238 425 3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDUCED LUNG VOLUMES, STATUS POST- BRONCHOSCOPY. BIBASILAR ATELECTASIS. 2. SMALL RIGHT PLEURAL EFFUSION QUESTIONED. 3. STATUS POST- LUNG TRANSPLANTATION. ", 213465,CheXpert_Demo_Images\train\patient57379\study1\view2_lateral.jpg,patient57379,"NARRATIVE: CHEST AP AND LATERAL: 1-24-2000 COMPARISON: 1-24-00. IMPRESSION: 1. REDEMONSTRATION OF STERNAL WIRES AND PROSTHETIC HEART VALVE WITH MODERATE CARDIOMEGALY. 2. REDEMONSTRATED COARSENING OF THE INTERSTITIUM WHICH MAY REPRESENT CHRONIC INTERSTITIAL EDEMA OR CHRONIC LUNG DISEASE. 3. UNCHANGED BIBASILAR AIR SPACE DISEASE, WHICH MAY REPRESENT CONSOLIDATION. 4. REDEMONSTRATED DIFFUSE OSTEOPENIA WITH MULTILEVEL DEGENERATIVE DISC DISEASE, BILATERAL ACROMIOCLAVICULAR OSTEOARTHRITIS, AND BILATERAL SUPRASPINATUS CALCIFIC TENDINITIS. 5. MILD LEFT GLENOHUMERAL OSTEOARTHRITIS. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Patrick. on: 1/24/2000 ACCESSION NUMBER: 7365575 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDEMONSTRATION OF STERNAL WIRES AND PROSTHETIC HEART VALVE WITH MODERATE CARDIOMEGALY. 2. REDEMONSTRATED COARSENING OF THE INTERSTITIUM WHICH MAY REPRESENT CHRONIC INTERSTITIAL EDEMA OR CHRONIC LUNG DISEASE. 3. UNCHANGED BIBASILAR AIR SPACE DISEASE, WHICH MAY REPRESENT CONSOLIDATION. 4. REDEMONSTRATED DIFFUSE OSTEOPENIA WITH MULTILEVEL DEGENERATIVE DISC DISEASE, BILATERAL ACROMIOCLAVICULAR OSTEOARTHRITIS, AND BILATERAL SUPRASPINATUS CALCIFIC TENDINITIS. 5. MILD LEFT GLENOHUMERAL OSTEOARTHRITIS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Patrick. on: 1/24/2000 " 210233,CheXpert_Demo_Images\train\patient55354\study1\view1_frontal.jpg,patient55354,"NARRATIVE: CHEST, ONE VIEW: 04 June AT 5:38 A.M. COMPARISON: 6/3/2004 at 4:01 a.m. CLINICAL HISTORY: Critical care followup. IMPRESSION: 1. THE CHEST TUBE REMAINS IN PLACE AND IS STABLE WITH THE LEFT LUNG DEMONSTRATING IMPROVED AERATION, NOW ALMOST NORMAL IN APPEARANCE. 2. THERE IS A PROMINENCE IN THE LEFT HILUM, MOST LIKELY CONSISTENT WITH TUMOR OBSTRUCTION THE LEFT MAIN BRONCHUS AS SEEN ON PREVIOUS CT SCAN. 3. THERE IS MILD RIGHT PLEURAL EFFUSION WHICH IS STABLE, AND THERE IS REDEMONSTRATION OF A HIATAL HERNIA. SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 71091 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE CHEST TUBE REMAINS IN PLACE AND IS STABLE WITH THE LEFT LUNG DEMONSTRATING IMPROVED AERATION, NOW ALMOST NORMAL IN APPEARANCE. 2. THERE IS A PROMINENCE IN THE LEFT HILUM, MOST LIKELY CONSISTENT WITH TUMOR OBSTRUCTION THE LEFT MAIN BRONCHUS AS SEEN ON PREVIOUS CT SCAN. 3. THERE IS MILD RIGHT PLEURAL EFFUSION WHICH IS STABLE, AND THERE IS REDEMONSTRATION OF A HIATAL HERNIA. "," 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 214958,CheXpert_Demo_Images\train\patient58299\study1\view1_frontal.jpg,patient58299,"NARRATIVE: Chest 1 View: 2-21-2015 HISTORY: 61 years Female, R/o pna. COMPARISON: February 21, 2015 IMPRESSION: 1. SINGLE FRONTAL CHEST RADIOGRAPH DEMONSTRATES A MILIARY PATTERN WHICH COULD REFLECT MILIARY SPREAD OF GRANULOMATOUS INFECTION SUCH AS TUBERCULOSIS OR ENDEMIC FUNGAL DISEASE. OR LESS COMMONLY METASTATIC DISEASE CAN HAVE A SIMILAR APPEARANCE, AND RECOMMEND CORRELATION WITH CLINICAL HISTORY AND PRIOR OUTSIDE IMAGING IF AVAILABLE. 2. NO NEW LOBAR CONSOLIDATION IS SEEN. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 820-069-18 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL CHEST RADIOGRAPH DEMONSTRATES A MILIARY PATTERN WHICH COULD REFLECT MILIARY SPREAD OF GRANULOMATOUS INFECTION SUCH AS TUBERCULOSIS OR ENDEMIC FUNGAL DISEASE. OR LESS COMMONLY METASTATIC DISEASE CAN HAVE A SIMILAR APPEARANCE, AND RECOMMEND CORRELATION WITH CLINICAL HISTORY AND PRIOR OUTSIDE IMAGING IF AVAILABLE. 2. NO NEW LOBAR CONSOLIDATION IS SEEN. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 190688,CheXpert_Demo_Images\train\patient45829\study1\view1_frontal.jpg,patient45829,"NARRATIVE: EXAM: Chest 1 View 1/9/2003 CLINICAL HISTORY: 93 year old old Female. ICU Protocol. COMPARISON: Portable AP Chest Radiograph, 1/9/2003. IMPRESSION: PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES UNCHANGED LEFT BASILAR OPACITIES, WHICH MAY REPRESENT ASPIRATION, ATELECTASIS OR INFECTION. UNCHANGED DIFFUSE PARENCHYMAL RETICULONODULAR OPACITIES, LIKELY REPRESENTING INTERSTITIAL PULMONARY EDEMA SUPERIMPOSED ON CHRONIC AGE RELATED INTERSTITIAL CHANGES. POSSIBLE SMALL BILATERAL PLEURAL EFFUSIONS, UNCHANGED. STABLE ENLARGEMENT OF THE CARDIAC SILHOUETTE. OTHERWISE NO SIGNIFICANT CHANGE FROM PREVIOUS EXAMINATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED+ I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 452017652395 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES UNCHANGED LEFT BASILAR OPACITIES, WHICH MAY REPRESENT ASPIRATION, ATELECTASIS OR INFECTION. UNCHANGED DIFFUSE PARENCHYMAL RETICULONODULAR OPACITIES, LIKELY REPRESENTING INTERSTITIAL PULMONARY EDEMA SUPERIMPOSED ON CHRONIC AGE RELATED INTERSTITIAL CHANGES. POSSIBLE SMALL BILATERAL PLEURAL EFFUSIONS, UNCHANGED. STABLE ENLARGEMENT OF THE CARDIAC SILHOUETTE. OTHERWISE NO SIGNIFICANT CHANGE FROM PREVIOUS EXAMINATION. ","2-ABNORMAL, PREVIOUSLY REPORTED+ I have personally reviewed the images for this examination and agreed with the report transcribed above. " 47411,CheXpert_Demo_Images\train\patient11493\study12\view2_lateral.jpg,patient11493,"NARRATIVE: PA AND LATERAL CHEST X-RAY: 2/6/2009. CLINICAL DATA: A 41-year-old with mediastinal germ cell tumor, left lower lobe lung nodule, status post resection of mediastinal tumor and wedge resection of lung nodule. Metastatic disease. COMPARISON: Comparison is made with chest x-rays on 2/6/2009, 2-6-09, and 2-6-2009. FINDINGS: Again seen are post-operative changes with median sternotomy wires and mediastinal clips. There is a left brachiocephalic vein metallic stent again noted. The left pleural effusion is slightly decreased in size with persistent associated atelectasis. There is a persistent left retrocardiac opacity. The right lung is clear without evidence of focal infiltrates or atelectasis. There is no evidence of pulmonary vascular congestion. No definite pneumothorax is identified. There is gaseous distention of the stomach with an air-fluid level. IMPRESSION: 1. POST-OPERATIVE CHANGES AGAIN SEEN. 2. INTERVAL SLIGHT DECREASE TO THE SIZE OF THE LEFT PLEURAL EFFUSION WITH ASSOCIATED ATELECTASIS. 3. PERSISTENT LEFT RETROCARDIAC OPACITY WHICH COULD REPRESENT ATELECTASIS OR INFILTRATE. 4. GASEOUS DISTENTION OF THE STOMACH WITH AN AIR-FLUID LEVEL. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #9037715129634 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Again seen are post-operative changes with median sternotomy wires and mediastinal clips. There is a left brachiocephalic vein metallic stent again noted. The left pleural effusion is slightly decreased in size with persistent associated atelectasis. There is a persistent left retrocardiac opacity. The right lung is clear without evidence of focal infiltrates or atelectasis. There is no evidence of pulmonary vascular congestion. No definite pneumothorax is identified. There is gaseous distention of the stomach with an air-fluid level. "," 1. POST-OPERATIVE CHANGES AGAIN SEEN. 2. INTERVAL SLIGHT DECREASE TO THE SIZE OF THE LEFT PLEURAL EFFUSION WITH ASSOCIATED ATELECTASIS. 3. PERSISTENT LEFT RETROCARDIAC OPACITY WHICH COULD REPRESENT ATELECTASIS OR INFILTRATE. 4. GASEOUS DISTENTION OF THE STOMACH WITH AN AIR-FLUID LEVEL. ","2-ABNORMAL, PREVIOUSLY REPORTED " 215442,CheXpert_Demo_Images\train\patient58594\study1\view1_frontal.jpg,patient58594,"NARRATIVE: Chest 1 View: 9/25/2010 HISTORY: 57 years Male, ICU stroke. COMPARISON: 9-25-2010 IMPRESSION: 1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES A STABLE RIGHT SUBCLAVIAN CENTRAL LINE. 2.LUNG VOLUMES ARE LOW BUT THERE IS NO FOCAL CONSOLIDATION. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: X6BP60 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES A STABLE RIGHT SUBCLAVIAN CENTRAL LINE. 2.LUNG VOLUMES ARE LOW BUT THERE IS NO FOCAL CONSOLIDATION. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 161443,CheXpert_Demo_Images\train\patient37749\study5\view1_frontal.jpg,patient37749,"NARRATIVE: EXAM: Chest 1 View, 12/10/06 CLINICAL HISTORY: 68 years-old Female. ICU COMPARISON: 12-10-2006 IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE APPEARANCE OF ENTERIC TUBE, AND SINGLE LEAD ICD, AND MEDIASTINAL DRAIN, RIGHT IJ SHEATH AND LVAD. 2. INTERVAL INCREASE IN LEFT RETROCARDIAC OPACITY AND LEFT PLEURAL EFFUSION. 3. INCREASED PULMONARY EDEMA. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #2480007 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE APPEARANCE OF ENTERIC TUBE, AND SINGLE LEAD ICD, AND MEDIASTINAL DRAIN, RIGHT IJ SHEATH AND LVAD. 2. INTERVAL INCREASE IN LEFT RETROCARDIAC OPACITY AND LEFT PLEURAL EFFUSION. 3. INCREASED PULMONARY EDEMA. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 190976,CheXpert_Demo_Images\train\patient45941\study1\view1_frontal.jpg,patient45941,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1-25-2000 CLINICAL HISTORY: 46 years of age, Male, Rule out infection. COMPARISON: 1/25/2000 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: The supportive medical devices are stable. There is no pulmonary consolidation. Again seen is prominence of pulmonary vascularity without pulmonary edema. IMPRESSION: 1. No evidence of pulmonary consolidation. ""Physician to Physician Radiology Consult Line: (691)192-3376"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: s-d-P This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The supportive medical devices are stable. There is no pulmonary consolidation. Again seen is prominence of pulmonary vascularity without pulmonary edema. "," 1. No evidence of pulmonary consolidation. ""Physician to Physician Radiology Consult Line: (691)192-3376"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 80837,CheXpert_Demo_Images\train\patient19419\study1\view1_frontal.jpg,patient19419,"NARRATIVE: CHEST: 12/27/2004 FINDINGS: There is increasing, generalized interstitial prominence and there are small bilateral pleural effusions. IMPRESSION: CHF AND/OR FLUID OVERLOAD. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: PBZDEABG This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is increasing, generalized interstitial prominence and there are small bilateral pleural effusions. "," CHF AND/OR FLUID OVERLOAD. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 11941,CheXpert_Demo_Images\train\patient02976\study1\view2_lateral.jpg,patient02976,"NARRATIVE: TWO VIEW CHEST: 8/19/2005 COMPARISON: None. CLINICAL HISTORY: Rheumatoid arthritis. Rule out infection. FINDINGS: PA and lateral chest radiographs reveal a normal cardiomediastinal silhouette, mildly tortuous aorta, normal pulmonary vascularity, no pleural effusions nor focal pulmonary opacities. Possible small left upper lobe granuloma is noted. Osseous structures with age-related degenerative changes. IMPRESSION: 1. NO FOCAL CONSOLIDATION PRESENT. POSSIBLE SMALL LEFT UPPER LOBE GRANULOMA. NORMAL CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY. TORTUOUS AORTA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: ANZUOAT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral chest radiographs reveal a normal cardiomediastinal silhouette, mildly tortuous aorta, normal pulmonary vascularity, no pleural effusions nor focal pulmonary opacities. Possible small left upper lobe granuloma is noted. Osseous structures with age-related degenerative changes. "," 1. NO FOCAL CONSOLIDATION PRESENT. POSSIBLE SMALL LEFT UPPER LOBE GRANULOMA. NORMAL CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY. TORTUOUS AORTA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 222074,CheXpert_Demo_Images\train\patient63491\study1\view1_frontal.jpg,patient63491,"NARRATIVE: SINGLE VIEW OF THE CHEST: 6/16/2010 at 1942 hours CLINICAL HISTORY: A 62-year-old male from the ICU. COMPARISON: Comparison is made with chest study dated 6/16/2010 at 0911 hours. IMPRESSION: 1. A LEFT-SIDED PICC LINE IS AGAIN NOTED WITH TIP PROJECTING OVER THE CAVOATRIAL JUNCTION. INTERVAL PLACEMENT OF AN ENDOTRACHEAL TUBE LOCATED 5 CM ABOVE THE CARINA. INTERVAL PLACEMENT OF RIGHT-SIDED INTERNAL JUGULAR SHEATH WITH NO EVIDENCE OF PNEUMOTHORAX NOTED. 2. LUNG VOLUMES ARE DECREASED COMPARED WITH THE PRIOR STUDY. INCREASED OPACITY IN THE RIGHT LOWER LUNG ZONE WHICH COULD REPRESENT FOCUS OF ATELECTASIS, INFECTION OR ASPIRATION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 686628212217 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. A LEFT-SIDED PICC LINE IS AGAIN NOTED WITH TIP PROJECTING OVER THE CAVOATRIAL JUNCTION. INTERVAL PLACEMENT OF AN ENDOTRACHEAL TUBE LOCATED 5 CM ABOVE THE CARINA. INTERVAL PLACEMENT OF RIGHT-SIDED INTERNAL JUGULAR SHEATH WITH NO EVIDENCE OF PNEUMOTHORAX NOTED. 2. LUNG VOLUMES ARE DECREASED COMPARED WITH THE PRIOR STUDY. INCREASED OPACITY IN THE RIGHT LOWER LUNG ZONE WHICH COULD REPRESENT FOCUS OF ATELECTASIS, INFECTION OR ASPIRATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 168922,CheXpert_Demo_Images\train\patient39425\study2\view1_frontal.jpg,patient39425,"NARRATIVE: CHEST RADIOGRAPH: 8/21/2020. COMPARISON: 8-21-2020. CLINICAL HISTORY: Fifty-six-year-old female with abnormal pulmonary exam. FINDINGS: An AP upright radiograph of the chest was obtained. There are low lung volumes, with elevation of the left hemidiaphragm. Linear bibasilar opacities are present, which may reflect atelectasis or scarring. The cardiomediastinal silhouette is unremarkable. The pulmonary vasculature is within normal limits. There is evidence of prior right axillary lymph node dissection, prior right mastectomy. A right-sided port is unchanged in appearance. IMPRESSION: 1. NO ACUTE CARDIOPULMONARY ABNORMAL IS SEEN. 2. LOW LUNG VOLUMES, WITHOUT EVIDENCE OF PULMONARY EDEMA. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 0544050 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," An AP upright radiograph of the chest was obtained. There are low lung volumes, with elevation of the left hemidiaphragm. Linear bibasilar opacities are present, which may reflect atelectasis or scarring. The cardiomediastinal silhouette is unremarkable. The pulmonary vasculature is within normal limits. There is evidence of prior right axillary lymph node dissection, prior right mastectomy. A right-sided port is unchanged in appearance. "," 1. NO ACUTE CARDIOPULMONARY ABNORMAL IS SEEN. 2. LOW LUNG VOLUMES, WITHOUT EVIDENCE OF PULMONARY EDEMA. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 221573,CheXpert_Demo_Images\train\patient63044\study1\view1_frontal.jpg,patient63044,"NARRATIVE: LEFT FEMUR, CERVICAL SPINE, SINGLE VIEW CHEST, SINGLE VIEW PELVIS: 5-25-2003 AT 1645 HOURS COMPARISON: No priors. CLINICAL HISTORY: Trauma. IMPRESSION: 1. SINGLE VIEW PELVIS AND TWO VIEWS OF THE LEFT FEMUR DEMONSTRATES A SIMPLE LEFT INTERTROCHANTERIC FRACTURE. THE GREATER AND LESSER TROCHANTER ALL APPEAR ATTACHED. THERE ARE NO ADDITIONAL FRACTURES. 2. FOUR VIEWS OF THE CERVICAL SPINE WITH VISUALIZATION TO THE TOP OF C7 DEMONSTRATES NO OBVIOUS FRACTURE. THE JOINT SPACES ARE WELL PRESERVED. THE ALIGNMENT IS UNREMARKABLE. 3. SINGLE VIEW OF THE CHEST IS A LIMITED SUPINE VIEW OF THE CHEST WITH OVERLYING TRAUMA BOARD ARTIFACT. THERE IS MILD PROMINENCE OF THE PULMONARY ARTERY WHICH IS GROSSLY WITHIN NORMAL LIMITS. THERE IS NO OBVIOUS PNEUMOTHORAX. RECOMMEND UPRIGHT VIEW OF THE CHEST IF CLINICALLY INDICATED. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. ACCESSION NUMBER: 031989000 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE VIEW PELVIS AND TWO VIEWS OF THE LEFT FEMUR DEMONSTRATES A SIMPLE LEFT INTERTROCHANTERIC FRACTURE. THE GREATER AND LESSER TROCHANTER ALL APPEAR ATTACHED. THERE ARE NO ADDITIONAL FRACTURES. 2. FOUR VIEWS OF THE CERVICAL SPINE WITH VISUALIZATION TO THE TOP OF C7 DEMONSTRATES NO OBVIOUS FRACTURE. THE JOINT SPACES ARE WELL PRESERVED. THE ALIGNMENT IS UNREMARKABLE. 3. SINGLE VIEW OF THE CHEST IS A LIMITED SUPINE VIEW OF THE CHEST WITH OVERLYING TRAUMA BOARD ARTIFACT. THERE IS MILD PROMINENCE OF THE PULMONARY ARTERY WHICH IS GROSSLY WITHIN NORMAL LIMITS. THERE IS NO OBVIOUS PNEUMOTHORAX. RECOMMEND UPRIGHT VIEW OF THE CHEST IF CLINICALLY INDICATED. "," 2: Abnormal, previously reported. " 179739,CheXpert_Demo_Images\train\patient42277\study2\view1_frontal.jpg,patient42277,"NARRATIVE: TWO SINGLE VIEWS OF THE CHEST. COMPARISON: AP chest 12/11/2011. CLINICAL HISTORY: A 32-year-old female, with post partum H1N1 and pneumococcal pneumonia. IMPRESSION: 1. AP CHEST: REDEMONSTRATION OF ENDOTRACHEAL TUBE, RIGHT IJ CENTRAL VENOUS CATHETER, FEEDING TUBE, NASOGASTRIC TUBE, AND TEMPERATURE PROBE, ALL IN UNCHANGED POSITION. PERSISTENT DIFFUSE PARENCHYMAL OPACIFICATIONS WITH AREA OF CYSTIC LUCENCY AND AIR BRONCHOGRAMS, UNCHANGED FROM PRIOR. POSSIBLE SMALL BILATERAL PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 2. AP CHEST 12/11/11 AT 0445 HOURS. REDEMONSTRATION OF MULTIPLE DRAINS, PROBES, CATHETERS, AND TUBES, UNCHANGED IN POSITIONS. NO INTERVAL CHANGES IN LUNG FINDINGS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7YFAOI67QNS This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP CHEST: REDEMONSTRATION OF ENDOTRACHEAL TUBE, RIGHT IJ CENTRAL VENOUS CATHETER, FEEDING TUBE, NASOGASTRIC TUBE, AND TEMPERATURE PROBE, ALL IN UNCHANGED POSITION. PERSISTENT DIFFUSE PARENCHYMAL OPACIFICATIONS WITH AREA OF CYSTIC LUCENCY AND AIR BRONCHOGRAMS, UNCHANGED FROM PRIOR. POSSIBLE SMALL BILATERAL PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 2. AP CHEST 12/11/11 AT 0445 HOURS. REDEMONSTRATION OF MULTIPLE DRAINS, PROBES, CATHETERS, AND TUBES, UNCHANGED IN POSITIONS. NO INTERVAL CHANGES IN LUNG FINDINGS. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 100542,CheXpert_Demo_Images\train\patient24205\study1\view1_frontal.jpg,patient24205,"NARRATIVE: SINGLE VIEW CHEST: 8/28/2017 CLINICAL HISTORY: Esophageal perforation. COMPARISON: None. FINDINGS: The lungs demonstrate patchy opacity at the right lung base but are otherwise clear and well expanded. The cardiomediastinal silhouette demonstrates a mass adjacent to the right pulmonary hilum which contains some gas. Pulmonary vascularity is within normal limits. Bony structures and soft tissues demonstrate a right thoracic dextroscoliosis. Central venous catheter is in position with the tip at the cavoatrial junction. Multiple surgical clips are noted in the left upper quadrant. IMPRESSION: 1. RIGHT HILAR MASS, CONSISTENT WITH THE PATIENT'S HISTORY OF ESOPHAGEAL PERFORATION AND ABSCESS. PATCHY OPACITY AT THE RIGHT LUNG BASE, ATELECTASIS OR CONSOLIDATION. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 316-035-685-27 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The lungs demonstrate patchy opacity at the right lung base but are otherwise clear and well expanded. The cardiomediastinal silhouette demonstrates a mass adjacent to the right pulmonary hilum which contains some gas. Pulmonary vascularity is within normal limits. Bony structures and soft tissues demonstrate a right thoracic dextroscoliosis. Central venous catheter is in position with the tip at the cavoatrial junction. Multiple surgical clips are noted in the left upper quadrant. "," 1. RIGHT HILAR MASS, CONSISTENT WITH THE PATIENT'S HISTORY OF ESOPHAGEAL PERFORATION AND ABSCESS. PATCHY OPACITY AT THE RIGHT LUNG BASE, ATELECTASIS OR CONSOLIDATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 110953,CheXpert_Demo_Images\train\patient26628\study1\view1_frontal.jpg,patient26628,"NARRATIVE: SINGLE VIEW CHEST: 1/8/2013 HISTORY: 61-year-old male status post mitral repair. COMPARISON: Comparison is made with 1/8/2013. IMPRESSION: 1. MEDIASTINAL DRAIN AND RIGHT IJ CENTRAL VENOUS CATHETER REMAIN. THE SHEATH HAS BEEN REMOVED. 2. PERSISTENT RIGHT GREATER THAN LEFT PLEURAL EFFUSIONS. NO SIGNIFICANT EDEMA AND PERSISTENT BIBASILAR OPACITIES ARE AGAIN NOTED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 68 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. MEDIASTINAL DRAIN AND RIGHT IJ CENTRAL VENOUS CATHETER REMAIN. THE SHEATH HAS BEEN REMOVED. 2. PERSISTENT RIGHT GREATER THAN LEFT PLEURAL EFFUSIONS. NO SIGNIFICANT EDEMA AND PERSISTENT BIBASILAR OPACITIES ARE AGAIN NOTED. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 183274,CheXpert_Demo_Images\train\patient43343\study11\view1_frontal.jpg,patient43343,"NARRATIVE: AP CHEST: 10-24 COMPARISON: 10/24/2020. CLINICAL HISTORY: A 60-year-old man in intensive care unit. IMPRESSION: 1. UNCHANGED SUPPORTIVE LINES AND TUBES. 2. PERSISTENT PROMINENT RETICULAR AND AIRSPACE MARKINGS WITHIN THE MID LUNG ZONES BILATERALLY WHICH MAY REFLECT LOCALIZED PULMONARY EDEMA IN THE SETTING OF COPD CHANGES OR CONSOLIDATIONS. OPACITIES ARE INTERVAL DECREASED. EVALUATION OF THE LEFT LUNG IS MILDLY LIMITED BY RESPIRATORY MOTION. THE LEFT COSTOPHRENIC ANGLE IS EXCLUDED FROM VIEW. 3. PERSISTENT LEFT BASILAR AIRSPACE OPACITY MAY REFLECT ATELECTASIS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 96803 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UNCHANGED SUPPORTIVE LINES AND TUBES. 2. PERSISTENT PROMINENT RETICULAR AND AIRSPACE MARKINGS WITHIN THE MID LUNG ZONES BILATERALLY WHICH MAY REFLECT LOCALIZED PULMONARY EDEMA IN THE SETTING OF COPD CHANGES OR CONSOLIDATIONS. OPACITIES ARE INTERVAL DECREASED. EVALUATION OF THE LEFT LUNG IS MILDLY LIMITED BY RESPIRATORY MOTION. THE LEFT COSTOPHRENIC ANGLE IS EXCLUDED FROM VIEW. 3. PERSISTENT LEFT BASILAR AIRSPACE OPACITY MAY REFLECT ATELECTASIS. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 122571,CheXpert_Demo_Images\train\patient29393\study1\view1_frontal.jpg,patient29393,"NARRATIVE: TWO VIEW CHEST: 11-12-10 HISTORY: Increased shortness of breath. COMPARISON: None. FINDINGS: The patient is status post left upper lobectomy, with a diminutive left hilum seen and anterior pleural thickening visible on the lateral examination. There is volume loss in the left hemithorax post surgery. The right lung field is clear. Heart size is within normal limits. The bones are osteopenic. IMPRESSION: 1. STATUS POST LEFT UPPER LOBECTOMY. NO EVIDENCE OF ACUTE PNEUMONIA OR CONGESTIVE FAILURE IDENTIFIED. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: so9gECLGemuB4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The patient is status post left upper lobectomy, with a diminutive left hilum seen and anterior pleural thickening visible on the lateral examination. There is volume loss in the left hemithorax post surgery. The right lung field is clear. Heart size is within normal limits. The bones are osteopenic. "," 1. STATUS POST LEFT UPPER LOBECTOMY. NO EVIDENCE OF ACUTE PNEUMONIA OR CONGESTIVE FAILURE IDENTIFIED. ","1-NO SIGNIFICANT ABNORMALITY " 208598,CheXpert_Demo_Images\train\patient54342\study1\view1_frontal.jpg,patient54342,"NARRATIVE: CHEST: 6-14-2009. CLINICAL HISTORY: 60-year-old female with history of ESRD. COMPARISON: 6-14-2009. TECHNIQUE: Portable AP supine of the chest. FINDINGS/ IMPRESSION: 1. INTERVAL INCREASE IN RETICULAR PATTERN OF THE LUNGS WITH INDISTINCT PULMONARY VASCULATURE, CONSISTENT WITH MILD PULMONARY EDEMA. NO PLEURAL EFFUSION IS NOTED. 2. INSERTION OF RIGHT INTERNAL JUGULAR VENOUS CATHETER WITH THE TIP LOCATED AT THE CAVOATRIAL JUNCTION, AND INSERTION OF NASOGASTRIC TUBE WITH THE PORT WITHIN THE STOMACH ARE NOTED. NO PNEUMOTHORAX IS DEMONSTRATED. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: ADDYSON MD on: 6/14/2009 ACCESSION NUMBER: SCFDEEC This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.","/ "," 1. INTERVAL INCREASE IN RETICULAR PATTERN OF THE LUNGS WITH INDISTINCT PULMONARY VASCULATURE, CONSISTENT WITH MILD PULMONARY EDEMA. NO PLEURAL EFFUSION IS NOTED. 2. INSERTION OF RIGHT INTERNAL JUGULAR VENOUS CATHETER WITH THE TIP LOCATED AT THE CAVOATRIAL JUNCTION, AND INSERTION OF NASOGASTRIC TUBE WITH THE PORT WITHIN THE STOMACH ARE NOTED. NO PNEUMOTHORAX IS DEMONSTRATED. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: ADDYSON MD on: 6/14/2009 " 146763,CheXpert_Demo_Images\train\patient35031\study6\view1_frontal.jpg,patient35031,"NARRATIVE: ONE VIEW OF THE CHEST 5/22/2014 AT 0408: COMPARISON: One view of the chest dated 5/22/2014. IMPRESSION: 1. ONE VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT IJ LINE WITH TUBES AND LINES OTHERWISE UNCHANGED. 2. INTERVAL DECREASE IN BILATERAL PATCHY OPACITIES CONSISTENT WITH IMPROVING PULMONARY EDEMA. 3. PERSISTENT LEFT BASILAR OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 4. STABLE LEFT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Selena J, MD on: 5/22/2014 ACCESSION NUMBER: 169079 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ONE VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT IJ LINE WITH TUBES AND LINES OTHERWISE UNCHANGED. 2. INTERVAL DECREASE IN BILATERAL PATCHY OPACITIES CONSISTENT WITH IMPROVING PULMONARY EDEMA. 3. PERSISTENT LEFT BASILAR OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. 4. STABLE LEFT PLEURAL EFFUSION. "," 2: ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Selena J, MD on: 5/22/2014 " 61157,CheXpert_Demo_Images\train\patient14763\study1\view1_frontal.jpg,patient14763,"NARRATIVE: COMPARISON: Outside CT of the chest 1-1-02 IMPRESSION: CARDIOMEDIASTINAL SILHOUETTE APPEARS NORMAL. LUNGS ARE CLEAR. NO PNEUMOTHORAX. NO PLEURAL EFFUSION. NO ACUTE BONY ABNORMALITIES. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 1549588728Y This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," CARDIOMEDIASTINAL SILHOUETTE APPEARS NORMAL. LUNGS ARE CLEAR. NO PNEUMOTHORAX. NO PLEURAL EFFUSION. NO ACUTE BONY ABNORMALITIES. "," 1-NO SIGNIFICANT ABNORMALITY " 199918,CheXpert_Demo_Images\train\patient49578\study1\view1_frontal.jpg,patient49578,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 8/17/2010 COMPARISON: 8/17/10 IMPRESSION: 1. RIGHT SUBCLAVIAN LINE REMAINS IN PLACE. 2. PERSISTENT BORDERLINE CARDIOMEGALY BUT MODERATE TO SEVERE INTERSTITIAL PULMONARY EDEMA, NOT SIGNIFICANTLY CHANGED FROM PRIOR. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #01755422257 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RIGHT SUBCLAVIAN LINE REMAINS IN PLACE. 2. PERSISTENT BORDERLINE CARDIOMEGALY BUT MODERATE TO SEVERE INTERSTITIAL PULMONARY EDEMA, NOT SIGNIFICANTLY CHANGED FROM PRIOR. "," 2 ABNORMAL, PREVIOUSLY REPORTED " 77597,CheXpert_Demo_Images\train\patient18661\study2\view1_frontal.jpg,patient18661,"NARRATIVE: SINGLE RADIOGRAPH OF THE CHEST: 4/6/2011 COMPARISON: 11 June. IMPRESSION: 1. STABLE LEFT SUBCLAVIAN VENOUS CATHETER. 2. THE LUNGS ARE CLEAR. 3. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4. NO PLEURAL EFFUSION OR PNEUMOTHORAX. END OF IMPRESSION SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: FRANCIS REED, DR. on: 6-4-2011 ACCESSION NUMBER: 985431261 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE LEFT SUBCLAVIAN VENOUS CATHETER. 2. THE LUNGS ARE CLEAR. 3. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4. NO PLEURAL EFFUSION OR PNEUMOTHORAX. "," 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: FRANCIS REED, DR. on: 6-4-2011 " 217377,CheXpert_Demo_Images\train\patient59782\study1\view1_frontal.jpg,patient59782,"NARRATIVE: CHEST X-RAY ONE VIEW UPRIGHT: 9/26/2006 CLINICAL HISTORY: Critical care follow-up. COMPARISON: 9/26/2006. FINDINGS: Slight reticular opacity along the right lower lung border. Remainder of the cardiopulmonary status is unchanged. Normal cardiomediastinal silhouette, pulmonary vasculature within normal limits. The left costophrenic angle is not fully examined. IMPRESSION: SLIGHT INCREASED RETICULAR OPACITY ALONG THE RIGHT LOWER HEART BORDER, CONSOLIDATION VERSUS ATELECTASIS. CLINICAL CORRELATION RECOMMENDED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. ACCESSION NUMBER: 06v657Q6c1476 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Slight reticular opacity along the right lower lung border. Remainder of the cardiopulmonary status is unchanged. Normal cardiomediastinal silhouette, pulmonary vasculature within normal limits. The left costophrenic angle is not fully examined. "," SLIGHT INCREASED RETICULAR OPACITY ALONG THE RIGHT LOWER HEART BORDER, CONSOLIDATION VERSUS ATELECTASIS. CLINICAL CORRELATION RECOMMENDED. ","4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. " 219132,CheXpert_Demo_Images\train\patient60813\study1\view1_frontal.jpg,patient60813,"NARRATIVE: CHEST: Single view portable. CLINICAL HISTORY: Trauma patient. COMPARISON: No previous studies. IMPRESSION: 1. SINGLE AP PORTABLE SUPINE CHEST RADIOGRAPH TAKEN ON TRAUMA BOARD DEMONSTRATES NO AIR SPACE CONSOLIDATION, PULMONARY EDEMA, PLEURAL EFFUSION OR PNEUMOTHORAX. 2. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. REGIONAL SOFT TISSUE AND OSSEOUS STRUCTURES ARE UNREMARKABLE. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Joyce, Dr on: 1/30/16 ACCESSION NUMBER: 243kf3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE AP PORTABLE SUPINE CHEST RADIOGRAPH TAKEN ON TRAUMA BOARD DEMONSTRATES NO AIR SPACE CONSOLIDATION, PULMONARY EDEMA, PLEURAL EFFUSION OR PNEUMOTHORAX. 2. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. REGIONAL SOFT TISSUE AND OSSEOUS STRUCTURES ARE UNREMARKABLE. ", 220139,CheXpert_Demo_Images\train\patient61734\study1\view1_frontal.jpg,patient61734,"NARRATIVE: Exam: Chest 1 View 16 JUNE Clinical History: 71 years Male with Post op f/up Comparison: Chest x-ray from 6/16/08 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE RIGHT INTERNAL JUGULAR DIALYSIS CATHETER IN THE RIGHT UPPER EXTREMITY PICC LINE. 2.STABLE POSTSURGICAL CHANGES OF THE STERNUM MEDIASTINUM WITH STERNOTOMY WIRES, MEDIASTINAL CLIPS, A LINEAR METALLIC CLIP OF UNKNOWN ETIOLOGY ARE ALL AGAIN DEMONSTRATED. 3.DECREASE IN THE SIZE OF THE BILATERAL PLEURAL EFFUSIONS, TINY ON THE RIGHT AND MODERATE ON THE LEFT. 4.PERSISTENT RETICULAR OPACITIES BILATERALLY WHICH MAY SUGGEST MILD PULMONARY EDEMA. THERE ARE CONFLUENT OPACITIES IN THE LEFT MID TO LOWER LUNG PARTICULARLY IN THE LEFT MID LATERAL LUNG WHICH ARE CONCERNING FOR INFECTION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 5-6-5-8-9-5-6 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE RIGHT INTERNAL JUGULAR DIALYSIS CATHETER IN THE RIGHT UPPER EXTREMITY PICC LINE. 2.STABLE POSTSURGICAL CHANGES OF THE STERNUM MEDIASTINUM WITH STERNOTOMY WIRES, MEDIASTINAL CLIPS, A LINEAR METALLIC CLIP OF UNKNOWN ETIOLOGY ARE ALL AGAIN DEMONSTRATED. 3.DECREASE IN THE SIZE OF THE BILATERAL PLEURAL EFFUSIONS, TINY ON THE RIGHT AND MODERATE ON THE LEFT. 4.PERSISTENT RETICULAR OPACITIES BILATERALLY WHICH MAY SUGGEST MILD PULMONARY EDEMA. THERE ARE CONFLUENT OPACITIES IN THE LEFT MID TO LOWER LUNG PARTICULARLY IN THE LEFT MID LATERAL LUNG WHICH ARE CONCERNING FOR INFECTION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 188080,CheXpert_Demo_Images\train\patient44902\study1\view1_frontal.jpg,patient44902,"NARRATIVE: Chest 1 View Portable, 3-16-05 HISTORY: 63 years Female, Preop COMPARISON: 3/16/2005 IMPRESSION: 1.EXPIRATORY FILM SHOWS LOW LUNG VOLUMES WITH INCREASE IN PERIHILAR VASCULAR PROMINENCE WHICH COULD BE DUE TO MILD EDEMA OR TECHNIQUE. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7958436 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.EXPIRATORY FILM SHOWS LOW LUNG VOLUMES WITH INCREASE IN PERIHILAR VASCULAR PROMINENCE WHICH COULD BE DUE TO MILD EDEMA OR TECHNIQUE. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 107287,CheXpert_Demo_Images\train\patient25804\study1\view1_frontal.jpg,patient25804,"NARRATIVE: SINGLE VIEW CHEST CLINICAL HISTORY: Dyspnea. COMPARISON STUDY: Chest radiograph dated 02/12. FINDINGS: A portable, frontal, upright chest radiograph is obtained. The cardiomediastinal silhouette is enlarged, and there is atherosclerotic calcification of the thoracic aorta. The pulmonary vasculature appears engorged, and there is more focal perihilar airspace opacities. There are small bilateral pleural effusions. No pneumothorax is identified. The skeletal structures are osteopenic with advanced multilevel the changes throughout the thoracic spine. Degenerative changes are also noted at both shoulder joints. IMPRESSION: 1. CARDIOMEGALY WITH PULMONARY VASCULAR ENGORGEMENT AND SMALL BILATERAL PLEURAL EFFUSIONS. THE FINDINGS ARE MOST CONSISTENT WITH CONGESTIVE HEART FAILURE. 2. MORE FOCAL AIRSPACE OPACITIES IN THE PERIHILAR REGION LIKELY REFLECT PULMONARY EDEMA. INFECTION IS CONSIDERED LESS LIKELY BUT CANNOT BE EXCLUDED AND CLINICAL CORRELATION WILL BE REQUIRED. Preliminary findings were reported on 2-20-12 at 09:20. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 1340101901 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A portable, frontal, upright chest radiograph is obtained. The cardiomediastinal silhouette is enlarged, and there is atherosclerotic calcification of the thoracic aorta. The pulmonary vasculature appears engorged, and there is more focal perihilar airspace opacities. There are small bilateral pleural effusions. No pneumothorax is identified. The skeletal structures are osteopenic with advanced multilevel the changes throughout the thoracic spine. Degenerative changes are also noted at both shoulder joints. "," 1. CARDIOMEGALY WITH PULMONARY VASCULAR ENGORGEMENT AND SMALL BILATERAL PLEURAL EFFUSIONS. THE FINDINGS ARE MOST CONSISTENT WITH CONGESTIVE HEART FAILURE. 2. MORE FOCAL AIRSPACE OPACITIES IN THE PERIHILAR REGION LIKELY REFLECT PULMONARY EDEMA. INFECTION IS CONSIDERED LESS LIKELY BUT CANNOT BE EXCLUDED AND CLINICAL CORRELATION WILL BE REQUIRED. Preliminary findings were reported on 2-20-12 at 09:20. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 51704,CheXpert_Demo_Images\train\patient12623\study1\view1_frontal.jpg,patient12623,"NARRATIVE: SINGLE PORTABLE VIEW OF THE CHEST: 8-12-15 CLINICAL HISTORY: A thirty-six year old woman with left pleuritic pain and shortness of breath. COMPARISON: None. TECHNIQUE: Chest, portable supine AP. FINDINGS: An esophageal tube is seen, terminating in the antrum of the stomach. A second vertically oriented catheter likely resides outside the patient's body. The cardiac silhouette is likely within normal limits, given the very low lung volumes and lordotic projection. There is left basilar atelectasis or consolidation. IMPRESSION: 1. LEFT BASILAR ATELECTASIS OR CONSOLIDATION. 2. ESOPHAGEAL TUBE ENDS IN THE STOMACH. 3. LOW LUNG VOLUMES. END OF IMPRESSION: SUMMARY 4: Possible Significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Greyson Robles, PA on: 8/12/2015 __________________________________ ACCESSION NUMBER: 21321014470 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," An esophageal tube is seen, terminating in the antrum of the stomach. A second vertically oriented catheter likely resides outside the patient's body. The cardiac silhouette is likely within normal limits, given the very low lung volumes and lordotic projection. There is left basilar atelectasis or consolidation. "," 1. LEFT BASILAR ATELECTASIS OR CONSOLIDATION. 2. ESOPHAGEAL TUBE ENDS IN THE STOMACH. 3. LOW LUNG VOLUMES. "," 4: Possible Significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Greyson Robles, PA on: 8/12/2015 __________________________________ " 151641,CheXpert_Demo_Images\train\patient35836\study2\view1_frontal.jpg,patient35836,"NARRATIVE: Chest 1 View 12-1-2010 CLINICAL HISTORY: 73 years-old Male. S/P B/L talc pleurodesis and chest tube removal 12/1/2010. COMPARISON: 12-1-2010 IMPRESSION: 1. SCATTERED BILATERAL GRANULOMATA AND SMALL PLEURAL EFFUSIONS. 2. HYPERINFLATED LUNGS SUGGESTING COPD. 3. PATCHY OPACIFICATIONS OVER BILATERAL LUNG ZONES UNCHANGED, MAY RELATE TO RECENT PLEURODESIS. 4. NO PNEUMOTHORAX. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #8132773205223 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SCATTERED BILATERAL GRANULOMATA AND SMALL PLEURAL EFFUSIONS. 2. HYPERINFLATED LUNGS SUGGESTING COPD. 3. PATCHY OPACIFICATIONS OVER BILATERAL LUNG ZONES UNCHANGED, MAY RELATE TO RECENT PLEURODESIS. 4. NO PNEUMOTHORAX. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 211186,CheXpert_Demo_Images\train\patient55941\study2\view1_frontal.jpg,patient55941,"NARRATIVE: PORTABLE CHEST: 10/11/2016 COMPARISON: 11th October IMPRESSION: 1. THIS SEMI-ERECT FILM DEMONSTRATES INCREASED RIGHT MID LUNG ZONE DENSITY WHICH MAY REPRESENT ATELECTASIS. ALTERNATIVELY THIS MAY REPRESENT EARLY INFILTRATE. 2. INCREASED STREAKY LEFT LOWER LOBE AIR-SPACE OPACITY, LIKELY ATELECTASIS. 3. NO DEFINITE PLEURAL EFFUSION. 4. CARDIA AND MEDIASTINAL SILHOUETTE IS GROSSLY UNREMARKABLE. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Paislee, Davila on: 10/11/2016 ACCESSION NUMBER: #059464640 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THIS SEMI-ERECT FILM DEMONSTRATES INCREASED RIGHT MID LUNG ZONE DENSITY WHICH MAY REPRESENT ATELECTASIS. ALTERNATIVELY THIS MAY REPRESENT EARLY INFILTRATE. 2. INCREASED STREAKY LEFT LOWER LOBE AIR-SPACE OPACITY, LIKELY ATELECTASIS. 3. NO DEFINITE PLEURAL EFFUSION. 4. CARDIA AND MEDIASTINAL SILHOUETTE IS GROSSLY UNREMARKABLE. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Paislee, Davila on: 10/11/2016 " 131155,CheXpert_Demo_Images\train\patient31471\study22\view1_frontal.jpg,patient31471,"NARRATIVE: SINGLE VIEW OF THE CHEST: 3/26/2019 CLINICAL HISTORY: A 97 year old male, evaluate for infiltrates. COMPARISON: 03/26 IMPRESSION: 1. PORTABLE AP SUPINE VIEW OF THE CHEST SHOWS LOW LUNG VOLUMES WITH SCARRING AT THE LUNG BASES. NO EVIDENCE OF FOCAL CONSOLIDATION. 2. ECTATIC AND TORTUOUS AORTA, STABLE, WITH IMPROVED APPEARANCE OF THE PULMONARY VASCULATURE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 52730282387 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE AP SUPINE VIEW OF THE CHEST SHOWS LOW LUNG VOLUMES WITH SCARRING AT THE LUNG BASES. NO EVIDENCE OF FOCAL CONSOLIDATION. 2. ECTATIC AND TORTUOUS AORTA, STABLE, WITH IMPROVED APPEARANCE OF THE PULMONARY VASCULATURE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 205879,CheXpert_Demo_Images\train\patient52643\study1\view1_frontal.jpg,patient52643,"NARRATIVE: CHEST AP PORTABLE: 6/20/2018 COMPARISON: 6/20/2018. HISTORY: 55-year-old male with recurrent lung cancer, postoperative. FINDINGS: In the interval, a left chest tube has been placed. Some left hilar clips are again present. Volume loss is again noted on the left side. A left apical small to moderate pneumothorax is present. Minimal left lower lobe atelectasis is present. The left hemidiaphragm is mildly elevated. The right lung appears clear. The film is underpenetrated, limiting the ability for interpretation. IMPRESSION: 1. LEFT APICAL PNEUMOTHORAX. 2. VOLUME LOSS OF THE LEFT SIDE. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Quentin Blankemeyer, CRNP on: 6/20/2018 ACCESSION NUMBER: 562 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," In the interval, a left chest tube has been placed. Some left hilar clips are again present. Volume loss is again noted on the left side. A left apical small to moderate pneumothorax is present. Minimal left lower lobe atelectasis is present. The left hemidiaphragm is mildly elevated. The right lung appears clear. The film is underpenetrated, limiting the ability for interpretation. "," 1. LEFT APICAL PNEUMOTHORAX. 2. VOLUME LOSS OF THE LEFT SIDE. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Quentin Blankemeyer, CRNP on: 6/20/2018 " 30802,CheXpert_Demo_Images\train\patient07530\study6\view1_frontal.jpg,patient07530,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 1-1-2014. COMPARISON: 1/1/14. CLINICAL DATA: 48 year old woman with re-bleed of left internal carotid artery. IMPRESSION: 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES THE ENDOTRACHEAL TUBE TO BE APPROXIMATELY 1 CM ABOVE THE CARINA WITH ITS TIP ABOVE THE RIGHT MAINSTEM BRONCHUS. RECOMMEND PULLING THE ENDOTRACHEAL TUBE BACK APPROXIMATELY 2 CM. REDEMONSTRATION OF LEFT SUBCLAVIAN LINE IN PLACE AND UNCHANGED. 2. COMPARED TO THE PRIOR EXAM THERE HAS BEEN INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: NORA LIKES, CRNP on: 1-1-2014 ACCESSION NUMBER: #OEPYXGPUVIXF This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES THE ENDOTRACHEAL TUBE TO BE APPROXIMATELY 1 CM ABOVE THE CARINA WITH ITS TIP ABOVE THE RIGHT MAINSTEM BRONCHUS. RECOMMEND PULLING THE ENDOTRACHEAL TUBE BACK APPROXIMATELY 2 CM. REDEMONSTRATION OF LEFT SUBCLAVIAN LINE IN PLACE AND UNCHANGED. 2. COMPARED TO THE PRIOR EXAM THERE HAS BEEN INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA. "," 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: NORA LIKES, CRNP on: 1-1-2014 " 212076,CheXpert_Demo_Images\train\patient56491\study1\view1_frontal.jpg,patient56491,"NARRATIVE: SINGLE VIEW OF THE CHEST: May 7 COMPARISON: 5-7-2004 CLINICAL HISTORY: Chest pain. IMPRESSION: 1. PROMINENCE OF THE MAIN PULMONARY ARTERY CONTOUR, WHICH MAY REFLECT UNDERLYING PULMONARY HYPERTENSION. 2. NO FOCAL CONSOLIDATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #evuecrrs This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PROMINENCE OF THE MAIN PULMONARY ARTERY CONTOUR, WHICH MAY REFLECT UNDERLYING PULMONARY HYPERTENSION. 2. NO FOCAL CONSOLIDATION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 82140,CheXpert_Demo_Images\train\patient19768\study1\view1_frontal.jpg,patient19768,"NARRATIVE: EXAM: CHEST 1 VIEW, 10/22/2021 CLINICAL HISTORY: FEMALE OF 81 YEARS; REASON FOR STUDY: ""EVAL EDEMA"" COMPARISON: NONE IMPRESSION: 1.PROMINENT DIFFUSE INTERSTITIAL OPACITIES CONSISTENT WITH PULMONARY EDEMA. SMALL BILATERAL PLEURAL EFFUSIONS. NO PNEUMOTHORAX. CARDIAC SILHOUETTE IS ENLARGED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2759915103799 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PROMINENT DIFFUSE INTERSTITIAL OPACITIES CONSISTENT WITH PULMONARY EDEMA. SMALL BILATERAL PLEURAL EFFUSIONS. NO PNEUMOTHORAX. CARDIAC SILHOUETTE IS ENLARGED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 41785,CheXpert_Demo_Images\train\patient10225\study1\view1_frontal.jpg,patient10225,"NARRATIVE: PORTABLE CHEST X-RAY: 8-3-19 COMPARISON: None. HISTORY: A 59-year-old female in full respiratory arrest. FINDINGS: Single frontal portable view of the chest demonstrates low lung volumes with no focal infiltrate or pulmonary edema seen. There is no pneumothorax. There is marked widening of the superior mediastinum. An endotracheal tube is in place with the tip at the carina. A right internal jugular catheter is in place with the tip deep in the right atrium, almost extending into the IVC. Flocculent density is seen overlying the right upper quadrant of the abdomen. No other soft tissue or bony abnormalities are seen. IMPRESSION: 1. LOW LUNG VOLUMES WITH NO FOCAL INFILTRATE OR PNEUMOTHORAX SEEN. 2. MARKED WIDENING OF THE SUPERIOR MEDIASTINUM. RECOMMEND CLINICAL CORRELATION FOR UNDERLYING VASCULAR INJURY. 3. ENDOTRACHEAL TUBE TIP AT THE CARINA. 4. RIGHT INTERNAL JUGULAR CATHETER TIP DEEP IN THE RIGHT ATRIUM. 5. THE ABOVE FINDINGS WERE DISCUSSED WITH Conley, Sanyah ON august 3rd, 2019 AT 1530 HOURS. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: HOBBS, SCARLETT on: 8/3/2019 ACCESSION NUMBER: 5911 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single frontal portable view of the chest demonstrates low lung volumes with no focal infiltrate or pulmonary edema seen. There is no pneumothorax. There is marked widening of the superior mediastinum. An endotracheal tube is in place with the tip at the carina. A right internal jugular catheter is in place with the tip deep in the right atrium, almost extending into the IVC. Flocculent density is seen overlying the right upper quadrant of the abdomen. No other soft tissue or bony abnormalities are seen. "," 1. LOW LUNG VOLUMES WITH NO FOCAL INFILTRATE OR PNEUMOTHORAX SEEN. 2. MARKED WIDENING OF THE SUPERIOR MEDIASTINUM. RECOMMEND CLINICAL CORRELATION FOR UNDERLYING VASCULAR INJURY. 3. ENDOTRACHEAL TUBE TIP AT THE CARINA. 4. RIGHT INTERNAL JUGULAR CATHETER TIP DEEP IN THE RIGHT ATRIUM. 5. THE ABOVE FINDINGS WERE DISCUSSED WITH Conley, Sanyah ON august 3rd, 2019 AT 1530 HOURS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: HOBBS, SCARLETT on: 8/3/2019 " 19596,CheXpert_Demo_Images\train\patient04880\study1\view1_frontal.jpg,patient04880,"NARRATIVE: EXAMINATION: PORTABLE Chest 2 Views february 2004 HISTORY: Female, 63 years old, R/o pleural effusion. COMPARISON: Chest x-ray dated 2/27/2004 IMPRESSION: 1. PORTABLE SEMI-UPRIGHT CHEST RADIOGRAPH DEMONSTRATES: 2. INTERVAL PLACEMENT OF LEFT ARM PICC LINE, TIP 4.0 CM BELOW THE CARINA. 3. NO FOCAL CONSOLIDATION 4. NO PLEURAL EFFUSION 5. VISUALIZED BONES AND SOFT TISSUES ARE UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #488-368-66 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMI-UPRIGHT CHEST RADIOGRAPH DEMONSTRATES: 2. INTERVAL PLACEMENT OF LEFT ARM PICC LINE, TIP 4.0 CM BELOW THE CARINA. 3. NO FOCAL CONSOLIDATION 4. NO PLEURAL EFFUSION 5. VISUALIZED BONES AND SOFT TISSUES ARE UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 132134,CheXpert_Demo_Images\train\patient31701\study1\view1_frontal.jpg,patient31701,"NARRATIVE: Chest 1 View 3-25-2015 CLINICAL HISTORY: 52 years-old Female. R/o rib fx COMPARISON: None IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE THE CHEST DEMONSTRATES CLEAR LUNGS BILATERALLY. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. 3.NO DISPLACED RIB FRACTURES OR PNEUMOTHORAX ARE IDENTIFIED. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 9S9PBZ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE THE CHEST DEMONSTRATES CLEAR LUNGS BILATERALLY. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. 3.NO DISPLACED RIB FRACTURES OR PNEUMOTHORAX ARE IDENTIFIED. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 141153,CheXpert_Demo_Images\train\patient33945\study1\view1_frontal.jpg,patient33945,"NARRATIVE: SINGLE VIEW OF THE CHEST: 3/29/2017 CLINICAL HISTORY: The patient is an 87-year-old male with weakness and on hemodialysis. COMPARISON: None. FINDINGS: Portable AP upright view of the chest shows bilateral pleural effusions with left lung base atelectasis that could also represent partial or complete left lower lobe collapse. Enlarged cardiac silhouette with postop changes from coronary artery bypass graft. No current evidence of congestive heart failure. IMPRESSION: 1. LEFT LUNG BASE ATELECTASIS WITH AT LEAST PARTIAL LEFT LOWER LOBE COLLAPSE. 2. BILATERAL PLEURAL EFFUSIONS. 3. ENLARGED CARDIAC SILHOUETTE WITH NO EVIDENCE OF PULMONARY EDEMA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #52.38 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Portable AP upright view of the chest shows bilateral pleural effusions with left lung base atelectasis that could also represent partial or complete left lower lobe collapse. Enlarged cardiac silhouette with postop changes from coronary artery bypass graft. No current evidence of congestive heart failure. "," 1. LEFT LUNG BASE ATELECTASIS WITH AT LEAST PARTIAL LEFT LOWER LOBE COLLAPSE. 2. BILATERAL PLEURAL EFFUSIONS. 3. ENLARGED CARDIAC SILHOUETTE WITH NO EVIDENCE OF PULMONARY EDEMA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 198455,CheXpert_Demo_Images\train\patient48965\study1\view1_frontal.jpg,patient48965,"NARRATIVE: SINGLE PORTABLE VIEW CHEST: 12/7/2014 at 1830 hours COMPARISON: 12/7/2014 at 1307 hours. CLINICAL HISTORY: 19-year-old man with left pulmonary contusion status post MVA. IMPRESSION: 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES PLEURAL OPACITY AT THE LEFT APEX WHICH MAY REPRESENT OLD SCAR VERSUS A LOCULATED FLUID COLLECTION. 2. LOW LUNG VOLUMES. 3. INTERVAL RESOLUTION OF INTERSTITIAL EDEMA WITH NORMAL HEART SIZE. END OF IMPRESSION: SUMMARY 2: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Shamus Ibrahim, Gates on: 12/7/2014 ACCESSION NUMBER: 7-7-7-6-5-3-1 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES PLEURAL OPACITY AT THE LEFT APEX WHICH MAY REPRESENT OLD SCAR VERSUS A LOCULATED FLUID COLLECTION. 2. LOW LUNG VOLUMES. 3. INTERVAL RESOLUTION OF INTERSTITIAL EDEMA WITH NORMAL HEART SIZE. "," 2: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Shamus Ibrahim, Gates on: 12/7/2014 " 75333,CheXpert_Demo_Images\train\patient18092\study1\view2_lateral.jpg,patient18092,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 4/21/2019 CLINICAL HISTORY: 51 years of age, Male, Fever. COMPARISON: None. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: A pneumonia is present in the lingula laterally just above the major fissure. The lungs are otherwise clear.. No pleural abnormalities are present. The heart is normal in size. The mediastinal contours are normal. There are no osseous abnormalities. IMPRESSION: 1. Lingular pneumonia ""Physician to Physician Radiology Consult Line: (891) 158-4294"" ACCESSION NUMBER: 048229 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A pneumonia is present in the lingula laterally just above the major fissure. The lungs are otherwise clear.. No pleural abnormalities are present. The heart is normal in size. The mediastinal contours are normal. There are no osseous abnormalities. "," 1. Lingular pneumonia ""Physician to Physician Radiology Consult Line: (891) 158-4294"" ", 204093,CheXpert_Demo_Images\train\patient51554\study1\view1_frontal.jpg,patient51554,"NARRATIVE: PORTABLE CHEST: 6/2/2006 CLINICAL HISTORY: 49 -year-old male with aortic aneurysm. COMPARISON: 6/2/06, 6-2-2006, 6/2/2006 and 6/2/2006. IMPRESSION: 1. INTERVAL INCREASE IN AERATION OF THE LUNG BASES WHICH IS IN PART DUE TO DECREASING PLEURAL EFFUSIONS AND DECREASING ATELECTASIS. MILD RESIDUAL ATELECTASIS REMAINS. 2. NO EVIDENCE OF PULMONARY EDEMA OR PNEUMOTHORAX. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 862735837 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL INCREASE IN AERATION OF THE LUNG BASES WHICH IS IN PART DUE TO DECREASING PLEURAL EFFUSIONS AND DECREASING ATELECTASIS. MILD RESIDUAL ATELECTASIS REMAINS. 2. NO EVIDENCE OF PULMONARY EDEMA OR PNEUMOTHORAX. "," 2: ABNORMAL, PREVIOUSLY REPORTED " 205766,CheXpert_Demo_Images\train\patient52575\study1\view1_frontal.jpg,patient52575,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 11/24/2005 COMPARISON: 11/24/2005. CLINICAL HISTORY: Atrial fibrillation. Surgery, postop. IMPRESSION: 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES INTERVAL EXCHANGE OF LEFT ANTERIOR CHEST WALL PACER WITH A NEW CORONARY SINUS LEAD. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. LIKELY LINEAR SCAR IS SEEN WITHIN THE RIGHT MID LUNG. NO PNEUMOTHORAX. NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. END OF IMPRESSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 32380537450 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES INTERVAL EXCHANGE OF LEFT ANTERIOR CHEST WALL PACER WITH A NEW CORONARY SINUS LEAD. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. LIKELY LINEAR SCAR IS SEEN WITHIN THE RIGHT MID LUNG. NO PNEUMOTHORAX. NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 137350,CheXpert_Demo_Images\train\patient32995\study1\view1_frontal.jpg,patient32995,"NARRATIVE: CHEST X-RAY: DATE OF EXAMINATION: 6-8-2004 DATE OF PREVIOUS: 6/8/04 CLINICAL INFORMATION: Weakness. IMPRESSION: 1. PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. THE LUNGS ARE MILDLY HYPERINFLATED. THE RIGHT HILUM APPEARS SLIGHTLY PROMINENT, BUT THIS IS LIKELY DUE TO ROTATION. NO EVIDENCE OF FOCAL CONSOLIDATION. 2. PROMINENT CALCIFICATION IS SEEN WITHIN THE AORTIC ARCH AND DESCENDING THORACIC AORTA, WHICH DO NOT APPEAR ANEURYSMALLY DILATED. 3. THERE IS A MODERATE KYPHOSCOLIOSIS OF THE THORACIC SPINE. END OF IMPRESSION: 2 ACCESSION NUMBER: 221136 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. THE LUNGS ARE MILDLY HYPERINFLATED. THE RIGHT HILUM APPEARS SLIGHTLY PROMINENT, BUT THIS IS LIKELY DUE TO ROTATION. NO EVIDENCE OF FOCAL CONSOLIDATION. 2. PROMINENT CALCIFICATION IS SEEN WITHIN THE AORTIC ARCH AND DESCENDING THORACIC AORTA, WHICH DO NOT APPEAR ANEURYSMALLY DILATED. 3. THERE IS A MODERATE KYPHOSCOLIOSIS OF THE THORACIC SPINE. ", 84325,CheXpert_Demo_Images\train\patient20292\study4\view1_frontal.jpg,patient20292,"NARRATIVE: PA AND LATERAL CHEST: 8-18-08 COMPARISON: 8/18/2008 CLINICAL DATA: 37-year-old male with coronary artery disease and a single atrial lead. PPM IMPRESSION: 1. INFERIOR VENA CAVA AND SUPERIOR VENA CAVA STENTS AGAIN APPEAR TO BE PRESENT, LIKELY IN A CONTEXT OF A TRANSPOSITION AND PRIOR MUSTARD PROCEDURE. A LEFT UPPER CHEST PACEMAKER IS PRESENT, WITH TWO LEADS SEEN GOING TO THE HEART, ONE IN POSITION OF AN ATRIUM AND THE OTHER IN POSITION OF A VENTRICLE ON THE LEFT SIDE OF THE THORAX. 2. REDEMONSTRATED VOLUME LOSS IN THE LEFT SIDE WITH A HYPERINFLATED RIGHT LUNG. 3. OPACITY IN THE REGION OF THE LEFT LUNG IS NOT WELL CHARACTERIZED. IF INDICATED, CT WOULD BE BETTER FOR EVALUATION. 4. SMALL LEFT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: NATALIA EDWIN JENSEN, MBBS on: 8/18/2008 ACCESSION NUMBER: 244902815 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INFERIOR VENA CAVA AND SUPERIOR VENA CAVA STENTS AGAIN APPEAR TO BE PRESENT, LIKELY IN A CONTEXT OF A TRANSPOSITION AND PRIOR MUSTARD PROCEDURE. A LEFT UPPER CHEST PACEMAKER IS PRESENT, WITH TWO LEADS SEEN GOING TO THE HEART, ONE IN POSITION OF AN ATRIUM AND THE OTHER IN POSITION OF A VENTRICLE ON THE LEFT SIDE OF THE THORAX. 2. REDEMONSTRATED VOLUME LOSS IN THE LEFT SIDE WITH A HYPERINFLATED RIGHT LUNG. 3. OPACITY IN THE REGION OF THE LEFT LUNG IS NOT WELL CHARACTERIZED. IF INDICATED, CT WOULD BE BETTER FOR EVALUATION. 4. SMALL LEFT PLEURAL EFFUSION. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: NATALIA EDWIN JENSEN, MBBS on: 8/18/2008 " 221255,CheXpert_Demo_Images\train\patient62755\study1\view1_frontal.jpg,patient62755,"NARRATIVE: Chest 1 View: 7/19/2021 HISTORY: 60 years Male, Fever. COMPARISON: 7-19-2021 IMPRESSION: 1. Single portable upright frontal chest radiograph demonstrates interval retraction of left upper extremity PICC, the tip now 3 cm distal to the level of the carina. 2. Low lung volumes. 3. Lungs are clear. No pneumothorax. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 46488085 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. Single portable upright frontal chest radiograph demonstrates interval retraction of left upper extremity PICC, the tip now 3 cm distal to the level of the carina. 2. Low lung volumes. 3. Lungs are clear. No pneumothorax. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 208163,CheXpert_Demo_Images\train\patient54069\study1\view1_frontal.jpg,patient54069,"NARRATIVE: EXAM: Chest 1 View, 6/27/2003 CLINICAL HISTORY: 34 years Female Critical care follow-up(ICU) COMPARISON: No previous comparison study available. IMPRESSION: 1.A SEMI-UPRIGHT VIEW THE CHEST DEMONSTRATES A PATIENT WITH LOW LUNG VOLUMES. THE CENTRAL VASCULAR APPEARS PROMINENT IN SIZE WHICH IS CONSISTENT WITH PATIENT HISTORY OF RECENT PREGNANCY. THE LUNG FIELDS ARE CLEAR. THERE IS NO PNEUMOTHORAX, EFFUSIONS, OR EDEMA. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1850-8349-349 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A SEMI-UPRIGHT VIEW THE CHEST DEMONSTRATES A PATIENT WITH LOW LUNG VOLUMES. THE CENTRAL VASCULAR APPEARS PROMINENT IN SIZE WHICH IS CONSISTENT WITH PATIENT HISTORY OF RECENT PREGNANCY. THE LUNG FIELDS ARE CLEAR. THERE IS NO PNEUMOTHORAX, EFFUSIONS, OR EDEMA. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 164995,CheXpert_Demo_Images\train\patient38520\study1\view1_frontal.jpg,patient38520,"NARRATIVE: CHEST, POST NEEDLE BIOPSY: 9-17-13. IMPRESSION: AN UPRIGHT EXPIRATORY VIEW OF THE CHEST SHOWS NO EVIDENCE OF PNEUMOTHORAX, STATUS POST MEDIASTINAL BIOPSY. LUNG VOLUMES ARE LOW, AS WOULD BE EXPECTED FOR EXPIRATORY FILM. THERE IS SCOLIOSIS AND FULLNESS OF THE SUPERIOR MEDIASTINUM, CONSISTENT WITH THE KNOWN MEDIASTINAL MASS. LUNGS ARE CLEAR OTHERWISE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #162468285 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AN UPRIGHT EXPIRATORY VIEW OF THE CHEST SHOWS NO EVIDENCE OF PNEUMOTHORAX, STATUS POST MEDIASTINAL BIOPSY. LUNG VOLUMES ARE LOW, AS WOULD BE EXPECTED FOR EXPIRATORY FILM. THERE IS SCOLIOSIS AND FULLNESS OF THE SUPERIOR MEDIASTINUM, CONSISTENT WITH THE KNOWN MEDIASTINAL MASS. LUNGS ARE CLEAR OTHERWISE. ","2-ABNORMAL, PREVIOUSLY REPORTED " 24028,CheXpert_Demo_Images\train\patient05883\study2\view1_frontal.jpg,patient05883,"NARRATIVE: AP PORTABLE CHEST X-RAY: 5/12/01 COMPARISON: Two view chest x-ray dated 5/12/2001. CLINICAL HISTORY: Relapse AML. Neutropenic fever. Rule out pneumonia. IMPRESSION: 1. INTERVAL INSERTION OF RIGHT CENTRAL VENOUS CATHETER WITH THE TIP PROJECTING OVER THE CAVOATRIAL JUNCTION. 2. LOW LUNG VOLUMES. INDISTINCT VASCULATURE SUGGESTING MILD FLUID OVERLOAD. INTERVAL DEVELOPMENT OF SMALL LEFT PLEURAL EFFUSION AND WORSENING OF LEFT LOWER LOBE OPACITIES, PROBABLY REPRESENTING ATELECTASIS. END OF IMPRESSION SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Wu, Deacon M on: 5/12/2001 ACCESSION NUMBER: 85764 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL INSERTION OF RIGHT CENTRAL VENOUS CATHETER WITH THE TIP PROJECTING OVER THE CAVOATRIAL JUNCTION. 2. LOW LUNG VOLUMES. INDISTINCT VASCULATURE SUGGESTING MILD FLUID OVERLOAD. INTERVAL DEVELOPMENT OF SMALL LEFT PLEURAL EFFUSION AND WORSENING OF LEFT LOWER LOBE OPACITIES, PROBABLY REPRESENTING ATELECTASIS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Wu, Deacon M on: 5/12/2001 " 89909,CheXpert_Demo_Images\train\patient21622\study37\view2_lateral.jpg,patient21622,"NARRATIVE: EXAM: 12/19/00. HISTORY: 31 years Female, Rule out infiltrate. COMPARISON: 12/19/2000. IMPRESSION: 1. Chest 2 Views, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. STABLE OVERALL AERATION AND VOLUME 2. CARDIAC SILHOUETTE AND VASCULARITY GROSSLY SIMILAR TO PRIOR. MARKEDLY ENLARGED CARDIAC SILHOUETTE. 3. CARDIAC PACER IS NOTED WITH LEADS IN APPROPRIATE POSITION ON THE PROVIDED VIEWS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #759778 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. Chest 2 Views, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. STABLE OVERALL AERATION AND VOLUME 2. CARDIAC SILHOUETTE AND VASCULARITY GROSSLY SIMILAR TO PRIOR. MARKEDLY ENLARGED CARDIAC SILHOUETTE. 3. CARDIAC PACER IS NOTED WITH LEADS IN APPROPRIATE POSITION ON THE PROVIDED VIEWS. ","2-ABNORMAL, PREVIOUSLY REPORTED " 33134,CheXpert_Demo_Images\train\patient08077\study1\view2_lateral.jpg,patient08077,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 29-04-21 CLINICAL HISTORY: 52 years of age, Female, Sepsis. COMPARISON: None. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The cardiomediastinal silhouette is normal. Mildly prominent reticular opacities in the lung bases. No focal consolidation. There are no pleural or significant bony abnormalities. IMPRESSION: 1. Mildly prominent reticular opacities in the lung bases, seen to be underlying fibrotic changes on same day CT. 2. No focal consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 3408481 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is normal. Mildly prominent reticular opacities in the lung bases. No focal consolidation. There are no pleural or significant bony abnormalities. "," 1. Mildly prominent reticular opacities in the lung bases, seen to be underlying fibrotic changes on same day CT. 2. No focal consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 91695,CheXpert_Demo_Images\train\patient22020\study2\view1_frontal.jpg,patient22020,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: September 18th, 2006 CLINICAL HISTORY: 61 years of age, Male, 8/10 chest pain with initiation of BiPap, r/o pneumothorax. COMPARISON: 9/18/2006, 9/18/2006 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Fine reticular opacities again seen involving both lungs. Associated low volumes. No pneumomediastinum or pneumothorax. IMPRESSION: 1. No pneumothorax. ""Physician to Physician Radiology Consult Line: (809) 665-5099"" ACCESSION NUMBER: 2840_2809_235 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Fine reticular opacities again seen involving both lungs. Associated low volumes. No pneumomediastinum or pneumothorax. "," 1. No pneumothorax. ""Physician to Physician Radiology Consult Line: (809) 665-5099"" ", 36935,CheXpert_Demo_Images\train\patient09062\study1\view1_frontal.jpg,patient09062,"NARRATIVE: PORTABLE CHEST, ONE VIEW: 4/8/2020 COMPARISON: None. CLINICAL INFORMATION: Trauma. IMPRESSION: 1. THE PATIENT WAS DOUBLE SHIELDED IN LEAD, AS SHE WAS 32 WEEKS PREGNANT. 2. AP ERECT FILM DEMONSTRATING A NORMAL CARDIOMEDIASTINAL SILHOUETTE. THE LUNGS APPEAR CLEAR. NO RIB FRACTURES OR PNEUMOTHORAX. THE VISUALIZED OSSEOUS STRUCTURES ALSO APPEAR UNREMARKABLE. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: rWnRtfLu This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE PATIENT WAS DOUBLE SHIELDED IN LEAD, AS SHE WAS 32 WEEKS PREGNANT. 2. AP ERECT FILM DEMONSTRATING A NORMAL CARDIOMEDIASTINAL SILHOUETTE. THE LUNGS APPEAR CLEAR. NO RIB FRACTURES OR PNEUMOTHORAX. THE VISUALIZED OSSEOUS STRUCTURES ALSO APPEAR UNREMARKABLE. "," 1 NO SIGNIFICANT ABNORMALITY " 129093,CheXpert_Demo_Images\train\patient30941\study1\view2_lateral.jpg,patient30941,"NARRATIVE: EXAM: Chest 2 Views, 10-23-2014 CLINICAL HISTORY: 64 years old Male with history of Indication Chest Pain. COMPARISON: None available. IMPRESSION: RETROCARDIAC OPACITY MAY REPRESENT ATELECTASIS OR CONSOLIDATION. CARDIOMEDIASTINAL SILHOUETTE IS NORMAL, WITH MILD ATHEROSCLEROTIC AORTIC CALCIFICATION. NO ACUTE BONY ABNORMALITIES ARE SEEN. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 559333 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," RETROCARDIAC OPACITY MAY REPRESENT ATELECTASIS OR CONSOLIDATION. CARDIOMEDIASTINAL SILHOUETTE IS NORMAL, WITH MILD ATHEROSCLEROTIC AORTIC CALCIFICATION. NO ACUTE BONY ABNORMALITIES ARE SEEN. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 38498,CheXpert_Demo_Images\train\patient09445\study1\view1_frontal.jpg,patient09445,"NARRATIVE: ONE VIEW CHEST: march 22; TWO VIEWS CHEST: 3/22/19 COMPARISON: None. FINDINGS: The cardiomediastinal silhouette shows a mildly tortuous and calcified aorta that is otherwise unremarkable. Minimal abnormal opacity that is ill-defined seen in the right lower lung zone in the cardiophrenic angle. This may represent minimal atelectasis versus early consolidation. No other pulmonary abnormalities. No pneumothorax. Dual lead cardiac pacemaker seen with one tip in the right atrium and second tip in the right ventricle. Box overlies the left upper hemithorax. No evidence of lead failure. Degenerative changes noted in the shoulders bilaterally. No other bony abnormalities detected. IMPRESSION: 1. NO PNEUMOTHORAX. PACEMAKER PLACEMENT AS DESCRIBED. 2. ILL-DEFINED OPACITY IN THE RIGHT LOWER LUNG ZONE. MAY REPRESENT ATELECTASIS. CONSOLIDATION OR ASPIRATION, OR OTHER POSSIBILITIES. RECOMMEND CLINICAL CORRELATION. END OF IMPRESSION: SUMMARY: Possible significant abnormality/change, may need change. __________________________________ ACCESSION NUMBER: #55-93-89-87-85-70 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette shows a mildly tortuous and calcified aorta that is otherwise unremarkable. Minimal abnormal opacity that is ill-defined seen in the right lower lung zone in the cardiophrenic angle. This may represent minimal atelectasis versus early consolidation. No other pulmonary abnormalities. No pneumothorax. Dual lead cardiac pacemaker seen with one tip in the right atrium and second tip in the right ventricle. Box overlies the left upper hemithorax. No evidence of lead failure. Degenerative changes noted in the shoulders bilaterally. No other bony abnormalities detected. "," 1. NO PNEUMOTHORAX. PACEMAKER PLACEMENT AS DESCRIBED. 2. ILL-DEFINED OPACITY IN THE RIGHT LOWER LUNG ZONE. MAY REPRESENT ATELECTASIS. CONSOLIDATION OR ASPIRATION, OR OTHER POSSIBILITIES. RECOMMEND CLINICAL CORRELATION. "," Possible significant abnormality/change, may need change. __________________________________ " 48592,CheXpert_Demo_Images\train\patient11791\study2\view1_frontal.jpg,patient11791,"NARRATIVE: EXAM: 4-20-2009. HISTORY: 68 years Male, Sp pic placement. COMPARISON: APRIL 20TH, 2009. IMPRESSION: 1.CHEST 1 VIEW, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. LOW VOLUME 2.CARDIAC SILHOUETTE AND VASCULARITY GROSSLY SIMILAR TO PRIOR. 3.NEW RIGHT-SIDED PICC LINE WITH TIP APPROXIMATELY 4.7 CM BELOW THE LEVEL OF THE CARINA. LEFT-SIDED PICC LINE CATHETER REMAINS AT THE LEVEL OF THE CARINA. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 89 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.CHEST 1 VIEW, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. LOW VOLUME 2.CARDIAC SILHOUETTE AND VASCULARITY GROSSLY SIMILAR TO PRIOR. 3.NEW RIGHT-SIDED PICC LINE WITH TIP APPROXIMATELY 4.7 CM BELOW THE LEVEL OF THE CARINA. LEFT-SIDED PICC LINE CATHETER REMAINS AT THE LEVEL OF THE CARINA. ","2-ABNORMAL, PREVIOUSLY REPORTED " 55404,CheXpert_Demo_Images\train\patient13453\study1\view1_frontal.jpg,patient13453,"NARRATIVE: Chest 1 View 5/14/2004 CLINICAL IDENTITY: Male, 44 years-old REASON FOR STUDY: Eval fever. COMPARISON: None IMPRESSION: 1. PORTABLE AP CHEST RADIOGRAPH IS MILDLY LIMITED BY LOW LUNG VOLUMES. THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY UNREMARKABLE. 2. NO FOCAL CONSOLIDATION IN, HOWEVER, MILDLY INCREASED SOMEWHAT STREAKY OPACITIES ARE NOTED AT THE LEFT LUNG BASE. THIS MAY BE RELATED TO ATELECTASIS OR EARLY INFECTION/ASPIRATION. SHORT INTERVAL FOLLOW-UP IS RECOMMENDED AS CLINICALLY. 3. ABSENCE OF PLEURAL EFFUSION. 4. LEFT AXILLARY DISSECTION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 6_6_5_0_2_3_2_7_3_7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE AP CHEST RADIOGRAPH IS MILDLY LIMITED BY LOW LUNG VOLUMES. THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY UNREMARKABLE. 2. NO FOCAL CONSOLIDATION IN, HOWEVER, MILDLY INCREASED SOMEWHAT STREAKY OPACITIES ARE NOTED AT THE LEFT LUNG BASE. THIS MAY BE RELATED TO ATELECTASIS OR EARLY INFECTION/ASPIRATION. SHORT INTERVAL FOLLOW-UP IS RECOMMENDED AS CLINICALLY. 3. ABSENCE OF PLEURAL EFFUSION. 4. LEFT AXILLARY DISSECTION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 91990,CheXpert_Demo_Images\train\patient22096\study1\view1_frontal.jpg,patient22096,"NARRATIVE: SINGLE VIEW OF THE CHEST: 9/19/2017 COMPARISON: None. CLINICAL HISTORY: 82-year-old postoperative day one. Rule out fluid overload. IMPRESSION: 1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES RETROCARDIAC OPACITY, WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. IN ADDITION, THERE IS HAZY PERIPHERAL OPACITY, WHICH PROJECTS OVER THE LEFT LATERAL LUNG ZONE OF UNCERTAIN ETIOLOGY. THIS COULD REFLECT PLEURAL EFFUSION OR SUBPLEURAL RETICULATION, WHICH MAY SUGGEST UNDERLYING CHRONIC LUNG DISEASE. 2. CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. CALCIFICATION OF THE THORACIC AORTA IS NOTED. 3. THERE IS DIFFUSE OSTEOPENIA AND DEGENERATIVE CHANGES WITHIN THE VISUALIZED SPINE, BILATERALLY ACROMIOCLAVICULAR JOINTS, AND BILATERAL GLENOHUMERAL JOINTS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 676835789 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES RETROCARDIAC OPACITY, WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. IN ADDITION, THERE IS HAZY PERIPHERAL OPACITY, WHICH PROJECTS OVER THE LEFT LATERAL LUNG ZONE OF UNCERTAIN ETIOLOGY. THIS COULD REFLECT PLEURAL EFFUSION OR SUBPLEURAL RETICULATION, WHICH MAY SUGGEST UNDERLYING CHRONIC LUNG DISEASE. 2. CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. CALCIFICATION OF THE THORACIC AORTA IS NOTED. 3. THERE IS DIFFUSE OSTEOPENIA AND DEGENERATIVE CHANGES WITHIN THE VISUALIZED SPINE, BILATERALLY ACROMIOCLAVICULAR JOINTS, AND BILATERAL GLENOHUMERAL JOINTS. ","4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 110854,CheXpert_Demo_Images\train\patient26603\study1\view1_frontal.jpg,patient26603,"NARRATIVE: Chest 1 View 7/8/2008 History: Pacemaker access- r/o pneumo Comparison: None available. Impression: 1.CARDIOMEGALY, PULMONARY VESSELS ARE WITHIN NORMAL LIMITS. NO SIGNIFICANT PLEURAL EFFUSIONS. 2.LEFT CHEST WALL PACEMAKER WITH ELECTRODES IN RIGHT ATRIUM AND RIGHT VENTRICLE. NO EVIDENCE OF PNEUMOTHORAX. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. ACCESSION NUMBER: 736363031 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.CARDIOMEGALY, PULMONARY VESSELS ARE WITHIN NORMAL LIMITS. NO SIGNIFICANT PLEURAL EFFUSIONS. 2.LEFT CHEST WALL PACEMAKER WITH ELECTRODES IN RIGHT ATRIUM AND RIGHT VENTRICLE. NO EVIDENCE OF PNEUMOTHORAX. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. " 204898,CheXpert_Demo_Images\train\patient52031\study1\view1_frontal.jpg,patient52031,"NARRATIVE: CHEST AP PORTABLE: 3/3/2018 COMPARISON: 3-3-2018 CLINICAL DATA: A 65-year-old female, rule out infiltrate. IMPRESSION: 1. LEVOSCOLIOSIS OF THE THORACIC SPINE. 2. BILATERAL APICAL PLEURAL PARENCHYMAL THICKENING. 3. LEFT BASE OPACITY CONSISTENT WITH ATELECTASIS AND/OR CONSOLIDATION. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 02200778 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LEVOSCOLIOSIS OF THE THORACIC SPINE. 2. BILATERAL APICAL PLEURAL PARENCHYMAL THICKENING. 3. LEFT BASE OPACITY CONSISTENT WITH ATELECTASIS AND/OR CONSOLIDATION. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 213847,CheXpert_Demo_Images\train\patient57621\study1\view1_frontal.jpg,patient57621,"NARRATIVE: Exam: Chest 1 View, 11/11/02 Clinical History: 63 years old Male with Pneumonia (ICU) Comparison: november 2002, 11-11-2002 and November 11 02 Impression: 1. PERSISTENT MILD TO MODERATE PULMONARY EDEMA WITH MILD BILATERAL BASILAR ATELECTASIS, STABLE. 2.CARDIOMEDIASTINAL SILHOUETTE IS ALSO STABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 9-0-5-0-5-6-1-7-9 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PERSISTENT MILD TO MODERATE PULMONARY EDEMA WITH MILD BILATERAL BASILAR ATELECTASIS, STABLE. 2.CARDIOMEDIASTINAL SILHOUETTE IS ALSO STABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED " 214693,CheXpert_Demo_Images\train\patient58129\study1\view1_frontal.jpg,patient58129,"NARRATIVE: Chest 1 View 11/10/06 CLINICAL HISTORY: 42 years-old Female. Postop COMPARISON: 11-10-2006 IMPRESSION: 1.SEMIUPRIGHT AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF RIGHT-SIDED CENTRAL VENOUS CATHETER. INTERVAL PLACEMENT OF A LEFT SWAN-GANZ CATHETER WITH TIP IN THE RIGHT PULMONARY ARTERY. NO EVIDENCE OF PNEUMOTHORAX 2.THERE IS INTERVAL DEVELOPMENT OF PNEUMOPERITONEUM WITH DEMONSTRATION OF AIR UNDERNEATH THE ELEVATED RIGHT HEMIDIAPHRAGM. 3.INTERVAL DEVELOPMENT OF BIBASILAR ATELECTASIS SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #980655583 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SEMIUPRIGHT AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF RIGHT-SIDED CENTRAL VENOUS CATHETER. INTERVAL PLACEMENT OF A LEFT SWAN-GANZ CATHETER WITH TIP IN THE RIGHT PULMONARY ARTERY. NO EVIDENCE OF PNEUMOTHORAX 2.THERE IS INTERVAL DEVELOPMENT OF PNEUMOPERITONEUM WITH DEMONSTRATION OF AIR UNDERNEATH THE ELEVATED RIGHT HEMIDIAPHRAGM. 3.INTERVAL DEVELOPMENT OF BIBASILAR ATELECTASIS ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 145248,CheXpert_Demo_Images\train\patient34804\study2\view1_frontal.jpg,patient34804,"NARRATIVE: Chest 1 View: 10/8/2003 HISTORY: 98 year old Male, Critical care follow-up(ICU). COMPARISON: 10/8/2003 IMPRESSION: 1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES SLIGHT INTERVAL IMPROVEMENT IN BILATERAL RETICULAR OPACITIES, WHICH MAY REFLECT MILD PULMONARY EDEMA SUPERIMPOSED ON UNDERLYING EMPHYSEMA. 2.STABLE LOW LUNG VOLUMES. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 368791312501 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES SLIGHT INTERVAL IMPROVEMENT IN BILATERAL RETICULAR OPACITIES, WHICH MAY REFLECT MILD PULMONARY EDEMA SUPERIMPOSED ON UNDERLYING EMPHYSEMA. 2.STABLE LOW LUNG VOLUMES. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 145422,CheXpert_Demo_Images\train\patient34839\study1\view1_frontal.jpg,patient34839,"NARRATIVE: SINGLE VIEW OF THE CHEST: 12/9/2006 COMPARISON: 12/9/2006 at 1128 hours. CLINICAL HISTORY: A 59-year-old female status post axillary vein puncture for lead placement, please evaluate for pneumothorax. IMPRESSION: 1. SINGLE VIEW OF THE CHEST DEMONSTRATES LEFT ANTERIOR CHESTWALL PACEMAKER WITH ATRIAL AND VENTRICULAR LEADS, AORTIC AND MITRAL VALVE PROSTHESES AND MULTIPLE MEDIAN STERNOTOMY WIRES, UNCHANGED FROM PRIOR. 2. NO EVIDENCE OF PNEUMOTHORAX. 3. NO PULMONARY EDEMA. SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: MM6-UZJ-M0C-RN This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE VIEW OF THE CHEST DEMONSTRATES LEFT ANTERIOR CHESTWALL PACEMAKER WITH ATRIAL AND VENTRICULAR LEADS, AORTIC AND MITRAL VALVE PROSTHESES AND MULTIPLE MEDIAN STERNOTOMY WIRES, UNCHANGED FROM PRIOR. 2. NO EVIDENCE OF PNEUMOTHORAX. 3. NO PULMONARY EDEMA. "," 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 206924,CheXpert_Demo_Images\train\patient53305\study1\view1_frontal.jpg,patient53305,"NARRATIVE: Chest 1 View: 9/15/2015 HISTORY: Male, 38 years old, reason for exam: ""ICU "". COMPARISON: Chest radiograph 9-15-2015. IMPRESSION: 1.STABLE POSITIONING OF THE ENDOTRACHEAL TUBE, SPINAL FIXATION HARDWARE, LEFT SUBCLAVIAN CATHETER AND PLACEMENT OF THE FEEDING TUBE IN THE ABDOMEN 2.NO PNEUMOTHORAX 3.BIBASILAR OPACITIES WHICH COULD REPRESENT ATELECTASIS VERSUS CONSOLIDATION 4.INCREASING LEFT PLEURAL EFFUSION SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 210588346975 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.STABLE POSITIONING OF THE ENDOTRACHEAL TUBE, SPINAL FIXATION HARDWARE, LEFT SUBCLAVIAN CATHETER AND PLACEMENT OF THE FEEDING TUBE IN THE ABDOMEN 2.NO PNEUMOTHORAX 3.BIBASILAR OPACITIES WHICH COULD REPRESENT ATELECTASIS VERSUS CONSOLIDATION 4.INCREASING LEFT PLEURAL EFFUSION ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 140625,CheXpert_Demo_Images\train\patient33824\study1\view1_frontal.jpg,patient33824,"NARRATIVE: CHEST AP PORTABLE: 10/30/08 IMPRESSION: 1. SUPINE VIEW OF THE CHEST ON THE TRAUMA BACKBOARD IS LIMITED SECONDARY TO TECHNIQUE AND LOW LUNG VOLUMES. 2. THE LUNGS ARE CLEAR. THE CARDIOMEDIASTINAL SILHOUETTE IS AT THE UPPER LIMITS OF NORMAL, WHICH IS LIKELY SECONDARY TO SUPINE AND PORTABLE TECHNIQUE. IF CLINICALLY INDICATED, THIS COULD BE FURTHER EVALUATED BY PA AND LATERAL VIEW OF THE CHEST. NO PNEUMOTHORAX. THE OSSEOUS STRUCTURES ARE UNREMARKABLE. END OF IMPRESSION: ACCESSION NUMBER: 7432E32 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SUPINE VIEW OF THE CHEST ON THE TRAUMA BACKBOARD IS LIMITED SECONDARY TO TECHNIQUE AND LOW LUNG VOLUMES. 2. THE LUNGS ARE CLEAR. THE CARDIOMEDIASTINAL SILHOUETTE IS AT THE UPPER LIMITS OF NORMAL, WHICH IS LIKELY SECONDARY TO SUPINE AND PORTABLE TECHNIQUE. IF CLINICALLY INDICATED, THIS COULD BE FURTHER EVALUATED BY PA AND LATERAL VIEW OF THE CHEST. NO PNEUMOTHORAX. THE OSSEOUS STRUCTURES ARE UNREMARKABLE. ", 47437,CheXpert_Demo_Images\train\patient11499\study1\view1_frontal.jpg,patient11499,"NARRATIVE: CHEST X-RAY: 8/4/2022 DATE OF PREVIOUS: 5-12-2013 CLINICAL INFORMATION: Postoperative. IMPRESSION: 1. AP SUPINE CHEST RADIOGRAPH. THERE HAS BEEN INTERVAL MEDIAN STERNOTOMY, WITH MEDIASTINAL DRAINS. THE PATIENT IS INTUBATED; WITH THE TIP OF THE ENDOTRACHEAL TUBE 3.5 CM ABOVE THE CARINA. A NASOGASTRIC TUBE IS ALSO PRESENT, WITH THE TIP AND SIDE-PORT BELOW THE LEFT HEMIDIAPHRAGM. A RIGHT INTERNAL JUGULAR VENOUS LINE AND CATHETER ARE PRESENT, WITH THE TIP IN THE PROXIMAL SUPERIOR VENA CAVA. 2. LUNG VOLUMES ARE LOW. THERE IS OPACIFICATION IN THE RETROCARDIAC REGION, CONSISTENT WITH ATELECTASIS OR CONSOLIDATION, AND THERE IS ALSO A SMALL LEFT PLEURAL EFFUSION. 3. MILD BAND ATELECTASIS IS ALSO SEEN AT THE RIGHT BASE. 4. PROMINENT BRIDGING OSTEOPHYTOSIS IS SEEN ON THE RIGHT IN THE LOWER THORACIC SPINE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 577-305-5 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP SUPINE CHEST RADIOGRAPH. THERE HAS BEEN INTERVAL MEDIAN STERNOTOMY, WITH MEDIASTINAL DRAINS. THE PATIENT IS INTUBATED; WITH THE TIP OF THE ENDOTRACHEAL TUBE 3.5 CM ABOVE THE CARINA. A NASOGASTRIC TUBE IS ALSO PRESENT, WITH THE TIP AND SIDE-PORT BELOW THE LEFT HEMIDIAPHRAGM. A RIGHT INTERNAL JUGULAR VENOUS LINE AND CATHETER ARE PRESENT, WITH THE TIP IN THE PROXIMAL SUPERIOR VENA CAVA. 2. LUNG VOLUMES ARE LOW. THERE IS OPACIFICATION IN THE RETROCARDIAC REGION, CONSISTENT WITH ATELECTASIS OR CONSOLIDATION, AND THERE IS ALSO A SMALL LEFT PLEURAL EFFUSION. 3. MILD BAND ATELECTASIS IS ALSO SEEN AT THE RIGHT BASE. 4. PROMINENT BRIDGING OSTEOPHYTOSIS IS SEEN ON THE RIGHT IN THE LOWER THORACIC SPINE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 87850,CheXpert_Demo_Images\train\patient21096\study3\view2_lateral.jpg,patient21096,"NARRATIVE: CHEST, TWO VIEWS: CLINICAL HISTORY: 56 -year-old male with possible early obstruction. COMPARISON: 11/23/2020 TECHNIQUE: Two views of the chest. IMPRESSION: 1. NO SIGNIFICANT INTERVAL CHANGE IN TRACHEOSTOMY AND LEFT SIDED PICC LINE POSITIONS. 2. REDEMONSTRATION OF EXTENSIVE PATCHY CONSOLIDATION SEEN IN THE MID-LOWER LUNG ZONES BILATERALLY WITH PLEURAL THICKENING SEEN IN THE RIGHT LOWER HEMITHORAX. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #viqlgh This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO SIGNIFICANT INTERVAL CHANGE IN TRACHEOSTOMY AND LEFT SIDED PICC LINE POSITIONS. 2. REDEMONSTRATION OF EXTENSIVE PATCHY CONSOLIDATION SEEN IN THE MID-LOWER LUNG ZONES BILATERALLY WITH PLEURAL THICKENING SEEN IN THE RIGHT LOWER HEMITHORAX. "," 2: ABNORMAL, PREVIOUSLY REPORTED " 107631,CheXpert_Demo_Images\train\patient25873\study1\view1_frontal.jpg,patient25873,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 9-6-04 CLINICAL HISTORY: 95 year old of age, Male, Stroke Protocol. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Postsurgical changes with intact median sternotomy wires. Aortic calcifications and large calcified AP window node are noted. The lung parenchyma is clear. Blunted right costophrenic angle may reflect scarring or small pleural effusion. Severe degenerative changes in the bilateral shoulders. IMPRESSION: 1. Blunted right costophrenic angle may reflect scarring or small pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 479951348 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Postsurgical changes with intact median sternotomy wires. Aortic calcifications and large calcified AP window node are noted. The lung parenchyma is clear. Blunted right costophrenic angle may reflect scarring or small pleural effusion. Severe degenerative changes in the bilateral shoulders. "," 1. Blunted right costophrenic angle may reflect scarring or small pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 106764,CheXpert_Demo_Images\train\patient25666\study1\view1_frontal.jpg,patient25666,"NARRATIVE: EXAMINATION: CHEST, TWO VIEWS COMPARISON: NONE CLINICAL INDICATION: CHEST PAIN FINDINGS: Heart size is at the upper limits of normal. The aorta is mildly tortuous, with atherosclerotic calcifications of the aortic arch. There is no evidence of pneumonia or edema. However, incidentally noted, there is a 7-mm nodular density in the left lower lobe (adjacent to what is likely a nipple shadow). There is blunting of both costophrenic angles, representing either tiny pleural effusions or pleural thickening. There is no pneumothorax. There is no free air under the diaphragms. There are no acute bony abnormalities. IMPRESSION: 1. NO EVIDENCE OF PNEUMONIA OR EDEMA. 2. POSSIBLE 7-MM NODULE AT THE LEFT BASE. COMPARISON WITH OLD EXAMINATIONS IS RECOMMENDED. IF NO OLD EXAMINATIONS ARE AVAILABLE, CT COULD BE CONSIDERED. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: #0926043761 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Heart size is at the upper limits of normal. The aorta is mildly tortuous, with atherosclerotic calcifications of the aortic arch. There is no evidence of pneumonia or edema. However, incidentally noted, there is a 7-mm nodular density in the left lower lobe (adjacent to what is likely a nipple shadow). There is blunting of both costophrenic angles, representing either tiny pleural effusions or pleural thickening. There is no pneumothorax. There is no free air under the diaphragms. There are no acute bony abnormalities. "," 1. NO EVIDENCE OF PNEUMONIA OR EDEMA. 2. POSSIBLE 7-MM NODULE AT THE LEFT BASE. COMPARISON WITH OLD EXAMINATIONS IS RECOMMENDED. IF NO OLD EXAMINATIONS ARE AVAILABLE, CT COULD BE CONSIDERED. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 7592,CheXpert_Demo_Images\train\patient01867\study1\view1_frontal.jpg,patient01867,"NARRATIVE: EXAM: Chest 2 Views, 8/14/2008 CLINICAL HISTORY: Male of 88 years. Reason for study: ""Follow up CXR for Pneumonia"" COMPARISON: 8/14/2008 chest x-ray, CT thorax 8/14/08 FINDINGS: Minimal infiltrates noted in the left lung base. Reticular markings of the right greater than left hemithorax suggestive of chronic underlying lung disease. No pleural effusions. Stable right apical greater than left apical pleural thickening. The cardiomediastinal silhouette is unchanged. Atherosclerotic disease and ectasia of the thoracic aorta is again noted. Pulmonary vascularity is within normal limits. The trachea is similar in configuration. No acute osseous abnormalities. IMPRESSION: 1.MINIMAL INFILTRATES NOTED IN THE LEFT LUNG BASE; HOWEVER, THIS IS IMPROVED IN APPEARANCE COMPARED TO 2009. THERE ARE RETICULAR MARKINGS OF THE RIGHT GREATER THAN LEFT HEMITHORAX SUGGESTIVE OF CHRONIC UNDERLYING LUNG DISEASE. FINDINGS OF THE LEFT LUNG BASE MAY REPRESENT CHANGES OF CHRONIC LUNG DISEASE VERSUS IMPROVING CONSOLIDATIVE PROCESS OR INFILTRATE, SUCH AS A RESOLVING PNEUMONIA IN THE APPROPRIATE CLINICAL SETTING. 2.OTHERWISE, THERE IS NO SIGNIFICANT INTERVAL CHANGE. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 4110963 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Minimal infiltrates noted in the left lung base. Reticular markings of the right greater than left hemithorax suggestive of chronic underlying lung disease. No pleural effusions. Stable right apical greater than left apical pleural thickening. The cardiomediastinal silhouette is unchanged. Atherosclerotic disease and ectasia of the thoracic aorta is again noted. Pulmonary vascularity is within normal limits. The trachea is similar in configuration. No acute osseous abnormalities. "," 1.MINIMAL INFILTRATES NOTED IN THE LEFT LUNG BASE; HOWEVER, THIS IS IMPROVED IN APPEARANCE COMPARED TO 2009. THERE ARE RETICULAR MARKINGS OF THE RIGHT GREATER THAN LEFT HEMITHORAX SUGGESTIVE OF CHRONIC UNDERLYING LUNG DISEASE. FINDINGS OF THE LEFT LUNG BASE MAY REPRESENT CHANGES OF CHRONIC LUNG DISEASE VERSUS IMPROVING CONSOLIDATIVE PROCESS OR INFILTRATE, SUCH AS A RESOLVING PNEUMONIA IN THE APPROPRIATE CLINICAL SETTING. 2.OTHERWISE, THERE IS NO SIGNIFICANT INTERVAL CHANGE. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 66737,CheXpert_Demo_Images\train\patient16061\study2\view1_frontal.jpg,patient16061,"NARRATIVE: CHEST: Two view 10/30/01 0800 COMPARISON: 10-30-2001 IMPRESSION: 1. NO INTERVAL CHANGE. AICD AGAIN NOTED WITH NO EVIDENCE OF PNEUMOTHORAX, PULMONARY EDEMA OR OTHER SIGNIFICANT ABNORMALITY. END OF IMPRESSION: SUMMARY 1: NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 51409 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO INTERVAL CHANGE. AICD AGAIN NOTED WITH NO EVIDENCE OF PNEUMOTHORAX, PULMONARY EDEMA OR OTHER SIGNIFICANT ABNORMALITY. "," 1: NO SIGNIFICANT ABNORMALITY " 213880,CheXpert_Demo_Images\train\patient57641\study1\view1_frontal.jpg,patient57641,"NARRATIVE: CHEST: One AP portable, one lateral view. COMPARISON: Chest x-ray 4/9/2009. CLINICAL HISTORY: Pelvic chondrosarcoma. IMPRESSION: 1. AP CHEST DEMONSTRATES MILD NONSPECIFIC INTERSTITIAL PROMINENCE WITHIN THE BILATERAL LUNGS WHICH MAY BE POST INFECTIOUS. NO EVIDENCE FOR ACUTE CARDIOPULMONARY ABNORMALITY. TORTUOUS AORTA. OTHERWISE CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. OLD LEFT SIDED RIB FRACTURE. 2. THE LATERAL VIEW DEMONSTRATES COMPRESSION FRACTURES OF TWO THORACIC VERTEBRAL BODIES AND DIFFUSE OSTEOPENIA. RECOMMEND CORRELATION FOR SYMPTOMS. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: archer, li on: 4/9/2009 ACCESSION NUMBER: 04369735 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP CHEST DEMONSTRATES MILD NONSPECIFIC INTERSTITIAL PROMINENCE WITHIN THE BILATERAL LUNGS WHICH MAY BE POST INFECTIOUS. NO EVIDENCE FOR ACUTE CARDIOPULMONARY ABNORMALITY. TORTUOUS AORTA. OTHERWISE CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. OLD LEFT SIDED RIB FRACTURE. 2. THE LATERAL VIEW DEMONSTRATES COMPRESSION FRACTURES OF TWO THORACIC VERTEBRAL BODIES AND DIFFUSE OSTEOPENIA. RECOMMEND CORRELATION FOR SYMPTOMS. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: archer, li on: 4/9/2009 " 16416,CheXpert_Demo_Images\train\patient04096\study1\view1_frontal.jpg,patient04096,"NARRATIVE: EXAM: Chest 1 View Portable, 11/14/15 CLINICAL HISTORY: 49 years Male Rule out pneumothorax COMPARISON: None IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.THERE IS NO EVIDENCE OF PNEUMOTHORAX. 3.MINIMAL PROMINENCE OF THE CENTRAL VASCULARITY, RELATED TO MILD PULMONARY EDEMA. OTHERWISE, LUNGS ARE CLEAR. 4.VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #RDXIOWS This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.THERE IS NO EVIDENCE OF PNEUMOTHORAX. 3.MINIMAL PROMINENCE OF THE CENTRAL VASCULARITY, RELATED TO MILD PULMONARY EDEMA. OTHERWISE, LUNGS ARE CLEAR. 4.VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 102290,CheXpert_Demo_Images\train\patient24585\study5\view1_frontal.jpg,patient24585,"NARRATIVE: TWO-VIEW CHEST: 2014/25 COMPARISON: 7/25/2014 CLINICAL HISTORY: Coughing, evaluate for pneumonia. FINDINGS: There is redemonstration of biapical pleural parenchymal thickening. No evidence for focal consolidation. Cardiomediastinal silhouette appears unchanged compared to the prior study. Overall, no significant interval change compared to the prior study. IMPRESSION: 1. NO SIGNIFICANT CHANGE COMPARED TO THE PRIOR STUDY. THERE IS BIAPICAL PLEURAL PARENCHYMAL THICKENING. NO FOCAL CONSOLIDATION. NO CHANGE IN THE APPEARANCE OF THE CARDIOMEDIASTINAL SILHOUETTE. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Walls Jenalyn, MD on: JULY 2014 ACCESSION NUMBER: 005-636-534-807 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is redemonstration of biapical pleural parenchymal thickening. No evidence for focal consolidation. Cardiomediastinal silhouette appears unchanged compared to the prior study. Overall, no significant interval change compared to the prior study. "," 1. NO SIGNIFICANT CHANGE COMPARED TO THE PRIOR STUDY. THERE IS BIAPICAL PLEURAL PARENCHYMAL THICKENING. NO FOCAL CONSOLIDATION. NO CHANGE IN THE APPEARANCE OF THE CARDIOMEDIASTINAL SILHOUETTE. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Walls Jenalyn, MD on: JULY 2014 " 124929,CheXpert_Demo_Images\train\patient29936\study3\view2_lateral.jpg,patient29936,"NARRATIVE: EXAM: Chest 2 Views, 9/10/2005 CLINICAL HISTORY: Evaluate chest pain COMPARISON: 9-10-2005: 2-1-2015 IMPRESSION: 1.TWO VIEWS OF THE CHEST DEMONSTRATES CLEAR LUNGS BILATERALLY WITHOUT FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 2.NO PULMONARY EDEMA. 3.NORMAL CARDIOMEDIASTINAL SILHOUETTE. 4.EMBOLIZATION COILS PROJECT OVER THE RIGHT MID ABDOMEN. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 9859047 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.TWO VIEWS OF THE CHEST DEMONSTRATES CLEAR LUNGS BILATERALLY WITHOUT FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 2.NO PULMONARY EDEMA. 3.NORMAL CARDIOMEDIASTINAL SILHOUETTE. 4.EMBOLIZATION COILS PROJECT OVER THE RIGHT MID ABDOMEN. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 179051,CheXpert_Demo_Images\train\patient42082\study2\view1_frontal.jpg,patient42082,"NARRATIVE: CHEST, ONE VIEW: 3/31/2001 CLINICAL HISTORY 56 -year-old male with left traumatic pneumothorax. COMPARISON: 3/31/2001 IMPRESSION: 1. INTERVAL REMOVAL OF THE LEFT CHEST TUBE WITH A STABLE SMALL LEFT SIDED PNEUMOTHORAX WITH A STABLE SMALL LEFT APICAL PNEUMOTHORAX. 2. INCREASED OPACITY IN THE LEFT LUNG BASE WITH OBSCURATION OF THE HEMIDIAPHRAGM PRESUMABLY RELATED TO ATELECTASIS. 3. REDEMONSTRATION OF MULTIPLE LEFT SIDED RIB FRACTURES AS WELL AS A COMMINUTED MID LEFT CLAVICLE FRACTURE. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: HARDY PIPER, MD on: MARCH 31 ACCESSION NUMBER: #33-02-14-06-16-4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF THE LEFT CHEST TUBE WITH A STABLE SMALL LEFT SIDED PNEUMOTHORAX WITH A STABLE SMALL LEFT APICAL PNEUMOTHORAX. 2. INCREASED OPACITY IN THE LEFT LUNG BASE WITH OBSCURATION OF THE HEMIDIAPHRAGM PRESUMABLY RELATED TO ATELECTASIS. 3. REDEMONSTRATION OF MULTIPLE LEFT SIDED RIB FRACTURES AS WELL AS A COMMINUTED MID LEFT CLAVICLE FRACTURE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: HARDY PIPER, MD on: MARCH 31 " 128555,CheXpert_Demo_Images\train\patient30804\study1\view1_frontal.jpg,patient30804,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 3/20/2014 COMPARISON: None. CLINICAL HISTORY: Trauma. IMPRESSION: 1. SINGLE VIEW OF THE CHEST DEMONSTRATE LOW LUNG VOLUMES. NO EVIDENCE OF PNEUMOTHORAX OR SIGNIFICANT AIRSPACE DISEASE. NO BONY ABNORMALITY. END OF IMPRESSION. SUMMARY: 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: daniela, cummings on: 3/20/2014 ACCESSION NUMBER: #81645997 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE VIEW OF THE CHEST DEMONSTRATE LOW LUNG VOLUMES. NO EVIDENCE OF PNEUMOTHORAX OR SIGNIFICANT AIRSPACE DISEASE. NO BONY ABNORMALITY. "," 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: daniela, cummings on: 3/20/2014 " 110817,CheXpert_Demo_Images\train\patient26588\study4\view1_frontal.jpg,patient26588,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/19/2015 CLINICAL HISTORY: 68 years of age, Female, R/o pneumothorax s/p thoracentesis right side. COMPARISON: 5/19/15 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Interval placement of a tunneled right internal jugular catheter with the tip located 3.5 cm below the carina. Lung volumes are diminished. Redemonstration of right base opacities and a moderate-sized right pleural effusion, slightly decreased from the prior exam. No evidence of pneumothorax. Blunting of the left costophrenic sulcus may be related to pleural thickening or a small left pleural effusion. Multiple vertebral bodies throughout the thoracic spine demonstrate increased density, compatible with patient's known osseous metastatic disease. Stable cardiomediastinal silhouette. IMPRESSION: 1. Slight interval decrease in right-sided pleural effusion. The remainder of the chest is otherwise unchanged. ""Physician to Physician Radiology Consult Line: (166) 171-5600"" ACCESSION NUMBER: 77492369 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval placement of a tunneled right internal jugular catheter with the tip located 3.5 cm below the carina. Lung volumes are diminished. Redemonstration of right base opacities and a moderate-sized right pleural effusion, slightly decreased from the prior exam. No evidence of pneumothorax. Blunting of the left costophrenic sulcus may be related to pleural thickening or a small left pleural effusion. Multiple vertebral bodies throughout the thoracic spine demonstrate increased density, compatible with patient's known osseous metastatic disease. Stable cardiomediastinal silhouette. "," 1. Slight interval decrease in right-sided pleural effusion. The remainder of the chest is otherwise unchanged. ""Physician to Physician Radiology Consult Line: (166) 171-5600"" ", 207739,CheXpert_Demo_Images\train\patient53803\study1\view1_frontal.jpg,patient53803,"NARRATIVE: SINGLE VIEW OF THE CHEST: 9-30-2020. CLINICAL HISTORY: Hypotension. COMPARISON: No prior films for comparison. IMPRESSION: 1. THERE IS A DUAL LEAD PACEMAKER PROJECTED OVER THE LEFT PECTORALIS. THE PATIENT IS TURNED TOWARDS THE LEFT. THERE IS AN ENLARGED CARDIAC SILHOUETTE. THERE IS NO PNEUMOTHORAX. 2. ONE OF THE TWO LEADS IS DISCONNECTED TO THE PACEMAKER. THIS FINDING WAS CALLED TO Andre, Atkinson WHO REPORTED THAT THE ATRIAL LEAD WAS NOT FUNCTIONING AND WAS PURPOSELY CAPPED OFF AND DISCONNECTED TO THE PACEMAKER. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 7TJ7CLX This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE IS A DUAL LEAD PACEMAKER PROJECTED OVER THE LEFT PECTORALIS. THE PATIENT IS TURNED TOWARDS THE LEFT. THERE IS AN ENLARGED CARDIAC SILHOUETTE. THERE IS NO PNEUMOTHORAX. 2. ONE OF THE TWO LEADS IS DISCONNECTED TO THE PACEMAKER. THIS FINDING WAS CALLED TO Andre, Atkinson WHO REPORTED THAT THE ATRIAL LEAD WAS NOT FUNCTIONING AND WAS PURPOSELY CAPPED OFF AND DISCONNECTED TO THE PACEMAKER. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 216520,CheXpert_Demo_Images\train\patient59243\study1\view1_frontal.jpg,patient59243,"NARRATIVE: PORTABLE CHEST CLINICAL HISTORY: Upper gastrointestinal bleed. Check PICC line placement. COMPARISON: 4/11/2019. IMPRESSION: 1. INTERVAL PLACEMENT OF RIGHT UPPER EXTREMITY PICC LINE, TIP SEEN CURVED BACK ON ITSELF IN THE PROXIMAL SVC. 2. LOW LUNG VOLUMES WITHOUT OVERT PULMONARY EDEMA. 3. BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE MAY REPRESENT SMALL PLEURAL EFFUSION. 4. STABLE MILD CARDIOMEGALY. CALCIFIED AORTA AGAIN NOTED. END OF IMPRESSION: PORTABLE CHEST ONE VIEW 4/11/2019 AT 1435 HOURS 7995114 IMPRESSION: 1. RIGHT UPPER EXTREMITY PICC LINE TIP REPOSITIONED TO DISTAL SVC. 2. PERSISTENT LOW LUNG VOLUMES WITH LEFT RETROCARDIAC DENSITY MOST LIKELY REPRESENTING ATELECTASIS. 3. PERSISTENT BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE. NO OVERT PULMONARY EDEMA. 4. STABLE MILD CARDIOMEGALY. END OF IMPRESSION: __________________________________ ACCESSION NUMBER: 7995114 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF RIGHT UPPER EXTREMITY PICC LINE, TIP SEEN CURVED BACK ON ITSELF IN THE PROXIMAL SVC. 2. LOW LUNG VOLUMES WITHOUT OVERT PULMONARY EDEMA. 3. BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE MAY REPRESENT SMALL PLEURAL EFFUSION. 4. STABLE MILD CARDIOMEGALY. CALCIFIED AORTA AGAIN NOTED. ", 172853,CheXpert_Demo_Images\train\patient40390\study2\view1_frontal.jpg,patient40390,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: September 12 hours RADIOGRAPHIC EXAMINATION OF THE CHEST: 2017 September 12 hours CLINICAL HISTORY: 72 years of age, Male, Tachypnea. COMPARISON: 9/12/2017 at 10:43 hours PROCEDURE COMMENTS: Sequential single views of the chest. FINDINGS: Upright portable view of the chest dated 9-12-2017 at 0951 hours demonstrates unchanged positioning of a right internal jugular venous sheath, feeding tube, right upper abdominal pigtail catheter, and left upper extremity PICC line. Interval placement of a right pleural pigtail catheter. Bibasilar consolidations and small bilateral pleural effusions persist. Low lung volumes. Mild to moderate edema. No pneumothorax. Patchy opacities in the left midlung and right upper lobe may represent sequelae of aspiration, atelectasis or infection. Semiupright portable chest radiograph dated 9/12/2017 at 2209 hours demonstrates no significant interval change. IMPRESSION: 1. Interval placement of a right pleural pigtail catheter. Other lines, tubes unchanged. 2. Bibasilar consolidations and small bilateral pleural effusions persist. Low lung volumes. Mild to moderate edema. Patchy opacities in the left midlung and right upper lobe may represent sequelae of aspiration, atelectasis or infection. No pneumothorax. ACCESSION NUMBER: 598Q6BK06G8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Upright portable view of the chest dated 9-12-2017 at 0951 hours demonstrates unchanged positioning of a right internal jugular venous sheath, feeding tube, right upper abdominal pigtail catheter, and left upper extremity PICC line. Interval placement of a right pleural pigtail catheter. Bibasilar consolidations and small bilateral pleural effusions persist. Low lung volumes. Mild to moderate edema. No pneumothorax. Patchy opacities in the left midlung and right upper lobe may represent sequelae of aspiration, atelectasis or infection. Semiupright portable chest radiograph dated 9/12/2017 at 2209 hours demonstrates no significant interval change. "," 1. Interval placement of a right pleural pigtail catheter. Other lines, tubes unchanged. 2. Bibasilar consolidations and small bilateral pleural effusions persist. Low lung volumes. Mild to moderate edema. Patchy opacities in the left midlung and right upper lobe may represent sequelae of aspiration, atelectasis or infection. No pneumothorax. ", 194845,CheXpert_Demo_Images\train\patient47472\study5\view1_frontal.jpg,patient47472,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 3/2/2021 COMPARISON: 3-2-21 IMPRESSION: LINES AND LIFE-SUPPORTING DEVICES UNCHANGED. UNCHANGED CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE. NO PLEURAL EFFUSION. NO PULMONARY INFILTRATES. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 03266583793 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," LINES AND LIFE-SUPPORTING DEVICES UNCHANGED. UNCHANGED CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE. NO PLEURAL EFFUSION. NO PULMONARY INFILTRATES. ","2-ABNORMAL, PREVIOUSLY REPORTED " 139873,CheXpert_Demo_Images\train\patient33620\study7\view1_frontal.jpg,patient33620,"NARRATIVE: CHEST: JULY 09 COMPARISON: 7-9-2004 CLINICAL HISTORY: 45 -year-old male with respiratory failure. IMPRESSION: 1. SINGLE FRONTAL UPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF RIGHT INTERNAL JUGULAR CATHETER. 2. REDEMONSTRATION OF CARDIOMEGALY AND PULMONARY EDEMA WITH NO SIGNIFICANT INTERVAL CHANGE FROM THE PRIOR STUDY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: XG0782 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL UPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF RIGHT INTERNAL JUGULAR CATHETER. 2. REDEMONSTRATION OF CARDIOMEGALY AND PULMONARY EDEMA WITH NO SIGNIFICANT INTERVAL CHANGE FROM THE PRIOR STUDY. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 84291,CheXpert_Demo_Images\train\patient20280\study1\view1_frontal.jpg,patient20280,"NARRATIVE: PORTABLE CHEST SINGLE VIEW: 1-14-2016 CLINICAL HISTORY: 85-year-old female with nausea. COMPARISON: None available. FINDINGS: Trachea is midline. Cardiomediastinal silhouette within normal limits. Patchy irregular opacities in the upper lobes bilaterally and lower lobes bilaterally. Pulmonary edema is present. Small bilateral pleural effusions. Osteoarthritis and rotator cuff injuries to both shoulder joints. IMPRESSION: 1. IRREGULAR PATCHY OPACITIES IN UPPER AND LOWER LOBES BILATERALLY CONCERNING FOR INFECTION, HEMORRHAGE, OR EDEMA. 2. SMALL BILATERAL PLEURAL EFFUSIONS. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Avery, Brianna on: JANUARY 2016 ACCESSION NUMBER: 46086060600680 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Trachea is midline. Cardiomediastinal silhouette within normal limits. Patchy irregular opacities in the upper lobes bilaterally and lower lobes bilaterally. Pulmonary edema is present. Small bilateral pleural effusions. Osteoarthritis and rotator cuff injuries to both shoulder joints. "," 1. IRREGULAR PATCHY OPACITIES IN UPPER AND LOWER LOBES BILATERALLY CONCERNING FOR INFECTION, HEMORRHAGE, OR EDEMA. 2. SMALL BILATERAL PLEURAL EFFUSIONS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Avery, Brianna on: JANUARY 2016 " 222133,CheXpert_Demo_Images\train\patient63548\study1\view1_frontal.jpg,patient63548,"NARRATIVE: SINGLE VIEW OF THE CHEST: 2/28/2003 COMPARISON: 2-28-2003 CLINICAL HISTORY: Sepsis. IMPRESSION: 1. SINGLE PORTABLE SEMIUPRIGHT AP VIEW OF THE CHEST REDEMONSTRATES A RIGHT INTERNAL JUGULAR LINE UNCHANGED IN POSITION. 2. THERE ARE UNCHANGED OPACITIES IN THE RIGHT MIDDLE AND LOWER LUNG ZONES, WHICH MAY BE SECONDARY TO ATELECTASIS VS CONSOLIDATION. 3. LEFT LUNG IS CLEAR AND THE CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 375.288.398.46 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE SEMIUPRIGHT AP VIEW OF THE CHEST REDEMONSTRATES A RIGHT INTERNAL JUGULAR LINE UNCHANGED IN POSITION. 2. THERE ARE UNCHANGED OPACITIES IN THE RIGHT MIDDLE AND LOWER LUNG ZONES, WHICH MAY BE SECONDARY TO ATELECTASIS VS CONSOLIDATION. 3. LEFT LUNG IS CLEAR AND THE CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 193533,CheXpert_Demo_Images\train\patient46961\study1\view1_frontal.jpg,patient46961,"NARRATIVE: COMPARISON: None available. CLINICAL DATA: 36-year-old male status post intubation IMPRESSION: 1. ENDOTRACHEAL TUBE WITH THE TIP 3.5CM ABOVE THE CARINA. 2. RETROCARDIAC OPACITY AND LEFT PLEURAL EFFUSION. RIGHT LUNG IS CLEAR. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 5WQSZTNA This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ENDOTRACHEAL TUBE WITH THE TIP 3.5CM ABOVE THE CARINA. 2. RETROCARDIAC OPACITY AND LEFT PLEURAL EFFUSION. RIGHT LUNG IS CLEAR. ","2-ABNORMAL, PREVIOUSLY REPORTED " 121424,CheXpert_Demo_Images\train\patient29106\study1\view1_frontal.jpg,patient29106,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 2-4-2021 CLINICAL HISTORY: 23 years of age, Female, R/o pneumothorax. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Low volumes. Heart size within normal limits. No pneumothorax identified. Abnormal parenchymal opacity involving the right base. No effusions. Bony structures unremarkable. IMPRESSION: 1. No pneumothorax. 2. Abnormal parenchymal opacities in right base which may represent atelectasis or aspiration. ACCESSION NUMBER: glpbflek This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Low volumes. Heart size within normal limits. No pneumothorax identified. Abnormal parenchymal opacity involving the right base. No effusions. Bony structures unremarkable. "," 1. No pneumothorax. 2. Abnormal parenchymal opacities in right base which may represent atelectasis or aspiration. ", 62402,CheXpert_Demo_Images\train\patient15078\study1\view1_frontal.jpg,patient15078,"NARRATIVE: EXAM: Chest 1 View, 6/24/09 CLINICAL HISTORY: 60 years old Female in the ICU, Left subclavian central line COMPARISON: None TECHNIQUE: Single frontal view of chest on 6-24-2009 FINDINGS: Left subclavian line is seen with tip overlying the midline, presumably over the left brachiocephalic vein. No pneumothorax. Hazy bibasilar air space opacities are seen. No pleural effusions. Cardiac silhouette is mildly enlarged, which may be related to semiupright positioning. Visualized bones are intact. IMPRESSION: 1.LEFT SUBCLAVIAN LINE IS SEEN, WITH TIP OVERLYING THE MIDLINE, PRESUMABLY OVER THE LEFT BRACHIOCEPHALIC VEIN. 2.HAZY BIBASILAR AIR SPACE OPACITIES, WHICH COULD REPRESENT ATELECTASIS OR EARLY CONSOLIDATION. NO PNEUMOTHORAX. 3.FINDINGS WERE DISCUSSED WITH THE ICU TEAM ON June 24 AT 11:30 A.M. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #699703 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Left subclavian line is seen with tip overlying the midline, presumably over the left brachiocephalic vein. No pneumothorax. Hazy bibasilar air space opacities are seen. No pleural effusions. Cardiac silhouette is mildly enlarged, which may be related to semiupright positioning. Visualized bones are intact. "," 1.LEFT SUBCLAVIAN LINE IS SEEN, WITH TIP OVERLYING THE MIDLINE, PRESUMABLY OVER THE LEFT BRACHIOCEPHALIC VEIN. 2.HAZY BIBASILAR AIR SPACE OPACITIES, WHICH COULD REPRESENT ATELECTASIS OR EARLY CONSOLIDATION. NO PNEUMOTHORAX. 3.FINDINGS WERE DISCUSSED WITH THE ICU TEAM ON June 24 AT 11:30 A.M. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 103069,CheXpert_Demo_Images\train\patient24783\study1\view1_frontal.jpg,patient24783,"NARRATIVE: CHEST, TWO VIEWS: 1/30/2021 CLINICAL HISTORY: This is a 66-year-old man with abdominal mass, constipation, rule out METS. COMPARISON: None. IMPRESSION: 1. THE LUNGS ARE CLEAR, WITHOUT EVIDENCE FOR FOCAL INFILTRATES OR EDEMA. THE HEART SIZE IS WITHIN NORMAL LIMITS. 2. NO DEFINITE NODULES OR FOCAL MASS LESIONS TO SUGGEST METASTATIC DISEASE. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: MATA, ADRIANA on: 1/30/2021 ACCESSION NUMBER: QMN-RQZ-86Z This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE LUNGS ARE CLEAR, WITHOUT EVIDENCE FOR FOCAL INFILTRATES OR EDEMA. THE HEART SIZE IS WITHIN NORMAL LIMITS. 2. NO DEFINITE NODULES OR FOCAL MASS LESIONS TO SUGGEST METASTATIC DISEASE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: MATA, ADRIANA on: 1/30/2021 " 49518,CheXpert_Demo_Images\train\patient12031\study1\view1_frontal.jpg,patient12031,"NARRATIVE: PA AND LATERAL CHEST FILMS: 12/15/2006 COMPARISON: 12/15/2006 at 2130 hours. CLINICAL DATA: None given. IMPRESSION: 1. RETICULAR OPACIFICATION OF THE LEFT LUNG BASE. 2. ILL-DEFINED SUBTLE LOSS OF VASCULARITY IN THE LEFT LOWER LOBE MAY REPRESENT EARLY PNEUMONIA. WOULD RECOMMEND REPEATING CHEST X-RAY TOMORROW. 3. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 099 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RETICULAR OPACIFICATION OF THE LEFT LUNG BASE. 2. ILL-DEFINED SUBTLE LOSS OF VASCULARITY IN THE LEFT LOWER LOBE MAY REPRESENT EARLY PNEUMONIA. WOULD RECOMMEND REPEATING CHEST X-RAY TOMORROW. 3. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE. ","4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 13647,CheXpert_Demo_Images\train\patient03417\study3\view1_frontal.jpg,patient03417,"NARRATIVE: CHEST, 1/18/2004 HISTORY: Chest pain. COMPARISON: 1-18-2004. CHEST, PORTABLE UPRIGHT AP: IMPRESSION: 1. PERSISTENT PULMONARY VASCULAR CONGESTION WITH MILD BLURRING OF THE VASCULATURE OUTLINE WHICH COULD REPRESENT MILD PULMONARY EDEMA. 2. LOW LUNG VOLUMES WITH NO DENSE CONSOLIDATIONS SEEN. 3. TORTUOUS AORTA. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mary, Colon. on: 1/18/2004 ACCESSION NUMBER: 7154407945477 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PERSISTENT PULMONARY VASCULAR CONGESTION WITH MILD BLURRING OF THE VASCULATURE OUTLINE WHICH COULD REPRESENT MILD PULMONARY EDEMA. 2. LOW LUNG VOLUMES WITH NO DENSE CONSOLIDATIONS SEEN. 3. TORTUOUS AORTA. "," 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mary, Colon. on: 1/18/2004 " 170323,CheXpert_Demo_Images\train\patient39751\study1\view1_frontal.jpg,patient39751,"NARRATIVE: PORTABLE CHEST, 6-22-2014: COMPARISON: Comparison is made to a CT of the thorax dated 6-22-2014. FINDINGS: Portable one view of the chest demonstrates opacification in the right medial lung base. Multiple small nodular densities are seen within the left lower lung consistent with old granulomatous disease. No pleural effusions. The cardiomediastinal silhouette is unremarkable. No acute soft tissue or bony abnormality identified. IMPRESSION: 1. INTERVAL DEVELOPMENT OF A RIGHT MEDIAL LUNG BASE OPACITY CONSISTENT WITH CONSOLIDATION. 2. OLD GRANULOMATOUS DISEASE. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Sloan, Aiden. on: 6-22-14 ACCESSION NUMBER: 28352288 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Portable one view of the chest demonstrates opacification in the right medial lung base. Multiple small nodular densities are seen within the left lower lung consistent with old granulomatous disease. No pleural effusions. The cardiomediastinal silhouette is unremarkable. No acute soft tissue or bony abnormality identified. "," 1. INTERVAL DEVELOPMENT OF A RIGHT MEDIAL LUNG BASE OPACITY CONSISTENT WITH CONSOLIDATION. 2. OLD GRANULOMATOUS DISEASE. "," 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Sloan, Aiden. on: 6-22-14 " 60763,CheXpert_Demo_Images\train\patient14677\study1\view1_frontal.jpg,patient14677,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 8-18-2015 CLINICAL HISTORY: 75 years of age, Female, Intubation. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Status post intubation with the tip of the endotracheal tube projecting approximately 6 cm above the carina. A nasogastric tube is in place with the side port located at the gastroesophageal junction. Postsurgical status with multiple sternal cerclage wires and mediastinal surgical clips. Right dominant widening of the upper mediastinum in the context of the known large aortic aneurysm. The heart size itself appears normal. The pulmonary circulation appears within normal limits. Bilateral small pleural effusions with associated mild basilar opacities, likely representing atelectasis, are seen. No acute osseous findings. IMPRESSION: 1. Right dominant upper mediastinal widening in the context of the known large aortic aneurysm. 2. No pulmonary edema. 3. Bilateral small pleural effusions. ACCESSION NUMBER: 28EIDS1 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Status post intubation with the tip of the endotracheal tube projecting approximately 6 cm above the carina. A nasogastric tube is in place with the side port located at the gastroesophageal junction. Postsurgical status with multiple sternal cerclage wires and mediastinal surgical clips. Right dominant widening of the upper mediastinum in the context of the known large aortic aneurysm. The heart size itself appears normal. The pulmonary circulation appears within normal limits. Bilateral small pleural effusions with associated mild basilar opacities, likely representing atelectasis, are seen. No acute osseous findings. "," 1. Right dominant upper mediastinal widening in the context of the known large aortic aneurysm. 2. No pulmonary edema. 3. Bilateral small pleural effusions. ", 77832,CheXpert_Demo_Images\train\patient18715\study1\view1_frontal.jpg,patient18715,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 11-29-2021 CLINICAL HISTORY: 53-year-old male with near drowning, status post CPR by bystander. COMPARISON: None. FINDINGS: Cardiomediastinal silhouette is within normal limits. Pulmonary vasculature and lung parenchyma are unremarkable. No fractures are seen. There are scattered linear high densities noted which may be artifactural. One is noted projecting over the right lateral chest wall but lung markings are seen extending beyond it. If clinically concerned, recommend decubitus view to rule out pneumothorax. IMPRESSION: 1. NO FOCAL CARDIOPULMONARY PROCESS. 2. ARTIFACT NOTED IN THE RIGHT LATERAL CHEST WALL, WHICH DOES NOT APPEAR TO BE WORRISOME FOR PNEUMOTHORAX. HOWEVER, IF CLINICALLY CONCERN IF HIGH, RECOMMEND REPEAT UPRIGHT PA WITH NO OVERLYING EXTERNMAL ARTIFACTS OR A LEFT SIDE DOWN DECUBITUS VIEW. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Londyn, Maldonado on: 11/29/2021 ACCESSION NUMBER: 9497868015 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Cardiomediastinal silhouette is within normal limits. Pulmonary vasculature and lung parenchyma are unremarkable. No fractures are seen. There are scattered linear high densities noted which may be artifactural. One is noted projecting over the right lateral chest wall but lung markings are seen extending beyond it. If clinically concerned, recommend decubitus view to rule out pneumothorax. "," 1. NO FOCAL CARDIOPULMONARY PROCESS. 2. ARTIFACT NOTED IN THE RIGHT LATERAL CHEST WALL, WHICH DOES NOT APPEAR TO BE WORRISOME FOR PNEUMOTHORAX. HOWEVER, IF CLINICALLY CONCERN IF HIGH, RECOMMEND REPEAT UPRIGHT PA WITH NO OVERLYING EXTERNMAL ARTIFACTS OR A LEFT SIDE DOWN DECUBITUS VIEW. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Londyn, Maldonado on: 11/29/2021 " 107044,CheXpert_Demo_Images\train\patient25732\study5\view1_frontal.jpg,patient25732,"NARRATIVE: AP PORTABLE CHEST X-RAY: 6-14-10 COMPARISON: AP portable done on 6-14-2010. CLINICAL HISTORY: Septic shock. IMPRESSION: 1. INTERVAL REMOVAL OF NASOGASTRIC TUBE. LEFT IJ CATHETER UNCHANGED. AGAIN SEEN ARE STERNAL WIRES. 2. NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENTLY LOW LUNG VOLUMES, PULMONARY EDEMA, LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION, AND POSSIBLE LEFT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: RYAN, MD on: 6/14/2010 ACCESSION NUMBER: 8834553967 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF NASOGASTRIC TUBE. LEFT IJ CATHETER UNCHANGED. AGAIN SEEN ARE STERNAL WIRES. 2. NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENTLY LOW LUNG VOLUMES, PULMONARY EDEMA, LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION, AND POSSIBLE LEFT PLEURAL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: RYAN, MD on: 6/14/2010 " 176603,CheXpert_Demo_Images\train\patient41386\study1\view1_frontal.jpg,patient41386,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1-1-2017 CLINICAL HISTORY: 72 years of age, Male, Flash pulm edema. COMPARISON: 1-1-2017 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval extubation, otherwise supportive medical devices are stable. High position of intra-aortic balloon pump. Again seen are patchy bilateral airspace opacities. There is a small right pleural effusion. IMPRESSION: 1. Patchy bilateral airspace opacities in the mid and lower lung zones. 2. Small right pleural effusion. ""Physician to Physician Radiology Consult Line: (674) 515-5773"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 212150 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval extubation, otherwise supportive medical devices are stable. High position of intra-aortic balloon pump. Again seen are patchy bilateral airspace opacities. There is a small right pleural effusion. "," 1. Patchy bilateral airspace opacities in the mid and lower lung zones. 2. Small right pleural effusion. ""Physician to Physician Radiology Consult Line: (674) 515-5773"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 143065,CheXpert_Demo_Images\train\patient34407\study1\view1_frontal.jpg,patient34407,"NARRATIVE: SINGLE VIEW OF THE CHEST: 6/24/2015 COMPARISON: None. FINDINGS: The cardiomediastinal silhouette demonstrates tortuosity of the thoracic aorta. There is a prominent ascending aorta suggestive of an aneurysm, or possibly due to aortic valvular disease. Cardiac size is within normal limits. There are low lung volumes bilaterally with no evidence of focal consolidation. There is mild bibasilar atelectasis. Visualized soft tissue and osseous structures are unremarkable. IMPRESSION: 1. PROMINENT RIGHT ASCENDING AORTA, SUGGESTIVE OF ANEURYSM, POSSIBLY DUE TO AORTIC VALVULAR DISEASE. 2. NO EVIDENCE OF FOCAL CONSOLIDATION. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kash K. Pham, MD on: 6-24-2015 ACCESSION NUMBER: A1E VKA WNR E This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette demonstrates tortuosity of the thoracic aorta. There is a prominent ascending aorta suggestive of an aneurysm, or possibly due to aortic valvular disease. Cardiac size is within normal limits. There are low lung volumes bilaterally with no evidence of focal consolidation. There is mild bibasilar atelectasis. Visualized soft tissue and osseous structures are unremarkable. "," 1. PROMINENT RIGHT ASCENDING AORTA, SUGGESTIVE OF ANEURYSM, POSSIBLY DUE TO AORTIC VALVULAR DISEASE. 2. NO EVIDENCE OF FOCAL CONSOLIDATION. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kash K. Pham, MD on: 6-24-2015 " 86858,CheXpert_Demo_Images\train\patient20877\study1\view2_lateral.jpg,patient20877,"NARRATIVE: EXAM: 7/5/2017. HISTORY: 43 YEARS MALE, CHEST CONGESTION AND SOB. COMPARISON: NONE. IMPRESSION: 1.CHEST 2 VIEWS, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 3.MILD PLEURAL IRREGULARITY OR RIB FRACTURE ON THE RIGHT AT THE LEVEL OF THE SIXTH INTERCOSTAL SPACE. THIS COULD REFLECT SEQUELA OF PRIOR EFFUSION OR RECENT INJURY, RECOMMEND CLINICAL CORRELATION. IF THE PATIENT HAS PAIN IN THIS AREA, A FOLLOW-UP EXAM TO DOCUMENT STABILITY COULD BE CONSIDERED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: I5E6O5AROFDZ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.CHEST 2 VIEWS, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 3.MILD PLEURAL IRREGULARITY OR RIB FRACTURE ON THE RIGHT AT THE LEVEL OF THE SIXTH INTERCOSTAL SPACE. THIS COULD REFLECT SEQUELA OF PRIOR EFFUSION OR RECENT INJURY, RECOMMEND CLINICAL CORRELATION. IF THE PATIENT HAS PAIN IN THIS AREA, A FOLLOW-UP EXAM TO DOCUMENT STABILITY COULD BE CONSIDERED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 141864,CheXpert_Demo_Images\train\patient34123\study1\view1_frontal.jpg,patient34123,"NARRATIVE: Chest 1 View: 11-13-2002 HISTORY: Male, 71 years old, dyspnea. COMPARISON: None. IMPRESSION: 1.LOW LUNG VOLUMES, WITH BIBASILAR AIRSPACE OPACITIES, LEFT GREATER THAN RIGHT, LIKELY REPRESENTING ATELECTASIS. 2.NORMAL PULMONARY VASCULATURE. NO PLEURAL EFFUSION. 3.NO ACUTE BONE ABNORMALITY DEMONSTRATED. DEGENERATIVE CHANGES IN THE LOWER THORACIC SPINE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7iwbcu1 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LOW LUNG VOLUMES, WITH BIBASILAR AIRSPACE OPACITIES, LEFT GREATER THAN RIGHT, LIKELY REPRESENTING ATELECTASIS. 2.NORMAL PULMONARY VASCULATURE. NO PLEURAL EFFUSION. 3.NO ACUTE BONE ABNORMALITY DEMONSTRATED. DEGENERATIVE CHANGES IN THE LOWER THORACIC SPINE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 220185,CheXpert_Demo_Images\train\patient61774\study1\view1_frontal.jpg,patient61774,"NARRATIVE: CHEST AP PORTABLE: 7-21-2003 COMPARISON: 7-21-2003 CLINICAL HISTORY: Chest pain. FINDINGS: Stable appearance of a prominent superior mediastinum that is unchanged from the CT scan dating back to 3/10/03. This appearance could be due to prominent vascular structures. Increased bronchovascular markings compared with the prior study, which could represent mild interstitial pulmonary edema. Left retrocardiac opacity with poor visualization of the medial left hemidiaphragm that could represent atelectasis or consolidation. No definite pleural effusions. The visualized osseous structures are unremarkable. Stable calcified lymph nodes in the right hilum. IMPRESSION: 1. LEFT RETROCARDIAC ATELECTASIS OR CONSOLIDATION. 2. MILD INTERSTITIAL PULMONARY EDEMA. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 618-449-8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Stable appearance of a prominent superior mediastinum that is unchanged from the CT scan dating back to 3/10/03. This appearance could be due to prominent vascular structures. Increased bronchovascular markings compared with the prior study, which could represent mild interstitial pulmonary edema. Left retrocardiac opacity with poor visualization of the medial left hemidiaphragm that could represent atelectasis or consolidation. No definite pleural effusions. The visualized osseous structures are unremarkable. Stable calcified lymph nodes in the right hilum. "," 1. LEFT RETROCARDIAC ATELECTASIS OR CONSOLIDATION. 2. MILD INTERSTITIAL PULMONARY EDEMA. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 25010,CheXpert_Demo_Images\train\patient06115\study5\view2_lateral.jpg,patient06115,"NARRATIVE: COMPARISON: 2-20-2005 IMPRESSION: RIGHT-SIDED CENTRAL VENOUS LINE IS UNCHANGED. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. THE LUNGS REMAIN CLEAR. THERE IS NO PLEURAL EFFUSION. NO ACUTE BONY ABNORMALITIES ARE SEEN. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: PXCRNPZPNRCT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," RIGHT-SIDED CENTRAL VENOUS LINE IS UNCHANGED. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. THE LUNGS REMAIN CLEAR. THERE IS NO PLEURAL EFFUSION. NO ACUTE BONY ABNORMALITIES ARE SEEN. "," 1-NO SIGNIFICANT ABNORMALITY " 88650,CheXpert_Demo_Images\train\patient21303\study1\view1_frontal.jpg,patient21303,"NARRATIVE: Chest 1 View 9-9-2017 CLINICAL HISTORY: 61 years-old female with portal vein thrombus, pleural effusions, now becoming hypotensive, concern for increasing pleural effusions or infiltrate. COMPARISON: None FINDINGS: The lung volumes are low. There is a left-sided pleural effusion and a retrocardiac opacity. The cardiomediastinal silhouette is within normal limits. The bones and soft tissues are within normal limits. IMPRESSION: 1.LOW LUNG VOLUMES WITH A LEFT-SIDED PLEURAL EFFUSION. 2.RETROCARDIAC OPACITY MAY REPRESENT ATELECTASIS OR PNEUMONIA. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: HPJNhyeNyTs This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The lung volumes are low. There is a left-sided pleural effusion and a retrocardiac opacity. The cardiomediastinal silhouette is within normal limits. The bones and soft tissues are within normal limits. "," 1.LOW LUNG VOLUMES WITH A LEFT-SIDED PLEURAL EFFUSION. 2.RETROCARDIAC OPACITY MAY REPRESENT ATELECTASIS OR PNEUMONIA. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 54792,CheXpert_Demo_Images\train\patient13298\study1\view1_frontal.jpg,patient13298,"NARRATIVE: CHEST: 10/19/2005 CLINICAL DATA: Mitral regurgitation. Post op. COMPARISON: None. FINDINGS: Single portable supine radiograph demonstrates sternal wires, aortic valve prosthesis, epicardial pacing wires, endotracheal tube tip 3 cm above the carina, nasogastric tube tip in the fundus of the stomach, right internal jugular venous Swan- Ganz catheter tip in the right pulmonary artery, and mediastinal drain. There are low lung volumes with diffuse perivascular indistinctness and opacification of the left lower lobe. IMPRESSION: 1. STATUS POST MEDIAN STERNOTOMY WITH PROBABLE AORTIC VALVE REPLACEMENT. LEFT LOWER LOBE ATELECTASIS AND INTERSTITIAL PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. ACCESSION NUMBER: 599 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single portable supine radiograph demonstrates sternal wires, aortic valve prosthesis, epicardial pacing wires, endotracheal tube tip 3 cm above the carina, nasogastric tube tip in the fundus of the stomach, right internal jugular venous Swan- Ganz catheter tip in the right pulmonary artery, and mediastinal drain. There are low lung volumes with diffuse perivascular indistinctness and opacification of the left lower lobe. "," 1. STATUS POST MEDIAN STERNOTOMY WITH PROBABLE AORTIC VALVE REPLACEMENT. LEFT LOWER LOBE ATELECTASIS AND INTERSTITIAL PULMONARY EDEMA. "," 4: Possible significant abnormality/change, may need action. " 34639,CheXpert_Demo_Images\train\patient08471\study5\view1_frontal.jpg,patient08471,"NARRATIVE: CHEST, SINGLE VIEW: 4/16/21 HISTORY: This is a 73-year-old female with respiratory symptoms. COMPARISON: 1/8/2009, 1-7-2009, 1-6-09, 1-6-2009. IMPRESSION: 1. CENTRAL LINE, UNCHANGED. 2. INTERVAL DECREASE IN LUNG VOLUMES. 3. WHEN ACCOUNTING FOR CHANGE IN LUNG VOLUMES, THERE IS PROBABLY MILD INCREASE IN PULMONARY EDEMA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. ACCESSION NUMBER: 89669664 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CENTRAL LINE, UNCHANGED. 2. INTERVAL DECREASE IN LUNG VOLUMES. 3. WHEN ACCOUNTING FOR CHANGE IN LUNG VOLUMES, THERE IS PROBABLY MILD INCREASE IN PULMONARY EDEMA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. " 55858,CheXpert_Demo_Images\train\patient13546\study1\view2_lateral.jpg,patient13546,"NARRATIVE: EXAM: Chest 2 Views, 6/14/2008. HISTORY: 71 YEARS MALE, SHOULDER PAIN. COMPARISON: 6/14/08. IMPRESSION: 1.FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE STABLE CARDIOMEDIASTINAL SILHOUETTE 2.LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. THE SHOULDERS ARE NOT COMPLETELY INCLUDED IN THE FIELD OF VIEW. CONSIDER DEDICATED SHOULDER VIEWS. 4.DIFFUSE OSTEOPENIA AND COMPRESSION DEFORMITIES OF THE LOWER THORACIC SPINE AS SEEN ON THE LATERAL VIEW SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: ZULYLJBA This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE STABLE CARDIOMEDIASTINAL SILHOUETTE 2.LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. THE SHOULDERS ARE NOT COMPLETELY INCLUDED IN THE FIELD OF VIEW. CONSIDER DEDICATED SHOULDER VIEWS. 4.DIFFUSE OSTEOPENIA AND COMPRESSION DEFORMITIES OF THE LOWER THORACIC SPINE AS SEEN ON THE LATERAL VIEW ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 185986,CheXpert_Demo_Images\train\patient44207\study2\view1_frontal.jpg,patient44207,"NARRATIVE: EXAM: Chest 1 View, 9/6/2017 CLINICAL HISTORY: Female of 82 years; reason for study: ""Sob"" COMPARISON: Chest radiograph 6th September 17 IMPRESSION: 1.TRACHEOSTOMY TUBE AND RIGHT PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER ARE UNCHANGED IN POSITIONS. LEFT PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER HAS BEEN REMOVED. 2.STABLE DENSITY AT THE LEFT COSTOPHRENIC ANGLE CORRESPONDS TO MEDIASTINAL FAT AS SEEN ON CT CHEST DATED 9-6-2017. MULTIPLE CALCIFIED GRANULOMAS IN THE LEFT UPPER LUNG ZONE ARE UNCHANGED. NO DEFINITE PLEURAL EFFUSION. NO PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. 3.STABLE DEGENERATIVE CHANGES IN THE THORACOLUMBAR SPINE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 121-928-29 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.TRACHEOSTOMY TUBE AND RIGHT PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER ARE UNCHANGED IN POSITIONS. LEFT PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER HAS BEEN REMOVED. 2.STABLE DENSITY AT THE LEFT COSTOPHRENIC ANGLE CORRESPONDS TO MEDIASTINAL FAT AS SEEN ON CT CHEST DATED 9-6-2017. MULTIPLE CALCIFIED GRANULOMAS IN THE LEFT UPPER LUNG ZONE ARE UNCHANGED. NO DEFINITE PLEURAL EFFUSION. NO PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. 3.STABLE DEGENERATIVE CHANGES IN THE THORACOLUMBAR SPINE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 87491,CheXpert_Demo_Images\train\patient21024\study1\view1_frontal.jpg,patient21024,"NARRATIVE: Exam: Chest 2 Views, 1/28/2003 Clinical History: 60 years Male with R/o infiltrates Comparison: JANUARY 2003 IMPRESSION: 1.PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE UNCHANGED POSITION OF THE LEFT-SIDED TUNNEL CENTRAL LINE CATHETER WITH ITS TIP IN THE DISTAL SVC. 2.THE LUNGS ARE CLEAR. NO EFFUSION, PNEUMOTHORAX. 3.THE CARDIAC SIZE IS WITHIN NORMAL LIMITS. 4.THE SUBCUTANEOUS SOFT TISSUES AND OSSEOUS STRUCTURES ARE WITHOUT FOCAL ABNORMALITY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 899609272 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE UNCHANGED POSITION OF THE LEFT-SIDED TUNNEL CENTRAL LINE CATHETER WITH ITS TIP IN THE DISTAL SVC. 2.THE LUNGS ARE CLEAR. NO EFFUSION, PNEUMOTHORAX. 3.THE CARDIAC SIZE IS WITHIN NORMAL LIMITS. 4.THE SUBCUTANEOUS SOFT TISSUES AND OSSEOUS STRUCTURES ARE WITHOUT FOCAL ABNORMALITY. ","2-ABNORMAL, PREVIOUSLY REPORTED " 145402,CheXpert_Demo_Images\train\patient34831\study1\view1_frontal.jpg,patient34831,"NARRATIVE: CHEST, SINGLE VIEW: July 16 COMPARISON: 7-16-2011 IMPRESSION: 1. HEART SIZE IS WITHIN NORMAL LIMITS. 2. PERSISTENT INTERSTITIAL TO ALVEOLAR PULMONARY EDEMA. 3. NO SIGNIFICANT INTERVAL CHANGE. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: #54459 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. HEART SIZE IS WITHIN NORMAL LIMITS. 2. PERSISTENT INTERSTITIAL TO ALVEOLAR PULMONARY EDEMA. 3. NO SIGNIFICANT INTERVAL CHANGE. "," 2 ABNORMAL, PREVIOUSLY REPORTED. " 128453,CheXpert_Demo_Images\train\patient30771\study1\view1_frontal.jpg,patient30771,"NARRATIVE: SINGLE VIEW CHEST, 4-18-11: COMPARISON: None. FINDINGS: A cardiac pacer device is present overlying the left chest. The cardiac silhouette is enlarged. Sternotomy wires are present overlying the mediastinum. The pulmonary vessels are somewhat indistinct. There is blunting of the costophrenic angles bilaterally. There is a well-circumscribed peripheral density measuring approximately 2-1/2 cm in the right lower lung zone. Additional patchy opacity is present in the right lower lung zone more centrally. IMPRESSION: 1. RIGHT PERIPHERAL LUNG MASS AS DESCRIBED ABOVE. CT SCAN MAY BE CONSIDERED FOR FURTHER EVALUATION IN THIS LESION. 2. RIGHT LOWER LUNG ZONE CONSOLIDATION. 3. BILATERAL PLEURAL EFFUSIONS. 4. PULMONARY EDEMA. END OF IMPRESSION: SUMMARY: Possible Significant Abnormality/Change, may need action. __________________________________ ACCESSION NUMBER: dzfknbtgy This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A cardiac pacer device is present overlying the left chest. The cardiac silhouette is enlarged. Sternotomy wires are present overlying the mediastinum. The pulmonary vessels are somewhat indistinct. There is blunting of the costophrenic angles bilaterally. There is a well-circumscribed peripheral density measuring approximately 2-1/2 cm in the right lower lung zone. Additional patchy opacity is present in the right lower lung zone more centrally. "," 1. RIGHT PERIPHERAL LUNG MASS AS DESCRIBED ABOVE. CT SCAN MAY BE CONSIDERED FOR FURTHER EVALUATION IN THIS LESION. 2. RIGHT LOWER LUNG ZONE CONSOLIDATION. 3. BILATERAL PLEURAL EFFUSIONS. 4. PULMONARY EDEMA. "," Possible Significant Abnormality/Change, may need action. __________________________________ " 202502,CheXpert_Demo_Images\train\patient50770\study2\view1_frontal.jpg,patient50770,"NARRATIVE: CHEST, ONE VIEW: 11/16/2018 COMPARISON: 11-16-2018 at 0300 hours. IMPRESSION: 1. UNCHANGED CARDIOMEDIASTINAL SILHOUETTE. 2. THE PREVIOUSLY SEEN BILATERAL PNEUMOTHORACES ARE SMALLER, AND APPEAR TO HAVE ALMOST RESOLVED ON THE RIGHT AND IS STILL VISIBLE ON THE LEFT. 3. RIGHT INTERNAL JUGULAR VENOUS CATHETER UNCHANGED. DIFFUSE OPACITIES IN THE LUNGS, WITH MORE DENSE RETROCARDIAC OPACITY AND SMALL LEFT PLEURAL EFFUSION ARE UNCHANGED. 4. RADIODENSE LINE PROJECTED OVER THE UPPER ABDOMEN IS UNCHANGED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: #562 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UNCHANGED CARDIOMEDIASTINAL SILHOUETTE. 2. THE PREVIOUSLY SEEN BILATERAL PNEUMOTHORACES ARE SMALLER, AND APPEAR TO HAVE ALMOST RESOLVED ON THE RIGHT AND IS STILL VISIBLE ON THE LEFT. 3. RIGHT INTERNAL JUGULAR VENOUS CATHETER UNCHANGED. DIFFUSE OPACITIES IN THE LUNGS, WITH MORE DENSE RETROCARDIAC OPACITY AND SMALL LEFT PLEURAL EFFUSION ARE UNCHANGED. 4. RADIODENSE LINE PROJECTED OVER THE UPPER ABDOMEN IS UNCHANGED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 140190,CheXpert_Demo_Images\train\patient33694\study6\view1_frontal.jpg,patient33694,"NARRATIVE: CHEST ONE VIEW: 1-21-15 CLINICAL HISTORY: 86-year-old male follow up pneumothorax. Status post interventional procedure. Follow up chest x-ray. COMPARISON: 1-21-15. IMPRESSION: 1. SMALL RIGHT APICAL PNEUMOTHORAX WHICH IS SLIGHTLY SMALLER THAN PREVIOUS STUDY DATED 1/21/2015. NO EVIDENCE OF INCREASED SUBCUTANEOUS EMPHYSEMA. NO EVIDENCE OF TENSION PNEUMOTHORAX OR MEDIASTINAL SHIFT. 2. ABNORMAL RIGHT HILAR MASS AGAIN NOTED AND GROSSLY UNCHANGED. 3. RIGHT PLEURAL EFFUSION AND BIBASILAR CONSOLIDATION AGAIN NOTED AND GROSSLY UNCHANGED. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 321221 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SMALL RIGHT APICAL PNEUMOTHORAX WHICH IS SLIGHTLY SMALLER THAN PREVIOUS STUDY DATED 1/21/2015. NO EVIDENCE OF INCREASED SUBCUTANEOUS EMPHYSEMA. NO EVIDENCE OF TENSION PNEUMOTHORAX OR MEDIASTINAL SHIFT. 2. ABNORMAL RIGHT HILAR MASS AGAIN NOTED AND GROSSLY UNCHANGED. 3. RIGHT PLEURAL EFFUSION AND BIBASILAR CONSOLIDATION AGAIN NOTED AND GROSSLY UNCHANGED. "," 2 ABNORMAL, PREVIOUSLY REPORTED " 3298,CheXpert_Demo_Images\train\patient00808\study2\view1_frontal.jpg,patient00808,"NARRATIVE: EXAM: Chest 1 View, 6-10 CLINICAL HISTORY: Female of 86 years; Reason for study: ""Lightheadedness with pacer"" COMPARISON: Chest X-Ray 6/10 IMPRESSION: 1.THE LEFT LOWER THORAX IS OBSCURED BY PACING PADS. 2.THERE IS A PROMINENT RETICULAR PATTERN THROUGHOUT THE LUNGS. OPACITIES IN THE LEFT BASE MAY REFLECT ATELECTASIS OR CONSOLIDATION. 3.THE HEART IS ENLARGED WITH A 2-LEAD RIGHT CHEST PACER. 4.RIGHTWARD DEVIATION OF THE TRACHEA IS SIMILAR TO THE PRIOR STUDY. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4496321726511 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.THE LEFT LOWER THORAX IS OBSCURED BY PACING PADS. 2.THERE IS A PROMINENT RETICULAR PATTERN THROUGHOUT THE LUNGS. OPACITIES IN THE LEFT BASE MAY REFLECT ATELECTASIS OR CONSOLIDATION. 3.THE HEART IS ENLARGED WITH A 2-LEAD RIGHT CHEST PACER. 4.RIGHTWARD DEVIATION OF THE TRACHEA IS SIMILAR TO THE PRIOR STUDY. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 202864,CheXpert_Demo_Images\train\patient50936\study2\view1_frontal.jpg,patient50936,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: September 5th, 05 0:15 CLINICAL HISTORY: 60 years of age, Female, Post op CV surgery. COMPARISON: 9/5/2005 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Right IJ line remains in place. Persistent, coarse bilateral reticular pattern with small, bilateral pleural effusions, partially loculated on the right. IMPRESSION: 1. Prominent vascularity suggestive of persistent interstitial pulmonary edema. ""Physician to Physician Radiology Consult Line: 633 759-5608"" Signed ACCESSION NUMBER: 88370 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right IJ line remains in place. Persistent, coarse bilateral reticular pattern with small, bilateral pleural effusions, partially loculated on the right. "," 1. Prominent vascularity suggestive of persistent interstitial pulmonary edema. ""Physician to Physician Radiology Consult Line: 633 759-5608"" Signed ", 48571,CheXpert_Demo_Images\train\patient11782\study1\view1_frontal.jpg,patient11782,"NARRATIVE: EXAM: Chest 1 View, 4/15/01. HISTORY: 72 years Male, Dizzy. COMPARISON: NONE. FINDINGS: The cardiac silhouette is within normal limits. There are mildly increased interstitial markings throughout both lungs which may be due to pulmonary edema. There is no focal consolidation or large pleural effusion. There are degenerative changes in the thoracic spine. IMPRESSION: 1. INCREASED INTERSTITIAL LUNG MARKINGS, WHICH MAY BE DUE TO PULMONARY EDEMA. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. ACCESSION NUMBER: 6580249 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiac silhouette is within normal limits. There are mildly increased interstitial markings throughout both lungs which may be due to pulmonary edema. There is no focal consolidation or large pleural effusion. There are degenerative changes in the thoracic spine. "," 1. INCREASED INTERSTITIAL LUNG MARKINGS, WHICH MAY BE DUE TO PULMONARY EDEMA. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. " 204858,CheXpert_Demo_Images\train\patient52006\study1\view1_frontal.jpg,patient52006,"NARRATIVE: EXAM: december 21, 02. HISTORY: 58 years Male, Postop. COMPARISON: 12/21/02. IMPRESSION: 1.Chest 1 View, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. LOW VOLUME 2.CARDIAC SILHOUETTE AND VASCULARITY ARE MILDLY PROMINENT. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: YVCTJB This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.Chest 1 View, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. LOW VOLUME 2.CARDIAC SILHOUETTE AND VASCULARITY ARE MILDLY PROMINENT. ","2-ABNORMAL, PREVIOUSLY REPORTED " 135326,CheXpert_Demo_Images\train\patient32502\study2\view1_frontal.jpg,patient32502,"NARRATIVE: Chest 1 View, Chest 2 Views 8/18/2012 CLINICAL HISTORY: 46 years-old Female. Assess mediastinal wire removal COMPARISON: 8/18/2012 and 8-18-2012 IMPRESSION: REMOVAL OF STERNOTOMY WIRES. NO INTRA-MEDIASTINAL AIR. NORMAL PULMONARY VASCULARITY. ELEVATED LEFT HEMIDIAPHRAGM. NO AIRSPACE CONSOLIDATION, PNEUMOTHORAX, OR PLEURAL EFFUSION. FOLLOW-UP RADIOGRAPH PERFORMED 8/18/12 AT 0510 HRS DEMONSTRATES LINEAR RIGHT BASILAR OPACITIES, SUGGESTIVE OF SUBSEGMENTAL ATELECTASIS. LUNGS OTHERWISE REMAIN CLEAR. NO PNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: noHSHqJuN This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," REMOVAL OF STERNOTOMY WIRES. NO INTRA-MEDIASTINAL AIR. NORMAL PULMONARY VASCULARITY. ELEVATED LEFT HEMIDIAPHRAGM. NO AIRSPACE CONSOLIDATION, PNEUMOTHORAX, OR PLEURAL EFFUSION. FOLLOW-UP RADIOGRAPH PERFORMED 8/18/12 AT 0510 HRS DEMONSTRATES LINEAR RIGHT BASILAR OPACITIES, SUGGESTIVE OF SUBSEGMENTAL ATELECTASIS. LUNGS OTHERWISE REMAIN CLEAR. NO PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 210822,CheXpert_Demo_Images\train\patient55721\study3\view1_frontal.jpg,patient55721,"NARRATIVE: CLINICAL HISTORY: 69-year-old female status post line placement. COMPARISON: Portable chest x-ray 12-26-2014. IMPRESSION: 1. AP PORTABLE SEMIERECT VIEW OF THE CHEST DEMONSTRATES NEW RIGHT-SIDED INTERNAL JUGULAR CENTRAL LINE WITH TIP LOCATED IN THE SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. STABLE APPEARANCE OF SMALL LEFT-SIDED PLEURAL EFFUSION AND MILD PULMONARY EDEMA. END OF IMPRESSION SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 16F8aT6of8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP PORTABLE SEMIERECT VIEW OF THE CHEST DEMONSTRATES NEW RIGHT-SIDED INTERNAL JUGULAR CENTRAL LINE WITH TIP LOCATED IN THE SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. STABLE APPEARANCE OF SMALL LEFT-SIDED PLEURAL EFFUSION AND MILD PULMONARY EDEMA. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 104793,CheXpert_Demo_Images\train\patient25181\study1\view2_lateral.jpg,patient25181,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 7-6-2019 CLINICAL HISTORY: 87 years of age, Female, Eval vol overload. COMPARISON: 7/6/2019. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Unchanged medical devices. Likely persistent mild pulmonary edema. Likely persistent small bilateral pleural effusions. Low lung volumes. Left basilar opacities can represent atelectasis. Left chronic rib deformities. Unchanged mild compression deformities of the thoracic spine. IMPRESSION: 1. Likely persistent mild pulmonary edema without significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 26224010 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Unchanged medical devices. Likely persistent mild pulmonary edema. Likely persistent small bilateral pleural effusions. Low lung volumes. Left basilar opacities can represent atelectasis. Left chronic rib deformities. Unchanged mild compression deformities of the thoracic spine. "," 1. Likely persistent mild pulmonary edema without significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 218081,CheXpert_Demo_Images\train\patient60235\study1\view1_frontal.jpg,patient60235,"NARRATIVE: PORTABLE CHEST: 7/27/11 CLINICAL HISTORY: Heart failure. COMPARISON: 7/27/2011 IMPRESSION: 1. NO SIGNIFICANT INTERVAL CHANGE. 2. CARDIOMEGALY. 3. PULMONARY EDEMA. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Priscilla R., Hreha on: 7-27-2011 __________________________________ ACCESSION NUMBER: 9132729462 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO SIGNIFICANT INTERVAL CHANGE. 2. CARDIOMEGALY. 3. PULMONARY EDEMA. ", 15576,CheXpert_Demo_Images\train\patient03901\study6\view1_frontal.jpg,patient03901,"NARRATIVE: Exam: Chest 2 Views, 1-11-2004 INDICATION: Bronchitis in renal transplant pt, r/o pna HISTORY: Female,54 years. Comparison: 1-11-04 IMPRESSION: 1. UPRIGHT PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE STABLE CARDIOMEGALY. 2. SUBTLE FINE RETICULAR OPACITIES AT BILATERAL LUNG BASES, NOT SIGNIFICANTLY CHANGED FROM THE PRIOR EXAM. 3. NO NEW FOCAL CONSOLIDATION OR EVIDENCE OF PLEURAL EFFUSIONS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 779139 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UPRIGHT PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE STABLE CARDIOMEGALY. 2. SUBTLE FINE RETICULAR OPACITIES AT BILATERAL LUNG BASES, NOT SIGNIFICANTLY CHANGED FROM THE PRIOR EXAM. 3. NO NEW FOCAL CONSOLIDATION OR EVIDENCE OF PLEURAL EFFUSIONS. ","2-ABNORMAL, PREVIOUSLY REPORTED " 222647,CheXpert_Demo_Images\train\patient64015\study1\view1_frontal.jpg,patient64015,"NARRATIVE: PORTABLE CHEST AND FRONTAL, LATERAL AND BILATERAL DECUBITUS VIEWS OF THE CHEST, February 2 2007 COMPARISON: Comparison is made with 2-2-2007. HISTORY: Shortness of breath. FINDINGS: Submitted for review is a single frontal portable view of the chest dated 2-2-2007 at 0742 hours and frontal, lateral and bilateral decubitus views of the chest dated 2-2-07 at 1105 hours. Evaluation of the frontal views of the chest demonstrate an unremarkable cardiomediastinal silhouette. There has been interval development of consolidation of the right lower lobe and middle lobe with air bronchograms. There is blunting of the costophrenic angle. On the bilateral decubitus views, there is minimal layering of the effusion. Axillary surgical clips are noted on the right. There is asymmetry over the anterior chest wall, presumably related to mastectomy. Surgical clips are seen in the upper abdomen. Evaluation of the lung parenchyma also demonstrates diffuse increased reticular markings with indistinct pulmonary vessels. No other pleural abnormalities are noted. Remote fracture deformities are noted in the left ribs. No other bone or soft tissue abnormalities are noted. IMPRESSION: 1. INTERVAL DEVELOPMENT OF RIGHT MIDDLE AND LOWER LOBE CONSOLIDATION WITH MINIMALLY LAYERING PLEURAL EFFUSION ON THE RIGHT. END OF IMPRESSION: SUMMARY: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Cardenas, CNP on: February 2nd 07 ACCESSION NUMBER: 9395440045 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Submitted for review is a single frontal portable view of the chest dated 2-2-2007 at 0742 hours and frontal, lateral and bilateral decubitus views of the chest dated 2-2-07 at 1105 hours. Evaluation of the frontal views of the chest demonstrate an unremarkable cardiomediastinal silhouette. There has been interval development of consolidation of the right lower lobe and middle lobe with air bronchograms. There is blunting of the costophrenic angle. On the bilateral decubitus views, there is minimal layering of the effusion. Axillary surgical clips are noted on the right. There is asymmetry over the anterior chest wall, presumably related to mastectomy. Surgical clips are seen in the upper abdomen. Evaluation of the lung parenchyma also demonstrates diffuse increased reticular markings with indistinct pulmonary vessels. No other pleural abnormalities are noted. Remote fracture deformities are noted in the left ribs. No other bone or soft tissue abnormalities are noted. "," 1. INTERVAL DEVELOPMENT OF RIGHT MIDDLE AND LOWER LOBE CONSOLIDATION WITH MINIMALLY LAYERING PLEURAL EFFUSION ON THE RIGHT. "," POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Cardenas, CNP on: February 2nd 07 " 155174,CheXpert_Demo_Images\train\patient36491\study1\view1_frontal.jpg,patient36491,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10/08 CLINICAL HISTORY: 75 years of age, Female, S/p mitral clip placement. COMPARISON: 10/8/20 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval removal of right IJ central line. Post CABG changes including at least three venous grafts as well as a LIMA graft and possibly a RIMA graft. Mild interstitial pulmonary edema. Mild retrocardiac opacity which may represent atelectasis. No significant pleural effusion. IMPRESSION: 1. Mild interstitial edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 3708705 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval removal of right IJ central line. Post CABG changes including at least three venous grafts as well as a LIMA graft and possibly a RIMA graft. Mild interstitial pulmonary edema. Mild retrocardiac opacity which may represent atelectasis. No significant pleural effusion. "," 1. Mild interstitial edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 204811,CheXpert_Demo_Images\train\patient51975\study1\view1_frontal.jpg,patient51975,"NARRATIVE: EXAM: CHEST 1 VIEW, 10-1-2019. HISTORY: 41 YEARS FEMALE, EVALUATE POSTOP. COMPARISON: 10-1-2019. IMPRESSION: 1.BI-BASILAR OPACITIES, SLIGHTLY WORSENING ON THE RIGHT, AND SMALL BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT. SURGICAL CHANGES OF LEFT AXILLARY NODAL DISSECTION ARE NOTED. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 3.LEFT SIDE CHEST TUBE IN PLACE. NO PNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6737459652 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.BI-BASILAR OPACITIES, SLIGHTLY WORSENING ON THE RIGHT, AND SMALL BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT. SURGICAL CHANGES OF LEFT AXILLARY NODAL DISSECTION ARE NOTED. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 3.LEFT SIDE CHEST TUBE IN PLACE. NO PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 160049,CheXpert_Demo_Images\train\patient37462\study2\view2_frontal.jpg,patient37462,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 6-29-2013 hours RADIOGRAPHIC EXAMINATION OF THE CHEST: 6/29/2013 hours CLINICAL HISTORY: 65 years of age, Male, Intubated, line evaluations, in ICU. COMPARISON: CT chest June 2013 at 1106 hours, chest radiograph 6/29/2013 0347 hours PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Semiupright portable AP chest radiograph dated 6-29-2013 at 0424 hours demonstrates unchanged lines and tubes. Stable cardiomediastinal silhouette. Mild pulmonary edema with patchy bibasilar airspace opacities, left greater than right, and small bilateral pleural effusions. No pneumothorax. Semiupright portable chest radiograph dated 6/29/2013 at 1130 hours demonstrates no significant interval change. IMPRESSION: 1. Mild pulmonary edema with patchy bibasilar consolidation and small bilateral pleural effusions. ACCESSION NUMBER: MX This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Semiupright portable AP chest radiograph dated 6-29-2013 at 0424 hours demonstrates unchanged lines and tubes. Stable cardiomediastinal silhouette. Mild pulmonary edema with patchy bibasilar airspace opacities, left greater than right, and small bilateral pleural effusions. No pneumothorax. Semiupright portable chest radiograph dated 6/29/2013 at 1130 hours demonstrates no significant interval change. "," 1. Mild pulmonary edema with patchy bibasilar consolidation and small bilateral pleural effusions. ", 151542,CheXpert_Demo_Images\train\patient35817\study4\view1_frontal.jpg,patient35817,"NARRATIVE: Exam: Chest 1 View, 8-6-2013 Clinical History: 79 years Male with R/o pneumonia Comparison: 8-6-2013 IMPRESSION: 1. INTERVAL NEW FOCAL RETICULAR OPACITY IN THE RIGHT UPPER LOBE IS CONCERNING FOR PNEUMONIA. INTERVAL INCREASE IN LUNG VOLUMES AND DECREASED ATELECTASIS IN THE BILATERAL LUNG BASES. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 0652434 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL NEW FOCAL RETICULAR OPACITY IN THE RIGHT UPPER LOBE IS CONCERNING FOR PNEUMONIA. INTERVAL INCREASE IN LUNG VOLUMES AND DECREASED ATELECTASIS IN THE BILATERAL LUNG BASES. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 117434,CheXpert_Demo_Images\train\patient28160\study1\view1_frontal.jpg,patient28160,"NARRATIVE: Exam: Chest 1 View, 4/21/2009 Clinical History: 58 years old Male with Cardiac Complaint Comparison: None Impression: 1. STUDY LIMITED SECONDARY TO RESPIRATORY MOTION ARTIFACT AND LOW LUNG VOLUMES. 2.POSSIBLE PULMONARY EDEMA. 3.MILD BIBASILAR CONSOLIDATION WHICH MAY REPRESENT AREAS OF ATELECTASIS OR AIR SPACE DISEASE. 4.POSSIBLE CARDIOMEGALY. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 8-2-3-2-4-6-8-2-4-2-0-8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STUDY LIMITED SECONDARY TO RESPIRATORY MOTION ARTIFACT AND LOW LUNG VOLUMES. 2.POSSIBLE PULMONARY EDEMA. 3.MILD BIBASILAR CONSOLIDATION WHICH MAY REPRESENT AREAS OF ATELECTASIS OR AIR SPACE DISEASE. 4.POSSIBLE CARDIOMEGALY. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 99464,CheXpert_Demo_Images\train\patient23984\study4\view2_frontal.jpg,patient23984,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10-22-2015 CLINICAL HISTORY: 47 years of age, Female, Chest pain, likely due to metastatic breast CA. COMPARISON: 10/22/2015 and prior. PROCEDURE COMMENTS: 2 semierect upright portable views of the chest. FINDINGS: Right Mediport line and left axillary clips appear stable. Opacification of the left lower chest has increased, with fluid now extending to the mid hilar region. The right diaphragm appears somewhat elevated. The heart is not enlarged. Vessels are not congested. The bones are not optimally visualized; no pathologic fracture identified. IMPRESSION: 1. Increased effusion and possible consolidation at the left lower chest, consistent with metastatic disease. ACCESSION NUMBER: sd-we-tf-gg-wa This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right Mediport line and left axillary clips appear stable. Opacification of the left lower chest has increased, with fluid now extending to the mid hilar region. The right diaphragm appears somewhat elevated. The heart is not enlarged. Vessels are not congested. The bones are not optimally visualized; no pathologic fracture identified. "," 1. Increased effusion and possible consolidation at the left lower chest, consistent with metastatic disease. ", 40653,CheXpert_Demo_Images\train\patient09990\study1\view1_frontal.jpg,patient09990,"NARRATIVE: CHEST 1 VIEW: 6-1-10 PREVIOUS EXAM: No prior. CLINICAL HISTORY: Fever and tachycardia. IMPRESSION: 1. LOW LUNG VOLUMES WITH BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS, HOWEVER CONSOLIDATION NOT EXCLUDED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 066597997931 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LOW LUNG VOLUMES WITH BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS, HOWEVER CONSOLIDATION NOT EXCLUDED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 142439,CheXpert_Demo_Images\train\patient34268\study1\view1_frontal.jpg,patient34268,"NARRATIVE: PORTABLE CHEST: 7-25-13. COMPARISON: None. CLINICAL HISTORY: ILD versus lung malignancy. FINDINGS: Portable upright chest radiograph demonstrates diffuse bilateral reticular opacities. No pleural effusions. The cardiomediastinal silhouette is unremarkable. The skeletal structures are grossly unremarkable. IMPRESSION: DIFFUSE RETICULAR OPACITIES BILATERALLY. THESE FINDINGS ARE NONSPECIFIC; POSSIBILITIES INCLUDE ATYPICAL INFECTION, EDEMA, OR A CHRONIC INTERSTITIAL PROCESS. RECOMMEND CLINICAL CORRELATION AND ATTENTION ON FOLLOW UP IMAGING. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 48175631717 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Portable upright chest radiograph demonstrates diffuse bilateral reticular opacities. No pleural effusions. The cardiomediastinal silhouette is unremarkable. The skeletal structures are grossly unremarkable. "," DIFFUSE RETICULAR OPACITIES BILATERALLY. THESE FINDINGS ARE NONSPECIFIC; POSSIBILITIES INCLUDE ATYPICAL INFECTION, EDEMA, OR A CHRONIC INTERSTITIAL PROCESS. RECOMMEND CLINICAL CORRELATION AND ATTENTION ON FOLLOW UP IMAGING. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 137893,CheXpert_Demo_Images\train\patient33146\study1\view1_frontal.jpg,patient33146,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 9/12/2002 CLINICAL HISTORY: Male with motor vehicle accident. COMPARISON: None. FINDINGS: Endotracheal tube is in place with the tip 6 cm above the level of the carina. Nasogastric tube with the tip within the stomach. Large right-sided pneumothorax with compression of the underlying lung. No evidence of displaced rib fractures. IMPRESSION: 1. LARGE RIGHT-SIDED PNEUMOTHORAX WITHOUT MEDIASTINAL SHIFT. 2. THESE FINDINGS WERE DISCUSSED WITH LPN Andre AT THE TIME OF STUDY. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 31062920575 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Endotracheal tube is in place with the tip 6 cm above the level of the carina. Nasogastric tube with the tip within the stomach. Large right-sided pneumothorax with compression of the underlying lung. No evidence of displaced rib fractures. "," 1. LARGE RIGHT-SIDED PNEUMOTHORAX WITHOUT MEDIASTINAL SHIFT. 2. THESE FINDINGS WERE DISCUSSED WITH LPN Andre AT THE TIME OF STUDY. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 164112,CheXpert_Demo_Images\train\patient38321\study1\view1_frontal.jpg,patient38321,"NARRATIVE: Exam: Chest 1 View, 5/5/2022 Clinical History: 62 years Male with Postop Comparison: 8-10-2011 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NEW POSTOPERATIVE CHANGES INCLUDING AN ENDOTRACHEAL TUBE WITH TIP JUST ABOVE THE CARINA, A NASOGASTRIC TUBE WITH SIDE-PORT AT THE GASTROESOPHAGEAL JUNCTION, A LEFT IJ SHEATH, A LEFT IJ SWAN-GANZ CATHETER WITH TIP IN THE PULMONARY OUTFLOW TRACT, EPICARDIAL PACER WIRES, A PERICARDIAL DRAIN, STERNOTOMY WIRES, AND MIDLINE SURGICAL SKIN STAPLES. THERE ARE LOW LUNG VOLUMES. THE LUNGS ARE CLEAR WITH NO FOCAL ATELECTASIS OR CONSOLIDATION. NO PLEURAL EFFUSION DEMONSTRATED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 429937 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NEW POSTOPERATIVE CHANGES INCLUDING AN ENDOTRACHEAL TUBE WITH TIP JUST ABOVE THE CARINA, A NASOGASTRIC TUBE WITH SIDE-PORT AT THE GASTROESOPHAGEAL JUNCTION, A LEFT IJ SHEATH, A LEFT IJ SWAN-GANZ CATHETER WITH TIP IN THE PULMONARY OUTFLOW TRACT, EPICARDIAL PACER WIRES, A PERICARDIAL DRAIN, STERNOTOMY WIRES, AND MIDLINE SURGICAL SKIN STAPLES. THERE ARE LOW LUNG VOLUMES. THE LUNGS ARE CLEAR WITH NO FOCAL ATELECTASIS OR CONSOLIDATION. NO PLEURAL EFFUSION DEMONSTRATED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 192629,CheXpert_Demo_Images\train\patient46602\study1\view1_frontal.jpg,patient46602,"NARRATIVE: CHEST AP PORTABLE: 8-31-2002 HISTORY: C7 transfixation of the spinal cord. PORTABLE CHEST ONE VIEW 8-31-2002 AT 0525 HOURS COMPARISON: 8/31/2002. IMPRESSION: 1. LINES, TUBES AND CERVICAL SPINE FIXATION RODS STABLE IN APPEARANCE. 2. INTERVAL DECREASED BUT PERSISTENT INTERSTITIAL PULMONARY EDEMA. 3. PERSISTENT RIGHT LOWER LOBE DENSITY WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION. END OF IMPRESSION: TWO VIEWS OF THE WRIST PORTABLE: 8/31/2002 AT 1405 HOURS IMPRESSION: 1. OBLIQUELY ORIENTED FRACTURE AGAIN SEEN AT THE DISTAL RADIUS WITH THE DISTAL FRAGMENT DISPLACED RADIALLY AND OVERLAPPING. THERE IS ALSO A VERTICAL EXTENSION INTO THE RADIOCARPAL JOINT. THERE IS NO OBVIOUS BRIDGING CALLUS FORMATION. THESE FINDINGS ARE UNCHANGED AS COMPARED TO PRIOR EXAM OF 10/20/1996. 2. FINE BONY DETAIL IS OBSCURED BY OVERLYING CAST. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: ODONNELL, IAN on: 10/20/96 ACCESSION NUMBER: 28-98-22-52-66-21-4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LINES, TUBES AND CERVICAL SPINE FIXATION RODS STABLE IN APPEARANCE. 2. INTERVAL DECREASED BUT PERSISTENT INTERSTITIAL PULMONARY EDEMA. 3. PERSISTENT RIGHT LOWER LOBE DENSITY WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION. ", 208720,CheXpert_Demo_Images\train\patient54409\study1\view1_frontal.jpg,patient54409,"NARRATIVE: SINGLE VIEW CHEST, 4/16/2015 Vivid Vision 5851643010 HOURS: CLINICAL HISTORY: 39 year-old female status post trauma. COMPARISON: There are no prior films available for comparison. IMPRESSION: SINGLE PORTABLE SUPINE VIEW OF THE CHEST OBTAINED ON A TRAUMA BOARD. THE LUNGS ARE CLEAR. NO PNEUMOTHORAX OR BONY FRACTURE IS IDENTIFIED. RECOMMEND REPEAT PA AND LATERAL WHEN THE PATIENT IS ABLE. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Delgado Mivaan. on: 4/16/2015 ACCESSION NUMBER: 4553284 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," SINGLE PORTABLE SUPINE VIEW OF THE CHEST OBTAINED ON A TRAUMA BOARD. THE LUNGS ARE CLEAR. NO PNEUMOTHORAX OR BONY FRACTURE IS IDENTIFIED. RECOMMEND REPEAT PA AND LATERAL WHEN THE PATIENT IS ABLE. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Delgado Mivaan. on: 4/16/2015 " 148097,CheXpert_Demo_Images\train\patient35244\study2\view1_frontal.jpg,patient35244,"NARRATIVE: SINGLE PORTABLE VIEW OF THE CHEST: 9/3/2016 CLINICAL HISTORY: 83 year old with encephalitis. COMPARISON: 9-3-2016 - 9-3-16. IMPRESSION: 1. PORTABLE SEMI-UPRIGHT CHEST RADIOGRAPH DEMONSTRATES UNCHANGED POSITION OF FEEDING TUBE. 2. REDEMONSTRATED IS BILATERAL HAZY PARENCHYMAL OPACIFICATION CONSISTENT WITH EDEMA VERSUS HEMORRHAGE. NO SIGNIFICANT INTERVAL CHANGE. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Deger, MD. on: 9-3-2016 __________________________________ ACCESSION NUMBER: 28352288 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMI-UPRIGHT CHEST RADIOGRAPH DEMONSTRATES UNCHANGED POSITION OF FEEDING TUBE. 2. REDEMONSTRATED IS BILATERAL HAZY PARENCHYMAL OPACIFICATION CONSISTENT WITH EDEMA VERSUS HEMORRHAGE. NO SIGNIFICANT INTERVAL CHANGE. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Deger, MD. on: 9-3-2016 __________________________________ " 5075,CheXpert_Demo_Images\train\patient01247\study6\view1_frontal.jpg,patient01247,"NARRATIVE: TWO VIEWS OF THE CHEST: 4/15/2014 AT 0843 HOURS. COMPARISON: 4-15-14 at 2038 hours. IMPRESSION: PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE A LEFT ANTERIOR MID-LUNG ZONE CHEST TUBE THAT IS UNCHANGED. NO PNEUMOTHORAX VISUALIZED. THE LUNGS APPEAR CLEAR WITH NO SIGNIFICANT EFFUSIONS. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2753-1196 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE A LEFT ANTERIOR MID-LUNG ZONE CHEST TUBE THAT IS UNCHANGED. NO PNEUMOTHORAX VISUALIZED. THE LUNGS APPEAR CLEAR WITH NO SIGNIFICANT EFFUSIONS. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 79111,CheXpert_Demo_Images\train\patient19008\study3\view1_frontal.jpg,patient19008,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12/13/2012 CLINICAL HISTORY: 44 years of age, Female, CF pulmonary exacerbation. COMPARISON: 12/13/2012, 12-13-2012 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Central line remains in place. Interval increase in degree of previously noted bronchial wall thickening particularly in bilateral lung bases; no new no focal consolidation identified. No effusions. IMPRESSION: 1. Increased bronchial wall thickening in bilateral lower lobes without new focal consolidation. ACCESSION NUMBER: JSE-JR This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Central line remains in place. Interval increase in degree of previously noted bronchial wall thickening particularly in bilateral lung bases; no new no focal consolidation identified. No effusions. "," 1. Increased bronchial wall thickening in bilateral lower lobes without new focal consolidation. ", 44488,CheXpert_Demo_Images\train\patient10884\study4\view1_frontal.jpg,patient10884,"NARRATIVE: EXAM: Chest 1 View, 2/28/2009 CLINICAL HISTORY: Male of 49 years; Reason for study: ""Pleural effusion eval"" COMPARISON: Chest X-Ray 2/28/2009 IMPRESSION: 1.STABLE RIGHT UPPER EXTREMITY PICC AND RIGHT-SIDED DIALYSIS CATHETER. 2.LEFT FIBROTHORAX REMAINS. INTERVAL DECREASE IN THE MODERATE PULMONARY EDEMA WITH IMPROVED AERATION ON THE RIGHT. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 277 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.STABLE RIGHT UPPER EXTREMITY PICC AND RIGHT-SIDED DIALYSIS CATHETER. 2.LEFT FIBROTHORAX REMAINS. INTERVAL DECREASE IN THE MODERATE PULMONARY EDEMA WITH IMPROVED AERATION ON THE RIGHT. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 71725,CheXpert_Demo_Images\train\patient17208\study1\view1_frontal.jpg,patient17208,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST AND CLAVICLE: 3/20/06 CLINICAL HISTORY: 60 years of age, Male, with concern for rib fractures. COMPARISON: 3/20/2006 PROCEDURE COMMENTS: Single view of the chest and 2 views of the right clavicle FINDINGS: 1 view of the chest redemonstrates a right apical pneumothorax which is grossly unchanged in size. Multiple right-sided rib fractures are again seen which are better evaluated on the 3/20/2006 cross-sectional imaging of the chest. Redemonstration of a minimally displaced right clavicular fracture. 2 views of the right clavicle demonstrate a mildly displaced right midclavicular fracture with slight superior displacement of the distal fracture fragment. IMPRESSION: 1. 1 view of the chest demonstrates a right apical pneumothorax grossly unchanged in size with multiple right-sided rib fractures which are better evaluated on the 3/20/2006 cross-sectional imaging of the chest. 2. 2 views of the right clavicle demonstrate a mildly displaced right midclavicular fracture. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: FTIK GX This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 1 view of the chest redemonstrates a right apical pneumothorax which is grossly unchanged in size. Multiple right-sided rib fractures are again seen which are better evaluated on the 3/20/2006 cross-sectional imaging of the chest. Redemonstration of a minimally displaced right clavicular fracture. 2 views of the right clavicle demonstrate a mildly displaced right midclavicular fracture with slight superior displacement of the distal fracture fragment. "," 1. 1 view of the chest demonstrates a right apical pneumothorax grossly unchanged in size with multiple right-sided rib fractures which are better evaluated on the 3/20/2006 cross-sectional imaging of the chest. 2. 2 views of the right clavicle demonstrate a mildly displaced right midclavicular fracture. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 934,CheXpert_Demo_Images\train\patient00226\study2\view2_lateral.jpg,patient00226,"NARRATIVE: CHEST TWO VIEWS: 1/13/2002 CLINICAL HISTORY: Pneumonia left lower lobe. COMPARISON: 1/13/02. IMPRESSION: 1. NO RADIOGRAPHIC EVIDENCE OF LEFT LOWER LOBE PNEUMONIA. 2. INTERVAL RESOLUTION OF ATELECTASIS OR PNEUMONIA AT THE LEFT BASE. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 7049589516288 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO RADIOGRAPHIC EVIDENCE OF LEFT LOWER LOBE PNEUMONIA. 2. INTERVAL RESOLUTION OF ATELECTASIS OR PNEUMONIA AT THE LEFT BASE. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE. ","2-ABNORMAL, PREVIOUSLY REPORTED " 220419,CheXpert_Demo_Images\train\patient61995\study1\view1_frontal.jpg,patient61995,"NARRATIVE: EXAM: 4-3-17. HISTORY: INTUBATED. IMPRESSION: 1.CHEST 1 VIEW, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. STABLE OVERALL AERATION AND LUNG VOLUME. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 3.SUPPORT TUBES AND LINES IN APPROPRIATE POSITION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 187-371-856-07 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.CHEST 1 VIEW, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. STABLE OVERALL AERATION AND LUNG VOLUME. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 3.SUPPORT TUBES AND LINES IN APPROPRIATE POSITION. ","2-ABNORMAL, PREVIOUSLY REPORTED " 196372,CheXpert_Demo_Images\train\patient48073\study1\view1_frontal.jpg,patient48073,"NARRATIVE: Exam: Chest 1 View, 6-1-2001 Clinical History: 26 years Male with Post op line placement. Status post renal transplant. Comparison: 2001/6/1 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER. NO PNEUMOTHORAX. 2.INTERVAL DEVELOPMENT OF DIFFUSE ASYMMETRIC BILATERAL PARENCHYMAL OPACITIES, LEFT GREATER THAN RIGHT, WHICH MAY REPRESENT AN ATYPICAL PATTERN OF EDEMA OR ASPIRATION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2255l101892b This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER. NO PNEUMOTHORAX. 2.INTERVAL DEVELOPMENT OF DIFFUSE ASYMMETRIC BILATERAL PARENCHYMAL OPACITIES, LEFT GREATER THAN RIGHT, WHICH MAY REPRESENT AN ATYPICAL PATTERN OF EDEMA OR ASPIRATION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 147112,CheXpert_Demo_Images\train\patient35091\study1\view1_frontal.jpg,patient35091,"NARRATIVE: PORTABLE CHEST: COMPARISON: 00 December, 12/15/2000, 12/15/2000 IMPRESSION: 1. PORTABLE SEMI-ERECT CHEST RADIOGRAPH DEMONSTRATES UNCHANGED POSITION OF THE RIGHT INTERNAL JUGULAR SHEATH AND CATHETER AS WELL AS THE LEFT CHEST TUBE. 2. PERSISTENT LEFT PLEURAL EFFUSION WITHOUT EVIDENCE OF DEFINITE PNEUMOTHORAX. ALSO PERSISTENT INCREASED OPACIFICATION IN THE LEFT RETROCARDIAC REGION REPRESENTING ATELECTASIS VERSUS CONSOLIDATION. 3. INTERVAL DEVELOPMENT OF PROBABLE RIGHT PLEURAL EFFUSION AS THERE IS THICKENING OF THE MINOR FISSURE. 4. INTERVAL DEVELOPMENT OF MILD INTERSTITIAL PULMONARY EDEMA. 5. REDEMONSTRATION OF WIDENING OF THE SUPERIOR MEDIASTINUM THAT IS STABLE IN SIZE AND APPEARANCE. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. ACCESSION NUMBER: cgzgda This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMI-ERECT CHEST RADIOGRAPH DEMONSTRATES UNCHANGED POSITION OF THE RIGHT INTERNAL JUGULAR SHEATH AND CATHETER AS WELL AS THE LEFT CHEST TUBE. 2. PERSISTENT LEFT PLEURAL EFFUSION WITHOUT EVIDENCE OF DEFINITE PNEUMOTHORAX. ALSO PERSISTENT INCREASED OPACIFICATION IN THE LEFT RETROCARDIAC REGION REPRESENTING ATELECTASIS VERSUS CONSOLIDATION. 3. INTERVAL DEVELOPMENT OF PROBABLE RIGHT PLEURAL EFFUSION AS THERE IS THICKENING OF THE MINOR FISSURE. 4. INTERVAL DEVELOPMENT OF MILD INTERSTITIAL PULMONARY EDEMA. 5. REDEMONSTRATION OF WIDENING OF THE SUPERIOR MEDIASTINUM THAT IS STABLE IN SIZE AND APPEARANCE. "," 4: Possible significant abnormality/change, may need action. " 45260,CheXpert_Demo_Images\train\patient11030\study3\view1_frontal.jpg,patient11030,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1/5/2004 CLINICAL HISTORY: 67 years of age, Male, Post-op CV surgery. COMPARISON: Chest radiograph dated 01/05/04 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: There are persistent small biapical pneumothoraces. There is redemonstration of multiple thoracic drains and a right IJ central venous catheter. There has been interval removal of a Swan-Ganz catheter. Redemonstration of prior valve surgery changes, with evidence of previous mitral and tricuspid valvuloplasty and a bioprosthetic pulmonic valve. Redemonstration of perihilar opacification and small bilateral pleural effusions, reflecting mild pulmonary edema. IMPRESSION: 1. Persistent small biapical pneumothoraces. 2. Perihilar opacification and small bilateral pleural effusions, reflecting mild pulmonary edema. 3. Interval removal of Swan-Ganz catheter. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2AXQkc4Pmu This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There are persistent small biapical pneumothoraces. There is redemonstration of multiple thoracic drains and a right IJ central venous catheter. There has been interval removal of a Swan-Ganz catheter. Redemonstration of prior valve surgery changes, with evidence of previous mitral and tricuspid valvuloplasty and a bioprosthetic pulmonic valve. Redemonstration of perihilar opacification and small bilateral pleural effusions, reflecting mild pulmonary edema. "," 1. Persistent small biapical pneumothoraces. 2. Perihilar opacification and small bilateral pleural effusions, reflecting mild pulmonary edema. 3. Interval removal of Swan-Ganz catheter. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 221646,CheXpert_Demo_Images\train\patient63104\study1\view1_frontal.jpg,patient63104,"NARRATIVE: SINGLE PORTABLE VIEW OF THE CHEST: 9/11/2 COMPARISON: 1/9/2003, Accession #jnhMdpBAPoP. IMPRESSION: 1. INTERVAL REMOVAL OF RIGHT SIDED CHEST TUBE. THERE IS A SMALL RIGHT APICAL PNEUMOTHORAX. PERSISTENT SMALL DENSITY IN THE RIGHT LOWER LUNG ZONE LIKELY REPRESENTS OPACITY ALONG THE FORMER CHEST TUBE TRACT. MULTIPLE RIGHT SIDED RIB FRACTURES AGAIN NOTED. LEFT LUNG CLEAR. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Gemma, Cannon on: 05-05 ACCESSION NUMBER: 1916 6345 899 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF RIGHT SIDED CHEST TUBE. THERE IS A SMALL RIGHT APICAL PNEUMOTHORAX. PERSISTENT SMALL DENSITY IN THE RIGHT LOWER LUNG ZONE LIKELY REPRESENTS OPACITY ALONG THE FORMER CHEST TUBE TRACT. MULTIPLE RIGHT SIDED RIB FRACTURES AGAIN NOTED. LEFT LUNG CLEAR. ", 177607,CheXpert_Demo_Images\train\patient41668\study1\view1_frontal.jpg,patient41668,"NARRATIVE: SINGLE PORTABLE CHEST: 5/13/2010. CLINICAL HISTORY: Subdural hematoma. COMPARISON: No comparisons. IMPRESSION: 1. MILD PROMINENCE OF INTERSTITIAL LUNG MARKINGS BILATERALLY WITHOUT FOCAL AIR SPACE CONSOLIDATION OR EVIDENCE OF PULMONARY EDEMA. RIGHT LATERAL AND UPPER THORACIC SUBPLEURAL LINES ARE THOUGHT TO BE ARTIFACTUAL AS PULMONARY MARKINGS ARE SEEN LATERAL TO THESE, THOUGH CONSIDER FOLLOW-UP EXAMINATION IF THERE IS CLINICAL CONCERN FOR A PNEUMOTHORAX. 2. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: TMKPNPH This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. MILD PROMINENCE OF INTERSTITIAL LUNG MARKINGS BILATERALLY WITHOUT FOCAL AIR SPACE CONSOLIDATION OR EVIDENCE OF PULMONARY EDEMA. RIGHT LATERAL AND UPPER THORACIC SUBPLEURAL LINES ARE THOUGHT TO BE ARTIFACTUAL AS PULMONARY MARKINGS ARE SEEN LATERAL TO THESE, THOUGH CONSIDER FOLLOW-UP EXAMINATION IF THERE IS CLINICAL CONCERN FOR A PNEUMOTHORAX. 2. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. ","2-ABNORMAL, PREVIOUSLY REPORTED " 223072,CheXpert_Demo_Images\train\patient64404\study1\view1_frontal.jpg,patient64404,"NARRATIVE: EXAM: Chest 1 View, 1-7-2001. HISTORY: 83 years Female, R/o pulm edema. COMPARISON: 1-7-2001 and prior. IMPRESSION: 1. SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES LEFT BASILAR OPACITIES WHICH MAY REFLECT ASPIRATION OR INFECTION. INTERVAL ENLARGEMENT OF MODERATE TO LEFT PLEURAL EFFUSION WITH PERSISTENT SMALL RIGHT EFFUSION. NO PNEUMOTHORAX. 2. REDEMONSTRATION OF SEVERE DEXTROSCOLIOSIS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 27238522 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES LEFT BASILAR OPACITIES WHICH MAY REFLECT ASPIRATION OR INFECTION. INTERVAL ENLARGEMENT OF MODERATE TO LEFT PLEURAL EFFUSION WITH PERSISTENT SMALL RIGHT EFFUSION. NO PNEUMOTHORAX. 2. REDEMONSTRATION OF SEVERE DEXTROSCOLIOSIS. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 101966,CheXpert_Demo_Images\train\patient24514\study1\view1_frontal.jpg,patient24514,"NARRATIVE: TWO VIEW CHEST: 1/21/2016_1/21/2016_6/21/2007. CLINICAL HISTORY: Seventy-seven-year-old male with sudden onset dysarthria. COMPARISON: No prior studies for comparison. FINDINGS: Frontal and lateral views of the chest demonstrate sternotomy wires and mediastinal clips consistent with prior cardiac surgery. The cardiomediastinal silhouette is otherwise unremarkable. There are increased linear opacities within the left lower lobe suggesting atelectasis or early infiltrate. The remainder of the lungs are clear. The pulmonary vessels are well delineated. There is no pneumothorax or pleural effusion. The trachea is midline. Multilevel degenerative change of the spine is demonstrated. IMPRESSION: 1. LEFT LOWER LOBE ATELECTASIS OR EARLY INFILTRATE. SUGGEST CLINICAL CORRELATION FOR SIGNS OF LEFT LOWER LOBE PNEUMONIA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2733813374 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Frontal and lateral views of the chest demonstrate sternotomy wires and mediastinal clips consistent with prior cardiac surgery. The cardiomediastinal silhouette is otherwise unremarkable. There are increased linear opacities within the left lower lobe suggesting atelectasis or early infiltrate. The remainder of the lungs are clear. The pulmonary vessels are well delineated. There is no pneumothorax or pleural effusion. The trachea is midline. Multilevel degenerative change of the spine is demonstrated. "," 1. LEFT LOWER LOBE ATELECTASIS OR EARLY INFILTRATE. SUGGEST CLINICAL CORRELATION FOR SIGNS OF LEFT LOWER LOBE PNEUMONIA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 219380,CheXpert_Demo_Images\train\patient61041\study1\view1_frontal.jpg,patient61041,"NARRATIVE: ONE VIEW CHEST, 5-24-2010: CLINICAL HISTORY: 45 year-old female with metastatic breast cancer. FINDINGS: Single portable view of the chest is compared to prior study dated 5/24/10. IMPRESSION: 1. INTERVAL PLACEMENT OF A RIGHT SUBCLAVIAN CENTRAL VENOUS PORT SINCE 5/24/10. TIP OF CATHETER IN PROXIMAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. TAKING INTO ACCOUNT DIFFERENCES IN TECHNIQUE, NO SIGNIFICANT CHANGE SINCE THE PRIOR STUDY. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED __________________________________ ACCESSION NUMBER: 6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single portable view of the chest is compared to prior study dated 5/24/10. "," 1. INTERVAL PLACEMENT OF A RIGHT SUBCLAVIAN CENTRAL VENOUS PORT SINCE 5/24/10. TIP OF CATHETER IN PROXIMAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. TAKING INTO ACCOUNT DIFFERENCES IN TECHNIQUE, NO SIGNIFICANT CHANGE SINCE THE PRIOR STUDY. "," 2 ABNORMAL, PREVIOUSLY REPORTED __________________________________ " 21394,CheXpert_Demo_Images\train\patient05229\study1\view1_frontal.jpg,patient05229,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: OCTOBER 29 AT 2340 HOURS. COMPARISON: None. CLINICAL HISTORY: 67-year-old female. No history provided. IMPRESSION: 1. AP VIEW OF THE CHEST ON 10/29/2007 AT 2340 HOURS SHOWS RIGHT INTERNAL JUGULAR VENOUS CATHETER WITH ITS TIP IN THE SUPERIOR VENA CAVA. 2. THERE IS MILD PULMONARY EDEMA AND RETROCARDIAC OPACITIES CONSISTENT WITH ATELECTASIS. NO EVIDENCE OF EFFUSIONS BILATERALLY. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 5592815754007 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP VIEW OF THE CHEST ON 10/29/2007 AT 2340 HOURS SHOWS RIGHT INTERNAL JUGULAR VENOUS CATHETER WITH ITS TIP IN THE SUPERIOR VENA CAVA. 2. THERE IS MILD PULMONARY EDEMA AND RETROCARDIAC OPACITIES CONSISTENT WITH ATELECTASIS. NO EVIDENCE OF EFFUSIONS BILATERALLY. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 201885,CheXpert_Demo_Images\train\patient50494\study1\view1_frontal.jpg,patient50494,"NARRATIVE: Chest 1 View, 4-17-2016 HISTORY: 88 years Male, R/o pneumonia COMPARISON: APRIL 17, 2016 IMPRESSION: 1.A SINGLE SUPINE AP VIEW OF THE CHEST DEMONSTRATEs STABLE POSITIONING OF A LEFT ANTERIOR CHEST WALL SINGLE LEAD AICD DEVICE. 2.REDEMONSTRATION OF CARDIOMEGALY AND MILD DIFFUSE RETICULAR PATTERN OF THE LUNGS, WHICH MAY REFLECT A MILD DEGREE OF PULMONARY EDEMA. SMALL LEFT PLEURAL EFFUSION IS NOW LAYERING WITHIN THE LEFT HEMITHORAX. 3.STABLE RETROCARDIAC OPACITY, WHICH MAY REFLECT ATELECTASIS VERSUS CONSOLIDATION. 4.STABLE CALCIFICATION AND TORTUOSITY OF THE THORACIC AORTA. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 562 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A SINGLE SUPINE AP VIEW OF THE CHEST DEMONSTRATEs STABLE POSITIONING OF A LEFT ANTERIOR CHEST WALL SINGLE LEAD AICD DEVICE. 2.REDEMONSTRATION OF CARDIOMEGALY AND MILD DIFFUSE RETICULAR PATTERN OF THE LUNGS, WHICH MAY REFLECT A MILD DEGREE OF PULMONARY EDEMA. SMALL LEFT PLEURAL EFFUSION IS NOW LAYERING WITHIN THE LEFT HEMITHORAX. 3.STABLE RETROCARDIAC OPACITY, WHICH MAY REFLECT ATELECTASIS VERSUS CONSOLIDATION. 4.STABLE CALCIFICATION AND TORTUOSITY OF THE THORACIC AORTA. "," 2-ABNORMAL, PREVIOUSLY REPORTED " 174359,CheXpert_Demo_Images\train\patient40800\study3\view1_frontal.jpg,patient40800,"NARRATIVE: EXAM: Chest 1 View, 1-8-2003. HISTORY: 50 years Male, Evaluate chest tubes. COMPARISON: 1/8/2003 and prior. IMPRESSION: 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES SLIGHT INTERVAL IMPROVEMENT OF LEFT UPPER LUNG ZONE OPACITY, CONSISTENT WITH RESOLVING PULMONARY CONTUSION. NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 2.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES REDEMONSTRATED FRACTURES OF THE LEFT CLAVICLE AND SECOND RIB. FROM OVERLYING LEFT SHOULDER, NECK, AND RIGHT SHOULDER. PERSISTENTLY ELEVATED RIGHT HEMIDIAPHRAGM. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: RcszvNSsQvb This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES SLIGHT INTERVAL IMPROVEMENT OF LEFT UPPER LUNG ZONE OPACITY, CONSISTENT WITH RESOLVING PULMONARY CONTUSION. NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 2.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES REDEMONSTRATED FRACTURES OF THE LEFT CLAVICLE AND SECOND RIB. FROM OVERLYING LEFT SHOULDER, NECK, AND RIGHT SHOULDER. PERSISTENTLY ELEVATED RIGHT HEMIDIAPHRAGM. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 162836,CheXpert_Demo_Images\train\patient38036\study2\view1_frontal.jpg,patient38036,"NARRATIVE: Chest 1 View, 2-7-2012 HISTORY: 57 years Female, Critical care follow-up(ICU) COMPARISON: AP view of the chest dated 2/7/2012 TECHNIQUE: Semi-upright AP view of the chest IMPRESSION: 1.UNCHANGED APPEARANCE OF NODULAR AREAS OF CONSOLIDATION BILATERALLY WITH ASSOCIATED SMALL LEFT PLEURAL EFFUSION; THERE IS IMPROVED AERATION AT THE LEFT BASE. 2.STABLE POSITIONING OF THE TRACHEOSTOMY CANNULA AND A RIGHT UPPER EXTREMITY PICC LINE WITH THE TIP 7.7 CM BELOW THE CARINA, LIKELY BELOW THE LEVEL OF THE CAVOATRIAL JUNCTION. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 3810854 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.UNCHANGED APPEARANCE OF NODULAR AREAS OF CONSOLIDATION BILATERALLY WITH ASSOCIATED SMALL LEFT PLEURAL EFFUSION; THERE IS IMPROVED AERATION AT THE LEFT BASE. 2.STABLE POSITIONING OF THE TRACHEOSTOMY CANNULA AND A RIGHT UPPER EXTREMITY PICC LINE WITH THE TIP 7.7 CM BELOW THE CARINA, LIKELY BELOW THE LEVEL OF THE CAVOATRIAL JUNCTION. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 50164,CheXpert_Demo_Images\train\patient12212\study1\view1_frontal.jpg,patient12212,"NARRATIVE: Chest 2 Views 10/7/2020_10/7/2020 HISTORY: 81 years-old Female. Pulmonary Fibrosis, CXR/PRE-OP COMPARISON: None. IMPRESSION: 1. FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE PROMINENT RETICULAR MARKINGS THROUGHOUT BOTH LUNGS, CONSISTENT WITH GIVEN HISTORY OF PULMONARY FIBROSIS. 2. ELEVATION OF THE LEFT HEMIDIAPHRAGM. 3. NO PLEURAL EFFUSIONS OR PNEUMOTHORAX. 4. SEVERE OSTEOPENIA, WITH A COMPRESSION DEFORMITY OF A LOWER THORACIC VERTEBRA THAT APPEARS CHRONIC. 5. ATHEROSCLEROTIC DISEASE OF THE AORTA. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 327414205 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE PROMINENT RETICULAR MARKINGS THROUGHOUT BOTH LUNGS, CONSISTENT WITH GIVEN HISTORY OF PULMONARY FIBROSIS. 2. ELEVATION OF THE LEFT HEMIDIAPHRAGM. 3. NO PLEURAL EFFUSIONS OR PNEUMOTHORAX. 4. SEVERE OSTEOPENIA, WITH A COMPRESSION DEFORMITY OF A LOWER THORACIC VERTEBRA THAT APPEARS CHRONIC. 5. ATHEROSCLEROTIC DISEASE OF THE AORTA. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 36165,CheXpert_Demo_Images\train\patient08869\study2\view2_lateral.jpg,patient08869,"NARRATIVE: COMPARISON: 7/19/2013 FINDINGS: There has been interval placement of a left-sided single lead pacemaker with tip in the expected location of the right ventricle. There is no pneumothorax. There is redemonstration of cardiomegaly. The aorta is stably tortuous. There is prominence of bilateral hila with engorgement of the pulmonary vasculature consistent with pulmonary edema. There is a small right-sided pleural effusion. Bony structures are stable. IMPRESSION: 1.STATUS POST PACEMAKER INSERTION THERE IS NO PNEUMOTHORAX. 2.CARDIOMEGALY AND MODERATE PULMONARY EDEMA. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 4650484778 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There has been interval placement of a left-sided single lead pacemaker with tip in the expected location of the right ventricle. There is no pneumothorax. There is redemonstration of cardiomegaly. The aorta is stably tortuous. There is prominence of bilateral hila with engorgement of the pulmonary vasculature consistent with pulmonary edema. There is a small right-sided pleural effusion. Bony structures are stable. "," 1.STATUS POST PACEMAKER INSERTION THERE IS NO PNEUMOTHORAX. 2.CARDIOMEGALY AND MODERATE PULMONARY EDEMA. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 136586,CheXpert_Demo_Images\train\patient32793\study3\view1_frontal.jpg,patient32793,"NARRATIVE: SINGLE PORTABLE CHEST: 1-21-05 excollectives 1536 hours COMPARISON: 1/21/2005 EXCOLLECTIVES 1223 hours. CLINICAL INFORMATION: Lymph node biopsy. IMPRESSION: 1. STABLE TO SLIGHT INTERVAL INCREASE IN SIZE OF RIGHT PNEUMOTHORAX. 2. STABLE LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER AND MULTIPLE SURGICAL CLIPS OVERLYING THE RIGHT AXILLA. 3. CARDIOMEDIASTINAL SILHOUETTE STABLE IN SIZE AND APPEARANCE. 4. REDEMONSTRATION OF BILATERAL BASILAR AND PERIHILAR OPACITIES, WHICH MAY BE RELATED IN PART DUE TO BILATERAL ATELECTASIS AND/OR SUPERIMPOSED POST BIOPSY CHANGES. PLEASE NOTE, ORIGINAL DICTATION WAS LOST. THIS EXAMINATION WAS SUBMITTED FOR RE-DICTATION ON 2005 21 January END OF IMPRESSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 2584169 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE TO SLIGHT INTERVAL INCREASE IN SIZE OF RIGHT PNEUMOTHORAX. 2. STABLE LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER AND MULTIPLE SURGICAL CLIPS OVERLYING THE RIGHT AXILLA. 3. CARDIOMEDIASTINAL SILHOUETTE STABLE IN SIZE AND APPEARANCE. 4. REDEMONSTRATION OF BILATERAL BASILAR AND PERIHILAR OPACITIES, WHICH MAY BE RELATED IN PART DUE TO BILATERAL ATELECTASIS AND/OR SUPERIMPOSED POST BIOPSY CHANGES. PLEASE NOTE, ORIGINAL DICTATION WAS LOST. THIS EXAMINATION WAS SUBMITTED FOR RE-DICTATION ON 2005 21 January ","2-ABNORMAL, PREVIOUSLY REPORTED " 75117,CheXpert_Demo_Images\train\patient18051\study2\view1_frontal.jpg,patient18051,"NARRATIVE: TWO VIEWS OF THE CHEST: 11/29/2014. CLINICAL HISTORY: Cardiac arrest, status post CABG, evaluate lung volumes. COMPARISON: 11/29/2014. IMPRESSION: 1. TWO VIEWS OF THE CHEST DEMONSTRATE INTERVAL REMOVAL OF RIGHT INTERNAL JUGULAR SHEATH. RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER IS STILL IN PLACE. 2. REDEMONSTRATION OF CARDIOMEGALY AND RETROCARDIAC AIRSPACE OPACITY, CONSISTENT WITH ATELECTASIS AND/OR CONSOLIDATION. INTERVAL INCREASE IN RIGHT PLEURAL EFFUSION. STABLE APPEARANCE OF PULMONARY EDEMA. 3. INTERVAL DEVELOPMENT OF SMALL LEFT PNEUMOTHORAX. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 519461631793 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO VIEWS OF THE CHEST DEMONSTRATE INTERVAL REMOVAL OF RIGHT INTERNAL JUGULAR SHEATH. RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER IS STILL IN PLACE. 2. REDEMONSTRATION OF CARDIOMEGALY AND RETROCARDIAC AIRSPACE OPACITY, CONSISTENT WITH ATELECTASIS AND/OR CONSOLIDATION. INTERVAL INCREASE IN RIGHT PLEURAL EFFUSION. STABLE APPEARANCE OF PULMONARY EDEMA. 3. INTERVAL DEVELOPMENT OF SMALL LEFT PNEUMOTHORAX. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 30504,CheXpert_Demo_Images\train\patient07444\study2\view1_frontal.jpg,patient07444,"NARRATIVE: CLINICAL DATA: Assess lead position. COMPARISON: 4/16/2003, 4/16/03, and 4/16/2003. IMPRESSION: NO SIGNIFICANT INTERVAL CHANGE IN POSITIONING OF NEWLY-PLACED THREE LEAD ICD WITH LEAD TIPS IN RIGHT ATRIUM, RIGHT VENTRICLE, AND CORONARY SINUS, RESPECTIVELY. NO ASSOCIATED PNEUMOTHORAX. CARDIOMEGALY AGAIN NOTED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: PG89-52EL-0 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," NO SIGNIFICANT INTERVAL CHANGE IN POSITIONING OF NEWLY-PLACED THREE LEAD ICD WITH LEAD TIPS IN RIGHT ATRIUM, RIGHT VENTRICLE, AND CORONARY SINUS, RESPECTIVELY. NO ASSOCIATED PNEUMOTHORAX. CARDIOMEGALY AGAIN NOTED. ","2-ABNORMAL, PREVIOUSLY REPORTED " 49870,CheXpert_Demo_Images\train\patient12140\study1\view1_frontal.jpg,patient12140,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1/29/01 CLINICAL HISTORY: 56 years of age, Female, Rule out infection. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Right arm PICC is in good position. Left greater than right small pleural effusions. Mild bibasilar opacities consistent with atelectasis or consolidation. No other focal consolidation in the lungs. Cardiac silhouette is unremarkable. IMPRESSION: 1. Left greater than right small pleural effusions. Mild bibasilar opacities consistent with atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 96968528 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right arm PICC is in good position. Left greater than right small pleural effusions. Mild bibasilar opacities consistent with atelectasis or consolidation. No other focal consolidation in the lungs. Cardiac silhouette is unremarkable. "," 1. Left greater than right small pleural effusions. Mild bibasilar opacities consistent with atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 68708,CheXpert_Demo_Images\train\patient16475\study5\view1_frontal.jpg,patient16475,"NARRATIVE: SINGLE VIEW OF THE CHEST: 11/25/2007 CLINICAL HISTORY: A 54-year-old female determine PICC line placement. COMPARISON: 10/1/201 IMPRESSION: 1. RIGHT UPPER EXTREMITY PICC LINE WITH THE TIP IN THE RIGHT ATRIUM 2.5 CM BELOW THE CAVOATRIAL JUNCTION. 2. REDEMONSTRATION OF RIGHT-SIDED PLEURAL EFFUSION ASSOCIATED WITH OPACITY, UNCHANGED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #3-9-5-8-0-7-1-6-7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RIGHT UPPER EXTREMITY PICC LINE WITH THE TIP IN THE RIGHT ATRIUM 2.5 CM BELOW THE CAVOATRIAL JUNCTION. 2. REDEMONSTRATION OF RIGHT-SIDED PLEURAL EFFUSION ASSOCIATED WITH OPACITY, UNCHANGED. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 132126,CheXpert_Demo_Images\train\patient31697\study1\view2_lateral.jpg,patient31697,"NARRATIVE: Chest 2 Views 7/11/20 CLINICAL HISTORY: 40 years-old Female. Vomiting;Nauseated COMPARISON: 7-11-2020 IMPRESSION: 1.TWO VIEWS OF THE CHEST DEMONSTRATE ELEVATION OF LEFT HEMIDIAPHRAGM, POSSIBLY SECONDARY TO EVENTRATION, WHICH IS STABLE IN APPEARANCE COMPARED TO THE PRIOR EXAM. 2.BILATERAL LUNGS ARE CLEAR, WITH NO EVIDENCE OF FOCAL CONSOLIDATION, ATELECTASIS, OR PNEUMOTHORAX. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE COMPARED TO THE PRIOR EXAM. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 31732898825 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.TWO VIEWS OF THE CHEST DEMONSTRATE ELEVATION OF LEFT HEMIDIAPHRAGM, POSSIBLY SECONDARY TO EVENTRATION, WHICH IS STABLE IN APPEARANCE COMPARED TO THE PRIOR EXAM. 2.BILATERAL LUNGS ARE CLEAR, WITH NO EVIDENCE OF FOCAL CONSOLIDATION, ATELECTASIS, OR PNEUMOTHORAX. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE COMPARED TO THE PRIOR EXAM. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 89143,CheXpert_Demo_Images\train\patient21435\study4\view1_frontal.jpg,patient21435,"NARRATIVE: ABDOMEN AND CHEST: 2013-06-05 IMPRESSION: 1. ABDOMINAL RADIOGRAPH FOR FEEDING TUBE PLACEMENT SHOWS INTERVAL REPOSITIONING OF THE FEEDING TUBE WITH ITS TIP NOW IN THE DUODENAL BULB. 2. PORTABLE RADIOGRAPH OF THE CHEST, 6-5-2013 AT 3:12 HOURS REDEMONSTRATES AN ENDOTRACHEAL TUBE, AN NG TUBE, A FEEDING TUBE, A RIGHT SUBCLAVIAN LINE IN PLACE, ALL UNCHANGED. THERE IS INTERVAL SLIGHT IMPROVEMENT WITH DECREASING AIR SPACE OPACITY IN THE LEFT UPPER LOBE. THERE IS PERSISTENT MILD TO MODERATE EDEMA AND BIBASILAR OPACITIES. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: 6755-1724 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ABDOMINAL RADIOGRAPH FOR FEEDING TUBE PLACEMENT SHOWS INTERVAL REPOSITIONING OF THE FEEDING TUBE WITH ITS TIP NOW IN THE DUODENAL BULB. 2. PORTABLE RADIOGRAPH OF THE CHEST, 6-5-2013 AT 3:12 HOURS REDEMONSTRATES AN ENDOTRACHEAL TUBE, AN NG TUBE, A FEEDING TUBE, A RIGHT SUBCLAVIAN LINE IN PLACE, ALL UNCHANGED. THERE IS INTERVAL SLIGHT IMPROVEMENT WITH DECREASING AIR SPACE OPACITY IN THE LEFT UPPER LOBE. THERE IS PERSISTENT MILD TO MODERATE EDEMA AND BIBASILAR OPACITIES. ","2-ABNORMAL, PREVIOUSLY REPORTED. " 112468,CheXpert_Demo_Images\train\patient26971\study1\view1_frontal.jpg,patient26971,"NARRATIVE: SINGLE VIEW OF THE CHEST: 12/3/2020. CLINICAL DATA: Subarachnoid bleed. Check for infiltrates. COMPARISON: None. FINDINGS: Low lung volumes are present along with streaky atelectasis at both lung bases. The cardiomediastinal silhouette, the hilar regions, and the pulmonary vascularity are mildly indistinct. Bony structures and soft tissues are unremarkable. IMPRESSION: 1. LOW LUNG VOLUMES WITH PULMONARY VASCULAR INDISTINCTNESS. RECOMMEND FOLLOW-UP PA AND LATERAL VIEWS OF THE CHEST IF CLINICALLY INDICATED. 2. NO DEFINITE FOCAL CONSOLIDATION. END OF IMPRESSION: ACCESSION NUMBER: 731596210034 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Low lung volumes are present along with streaky atelectasis at both lung bases. The cardiomediastinal silhouette, the hilar regions, and the pulmonary vascularity are mildly indistinct. Bony structures and soft tissues are unremarkable. "," 1. LOW LUNG VOLUMES WITH PULMONARY VASCULAR INDISTINCTNESS. RECOMMEND FOLLOW-UP PA AND LATERAL VIEWS OF THE CHEST IF CLINICALLY INDICATED. 2. NO DEFINITE FOCAL CONSOLIDATION. ", 212504,CheXpert_Demo_Images\train\patient56772\study1\view1_frontal.jpg,patient56772,"NARRATIVE: Chest 1 View, February 21st, 16 HISTORY: 86 years Female, Fall COMPARISON: No relevant studies for comparison TECHNIQUE: Supine AP view of the chest IMPRESSION: 1.NO EVIDENCE OF PULMONARY CONTUSION, DISPLACED RIB FRACTURE OR PNEUMOTHORAX. 2.THERE IS BORDERLINE ENLARGED CARDIOMEDIASTINAL SILHOUETTE. PULMONARY VASCULATURE IS WITHIN NORMAL LIMITS, NO EVIDENCE OF PLEURAL EFFUSIONS. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #56_2 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NO EVIDENCE OF PULMONARY CONTUSION, DISPLACED RIB FRACTURE OR PNEUMOTHORAX. 2.THERE IS BORDERLINE ENLARGED CARDIOMEDIASTINAL SILHOUETTE. PULMONARY VASCULATURE IS WITHIN NORMAL LIMITS, NO EVIDENCE OF PLEURAL EFFUSIONS. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 144797,CheXpert_Demo_Images\train\patient34738\study2\view1_frontal.jpg,patient34738,"NARRATIVE: CLINICAL HISTORY: 71 year old female with chest pain. rule out infiltrate. COMPARISON: 9/7/2012. IMPRESSION: 1. INCREASED OPACITY IN THE LEFT LUNG BASE CONCERNING FOR PLEURAL EFFUSION, AND ASSOCIATED ATELECTASIS OR INFILTRATE. 2. INTERSTITIAL PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: DR. GLASS JULIET. on: 9-7-2012 ACCESSION NUMBER: 221136 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INCREASED OPACITY IN THE LEFT LUNG BASE CONCERNING FOR PLEURAL EFFUSION, AND ASSOCIATED ATELECTASIS OR INFILTRATE. 2. INTERSTITIAL PULMONARY EDEMA. "," 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: DR. GLASS JULIET. on: 9-7-2012 " 101392,CheXpert_Demo_Images\train\patient24394\study7\view2_lateral.jpg,patient24394,"NARRATIVE: AP AND LATERAL VIEW CHEST: 9/3/2010. COMPARISON: Chest x-ray dated SEPTEMBER 3, 2010. CLINICAL DATA: Right pleural effusion, status post right VATS. IMPRESSION: 1. STABLE RIGHT CHEST TUBE. SMALL RIGHT-SIDED PNEUMOTHORAX. 2. INTERVAL INCREASE IN RIGHT LOWER LOBE OPACITY AND RIGHT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: best, elaina quinn on: 09-03 ACCESSION NUMBER: V-N-0-X-A-P-P-K-N-L-P-X This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE RIGHT CHEST TUBE. SMALL RIGHT-SIDED PNEUMOTHORAX. 2. INTERVAL INCREASE IN RIGHT LOWER LOBE OPACITY AND RIGHT PLEURAL EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: best, elaina quinn on: 09-03 " 207401,CheXpert_Demo_Images\train\patient53588\study1\view1_frontal.jpg,patient53588,"NARRATIVE: EXAM: Chest 1 View, 6/12/2002. HISTORY: Female who is of 49 years, Postop. COMPARISON: 6/12/2002 IMPRESSION: 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES SLIGHT INTERVAL INCREASE IN BIBASILAR OPACITIES WHICH MAY REFLECT ASPIRATION OR ATELECTASIS. 2. TRACE LEFT PLEURAL EFFUSION. 3. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: pmpmnrskez This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES SLIGHT INTERVAL INCREASE IN BIBASILAR OPACITIES WHICH MAY REFLECT ASPIRATION OR ATELECTASIS. 2. TRACE LEFT PLEURAL EFFUSION. 3. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 148892,CheXpert_Demo_Images\train\patient35390\study1\view1_frontal.jpg,patient35390,"NARRATIVE: SINGLE FRONTAL CHEST RADIOGRAPH: 4/19/2009. COMPARISON: 4-19-2009. IMPRESSION: 1. THERE HAS BEEN INTERVAL APPEARANCE OF INCREASED INTERSTITIAL MARKINGS CONSISTENT WITH PULMONARY EDEMA. IN ADDITION, THERE ARE BASILAR AIR-SPACE OPACITIES CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. SMALL BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT, ARE ALSO PRESENT. 2. THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY UNREMARKABLE. 3. NO BONY ABNORMALITIES. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. __________________________________ ACCESSION NUMBER: 28352288 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE HAS BEEN INTERVAL APPEARANCE OF INCREASED INTERSTITIAL MARKINGS CONSISTENT WITH PULMONARY EDEMA. IN ADDITION, THERE ARE BASILAR AIR-SPACE OPACITIES CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. SMALL BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT, ARE ALSO PRESENT. 2. THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY UNREMARKABLE. 3. NO BONY ABNORMALITIES. "," 4: Possible Significant Abnormality/Change, may need action. __________________________________ " 46623,CheXpert_Demo_Images\train\patient11335\study1\view1_frontal.jpg,patient11335,"NARRATIVE: FRONTAL PORTABLE VIEW OF THE CHEST, 4-17-2016 AT 0146 HOURS: COMPARISON: None. HISTORY: 27-year-old male status post assault. ETOH. Rule out pneumothorax. FINDINGS: Moderate low lung volumes with otherwise the lungs grossly clear. The cardiomediastinal silhouette is within normal limits for the technique (portable supine). Bones are normal. IMPRESSION: 1. LOW LUNG VOLUMES. 2. NO PNEUMOTHORAX. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Hoffman Alexa, PA-C. on: 4/17/2016 ACCESSION NUMBER: 203351 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Moderate low lung volumes with otherwise the lungs grossly clear. The cardiomediastinal silhouette is within normal limits for the technique (portable supine). Bones are normal. "," 1. LOW LUNG VOLUMES. 2. NO PNEUMOTHORAX. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Hoffman Alexa, PA-C. on: 4/17/2016 " 159112,CheXpert_Demo_Images\train\patient37273\study3\view1_frontal.jpg,patient37273,"NARRATIVE: EXAMINATION: PORTABLE CHEST 1/30/2007 at 13:08 hours and 1-30-07 INDICATION: Effusions HISTORY: Male, 75 years old, pulmonary edema and effusions COMPARISON: 1/30/2007 at 09:21 hours FINDINGS: Portable chest shows low lung volumes with crowding of the pulmonary vasculature. The right central line is unchanged and the effusions and pulmonary edema are slightly decreased from the prior study. Follow-up portable chest 1-30-2007 at 08:40 hours shows continued improvement in pulmonary edema however there is still bilateral pleural fluid collections. Enlarged heart, mediastinal drains and wire sternotomy sutures are unchanged. Otherwise, there is no change from the prior examination. IMPRESSION: 1.IMPROVING PULMONARY EDEMA SUMMARY 2- ABNORMAL PREVIOUSLY REPORTED ACCESSION NUMBER: 56.01.12.43 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Portable chest shows low lung volumes with crowding of the pulmonary vasculature. The right central line is unchanged and the effusions and pulmonary edema are slightly decreased from the prior study. Follow-up portable chest 1-30-2007 at 08:40 hours shows continued improvement in pulmonary edema however there is still bilateral pleural fluid collections. Enlarged heart, mediastinal drains and wire sternotomy sutures are unchanged. Otherwise, there is no change from the prior examination. "," 1.IMPROVING PULMONARY EDEMA "," 2- ABNORMAL PREVIOUSLY REPORTED " 37949,CheXpert_Demo_Images\train\patient09315\study2\view3_lateral.jpg,patient09315,"NARRATIVE: TWO VIEW CHEST: 5/1/2021 COMPARISON: 4/3/2016. IMPRESSION: 1. LEFT ANTERIOR CHEST WALL DUAL-LEAD AICD IN PLACE, UNCHANGED. NO PNEUMOTHORAX. 2. MILD CARDIOMEGALY WITH PROMINENT LEFT VENTRICULAR CONTOUR. 3. CENTRAL PULMONARY MARKINGS ARE SLIGHTLY MORE PROMINENT THAN THE LUNG PERIPHERY WHICH APPEARS HYPERINFLATED. TOGETHER WITH A SOMEWHAT FLATTENED DOME OF THE DIAPHRAGM IN THE LATERAL FILM THIS MAY INDICATE COPD. 4. BLUNTING OF THE POSTERIOR COSTOPHRENIC ANGLE MAY REPRESENT A SMALL AMOUNT OF PLEURAL FLUID VERSUS AN AREA OF ATELECTASIS OR CONSOLIDATION. RECOMMEND CLINICAL CORRELATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 12432300058220 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LEFT ANTERIOR CHEST WALL DUAL-LEAD AICD IN PLACE, UNCHANGED. NO PNEUMOTHORAX. 2. MILD CARDIOMEGALY WITH PROMINENT LEFT VENTRICULAR CONTOUR. 3. CENTRAL PULMONARY MARKINGS ARE SLIGHTLY MORE PROMINENT THAN THE LUNG PERIPHERY WHICH APPEARS HYPERINFLATED. TOGETHER WITH A SOMEWHAT FLATTENED DOME OF THE DIAPHRAGM IN THE LATERAL FILM THIS MAY INDICATE COPD. 4. BLUNTING OF THE POSTERIOR COSTOPHRENIC ANGLE MAY REPRESENT A SMALL AMOUNT OF PLEURAL FLUID VERSUS AN AREA OF ATELECTASIS OR CONSOLIDATION. RECOMMEND CLINICAL CORRELATION. ","2-ABNORMAL, PREVIOUSLY REPORTED " 47116,CheXpert_Demo_Images\train\patient11442\study1\view1_frontal.jpg,patient11442,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/22/2019 CLINICAL HISTORY: 93 year old of age, Unknown, Trauma. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Shrapnel in the upper left hemithorax, likely from prior gunshot wound. Mild prominence of the heart with globular silhouette. The lungs are clear. No substantial pleural effusion or visualized pneumothorax. No acute fracture identified. IMPRESSION: 1. Globular appearance of the cardiac silhouette. There is clinical concern for pericardial effusion, correlate with echocardiography. 2. No focal consolidation or pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 25212131 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Shrapnel in the upper left hemithorax, likely from prior gunshot wound. Mild prominence of the heart with globular silhouette. The lungs are clear. No substantial pleural effusion or visualized pneumothorax. No acute fracture identified. "," 1. Globular appearance of the cardiac silhouette. There is clinical concern for pericardial effusion, correlate with echocardiography. 2. No focal consolidation or pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 111424,CheXpert_Demo_Images\train\patient26732\study3\view1_frontal.jpg,patient26732,"NARRATIVE: HISTORY: Patient with cough and green sputum. COMPARISON EXAMS: january 2008, 1/19/2008, and 1-19-2008. IMPRESSION: 1. right PICC line tip in proximal right subclavian vein, unchanged. 2. Abnormal opacity persistent left retrocardiac region; given that this contains an air-fluid level, this may represent a hiatal hernia. 3. AssociateD small left-sided pleural effusion. END OF IMPRESSION: SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 479435974 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. right PICC line tip in proximal right subclavian vein, unchanged. 2. Abnormal opacity persistent left retrocardiac region; given that this contains an air-fluid level, this may represent a hiatal hernia. 3. AssociateD small left-sided pleural effusion. "," 2-ABNORMAL, PREVIOUSLY REPORTED " 181098,CheXpert_Demo_Images\train\patient42676\study8\view1_frontal.jpg,patient42676,"NARRATIVE: Chest 2 Views: March 1, 2017 HISTORY: 54 years Male, Right pleural effusion, status post chest tube. COMPARISON: 3/1/2017 IMPRESSION: 1.AP radiograph of the chest demonstrates interval placement of right chest tube and removal of right subclavian catheter and feeding tube. 2.There is no evidence of pneumothorax. 3.Oval opacity in the right lower lung zone may represent atelectasis versus pleural fluid in the fissure. Right effusion is also present. Calcified granulomas are present in the left lower lung zone. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 97347693059126 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.AP radiograph of the chest demonstrates interval placement of right chest tube and removal of right subclavian catheter and feeding tube. 2.There is no evidence of pneumothorax. 3.Oval opacity in the right lower lung zone may represent atelectasis versus pleural fluid in the fissure. Right effusion is also present. Calcified granulomas are present in the left lower lung zone. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 193029,CheXpert_Demo_Images\train\patient46752\study4\view1_frontal.jpg,patient46752,"NARRATIVE: Exam: Chest 1 View, 2020, May 1 INDICATION: Chest Pain HISTORY: Female,88 years. Comparison: 5/1/2020 IMPRESSION: 1.PORTABLE SEMIERECT CHEST RADIOGRAPH DEMONSTRATES INTERVAL REMOVAL OF THE RIGHT INTERNAL JUGULAR CATHETER. 2.NO NEW FOCAL CONSOLIDATION. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE WITH POSTSURGICAL CHANGES AND PROSTHETIC VALVE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 22774394477 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PORTABLE SEMIERECT CHEST RADIOGRAPH DEMONSTRATES INTERVAL REMOVAL OF THE RIGHT INTERNAL JUGULAR CATHETER. 2.NO NEW FOCAL CONSOLIDATION. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE WITH POSTSURGICAL CHANGES AND PROSTHETIC VALVE. ","2-ABNORMAL, PREVIOUSLY REPORTED " 222262,CheXpert_Demo_Images\train\patient63667\study1\view1_frontal.jpg,patient63667,"NARRATIVE: 8-5-2010 CLINICAL DATA: Chest pain. COMPARISON: 8-5-2010. TECHNIQUE: Single frontal view of the chest. IMPRESSION: 1. MILD INTERSTITIAL PROMINENCE BILATERALLY, WHICH MAY REPRESENT A COMPONENT OF MILD PULMONARY EDEMA. 2. STABLE BIAPICAL PLEURAL SCARRING. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 381724 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. MILD INTERSTITIAL PROMINENCE BILATERALLY, WHICH MAY REPRESENT A COMPONENT OF MILD PULMONARY EDEMA. 2. STABLE BIAPICAL PLEURAL SCARRING. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 27834,CheXpert_Demo_Images\train\patient06810\study5\view1_frontal.jpg,patient06810,"NARRATIVE: CHEST X-RAY: 7/14/2011 CLINICAL DATA: Aortic regurgitation and coronary artery disease. Postoperative routine. COMPARISON: 7/14/2011 IMPRESSION: 1. AP SEMI-ERECT FILM. THERE HAS BEEN A MEDIAN STERNOTOMY WITH PROSTHETIC VALVE REPLACEMENT. THERE IS A RIGHT INTERNAL JUGULAR VENOUS CATHETER, RIGHT INTERNAL JUGULAR VENOUS SWAN-GANZ CATHETER, NASOGASTRIC TUBE, AND ENDOTRACHEAL TUBE. THESE ARE UNCHANGED IN POSITION. PERSISTENT PULMONARY EDEMA IS PRESENT WITH BIBASILAR ATELECTASIS AND PLEURAL EFFUSIONS. NO SIGNIFICANT INTERVAL CHANGE. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 54639479754 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP SEMI-ERECT FILM. THERE HAS BEEN A MEDIAN STERNOTOMY WITH PROSTHETIC VALVE REPLACEMENT. THERE IS A RIGHT INTERNAL JUGULAR VENOUS CATHETER, RIGHT INTERNAL JUGULAR VENOUS SWAN-GANZ CATHETER, NASOGASTRIC TUBE, AND ENDOTRACHEAL TUBE. THESE ARE UNCHANGED IN POSITION. PERSISTENT PULMONARY EDEMA IS PRESENT WITH BIBASILAR ATELECTASIS AND PLEURAL EFFUSIONS. NO SIGNIFICANT INTERVAL CHANGE. "," 2: ABNORMAL, PREVIOUSLY REPORTED " 193049,CheXpert_Demo_Images\train\patient46758\study2\view1_frontal.jpg,patient46758,"NARRATIVE: SINGLE AP PORTABLE VIEW OF THE CHEST: 12/8/2019. COMPARISON: Prior examination, dated 12/8/2019. IMPRESSION: THERE HAS BEEN SLIGHT INTERVAL DECREASE IN MILD PULMONARY EDEMA. BIBASILAR OPACITIES MOST LIKELY REPRESENTING ATELECTASIS, IMPROVED SLIGHTLY. PERSISTENT BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT, WHICH ARE STABLE FROM THE PRIOR EXAMINATION. REDEMONSTRATION OF DISTAL TRACHEAL STENT, BILATERAL MAINSTEM BRONCHI STENTS, AND AORTIC STENT, STABLE FROM PRIOR EXAMINATION. SWAN-GANZ CATHETER WITH ITS TIP NOW VISUALIZED IN THE LEFT PULMONARY ARTERY. NASOGASTRIC AND FEEDING TUBES ARE STABLE. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: martin brooks evie, md on: 12-8-2019 ACCESSION NUMBER: 800206640154 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," THERE HAS BEEN SLIGHT INTERVAL DECREASE IN MILD PULMONARY EDEMA. BIBASILAR OPACITIES MOST LIKELY REPRESENTING ATELECTASIS, IMPROVED SLIGHTLY. PERSISTENT BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT, WHICH ARE STABLE FROM THE PRIOR EXAMINATION. REDEMONSTRATION OF DISTAL TRACHEAL STENT, BILATERAL MAINSTEM BRONCHI STENTS, AND AORTIC STENT, STABLE FROM PRIOR EXAMINATION. SWAN-GANZ CATHETER WITH ITS TIP NOW VISUALIZED IN THE LEFT PULMONARY ARTERY. NASOGASTRIC AND FEEDING TUBES ARE STABLE. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: martin brooks evie, md on: 12-8-2019 " 211149,CheXpert_Demo_Images\train\patient55917\study1\view1_frontal.jpg,patient55917,"NARRATIVE: EXAM: Chest 1 View, 8-21-2000 CLINICAL HISTORY: Line placement COMPARISON: None FINDINGS: There is a left-sided venous catheter which appears to cross midline, however, the tip is not well visualized. The superior mediastinum is prominent. There is asymmetric parenchymal opacities, left greater than right, with some reticulation on the left which may reflect edema or aspiration. IMPRESSION: 1.LOW LUNG VOLUMES WITH ASYMMETRIC PARENCHYMAL OPACITIES, LEFT GREATER THAN RIGHT AND MILD RETICULATION; FINDINGS MAY REFLECT MILD EDEMA AND/OR EARLY ASPIRATION. 2.LEFT SIDED PRESUMED SUBCLAVIAN CATHETER, SUGGEST FOLLOW-UP RADIOGRAPH TO EVALUATE FOR TIP POSITION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 689_016_6 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a left-sided venous catheter which appears to cross midline, however, the tip is not well visualized. The superior mediastinum is prominent. There is asymmetric parenchymal opacities, left greater than right, with some reticulation on the left which may reflect edema or aspiration. "," 1.LOW LUNG VOLUMES WITH ASYMMETRIC PARENCHYMAL OPACITIES, LEFT GREATER THAN RIGHT AND MILD RETICULATION; FINDINGS MAY REFLECT MILD EDEMA AND/OR EARLY ASPIRATION. 2.LEFT SIDED PRESUMED SUBCLAVIAN CATHETER, SUGGEST FOLLOW-UP RADIOGRAPH TO EVALUATE FOR TIP POSITION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 172611,CheXpert_Demo_Images\train\patient40314\study3\view1_frontal.jpg,patient40314,"NARRATIVE: TWO VIEW CHEST, 4-2-2004: COMPARISON: Comparison is made to study dated 4-2-2004. CLINICAL HISTORY: 50 year-old female with history of a swollen and red PICC line. Rule out pneumonia. IMPRESSION: A RIGHT PICC LINE IS SEEN WITH TIP IN THE MID-SVC. THE LUNGS ARE OTHERWISE CLEAR BILATERALLY. NO FOCAL CONSOLIDATION SUGGESTIVE OF PNEUMONIA. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS NO ACUTE CARDIOPULMONARY PROCESS. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kline Kevin, MD on: 4-2-2004 ACCESSION NUMBER: 890582558 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," A RIGHT PICC LINE IS SEEN WITH TIP IN THE MID-SVC. THE LUNGS ARE OTHERWISE CLEAR BILATERALLY. NO FOCAL CONSOLIDATION SUGGESTIVE OF PNEUMONIA. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS NO ACUTE CARDIOPULMONARY PROCESS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kline Kevin, MD on: 4-2-2004 " 102126,CheXpert_Demo_Images\train\patient24540\study4\view1_frontal.jpg,patient24540,"NARRATIVE: EXAM: 3/27/2007 1515 and 11-13-1997 COMPARISON: 11/13/1997 0543 HISTORY: 60 years Female with Post op lobectomy IMPRESSION: 1.UPRIGHT CHEST X-RAY 11/13/97 DEMONSTRATES STABLE POSITION OF LEFT CHEST TUBE AND PERSISTENT OPACITY OF THE LEFT LINGULA. 2.UPRIGHT CHEST X-RAY 11-13-97 DEMONSTRATES INTERVAL REMOVAL OF LEFT CHEST TUBE. NO PNEUMOTHORAX IDENTIFIED. INTERVAL INCREASE IN RIGHT BASE OPACITY. STABLE LEFT BASE OPACITY AND EFFUSION. 3.SEMIUPRIGHT CHEST X-RAY 11/13/97 DEMONSTRATES INTERVAL INCREASE IN RIGHT BASE OPACITY. OTHERWISE NO SIGNIFICANT CHANGE FROM PRIOR RADIOGRAPH. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: mybczferjbd This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.UPRIGHT CHEST X-RAY 11/13/97 DEMONSTRATES STABLE POSITION OF LEFT CHEST TUBE AND PERSISTENT OPACITY OF THE LEFT LINGULA. 2.UPRIGHT CHEST X-RAY 11-13-97 DEMONSTRATES INTERVAL REMOVAL OF LEFT CHEST TUBE. NO PNEUMOTHORAX IDENTIFIED. INTERVAL INCREASE IN RIGHT BASE OPACITY. STABLE LEFT BASE OPACITY AND EFFUSION. 3.SEMIUPRIGHT CHEST X-RAY 11/13/97 DEMONSTRATES INTERVAL INCREASE IN RIGHT BASE OPACITY. OTHERWISE NO SIGNIFICANT CHANGE FROM PRIOR RADIOGRAPH. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 115293,CheXpert_Demo_Images\train\patient27672\study2\view2_lateral.jpg,patient27672,"NARRATIVE: EXAM: Chest 2 Views, 16/09 CLINICAL HISTORY: Male of 45 years; Reason for study: ""Post-op Eval"" COMPARISON: Chest X-Ray 10/16/2009 IMPRESSION: 1.INTERVAL REMOVAL OF THE RIGHT IJ CATHETER AND PERICARDIAL DRAIN. 2.MODERATE BILATERAL EFFUSIONS, DENSE BIBASILAR ATELECTASIS OR CONSOLIDATION, AND MILD CARDIOMEGALY ARE NOT SIGNIFICANTLY CHANGED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 9801758238 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INTERVAL REMOVAL OF THE RIGHT IJ CATHETER AND PERICARDIAL DRAIN. 2.MODERATE BILATERAL EFFUSIONS, DENSE BIBASILAR ATELECTASIS OR CONSOLIDATION, AND MILD CARDIOMEGALY ARE NOT SIGNIFICANTLY CHANGED. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 12458,CheXpert_Demo_Images\train\patient03095\study12\view1_frontal.jpg,patient03095,"NARRATIVE: SINGLE VIEW OF THE CHEST: 4-27-2005. COMPARISON: 27-2005. CLINICAL DATA: A 28-year-old male status post PICC placement, history of metastatic osteosarcoma. IMPRESSION: 1. INTERVAL PLACEMENT OF RIGHT UPPER EXTREMITY PICC WITH THE TIP PROJECTING OVER THE MID SUPERIOR VENA CAVA. OTHERWISE LINES, TUBES, AND SUTURE MATERIAL IS UNCHANGED. 2. NO SIGNIFICANT CHANGE IN RIGHT HEMITHORAX VOLUME LOSS AND RIGHT PLEURAL EFFUSION, LIKELY LOCULATED, AND SEVERAL RADIODENSITES IN LEFT APEX AND LEFT MIDLUNG ZONE, MAY BE CALCIFIED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1629247803455 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF RIGHT UPPER EXTREMITY PICC WITH THE TIP PROJECTING OVER THE MID SUPERIOR VENA CAVA. OTHERWISE LINES, TUBES, AND SUTURE MATERIAL IS UNCHANGED. 2. NO SIGNIFICANT CHANGE IN RIGHT HEMITHORAX VOLUME LOSS AND RIGHT PLEURAL EFFUSION, LIKELY LOCULATED, AND SEVERAL RADIODENSITES IN LEFT APEX AND LEFT MIDLUNG ZONE, MAY BE CALCIFIED. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 137554,CheXpert_Demo_Images\train\patient33061\study1\view1_frontal.jpg,patient33061,"NARRATIVE: Exam: Chest 2 Views, 10/27/2014 Clinical History: 30 years Male with H/o metastatic testicular cancer Comparison: None IMPRESSION: 1.2 VIEWS OF THE CHEST DEMONSTRATE A ROUND WELL-DEMARCATED OPACITY OVERLYING THE RIGHT UPPER ABDOMEN EXTENDING INTO THE RIGHT CARDIOPHRENIC AREA BETTER VISUALIZED ON THE LATERAL FILM SUGGESTIVE OF A MASS; CORRELATE WITH CROSS-SECTIONAL IMAGING. 2.LINEAR RETROCARDIAC OPACITY. 3.RIGHT IJ WITH TIP AT THE CAVOATRIAL JUNCTION AND NO DEFINITE PNEUMOTHORAX. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 483918 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.2 VIEWS OF THE CHEST DEMONSTRATE A ROUND WELL-DEMARCATED OPACITY OVERLYING THE RIGHT UPPER ABDOMEN EXTENDING INTO THE RIGHT CARDIOPHRENIC AREA BETTER VISUALIZED ON THE LATERAL FILM SUGGESTIVE OF A MASS; CORRELATE WITH CROSS-SECTIONAL IMAGING. 2.LINEAR RETROCARDIAC OPACITY. 3.RIGHT IJ WITH TIP AT THE CAVOATRIAL JUNCTION AND NO DEFINITE PNEUMOTHORAX. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 186042,CheXpert_Demo_Images\train\patient44228\study2\view1_frontal.jpg,patient44228,"NARRATIVE: Chest 1 View 05-2016 History:85 years Male, Eval for incr somnolence; re-eval PNA Comparison: 5/2/2016 Impression: 1. WORSENING BILATERAL OPACITIES, CONSISTENT WITH ENLARGING, LAYERING RIGHT PLEURAL EFFUSION AND INTERSTITIAL EDEMA BILATERALLY. 2. THE PREVIOUSLY NOTED RIGHT PERIHILAR OPACITY IS NOT AS WELL DEMONSTRATED AS ON THE PRIOR FILM. SUMMARY CODE: SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 51319 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. WORSENING BILATERAL OPACITIES, CONSISTENT WITH ENLARGING, LAYERING RIGHT PLEURAL EFFUSION AND INTERSTITIAL EDEMA BILATERALLY. 2. THE PREVIOUSLY NOTED RIGHT PERIHILAR OPACITY IS NOT AS WELL DEMONSTRATED AS ON THE PRIOR FILM. SUMMARY CODE: "," 2-ABNORMAL, PREVIOUSLY REPORTED " 192327,CheXpert_Demo_Images\train\patient46474\study2\view1_frontal.jpg,patient46474,"NARRATIVE: CHEST, ONE VIEW: 10/2/2010 AT 1720 HOURS. CLINICAL HISTORY: Pneumothorax. COMPARISON: 10-2-10. IMPRESSION: 1. PERSISTENT MODERATE LARGE BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS/CONSOLIDATION. CENTRAL LINE IS UNCHANGED. THE BONES ARE DIFFUSELY DENSE. END OF IMPRESSION: SUMMARY: 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: Edward Teodora Frye, MD on: 10-2-2010 ACCESSION NUMBER: me5b6v5a This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PERSISTENT MODERATE LARGE BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS/CONSOLIDATION. CENTRAL LINE IS UNCHANGED. THE BONES ARE DIFFUSELY DENSE. "," 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: Edward Teodora Frye, MD on: 10-2-2010 " 205903,CheXpert_Demo_Images\train\patient52657\study1\view1_frontal.jpg,patient52657,"NARRATIVE: Exam: Chest 1 View 8-18-2000 Clinical History: 89 years Female with Sob Comparison: 8/18/2000 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A DIFFUSE RETICULAR PATTERN THROUGHOUT THE BILATERAL LUNG FIELDS, LIKELY AGE-RELATED. NO FOCAL ATELECTASIS OR CONSOLIDATION DEMONSTRATED. NO PLEURAL EFFUSION. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS WITH A CALCIFIED AND TORTUOUS THORACIC AORTA. 3.SURGICAL CLIPS ARE SEEN IN THE RIGHT AXILLA. 4.DEGENERATIVE CHANGES ARE SEEN THROUGHOUT THE THORACIC SPINE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 9206138566 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A DIFFUSE RETICULAR PATTERN THROUGHOUT THE BILATERAL LUNG FIELDS, LIKELY AGE-RELATED. NO FOCAL ATELECTASIS OR CONSOLIDATION DEMONSTRATED. NO PLEURAL EFFUSION. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS WITH A CALCIFIED AND TORTUOUS THORACIC AORTA. 3.SURGICAL CLIPS ARE SEEN IN THE RIGHT AXILLA. 4.DEGENERATIVE CHANGES ARE SEEN THROUGHOUT THE THORACIC SPINE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 215201,CheXpert_Demo_Images\train\patient58445\study1\view1_frontal.jpg,patient58445,"NARRATIVE: AP CHEST: 5/24/00 COMPARISON: None. CLINICAL HISTORY: A forty-four-year-old male preop evaluation. IMPRESSION: 1. LOW LUNG VOLUMES. THERE IS SOME FAINT OPACITY AT THE RIGHT BASE, LIKELY ATELECTASIS. NO PLEURAL EFFUSIONS, NO PNEUMOTHORACES, NO PULMONARY EDEMA. 2. CARDIOMEDIASTINAL SILHOUETTE IS LIKELY NORMAL GIVEN TECHNIQUE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #ivo sJ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LOW LUNG VOLUMES. THERE IS SOME FAINT OPACITY AT THE RIGHT BASE, LIKELY ATELECTASIS. NO PLEURAL EFFUSIONS, NO PNEUMOTHORACES, NO PULMONARY EDEMA. 2. CARDIOMEDIASTINAL SILHOUETTE IS LIKELY NORMAL GIVEN TECHNIQUE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 145138,CheXpert_Demo_Images\train\patient34790\study20\view1_frontal.jpg,patient34790,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: August 26th, 2019 CLINICAL HISTORY: 28 years of age, Female, Increased wob, AND TRACHEAL SECRETIONS.. COMPARISON: 8-26-2019 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Upright chest radiograph demonstrates stable positioning of medical support devices. Persistent elevation of the right hemidiaphragm with large right-sided gastric bubble, compatible with known abdominal situs inversus. Stable linear opacity in the right lower lung zone, consistent with atelectasis. Progressive left basilar opacification, consistent with atelectasis versus aspiration. IMPRESSION: 1. Persistent elevation of right hemidiaphragm with right-sided gastric bubble, compatible with known polysplenia 2. Interval increased left basilar opacification, suggestive of increased atelectasis versus consolidation. ""Physician to Physician Radiology Consult Line: (516) 8613575"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #0285939820 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Upright chest radiograph demonstrates stable positioning of medical support devices. Persistent elevation of the right hemidiaphragm with large right-sided gastric bubble, compatible with known abdominal situs inversus. Stable linear opacity in the right lower lung zone, consistent with atelectasis. Progressive left basilar opacification, consistent with atelectasis versus aspiration. "," 1. Persistent elevation of right hemidiaphragm with right-sided gastric bubble, compatible with known polysplenia 2. Interval increased left basilar opacification, suggestive of increased atelectasis versus consolidation. ""Physician to Physician Radiology Consult Line: (516) 8613575"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 74459,CheXpert_Demo_Images\train\patient17879\study1\view1_frontal.jpg,patient17879,"NARRATIVE: Chest 2 Views: 10-5-2006 HISTORY: 77 years Male, Hx of MALT lymphoma of L hilum, needs CXR at return visit in 10/5/2006.. COMPARISON: Chest x-ray 10/5/06, and PET CT 10-5-2006 IMPRESSION: 1.NO SIGNIFICANT INTERVAL CHANGE, THE MEDIASTINAL AND HILAR CONTOURS ARE STABLE. 2.THE LUNGS ARE WITHOUT FOCAL CONSOLIDATION OR PLEURAL EFFUSION. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: lO-Eq-lX-rv This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NO SIGNIFICANT INTERVAL CHANGE, THE MEDIASTINAL AND HILAR CONTOURS ARE STABLE. 2.THE LUNGS ARE WITHOUT FOCAL CONSOLIDATION OR PLEURAL EFFUSION. "," 1-NO SIGNIFICANT ABNORMALITY " 100874,CheXpert_Demo_Images\train\patient24267\study1\view1_frontal.jpg,patient24267,"NARRATIVE: Chest 1 View: May 03 HISTORY: Male, 31 years old, PICC line placement. COMPARISON: None. IMPRESSION: Left upper extremity PICC line with tip projecting 7.7 cm below the level of the carina. 6-mm nodular opacity at the left lung base, of indeterminate etiology and chronicity. May represent a vessel on end or pulmonary parenchyma nodule, likely calcified given its density for size. Recommend comparison with prior studies or CT chest for confirmation and further characterization. Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: CTTEVXJT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Left upper extremity PICC line with tip projecting 7.7 cm below the level of the carina. 6-mm nodular opacity at the left lung base, of indeterminate etiology and chronicity. May represent a vessel on end or pulmonary parenchyma nodule, likely calcified given its density for size. Recommend comparison with prior studies or CT chest for confirmation and further characterization. Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 175300,CheXpert_Demo_Images\train\patient41040\study9\view1_frontal.jpg,patient41040,"NARRATIVE: SINGLE VIEW OF THE CHEST: 7-14-2007. COMPARISON: 7/14/2007. CLINICAL DATA: Status post kidney transplant, for line placement. IMPRESSION: 1. INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE WITH TIP LOCATED APPROXIMATELY 6 CM ABOVE THE CARINA. OTHER SUPPORTING LINES AND TUBES ARE UNCHANGED. 2. IMPROVEMENT IN PULMONARY EDEMA. 3. BILATERAL PLEURAL EFFUSIONS AND BIBASILAR OPACITIES. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: lucas taron ellison, md on: 7-14-2007 ACCESSION NUMBER: 00529023527 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE WITH TIP LOCATED APPROXIMATELY 6 CM ABOVE THE CARINA. OTHER SUPPORTING LINES AND TUBES ARE UNCHANGED. 2. IMPROVEMENT IN PULMONARY EDEMA. 3. BILATERAL PLEURAL EFFUSIONS AND BIBASILAR OPACITIES. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: lucas taron ellison, md on: 7-14-2007 " 213354,CheXpert_Demo_Images\train\patient57316\study1\view1_frontal.jpg,patient57316,"NARRATIVE: COMPARISON: 20/23. CLINICAL HISTORY: 64-year-old female with malignant neoplasm of the soft tissue. IMPRESSION: 1. AP UPRIGHT VIEW OF THE CHEST DEMONSTRATES NO CHANGE IN POSITION OF LEFT-SIDED PICC LINE. 2. INTERVAL INCREASE IN INDISTINCT VASCULAR MARKINGS LIKELY RELATED TO WORSENING PULMONARY EDEMA. 3. REDEMONSTRATION OF AT LEAST TWO NODULES IN THE LEFT LOWER LUNG MEASURING 8 AND 12 MM IN SIZE. NOT CHANGED FROM COMPARISON. 4. INTERVAL INCREASE IN LEFT-SIDED PLEURAL EFFUSION. END OF IMPRESSION SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kime MD on: 8/23/20 ACCESSION NUMBER: #k7cs1s23y94 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP UPRIGHT VIEW OF THE CHEST DEMONSTRATES NO CHANGE IN POSITION OF LEFT-SIDED PICC LINE. 2. INTERVAL INCREASE IN INDISTINCT VASCULAR MARKINGS LIKELY RELATED TO WORSENING PULMONARY EDEMA. 3. REDEMONSTRATION OF AT LEAST TWO NODULES IN THE LEFT LOWER LUNG MEASURING 8 AND 12 MM IN SIZE. NOT CHANGED FROM COMPARISON. 4. INTERVAL INCREASE IN LEFT-SIDED PLEURAL EFFUSION. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kime MD on: 8/23/20 " 113041,CheXpert_Demo_Images\train\patient27109\study1\view1_frontal.jpg,patient27109,"NARRATIVE: Chest 1 View: 5/4/2006 HISTORY: Female, 19 years old, CXR .PLX LATENT TB TREATED. CHEST XRAY IN PREGNANCY. +PPD IN THE PAST. COMPARISON: None. IMPRESSION: Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: A9074I7X8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. ","1-NO SIGNIFICANT ABNORMALITY " 102156,CheXpert_Demo_Images\train\patient24546\study1\view1_frontal.jpg,patient24546,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1/11/2002 CLINICAL HISTORY: 57 years of age, Female, R/o PNA, effusion - SOB, new hypoxia. Per chart h/o 6 wks of bilateral PNA, treated with moxifloxacin. COMPARISON: None. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Dense patchy and interstitial opacities are seen in the right middle and lower lung zones as well as the left lower lung zone. No pneumothorax or large pleural effusion. Surgical staples overlie the right lateral lung base. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The osseous structures and overlying soft tissues are unremarkable. IMPRESSION: 1. Diffuse patchy and interstitial opacities in the right middle and bilateral lower lung zones, consistent with multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4_6_7_9_0_7_7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Dense patchy and interstitial opacities are seen in the right middle and lower lung zones as well as the left lower lung zone. No pneumothorax or large pleural effusion. Surgical staples overlie the right lateral lung base. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The osseous structures and overlying soft tissues are unremarkable. "," 1. Diffuse patchy and interstitial opacities in the right middle and bilateral lower lung zones, consistent with multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 214270,CheXpert_Demo_Images\train\patient57867\study1\view1_frontal.jpg,patient57867,"NARRATIVE: CHEST X-RAY: 3-30-2009 COMPARISON: 3-30-2009 CLINICAL HISTORY: Trauma. IMPRESSION: 1. AP ERECT CHEST RADIOGRAPH DEMONSTRATES A NORMAL HEART SIZE. THE SUPERIOR MEDIASTINUM APPEARS UNREMARKABLE. 2. THERE IS A 10-MM ROUNDED CALCIFIC DENSITY MEDIALLY AT THE RIGHT BASE, LIKELY REPRESENTING A SMALL GRANULOMA. NO OTHER OBVIOUS LUNG NODULES DEMONSTRATED. 3. THE FRACTURE OF THE RIGHT 4TH RIB SEEN ON THE RECENT CT CANNOT BE CLEARLY IDENTIFIED ON THESE VIEWS. NO OBVIOUS PNEUMOTHORAX. 4. THERE IS AN OLD FRACTURE OF THE LEFT POSTERIOR 7TH RIB. 5. REDEMONSTRATED PLATING OF THE LEFT PROXIMAL HUMERUS. 6. SUGGEST CORRELATION WITH THE CT SCAN PERFORMED AT 0913 HOURS, 3-30-2009. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #576-763 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP ERECT CHEST RADIOGRAPH DEMONSTRATES A NORMAL HEART SIZE. THE SUPERIOR MEDIASTINUM APPEARS UNREMARKABLE. 2. THERE IS A 10-MM ROUNDED CALCIFIC DENSITY MEDIALLY AT THE RIGHT BASE, LIKELY REPRESENTING A SMALL GRANULOMA. NO OTHER OBVIOUS LUNG NODULES DEMONSTRATED. 3. THE FRACTURE OF THE RIGHT 4TH RIB SEEN ON THE RECENT CT CANNOT BE CLEARLY IDENTIFIED ON THESE VIEWS. NO OBVIOUS PNEUMOTHORAX. 4. THERE IS AN OLD FRACTURE OF THE LEFT POSTERIOR 7TH RIB. 5. REDEMONSTRATED PLATING OF THE LEFT PROXIMAL HUMERUS. 6. SUGGEST CORRELATION WITH THE CT SCAN PERFORMED AT 0913 HOURS, 3-30-2009. ","2-ABNORMAL, PREVIOUSLY REPORTED " 29419,CheXpert_Demo_Images\train\patient07119\study5\view1_frontal.jpg,patient07119,"NARRATIVE: CHEST, ONE VIEW: 5/23/2007 COMPARISON: 5/23/2007. CLINICAL HISTORY: A 56-year-old man with cardiomyopathy. IMPRESSION: 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES A LEFT ANTERIOR CHEST WALL AICD DEVICE WITH RIGHT ATRIAL, RIGHT VENTRICULAR AND NEW CORONARY SINUS LEAD. NO EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES WITH MILD ELEVATION OF THE LEFT HEMIDIAPHRAGM AND SLIGHTLY INCREASED RETROCARDIAC OPACITY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: luffk39s27uy This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES A LEFT ANTERIOR CHEST WALL AICD DEVICE WITH RIGHT ATRIAL, RIGHT VENTRICULAR AND NEW CORONARY SINUS LEAD. NO EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES WITH MILD ELEVATION OF THE LEFT HEMIDIAPHRAGM AND SLIGHTLY INCREASED RETROCARDIAC OPACITY. ","2-ABNORMAL, PREVIOUSLY REPORTED. " 91723,CheXpert_Demo_Images\train\patient22035\study2\view1_frontal.jpg,patient22035,"NARRATIVE: CHEST, TWO VIEWS: October 26th, 2017 COMPARISON: Chest 10/26/2017. IMPRESSION: REDEMONSTRATION OF RIGHT LOWER LOBE OPACITY, LIKELY REFLECTING PNEUMONIA. APPEARANCE IS UNCHANGED FROM PRIOR. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 146099851 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," REDEMONSTRATION OF RIGHT LOWER LOBE OPACITY, LIKELY REFLECTING PNEUMONIA. APPEARANCE IS UNCHANGED FROM PRIOR. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 19566,CheXpert_Demo_Images\train\patient04866\study1\view1_frontal.jpg,patient04866,"NARRATIVE: SINGLE VIEW OF THE CHEST: 9/5/07. HISTORY: 23-year-old female with a fall from horse. IMPRESSION: NO ACUTE CARDIOPULMONARY PROCESS. NO FRACTURE OR PNEUMOTHORAX SEEN. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Declan, Mooney on: September 5th ACCESSION NUMBER: 7-7-9-1-3-9 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," NO ACUTE CARDIOPULMONARY PROCESS. NO FRACTURE OR PNEUMOTHORAX SEEN. "," 1 NO SIGNIFICANT ABNORMALITY. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Declan, Mooney on: September 5th " 205436,CheXpert_Demo_Images\train\patient52370\study1\view1_frontal.jpg,patient52370,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 8-25-2015 CLINICAL HISTORY: 28 years of age, Female, Line Placement. COMPARISON: 8/25/2015 PROCEDURE COMMENTS: Series of single views of the chest. FINDINGS: Frontal portable view of the chest from 8/25/2015 at 21:58 demonstrates interval intubation with the endotracheal 3.5 cm above the carina. Interval placement of a right internal jugular central venous catheter terminating at the cavoatrial junction. Interval placement of a mediastinal tube, epicardial pacing wires, and median sternotomy wires. No focal consolidation or pneumothorax. Cardiac size is within normal limits. Frontal portable view of the chest from 8-25-2015 at 03:42 demonstrates no significant interval change. IMPRESSION: 1. Right internal jugular central venous catheter terminating at the cavoatrial junction, as clinically queried. No pneumothorax. 2. Post surgical changes as described above. Dictated by Resident: Aaraya K., Faulkner - 8/25/2015 Interpreted by Attending Radiologist: Aubrey, Fuentes - 8/25/2015 I, the attending signed below, have personally reviewed the images and agree with the report transcribed above. Interpreted by Attending Radiologist: Aubrey K Fuentes, MD Authored By : FUENTES AUBREY, MD Approval Date : 2015 August 25th ACCESSION NUMBER: 62104008 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Frontal portable view of the chest from 8/25/2015 at 21:58 demonstrates interval intubation with the endotracheal 3.5 cm above the carina. Interval placement of a right internal jugular central venous catheter terminating at the cavoatrial junction. Interval placement of a mediastinal tube, epicardial pacing wires, and median sternotomy wires. No focal consolidation or pneumothorax. Cardiac size is within normal limits. Frontal portable view of the chest from 8-25-2015 at 03:42 demonstrates no significant interval change. "," 1. Right internal jugular central venous catheter terminating at the cavoatrial junction, as clinically queried. No pneumothorax. 2. Post surgical changes as described above. Dictated by Resident: Aaraya K., Faulkner - 8/25/2015 Interpreted by Attending Radiologist: Aubrey, Fuentes - 8/25/2015 I, the attending signed below, have personally reviewed the images and agree with the report transcribed above. Interpreted by Attending Radiologist: Aubrey K Fuentes, MD Authored By : FUENTES AUBREY, MD Approval Date : 2015 August 25th ", 128468,CheXpert_Demo_Images\train\patient30777\study1\view1_frontal.jpg,patient30777,"NARRATIVE: ONE VIEW CHEST: 4/28/2001 COMPARISON: 4/28/2001. CLINICAL HISTORY: Postoperative. IMPRESSION: 1. INTERVAL THORACOTOMY WITH MULTIPLE STERNAL SUTURE WIRES IN PLACE. ET TUBE, TIP IN SATISFACTORY POSITION ABOVE THE CARINA. NG TUBE, TIP NOT VISUALIZED. TWO RIGHT IJ LINES IN PLACE IN THE LOWER SVC. MEDIASTINAL DRAIN AND LEFT-SIDED CHEST TUBE IN PLACE. NO OBVIOUS PNEUMOTHORAX NOTED. 2. INTERVAL DEVELOPMENT OF PLATE-LIKE ATELECTASIS IN THE LOWER LUNGS BILATERALLY. RETROCARDIAC OPACITY WITH SMALL BILATERAL PLEURAL EFFUSIONS. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 5521 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL THORACOTOMY WITH MULTIPLE STERNAL SUTURE WIRES IN PLACE. ET TUBE, TIP IN SATISFACTORY POSITION ABOVE THE CARINA. NG TUBE, TIP NOT VISUALIZED. TWO RIGHT IJ LINES IN PLACE IN THE LOWER SVC. MEDIASTINAL DRAIN AND LEFT-SIDED CHEST TUBE IN PLACE. NO OBVIOUS PNEUMOTHORAX NOTED. 2. INTERVAL DEVELOPMENT OF PLATE-LIKE ATELECTASIS IN THE LOWER LUNGS BILATERALLY. RETROCARDIAC OPACITY WITH SMALL BILATERAL PLEURAL EFFUSIONS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 202304,CheXpert_Demo_Images\train\patient50676\study1\view2_frontal.jpg,patient50676,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10-14-2020 CLINICAL HISTORY: 47 years of age, Female, Sepsis. COMPARISON: October 2020 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: The right-sided IJ catheter has been advanced into the right atrium. There are diffuse reticular opacities throughout the right lung with right sided pleural effusion obscuring the right hemidiaphragm. IMPRESSION: 1. Reticular opacifications throughout the right lung, congruent with edema or sepsis. 2. Right-sided pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 524-747-000 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The right-sided IJ catheter has been advanced into the right atrium. There are diffuse reticular opacities throughout the right lung with right sided pleural effusion obscuring the right hemidiaphragm. "," 1. Reticular opacifications throughout the right lung, congruent with edema or sepsis. 2. Right-sided pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 181586,CheXpert_Demo_Images\train\patient42812\study6\view1_frontal.jpg,patient42812,"NARRATIVE: Chest 1 View 9-4-2011 CLINICAL HISTORY: 60 years-old Male. Intubated, hypoxemic respiratory failure COMPARISON: 9-4-2011 IMPRESSION: 1.SEMIUPRIGHT AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF LINES AND TUBES. 2.REDEMONSTRATION OF DIFFUSE BILATERAL PARENCHYMAL OPACITIES, WITH MINIMAL INTERVAL IMPROVEMENT COMPARED TO PRIOR EXAMS. 3.PERSISTENT SMALL RIGHT PLEURAL EFFUSION SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 36484867396 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SEMIUPRIGHT AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF LINES AND TUBES. 2.REDEMONSTRATION OF DIFFUSE BILATERAL PARENCHYMAL OPACITIES, WITH MINIMAL INTERVAL IMPROVEMENT COMPARED TO PRIOR EXAMS. 3.PERSISTENT SMALL RIGHT PLEURAL EFFUSION ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 82636,CheXpert_Demo_Images\train\patient19932\study1\view2_lateral.jpg,patient19932,"NARRATIVE: CHEST AP AND LATERAL: 2005-04 CLINICAL HISTORY: 60-year-old female with cough, rule out pneumonia. FINDINGS: Two views of the chest are compared to a prior study dated 05 4th April. There are low lung volumes bilaterally, suggesting a low inspiratory effort. In addition, there are increased parenchymal opacities of both lung bases which may represent atelectasis, however, early infiltrate secondary to pneumonia cannot be excluded. Recommend clinical correlation and appropriate follow-up. The lung apices are clear. There are no pleural effusions. There is thoracic kyphosis and clips in the right upper quadrant which are unchanged since the prior study. ' IMPRESSION: 1. LOW LUNG VOLUMES BILATERALLY WITH BIBASILAR PARENCHYMAL OPACITIES. DIFFERENTIAL CONSIDERATIONS INCLUDE ATELECTASIS AND PNEUMONIA. RECOMMEND CLINICAL CORRELATION AND APPROPRIATE FOLLOW- UP. END OF IMPRESSION: ACCESSION NUMBER: #udagvi This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Two views of the chest are compared to a prior study dated 05 4th April. There are low lung volumes bilaterally, suggesting a low inspiratory effort. In addition, there are increased parenchymal opacities of both lung bases which may represent atelectasis, however, early infiltrate secondary to pneumonia cannot be excluded. Recommend clinical correlation and appropriate follow-up. The lung apices are clear. There are no pleural effusions. There is thoracic kyphosis and clips in the right upper quadrant which are unchanged since the prior study. ' "," 1. LOW LUNG VOLUMES BILATERALLY WITH BIBASILAR PARENCHYMAL OPACITIES. DIFFERENTIAL CONSIDERATIONS INCLUDE ATELECTASIS AND PNEUMONIA. RECOMMEND CLINICAL CORRELATION AND APPROPRIATE FOLLOW- UP. ", 210411,CheXpert_Demo_Images\train\patient55466\study2\view1_frontal.jpg,patient55466,"NARRATIVE: CHEST: 2-24-12. COMPARISON: 12/02/24. FINDINGS/ IMPRESSION: 1. INTERVAL PLACEMENT OF A LEFT UPPER EXTREMITY PICC LINE, WITH TIP OVER THE PROJECTION OF THE RIGHT ATRIUM. 2. PERSISTENT INTERSTITIAL AND COALESCENT AIR SPACE OPACITIES BILATERALLY, POSSIBLY REPRESENTING PULMONARY EDEMA OR INFECTION. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Tyson Huiras, PA-C on: 2/24/2012 ACCESSION NUMBER: 555983 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.","/ "," 1. INTERVAL PLACEMENT OF A LEFT UPPER EXTREMITY PICC LINE, WITH TIP OVER THE PROJECTION OF THE RIGHT ATRIUM. 2. PERSISTENT INTERSTITIAL AND COALESCENT AIR SPACE OPACITIES BILATERALLY, POSSIBLY REPRESENTING PULMONARY EDEMA OR INFECTION. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Tyson Huiras, PA-C on: 2/24/2012 " 110106,CheXpert_Demo_Images\train\patient26456\study1\view1_frontal.jpg,patient26456,"NARRATIVE: 86254044285, #335501218, 335501218 CHEST, LEFT SHOULDER, RIGHT HAND: COMPARISON: None. CLINICAL HISTORY: Status post trauma. IMPRESSION: 1. SINGLE PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES NO FOCAL PULMONARY CONSOLIDATION, PNEUMOTHORAX, OR EFFUSION. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. A NONDISPLACED LEFT MID CLAVICULAR FRACTURE IS NOTED. VISUALIZED OSSEOUS STRUCTURES ARE OTHERWISE UNREMARKABLE. 2. SINGLE VIEW OF THE LEFT CLAVICLE AGAIN DEMONSTRATES A NONDISPLACED MID TO DISTAL LEFT CLAVICULAR FRACTURE. THE LEFT SHOULDER IS OTHERWISE INTACT. THERE IS NO EVIDENCE FOR SHOULDER DISLOCATION. 3. MULTIPLE VIEWS OF THE RIGHT HAND DEMONSTRATE NO ACUTE FRACTURE OR DISLOCATION. END OF IMPRESSION SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: CASEY, CAYDEN on: 6-29-2010 ACCESSION NUMBER: 862-540-442-85 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES NO FOCAL PULMONARY CONSOLIDATION, PNEUMOTHORAX, OR EFFUSION. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. A NONDISPLACED LEFT MID CLAVICULAR FRACTURE IS NOTED. VISUALIZED OSSEOUS STRUCTURES ARE OTHERWISE UNREMARKABLE. 2. SINGLE VIEW OF THE LEFT CLAVICLE AGAIN DEMONSTRATES A NONDISPLACED MID TO DISTAL LEFT CLAVICULAR FRACTURE. THE LEFT SHOULDER IS OTHERWISE INTACT. THERE IS NO EVIDENCE FOR SHOULDER DISLOCATION. 3. MULTIPLE VIEWS OF THE RIGHT HAND DEMONSTRATE NO ACUTE FRACTURE OR DISLOCATION. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: CASEY, CAYDEN on: 6-29-2010 " 174015,CheXpert_Demo_Images\train\patient40691\study2\view1_frontal.jpg,patient40691,"NARRATIVE: Chest 1 View, 7/20/2011 HISTORY: 70 years Female, Shortness of breath COMPARISON: 7/20/2011 IMPRESSION: 1.A SINGLE SEMIERECT AP VIEW OF THE CHEST DEMONSTRATES STABLE CARDIOMEDIASTINAL SILHOUETTE WITH NO EVIDENCE OF PULMONARY EDEMA OR PLEURAL EFFUSIONS. 2.LOW LUNG VOLUMES WITHOUT FOCAL PARENCHYMAL OPACITY. 3.DEGENERATIVE CHANGES WITHIN THE THORACIC SPINE. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: #IqbQxFvlGEZx This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A SINGLE SEMIERECT AP VIEW OF THE CHEST DEMONSTRATES STABLE CARDIOMEDIASTINAL SILHOUETTE WITH NO EVIDENCE OF PULMONARY EDEMA OR PLEURAL EFFUSIONS. 2.LOW LUNG VOLUMES WITHOUT FOCAL PARENCHYMAL OPACITY. 3.DEGENERATIVE CHANGES WITHIN THE THORACIC SPINE. "," 1-NO SIGNIFICANT ABNORMALITY " 100264,CheXpert_Demo_Images\train\patient24161\study1\view1_frontal.jpg,patient24161,"NARRATIVE: SINGLE VIEW CHEST: 11/24/2016. COMPARISON: None. FINDINGS: There is an enlarged cardiac silhouette. Pulmonary vascular congestion. No focal areas of consolidation. No acute bony abnormalities. IMPRESSION: 1. PULMONARY EDEMA. NO EVIDENCE OF PNEUMONIA. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr. Mckenzie Monroe on: 11/24/2016 ACCESSION NUMBER: 203769331 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is an enlarged cardiac silhouette. Pulmonary vascular congestion. No focal areas of consolidation. No acute bony abnormalities. "," 1. PULMONARY EDEMA. NO EVIDENCE OF PNEUMONIA. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr. Mckenzie Monroe on: 11/24/2016 " 199582,CheXpert_Demo_Images\train\patient49437\study1\view2_lateral.jpg,patient49437,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 6/30/2015 CLINICAL HISTORY: 99 year old of age, Female, concern for aspiration pneumonia. COMPARISON: 6/30/2015 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: No focal consolidation. Diffuse reticular prominence is likely age-related. Blunting of the left costophrenic angle suggests a small left pleural effusion. No pneumothorax. Size of the cardiac silhouette is within normal limits. No acute osseous abnormality. Exaggeration of normal thoracic kyphosis. Cholecystectomy clips are noted. IMPRESSION: 1. No focal consolidation to suggest pneumonia. 2. Small left pleural effusion. ""Physician to Physician Radiology Consult Line: (767) 373-7663"" Signed ACCESSION NUMBER: 48-14-21-54-84-34 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," No focal consolidation. Diffuse reticular prominence is likely age-related. Blunting of the left costophrenic angle suggests a small left pleural effusion. No pneumothorax. Size of the cardiac silhouette is within normal limits. No acute osseous abnormality. Exaggeration of normal thoracic kyphosis. Cholecystectomy clips are noted. "," 1. No focal consolidation to suggest pneumonia. 2. Small left pleural effusion. ""Physician to Physician Radiology Consult Line: (767) 373-7663"" Signed ", 46647,CheXpert_Demo_Images\train\patient11339\study1\view1_frontal.jpg,patient11339,"NARRATIVE: Exam: Chest 1 View, 3/2/2007 Clinical History: 65 years Female with Cough Comparison: None IMPRESSION: 1.A SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES A PROMINENT CARDIAC SILHOUETTE. THE LEFT HEMIDIAPHRAGM IS NOT VISUALIZED, WHICH MAY REPRESENT CONSOLIDATION OR PNEUMONIA. CONSIDER A LATERAL VIEW FOR FURTHER EVALUATION. 2.DEGENERATIVE CHANGES. 3.OVOID DENSITY IN THE LEFT RETROCARDIAC REGION LIKELY REPRESENTS A CALCIFIED GRANULOMA. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 0929485 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES A PROMINENT CARDIAC SILHOUETTE. THE LEFT HEMIDIAPHRAGM IS NOT VISUALIZED, WHICH MAY REPRESENT CONSOLIDATION OR PNEUMONIA. CONSIDER A LATERAL VIEW FOR FURTHER EVALUATION. 2.DEGENERATIVE CHANGES. 3.OVOID DENSITY IN THE LEFT RETROCARDIAC REGION LIKELY REPRESENTS A CALCIFIED GRANULOMA. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 6406,CheXpert_Demo_Images\train\patient01559\study2\view2_lateral.jpg,patient01559,"NARRATIVE: Chest 2 Views: 4-18-2011 HISTORY: 22 years Male, F/u possible consolidation. COMPARISON: Chest x-ray 4-18 IMPRESSION: 1. REDEMONSTRATION OF RIGHT IJ CENTRAL VENOUS CATHETER WITH TIP IN THE UPPER SVC. 2. THE LUNGS ARE WITHOUT CONSOLIDATION. NO PLEURAL EFFUSION. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 7154407945477 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDEMONSTRATION OF RIGHT IJ CENTRAL VENOUS CATHETER WITH TIP IN THE UPPER SVC. 2. THE LUNGS ARE WITHOUT CONSOLIDATION. NO PLEURAL EFFUSION. ","1-NO SIGNIFICANT ABNORMALITY " 114327,CheXpert_Demo_Images\train\patient27456\study2\view2_lateral.jpg,patient27456,"NARRATIVE: FRONTAL AND LATERAL VIEW OF THE CHEST, 11-20-15 AT 1042 HOURS COMPARISON: Comparison is made with 11/20/2015. HISTORY: Fifty-year-old male with rule out congestive heart failure. IMPRESSION: 1. THREE LEAD PACEMAKER IN PLACE UNCHANGED. 2. CARDIOMEGALY WITHOUT PULMONARY EDEMA. 3. REDEMONSTRATED MID THORACIC VERTEBRAL BODIES WITH LOSS OF HEIGHT, UNCHANGED. 4. LUNGS ARE CLEAR WITHOUT PLEURAL EFFUSIONS. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Gregory, Emilio on: 11/20/2015 ACCESSION NUMBER: 880_375_138_743_34 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THREE LEAD PACEMAKER IN PLACE UNCHANGED. 2. CARDIOMEGALY WITHOUT PULMONARY EDEMA. 3. REDEMONSTRATED MID THORACIC VERTEBRAL BODIES WITH LOSS OF HEIGHT, UNCHANGED. 4. LUNGS ARE CLEAR WITHOUT PLEURAL EFFUSIONS. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Gregory, Emilio on: 11/20/2015 " 214341,CheXpert_Demo_Images\train\patient57906\study1\view1_frontal.jpg,patient57906,"NARRATIVE: CHEST: 10/31/2006 COMPARISON: 10/31/2006 CLINICAL HISTORY: The patient is an 81-year-old woman with rising white blood count and no obvious origin. IMPRESSION: SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER. INTERVAL IMPROVED AERATION OF THE RETROCARDIAC AREA WITH DECREASE IN SMALL LEFT PLEURAL EFFUSION. NO NEW OPACITIES IDENTIFIED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 691271 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER. INTERVAL IMPROVED AERATION OF THE RETROCARDIAC AREA WITH DECREASE IN SMALL LEFT PLEURAL EFFUSION. NO NEW OPACITIES IDENTIFIED. ","2-ABNORMAL, PREVIOUSLY REPORTED " 18938,CheXpert_Demo_Images\train\patient04720\study1\view1_frontal.jpg,patient04720,"NARRATIVE: TWO VIEW CHEST, 1-9-2001 COMPARISON: None. FINDINGS: Bilateral symmetric pleural thickening noted at the lateral chest wall and apices of uncertain etiology and clinical significance. No evidence of consolidation or pleural effusion. Heart size is slightly prominent though the lung volumes are low. Osseous structures are unremarkable. IMPRESSION: 1. BILATERAL, SYMMETRIC PLEURAL THICKENING OF UNKNOWN ETIOLOGY AND CLINICAL SIGNIFICANCE. RECOMMEND CORRELATION WITH ANY AVAILABLE PRIOR OUTSIDE RADIOGRAPHS. 2. LOW LUNG VOLUMES WITHOUT GROSS CONSOLIDATION. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Coleman, Kinley on: 1/9/2001 ACCESSION NUMBER: #65049950743 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Bilateral symmetric pleural thickening noted at the lateral chest wall and apices of uncertain etiology and clinical significance. No evidence of consolidation or pleural effusion. Heart size is slightly prominent though the lung volumes are low. Osseous structures are unremarkable. "," 1. BILATERAL, SYMMETRIC PLEURAL THICKENING OF UNKNOWN ETIOLOGY AND CLINICAL SIGNIFICANCE. RECOMMEND CORRELATION WITH ANY AVAILABLE PRIOR OUTSIDE RADIOGRAPHS. 2. LOW LUNG VOLUMES WITHOUT GROSS CONSOLIDATION. ", 105161,CheXpert_Demo_Images\train\patient25256\study2\view2_lateral.jpg,patient25256,"NARRATIVE: TWO VIEWS OF THE CHEST: 6-2-2020 AT 0901 HOURS. COMPARISON: 6-2-2020 at 0428 hours. IMPRESSION: 1. PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE A RIGHT INTERNAL JUGULAR CATHETER, TWO MEDIASTINAL DRAINS, AND A LEFT SIDED CHEST TUBE THAT ARE UNCHANGED. 2. IMPROVED AERATION OF THE BILATERAL LOWER LOBES. SMALL REMAINING EFFUSIONS BILATERALLY. STABLE CARDIOMEGALY. NO EDEMA. 3. MILDLY DISTENDED SMALL BOWEL. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6443687039503 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE A RIGHT INTERNAL JUGULAR CATHETER, TWO MEDIASTINAL DRAINS, AND A LEFT SIDED CHEST TUBE THAT ARE UNCHANGED. 2. IMPROVED AERATION OF THE BILATERAL LOWER LOBES. SMALL REMAINING EFFUSIONS BILATERALLY. STABLE CARDIOMEGALY. NO EDEMA. 3. MILDLY DISTENDED SMALL BOWEL. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 101133,CheXpert_Demo_Images\train\patient24339\study4\view1_frontal.jpg,patient24339,"NARRATIVE: SINGLE VIEW OF THE CHEST: 9-25-2008 CLINICAL HISTORY: Shortness of breath. COMPARISON: 9-25-08 and 9/25/2008 . IMPRESSION: SINGLE AP PORTABLE CHEST RADIOGRAPH WAS OBTAINED, DEMONSTRATING A PROBABLE SMALL RIGHT APICAL PNEUMOTHORAX, NOT SIGNIFICANTLY CHANGED IN SIZE AS COMPARED TO PRIOR EXAMS. BILATERAL PLEURAL EFFUSIONS AND BIBASILAR OPACITITES, AS WELL AS RIGHT MID LUNG OPACITY, NOT SIGNIFICANTLY CHANGED FROM THE PRIOR EXAM. MEDIASTINAL, HILAR AND CARDIAC CONTOURS ARE STABLE AND WITHIN NORMAL LIMITS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: ICUXJRYPC This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," SINGLE AP PORTABLE CHEST RADIOGRAPH WAS OBTAINED, DEMONSTRATING A PROBABLE SMALL RIGHT APICAL PNEUMOTHORAX, NOT SIGNIFICANTLY CHANGED IN SIZE AS COMPARED TO PRIOR EXAMS. BILATERAL PLEURAL EFFUSIONS AND BIBASILAR OPACITITES, AS WELL AS RIGHT MID LUNG OPACITY, NOT SIGNIFICANTLY CHANGED FROM THE PRIOR EXAM. MEDIASTINAL, HILAR AND CARDIAC CONTOURS ARE STABLE AND WITHIN NORMAL LIMITS. ","2-ABNORMAL, PREVIOUSLY REPORTED " 111150,CheXpert_Demo_Images\train\patient26689\study1\view1_frontal.jpg,patient26689,"NARRATIVE: SINGLE VIEW OF THE CHEST, THREE VIEWS RIGHT KNEE, THREE VIEWS LEFT KNEE, LEFT TIB/FIB, RIGHT TIB/FIB, SINGLE VIEW PELVIS: 19/11/8 AT 2040 HOURS. CLINICAL HISTORY: Trauma. IMPRESSION: 1. A SINGLE VIEW OF THE CHEST IS SUBMITTED IN A SUPINE VIEW THAT DEMONSTRATES NO OBVIOUS PNEUMOTHORAX. THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY WITHIN NORMAL LIMITS. THERE IS NO OBVIOUS FRACTURE. 2. SINGLE VIEW OF THE PELVIS DEMONSTRATES NO OBVIOUS FRACTURE. THE JOINT SPACES ARE WELL PRESERVED. 3. BILATERAL VIEWS OF THE TIB/FIBS DEMONSTRATE NO OBVIOUS FRACTURE. THERE IS DEGENERATIVE CHANGE OF THE RIGHT ANKLES. 4. BILATERAL THREE VIEW OF THE KNEE DEMONSTRATES A MODERATE SIZED FLUID-FLUID LEVEL IN THE RIGHT KNEE. THERE IS A FRACTURE OF THE MEDIAL FEMORAL CONDYLE ON THE RIGHT. THERE IS NO FRACTURE OF THE LEFT KNEE. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kortes Brinley, MD on: 8/11/2019 ACCESSION NUMBER: 71283486596 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. A SINGLE VIEW OF THE CHEST IS SUBMITTED IN A SUPINE VIEW THAT DEMONSTRATES NO OBVIOUS PNEUMOTHORAX. THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY WITHIN NORMAL LIMITS. THERE IS NO OBVIOUS FRACTURE. 2. SINGLE VIEW OF THE PELVIS DEMONSTRATES NO OBVIOUS FRACTURE. THE JOINT SPACES ARE WELL PRESERVED. 3. BILATERAL VIEWS OF THE TIB/FIBS DEMONSTRATE NO OBVIOUS FRACTURE. THERE IS DEGENERATIVE CHANGE OF THE RIGHT ANKLES. 4. BILATERAL THREE VIEW OF THE KNEE DEMONSTRATES A MODERATE SIZED FLUID-FLUID LEVEL IN THE RIGHT KNEE. THERE IS A FRACTURE OF THE MEDIAL FEMORAL CONDYLE ON THE RIGHT. THERE IS NO FRACTURE OF THE LEFT KNEE. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kortes Brinley, MD on: 8/11/2019 " 165530,CheXpert_Demo_Images\train\patient38630\study3\view1_frontal.jpg,patient38630,"NARRATIVE: EXAM: Chest 1 View, 11-13-2019 PATIENT DEMOGRAPHICS: 57 years, Male. REASON FOR EXAM/CLINICAL QUERY: S/p thoracentesis COMPARISON: November 2019. IMPRESSION: 1. SINGLE UPRIGHT RADIOGRAPH OF THE CHEST DEMONSTRATES A PERSISTENT MODERATE RIGHT PLEURAL EFFUSION AND ATELECTASIS. 2. THE LEFT LUNG IS CLEAR. 3. THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: xlydxyt This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE UPRIGHT RADIOGRAPH OF THE CHEST DEMONSTRATES A PERSISTENT MODERATE RIGHT PLEURAL EFFUSION AND ATELECTASIS. 2. THE LEFT LUNG IS CLEAR. 3. THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 103587,CheXpert_Demo_Images\train\patient24908\study2\view1_frontal.jpg,patient24908,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12/6/14 CLINICAL HISTORY: 67 years of age, Female, Critical Care follow up (ICU). COMPARISON: 12/6/2014 chest x-ray at 10:15 AM PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Redemonstration of endotracheal tube. The nasogastric tube has been placed with tube coiled in the stomach. Cardiac silhouette is enlarged. Aorta is atherosclerotic. Lung volumes have decreased compared with the prior examination. There is increasing opacity at the left lung base. Interstitium is mildly prominent, but otherwise the lungs are clear. No evidence of acute bony abnormalities. IMPRESSION: 1. Interval decrease in lung volumes with increasing opacity at the left base, atelectasis versus consolidation. ""Physician to Physician Radiology Consult Line: (120)-834-8938"" ACCESSION NUMBER: 425726 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Redemonstration of endotracheal tube. The nasogastric tube has been placed with tube coiled in the stomach. Cardiac silhouette is enlarged. Aorta is atherosclerotic. Lung volumes have decreased compared with the prior examination. There is increasing opacity at the left lung base. Interstitium is mildly prominent, but otherwise the lungs are clear. No evidence of acute bony abnormalities. "," 1. Interval decrease in lung volumes with increasing opacity at the left base, atelectasis versus consolidation. ""Physician to Physician Radiology Consult Line: (120)-834-8938"" ", 2728,CheXpert_Demo_Images\train\patient00683\study10\view1_frontal.jpg,patient00683,"NARRATIVE: SINGLE PORTABLE CHEST: November 13th, 2014 AT 0432 HOURS. COMPARISON: 11-13-2014 at 1435 hours. CLINICAL HISTORY: LVAD placement. IMPRESSION: 1. STABLE TUBES AND LINES. 2. RETROCARDIAC OPACITY AND SMALL LEFT PLEURAL EFFUSION ARE UNCHANGED. 3. MILD CARDIOMEGALY IS UNCHANGED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #557281511 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE TUBES AND LINES. 2. RETROCARDIAC OPACITY AND SMALL LEFT PLEURAL EFFUSION ARE UNCHANGED. 3. MILD CARDIOMEGALY IS UNCHANGED. ","2-ABNORMAL, PREVIOUSLY REPORTED " 215002,CheXpert_Demo_Images\train\patient58321\study1\view1_frontal.jpg,patient58321,"NARRATIVE: EXAM: Chest 1 View, 4/21/2009 CLINICAL HISTORY: Line placement COMPARISON: 4/21/2009 CXR IMPRESSION: 1.INTERVAL PLACEMENT OF RIGHT IJ WITH TIP OVERLYING SVC. NO PNEUMOTHORAX NOTED. 2.LOW LUNG VOLUMES. LUNGS ARE OTHERWISE CLEAR. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 859677 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INTERVAL PLACEMENT OF RIGHT IJ WITH TIP OVERLYING SVC. NO PNEUMOTHORAX NOTED. 2.LOW LUNG VOLUMES. LUNGS ARE OTHERWISE CLEAR. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 17315,CheXpert_Demo_Images\train\patient04327\study1\view1_frontal.jpg,patient04327,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1-26-2000 CLINICAL HISTORY: 83 years of age, Male, New abdominal pain. History of lung carcinoma. COMPARISON: None available. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The patient is post sternotomy. Surgical clips are noted overlying the mediastinum. There is no pneumothorax. There is a moderate to large left-sided pleural effusion. Underlying mass or infiltrate cannot be excluded. The apex of the left lung is clear. Evaluation of the right hemithorax demonstrates a patchy opacity involving the right mid and upper lung field, which may reflect airspace disease versus reflect underlying lung nodules related to the patient's lung carcinoma. There is limited evaluation of the cardiomediastinal silhouette due to adjacent pathology. There are moderate degenerative changes of the visualized thoracolumbar spine. IMPRESSION: 1. Moderate to large left pleural effusion. Underlying infiltrate or mass cannot be excluded. 2. Patchy nodular densities in the right mid and upper lung field, which may reflect airspace disease versus nodules related to the patient's lung carcinoma. Findings discussed with Gracelynn Raja, Dr. of HEATH, KARTER's office at 1:30 PM on 1/26/00. ""Physician to Physician Radiology Consult Line: (137) 758-9052"" ACCESSION NUMBER: 529-610-39 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The patient is post sternotomy. Surgical clips are noted overlying the mediastinum. There is no pneumothorax. There is a moderate to large left-sided pleural effusion. Underlying mass or infiltrate cannot be excluded. The apex of the left lung is clear. Evaluation of the right hemithorax demonstrates a patchy opacity involving the right mid and upper lung field, which may reflect airspace disease versus reflect underlying lung nodules related to the patient's lung carcinoma. There is limited evaluation of the cardiomediastinal silhouette due to adjacent pathology. There are moderate degenerative changes of the visualized thoracolumbar spine. "," 1. Moderate to large left pleural effusion. Underlying infiltrate or mass cannot be excluded. 2. Patchy nodular densities in the right mid and upper lung field, which may reflect airspace disease versus nodules related to the patient's lung carcinoma. Findings discussed with Gracelynn Raja, Dr. of HEATH, KARTER's office at 1:30 PM on 1/26/00. ""Physician to Physician Radiology Consult Line: (137) 758-9052"" ", 40037,CheXpert_Demo_Images\train\patient09810\study2\view1_frontal.jpg,patient09810,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 8/19/2004. COMPARISON: 8-19-2004 and before. CLINICAL DATA: 78 year old man with coronary artery disease. IMPRESSION: 1. PROMINENCE IN THE AORTA. 2. PERSISTENT LOW LUNG VOLUMES. 3. DECREASING PULMONARY EDEMA. 4. PERSISTENT LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS. END OF IMPRESSION: SUMMARY: 2 __________________________________ ACCESSION NUMBER: 254366 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PROMINENCE IN THE AORTA. 2. PERSISTENT LOW LUNG VOLUMES. 3. DECREASING PULMONARY EDEMA. 4. PERSISTENT LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS. "," 2 __________________________________ " 159032,CheXpert_Demo_Images\train\patient37256\study1\view1_frontal.jpg,patient37256,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11-10-05 CLINICAL HISTORY: 17 years of age, Female, eval for pulmonary edema vs pneumonia. COMPARISON: 11/10/05 PROCEDURE COMMENTS: Portable semiupright view of the chest. FINDINGS: From 11/10/05, a right jugular tunneled catheter is been placed its tip at the caval atrial junction. Lung volumes are extremely low accentuating what appear to be small bilateral pleural effusions and patchy bibasilar atelectasis. The heart remains mildly enlarged, the pulmonary vasculature grossly normal. IMPRESSION: 1. Small bilateral pleural effusions and patchy bibasilar atelectasis suggests fluid overload in this patient post transplant. Pneumonia is felt less likely.. I, the attending signed below, have personally reviewed the images and agree with the report transcribed above. Interpreted by Attending Radiologist: Walker, Morales Authored By : Morales Walker Diana, DO Approval Date : 05/11/10 ACCESSION NUMBER: RNTYWINAI This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," From 11/10/05, a right jugular tunneled catheter is been placed its tip at the caval atrial junction. Lung volumes are extremely low accentuating what appear to be small bilateral pleural effusions and patchy bibasilar atelectasis. The heart remains mildly enlarged, the pulmonary vasculature grossly normal. "," 1. Small bilateral pleural effusions and patchy bibasilar atelectasis suggests fluid overload in this patient post transplant. Pneumonia is felt less likely.. I, the attending signed below, have personally reviewed the images and agree with the report transcribed above. Interpreted by Attending Radiologist: Walker, Morales Authored By : Morales Walker Diana, DO Approval Date : 05/11/10 ", 207069,CheXpert_Demo_Images\train\patient53386\study2\view1_frontal.jpg,patient53386,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 8-26-2015 CLINICAL HISTORY: 87 years of age, Female, SOB. COMPARISON: 8/26/2015 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Small to moderate right and small left pleural effusions are seen, increased on the right. There is persistent bibasilar segmental pulmonary atelectasis/consolidation. Moderate cardiomegaly persists. Moderate pulmonary vascular congestion is now identified. No acute osseous abnormality is noted, with thoracolumbar scoliosis again evident. IMPRESSION: 1. Small moderate right and small left pleural effusions, increased on the right. 2. Persistent bibasilar pulmonary atelectasis/consolidation. 3. Persistent moderate cardio megaly. 4. Moderate pulmonary vascular congestion now noted. ACCESSION NUMBER: 70266316112 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Small to moderate right and small left pleural effusions are seen, increased on the right. There is persistent bibasilar segmental pulmonary atelectasis/consolidation. Moderate cardiomegaly persists. Moderate pulmonary vascular congestion is now identified. No acute osseous abnormality is noted, with thoracolumbar scoliosis again evident. "," 1. Small moderate right and small left pleural effusions, increased on the right. 2. Persistent bibasilar pulmonary atelectasis/consolidation. 3. Persistent moderate cardio megaly. 4. Moderate pulmonary vascular congestion now noted. ", 93800,CheXpert_Demo_Images\train\patient22542\study2\view1_frontal.jpg,patient22542,"NARRATIVE: EXAM: Chest 1 View, 8-13-2008 CLINICAL HISTORY: 68 years Male Central lin eplacement COMPARISON: 8-13-2008, 8/13/08 IMPRESSION: 1.INSERTION RIGHT IJ LINE WITH TIP IN RIGHT BRACHIOCEPHALIC VEIN. 2.STERNOTOMY WIRES, AICD, AND LEFT VASCULAR STENT AGAIN NOTED IN PLACE. 3.NO PNEUMOTHORAX IDENTIFIED. INCREASED OPACITY IN LEFT BASE WHICH MAY REPRESENT ATELECTASIS OR INFECTION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 645-039-830-718-2 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INSERTION RIGHT IJ LINE WITH TIP IN RIGHT BRACHIOCEPHALIC VEIN. 2.STERNOTOMY WIRES, AICD, AND LEFT VASCULAR STENT AGAIN NOTED IN PLACE. 3.NO PNEUMOTHORAX IDENTIFIED. INCREASED OPACITY IN LEFT BASE WHICH MAY REPRESENT ATELECTASIS OR INFECTION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 168119,CheXpert_Demo_Images\train\patient39254\study5\view1_frontal.jpg,patient39254,"NARRATIVE: SINGLE VIEW OF THE CHEST: 4/15/2019 COMPARISON: 4/15/19. CLINICAL HISTORY: Thirty-eight-year-old male who is intubated. IMPRESSION: 1. SINGLE SUPINE AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF AN ENDOTRACHEAL TUBE, NASOGASTRIC TUBE, FEEDING TUBE, RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, LEFT CHEST TUBE, AND RIGHT PLEURAL PIGTAIL CATHETER. THERE IS ALSO STABLE POSITIONING OF A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER. 2. THERE IS LUCENCY OVERLYING THE RIGHT HEMIDIAPHRAGM, SUGGESTIVE OF A BASILAR PNEUMOTHORAX. NO EVIDENCE OF LEFT-SIDED PNEUMOTHORAX. 3. REDEMONSTRATION OF VERY LOW LUNG VOLUMES WITH BIBASILAR OPACITY, LEFT GREATER THAN RIGHT, AND POSSIBLE SMALL LEFT PLEURAL EFFUSION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 296652623 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE SUPINE AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF AN ENDOTRACHEAL TUBE, NASOGASTRIC TUBE, FEEDING TUBE, RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, LEFT CHEST TUBE, AND RIGHT PLEURAL PIGTAIL CATHETER. THERE IS ALSO STABLE POSITIONING OF A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER. 2. THERE IS LUCENCY OVERLYING THE RIGHT HEMIDIAPHRAGM, SUGGESTIVE OF A BASILAR PNEUMOTHORAX. NO EVIDENCE OF LEFT-SIDED PNEUMOTHORAX. 3. REDEMONSTRATION OF VERY LOW LUNG VOLUMES WITH BIBASILAR OPACITY, LEFT GREATER THAN RIGHT, AND POSSIBLE SMALL LEFT PLEURAL EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 131658,CheXpert_Demo_Images\train\patient31561\study5\view1_frontal.jpg,patient31561,"NARRATIVE: ONE VIEW CHEST: 8/12/2021 COMPARISON: 2021 AUGUST 12. CLINICAL HISTORY: 67-year-old man with leukemia, check for infiltrates. IMPRESSION: 1. LINES AND TUBES UNCHANGED. 2. UNCHANGED LOW LUNG VOLUMES WITH VASCULAR CROWDING. 3. UNCHANGED DIFFUSE RETICULAR PATTERN CONSISTENT WITH PULMONARY EDEMA LEFT MORE THAN RIGHT WITH PATCHY CONFLUENT OPACITY DEVELOPING IN THE LEFT MID AND LOWER LUNG ZONES. THIS IS CONSISTENT WITH POSSIBLE INFECTION SUPERIMPOSED ON PULMONARY EDEMA. 4. UNCHANGED LEFT LOWER LOBE ATELECTASIS. 5. FRACTURE AND DISPLACEMENT OF RIGHT HUMERUS. END OF IMPRESSION SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: CONWAY, EVAN on: 8-12-2021 ACCESSION NUMBER: NWXOVLSAJYTUJR This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LINES AND TUBES UNCHANGED. 2. UNCHANGED LOW LUNG VOLUMES WITH VASCULAR CROWDING. 3. UNCHANGED DIFFUSE RETICULAR PATTERN CONSISTENT WITH PULMONARY EDEMA LEFT MORE THAN RIGHT WITH PATCHY CONFLUENT OPACITY DEVELOPING IN THE LEFT MID AND LOWER LUNG ZONES. THIS IS CONSISTENT WITH POSSIBLE INFECTION SUPERIMPOSED ON PULMONARY EDEMA. 4. UNCHANGED LEFT LOWER LOBE ATELECTASIS. 5. FRACTURE AND DISPLACEMENT OF RIGHT HUMERUS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: CONWAY, EVAN on: 8-12-2021 " 1361,CheXpert_Demo_Images\train\patient00315\study1\view1_frontal.jpg,patient00315,"NARRATIVE: X-RAY CHEST ONE VIEW: 6/18/2007. COMPARISON: None. CLINICAL HISTORY: An 84-year-old female with history of pancreatitis. IMPRESSION: 1. A SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NO EVIDENCE OF EFFUSION, CONSOLIDATION, OR PNEUMOTHORAX. 2. HEART SIZE IS AT THE UPPER LIMITS OF NORMAL, OTHERWISE NO EVIDENCE OF ACTIVE CARDIOPULMONARY PROCESS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 9219 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. A SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NO EVIDENCE OF EFFUSION, CONSOLIDATION, OR PNEUMOTHORAX. 2. HEART SIZE IS AT THE UPPER LIMITS OF NORMAL, OTHERWISE NO EVIDENCE OF ACTIVE CARDIOPULMONARY PROCESS. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 14664,CheXpert_Demo_Images\train\patient03644\study1\view2_lateral.jpg,patient03644,"NARRATIVE: Exam: Chest 2 Views, 2/21/12 Clinical History: 72 years old Female with Chest pain with inspiration Comparison: None Impression: 1. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, PULMONARY EDEMA OR PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. MODERATE WIDENING OF THE PARATRACHEAL STRIPES, MOST LIKELY CONSISTENT WITH GOITER OR OTHER PROMINENT PARATRACHEAL STRUCTURE. CORRELATE WITH PREVIOUS OUTSIDE STUDIES TO DETERMINE STABILITY. IF OUTSIDE STUDIES ARE UNAVAILABLE THEN CT OR ULTRASOUND MAY BE HELPFUL FOR FURTHER EVALUATION. 3. TORTUOUS AND MILDLY ECTATIC AORTA, WHICH CAN BE SEEN IN HYPERTENSION. MODERATE CARDIOMEGALY IS ALSO NOTED. 4. AGE INDETERMINANT COMPRESSION FRACTURES OF 3 SEQUENTIAL THORACOLUMBAR VERTEBRAL BODIES. DEGENERATIVE DISK DISEASE AND SCOLIOSIS ALSO NOTED IN THE UPPER LUMBAR SPINE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 92862325157 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, PULMONARY EDEMA OR PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. MODERATE WIDENING OF THE PARATRACHEAL STRIPES, MOST LIKELY CONSISTENT WITH GOITER OR OTHER PROMINENT PARATRACHEAL STRUCTURE. CORRELATE WITH PREVIOUS OUTSIDE STUDIES TO DETERMINE STABILITY. IF OUTSIDE STUDIES ARE UNAVAILABLE THEN CT OR ULTRASOUND MAY BE HELPFUL FOR FURTHER EVALUATION. 3. TORTUOUS AND MILDLY ECTATIC AORTA, WHICH CAN BE SEEN IN HYPERTENSION. MODERATE CARDIOMEGALY IS ALSO NOTED. 4. AGE INDETERMINANT COMPRESSION FRACTURES OF 3 SEQUENTIAL THORACOLUMBAR VERTEBRAL BODIES. DEGENERATIVE DISK DISEASE AND SCOLIOSIS ALSO NOTED IN THE UPPER LUMBAR SPINE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 210282,CheXpert_Demo_Images\train\patient55390\study2\view1_frontal.jpg,patient55390,"NARRATIVE: CHEST ONE VIEW: 2/2/2018 CLINICAL HISTORY: Pacing wire extraction and new lead placement. COMPARISON: 2/2/2018 and 2018-2-2. IMPRESSION: 1. INTERVAL REMOVAL OF AICD; PLACEMENT OF NEW SINGLE PACEMAKER LEAD WITH TIP IN RIGHT VENTRICLE. 2. CURVILINEAR WHITE LINE SEEN IN RIGHT APEX WHICH MAY REPRESENT PNEUMOTHORAX ON THIS SEMI-ERECT FILM. CALCIFIED GRANULOMA AGAIN NOTED IN RIGHT MIDLUNG ZONE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 0387572187110 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF AICD; PLACEMENT OF NEW SINGLE PACEMAKER LEAD WITH TIP IN RIGHT VENTRICLE. 2. CURVILINEAR WHITE LINE SEEN IN RIGHT APEX WHICH MAY REPRESENT PNEUMOTHORAX ON THIS SEMI-ERECT FILM. CALCIFIED GRANULOMA AGAIN NOTED IN RIGHT MIDLUNG ZONE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 145968,CheXpert_Demo_Images\train\patient34923\study1\view1_frontal.jpg,patient34923,"NARRATIVE: SINGLE PORTABLE VIEW OF THE CHEST: 5-10-2005 COMPARISON: 5/10/2005 and 5/10/2005. IMPRESSION: 1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES UNCHANGED POSITION OF THE RIGHT INTERNAL JUGULAR CATHETER. 2. STABLE APPEARANCE OF THE CHEST WITH REDEMONSTRATION OF DIFFUSE BILATERAL RETICULAR OPACITIES, WITH PATCHY AREAS OF CONFLUENT OPACIFICATION BILATERALLY. AGAIN, THE DIFFERENTIAL INCLUDES PULMONARY EDEMA WITH SUPERIMPOSED ATYPICAL INFECTION OR ASPIRATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #CVCKIT7ET This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES UNCHANGED POSITION OF THE RIGHT INTERNAL JUGULAR CATHETER. 2. STABLE APPEARANCE OF THE CHEST WITH REDEMONSTRATION OF DIFFUSE BILATERAL RETICULAR OPACITIES, WITH PATCHY AREAS OF CONFLUENT OPACIFICATION BILATERALLY. AGAIN, THE DIFFERENTIAL INCLUDES PULMONARY EDEMA WITH SUPERIMPOSED ATYPICAL INFECTION OR ASPIRATION. ","2-ABNORMAL, PREVIOUSLY REPORTED " 40288,CheXpert_Demo_Images\train\patient09896\study1\view1_frontal.jpg,patient09896,"NARRATIVE: EXAM: Chest 2 Views, 6/14/2010 CLINICAL HISTORY: Eval for mass COMPARISON: 6-14-10 IMPRESSION: 1. TWO VIEW CHEST DEMONSTRATES NO FOCAL CONSOLIDATION OR ACUTE PROCESS. 2. REDEMONSTRATION OF FOCAL EVENTRATION OF THE RIGHT HEMIDIAPHRAGM ANTERIORLY, SIMILAR TO PRIOR. 3. IF PERSISTENT CONCERN FOR SUBDIAPHRAGMATIC MASS, CONSIDER EVALUATION WITH CT. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #25212131 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO VIEW CHEST DEMONSTRATES NO FOCAL CONSOLIDATION OR ACUTE PROCESS. 2. REDEMONSTRATION OF FOCAL EVENTRATION OF THE RIGHT HEMIDIAPHRAGM ANTERIORLY, SIMILAR TO PRIOR. 3. IF PERSISTENT CONCERN FOR SUBDIAPHRAGMATIC MASS, CONSIDER EVALUATION WITH CT. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 138147,CheXpert_Demo_Images\train\patient33188\study1\view1_frontal.jpg,patient33188,"NARRATIVE: PORTABLE CHEST, ONE VIEW: 7/13/2019 PORTABLE CHEST, ONE VIEW: 7/13/2019 HISTORY: Metastatic lung cancer. COMPARISON EXAMS: 7/13/2019 IMPRESSION: 1. CHEST X-RAY 7/21/2010: INSERTION RIGHT-SIDED CHEST TUBE WITH INTERVAL DECREASE IN SIZE OF PREVIOUSLY NOTED RIGHT PLEURAL EFFUSION. AIR-FLUID LEVEL IS SEEN IN SUPERIOR RIGHT HEMITHORAX CONSISTENT WITH HYDROPNEUMOTHORAX. SMALL NODULES AGAIN NOTED IN LEFT LUNG. 2. CHEST X-RAY 7/22/2010: RIGHT CHEST TUBE REMAINS IN PLACE; SMALL RIGHT-SIDED PNEUMOTHORAX PERSISTS. INTERVAL DEVELOPMENT OF ALVEOLAR DISEASE INVOLVING RIGHT MID AND LOWER LUNG ZONES LIKELY REPRESENTING REEXPANSION PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGES, MAY NEED ACTION. __________________________________ ACCESSION NUMBER: 21615021279 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CHEST X-RAY 7/21/2010: INSERTION RIGHT-SIDED CHEST TUBE WITH INTERVAL DECREASE IN SIZE OF PREVIOUSLY NOTED RIGHT PLEURAL EFFUSION. AIR-FLUID LEVEL IS SEEN IN SUPERIOR RIGHT HEMITHORAX CONSISTENT WITH HYDROPNEUMOTHORAX. SMALL NODULES AGAIN NOTED IN LEFT LUNG. 2. CHEST X-RAY 7/22/2010: RIGHT CHEST TUBE REMAINS IN PLACE; SMALL RIGHT-SIDED PNEUMOTHORAX PERSISTS. INTERVAL DEVELOPMENT OF ALVEOLAR DISEASE INVOLVING RIGHT MID AND LOWER LUNG ZONES LIKELY REPRESENTING REEXPANSION PULMONARY EDEMA. "," 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGES, MAY NEED ACTION. __________________________________ " 89418,CheXpert_Demo_Images\train\patient21518\study1\view1_frontal.jpg,patient21518,"NARRATIVE: PORTABLE CHEST SINGLE VIEW: 3/16/2021 CLINICAL HISTORY: Status post trauma. FINDINGS: Single portable upright chest radiograph demonstrates a small left apical pneumothorax. There is also a minimally displaced left fourth posterior rib fracture. Left basilar opacity is also seen and may represent contusion or aspiration. Cardiac silhouette is otherwise within normal limits. Prominence of the mediastinal silhouette is seen and could be attributed to portable supine technique, however in the setting of appropriate trauma may also represent vascular injury. Recommend further evaluation as clinically indicated. Cortical irregularity of the left lateral scapular wing is noted and likely represents a fracture which has the appearance of sclerosis likely due to overlapping fragment. IMPRESSION: 1. LEFT BASILAR OPACITY WHICH MAY REPRESENT CONTUSION OR ASPIRATION. 2. MINIMALLY DISPLACED LEFT FOURTH POSTERIOR RIB FRACTURE AND SMALL LEFT APICAL PNEUMOTHORAX. 3. LEFT INFERIOR LATERAL SCAPULAR WING FRACTURE. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Violet, CRNP on: 3/16/21 ACCESSION NUMBER: 138-697-214-016 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single portable upright chest radiograph demonstrates a small left apical pneumothorax. There is also a minimally displaced left fourth posterior rib fracture. Left basilar opacity is also seen and may represent contusion or aspiration. Cardiac silhouette is otherwise within normal limits. Prominence of the mediastinal silhouette is seen and could be attributed to portable supine technique, however in the setting of appropriate trauma may also represent vascular injury. Recommend further evaluation as clinically indicated. Cortical irregularity of the left lateral scapular wing is noted and likely represents a fracture which has the appearance of sclerosis likely due to overlapping fragment. "," 1. LEFT BASILAR OPACITY WHICH MAY REPRESENT CONTUSION OR ASPIRATION. 2. MINIMALLY DISPLACED LEFT FOURTH POSTERIOR RIB FRACTURE AND SMALL LEFT APICAL PNEUMOTHORAX. 3. LEFT INFERIOR LATERAL SCAPULAR WING FRACTURE. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Violet, CRNP on: 3/16/21 " 92268,CheXpert_Demo_Images\train\patient22173\study1\view1_frontal.jpg,patient22173,"NARRATIVE: CHEST: 2-22-2007 COMPARISON: None. CLINICAL HISTORY: A 72-year-old male with history of B-symptoms, fatigue and smoking history. IMPRESSION: CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS, LUNGS ARE CLEAR, NO EVIDENCE OF EFFUSION, CONSOLIDATION OR PNEUMOTHORAX. DEGENERATIVE DISEASE IS NOTED IN THE BILATERAL ACROMIOCLAVICULAR JOINTS. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: IDC KRD NJ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS, LUNGS ARE CLEAR, NO EVIDENCE OF EFFUSION, CONSOLIDATION OR PNEUMOTHORAX. DEGENERATIVE DISEASE IS NOTED IN THE BILATERAL ACROMIOCLAVICULAR JOINTS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 23448,CheXpert_Demo_Images\train\patient05736\study1\view1_frontal.jpg,patient05736,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 7/21/2003 CLINICAL HISTORY: 45 years of age, Female, Neutropenia, hypotension. COMPARISON: None available PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Bibasilar reticular pattern with kerley B lines, suggest of mild pulmonary edema. Cardiomediastinal silhouette is normal. Pleural surfaces are normal. Bilateral breast prosthesis. IMPRESSION: 1. Mild pulmonary edema. ""Physician to Physician Radiology Consult Line: (389) 934-7563"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7154407945477 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Bibasilar reticular pattern with kerley B lines, suggest of mild pulmonary edema. Cardiomediastinal silhouette is normal. Pleural surfaces are normal. Bilateral breast prosthesis. "," 1. Mild pulmonary edema. ""Physician to Physician Radiology Consult Line: (389) 934-7563"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 107233,CheXpert_Demo_Images\train\patient25785\study1\view2_lateral.jpg,patient25785,"NARRATIVE: EXAM: Chest 2 Views, 11/27/01 CLINICAL HISTORY: 84-year-old male with history of cough and fever. COMPARISON: 11/27/2001 IMPRESSION: 1.PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE RIGHT MIDDLE AND RIGHT LOWER LOBE AIRSPACE OPACITIES WITH OBSCURATION OF THE RIGHT HEMIDIAPHRAGM AND RIGHT HEART BORDER. FINDINGS ARE CONCERNING FOR PNEUMONIA. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3.DEGENERATIVE CHANGES AND DISH OF THE THORACIC SPINE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #593482 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE RIGHT MIDDLE AND RIGHT LOWER LOBE AIRSPACE OPACITIES WITH OBSCURATION OF THE RIGHT HEMIDIAPHRAGM AND RIGHT HEART BORDER. FINDINGS ARE CONCERNING FOR PNEUMONIA. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3.DEGENERATIVE CHANGES AND DISH OF THE THORACIC SPINE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 214578,CheXpert_Demo_Images\train\patient58053\study1\view1_frontal.jpg,patient58053,"NARRATIVE: CHEST: september 1, 2018 COMPARISON: No prior films. IMPRESSION: ENDOTRACHEAL TUBE IS IN SATISFACTORY POSITION. RIGHT VENOUS SHEATH IS SEEN IN PROXIMAL JUGULAR VEIN. BILATERAL CONSOLIDATION IS NOTED, CLEARLY MARKED IN THE UPPER LOBES. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 63135360807 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," ENDOTRACHEAL TUBE IS IN SATISFACTORY POSITION. RIGHT VENOUS SHEATH IS SEEN IN PROXIMAL JUGULAR VEIN. BILATERAL CONSOLIDATION IS NOTED, CLEARLY MARKED IN THE UPPER LOBES. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 185525,CheXpert_Demo_Images\train\patient44055\study1\view1_frontal.jpg,patient44055,"NARRATIVE: TWO VIEWS OF THE CHEST: 9-18-2003 COMPARISON: 9/18/2003 CLINICAL HISTORY: The patient is an 87-year-old male, evaluate acute cardiopulmonary process. FINDINGS: Frontal and lateral upright views of the chest again demonstrate a left anterior chest wall, two lead cardiac pacemaker. Stable cardiomegaly. Again, there is blunting of the right costophrenic angle, which is not significantly changed since the prior radiograph and may reflect right pleural thickening versus a stable pleural effusion. There are no new focal parenchymal opacities. There is severe compression deformity of one of the mid thoracic vertebral bodies and mild compression deformity of one of the lower thoracic vertebral bodies. IMPRESSION: 1. NO NEW FOCAL PARENCHYMAL OPACITIES. 2. STABLE BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE, WHICH MAY REFLECT PLEURAL THICKENING OR PERSISTENT PLEURAL EFFUSION. 3. STABLE CARDIOMEGALY. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: YLLAVZNYJT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Frontal and lateral upright views of the chest again demonstrate a left anterior chest wall, two lead cardiac pacemaker. Stable cardiomegaly. Again, there is blunting of the right costophrenic angle, which is not significantly changed since the prior radiograph and may reflect right pleural thickening versus a stable pleural effusion. There are no new focal parenchymal opacities. There is severe compression deformity of one of the mid thoracic vertebral bodies and mild compression deformity of one of the lower thoracic vertebral bodies. "," 1. NO NEW FOCAL PARENCHYMAL OPACITIES. 2. STABLE BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE, WHICH MAY REFLECT PLEURAL THICKENING OR PERSISTENT PLEURAL EFFUSION. 3. STABLE CARDIOMEGALY. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 186231,CheXpert_Demo_Images\train\patient44294\study2\view1_frontal.jpg,patient44294,"NARRATIVE: CHEST, 2013 October 3: COMPARISON: 10-3-2013. CLINICAL HISTORY: 21-year-old female with history of line placement. IMPRESSION: 1. LEFT-SIDED SUBCLAVIAN LINE IS IN PLACE WITH TIP PROJECTING OVER THE SVC. NO EVIDENCE OF PNEUMOTHORAX. 2. LUNG VOLUMES ARE SLIGHTLY DECREASED WITH SLIGHT INCREASED OPACITY IN THE RETROCARDIAC REGION. 3. NO EVIDENCE OF PULMONARY EDEMA OR PLEURAL EFFUSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 961068092902 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LEFT-SIDED SUBCLAVIAN LINE IS IN PLACE WITH TIP PROJECTING OVER THE SVC. NO EVIDENCE OF PNEUMOTHORAX. 2. LUNG VOLUMES ARE SLIGHTLY DECREASED WITH SLIGHT INCREASED OPACITY IN THE RETROCARDIAC REGION. 3. NO EVIDENCE OF PULMONARY EDEMA OR PLEURAL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 217204,CheXpert_Demo_Images\train\patient59673\study1\view1_frontal.jpg,patient59673,"NARRATIVE: EXAM: Chest 1 View, AUGUST 2014 CLINICAL HISTORY: 58 years Female Neutropenic fever in BMT pt with hypoxemia COMPARISON: 8/21/2014, 8/2014, 8-21-2014 IMPRESSION: 1.LEFT CENTRAL LINE REMAINS IN PLACE. 2.LOW VOLUMES PERSIST WITHOUT FOCAL CONSOLIDATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #78-94-62-2 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LEFT CENTRAL LINE REMAINS IN PLACE. 2.LOW VOLUMES PERSIST WITHOUT FOCAL CONSOLIDATION. ","2-ABNORMAL, PREVIOUSLY REPORTED " 122586,CheXpert_Demo_Images\train\patient29399\study1\view1_frontal.jpg,patient29399,"NARRATIVE: Chest 1 View, 4-10 HISTORY: 82-year-old male status post line placement. COMPARISON: None. IMPRESSION: 1.UPRIGHT AP CHEST RADIOGRAPH DEMONSTRATES A TUNNELED RIGHT IJV CENTRAL VENOUS CATHETER WITH TIP 2 CM BELOW THE CARINA. 2.NO EVIDENCE OF PNEUMOTHORAX. 3.BIBASILAR ATELECTASIS WITH SMALL RIGHT PLEURAL EFFUSION. 4.1.3-CM OPACITY AGAIN SEEN IN THE LEFT MIDLUNG ZONE. 5.RETROCARDIAC OPACITIES WITH OBSCURATION OF THE MEDIAL ASPECT OF THE LEFT HEMIDIAPHRAGM. 6.THE HEART SIZE IS WITHIN NORMAL LIMITS. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2131743 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.UPRIGHT AP CHEST RADIOGRAPH DEMONSTRATES A TUNNELED RIGHT IJV CENTRAL VENOUS CATHETER WITH TIP 2 CM BELOW THE CARINA. 2.NO EVIDENCE OF PNEUMOTHORAX. 3.BIBASILAR ATELECTASIS WITH SMALL RIGHT PLEURAL EFFUSION. 4.1.3-CM OPACITY AGAIN SEEN IN THE LEFT MIDLUNG ZONE. 5.RETROCARDIAC OPACITIES WITH OBSCURATION OF THE MEDIAL ASPECT OF THE LEFT HEMIDIAPHRAGM. 6.THE HEART SIZE IS WITHIN NORMAL LIMITS. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 207872,CheXpert_Demo_Images\train\patient53891\study1\view1_frontal.jpg,patient53891,"NARRATIVE: EXAMINATION: PORTABLE Chest 1 View 3-4-2007 HISTORY: Female, 74 years old. Study obtained for ""Assess for fluid overload"". COMPARISON: Chest x-ray dated 3-4-2007 from outside hospital IMPRESSION: 1. PORTABLE CHEST RADIOGRAPH DEMONSTRATES DENSE RETROCARDIAC OPACITY REPRESENTING ATELECTASIS VERSUS CONSOLIDATION. PERSISTENT ELEVATION OF THE RIGHT HEMIDIAPHRAGM WITH RIGHT BASILAR ATELECTASIS. NO EVIDENCE OF PLEURAL EFFUSION. 2. THERE IS ASYMMETRIC APICAL PLEURAL THICKENING, RIGHT GREATER THAN LEFT. RECOMMEND COMPARISON TO PREVIOUS STUDIES FOR CHRONICITY. IF THIS FINDING APPEARS TO HAVE NEWLY DEVELOPED, MAY CONSIDER CT CHEST FOR FURTHER EVALUATION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 798382139794 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE CHEST RADIOGRAPH DEMONSTRATES DENSE RETROCARDIAC OPACITY REPRESENTING ATELECTASIS VERSUS CONSOLIDATION. PERSISTENT ELEVATION OF THE RIGHT HEMIDIAPHRAGM WITH RIGHT BASILAR ATELECTASIS. NO EVIDENCE OF PLEURAL EFFUSION. 2. THERE IS ASYMMETRIC APICAL PLEURAL THICKENING, RIGHT GREATER THAN LEFT. RECOMMEND COMPARISON TO PREVIOUS STUDIES FOR CHRONICITY. IF THIS FINDING APPEARS TO HAVE NEWLY DEVELOPED, MAY CONSIDER CT CHEST FOR FURTHER EVALUATION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 67285,CheXpert_Demo_Images\train\patient16176\study1\view1_frontal.jpg,patient16176,"NARRATIVE: IMPRESSION: 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES CLEAR LUNG FIELDS WITH NO EVIDENCE OF PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE AND HILA ARE WITHIN NORMAL LIMITS. NO PLEURAL EFFUSIONS. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. KUB OF THE ABDOMEN DEMONSTRATES NO EVIDENCE OF FREE INTRAPERITONEAL AIR. NONOBSTRUCTIVE BOWEL GAS PATTERN. UNREMARKABLE RADIOGRAPHIC EXAMINATION OF THE ABDOMEN. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 49647009656 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES CLEAR LUNG FIELDS WITH NO EVIDENCE OF PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE AND HILA ARE WITHIN NORMAL LIMITS. NO PLEURAL EFFUSIONS. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. KUB OF THE ABDOMEN DEMONSTRATES NO EVIDENCE OF FREE INTRAPERITONEAL AIR. NONOBSTRUCTIVE BOWEL GAS PATTERN. UNREMARKABLE RADIOGRAPHIC EXAMINATION OF THE ABDOMEN. "," 1 NO SIGNIFICANT ABNORMALITY " 80326,CheXpert_Demo_Images\train\patient19320\study1\view1_frontal.jpg,patient19320,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1-6-2009 CLINICAL HISTORY: 36 years of age, Male, C/f infection. COMPARISON: None. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: There is a rounded area of consolidation behind the heart. This probably represents pneumonia. A repeat exam after resolution of the acute illness is recommended to exclude an underlying mass. There is adjacent linear atelectasis or scarring. The lungs are otherwise clear.. No pleural abnormalities are present. The heart is normal in size. The mediastinal contours are normal. There are no osseous abnormalities. IMPRESSION: 1. Medial left lower lobe consolidation, probably pneumonia. 2. Recommend follow-up exam after resolution of the acute illness to exclude an underlying mass Physician to Physician Radiology Consult Line: (565)-493-4177 ACCESSION NUMBER: 5323205 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a rounded area of consolidation behind the heart. This probably represents pneumonia. A repeat exam after resolution of the acute illness is recommended to exclude an underlying mass. There is adjacent linear atelectasis or scarring. The lungs are otherwise clear.. No pleural abnormalities are present. The heart is normal in size. The mediastinal contours are normal. There are no osseous abnormalities. "," 1. Medial left lower lobe consolidation, probably pneumonia. 2. Recommend follow-up exam after resolution of the acute illness to exclude an underlying mass Physician to Physician Radiology Consult Line: (565)-493-4177 ", 6034,CheXpert_Demo_Images\train\patient01487\study1\view1_frontal.jpg,patient01487,"NARRATIVE: PORTABLE CHEST, 7-12-2005: CLINICAL HISTORY: This is a 61 -year-old female with shortness of breath. COMPARISON: None. IMPRESSION: 1. AP UPRIGHT PORTABLE VIEW OF THE CHEST DEMONSTRATES A RIGHT MIDDLE LOBE FOCAL OPACIFICATION CONCERNING FOR PNEUMONIA. 2. LEFT RETROCARDIAC OPACIFICATION. 3. DILATATION OF THE DESCENDING AORTA. 4. MILD SCOLIOSIS OF THE THORACIC SPINE WHICH MAY BE POSITIONAL. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8574878 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP UPRIGHT PORTABLE VIEW OF THE CHEST DEMONSTRATES A RIGHT MIDDLE LOBE FOCAL OPACIFICATION CONCERNING FOR PNEUMONIA. 2. LEFT RETROCARDIAC OPACIFICATION. 3. DILATATION OF THE DESCENDING AORTA. 4. MILD SCOLIOSIS OF THE THORACIC SPINE WHICH MAY BE POSITIONAL. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 94105,CheXpert_Demo_Images\train\patient22638\study3\view1_frontal.jpg,patient22638,"NARRATIVE: TWO VIEW CHEST: 10-19-2019 1130 hours CLINICAL HISTORY: 80 -year-old male with history of colon cancer and lymphoma. COMPARISON: 10-19-2019; CT chest, abdomen and pelvis. FINDINGS: There is a large left pleural effusion which has increased in size since the most recent comparison available. Underlying parenchymal disease is not excluded. The right lung is clear. The cardiomediastinal silhouette is within normal sized limits. The osseous structures are unremarkable for age. IMPRESSION: 1. MODERATE- LARGE LEFT PLEURAL EFFUSION WHICH HAS INCREASED IN SIZE SINCE 10/19/2019. UNDERLYING PARENCHYMAL DISEASE IS NOT EXCLUDED. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 614708491946138 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a large left pleural effusion which has increased in size since the most recent comparison available. Underlying parenchymal disease is not excluded. The right lung is clear. The cardiomediastinal silhouette is within normal sized limits. The osseous structures are unremarkable for age. "," 1. MODERATE- LARGE LEFT PLEURAL EFFUSION WHICH HAS INCREASED IN SIZE SINCE 10/19/2019. UNDERLYING PARENCHYMAL DISEASE IS NOT EXCLUDED. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 177584,CheXpert_Demo_Images\train\patient41662\study2\view1_frontal.jpg,patient41662,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: May 15 CLINICAL HISTORY: 49 years of age, Male, Eval s/p VATS. COMPARISON: 5/15/15 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: AP sitting chest radiograph demonstrates multiple displaced right-sided rib fractures, with a right basal chest tube in place. A small apical pneumothorax appears unchanged. Patchy opacification is again seen at the right base. The previously noted left basal atelectasis has largely resolved. There is also a displaced fracture of the right scapula, likely extending into the inferior glenoid. IMPRESSION: 1. Multiple displaced right-sided rib fractures, with no interval change in size of a small right apical pneumothorax and basilar atelectasis. 2. No interval change in right scapular fracture. ""Physician to Physician Radiology Consult Line: (268) 758-4078"" ACCESSION NUMBER: 67176655 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," AP sitting chest radiograph demonstrates multiple displaced right-sided rib fractures, with a right basal chest tube in place. A small apical pneumothorax appears unchanged. Patchy opacification is again seen at the right base. The previously noted left basal atelectasis has largely resolved. There is also a displaced fracture of the right scapula, likely extending into the inferior glenoid. "," 1. Multiple displaced right-sided rib fractures, with no interval change in size of a small right apical pneumothorax and basilar atelectasis. 2. No interval change in right scapular fracture. ""Physician to Physician Radiology Consult Line: (268) 758-4078"" ", 190491,CheXpert_Demo_Images\train\patient45751\study1\view2_frontal.jpg,patient45751,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 4/6/2010 CLINICAL HISTORY: 62 years of age, Male, Check PA catheter position. COMPARISON: 4-6-10 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Swan-Ganz catheter tip is likely coiled back in an enlarged right atrium. Left IJ central venous catheter terminates in the mid SVC. Severely enlarged cardiac silhouette is unchanged. Bilateral perihilar opacities likely reflect mild pulmonary edema, not significant changed since prior study. Bibasilar, left greater than right, opacities are unchanged, which can represent small pleural effusions with overlying compressive atelectasis or consolidation. No pneumothorax. IMPRESSION: 1. Swan-Ganz catheter tip is coiled within an enlarged right atrium. No pneumothorax. 2. Mild pulmonary edema with small pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 83505318101 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Swan-Ganz catheter tip is likely coiled back in an enlarged right atrium. Left IJ central venous catheter terminates in the mid SVC. Severely enlarged cardiac silhouette is unchanged. Bilateral perihilar opacities likely reflect mild pulmonary edema, not significant changed since prior study. Bibasilar, left greater than right, opacities are unchanged, which can represent small pleural effusions with overlying compressive atelectasis or consolidation. No pneumothorax. "," 1. Swan-Ganz catheter tip is coiled within an enlarged right atrium. No pneumothorax. 2. Mild pulmonary edema with small pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 4216,CheXpert_Demo_Images\train\patient01049\study1\view2_lateral.jpg,patient01049,"NARRATIVE: EXAM: 8-27-2005. HISTORY: 54 years Male, Kidney Transplant Evaluation, CXR PREOP. COMPARISON: NONE. IMPRESSION: 1.Chest 2 Views, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. NORMAL OVERALL AERATION AND VOLUME 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 3463459133 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.Chest 2 Views, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. NORMAL OVERALL AERATION AND VOLUME 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. ","2-ABNORMAL, PREVIOUSLY REPORTED " 75490,CheXpert_Demo_Images\train\patient18121\study1\view1_frontal.jpg,patient18121,"NARRATIVE: SINGLE PORTABLE ERECT VIEW CHEST: 4-6-2002 CLINICAL HISTORY: 37 -year-old female with fetal demise, tachypnea. COMPARISON: None. FINDINGS: THE PATIENT IS MIDLINE. THERE IS NO IRREGULARITY OF THE MEDIASTINAL OR CARDIAC CONTOUR. BIBASILAR OPACITIES ARE NOTED WITH A PROBABLE SMALL PLEURAL EFFUSION ON THE LEFT SIDE. OTHERWISE THE LUNGS ARE CLEAR. THERE ARE NO BONY ABNORMALITIES. THERE ARE NO SOFT TISSUE ABNORMALITIES. THERE IS NO EVIDENCE OF PNEUMOTHORAX. IMPRESSION: 1. BIBASILAR OPACITIES WITH PROBABLE SMALL LEFT SIDED PLEURAL EFFUSION. 2. NO EVIDENCE OF PNEUMOTHORAX. END OF IMPRESSION: SUMMARY 1: NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mccoy Emery, MD on: 4/6/02 ACCESSION NUMBER: 7266310295 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," THE PATIENT IS MIDLINE. THERE IS NO IRREGULARITY OF THE MEDIASTINAL OR CARDIAC CONTOUR. BIBASILAR OPACITIES ARE NOTED WITH A PROBABLE SMALL PLEURAL EFFUSION ON THE LEFT SIDE. OTHERWISE THE LUNGS ARE CLEAR. THERE ARE NO BONY ABNORMALITIES. THERE ARE NO SOFT TISSUE ABNORMALITIES. THERE IS NO EVIDENCE OF PNEUMOTHORAX. "," 1. BIBASILAR OPACITIES WITH PROBABLE SMALL LEFT SIDED PLEURAL EFFUSION. 2. NO EVIDENCE OF PNEUMOTHORAX. "," 1: NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mccoy Emery, MD on: 4/6/02 " 80386,CheXpert_Demo_Images\train\patient19337\study3\view1_frontal.jpg,patient19337,"NARRATIVE: CHEST RADIOGRAPH: COMPARISON: 8/8/2019 CLINICAL HISTORY: 86 year old with shortness of breath. IMPRESSION: 1. PORTABLE SEMI-UPRIGHT CHEST RADIOGRAPH DEMONSTRATED PERSISTENT BUT MODERATELY DECREASED RIGHT LOWER LOBE OPACITY, LIKELY REPRESENTING RESOLVING PNEUMONIA. PROBABLE SMALL RESIDUAL RIGHT PLEURAL EFFUSION IS SEEN. 2. LEFT BASILAR BAND-LIKE OPACITY IS NOW SEEN AND LIKELY REPRESENTS ATELECTASIS. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: cortez selah pa-c on: august 19 ACCESSION NUMBER: JGKAZQDBWG This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMI-UPRIGHT CHEST RADIOGRAPH DEMONSTRATED PERSISTENT BUT MODERATELY DECREASED RIGHT LOWER LOBE OPACITY, LIKELY REPRESENTING RESOLVING PNEUMONIA. PROBABLE SMALL RESIDUAL RIGHT PLEURAL EFFUSION IS SEEN. 2. LEFT BASILAR BAND-LIKE OPACITY IS NOW SEEN AND LIKELY REPRESENTS ATELECTASIS. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: cortez selah pa-c on: august 19 " 36922,CheXpert_Demo_Images\train\patient09056\study1\view1_frontal.jpg,patient09056,"NARRATIVE: Exam: Chest 1 View, 12-5-2009 Clinical History: 58 years old Female with CXR SINGLE VIEW. +QFT. R/O ACTIVE TB Comparison: 12/5/2009 Impression: 1. SMALL NODULAR OPACITIES PROJECTING OVER THE RIGHT APEX. IT IS UNCLEAR WHETHER THIS IS INTRA-OR EXTRA PULMONARY. GIVEN THE PATIENT'S HISTORY OF A POSITIVE QUANTIFERON TEST, ACTIVE TB REMAINS A POSSIBILITY. CONSIDER CT SCAN OF THE THORAX FOR FURTHER EVALUATION TO DETERMINE WHETHER THIS FINDING IS INTRA-OR EXTRATHORACIC AND OR ADDITIONAL WORKUP FOR TUBERCULOSIS INFECTION. 2. OTHERWISE, NO EVIDENCE OF PULMONARY EDEMA, PLEURAL EFFUSIONS OR PNEUMOTHORAX. 3. UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. 4. NO ACUTE OSSEOUS FINDINGS. 5. RESULTS CONVEYED TO REGISTERED NURSE militello, finn ON 12/5/09 AT 10:55 A.M. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: #106091570012 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SMALL NODULAR OPACITIES PROJECTING OVER THE RIGHT APEX. IT IS UNCLEAR WHETHER THIS IS INTRA-OR EXTRA PULMONARY. GIVEN THE PATIENT'S HISTORY OF A POSITIVE QUANTIFERON TEST, ACTIVE TB REMAINS A POSSIBILITY. CONSIDER CT SCAN OF THE THORAX FOR FURTHER EVALUATION TO DETERMINE WHETHER THIS FINDING IS INTRA-OR EXTRATHORACIC AND OR ADDITIONAL WORKUP FOR TUBERCULOSIS INFECTION. 2. OTHERWISE, NO EVIDENCE OF PULMONARY EDEMA, PLEURAL EFFUSIONS OR PNEUMOTHORAX. 3. UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. 4. NO ACUTE OSSEOUS FINDINGS. 5. RESULTS CONVEYED TO REGISTERED NURSE militello, finn ON 12/5/09 AT 10:55 A.M. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 206375,CheXpert_Demo_Images\train\patient52958\study1\view1_frontal.jpg,patient52958,"NARRATIVE: EXAM: Chest 1 View, 2-8-15 CLINICAL HISTORY:Eval for infectious process . History of metastatic prostate cancer. COMPARISON: 2-8-2015 FINDINGS: There is a sclerotic appearance of the bilateral ribs, increased from prior examination, consistent with patient's given history of metastatic prostate cancer. No definite focal infiltrate is identified. The left costophrenic angle is blunted, partly due to a small effusion, new from prior exam. Pulmonary vasculature is mildly congested, with left-sided vascular prominence. IMPRESSION: 1. NEW SMALL LEFT PLEURAL EFFUSION. 2. INTERVAL INCREASE IN SCATTERED FOCI OF RIB SCLEROSIS, INCREASED FROM PRIOR, LIQUID SECONDARY TO INTERVAL PROGRESSION OF PROSTATIC METASTASES. These results were paged to bowen, wyatt on 2/8/2015, 12:37PM SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 153050261117 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a sclerotic appearance of the bilateral ribs, increased from prior examination, consistent with patient's given history of metastatic prostate cancer. No definite focal infiltrate is identified. The left costophrenic angle is blunted, partly due to a small effusion, new from prior exam. Pulmonary vasculature is mildly congested, with left-sided vascular prominence. "," 1. NEW SMALL LEFT PLEURAL EFFUSION. 2. INTERVAL INCREASE IN SCATTERED FOCI OF RIB SCLEROSIS, INCREASED FROM PRIOR, LIQUID SECONDARY TO INTERVAL PROGRESSION OF PROSTATIC METASTASES. These results were paged to bowen, wyatt on 2/8/2015, 12:37PM ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 123464,CheXpert_Demo_Images\train\patient29598\study2\view1_frontal.jpg,patient29598,"NARRATIVE: IMPRESSION: 1. NO SIGNIFICANT CHANGE IN LINES AND TUBES. 2. MILD PULMONARY EDEMA UNCHANGED. 3. MOTION ARTIFACT. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD August on: 9/27/2010 __________________________________ ACCESSION NUMBER: 80587237282 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO SIGNIFICANT CHANGE IN LINES AND TUBES. 2. MILD PULMONARY EDEMA UNCHANGED. 3. MOTION ARTIFACT. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD August on: 9/27/2010 __________________________________ " 48805,CheXpert_Demo_Images\train\patient11838\study1\view2_lateral.jpg,patient11838,"NARRATIVE: TWO VIEWS OF THE CHEST: 8-28-2018. COMPARISON: None. FINDINGS: Upright PA and lateral chest radiographs demonstrate widening of the superior mediastinum, measuring 12 cm in maximal dimension. There is a prominent soft tissue convexity in the expected region of the azygous node. There is also pleural thickening along the right apex medially, just adjacent to the trachea, raising the question of underlying peritracheal lymphadenopathy. There is increased density within the retrosternal region on the lateral view suggestive of an anterior mediastinal process. The overall cardiomediastinal silhouette takes a somewhat triangular-shape, raising the question of an underlying pericardial effusion. The lungs are clear bilaterally. There is minimal blunting of the right lateral costophrenic sulcus which may be related to either pleural thickening or a very small pleural effusion. No evidence of left pleural effusion. No pulmonary edema. The skeletal structures are grossly unremarkable. IMPRESSION: 1. WIDENING OF THE MEDIASTINUM WITH SOFT TISSUE PROMINENCE IN THE RIGHT PERITRACHEAL REGION SUGGESTIVE OF MEDIASTINAL LYMPHADENOPATHY. 2. INCREASED SOFT TISSUE DENSITY IN THE RETROSTERNAL REGION SUGGESTIVE OF AN ANTERIOR MEDIASTINAL PROCESS. AGAIN, GIVEN THE PATIENT'S HISTORY OF HODGKIN'S DISEASE, THIS IS MOST LIKELY RELATED TO LYMPHADENOPATHY. 3. QUESTION OF THE PRESENCE OF UNDERLYING PERICARDIAL EFFUSION. RECOMMEND CLINICAL CORRELATION. 4. NO FOCAL PULMONARY ABNORMALITY. 5. POSSIBLE SMALL LEFT PLEURAL EFFUSION VERSUS PLEURAL THICKENING. 6. ALL THE ABOVE FINDING SHOULD BE CORRELATED WITH CT OF THE CHEST. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. ACCESSION NUMBER: KQPYNGCVNOL This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Upright PA and lateral chest radiographs demonstrate widening of the superior mediastinum, measuring 12 cm in maximal dimension. There is a prominent soft tissue convexity in the expected region of the azygous node. There is also pleural thickening along the right apex medially, just adjacent to the trachea, raising the question of underlying peritracheal lymphadenopathy. There is increased density within the retrosternal region on the lateral view suggestive of an anterior mediastinal process. The overall cardiomediastinal silhouette takes a somewhat triangular-shape, raising the question of an underlying pericardial effusion. The lungs are clear bilaterally. There is minimal blunting of the right lateral costophrenic sulcus which may be related to either pleural thickening or a very small pleural effusion. No evidence of left pleural effusion. No pulmonary edema. The skeletal structures are grossly unremarkable. "," 1. WIDENING OF THE MEDIASTINUM WITH SOFT TISSUE PROMINENCE IN THE RIGHT PERITRACHEAL REGION SUGGESTIVE OF MEDIASTINAL LYMPHADENOPATHY. 2. INCREASED SOFT TISSUE DENSITY IN THE RETROSTERNAL REGION SUGGESTIVE OF AN ANTERIOR MEDIASTINAL PROCESS. AGAIN, GIVEN THE PATIENT'S HISTORY OF HODGKIN'S DISEASE, THIS IS MOST LIKELY RELATED TO LYMPHADENOPATHY. 3. QUESTION OF THE PRESENCE OF UNDERLYING PERICARDIAL EFFUSION. RECOMMEND CLINICAL CORRELATION. 4. NO FOCAL PULMONARY ABNORMALITY. 5. POSSIBLE SMALL LEFT PLEURAL EFFUSION VERSUS PLEURAL THICKENING. 6. ALL THE ABOVE FINDING SHOULD BE CORRELATED WITH CT OF THE CHEST. "," 4: Possible significant abnormality/change, may need action. " 85169,CheXpert_Demo_Images\train\patient20474\study4\view1_frontal.jpg,patient20474,"NARRATIVE: SINGLE PORTABLE VIEW OF THE CHEST: 3-16-2002 HISTORY: This is a 25 -year-old male with aplastic anemia and neutropenic fever. COMPARISON: Single view chest 3/16/2002 0536 hours. IMPRESSION: REDEMONSTRATION OF STABLE APPEARING DIFFUSE PATCHY AIRSPACE OPACITIES WHICH MAY BE REPRESENTATIVE OF PERSISTENT PULMONARY EDEMA, HOWEVER ARE WORRISOME FOR AN INFECTIOUS PROCESS. END OF IMPRESSION: SUMMARY CODE 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Raegan Hubbard, M.D. on: 3-16-2002 ACCESSION NUMBER: 8992705893 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," REDEMONSTRATION OF STABLE APPEARING DIFFUSE PATCHY AIRSPACE OPACITIES WHICH MAY BE REPRESENTATIVE OF PERSISTENT PULMONARY EDEMA, HOWEVER ARE WORRISOME FOR AN INFECTIOUS PROCESS. ", 4518,CheXpert_Demo_Images\train\patient01124\study5\view2_lateral.jpg,patient01124,"NARRATIVE: Chest 2 Views 1/19/2008 History: 61-year-old female patient follow-up pneumothoraces. Comparison: 1-19-2008 and multiple former. Findings: Linear metallic plate anterior to the sternum unchanged. Multiple surgical clips in place. Minimal blunting of the right costophrenic angle due to minimal pleural effusion. The cardiomediastinal silhouette is within normal limits for both lungs remain clear. Impression: MINIMAL RESIDUAL RIGHT PLEURAL EFFUSION. NO EVIDENCE OF PNEUMOTHORAX. SUMMARY CODE: SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 5587046170502 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Linear metallic plate anterior to the sternum unchanged. Multiple surgical clips in place. Minimal blunting of the right costophrenic angle due to minimal pleural effusion. The cardiomediastinal silhouette is within normal limits for both lungs remain clear. "," MINIMAL RESIDUAL RIGHT PLEURAL EFFUSION. NO EVIDENCE OF PNEUMOTHORAX. SUMMARY CODE: "," 2-ABNORMAL, PREVIOUSLY REPORTED " 215111,CheXpert_Demo_Images\train\patient58387\study2\view1_frontal.jpg,patient58387,"NARRATIVE: CLINICAL HISTORY: 46-year-old woman with respiratory distress and breast carcinoma. COMPARISON: 6-29-2003. IMPRESSION: CHEST, PORTABLE UPRIGHT AP: 1. UNCHANGED DIFFUSE SOMEWHAT NODULAR AIR SPACE CONSOLIDATION CONSISTENT WITH METASTATIC DISEASE. 2. EVIDENCE OF RIGHT MASTECTOMY AND AXILLARY LYMPH NODE DISSECTION WITH CLIPS IN THE AXILLA, UNCHANGED. 3. NO NEW LUNG CONSOLIDATIONS TO SUGGEST LOBAR PNEUMONIA. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Leon Bolden, PA-C on: 6/29/2003 ACCESSION NUMBER: #562 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," CHEST, PORTABLE UPRIGHT AP: 1. UNCHANGED DIFFUSE SOMEWHAT NODULAR AIR SPACE CONSOLIDATION CONSISTENT WITH METASTATIC DISEASE. 2. EVIDENCE OF RIGHT MASTECTOMY AND AXILLARY LYMPH NODE DISSECTION WITH CLIPS IN THE AXILLA, UNCHANGED. 3. NO NEW LUNG CONSOLIDATIONS TO SUGGEST LOBAR PNEUMONIA. "," 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Leon Bolden, PA-C on: 6/29/2003 " 22364,CheXpert_Demo_Images\train\patient05459\study4\view1_frontal.jpg,patient05459,"NARRATIVE: PORTABLE CHEST: FINDINGS: The various tubes remain in place. Lung fields are unchanged. PORTABLE CHEST: FINDINGS: A left subclavian line has been placed. There is now a 50% pneumothorax and the mediastinum is displaced to the opposite side. PORTABLE CHEST: FINDINGS: A left chest tube has been placed. The pneumothorax has actually resolved. There is also noted improved aeration in both lower lung fields. The tubes remain in place. IMPRESSION: ESSENTIALLY RESOLVED PNEUMOTHORAX WITH CHEST TUBE IN PLACE. IMPROVED AIRSPACE DISEASE. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION __________________________________ Refused by STRICKLAND, REED on JULY 2009 5:03pm Reassigned to REFUSE REASON:DID , NOT ORDER ACCESSION NUMBER: ygvk9 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The various tubes remain in place. Lung fields are unchanged. PORTABLE CHEST: FINDINGS: A left subclavian line has been placed. There is now a 50% pneumothorax and the mediastinum is displaced to the opposite side. PORTABLE CHEST: FINDINGS: A left chest tube has been placed. The pneumothorax has actually resolved. There is also noted improved aeration in both lower lung fields. The tubes remain in place. "," ESSENTIALLY RESOLVED PNEUMOTHORAX WITH CHEST TUBE IN PLACE. IMPROVED AIRSPACE DISEASE. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION __________________________________ Refused by STRICKLAND, REED on JULY 2009 5:03pm Reassigned to REFUSE REASON:DID , NOT ORDER " 102739,CheXpert_Demo_Images\train\patient24689\study1\view1_frontal.jpg,patient24689,"NARRATIVE: SINGLE VIEW OF THE CHEST: 09/29 COMPARISON: 9/29/2014 IMPRESSION: 1. SUBTLE INCREASED DENSITY IN THE RETROCARDIAC REGION AND RIGHT MID LUNG ZONE LIKELY REPRESENTS ATELECTASIS. EARLY CONSOLIDATION CANNOT BE COMPLETELY EXCLUDED, HOWEVER. 2. NO PULMONARY EDEMA OR PLEURAL EFFUSION. 3. THE CARDIAC SIZE IS WITHIN NORMAL LIMITS. 4. NO BONY ABNORMALITY. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Rubani Hart, MD on: September 29th, 2014 ACCESSION NUMBER: 56574206 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SUBTLE INCREASED DENSITY IN THE RETROCARDIAC REGION AND RIGHT MID LUNG ZONE LIKELY REPRESENTS ATELECTASIS. EARLY CONSOLIDATION CANNOT BE COMPLETELY EXCLUDED, HOWEVER. 2. NO PULMONARY EDEMA OR PLEURAL EFFUSION. 3. THE CARDIAC SIZE IS WITHIN NORMAL LIMITS. 4. NO BONY ABNORMALITY. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Rubani Hart, MD on: September 29th, 2014 " 22885,CheXpert_Demo_Images\train\patient05612\study1\view1_frontal.jpg,patient05612,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11/27/2004 CLINICAL HISTORY: 31 years of age, Female, Check PICC line placement. COMPARISON: Chest x-ray dated 11/27/2004 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: There has been interval placement of a right-sided PICC line with its tip in the proximal right atrium. There is no pneumothorax. The lung parenchyma is clear. There are no pleural effusions. There has been a significant decrease in the size of previously noted anterior/superior mediastinal mass. The cardiomediastinal silhouette is now within normal limits. The osseous structures are within normal limits for age. IMPRESSION: 1. No pneumothorax. Right-sided PICC line with tip in the cavoatrial junction. 2. Interval decrease in size of previous seen noted anterior/superior mediastinal mass. ""Physician to Physician Radiology Consult Line: (705) 391-7483"" ACCESSION NUMBER: 0390214631 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There has been interval placement of a right-sided PICC line with its tip in the proximal right atrium. There is no pneumothorax. The lung parenchyma is clear. There are no pleural effusions. There has been a significant decrease in the size of previously noted anterior/superior mediastinal mass. The cardiomediastinal silhouette is now within normal limits. The osseous structures are within normal limits for age. "," 1. No pneumothorax. Right-sided PICC line with tip in the cavoatrial junction. 2. Interval decrease in size of previous seen noted anterior/superior mediastinal mass. ""Physician to Physician Radiology Consult Line: (705) 391-7483"" ", 194483,CheXpert_Demo_Images\train\patient47334\study5\view1_frontal.jpg,patient47334,"NARRATIVE: PORTABLE CHEST, 3/15/2004: IMPRESSION: 1. SUPPORTIVE EQUIPMENT STABLE. 2. PERSISTENT LOW LUNG VOLUMES WITH DECREASED BUT PERSISTENT MILD PULMONARY EDEMA WITH INCREASED AERATION OF THE RIGHT MID-AND LOWER LUNG. PERSISTENT AIR SPACE OPACITIES OF BILATERAL LOWER LUNGS WITH INTERVAL INCREASED AERATION OF RIGHT MID TO LOWER LUNG. POSSIBLY SMALL LEFT PLEURAL EFFUSION. POSSIBLE SMALL LEFT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Colin, Castillo on: 3/15/2004 __________________________________ ACCESSION NUMBER: 363509762372 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SUPPORTIVE EQUIPMENT STABLE. 2. PERSISTENT LOW LUNG VOLUMES WITH DECREASED BUT PERSISTENT MILD PULMONARY EDEMA WITH INCREASED AERATION OF THE RIGHT MID-AND LOWER LUNG. PERSISTENT AIR SPACE OPACITIES OF BILATERAL LOWER LUNGS WITH INTERVAL INCREASED AERATION OF RIGHT MID TO LOWER LUNG. POSSIBLY SMALL LEFT PLEURAL EFFUSION. POSSIBLE SMALL LEFT PLEURAL EFFUSION. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Colin, Castillo on: 3/15/2004 __________________________________ " 60649,CheXpert_Demo_Images\train\patient14641\study2\view2_lateral.jpg,patient14641,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 3/26/04 CLINICAL HISTORY: 71 years of age, Female, S/p icd placement. COMPARISON: 3/26/04 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Stable position of left chest wall AICD. No evidence of pneumothorax. Persistent low lung volumes, cardiomegaly, small bilateral pleural effusions with associated left basilar opacity. IMPRESSION: 1. No significant interval change. No evidence of pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #14358722 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Stable position of left chest wall AICD. No evidence of pneumothorax. Persistent low lung volumes, cardiomegaly, small bilateral pleural effusions with associated left basilar opacity. "," 1. No significant interval change. No evidence of pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 54775,CheXpert_Demo_Images\train\patient13291\study1\view1_frontal.jpg,patient13291,"NARRATIVE: CHEST, PA AND LATERAL: APRIL 2017. COMPARISON: 4/28/2017 and prior films. CLINICAL HISTORY: Lymphoma, rule out infiltrate. FINDINGS: Tunneled right IJ CV catheter appears stable, with tip at the lower SVC. The heart and vessels, lungs and pleural spaces are unremarkable. Bones and soft tissues appear stable. IMPRESSION: 1. STABLE CATHETER, NO CURRENT PLEURAL EFFUSION OR ACTIVE CHEST DISEASE. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 00739854 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Tunneled right IJ CV catheter appears stable, with tip at the lower SVC. The heart and vessels, lungs and pleural spaces are unremarkable. Bones and soft tissues appear stable. "," 1. STABLE CATHETER, NO CURRENT PLEURAL EFFUSION OR ACTIVE CHEST DISEASE. ","2-ABNORMAL, PREVIOUSLY REPORTED " 150303,CheXpert_Demo_Images\train\patient35614\study1\view1_frontal.jpg,patient35614,"NARRATIVE: SINGLE VIEW OF THE CHEST: 1-24-2009 COMPARISON: 1/24/2009 CLINICAL HISTORY: A 62-year-old male, rule out pneumomediastinum or pneumothorax. IMPRESSION: 1. NG TUBE TERMINATES AT THE GE JUNCTION. AN EPIDURAL CATHETER IS IN PLACE. SURGICAL STAPLES OVERLIE THE ABDOMEN IN THE MIDLINE. 2. ATELECTASIS IN THE LEFT LUNG BASE. NO PLEURAL EFFUSION OR PNEUMOTHORAX. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #695745040515 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NG TUBE TERMINATES AT THE GE JUNCTION. AN EPIDURAL CATHETER IS IN PLACE. SURGICAL STAPLES OVERLIE THE ABDOMEN IN THE MIDLINE. 2. ATELECTASIS IN THE LEFT LUNG BASE. NO PLEURAL EFFUSION OR PNEUMOTHORAX. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 35397,CheXpert_Demo_Images\train\patient08679\study1\view1_frontal.jpg,patient08679,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12/21/2015 CLINICAL HISTORY: 70 years of age, Male, Cough, rales in LLL. COMPARISON: None. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Normal cardiomediastinal silhouette. There is increased fullness of the right hilum. No evidence of focal consolidations or effusions. No pneumothorax. No acute osseous abdomen pelvis. Mild degenerative changes of the thoracic spine. IMPRESSION: 1. Increased fullness of the right hilum which may represent calcified lymphadenopathy. Mass lesion cannot be excluded. 2. No evidence of left lower lobe consolidation. ""Physician to Physician Radiology Consult Line: (258) 560-3700"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #640312 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Normal cardiomediastinal silhouette. There is increased fullness of the right hilum. No evidence of focal consolidations or effusions. No pneumothorax. No acute osseous abdomen pelvis. Mild degenerative changes of the thoracic spine. "," 1. Increased fullness of the right hilum which may represent calcified lymphadenopathy. Mass lesion cannot be excluded. 2. No evidence of left lower lobe consolidation. ""Physician to Physician Radiology Consult Line: (258) 560-3700"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 180348,CheXpert_Demo_Images\train\patient42459\study1\view1_frontal.jpg,patient42459,"NARRATIVE: CHEST, SINGLE VIEW: 4/19/18. COMPARISON: 4/19/2018. CLINICAL HISTORY: A 65-year-old man status post line placement. IMPRESSION: 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH DISTAL TIP IN THE MID SUPERIOR VENA CAVA. NO EVIDENCE NO PNEUMOTHORAX. 2. MILD RETROCARDIAC ATELECTASIS. 3. PNEUMOPERITONEUM, LIKELY RELATED TO RECENT SURGERY. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 14907 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH DISTAL TIP IN THE MID SUPERIOR VENA CAVA. NO EVIDENCE NO PNEUMOTHORAX. 2. MILD RETROCARDIAC ATELECTASIS. 3. PNEUMOPERITONEUM, LIKELY RELATED TO RECENT SURGERY. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 97886,CheXpert_Demo_Images\train\patient23591\study1\view2_lateral.jpg,patient23591,"NARRATIVE: TWO-VIEW CHEST, 8-27-2004 COMPARISON: 8/27/2004 and 8/27/2004. CLINICAL HISTORY: The patient is an 86-year-old female with cough. FINDINGS: PA and lateral views demonstrate a normal cardiomediastinal silhouette. The lungs are expanded, again demonstrating diffusely increased coarsened interstitial markings, likely reflecting senescent changes. Prominent streaky density within the left lower lobe is unchanged, consistent with atelectasis vs scarring. No major airspace consolidation, pneumothorax or pleural effusions. Eventration of the right hemidiaphragm is again noted. Mild end-plate degenerative changes of the thoracic spine are noted. IMPRESSION: 1. STABLE DIFFUSELY COARSENED INTERSTITIAL MARKINGS, LIKELY REFLECTING SENESCENT CHANGES IN A PATIENT OF THIS AGE. 2. STREAKY DENSITY IN THE LEFT LOWER LOBE, WHICH IS UNCHANGED, LIKELY REFLECTING ATELECTASIS VS SCARRING. NO MAJOR AIRSPACE CONSOLIDATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 4-9-9-9-6-8-9-5-3-3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral views demonstrate a normal cardiomediastinal silhouette. The lungs are expanded, again demonstrating diffusely increased coarsened interstitial markings, likely reflecting senescent changes. Prominent streaky density within the left lower lobe is unchanged, consistent with atelectasis vs scarring. No major airspace consolidation, pneumothorax or pleural effusions. Eventration of the right hemidiaphragm is again noted. Mild end-plate degenerative changes of the thoracic spine are noted. "," 1. STABLE DIFFUSELY COARSENED INTERSTITIAL MARKINGS, LIKELY REFLECTING SENESCENT CHANGES IN A PATIENT OF THIS AGE. 2. STREAKY DENSITY IN THE LEFT LOWER LOBE, WHICH IS UNCHANGED, LIKELY REFLECTING ATELECTASIS VS SCARRING. NO MAJOR AIRSPACE CONSOLIDATION. ","2-ABNORMAL, PREVIOUSLY REPORTED " 102476,CheXpert_Demo_Images\train\patient24637\study12\view2_lateral.jpg,patient24637,"NARRATIVE: TWO VIEWS OF THE CHEST AND MULTIPLE VIEWS OF THE ABDOMEN: 3-26-2004. COMPARISON: 3-26-2004 and 3-26-2004. CLINICAL HISTORY: Vomiting, evaluate for small bowel obstruction and infiltrate. IMPRESSION: 1. TWO VIEWS OF THE CHEST DEMONSTRATE A RIGHT BASE CONSOLIDATION, AS WELL AS A SMALL LEFT BASE CONSOLIDATION. FINDINGS ARE CONCERNING FOR INFECTION. 2. SMALL RIGHT PLEURAL EFFUSION. 3. MEDIAN STERNOTOMY WIRES. 4. MULTIPLE VIEWS OF THE ABDOMEN DEMONSTRATE DILATED LOOPS OF SMALL BOWEL WITH A PAUCITY OF GAS SEEN WITHIN THE COLON. NO GAS IS SEEN WITHIN THE RECTUM. FINDINGS ARE CONCERNING FOR A HIGH GRADE SMALL BOWEL OBSTRUCTION, AND FURTHER IMAGING COULD BE OBTAINED AS CLINICALLY INDICATED. 5. NO SIGNIFICANT CHANGE IN THE APPEARANCE OF THE CARDIOMEDIASTINAL SILHOUETTE. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Wood, Alejandro on: march 26, 2004 ACCESSION NUMBER: 19520835 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO VIEWS OF THE CHEST DEMONSTRATE A RIGHT BASE CONSOLIDATION, AS WELL AS A SMALL LEFT BASE CONSOLIDATION. FINDINGS ARE CONCERNING FOR INFECTION. 2. SMALL RIGHT PLEURAL EFFUSION. 3. MEDIAN STERNOTOMY WIRES. 4. MULTIPLE VIEWS OF THE ABDOMEN DEMONSTRATE DILATED LOOPS OF SMALL BOWEL WITH A PAUCITY OF GAS SEEN WITHIN THE COLON. NO GAS IS SEEN WITHIN THE RECTUM. FINDINGS ARE CONCERNING FOR A HIGH GRADE SMALL BOWEL OBSTRUCTION, AND FURTHER IMAGING COULD BE OBTAINED AS CLINICALLY INDICATED. 5. NO SIGNIFICANT CHANGE IN THE APPEARANCE OF THE CARDIOMEDIASTINAL SILHOUETTE. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Wood, Alejandro on: march 26, 2004 " 100548,CheXpert_Demo_Images\train\patient24206\study5\view1_frontal.jpg,patient24206,"NARRATIVE: Chest 1 View: 6/22 HISTORY: 35 years Male, Infection. COMPARISON: CT chest and chest radiograph June 22, 2002, CT chest 6/22/2002 IMPRESSION: 1. INCREASING MODERATE RIGHT PLEURAL EFFUSION, WITH LOCULATED COMPONENTS TRACKING TO THE APEX AND LIKELY ALONG THE FISSURE. RIGHT BASILAR AND UPPER LUNG ZONE OPACITY SEEN WHICH MAY REPRESENT COMPRESSIVE ATELECTASIS VERSUS CONSOLIDATION. CT THORAX COULD BE USED FOR FURTHER EVALUATION AS CLINICALLY INDICATED. 2. REDEMONSTRATION OF MULTIPLE NODULAR OPACITIES IN THE RIGHT HEMITHORAX INCREASING IN SIZE, SEEN ON RECENT CT TO REPRESENT METASTATIC DISEASE. 3. LEFT LUNG FIELD IS CLEAR. 4. STABLE CARDIOMEDIASTINAL SILHOUETTE WITH ANTERIOR MEDIASTINAL CLIPS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 266459394 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INCREASING MODERATE RIGHT PLEURAL EFFUSION, WITH LOCULATED COMPONENTS TRACKING TO THE APEX AND LIKELY ALONG THE FISSURE. RIGHT BASILAR AND UPPER LUNG ZONE OPACITY SEEN WHICH MAY REPRESENT COMPRESSIVE ATELECTASIS VERSUS CONSOLIDATION. CT THORAX COULD BE USED FOR FURTHER EVALUATION AS CLINICALLY INDICATED. 2. REDEMONSTRATION OF MULTIPLE NODULAR OPACITIES IN THE RIGHT HEMITHORAX INCREASING IN SIZE, SEEN ON RECENT CT TO REPRESENT METASTATIC DISEASE. 3. LEFT LUNG FIELD IS CLEAR. 4. STABLE CARDIOMEDIASTINAL SILHOUETTE WITH ANTERIOR MEDIASTINAL CLIPS. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 47941,CheXpert_Demo_Images\train\patient11636\study2\view1_frontal.jpg,patient11636,"NARRATIVE: PORTABLE CHEST, 3-4-2019: COMPARISON: Comparison is made to study dated 3/4/2019. CLINICAL HISTORY: 41 year-old male with ICD lead fracture, status post ICD revision. IMPRESSION: 1. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 2. MINIMAL LEFT RETROCARDIAC OPACITY, ATELECTASIS VERSUS INFLAMMATORY PROCESS. THE LUNGS ARE OTHERWISE CLEAR. 3. NO PNEUMOTHORAX AND NO SIGNIFICANT CHANGE FROM COMPARISON. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: muhammad josephine macdonald, crnp on: 3/4/2019 __________________________________ ACCESSION NUMBER: 6633994 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 2. MINIMAL LEFT RETROCARDIAC OPACITY, ATELECTASIS VERSUS INFLAMMATORY PROCESS. THE LUNGS ARE OTHERWISE CLEAR. 3. NO PNEUMOTHORAX AND NO SIGNIFICANT CHANGE FROM COMPARISON. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: muhammad josephine macdonald, crnp on: 3/4/2019 __________________________________ " 46248,CheXpert_Demo_Images\train\patient11269\study1\view2_lateral.jpg,patient11269,"NARRATIVE: Chest 2 Views, 8-13-2009 HISTORY: 24 years Male, R/p pneumonia COMPARISON: None IMPRESSION: 1.TWO VIEWS OF THE CHEST DEMONSTRATE A CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS. 2.NO EVIDENCE OF FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 3.THE BONES AND SOFT TISSUES ARE UNREMARKABLE. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 12432300058220 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.TWO VIEWS OF THE CHEST DEMONSTRATE A CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS. 2.NO EVIDENCE OF FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 3.THE BONES AND SOFT TISSUES ARE UNREMARKABLE. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 106200,CheXpert_Demo_Images\train\patient25532\study2\view1_frontal.jpg,patient25532,"NARRATIVE: Chest 2 Views 9-12-2001 Follow up with history of melanoma Comparison: 9-12-2001 and prior IMPRESSION: VAGUE NODULE AT THE RIGHT MIDDLE LOBE (best seen on prior CT study) again noted, as well as a moderate tortuosity and extensive vertebral osteophytes. No new mass, consolidation, adenopathy or effusion identified. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #874-312-424-62 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," VAGUE NODULE AT THE RIGHT MIDDLE LOBE (best seen on prior CT study) again noted, as well as a moderate tortuosity and extensive vertebral osteophytes. No new mass, consolidation, adenopathy or effusion identified. "," 2-ABNORMAL, PREVIOUSLY REPORTED " 33723,CheXpert_Demo_Images\train\patient08233\study1\view1_frontal.jpg,patient08233,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 3/3/2016 CLINICAL HISTORY: 63 years of age, Female, Central line placement. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Single, supine view of the chest demonstrates the right chest wall port with the tip in the moderate atrium and an epidural catheter. The left IJ central venous catheter tip is at the confluence of the brachiocephalic veins. There is mild cardiomegaly. Low lung volumes are noted, with left greater than right opacities, which may represent atelectasis versus consolidation. A small left pleural effusion is visualized. Mild indistinctness of the pulmonary vasculature is consistent with mild pulmonary edema. No pneumothorax or acute osseous abnormalities are noted. IMPRESSION: 1. Left IJ central venous catheter at the confluence of brachycephalic veins. 2. Right chest wall port in the mid right atrium. 3. Left greater than right dense opacities may represent consolidation versus atelectasis. 4. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: GwvzEmPK This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single, supine view of the chest demonstrates the right chest wall port with the tip in the moderate atrium and an epidural catheter. The left IJ central venous catheter tip is at the confluence of the brachiocephalic veins. There is mild cardiomegaly. Low lung volumes are noted, with left greater than right opacities, which may represent atelectasis versus consolidation. A small left pleural effusion is visualized. Mild indistinctness of the pulmonary vasculature is consistent with mild pulmonary edema. No pneumothorax or acute osseous abnormalities are noted. "," 1. Left IJ central venous catheter at the confluence of brachycephalic veins. 2. Right chest wall port in the mid right atrium. 3. Left greater than right dense opacities may represent consolidation versus atelectasis. 4. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 132688,CheXpert_Demo_Images\train\patient31856\study2\view1_frontal.jpg,patient31856,"NARRATIVE: CHEST: One view. CLINICAL HISTORY: 61 -year-old woman with pulmonary embolus. COMPARISON: 2/19/2002 FINDINGS: There has been interval redistribution of the pleural based opacity previously seen on the 8/11/1993 examination. This is consistent with a fluid collection. Given its somewhat irregular contours there is likely a component of a loculated effusion. The left lung remains well aerated. IMPRESSION: 1. REDISTRIBUTION OF RIGHT-SIDED PLEURAL BASED OPACITY INDICATING A PLEURAL EFFUSION. GIVEN ITS CONTOURS, THERE IS LIKELY A LOCULATED COMPONENT TO THIS EFFUSION. OTHERWISE NO SIGNIFICANT INTERVAL CHANGE. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: CUEVAS EDEN, DR. on: 8/11/1993 ACCESSION NUMBER: 466774 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There has been interval redistribution of the pleural based opacity previously seen on the 8/11/1993 examination. This is consistent with a fluid collection. Given its somewhat irregular contours there is likely a component of a loculated effusion. The left lung remains well aerated. "," 1. REDISTRIBUTION OF RIGHT-SIDED PLEURAL BASED OPACITY INDICATING A PLEURAL EFFUSION. GIVEN ITS CONTOURS, THERE IS LIKELY A LOCULATED COMPONENT TO THIS EFFUSION. OTHERWISE NO SIGNIFICANT INTERVAL CHANGE. "," 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: CUEVAS EDEN, DR. on: 8/11/1993 " 58242,CheXpert_Demo_Images\train\patient14107\study1\view2_frontal.jpg,patient14107,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11/21/2014 CLINICAL HISTORY: 87 years of age, Male, Edema. COMPARISON: None. PROCEDURE COMMENTS: 2 portable frontal views of the chest. FINDINGS: The heart is mildly enlarged. There are coarse reticular opacities bilaterally. No comparison images are available. The right costophrenic angle is excluded. No left pleural effusion. IMPRESSION: 1. Mild cardiomegaly. 2. Coarse reticular opacities, possibly age related versus mild pulmonary edema. No comparison imaging is available. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 48-91-77-87-94-9 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The heart is mildly enlarged. There are coarse reticular opacities bilaterally. No comparison images are available. The right costophrenic angle is excluded. No left pleural effusion. "," 1. Mild cardiomegaly. 2. Coarse reticular opacities, possibly age related versus mild pulmonary edema. No comparison imaging is available. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 13734,CheXpert_Demo_Images\train\patient03434\study1\view2_lateral.jpg,patient03434,"NARRATIVE: Chest 2 Views: 9/22/2021 HISTORY: 48 years Male, Testicular cancer. COMPARISON: 9/22/2021, chest CT performed 9/22/2021 IMPRESSION: 7-mm nodular opacity noted within the right lung may correspond to nodule seen on prior chest CT, but CT would be required for complete comparison. The lungs are otherwise clear with no pleural effusion, edema, consolidation, or pneumothorax. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The visualized osseous structures are unchanged. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 231733939 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 7-mm nodular opacity noted within the right lung may correspond to nodule seen on prior chest CT, but CT would be required for complete comparison. The lungs are otherwise clear with no pleural effusion, edema, consolidation, or pneumothorax. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The visualized osseous structures are unchanged. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 92158,CheXpert_Demo_Images\train\patient22143\study2\view1_frontal.jpg,patient22143,"NARRATIVE: CHEST TWO VIEWS: 9/17/00 COMPARISON: 9/17/2000. CLINICAL HISTORY: 58-year-old status post CABG. IMPRESSION: 1. TWO VIEWS OF THE CHEST DATED 9-17-2000 DEMONSTRATE LEFT APICAL PNEUMOTHORAX, WHICH APPEARS UNCHANGED. 2. THE LEFT RETROCARDIAC OPACITY APPEARS SLIGHTLY IMPROVED IN COMPARISON TO PRIOR. 3. REDEMONSTRATION OF RIGHT INTERNAL JUGULAR CATHETER, POSITION UNCHANGED AND POSTSURGICAL CHANGES INCLUDING STERNOTOMY WIRES. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #28402809235 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO VIEWS OF THE CHEST DATED 9-17-2000 DEMONSTRATE LEFT APICAL PNEUMOTHORAX, WHICH APPEARS UNCHANGED. 2. THE LEFT RETROCARDIAC OPACITY APPEARS SLIGHTLY IMPROVED IN COMPARISON TO PRIOR. 3. REDEMONSTRATION OF RIGHT INTERNAL JUGULAR CATHETER, POSITION UNCHANGED AND POSTSURGICAL CHANGES INCLUDING STERNOTOMY WIRES. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 220703,CheXpert_Demo_Images\train\patient62247\study1\view1_frontal.jpg,patient62247,"NARRATIVE: CHEST, ONE VIEW: December 2013 COMPARISON: X-ray chest 1/4/2017 . CLINICAL HISTORY: Twenty-two year-old male with history of critical care follow-up. IMPRESSION: 1. INTERVAL REMOVAL OF RIGHT CENTRAL VENOUS CATHETER. 2. MILD CARDIOMEGALY. 3. NO EVIDENCE OF CONSOLIDATION, EFFUSION, OR PNEUMOTHORAX. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7123790072138 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF RIGHT CENTRAL VENOUS CATHETER. 2. MILD CARDIOMEGALY. 3. NO EVIDENCE OF CONSOLIDATION, EFFUSION, OR PNEUMOTHORAX. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 142750,CheXpert_Demo_Images\train\patient34336\study30\view1_frontal.jpg,patient34336,"NARRATIVE: ONE VIEW CHEST X-RAY: COMPARISON: 5/7/2021 at 10:05 PM CLINICAL HISTORY: No history is given. IMPRESSION: 1. LINES AND TUBES UNCHANGED. 2. STABLE LEFT APICAL PNEUMOTHORAX. 3. UNCHANGED BIBASILAR LINEAR OPACITIES. 4. NO SIGNIFICANT INTERVAL CHANGE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 758233 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LINES AND TUBES UNCHANGED. 2. STABLE LEFT APICAL PNEUMOTHORAX. 3. UNCHANGED BIBASILAR LINEAR OPACITIES. 4. NO SIGNIFICANT INTERVAL CHANGE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 181959,CheXpert_Demo_Images\train\patient42921\study2\view1_frontal.jpg,patient42921,"NARRATIVE: EXAM: Chest 1 View, 2/11/2019. HISTORY: 99 year old Male, Weakness. COMPARISON: 2/11/2019 IMPRESSION: 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES A PROMINENT CARDIOMEDIASTINAL SILHOUETTE. INDISTINCT PULMONARY VASCULATURE MAY REPRESENT MILD PULMONARY EDEMA, WHICH IS IMPROVED COMPARED WITH PRIOR RADIOGRAPH FROM 10/19/2025 2.LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3.DIFFUSE OSTEOPENIA IS NOTED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 099685292835 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES A PROMINENT CARDIOMEDIASTINAL SILHOUETTE. INDISTINCT PULMONARY VASCULATURE MAY REPRESENT MILD PULMONARY EDEMA, WHICH IS IMPROVED COMPARED WITH PRIOR RADIOGRAPH FROM 10/19/2025 2.LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3.DIFFUSE OSTEOPENIA IS NOTED. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 209398,CheXpert_Demo_Images\train\patient54824\study1\view1_frontal.jpg,patient54824,"NARRATIVE: Exam: Chest Post Needle Biopsy, 6-17-2014 Clinical History: 72 years Female with Post transpleural right adrenal gland biopsy Comparison: None IMPRESSION: 1.SINGLE VIEW OF THE CHEST DEMONSTRATES BLUNTING OF BOTH COSTOPHRENIC SULCI, PLEURAL EFFUSION VERSUS PLEURAL THICKENING. THE LEFT COSTOPHRENIC SULCUS IS NOT COMPLETELY INCLUDED. NO METALLIC ARTIFACTS ARE IDENTIFIED TO SUGGEST A FOREIGN BODY, AND NO EVIDENCE OF PNEUMOTHORAX. THE LUNGS APPEAR CLEAR. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 6115070039 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE VIEW OF THE CHEST DEMONSTRATES BLUNTING OF BOTH COSTOPHRENIC SULCI, PLEURAL EFFUSION VERSUS PLEURAL THICKENING. THE LEFT COSTOPHRENIC SULCUS IS NOT COMPLETELY INCLUDED. NO METALLIC ARTIFACTS ARE IDENTIFIED TO SUGGEST A FOREIGN BODY, AND NO EVIDENCE OF PNEUMOTHORAX. THE LUNGS APPEAR CLEAR. ","2-ABNORMAL, PREVIOUSLY REPORTED " 89983,CheXpert_Demo_Images\train\patient21632\study1\view2_lateral.jpg,patient21632,"NARRATIVE: Chest 2 Views 2/2/2008 CLINICAL IDENTITY: Male, 45 years-old REASON FOR STUDY: Abd pain, s/p endoscopy yesterday. COMPARISON: None IMPRESSION: 1.PA AND LATERAL CHEST RADIOGRAPH SHOWS UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. NO EVIDENCE FOR PNEUMOMEDIASTINUM. 2.MILD STREAKY OPACITIES ARE NOTED AT THE LEFT BASE LIKELY RELATED TO ATELECTASIS. THE LUNG FIELDS ARE OTHERWISE CLEAR. 3.NO SIGNIFICANT PLEURAL EFFUSION. 4.NO GROSS EVIDENCE FOR INTRA-ABDOMINAL FREE AIR. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 6479663522 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PA AND LATERAL CHEST RADIOGRAPH SHOWS UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. NO EVIDENCE FOR PNEUMOMEDIASTINUM. 2.MILD STREAKY OPACITIES ARE NOTED AT THE LEFT BASE LIKELY RELATED TO ATELECTASIS. THE LUNG FIELDS ARE OTHERWISE CLEAR. 3.NO SIGNIFICANT PLEURAL EFFUSION. 4.NO GROSS EVIDENCE FOR INTRA-ABDOMINAL FREE AIR. ","2-ABNORMAL, PREVIOUSLY REPORTED " 209134,CheXpert_Demo_Images\train\patient54663\study2\view1_frontal.jpg,patient54663,"NARRATIVE: Exam: Chest 1 View, MARCH 2016 Clinical History: 85 years Female with Concern for aspiration Comparison: March 10th IMPRESSION: 1. FEEDING TUBE REMAINS IN PLACE. RIGHT IJ CATHETER IS BEEN REMOVED. LUNGS ARE FAIRLY WELL AERATED EXCEPT FOR SUBTLE RETROCARDIAC OPACITY WHICH COULD REPRESENT EARLY CONSOLIDATION. A LATERAL VIEW COULD BE HELPFUL IF FURTHER WORKUP IS DESIRED. 2. CARDIOMEDIASTINAL SILHOUETTE IS STABLE WITH CALCIFIED THORACIC AORTA AND MILD PROMINENCE OF THE MAIN PULMONARY ARTERY. NO PNEUMOTHORAX OR PLEURAL EFFUSION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 66311597 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FEEDING TUBE REMAINS IN PLACE. RIGHT IJ CATHETER IS BEEN REMOVED. LUNGS ARE FAIRLY WELL AERATED EXCEPT FOR SUBTLE RETROCARDIAC OPACITY WHICH COULD REPRESENT EARLY CONSOLIDATION. A LATERAL VIEW COULD BE HELPFUL IF FURTHER WORKUP IS DESIRED. 2. CARDIOMEDIASTINAL SILHOUETTE IS STABLE WITH CALCIFIED THORACIC AORTA AND MILD PROMINENCE OF THE MAIN PULMONARY ARTERY. NO PNEUMOTHORAX OR PLEURAL EFFUSION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 213055,CheXpert_Demo_Images\train\patient57124\study1\view1_frontal.jpg,patient57124,"NARRATIVE: SINGLE VIEW OF THE CHEST: 22/12/2003 at 2159 hours. COMPARISON: 12/22/2003 at 1241 hours. CLINICAL HISTORY: A 95 year old female, central line localization. IMPRESSION: 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER, WITH THE TIP PROJECTING OVER THE DISTAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. STABLE LOW LUNG VOLUMES. CLEAR LUNGS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1WBG85H6ISA0 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER, WITH THE TIP PROJECTING OVER THE DISTAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. STABLE LOW LUNG VOLUMES. CLEAR LUNGS. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 212799,CheXpert_Demo_Images\train\patient56961\study1\view1_frontal.jpg,patient56961,"NARRATIVE: PORTABLE CHEST RADIOGRAPH: 2-6-19. COMPARISON: 2-6-2019. IMPRESSION: 1. INTERVAL INCREASED SCOLIOSIS COMPARED WITH 11/21/13. PATIENT IS ROTATED. NO DEFINITE FOCAL CONSOLIDATION. REDEMONSTRATED EXTENSIVE AORTIC CALCIFICATION. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Spence, Makenzie on: 11/21/2013 ACCESSION NUMBER: LPRKHJGHPMPVKSC This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL INCREASED SCOLIOSIS COMPARED WITH 11/21/13. PATIENT IS ROTATED. NO DEFINITE FOCAL CONSOLIDATION. REDEMONSTRATED EXTENSIVE AORTIC CALCIFICATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Spence, Makenzie on: 11/21/2013 " 193234,CheXpert_Demo_Images\train\patient46833\study1\view1_frontal.jpg,patient46833,"NARRATIVE: CHEST, PORTABLE AP: September 16th, 2017 AT 2034 HOURS COMPARISON: 9-16-2017. CLINICAL HISTORY: Rule out aspiration pneumonia. IMPRESSION: 1. AP PORTABLE EXPIRATORY VIEW DEMONSTRATES NO CONSOLIDATION OR CARDIOVASCULAR ABNORMALITY. SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: 633 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP PORTABLE EXPIRATORY VIEW DEMONSTRATES NO CONSOLIDATION OR CARDIOVASCULAR ABNORMALITY. "," 2 ABNORMAL, PREVIOUSLY REPORTED. " 159333,CheXpert_Demo_Images\train\patient37321\study1\view1_frontal.jpg,patient37321,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 6-14-2011 CLINICAL HISTORY: 41 years of age, Female, Post thoracentesis. COMPARISON: Single view the chest dated 6/14/2011 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Slightly decreased size of a left sided pleural effusion compatible with history of recent thoracentesis. No evidence of pneumothorax. Stable cardiomediastinal silhouette. Stable positioning of a left chest Mediport. IMPRESSION: 1. Decreased size of a left pleural effusion status post thoracentesis, without evidence of pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 28352288 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Slightly decreased size of a left sided pleural effusion compatible with history of recent thoracentesis. No evidence of pneumothorax. Stable cardiomediastinal silhouette. Stable positioning of a left chest Mediport. "," 1. Decreased size of a left pleural effusion status post thoracentesis, without evidence of pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 88252,CheXpert_Demo_Images\train\patient21196\study7\view1_frontal.jpg,patient21196,"NARRATIVE: CLINICAL HISTORY: 45-year-old male with aortic dissection. COMPARISON: December 14th, 2017. IMPRESSION: 1. STABLE POSITION OF ENDOTRACHEAL TUBE, FEEDING TUBE, NASOGASTRIC TUBE, MEDIASTINAL DRAIN, AND RIGHT-SIDED CHEST TUBE. INTERVAL REMOVAL OF RIGHT-SIDED SWAN-GANZ CATHETER AND RIGHT INTERNAL JUGULAR VENOUS CATHETER. 2. LOW LUNG VOLUMES, MILD PULMONARY EDEMA, AND REDEMONSTRATION OF BIBASILAR OPACITIES AND BILATERAL SMALL PLEURAL EFFUSIONS. END OF IMPRESSION SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Espinoza Elle, PA-C on: 12-14-2017 ACCESSION NUMBER: #403883978 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE POSITION OF ENDOTRACHEAL TUBE, FEEDING TUBE, NASOGASTRIC TUBE, MEDIASTINAL DRAIN, AND RIGHT-SIDED CHEST TUBE. INTERVAL REMOVAL OF RIGHT-SIDED SWAN-GANZ CATHETER AND RIGHT INTERNAL JUGULAR VENOUS CATHETER. 2. LOW LUNG VOLUMES, MILD PULMONARY EDEMA, AND REDEMONSTRATION OF BIBASILAR OPACITIES AND BILATERAL SMALL PLEURAL EFFUSIONS. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Espinoza Elle, PA-C on: 12-14-2017 " 18191,CheXpert_Demo_Images\train\patient04535\study2\view1_frontal.jpg,patient04535,"NARRATIVE: EXAM: Chest 1 View, 2-19-17 CLINICAL HISTORY: 55F with Hodgkin lymphoma undergoing autotransplant, c/o pleuritic chest pain COMPARISON: 2-19-2017 IMPRESSION: 1.MILD NEW PULMONARY EDEMA. 2.NORMAL HEART SIZE. 3.STABLE RIGHT IJ LINE. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #BHLPYILVUJQ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.MILD NEW PULMONARY EDEMA. 2.NORMAL HEART SIZE. 3.STABLE RIGHT IJ LINE. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 103285,CheXpert_Demo_Images\train\patient24820\study2\view1_frontal.jpg,patient24820,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/7/03 CLINICAL HISTORY: 69 years of age, Female, 69 year old female with metastatic lung cancer on trial with worsening SOB.. COMPARISON: CT thorax 7 MAY 2003, chest x-ray on 5-7-2003 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The heart size is within normal limits. The aorta is again mildly tortuous. In comparison with the prior chest x-ray, there is interval decrease in density of the multifocal metastatic masses and nodules in both lungs, and in particular in the right upper lung. There is persistent volume loss of the right lung with elevation of the right hemidiaphragm and rightward mediastinal shift, not significantly changed. Cervical fusion hardware is in place at the cervicothoracic junction. IMPRESSION: 1. With compared with prior chest x-ray of 5/7/03, there has been significant interval improvement of extensive metastatic disease in both lungs. 2. No new consolidation. No pulmonary edema. No new findings to explain the patient's increased dyspnea. ACCESSION NUMBER: ST EN PV AQ KL C This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The heart size is within normal limits. The aorta is again mildly tortuous. In comparison with the prior chest x-ray, there is interval decrease in density of the multifocal metastatic masses and nodules in both lungs, and in particular in the right upper lung. There is persistent volume loss of the right lung with elevation of the right hemidiaphragm and rightward mediastinal shift, not significantly changed. Cervical fusion hardware is in place at the cervicothoracic junction. "," 1. With compared with prior chest x-ray of 5/7/03, there has been significant interval improvement of extensive metastatic disease in both lungs. 2. No new consolidation. No pulmonary edema. No new findings to explain the patient's increased dyspnea. ", 222926,CheXpert_Demo_Images\train\patient64268\study1\view1_frontal.jpg,patient64268,"NARRATIVE: Chest 1 View: 7-5-2001 HISTORY: Female, 78 years old, daily examination. COMPARISON: 7/5/2001. IMPRESSION: 1.NO SIGNIFICANT CHANGE COMPARED WITH THE PRIOR EXAMINATION. 2.MODERATE INTERSTITIAL PULMONARY EDEMA, AND MODERATE BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT. A BILATERAL LOWER LUNG AIR SPACE OPACIFICATION, REPRESENTING ATELECTASIS OR CONSOLIDATION. 3.INTERVAL REMOVAL OF MEDIASTINAL DRAINS. STANDARD POSITION AND APPEARANCE OF A PERCUTANEOUS AORTIC VALVE REPLACEMENT. RIGHT IJ CENTRAL VENOUS LINE TIP IS IN THE DISTAL SVC. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED and I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: USn This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NO SIGNIFICANT CHANGE COMPARED WITH THE PRIOR EXAMINATION. 2.MODERATE INTERSTITIAL PULMONARY EDEMA, AND MODERATE BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT. A BILATERAL LOWER LUNG AIR SPACE OPACIFICATION, REPRESENTING ATELECTASIS OR CONSOLIDATION. 3.INTERVAL REMOVAL OF MEDIASTINAL DRAINS. STANDARD POSITION AND APPEARANCE OF A PERCUTANEOUS AORTIC VALVE REPLACEMENT. RIGHT IJ CENTRAL VENOUS LINE TIP IS IN THE DISTAL SVC. ","2-ABNORMAL, PREVIOUSLY REPORTED and I have personally reviewed the images for this examination and agreed with the report transcribed above. " 53065,CheXpert_Demo_Images\train\patient12950\study2\view1_frontal.jpg,patient12950,"NARRATIVE: Exam: Chest 2 Views, 7/8/2004 Clinical History: 96 year old Male with Fever Comparison: 7/8/2004 IMPRESSION: 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A STABLE CARDIOMEDIASTINUM WITH A TORTUOUS AORTA. 2. NO SIGNIFICANT INTERVAL CHANGE IN LEFT BASILAR OPACITIES AND SMALL BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT. 3. NO NEW AREAS OF CONSOLIDATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 0940076550 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A STABLE CARDIOMEDIASTINUM WITH A TORTUOUS AORTA. 2. NO SIGNIFICANT INTERVAL CHANGE IN LEFT BASILAR OPACITIES AND SMALL BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT. 3. NO NEW AREAS OF CONSOLIDATION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 98909,CheXpert_Demo_Images\train\patient23850\study1\view2_lateral.jpg,patient23850,"NARRATIVE: Chest 2 Views: 5/23/2021 HISTORY: 54 years Male, Pre-BMT. COMPARISON: 5/23/21 and prior. IMPRESSION: Unchanged right tunneled central venous catheter with tip overlying the cavoatrial junction. Low lung volumes. Improved left basilar atelectasis. Normal heart size and pulmonary vascularity. No new focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: oPBNWemzezt This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Unchanged right tunneled central venous catheter with tip overlying the cavoatrial junction. Low lung volumes. Improved left basilar atelectasis. Normal heart size and pulmonary vascularity. No new focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. ","1-NO SIGNIFICANT ABNORMALITY " 158438,CheXpert_Demo_Images\train\patient37115\study2\view1_frontal.jpg,patient37115,"NARRATIVE: EXAM: Chest 1 View, 2/7/2016 CLINICAL HISTORY: 85 years Male Dyspnea, cough, pulmonary infiltrates COMPARISON: 11/5/201 0511 hrs IMPRESSION: 1.UPRIGHT FRONTAL VIEW OF THE CHEST DEMONSTRATE A DIFFUSE RETICULAR PATTERN CONSISTENT WITH MILD PULMONARY EDEMA. 2.INTERVAL DECREASE IN RIGHT SUBPULMONIC PLEURAL EFFUSION. THE LEFT SIDED PLEURAL EFFUSION REMAINS UNCHANGED IN SIZE. 3.INTERVAL INCREASE IN RETROCARDIAC OPACITY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 44447566 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.UPRIGHT FRONTAL VIEW OF THE CHEST DEMONSTRATE A DIFFUSE RETICULAR PATTERN CONSISTENT WITH MILD PULMONARY EDEMA. 2.INTERVAL DECREASE IN RIGHT SUBPULMONIC PLEURAL EFFUSION. THE LEFT SIDED PLEURAL EFFUSION REMAINS UNCHANGED IN SIZE. 3.INTERVAL INCREASE IN RETROCARDIAC OPACITY. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 52727,CheXpert_Demo_Images\train\patient12866\study1\view1_frontal.jpg,patient12866,"NARRATIVE: EXAM: Chest 1 View, 7/3/2011 CLINICAL HISTORY: Fever COMPARISON: None. IMPRESSION: 1.A FRONTAL VIEW OF THE CHEST DEMONSTRATE BIBASILAR OPACITIES, RIGHT GREATER THAN LEFT. DIFFERENTIAL DIAGNOSIS CONSIDERATIONS INCLUDE INFECTION OR ASPIRATION. 2.POSSIBLE VENTRAL PNEUMOTHORAX, HOWEVER, THIS MAY BE RELATED TO SEVERE PATIENT ROTATION. RECOMMEND REPEAT RADIOGRAPH WHEN THE PATIENT IS ABLE. 3.NODULAR OPACITY PROJECTING IN THE LEFT BASE PERIPHERY MEASURING 12 MM. FINDING MAY REPRESENT A NIPPLE SHADOW, HOWEVER, PULMONARY CANNOT BE EXCLUDED. COMPARISON TO PRIOR CHEST X-RAY OR REPEAT PA AND LATERAL IS RECOMMENDED. 4.NORMAL CARDIOMEDIASTINAL SILHOUETTE. 5.NO ACUTE OSSEOUS ABNORMALITY. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #56005202224 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A FRONTAL VIEW OF THE CHEST DEMONSTRATE BIBASILAR OPACITIES, RIGHT GREATER THAN LEFT. DIFFERENTIAL DIAGNOSIS CONSIDERATIONS INCLUDE INFECTION OR ASPIRATION. 2.POSSIBLE VENTRAL PNEUMOTHORAX, HOWEVER, THIS MAY BE RELATED TO SEVERE PATIENT ROTATION. RECOMMEND REPEAT RADIOGRAPH WHEN THE PATIENT IS ABLE. 3.NODULAR OPACITY PROJECTING IN THE LEFT BASE PERIPHERY MEASURING 12 MM. FINDING MAY REPRESENT A NIPPLE SHADOW, HOWEVER, PULMONARY CANNOT BE EXCLUDED. COMPARISON TO PRIOR CHEST X-RAY OR REPEAT PA AND LATERAL IS RECOMMENDED. 4.NORMAL CARDIOMEDIASTINAL SILHOUETTE. 5.NO ACUTE OSSEOUS ABNORMALITY. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 113067,CheXpert_Demo_Images\train\patient27120\study3\view1_frontal.jpg,patient27120,"NARRATIVE: FRONTAL AND LATERAL VIEWS OF THE CHEST: 11/1/2000. COMPARISON: 11/1/00, 11/1/00. CLINICAL HISTORY: Prior atelectasis versus consolidation in the lung base. Please evaluate. FINDINGS: The cardiomediastinal silhouette structures are unremarkable. There has been interval re-expansion of the left lower lobe. There is no evidence of an acute airspace opacification in this region. There has also been resolution of the atelectatic changes identified within the minor fissure on the right. There is no evidence of acute airspace process at this time. The soft tissues of chest and bony thorax are unremarkable. IMPRESSION: 1. INTERVAL RESOLUTION OF LEFT LOWER LOBE ATELECTASIS/CONSOLIDATION AND INTERVAL RESOLUTION OF RIGHT MINOR FISSURE ATELECTATIC CHANGES AS DESCRIBED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 54046916621766 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette structures are unremarkable. There has been interval re-expansion of the left lower lobe. There is no evidence of an acute airspace opacification in this region. There has also been resolution of the atelectatic changes identified within the minor fissure on the right. There is no evidence of acute airspace process at this time. The soft tissues of chest and bony thorax are unremarkable. "," 1. INTERVAL RESOLUTION OF LEFT LOWER LOBE ATELECTASIS/CONSOLIDATION AND INTERVAL RESOLUTION OF RIGHT MINOR FISSURE ATELECTATIC CHANGES AS DESCRIBED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 208527,CheXpert_Demo_Images\train\patient54293\study1\view1_frontal.jpg,patient54293,"NARRATIVE: EXAM: Chest 1 View, 2-20-2004 PATIENT DEMOGRAPHICS: 55 years, Male. REASON FOR EXAM/CLINICAL QUERY: Worsening SOB and tachypnea COMPARISON: 2/20/2004 IMPRESSION: 1. SINGLE SEMI-UPRIGHT RADIOGRAPH OF THE CHEST DEMONSTRATES A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND NASOGASTRIC TUBE. 2. STABLE HEART SIZE. 3. PERSISTENT PATCHY AIRSPACE OPACITIES THROUGHOUT BOTH LUNGS, WITH NEW SMALL RIGHT-SIDED PLEURAL EFFUSION. 4. VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8874020863 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE SEMI-UPRIGHT RADIOGRAPH OF THE CHEST DEMONSTRATES A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND NASOGASTRIC TUBE. 2. STABLE HEART SIZE. 3. PERSISTENT PATCHY AIRSPACE OPACITIES THROUGHOUT BOTH LUNGS, WITH NEW SMALL RIGHT-SIDED PLEURAL EFFUSION. 4. VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 95706,CheXpert_Demo_Images\train\patient23050\study1\view1_frontal.jpg,patient23050,"NARRATIVE: CHEST: June 5th, 2005 CLINICAL HISTORY: A 54 year-old male with GI bleed. TECHNIQUE: Single frontal view of chest on 6-5-2005. COMPARISON: None. FINDINGS: The lungs are clear, with no focal air space opacities, pleural effusions or pulmonary edema. Cardiomediastinal silhouette is normal in size and configuration. There is slight fullness of the aorticopulmonary window, which may be due to technique; low lung volumes (which can cause prominence in the central vasculature). The visualized osseous structures are intact. IMPRESSION: 1. NO EVIDENCE OF PNEUMONIA, PULMONARY EDEMA, OR PNEUMOTHORAX. 2. SLIGHT FULLNESS OF THE AORTICOPULMONARY WINDOW, WHICH MAY BE DUE TO TECHNIQUE AND LOW LUNG VOLUMES. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 679331724 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The lungs are clear, with no focal air space opacities, pleural effusions or pulmonary edema. Cardiomediastinal silhouette is normal in size and configuration. There is slight fullness of the aorticopulmonary window, which may be due to technique; low lung volumes (which can cause prominence in the central vasculature). The visualized osseous structures are intact. "," 1. NO EVIDENCE OF PNEUMONIA, PULMONARY EDEMA, OR PNEUMOTHORAX. 2. SLIGHT FULLNESS OF THE AORTICOPULMONARY WINDOW, WHICH MAY BE DUE TO TECHNIQUE AND LOW LUNG VOLUMES. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 68469,CheXpert_Demo_Images\train\patient16436\study1\view1_frontal.jpg,patient16436,"NARRATIVE: PORTABLE CHEST, 7-29-2014: CLINICAL HISTORY: 73 -year-old male with no history given. COMPARISON: None. FINDINGS: Endotracheal tube with the tip 1.7 cm above the level of the carina. Sternotomy wires and jaw replacement present. Widened mediastinum likely due to AP portable supine technique. Enlarged cardiac silhouette likely due to low lung volumes and projection. Diffuse air space opacities in the upper and middle lung zones with sparing of the periphery and lung bases. The costophrenic angles are not visualized on this limited film on trauma board. IMPRESSION: 1. INTUBATION WITH ENDOTRACHEAL TUBE TIP 1.7 CM ABOVE THE LEVEL OF THE CARINA. 2. WIDENED MEDIASTINUM LIKELY SECONDARY DUE TO TECHNIQUE. 3. DIFFUSE AIR SPACE OPACITY IN THE UPPER AND MIDDLE LUNG ZONES WITH SPARING OF THE PERIPHERY AND LUNG BASES. THIS FINDING IS CONSISTENT WITH EDEMA, HEMORRHAGE, OR INFECTION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 326488 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Endotracheal tube with the tip 1.7 cm above the level of the carina. Sternotomy wires and jaw replacement present. Widened mediastinum likely due to AP portable supine technique. Enlarged cardiac silhouette likely due to low lung volumes and projection. Diffuse air space opacities in the upper and middle lung zones with sparing of the periphery and lung bases. The costophrenic angles are not visualized on this limited film on trauma board. "," 1. INTUBATION WITH ENDOTRACHEAL TUBE TIP 1.7 CM ABOVE THE LEVEL OF THE CARINA. 2. WIDENED MEDIASTINUM LIKELY SECONDARY DUE TO TECHNIQUE. 3. DIFFUSE AIR SPACE OPACITY IN THE UPPER AND MIDDLE LUNG ZONES WITH SPARING OF THE PERIPHERY AND LUNG BASES. THIS FINDING IS CONSISTENT WITH EDEMA, HEMORRHAGE, OR INFECTION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 158761,CheXpert_Demo_Images\train\patient37187\study3\view1_frontal.jpg,patient37187,"NARRATIVE: SINGLE VIEW OF THE CHEST, 11-15-15 COMPARISON: Comparison is made with November 2015. IMPRESSION: 1. INTERVAL REMOVAL OF LEFT SIDED CHEST TUBE. NO PNEUMOTHORAX. INTERVAL DECREASE WITH MILD PERSISTENCE OF LEFT PLEURAL EFFUSION. NO OTHER SIGNIFICANT CHANGE IN CARDIOPULMONARY APPEARANCE. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. __________________________________ ACCESSION NUMBER: 55092792393 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF LEFT SIDED CHEST TUBE. NO PNEUMOTHORAX. INTERVAL DECREASE WITH MILD PERSISTENCE OF LEFT PLEURAL EFFUSION. NO OTHER SIGNIFICANT CHANGE IN CARDIOPULMONARY APPEARANCE. "," 4: Possible significant abnormality/change, may need action. __________________________________ " 147215,CheXpert_Demo_Images\train\patient35102\study4\view1_frontal.jpg,patient35102,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 21/4/2003. COMPARISON: 4-21-2003. CLINICAL DATA: End stage liver disease. IMPRESSION: 1. SINGLE VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE RIGHT INTERNAL JUGULAR SWAN-GANZ CATHETER. OTHERWISE, TUBES AND LINES ARE UNCHANGED. THERE IS MILD PULMONARY EDEMA, BIBASILAR OPACITIES, AND LIKELY SMALL BILATERAL PLEURAL EFFUSIONS. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Rich Bianca, MD on: 4-21-2003 ACCESSION NUMBER: #7664521 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE RIGHT INTERNAL JUGULAR SWAN-GANZ CATHETER. OTHERWISE, TUBES AND LINES ARE UNCHANGED. THERE IS MILD PULMONARY EDEMA, BIBASILAR OPACITIES, AND LIKELY SMALL BILATERAL PLEURAL EFFUSIONS. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Rich Bianca, MD on: 4-21-2003 " 24409,CheXpert_Demo_Images\train\patient05983\study1\view1_frontal.jpg,patient05983,"NARRATIVE: PORTABLE CHEST: 8/5/2021 CLINICAL HISTORY: A 68 year old with ventricular tachycardia. Check for infiltrates. COMPARISON: None. IMPRESSION: 1. PORTABLE SEMI-ERECT CHEST RADIOGRAPH DEMONSTRATES PRIOR HISTORY OF MEDIAN STERNOTOMY. OVERLYING DEFIBRILLATOR PAD OVER THE LEFT CHEST. 2. RETROCARDIAC OPACITY, REPRESENTING ATELECTASIS VERSUS CONSOLIDATION. 3. BIBASILAR HAZY OPACITY, LIKELY ATELECTASIS VERSUS BILATERAL PLEURAL FLUID. 4. MINIMALLY ENLARGED CARDIAC SILHOUETTE. NO PULMONARY EDEMA. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: amiyah hensley, m.d. on: 8/5/2021 ACCESSION NUMBER: 86289243 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMI-ERECT CHEST RADIOGRAPH DEMONSTRATES PRIOR HISTORY OF MEDIAN STERNOTOMY. OVERLYING DEFIBRILLATOR PAD OVER THE LEFT CHEST. 2. RETROCARDIAC OPACITY, REPRESENTING ATELECTASIS VERSUS CONSOLIDATION. 3. BIBASILAR HAZY OPACITY, LIKELY ATELECTASIS VERSUS BILATERAL PLEURAL FLUID. 4. MINIMALLY ENLARGED CARDIAC SILHOUETTE. NO PULMONARY EDEMA. ", 181710,CheXpert_Demo_Images\train\patient42845\study1\view1_frontal.jpg,patient42845,"NARRATIVE: CHEST SINGLE VIEW: 03/02/2003 (x2) COMPARISON: No previous studies for comparison. CLINICAL HISTORY: Evaluate for PICC line placement. FINDINGS: On initial study dated 3-2-2003 at 3:54 P.M., there has been interval placement of a left upper extremity PICC line with the tip seen at the mid superior vena cava. There has been interval removal of the right upper extremity PICC line. The lungs are clear without focal consolidation. Mild left base atelectasis is demonstrated. Cardiomediastinal silhouette appears within normal limits. On the subsequent study of 3/2/2003 at 5:10 P.M., there has been interval slight advancement of the PICC line catheter, the PICC line is now seen at the distal SVC/ cavoatrial junction. There is redemonstration again of left costophrenic angle atelectasis. IMPRESSION: 1. INTERVAL PLACEMENT OF A LEFT UPPER EXTREMITY PICC WITH THE TIP SEEN ON THE FINAL FILM AT THE DISTAL SUPERIOR VENA CAVA/ CAVOATRIAL JUNCTION. 2. NO FOCAL CONSOLIDATION. CARDIOMEDIASTINAL SILHOUETTE APPEARS UNREMARKABLE. END OF IMPRESSION: ACCESSION NUMBER: #18615780 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," On initial study dated 3-2-2003 at 3:54 P.M., there has been interval placement of a left upper extremity PICC line with the tip seen at the mid superior vena cava. There has been interval removal of the right upper extremity PICC line. The lungs are clear without focal consolidation. Mild left base atelectasis is demonstrated. Cardiomediastinal silhouette appears within normal limits. On the subsequent study of 3/2/2003 at 5:10 P.M., there has been interval slight advancement of the PICC line catheter, the PICC line is now seen at the distal SVC/ cavoatrial junction. There is redemonstration again of left costophrenic angle atelectasis. "," 1. INTERVAL PLACEMENT OF A LEFT UPPER EXTREMITY PICC WITH THE TIP SEEN ON THE FINAL FILM AT THE DISTAL SUPERIOR VENA CAVA/ CAVOATRIAL JUNCTION. 2. NO FOCAL CONSOLIDATION. CARDIOMEDIASTINAL SILHOUETTE APPEARS UNREMARKABLE. ", 36220,CheXpert_Demo_Images\train\patient08887\study1\view1_frontal.jpg,patient08887,"NARRATIVE: Chest 1 View, 2-6-2003 HISTORY: 64 years Male, AMS eval COMPARISON: AP view of the chest dated 2/6/2003 TECHNIQUE: Semi-upright AP view of the chest IMPRESSION: 1. VERY LOW LUNG VOLUMES WITH CROWDING OF THE BRONCHOVASCULAR MARKINGS, ALTHOUGH WITHOUT FOCAL CONSOLIDATION, EFFUSION OR PNEUMOTHORAX. 2. STABLE CARDIOMEDIASTINAL SILHOUETTE ALLOWING FOR LOW LUNG VOLUMES. 3. NO ACUTE OSSEOUS ABNORMALITY. 4. LIMITED EVALUATION OF THE UPPER ABDOMEN WITH STABLE, CALCIFIED DENSITY IN THE RIGHT UPPER QUADRANT AND SEVERAL SUTURES IN THE LEFT UPPER QUADRANT. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1964781782 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. VERY LOW LUNG VOLUMES WITH CROWDING OF THE BRONCHOVASCULAR MARKINGS, ALTHOUGH WITHOUT FOCAL CONSOLIDATION, EFFUSION OR PNEUMOTHORAX. 2. STABLE CARDIOMEDIASTINAL SILHOUETTE ALLOWING FOR LOW LUNG VOLUMES. 3. NO ACUTE OSSEOUS ABNORMALITY. 4. LIMITED EVALUATION OF THE UPPER ABDOMEN WITH STABLE, CALCIFIED DENSITY IN THE RIGHT UPPER QUADRANT AND SEVERAL SUTURES IN THE LEFT UPPER QUADRANT. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 117005,CheXpert_Demo_Images\train\patient28040\study1\view1_frontal.jpg,patient28040,"NARRATIVE: Exam: Chest 1 View, 10/5/19 Clinical History: 58 years Female with Eval for evolving sub-cu emphysema and possible contusion Comparison: 19/5 IMPRESSION: 1.A SINGLE AP STANDING VIEW OF THE CHEST DEMONSTRATE INTERVAL DEVELOPMENT OF BIBASILAR OPACITIES AND A SMALL LEFT PLEURAL EFFUSION. NO EVIDENCE OF PNEUMOTHORAX OR PULMONARY CONTUSION. 2.STABLE CARDIOMEDIASTINAL SILHOUETTE AND NORMAL PULMONARY CIRCULATION. 3.REDEMONSTRATION OF A DISPLACED AND MILDLY FORESHORTENED THE LEFT MID CLAVICLE FRACTURE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: XX.GU.AG.NZ.XD This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A SINGLE AP STANDING VIEW OF THE CHEST DEMONSTRATE INTERVAL DEVELOPMENT OF BIBASILAR OPACITIES AND A SMALL LEFT PLEURAL EFFUSION. NO EVIDENCE OF PNEUMOTHORAX OR PULMONARY CONTUSION. 2.STABLE CARDIOMEDIASTINAL SILHOUETTE AND NORMAL PULMONARY CIRCULATION. 3.REDEMONSTRATION OF A DISPLACED AND MILDLY FORESHORTENED THE LEFT MID CLAVICLE FRACTURE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 137754,CheXpert_Demo_Images\train\patient33111\study1\view2_lateral.jpg,patient33111,"NARRATIVE: EXAM: Chest 2 Views, 07/08 CLINICAL HISTORY: Male, 29 years, Cough penumonia in 8/23/00, has IgA deficiency, CXR 2 VIEWS COMPARISON: None IMPRESSION: 1.THE LUNGS AND PLEURAL SPACES ARE CLEAR. THE TRACHEA IS MIDLINE. NO PNEUMOTHORAX. 2.THE HEART AND MEDIASTINUM APPEAR NORMAL. PULMONARY VASCULATURE IS WITHIN NORMAL LIMITS. 3.NO SIGNIFICANT SOFT TISSUE OR OSSEOUS ABNORMALITY. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 9281851 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.THE LUNGS AND PLEURAL SPACES ARE CLEAR. THE TRACHEA IS MIDLINE. NO PNEUMOTHORAX. 2.THE HEART AND MEDIASTINUM APPEAR NORMAL. PULMONARY VASCULATURE IS WITHIN NORMAL LIMITS. 3.NO SIGNIFICANT SOFT TISSUE OR OSSEOUS ABNORMALITY. ","1-NO SIGNIFICANT ABNORMALITY " 209886,CheXpert_Demo_Images\train\patient55138\study1\view1_frontal.jpg,patient55138,"NARRATIVE: SINGLE VIEW OF THE CHEST: 12/8/2018 AT 2048 HOURS COMPARISON: 8/18 at 1122 hours. CLINICAL HISTORY: Fifty-nine-year-old female with history of breast cancer, now with numbness in fingers. IMPRESSION: 1. SINGLE PORTABLE SEMI-ERECT AP CHEST RADIOGRAPH DATED 18-12-8 AT 2048 HOURS DEMONSTRATES INCREASED PATCHY BIBASILAR AIRSPACE OPACITIES, WHICH COULD BE CONSISTENT WITH INFECTION, DEPENDENT EDEMA, OR LYMPHANGETIC SPREAD OF CARCINOMA. RECOMMEND CLINICAL CORRELATION. 2. BILATERAL PLEURAL EFFUSIONS. 3. STABLE APPEARANCE OF MULTIPLE THORACIC VERTEBRAL BODY DEFORMITIES. 4. LUCENCY THROUGH RIGHT HUMERAL HEAD, LIKELY CONSISTENT WITH PATIENT'S HISTORY OF BONY METASTASES. END OF IMPRESSION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: jaxon, friedman on: 12/8/2018 ACCESSION NUMBER: 225829316 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE SEMI-ERECT AP CHEST RADIOGRAPH DATED 18-12-8 AT 2048 HOURS DEMONSTRATES INCREASED PATCHY BIBASILAR AIRSPACE OPACITIES, WHICH COULD BE CONSISTENT WITH INFECTION, DEPENDENT EDEMA, OR LYMPHANGETIC SPREAD OF CARCINOMA. RECOMMEND CLINICAL CORRELATION. 2. BILATERAL PLEURAL EFFUSIONS. 3. STABLE APPEARANCE OF MULTIPLE THORACIC VERTEBRAL BODY DEFORMITIES. 4. LUCENCY THROUGH RIGHT HUMERAL HEAD, LIKELY CONSISTENT WITH PATIENT'S HISTORY OF BONY METASTASES. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: jaxon, friedman on: 12/8/2018 " 134760,CheXpert_Demo_Images\train\patient32375\study1\view2_lateral.jpg,patient32375,"NARRATIVE: Exam: Chest 2 Views, 4/30/2005 Clinical History: 61 years old Female with Breast cancer dx, screen for staging Comparison: None Impression: 1. MULTIPLE SURGICAL CLIPS PROJECTING OVER THE RIGHT CHEST AND THERE LIKELY RELATED TO PREVIOUS BREAST PROCEDURE. 2. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSION, PULMONARY EDEMA PNEUMOTHORAX. NO EVIDENCE OF ACUTE PULMONARY DISEASE. 3. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4. NO ACUTE OSSEOUS FINDINGS. 5. SURGICAL CLIPS IN THE RIGHT UPPER QUADRANT CONSISTENT WITH PRIOR CHOLECYSTECTOMY. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 08878875885 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. MULTIPLE SURGICAL CLIPS PROJECTING OVER THE RIGHT CHEST AND THERE LIKELY RELATED TO PREVIOUS BREAST PROCEDURE. 2. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSION, PULMONARY EDEMA PNEUMOTHORAX. NO EVIDENCE OF ACUTE PULMONARY DISEASE. 3. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4. NO ACUTE OSSEOUS FINDINGS. 5. SURGICAL CLIPS IN THE RIGHT UPPER QUADRANT CONSISTENT WITH PRIOR CHOLECYSTECTOMY. ","1-NO SIGNIFICANT ABNORMALITY " 208696,CheXpert_Demo_Images\train\patient54390\study1\view1_frontal.jpg,patient54390,"NARRATIVE: SINGLE VIEW CHEST: 5/8/16 IqVGSXzO SINGLE VIEW PELVIS: 16 May #0181423 COMPARISON: Chest x-ray 5/8/2016. CLINICAL HISTORY: 85-year-old male with hip pain and pain in the right ribs. IMPRESSION: 1. CHEST X-RAY PERFORMED ON 5-8-2016 DEMONSTRATES A DUAL LEAD PACEMAKER IN PLACE. BRONCHIAL WALL THICKENING IN A DIFFUSE RETICULAR PATTERN IS SEEN IN THE LUNGS. THERE IS NO FOCAL INFILTRATE OR PLEURAL EFFUSION. NO DEFINITE RIB FRACTURES CAN BE SEEN. 2. SINGLE FRONTAL VIEW OF THE PELVIS PROVIDES A SUB-OPTIMAL VIEW, WITH PARTIAL OBLIQUE POSITIONING OF THE PATIENT. BILATERAL SUPERIOR PUBIC RAMI APPEAR ABNORMAL, ALTHOUGH IT IS DIFFICULT TO ASSESS FOR FRACTURE WITH CERTAINTY, GIVEN THE POOR POSITIONING OF THE PATIENT. THERE IS DIFFUSE OSTEOPENIA, WITH NO DEFINITE HIP FRACTURE SEEN, ALTHOUGH, IF CLINICALLY INDICATED, A CT IS MORE SENSITIVE. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: IQVGSXZO This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CHEST X-RAY PERFORMED ON 5-8-2016 DEMONSTRATES A DUAL LEAD PACEMAKER IN PLACE. BRONCHIAL WALL THICKENING IN A DIFFUSE RETICULAR PATTERN IS SEEN IN THE LUNGS. THERE IS NO FOCAL INFILTRATE OR PLEURAL EFFUSION. NO DEFINITE RIB FRACTURES CAN BE SEEN. 2. SINGLE FRONTAL VIEW OF THE PELVIS PROVIDES A SUB-OPTIMAL VIEW, WITH PARTIAL OBLIQUE POSITIONING OF THE PATIENT. BILATERAL SUPERIOR PUBIC RAMI APPEAR ABNORMAL, ALTHOUGH IT IS DIFFICULT TO ASSESS FOR FRACTURE WITH CERTAINTY, GIVEN THE POOR POSITIONING OF THE PATIENT. THERE IS DIFFUSE OSTEOPENIA, WITH NO DEFINITE HIP FRACTURE SEEN, ALTHOUGH, IF CLINICALLY INDICATED, A CT IS MORE SENSITIVE. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 122746,CheXpert_Demo_Images\train\patient29438\study9\view1_frontal.jpg,patient29438,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 13/10/4. COMPARISON: Comparison is made with exam from 4/10/2013. CLINICAL DATA: Hepatitis C, vomiting, and dehydration, evaluate central venous catheter placement. FINDINGS: There is redemonstration of a right internal jugular catheter with tip seen at the proximal to mid superior vena cava. There has been slight interval increase in a left sided pleural effusion. There is a left retrocardiac opacity, which may represent atelectasis or consolidation. Stable appearance to resection of the left distal clavicle. Cardiomediastinal silhouette appears unchanged. IMPRESSION: 1. STABLE APPEARANCE OF A RIGHT INTERNAL JUGULAR CATHETER WITH THE TIP SEEN AT THE PROXIMAL TO MID SUPERIOR VENA CAVA. 2. INTERVAL SLIGHT INCREASE IN LEFT SIDED PLEURAL EFFUSION. STABLE APPEARANCE OF A LEFT RETROCARDIAC OPACITY, WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 3. STABLE APPEARANCE TO RESECTION OF THE LEFT DISTAL CLAVICLE. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Isaac B, Berry. on: 4/10/13 __________________________________ ACCESSION NUMBER: 76017 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is redemonstration of a right internal jugular catheter with tip seen at the proximal to mid superior vena cava. There has been slight interval increase in a left sided pleural effusion. There is a left retrocardiac opacity, which may represent atelectasis or consolidation. Stable appearance to resection of the left distal clavicle. Cardiomediastinal silhouette appears unchanged. "," 1. STABLE APPEARANCE OF A RIGHT INTERNAL JUGULAR CATHETER WITH THE TIP SEEN AT THE PROXIMAL TO MID SUPERIOR VENA CAVA. 2. INTERVAL SLIGHT INCREASE IN LEFT SIDED PLEURAL EFFUSION. STABLE APPEARANCE OF A LEFT RETROCARDIAC OPACITY, WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 3. STABLE APPEARANCE TO RESECTION OF THE LEFT DISTAL CLAVICLE. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Isaac B, Berry. on: 4/10/13 __________________________________ " 206272,CheXpert_Demo_Images\train\patient52890\study1\view1_frontal.jpg,patient52890,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 2-28-2017. COMPARISON: 2/28/2017. IMPRESSION: 1. SLIGHT INTERVAL CHANGE IN POSITION OF RIGHT INTERNAL JUGULAR SWAN-GANZ CATHETER WITH TIP IN THE MAIN PULMONARY ARTERY. 2. LINES AND TUBES ARE OTHERWISE UNCHANGED. 3. SMALL BILATERAL PLEURAL EFFUSIONS, UNCHANGED. 4. MILD PULMONARY INTERSTITIAL EDEMA AND CARDIOMEGALY, UNCHANGED. 5. PERSISTENT LEFT LOWER LOBE ATELECTASIS OR CONSOLIDATION. END OF IMPRESSION: SUMMARY: 2 ACCESSION NUMBER: #8580276679 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SLIGHT INTERVAL CHANGE IN POSITION OF RIGHT INTERNAL JUGULAR SWAN-GANZ CATHETER WITH TIP IN THE MAIN PULMONARY ARTERY. 2. LINES AND TUBES ARE OTHERWISE UNCHANGED. 3. SMALL BILATERAL PLEURAL EFFUSIONS, UNCHANGED. 4. MILD PULMONARY INTERSTITIAL EDEMA AND CARDIOMEGALY, UNCHANGED. 5. PERSISTENT LEFT LOWER LOBE ATELECTASIS OR CONSOLIDATION. "," 2 " 180188,CheXpert_Demo_Images\train\patient42417\study2\view1_frontal.jpg,patient42417,"NARRATIVE: SINGLE VIEW OF THE CHEST: 8/1/15 AT 0755 HOURS SINGLE VIEW OF THE CHEST: 8/1/2015 AT 0849 HOURS SINGLE VIEW OF THE CHEST: 8/1/15 AT 1010 HOURS CLINICAL HISTORY: Shortness of breath and chest pain COMPARISON: 8-1-15 FINDINGS: Single AP view of the chest 8-1-15 at 0755 hours (tMKpnPh) shows interval development of extensive left lung consolidation, predominantly involving the mid and lower lung zones. There is extensive motion artifact which degrades the image quality and interpretation. Multiple old left-sided rib fractures are demonstrated. There is evidence of prior left humerus fracture. Repeat chest x-ray 8/1/2015 at 0849 hours (NY-QD) was obtained post intubation. Endotracheal tube tip is demonstrated approximately 4.5 cm above the carina. There has been interval increase in left lung consolidation. In addition, there is diffuse bronchial wall thickening, which may represent airways disease or interstitial pulmonary edema. Repeat chest x-ray 8/1/2015 at 1010 hours (85-cP-55) demonstrates no significant interval change. IMPRESSION: 1. EXTENSIVE AIRSPACE DISEASE IN THE LEFT LUNG, LIKELY REPRESENTS INFECTION. THERE IS ALSO LIKELY SUPERIMPOSED INTERSTITIAL PULMONARY EDEMA. 2. ENDOTRACHEAL TUBE TIP APPROXIMATELY 4.5 CM ABOVE THE CARINA. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. ACCESSION NUMBER: nYQD This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single AP view of the chest 8-1-15 at 0755 hours (tMKpnPh) shows interval development of extensive left lung consolidation, predominantly involving the mid and lower lung zones. There is extensive motion artifact which degrades the image quality and interpretation. Multiple old left-sided rib fractures are demonstrated. There is evidence of prior left humerus fracture. Repeat chest x-ray 8/1/2015 at 0849 hours (NY-QD) was obtained post intubation. Endotracheal tube tip is demonstrated approximately 4.5 cm above the carina. There has been interval increase in left lung consolidation. In addition, there is diffuse bronchial wall thickening, which may represent airways disease or interstitial pulmonary edema. Repeat chest x-ray 8/1/2015 at 1010 hours (85-cP-55) demonstrates no significant interval change. "," 1. EXTENSIVE AIRSPACE DISEASE IN THE LEFT LUNG, LIKELY REPRESENTS INFECTION. THERE IS ALSO LIKELY SUPERIMPOSED INTERSTITIAL PULMONARY EDEMA. 2. ENDOTRACHEAL TUBE TIP APPROXIMATELY 4.5 CM ABOVE THE CARINA. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. " 109036,CheXpert_Demo_Images\train\patient26199\study9\view2_lateral.jpg,patient26199,"NARRATIVE: CHEST TWO VIEWS: 12-22-16 Holostem Tarapie Avanzate 1759 HOURS COMPARISON: 12/22/2016 Holostem Tarapie Avanzate 1520 hours. IMPRESSION: 1. PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE BILATERAL PLEURAL EFFUSIONS WITH A LINEAR BAND RADIATING TO THE LEFT PLEURAL EFFUSION THAT IS INCREASED SINCE THE PRIOR EXAMINATION. LEFT LOWER LOBE MASS VERSUS ROUNDED ATELECTASIS IS BEST DEMONSTRATED ON THE LATERAL VIEW. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: QMnrqz86Z This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE BILATERAL PLEURAL EFFUSIONS WITH A LINEAR BAND RADIATING TO THE LEFT PLEURAL EFFUSION THAT IS INCREASED SINCE THE PRIOR EXAMINATION. LEFT LOWER LOBE MASS VERSUS ROUNDED ATELECTASIS IS BEST DEMONSTRATED ON THE LATERAL VIEW. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 35079,CheXpert_Demo_Images\train\patient08585\study1\view1_frontal.jpg,patient08585,"NARRATIVE: PORTABLE CHEST, ONE VIEW: 12/1/2000 COMPARISON: 10/7/2021 IMPRESSION: 1. LINES AND TUBES ARE UNCHANGED. 2. NO SIGNIFICANT INTERVAL CHANGE IN CARDIOPULMONARY STATUS OR PERSISTENT PULMONARY EDEMA, BIBASILAR ATELECTASIS, AND A LEFT RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. THERE ARE PERSISTENT LOW LUNG VOLUMES BILATERALLY. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Winnifred M. House, MD on: 10/7/2021 ACCESSION NUMBER: 7979458085020 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LINES AND TUBES ARE UNCHANGED. 2. NO SIGNIFICANT INTERVAL CHANGE IN CARDIOPULMONARY STATUS OR PERSISTENT PULMONARY EDEMA, BIBASILAR ATELECTASIS, AND A LEFT RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS CONSOLIDATION. THERE ARE PERSISTENT LOW LUNG VOLUMES BILATERALLY. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Winnifred M. House, MD on: 10/7/2021 " 60932,CheXpert_Demo_Images\train\patient14716\study1\view1_frontal.jpg,patient14716,"NARRATIVE: TWO VIEW CHEST: 8/18/2001 AT 1710 COMPARISON: No comparison. CLINICAL HISTORY: Positive PPD. IMPRESSION: 1. COARSE INTERSTITIAL PROMINENCE INVOLVING THE LUNG BASES BILATERALLY, LEFT GREATER THAN RIGHT WITH MORE FOCAL AREAS OF OPACITY AT THE LATERAL LEFT LUNG BASE. FINDINGS MAY REPRESENT EARLY PULMONARY EDEMA, ALTHOUGH INFECTION CANNOT BE EXCLUDED. THE UPPER LUNGS ARE CLEAR. 2. STERNAL SUTURE WIRES ARE IN PLACE. THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. 3. PROMINENT LEVOSCOLIOSIS OF THE THORACOLUMBAR SPINE WITH ASSOCIATED DEGENERATIVE CHANGES. HEAVY CALCIFICATION OF THE AORTA. SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. ACCESSION NUMBER: 51883848851 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. COARSE INTERSTITIAL PROMINENCE INVOLVING THE LUNG BASES BILATERALLY, LEFT GREATER THAN RIGHT WITH MORE FOCAL AREAS OF OPACITY AT THE LATERAL LEFT LUNG BASE. FINDINGS MAY REPRESENT EARLY PULMONARY EDEMA, ALTHOUGH INFECTION CANNOT BE EXCLUDED. THE UPPER LUNGS ARE CLEAR. 2. STERNAL SUTURE WIRES ARE IN PLACE. THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. 3. PROMINENT LEVOSCOLIOSIS OF THE THORACOLUMBAR SPINE WITH ASSOCIATED DEGENERATIVE CHANGES. HEAVY CALCIFICATION OF THE AORTA. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. " 76494,CheXpert_Demo_Images\train\patient18366\study22\view1_frontal.jpg,patient18366,"NARRATIVE: AP CHEST: 4/11/2008 COMPARISON: AP chest 4/11/2008. CLINICAL HISTORY: 52 year-old female with morbid obesity, hypoventilation, now with respiratory distress. IMPRESSION: 1. INTERVAL PLACEMENT OF LEFT IJ CENTRAL VENOUS CATHETER, DISTAL TIP IN THE SVC. THERE HAS BEEN INTERVAL INTUBATION, ENDOTRACHEAL TUBE IS IN NORMAL POSITION. 2. STABLE CARDIOMEGALY. IMAGE SOMEWHAT DEGRADED BY MOTION LIMITING INTERPRETATION. THERE ARE PERSISTENT LOW VOLUMES WITH ABNORMAL OPACIFICATIONS AT THE BASES. NO PNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6871524470 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF LEFT IJ CENTRAL VENOUS CATHETER, DISTAL TIP IN THE SVC. THERE HAS BEEN INTERVAL INTUBATION, ENDOTRACHEAL TUBE IS IN NORMAL POSITION. 2. STABLE CARDIOMEGALY. IMAGE SOMEWHAT DEGRADED BY MOTION LIMITING INTERPRETATION. THERE ARE PERSISTENT LOW VOLUMES WITH ABNORMAL OPACIFICATIONS AT THE BASES. NO PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 52465,CheXpert_Demo_Images\train\patient12792\study1\view2_lateral.jpg,patient12792,"NARRATIVE: EXAM: Chest 2 Views, 3/11/2002 CLINICAL HISTORY: Upper abdominal pain, lower chest pain COMPARISON: 3/11 IMPRESSION: 1.NEW BIBASILAR PNEUMONIA VERSUS ASPIRATION. RIGHT BASE LINEAR ATELECTASIS VERSUS SCAR AGAIN SEEN. 2.HEART SIZE IS NORMAL SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 92_18_08_14 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NEW BIBASILAR PNEUMONIA VERSUS ASPIRATION. RIGHT BASE LINEAR ATELECTASIS VERSUS SCAR AGAIN SEEN. 2.HEART SIZE IS NORMAL "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 219436,CheXpert_Demo_Images\train\patient61094\study1\view1_frontal.jpg,patient61094,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 6/23/2007 CLINICAL HISTORY: 82 years of age, Female, S/p temp pacemaker placement. COMPARISON: 6-23-07 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Similar appearance of the ET tube, right upper extremity PICC line and pacer paddles during the left hemithorax. There is a new right internal jugular single lead pacer. A tubular structure overlies the course of the brachiocephalic vein. Diffuse increased reticular markings, likely reflecting persistent pulmonary edema. IMPRESSION: 1. Tubular structure overlying the course of the left brachycephalic vein. It is unclear if this is internal or external to the patient. 2. Persistent mild edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7.J.L.R.K.9.T.A.L.E This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Similar appearance of the ET tube, right upper extremity PICC line and pacer paddles during the left hemithorax. There is a new right internal jugular single lead pacer. A tubular structure overlies the course of the brachiocephalic vein. Diffuse increased reticular markings, likely reflecting persistent pulmonary edema. "," 1. Tubular structure overlying the course of the left brachycephalic vein. It is unclear if this is internal or external to the patient. 2. Persistent mild edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 15165,CheXpert_Demo_Images\train\patient03777\study3\view2_lateral.jpg,patient03777,"NARRATIVE: Exam: Chest 2 Views, 6/13/2012 Clinical History: 89 years Male with R/o pulmonary edema Comparison: Single view chest radiograph 13 June 12. IMPRESSION: 1. AP AND LATERAL VIEW CHEST RADIOGRAPHS DEMONSTRATE INTERVAL INCREASE IN SIZE AND NUMBER OF MULTIPLE BILATERAL ROUNDED OPACITIES, SUSPICIOUS FOR PULMONARY METASTASES IN THIS PATIENT WITH HISTORY OF COLON CARCINOMA. ADDITIONAL INFECTIOUS PROCESS CANNOT BE EXCLUDED AND CLINICAL CORRELATIO NIS RECOMMENDED. CHEST CT MAY BE CONSIDERED IF CLINICALLY APPROPRIATE FOR MORE SENSITIVE EVALUATION OF THE LUNG PARENCHYMA. 2. NO SIGNIFICANT PULMONARY EDEMA. 3. DIFFUSE OSTEOPENIA WITHOUT FOCAL BONY LESION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: ndoa-u8oq This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP AND LATERAL VIEW CHEST RADIOGRAPHS DEMONSTRATE INTERVAL INCREASE IN SIZE AND NUMBER OF MULTIPLE BILATERAL ROUNDED OPACITIES, SUSPICIOUS FOR PULMONARY METASTASES IN THIS PATIENT WITH HISTORY OF COLON CARCINOMA. ADDITIONAL INFECTIOUS PROCESS CANNOT BE EXCLUDED AND CLINICAL CORRELATIO NIS RECOMMENDED. CHEST CT MAY BE CONSIDERED IF CLINICALLY APPROPRIATE FOR MORE SENSITIVE EVALUATION OF THE LUNG PARENCHYMA. 2. NO SIGNIFICANT PULMONARY EDEMA. 3. DIFFUSE OSTEOPENIA WITHOUT FOCAL BONY LESION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 219875,CheXpert_Demo_Images\train\patient61492\study1\view1_frontal.jpg,patient61492,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 6/5/2002. COMPARISON: Comparison is made with exam from 5th June and before. CLINICAL DATA: 24 year old man status post aortic root replacement. IMPRESSION: 1. THE APICES ARE CUT OFF FROM VIEW. 2. INTERVAL REMOVAL OF THE ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE 3. BILATERAL CHEST TUBE, MEDIASTINAL DRAIN AND A RIGHT INTERNAL JUGULAR SHEATH REMAIN UNCHANGED. 4. THERE IS A REPLACED AORTIC VALVE IN PLACE. 5. CARDIAC APEX APPEAR POINTING TO THE RIGHT. 6. MILD INTERSTITIAL PULMONARY EDEMA, UNCHANGED. 7. SMALL LEFT PNEUMOTHORAX, UNCHANGED. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. ACCESSION NUMBER: oI.Vl.fM.Xj This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE APICES ARE CUT OFF FROM VIEW. 2. INTERVAL REMOVAL OF THE ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE 3. BILATERAL CHEST TUBE, MEDIASTINAL DRAIN AND A RIGHT INTERNAL JUGULAR SHEATH REMAIN UNCHANGED. 4. THERE IS A REPLACED AORTIC VALVE IN PLACE. 5. CARDIAC APEX APPEAR POINTING TO THE RIGHT. 6. MILD INTERSTITIAL PULMONARY EDEMA, UNCHANGED. 7. SMALL LEFT PNEUMOTHORAX, UNCHANGED. "," 2: Abnormal, previously reported. " 23401,CheXpert_Demo_Images\train\patient05731\study2\view1_frontal.jpg,patient05731,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 2/15/06. COMPARISON: 2/15/2006. CLINICAL HISTORY: Cardiac surgery. IMPRESSION: 1. REDEMONSTRATED LEFT-GREATER-THAN-RIGHT BASILAR OPACITY, LEFT PLEURAL EFFUSION, LOW LUNG VOLUMES, PULMONARY EDEMA AND A WIDENED MEDIASTINUM. THE RIGHT COSTOPHRENIC SULCUS IS CUT OFF FROM THE RADIOGRAPH. THE RIGHT IJ LINE IS STABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 572-672 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDEMONSTRATED LEFT-GREATER-THAN-RIGHT BASILAR OPACITY, LEFT PLEURAL EFFUSION, LOW LUNG VOLUMES, PULMONARY EDEMA AND A WIDENED MEDIASTINUM. THE RIGHT COSTOPHRENIC SULCUS IS CUT OFF FROM THE RADIOGRAPH. THE RIGHT IJ LINE IS STABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 146933,CheXpert_Demo_Images\train\patient35057\study1\view1_frontal.jpg,patient35057,"NARRATIVE: CHEST, ONE VIEW: 6-20-2016 COMPARISON: Comparison is made to 6-20-16. CLINICAL HISTORY: Status post descending aortic repair for an aortic aneurysm, evaluate for infiltrates. FINDINGS: Again seen are wire sternal sutures, multiple clips in the superior mediastinum, and two left chest tubes. There has been interval removal of the endotracheal tube. There appears to have been interval removal of the nasogastric tube. There is again seen airspace disease diffusely throughout the left lung. There is also a moderate left pleural effusion. There is right lower lobe atelectasis. IMPRESSION: 1. STABLE POST-OP CHANGES. 2. STABLE APPEARANCE OF LINES AND TUBES. THERE HAS BEEN INTERVAL REMOVAL OF THE ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE. 3. NO SIGNIFICANT INTERVAL CHANGE IN DIFFUSE AIRSPACE OPACITIES SEEN WITHIN THE LEFT LUNG. 4. SMALL LEFT PLEURAL EFFUSION. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Atticus, Medina on: 2016 20th June ACCESSION NUMBER: 20 21 60 97 52 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Again seen are wire sternal sutures, multiple clips in the superior mediastinum, and two left chest tubes. There has been interval removal of the endotracheal tube. There appears to have been interval removal of the nasogastric tube. There is again seen airspace disease diffusely throughout the left lung. There is also a moderate left pleural effusion. There is right lower lobe atelectasis. "," 1. STABLE POST-OP CHANGES. 2. STABLE APPEARANCE OF LINES AND TUBES. THERE HAS BEEN INTERVAL REMOVAL OF THE ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE. 3. NO SIGNIFICANT INTERVAL CHANGE IN DIFFUSE AIRSPACE OPACITIES SEEN WITHIN THE LEFT LUNG. 4. SMALL LEFT PLEURAL EFFUSION. ", 116384,CheXpert_Demo_Images\train\patient27929\study2\view2_lateral.jpg,patient27929,"NARRATIVE: CHEST X-RAY PA AND LATERAL: 2/25/06 at 1557. COMPARISON: 2/25/06 at 1158. HISTORY: An 89-year-old male with history of delirium and Merkel cell skin cancer. IMPRESSION: 1. RIGHT-SIDED PLEURAL EFFUSION REDEMONSTRATED WITH ROUND OPACITY IN THE RIGHT MID LUNG ZONE WHICH COULD REPRESENT A PSEUDOTUMOR APPEARANCE FROM LOCULATED FLUID. RECOMMEND ATTENTION ON FOLLOWUP. 2. REDEMONSTRATED NODULAR OPACITY IN THE LEFT UPPER LOBE PERIPHERALLY. THE LATERAL BORDER IS NOT APPRECIABLE. THIS COULD REPRESENT A PLEURAL BASED NODULE OR SOMETHING IN THE LEFT CHEST WALL. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Lindsey, Heaven on: 2-25-2006 ACCESSION NUMBER: 4802325228 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RIGHT-SIDED PLEURAL EFFUSION REDEMONSTRATED WITH ROUND OPACITY IN THE RIGHT MID LUNG ZONE WHICH COULD REPRESENT A PSEUDOTUMOR APPEARANCE FROM LOCULATED FLUID. RECOMMEND ATTENTION ON FOLLOWUP. 2. REDEMONSTRATED NODULAR OPACITY IN THE LEFT UPPER LOBE PERIPHERALLY. THE LATERAL BORDER IS NOT APPRECIABLE. THIS COULD REPRESENT A PLEURAL BASED NODULE OR SOMETHING IN THE LEFT CHEST WALL. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Lindsey, Heaven on: 2-25-2006 " 176531,CheXpert_Demo_Images\train\patient41363\study3\view1_frontal.jpg,patient41363,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10-18-2017 CLINICAL HISTORY: 63 years of age, Male, s/p CT removal. COMPARISON: 10/18/2017 at 10:32 AM PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval removal of mediastinal drains. There is an unchanged small left apical pneumothorax. Unchanged bibasilar linear atelectasis and a trace right pleural effusion. IMPRESSION: 1. Unchanged small left apical pneumothorax status post removal of mediastinal drains. ""Physician to Physician Radiology Consult Line: 1 (838) 579-2373"" Signed ACCESSION NUMBER: 43585 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval removal of mediastinal drains. There is an unchanged small left apical pneumothorax. Unchanged bibasilar linear atelectasis and a trace right pleural effusion. "," 1. Unchanged small left apical pneumothorax status post removal of mediastinal drains. ""Physician to Physician Radiology Consult Line: 1 (838) 579-2373"" Signed ", 221159,CheXpert_Demo_Images\train\patient62663\study1\view1_frontal.jpg,patient62663,"NARRATIVE: SINGLE VIEW OF THE CHEST: 1-29-02. COMPARISON: 1/29/2002. CLINICAL HISTORY: A 32-year-old man with pneumonia. IMPRESSION: 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES NEW LEFT BASE OPACITY WHICH MAY REFLECT ATELECTASIS, INFECTION OR ASPIRATION. POSSIBLE SMALL LEFT PLEURAL EFFUSION. 2. NEW PNEUMOPERITONEUM, LIKELY RELATED TO RECENT ABDOMINAL SURGERY. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 04-85-93-65-00 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES NEW LEFT BASE OPACITY WHICH MAY REFLECT ATELECTASIS, INFECTION OR ASPIRATION. POSSIBLE SMALL LEFT PLEURAL EFFUSION. 2. NEW PNEUMOPERITONEUM, LIKELY RELATED TO RECENT ABDOMINAL SURGERY. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 5805,CheXpert_Demo_Images\train\patient01449\study1\view2_lateral.jpg,patient01449,"NARRATIVE: TWO VIEW CHEST, 7-13-2005: COMPARISON: There are no prior films available for comparison. CLINICAL HISTORY: Shortness of breath, rule out infiltrate. IMPRESSION: 1. TWO VIEWS OF THE CHEST DEMONSTRATE MILD BRONCHIAL WALL THICKENING THAT COULD BE CHRONIC OR REPRESENT MILD PULMONARY EDEMA. NO FOCAL CONSOLIDATION OR PLEURAL EFFUSIONS. MILD CARDIOMEGALY. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Javier, MD on: 7/13/2005 ACCESSION NUMBER: 79tI1c0b This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO VIEWS OF THE CHEST DEMONSTRATE MILD BRONCHIAL WALL THICKENING THAT COULD BE CHRONIC OR REPRESENT MILD PULMONARY EDEMA. NO FOCAL CONSOLIDATION OR PLEURAL EFFUSIONS. MILD CARDIOMEGALY. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Javier, MD on: 7/13/2005 " 211473,CheXpert_Demo_Images\train\patient56128\study1\view2_lateral.jpg,patient56128,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 29/11/05 CLINICAL HISTORY: 89 years of age, Female, Sob. COMPARISON: 11-29-2005 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: 2-lead pacer device. Cardiomegaly. Mild/moderate pulmonary edema. No pneumothorax. No focal consolidation. No pleural effusion. Diffuse osteopenia. Degenerative changes of the thoracic spine. Lower thoracic vertebral body compression deformity, unchanged since 7/2/2012 IMPRESSION: 1. Cardiomegaly and mild/moderate pulmonary edema, likely representing congestive heart failure exacerbation. ""Physician to Physician Radiology Consult Line: (544) 758-8436"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: pmRpjbUHs This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 2-lead pacer device. Cardiomegaly. Mild/moderate pulmonary edema. No pneumothorax. No focal consolidation. No pleural effusion. Diffuse osteopenia. Degenerative changes of the thoracic spine. Lower thoracic vertebral body compression deformity, unchanged since 7/2/2012 "," 1. Cardiomegaly and mild/moderate pulmonary edema, likely representing congestive heart failure exacerbation. ""Physician to Physician Radiology Consult Line: (544) 758-8436"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 222776,CheXpert_Demo_Images\train\patient64126\study1\view1_frontal.jpg,patient64126,"NARRATIVE: SINGLE VIEW OF THE CHEST: 8/07 GRAVITY CARE 0556 HOURS. CLINICAL HISTORY: This is a 35-year-old male intubated. IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST ON 1/8/2007 Gravity Care 0556 HOURS DEMONSTRATES ENDOTRACHEAL TUBE LOCATED 2.3 CM ABOVE THE CARINA, NASOGASTRIC TUBE AND FEEDING TUBE PASSING THROUGH THE GASTROESOPHAGEAL JUNCTION. 2. LOW LUNG VOLUMES. SMALL LEFT PLEURAL EFFUSION. LEFT RETROCARDIAC OPACITY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #70806 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST ON 1/8/2007 Gravity Care 0556 HOURS DEMONSTRATES ENDOTRACHEAL TUBE LOCATED 2.3 CM ABOVE THE CARINA, NASOGASTRIC TUBE AND FEEDING TUBE PASSING THROUGH THE GASTROESOPHAGEAL JUNCTION. 2. LOW LUNG VOLUMES. SMALL LEFT PLEURAL EFFUSION. LEFT RETROCARDIAC OPACITY. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 47305,CheXpert_Demo_Images\train\patient11482\study1\view1_frontal.jpg,patient11482,"NARRATIVE: CHEST, 6-7-04 COMPARISON: None. CLINICAL DATA: Trauma. FINDINGS: 0309 HOURS, PORTABLE SUPINE CHEST: An AP portable supine view of the thorax was obtained on a trauma board. The cardiomediastinal size and configuration are within normal limits. The lungs are clear bilaterally. The bilateral hila and pulmonary vascularity appear within normal limits. There is demonstration of a deep sulcus sign within the medial left hemithorax, suggestive of a pneumothorax. No definite evidence is seen for acute osseous injury. A metallic density device is seen at the superior edge of the film, visualized in part, possibly respecting anterior spinal fusion. 0455 HOURS: In the interval since the prior study, there has been placement of a left chest tube with its distal terminus at the left lung apex. The radiographic appearance of the heart and lungs is otherwise unchanged since the prior study. Contrast material is seen within the renal collecting systems. IMPRESSION: 1. SEQUENCE OF CHEST RADIOGRAPHS FROM 6/7/2004 DEMONSTRATING A LEFT MEDIAL DEEP SULCAL SIGN SUGGESTIVE OF PNEUMOTHORAX WITH SUBSEQUENT PLACEMENT OF A LEFT CHEST TUBE. 2. NO EVIDENCE SEEN FOR ACUTE OSSEOUS INJURY OF THE THORAX. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. Addendum # 1 by Warner Payton Rorie, MD on 6-7-2004 Accession code association only ACCESSION NUMBER: #5436737 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 0309 HOURS, PORTABLE SUPINE CHEST: An AP portable supine view of the thorax was obtained on a trauma board. The cardiomediastinal size and configuration are within normal limits. The lungs are clear bilaterally. The bilateral hila and pulmonary vascularity appear within normal limits. There is demonstration of a deep sulcus sign within the medial left hemithorax, suggestive of a pneumothorax. No definite evidence is seen for acute osseous injury. A metallic density device is seen at the superior edge of the film, visualized in part, possibly respecting anterior spinal fusion. 0455 HOURS: In the interval since the prior study, there has been placement of a left chest tube with its distal terminus at the left lung apex. The radiographic appearance of the heart and lungs is otherwise unchanged since the prior study. Contrast material is seen within the renal collecting systems. "," 1. SEQUENCE OF CHEST RADIOGRAPHS FROM 6/7/2004 DEMONSTRATING A LEFT MEDIAL DEEP SULCAL SIGN SUGGESTIVE OF PNEUMOTHORAX WITH SUBSEQUENT PLACEMENT OF A LEFT CHEST TUBE. 2. NO EVIDENCE SEEN FOR ACUTE OSSEOUS INJURY OF THE THORAX. "," 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. Addendum # 1 by Warner Payton Rorie, MD on 6-7-2004 Accession code association only " 215949,CheXpert_Demo_Images\train\patient58897\study1\view2_lateral.jpg,patient58897,"NARRATIVE: FRONTAL AND LATERAL CHEST RADIOGRAPHS: 8-8-2003 COMPARISON: 8-8-2003. IMPRESSION: 1. LUNGS ARE CLEAR. NO CONSOLIDATION OR PLEURAL EFFUSION. 2. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. MILD DEGENERATIVE DISEASE IN THE THORACIC SPINE OTHERWISE NO BONY ABNORMALITIES. END OF IMPRESSION: SUMMARY 1: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Saafir Zoey, Berg on: 8/8/2003 ACCESSION NUMBER: SJWjSiOO This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LUNGS ARE CLEAR. NO CONSOLIDATION OR PLEURAL EFFUSION. 2. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. MILD DEGENERATIVE DISEASE IN THE THORACIC SPINE OTHERWISE NO BONY ABNORMALITIES. "," 1: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Saafir Zoey, Berg on: 8/8/2003 " 184642,CheXpert_Demo_Images\train\patient43766\study2\view1_frontal.jpg,patient43766,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 9-10-2019 CLINICAL HISTORY: 82 years of age, Female, Post-op CV surgery. COMPARISON: Yesterday. PROCEDURE COMMENTS: Single AP view of the chest. FINDINGS: There has been no change in the moderate bilateral edema.. No pleural abnormalities are present. The heart is normal in size. A Swan-Ganz catheter has its tip in the pulmonary outflow tract. A feeding tube and nasogastric tube enters the stomach. Right internal jugular central catheter has its tip in the superior vena cava. Pleural and mediastinal drains are present. IMPRESSION: 1. No significant change in moderate cardiogenic edema Physician to Physician Radiology Consult Line: (689) 719-8513 ACCESSION NUMBER: 011257098 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There has been no change in the moderate bilateral edema.. No pleural abnormalities are present. The heart is normal in size. A Swan-Ganz catheter has its tip in the pulmonary outflow tract. A feeding tube and nasogastric tube enters the stomach. Right internal jugular central catheter has its tip in the superior vena cava. Pleural and mediastinal drains are present. "," 1. No significant change in moderate cardiogenic edema Physician to Physician Radiology Consult Line: (689) 719-8513 ", 221981,CheXpert_Demo_Images\train\patient63406\study1\view1_frontal.jpg,patient63406,"NARRATIVE: CHEST: 8-31-2014 CLINICAL HISTORY: 57-year-old with right upper lung mass status post wedge resection. COMPARISON: 8/31/14, 8/31/2014. IMPRESSION: 1. PORTABLE, UPRIGHT CHEST RADIOGRAPH DEMONSTRATES RECENT HISTORY OF SURGERY TO THE RIGHT CHEST. RIGHT CHEST TUBE IN PLACE WITH NO EVIDENCE OF PNEUMOTHORAX. 2. THERE IS PERSISTENT VOLUME LOSS OF THE RIGHT HEMITHORAX. 3. PERSISTENT BILATERAL LOW LUNG VOLUMES WITH ASSOCIATED RETICULAR PROMINENCE. 4. PERSISTENT SUBCUTANEOUS EMPHYSEMA. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: dr. jaden. on: 8-31-2014 __________________________________ ACCESSION NUMBER: 89121432 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE, UPRIGHT CHEST RADIOGRAPH DEMONSTRATES RECENT HISTORY OF SURGERY TO THE RIGHT CHEST. RIGHT CHEST TUBE IN PLACE WITH NO EVIDENCE OF PNEUMOTHORAX. 2. THERE IS PERSISTENT VOLUME LOSS OF THE RIGHT HEMITHORAX. 3. PERSISTENT BILATERAL LOW LUNG VOLUMES WITH ASSOCIATED RETICULAR PROMINENCE. 4. PERSISTENT SUBCUTANEOUS EMPHYSEMA. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: dr. jaden. on: 8-31-2014 __________________________________ " 175200,CheXpert_Demo_Images\train\patient41018\study2\view1_frontal.jpg,patient41018,"NARRATIVE: AP PORTABLE UPRIGHT CHEST: 4/12/2018 AT 0524 HOURS. COMPARISON: April 12th, 2018 at 0430 hours. CLINICAL HISTORY: Check for infiltrates. IMPRESSION: LIMITED ATELECTASIS/CONSOLIDATION IN THE LEFT LOWER LUNG IS SEEN, MILDLY WORSENED. THE LUNGS ARE OTHERWISE CLEAR. PULMONARY VASCULARITY IS PROMINENT CENTRALLY, UNCHANGED. CARDIAC SIZE AND CONFIGURATION REMAIN WITHIN NORMAL LIMITS. NO ACUTE OSSEOUS ABNORMALITY IS IDENTIFIED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 04240392 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," LIMITED ATELECTASIS/CONSOLIDATION IN THE LEFT LOWER LUNG IS SEEN, MILDLY WORSENED. THE LUNGS ARE OTHERWISE CLEAR. PULMONARY VASCULARITY IS PROMINENT CENTRALLY, UNCHANGED. CARDIAC SIZE AND CONFIGURATION REMAIN WITHIN NORMAL LIMITS. NO ACUTE OSSEOUS ABNORMALITY IS IDENTIFIED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 2876,CheXpert_Demo_Images\train\patient00698\study2\view1_frontal.jpg,patient00698,"NARRATIVE: CHEST: PA and lateral. HISTORY: Rule-out infiltrate. COMPARISON: 5/16/2001 IMPRESSION: 1. COMPARED TO PRIOR EXAMINATION THERE HAS BEEN NO CHANGE IN APPEARANCE OF THE CHEST. THERE IS NO EVIDENCE OF METASTATIC DISEASE OR PNEUMONIA. END OF IMPRESSION: SUMMARY 2: Abnormal; previously reported. ACCESSION NUMBER: #458798507095 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. COMPARED TO PRIOR EXAMINATION THERE HAS BEEN NO CHANGE IN APPEARANCE OF THE CHEST. THERE IS NO EVIDENCE OF METASTATIC DISEASE OR PNEUMONIA. "," 2: Abnormal; previously reported. " 49185,CheXpert_Demo_Images\train\patient11947\study1\view2_lateral.jpg,patient11947,"NARRATIVE: EXAM: Chest 2 Views, 10/24/2011. HISTORY: 55 years Male, Hodgkins follow up. COMPARISON: october 24th. IMPRESSION: LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. NO OSSEOUS OR SOFT TISSUE ABNORMALITIES SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: gnxhbwsr This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. NO OSSEOUS OR SOFT TISSUE ABNORMALITIES ","1-NO SIGNIFICANT ABNORMALITY " 79481,CheXpert_Demo_Images\train\patient19107\study1\view2_lateral.jpg,patient19107,"NARRATIVE: TWO-VIEW CHEST: 1/8/2005 CLINICAL HISTORY: MAC. Increasing cough. Rule out pneumonia. COMPARISON: 1/8/2005. FINDINGS: Bilateral apical scarring, left greater than right, persists, but appears to have decreased slightly in the interim. Left lower lobe granuloma is unchanged. No enlarged lymph nodes are appreciated. No pleural effusions appreciated. IMPRESSION: 1. STABLE OR DIMINISHED BILATERAL APICAL PLEURAL/PARENCHYMAL SCARRING, LEFT GREATER THAN RIGHT. 2. PLEASE NOTE NO NON-CALCIFIED NODULES, AS REPORTED ON THE PATIENT'S PREVIOUS CT SCAN DATED 1-8-05 ARE APPRECIATED ON THIS CURRENT CHEST RADIOGRAPH. THIS MAY EITHER BE DUE TO RESOLUTION OF PREVIOUS NODULES OR REDUCED SENSITIVITY OF RADIOGRAPHS COMPARED TO CT SCANNING. 3. NO AREAS OF NEW CONSOLIDATION OR INTERVAL OPACITIES TO SUGGEST PNEUMONIA. END OF IMPRESSION SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: yixpbZN This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Bilateral apical scarring, left greater than right, persists, but appears to have decreased slightly in the interim. Left lower lobe granuloma is unchanged. No enlarged lymph nodes are appreciated. No pleural effusions appreciated. "," 1. STABLE OR DIMINISHED BILATERAL APICAL PLEURAL/PARENCHYMAL SCARRING, LEFT GREATER THAN RIGHT. 2. PLEASE NOTE NO NON-CALCIFIED NODULES, AS REPORTED ON THE PATIENT'S PREVIOUS CT SCAN DATED 1-8-05 ARE APPRECIATED ON THIS CURRENT CHEST RADIOGRAPH. THIS MAY EITHER BE DUE TO RESOLUTION OF PREVIOUS NODULES OR REDUCED SENSITIVITY OF RADIOGRAPHS COMPARED TO CT SCANNING. 3. NO AREAS OF NEW CONSOLIDATION OR INTERVAL OPACITIES TO SUGGEST PNEUMONIA. "," 2 ABNORMAL, PREVIOUSLY REPORTED. " 211035,CheXpert_Demo_Images\train\patient55836\study3\view1_frontal.jpg,patient55836,"NARRATIVE: CHEST X-RAY: 9-22-02 AT 0600 HOURS. COMPARISON: 02 22nd September at 0603 hours. CLINICAL HISTORY: Subarachnoid hemorrhage. IMPRESSION: 1. UNCHANGED CARDIOMEGALY, TORTUOUS AORTA, AND MILD LEFT LOWER LOBE ATELECTASIS. 2. INCREASING EDEMA. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: kate, ware on: 9/22/2002 ACCESSION NUMBER: YXCL This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UNCHANGED CARDIOMEGALY, TORTUOUS AORTA, AND MILD LEFT LOWER LOBE ATELECTASIS. 2. INCREASING EDEMA. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: kate, ware on: 9/22/2002 " 157813,CheXpert_Demo_Images\train\patient36983\study1\view1_frontal.jpg,patient36983,"NARRATIVE: Chest 1 View 6-11-2020 CLINICAL HISTORY: 87 years-old Female. Evaluate hypoxia and fluid status COMPARISON: Chest 6-11-2020 IMPRESSION: 1.FRONTAL VIEW OF THE CHEST REDEMONSTRATES 2-LEAD CARDIAC GENERATOR OVERLYING THE LEFT HEMI-THORAX. 2.LUNG VOLUMES ARE LOW. HAZY OPACITY IS SEEN IN THE LEFT LUNG MOST CONSISTENT WITH A LAYERING PLEURAL EFFUSION. THE RIGHT LUNG IS GROSSLY CLEAR. 3.GAS DISTENDED ESOPHAGUS. 4.DEGENERATIVE CHANGES OF THE THORACIC SPINE AND RIGHT GLENOHUMERAL JOINT. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: sknmttqj This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL VIEW OF THE CHEST REDEMONSTRATES 2-LEAD CARDIAC GENERATOR OVERLYING THE LEFT HEMI-THORAX. 2.LUNG VOLUMES ARE LOW. HAZY OPACITY IS SEEN IN THE LEFT LUNG MOST CONSISTENT WITH A LAYERING PLEURAL EFFUSION. THE RIGHT LUNG IS GROSSLY CLEAR. 3.GAS DISTENDED ESOPHAGUS. 4.DEGENERATIVE CHANGES OF THE THORACIC SPINE AND RIGHT GLENOHUMERAL JOINT. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 2383,CheXpert_Demo_Images\train\patient00594\study1\view1_frontal.jpg,patient00594,"NARRATIVE: PORTABLE CHEST: 10-7-2017 COMPARISON: No prior studies available for comparison. CLINICAL DATA: Chest pain. Rule out congestive heart failure. FINDINGS: Single portable view of the chest demonstrates mild prominence of the pulmonary vasculature with evidence of peribronchial cuffing. There is no evidence for focal air space consolidation or pleural effusion. Mild cardiomegaly is noted. No definite acute bony abnormality is identified on this limited study of the chest. IMPRESSION: 1. MILD PULMONARY VASCULAR CONGESTION ASSOCIATED WITH PERIBRONCHIAL CUFFING. FINDINGS ARE NONSPECIFIC AND MAY BE SEEN WITH EITHER MILD INTERSTITIAL PULMONARY EDEMA OR REACTIVE AIRWAYS DISEASE. 2. MILD CARDIOMEGALY. 3. NO EVIDENCE OF FOCAL AIR SPACE CONSOLIDATION. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: navarro, kara on: 10/7/2017 ACCESSION NUMBER: 6340977630 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single portable view of the chest demonstrates mild prominence of the pulmonary vasculature with evidence of peribronchial cuffing. There is no evidence for focal air space consolidation or pleural effusion. Mild cardiomegaly is noted. No definite acute bony abnormality is identified on this limited study of the chest. "," 1. MILD PULMONARY VASCULAR CONGESTION ASSOCIATED WITH PERIBRONCHIAL CUFFING. FINDINGS ARE NONSPECIFIC AND MAY BE SEEN WITH EITHER MILD INTERSTITIAL PULMONARY EDEMA OR REACTIVE AIRWAYS DISEASE. 2. MILD CARDIOMEGALY. 3. NO EVIDENCE OF FOCAL AIR SPACE CONSOLIDATION. "," 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: navarro, kara on: 10/7/2017 " 219067,CheXpert_Demo_Images\train\patient60755\study1\view1_frontal.jpg,patient60755,"NARRATIVE: CHEST: 10/3/2003 COMPARISON: 10/3/03 CLINICAL HISTORY: Fluid overload. IMPRESSION: 1. AP ERECT CHEST RADIOGRAPH DEMONSTRATES A LEFT SIDED AICD DEVICE IN PLACE. THE HEART SIZE APPEARS WITHIN NORMAL LIMITS. NO CEPHALIZATION OR OVERT PULMONARY EDEMA. THERE MAY BE SOME MINIMAL LEFT BASILAR ATELECTASIS. THE LUNGS OTHERWISE APPEAR CLEAR. 2. A SCLEROTIC LESION IS SEEN WITHIN THE PROXIMAL HUMERUS ON THE LEFT, WHICH MAY SIMPLY REFLECT REACTIVE CHANGE IN THE LESSER TUBEROSITY INFERIORLY. HOWEVER, REVIEW IS RECOMMENDED ON FOLLOW-UP CHEST RADIOGRAPHS. 3. CYSTIC CHANGE IS SEEN IN THE REGION OF THE GREATER TUBEROSITY ON THE RIGHT, LIKELY REFLECTING UNDERLYING ROTATOR CUFF DISEASE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. ACCESSION NUMBER: 562 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP ERECT CHEST RADIOGRAPH DEMONSTRATES A LEFT SIDED AICD DEVICE IN PLACE. THE HEART SIZE APPEARS WITHIN NORMAL LIMITS. NO CEPHALIZATION OR OVERT PULMONARY EDEMA. THERE MAY BE SOME MINIMAL LEFT BASILAR ATELECTASIS. THE LUNGS OTHERWISE APPEAR CLEAR. 2. A SCLEROTIC LESION IS SEEN WITHIN THE PROXIMAL HUMERUS ON THE LEFT, WHICH MAY SIMPLY REFLECT REACTIVE CHANGE IN THE LESSER TUBEROSITY INFERIORLY. HOWEVER, REVIEW IS RECOMMENDED ON FOLLOW-UP CHEST RADIOGRAPHS. 3. CYSTIC CHANGE IS SEEN IN THE REGION OF THE GREATER TUBEROSITY ON THE RIGHT, LIKELY REFLECTING UNDERLYING ROTATOR CUFF DISEASE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. " 190932,CheXpert_Demo_Images\train\patient45924\study1\view1_frontal.jpg,patient45924,"NARRATIVE: Chest 1 View, 2-1-2021 HISTORY: 72 years Female, Chest Pain COMPARISON: 2/1/2021 IMPRESSION: 1.SINGLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A TORTUOUS THORACIC AORTA WITH A CARDIAC SILHOUETTE WITHIN NORMAL LIMITS. 2.THE LUNGS ARE CLEAR WITH NO EVIDENCE OF FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 3.VISUALIZED BONES AND SOFT TISSUES ARE UNREMARKABLE. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 74567519 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A TORTUOUS THORACIC AORTA WITH A CARDIAC SILHOUETTE WITHIN NORMAL LIMITS. 2.THE LUNGS ARE CLEAR WITH NO EVIDENCE OF FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 3.VISUALIZED BONES AND SOFT TISSUES ARE UNREMARKABLE. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 185247,CheXpert_Demo_Images\train\patient43956\study1\view1_frontal.jpg,patient43956,"NARRATIVE: CHEST ONE VIEW: 01/1/3. COMPARISON: 1-3-2001. IMPRESSION: 1. UNCHANGED RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER. 2. UNCHANGED CARDIOMEGALY AND INCREASED MILD PULMONARY EDEMA. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Fritz, PA on: 1-3-2001 ACCESSION NUMBER: 1_6_3_6_4_4_1_8_4_1_3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UNCHANGED RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER. 2. UNCHANGED CARDIOMEGALY AND INCREASED MILD PULMONARY EDEMA. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Fritz, PA on: 1-3-2001 " 165697,CheXpert_Demo_Images\train\patient38665\study1\view1_frontal.jpg,patient38665,"NARRATIVE: PORTABLE CHEST SINGLE VIEW: 5/9/17 AWARE PLUS 0350 HOURS COMPARISON: 5-9-2017 AWARE PLUS 1526 hours. CLINICAL HISTORY: 56-year-old male with seizures status post line placement. IMPRESSION: 1. PORTABLE AP SEMIERECT VIEW OF THE CHEST DEMONSTRATES A LEFT SUBCLAVIAN LINE WITH DISTAL TIP IN THE SUPERIOR VENA CAVA. REDEMONSTRATED RIGHT VENTRICULOPERITONEAL SHUNT TRAVERSING THE CHEST. 2. LOW LUNG VOLUMES. NO PNEUMOTHORAX. LUNGS CLEAR WITHIN LIMITS OF THE EXAMINATION. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: hacxca This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE AP SEMIERECT VIEW OF THE CHEST DEMONSTRATES A LEFT SUBCLAVIAN LINE WITH DISTAL TIP IN THE SUPERIOR VENA CAVA. REDEMONSTRATED RIGHT VENTRICULOPERITONEAL SHUNT TRAVERSING THE CHEST. 2. LOW LUNG VOLUMES. NO PNEUMOTHORAX. LUNGS CLEAR WITHIN LIMITS OF THE EXAMINATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 198766,CheXpert_Demo_Images\train\patient49116\study1\view1_frontal.jpg,patient49116,"NARRATIVE: CHEST AP PORTABLE: 2-7-2020 COMPARISON: 2-7-20 IMPRESSION: 1. NO INTERVAL CHANGE. NO EVIDENCE OF PNEUMONIA OR PULMONARY EDEMA. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY __________________________________ ACCESSION NUMBER: 564105 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO INTERVAL CHANGE. NO EVIDENCE OF PNEUMONIA OR PULMONARY EDEMA. "," 1 NO SIGNIFICANT ABNORMALITY __________________________________ " 60230,CheXpert_Demo_Images\train\patient14556\study1\view1_frontal.jpg,patient14556,"NARRATIVE: CHEST ONE VIEW: 12-10-2001 COMPARISON: None. CLINICAL HISTORY: Generalized weakness. IMPRESSION: 1. LOW LUNG VOLUMES WITH LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION. 2. CARDIOMEGALY AND INDISTINCT PULMONARY VASCULATURE CONSISTENT WITH PULMONARY EDEMA. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: X-E-J-D-X-Q-Z-S-U-F-C This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LOW LUNG VOLUMES WITH LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION. 2. CARDIOMEGALY AND INDISTINCT PULMONARY VASCULATURE CONSISTENT WITH PULMONARY EDEMA. "," 4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 32877,CheXpert_Demo_Images\train\patient08010\study1\view1_frontal.jpg,patient08010,"NARRATIVE: Exam: Chest 2 Views, 8/19/2006 Clinical History: 71 years old Male with Cough Comparison: None Impression: 1. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSION, PULMONARY EDEMA OR PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. TORTUOUS DESCENDING THORACIC AORTA, WHICH CAN BE SEEN IN CASES OF HYPERTENSION. OTHERWISE, UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. 3. BONY STRUCTURES ARE WITHIN NORMAL LIMITS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 44370 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSION, PULMONARY EDEMA OR PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. TORTUOUS DESCENDING THORACIC AORTA, WHICH CAN BE SEEN IN CASES OF HYPERTENSION. OTHERWISE, UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. 3. BONY STRUCTURES ARE WITHIN NORMAL LIMITS. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 62607,CheXpert_Demo_Images\train\patient15123\study5\view1_frontal.jpg,patient15123,"NARRATIVE: EXAM: Chest 1 View, 12/21/21 CLINICAL HISTORY: Post op line placement COMPARISON: 12/21/2021 IMPRESSION: 1.NEW RIGHT NECK LINE, WHICH DOES NOT APPEAR TO BE INTRAVASCULAR. SMALL NEW RIGHT APICAL PNEUMOTHORAX. DISCUSSED WITH THE ICU AT 9:29 A.M. SMALL NEW LEFT PNEUMOTHORAX. STABLE RIGHT IJ LINE AND SHEATH, BILATERAL CHEST TUBES. 2.LOW LUNG VOLUMES, WITH STABLE BIBASILAR ATELECTASIS VERSUS CONSOLIDATION, AND A SMALL LEFT PLEURAL EFFUSION. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #E000126213U259T This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NEW RIGHT NECK LINE, WHICH DOES NOT APPEAR TO BE INTRAVASCULAR. SMALL NEW RIGHT APICAL PNEUMOTHORAX. DISCUSSED WITH THE ICU AT 9:29 A.M. SMALL NEW LEFT PNEUMOTHORAX. STABLE RIGHT IJ LINE AND SHEATH, BILATERAL CHEST TUBES. 2.LOW LUNG VOLUMES, WITH STABLE BIBASILAR ATELECTASIS VERSUS CONSOLIDATION, AND A SMALL LEFT PLEURAL EFFUSION. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 51832,CheXpert_Demo_Images\train\patient12649\study4\view1_frontal.jpg,patient12649,"NARRATIVE: CHEST: 10/21/2008. CLINICAL HISTORY: Coronary artery disease. ICU routine. COMPARISON: 10/21/2008 and prior. IMPRESSION: 1. INTERVAL REMOVAL OF LEFT CHEST TUBE. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE IN THE POSTOPERATIVE APPEARANCE TO THE CHEST WITH PERSISTENT LOW LUNG VOLUMES AND LEFT BASILAR ATELECTASIS/CONSOLIDATION. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. ACCESSION NUMBER: 867061705 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF LEFT CHEST TUBE. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE IN THE POSTOPERATIVE APPEARANCE TO THE CHEST WITH PERSISTENT LOW LUNG VOLUMES AND LEFT BASILAR ATELECTASIS/CONSOLIDATION. "," 2: Abnormal, previously reported. " 193065,CheXpert_Demo_Images\train\patient46763\study1\view1_frontal.jpg,patient46763,"NARRATIVE: CHEST PORTABLE SUPINE: 7/28/10 COMPARISON: None. CLINICAL HISTORY: Trauma. IMPRESSION: 1. TRAUMA BOARD OBSCURES OPTIMAL DETAIL. THE CARDIOMEDIASTINAL SILHOUETTE APPEARS UNREMARKABLE. NO PNEUMOTHORAX IDENTIFIED. BONES AND SOFT TISSUES APPEAR INTACT. END OF IMPRESSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: TMKPNPH This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TRAUMA BOARD OBSCURES OPTIMAL DETAIL. THE CARDIOMEDIASTINAL SILHOUETTE APPEARS UNREMARKABLE. NO PNEUMOTHORAX IDENTIFIED. BONES AND SOFT TISSUES APPEAR INTACT. ","2-ABNORMAL, PREVIOUSLY REPORTED " 72130,CheXpert_Demo_Images\train\patient17324\study5\view1_frontal.jpg,patient17324,"NARRATIVE: EXAM: Chest 2 Views, 5-3-08. HISTORY: 28 years Male, Shortness of breath. COMPARISON: CXR 5-3-2008 and CT chest 5-3-2008 IMPRESSION: 1.CATHETER POSITION IS STABLE. 2.CARDIAC SILHOUETTE WITHIN NORMAL LIMITS. 3.PERSISTENT MODERATE HETEROGENEOUS OPACITY IN THE BILATERAL SUPRAHILAR PARAMEDIASTINAL REGION, LEFT GREATER THAN RIGHT IN KEEPING WITH RADIATION CHANGES. 4.NO FOCAL CONSOLIDATION, PLEURAL EFFUSIONS OR PNEUMOTHORAX. 5.SMALL QUESTIONABLE NODULAR OPACITY AT THE RIGHT LUNG BASE COULD BE A SUMMATION OF SHADOWS; HOWEVER, ATTENTION ON NEXT FOLLOW-UP. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 178391801 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.CATHETER POSITION IS STABLE. 2.CARDIAC SILHOUETTE WITHIN NORMAL LIMITS. 3.PERSISTENT MODERATE HETEROGENEOUS OPACITY IN THE BILATERAL SUPRAHILAR PARAMEDIASTINAL REGION, LEFT GREATER THAN RIGHT IN KEEPING WITH RADIATION CHANGES. 4.NO FOCAL CONSOLIDATION, PLEURAL EFFUSIONS OR PNEUMOTHORAX. 5.SMALL QUESTIONABLE NODULAR OPACITY AT THE RIGHT LUNG BASE COULD BE A SUMMATION OF SHADOWS; HOWEVER, ATTENTION ON NEXT FOLLOW-UP. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 174551,CheXpert_Demo_Images\train\patient40847\study2\view1_frontal.jpg,patient40847,"NARRATIVE: PORTABLE CHEST: 7-27-2012 HISTORY: 94 year old female with history of weakness. COMPARISON: 7-27-2012. TECHNIQUE: Portable AP of the chest. IMPRESSION: THERE IS CARDIOMEGALY WITH PROMINENT INTERSTITIAL MARKINGS AND KERLEY B LINES CONSISTENT WITH PULMONARY EDEMA PROBABLY FROM CARDIAC CONGESTION. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Eduardo Lowery on: 7/2012 ACCESSION NUMBER: 543765154236 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," THERE IS CARDIOMEGALY WITH PROMINENT INTERSTITIAL MARKINGS AND KERLEY B LINES CONSISTENT WITH PULMONARY EDEMA PROBABLY FROM CARDIAC CONGESTION. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Eduardo Lowery on: 7/2012 " 45921,CheXpert_Demo_Images\train\patient11196\study1\view1_frontal.jpg,patient11196,"NARRATIVE: CHEST: 12-29-12 FINDINGS: A PA chest view demonstrates a subpulmonic pleural effusion on the left. Scattered linear densities in the left lower lung field are unchanged and these may represent scarring. The lung fields are otherwise clear. IMPRESSION: LEFT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 44622158 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A PA chest view demonstrates a subpulmonic pleural effusion on the left. Scattered linear densities in the left lower lung field are unchanged and these may represent scarring. The lung fields are otherwise clear. "," LEFT PLEURAL EFFUSION. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 30866,CheXpert_Demo_Images\train\patient07546\study1\view1_frontal.jpg,patient07546,"NARRATIVE: EXAM: Chest 1 View Portable, Tibia and Fibula Left, Chest 1 View, 2-23-04 HOURS- 11:59 HOURS CLINICAL HISTORY: 99 year old-old Unknown. Trauma COMPARISON: None IMPRESSION: 1. THREE VIEWS OF THE LEFT TIBIA AND FIBULA DEMONSTRATE NO FRACTURE OR MALALIGNMENT. NO KNEE JOINT EFFUSION. CALCIFICATION SEEN IN THE DISTAL QUADRICEPS TENDON. 2. SINGLE FRONTAL VIEW OF THE CHEST AT 8:22 HOURS DEMONSTRATES WIDENING OF THE SUPERIOR MEDIASTINUM LIKELY RELATED TO SUPINE POSITIONING. REPEAT VIEW AT 11:59 HOURS SHOWS NORMAL CARDIOMEDIASTINAL SILHOUETTE. NO FOCAL AIRSPACE OPACITIES. NO FRACTURE OR PNEUMOTHORAX. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 12cnRoXJo This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THREE VIEWS OF THE LEFT TIBIA AND FIBULA DEMONSTRATE NO FRACTURE OR MALALIGNMENT. NO KNEE JOINT EFFUSION. CALCIFICATION SEEN IN THE DISTAL QUADRICEPS TENDON. 2. SINGLE FRONTAL VIEW OF THE CHEST AT 8:22 HOURS DEMONSTRATES WIDENING OF THE SUPERIOR MEDIASTINUM LIKELY RELATED TO SUPINE POSITIONING. REPEAT VIEW AT 11:59 HOURS SHOWS NORMAL CARDIOMEDIASTINAL SILHOUETTE. NO FOCAL AIRSPACE OPACITIES. NO FRACTURE OR PNEUMOTHORAX. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 30760,CheXpert_Demo_Images\train\patient07516\study1\view2_lateral.jpg,patient07516,"NARRATIVE: Chest radiograph, two views: 2/12/05 CLINICAL HISTORY: 77-year-old female, evaluate for pneumonia. Converse COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest. FINDINGS: Trachea is midline. Cardiomediastinal silhouette is normal in size and configuration. There is a prominent airspace opacity in the medial right base, silhouette in the margins of the medial aspect of the right hemidiaphragm but not the right heart border. Thus, this may be located within the right lower lobe. Furthermore, there are patchy airspace opacities in the left base with blunting of the left hemidiaphragm, suggesting an associated pleural effusion. No pneumothorax or pulmonary edema is identified. The visualized osseous structures revealed minimal degenerative changes of the thoracic spine. Mild calcification of the upper abdominal aorta is seen on the lateral view. IMPRESSION: medial right base and peripheral left base air-space opacities with likely left pleural effusion. Findings are concerning for pneumonia, possible aspiration. END OF IMPRESSION: SUMMARY: 4:-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: JEYNSY0H This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Trachea is midline. Cardiomediastinal silhouette is normal in size and configuration. There is a prominent airspace opacity in the medial right base, silhouette in the margins of the medial aspect of the right hemidiaphragm but not the right heart border. Thus, this may be located within the right lower lobe. Furthermore, there are patchy airspace opacities in the left base with blunting of the left hemidiaphragm, suggesting an associated pleural effusion. No pneumothorax or pulmonary edema is identified. The visualized osseous structures revealed minimal degenerative changes of the thoracic spine. Mild calcification of the upper abdominal aorta is seen on the lateral view. "," medial right base and peripheral left base air-space opacities with likely left pleural effusion. Findings are concerning for pneumonia, possible aspiration. "," 4:-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 126350,CheXpert_Demo_Images\train\patient30300\study5\view1_frontal.jpg,patient30300,"NARRATIVE: CHEST ONE VIEW: 8/19/2001 CLINICAL HISTORY: An 87-year-old male with right lower lobe lung cancer. Rule out pneumothorax. COMPARISON: 8-19-01. FINDINGS: Two right-sided chest tubes are redemonstrated and unchanged. There is extensive subcutaneous emphysema. A small right apical pneumothorax is visualized. Bilateral reticular interstitial pattern is unchanged. IMPRESSION: SMALL RIGHT APICAL PNEUMOTHORAX IS DEMONSTRATED. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: CROSS, ULICES T on: 8/19/2001 ACCESSION NUMBER: kuzjqmlmwed This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Two right-sided chest tubes are redemonstrated and unchanged. There is extensive subcutaneous emphysema. A small right apical pneumothorax is visualized. Bilateral reticular interstitial pattern is unchanged. "," SMALL RIGHT APICAL PNEUMOTHORAX IS DEMONSTRATED. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: CROSS, ULICES T on: 8/19/2001 " 12928,CheXpert_Demo_Images\train\patient03203\study2\view1_frontal.jpg,patient03203,"NARRATIVE: CHEST, 6/27/2009 AND 6/27/09 COMPARISON: None. FINDINGS: 6/27/2009: The cardiac silhouette is enlarged. A unipolar pacemaker device is seen projecting over the left hemithorax, with lead terminating in the right ventricle. A right internal jugular central venous catheter is in place, with tip at the level of the right brachycephalic vein. Mild pulmonary interstitial edema is present. Additionally, retrocardiac left lower lobe opacity is seen that likely suggests atelectasis. No evidence is seen for a pneumothorax. 6-27-2009: There has been interval decrease in pulmonary interstitial edema. Retrocardiac atelectatic changes persist. No evidence is seen for a pneumothorax. Calcific opacity projecting over the superior aspect of the left humeral head can now be appreciated, likely suggesting calcific tendinitis. At the inferior edge of the image, a vertically oriented linear opacity is seen projecting to the right of midline that may represent an overlying wire or tube, for which clinical correlation is suggested. IMPRESSION: 1. STATUS POST PLACEMENT OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, WITHOUT EVIDENCE SEEN FOR A PNEUMOTHORAX. 2. SLIGHT PULMONARY INTERSTITIAL EDEMA ON INITIAL FILM OF THE SEQUENCE, WHICH HAS IMPROVED BY THE SECOND FILM. 3. PERSISTENT RETROCARDIAC LEFT LOWER LOBE ATELECTASIS. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. __________________________________ ACCESSION NUMBER: 6340977630 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 6/27/2009: The cardiac silhouette is enlarged. A unipolar pacemaker device is seen projecting over the left hemithorax, with lead terminating in the right ventricle. A right internal jugular central venous catheter is in place, with tip at the level of the right brachycephalic vein. Mild pulmonary interstitial edema is present. Additionally, retrocardiac left lower lobe opacity is seen that likely suggests atelectasis. No evidence is seen for a pneumothorax. 6-27-2009: There has been interval decrease in pulmonary interstitial edema. Retrocardiac atelectatic changes persist. No evidence is seen for a pneumothorax. Calcific opacity projecting over the superior aspect of the left humeral head can now be appreciated, likely suggesting calcific tendinitis. At the inferior edge of the image, a vertically oriented linear opacity is seen projecting to the right of midline that may represent an overlying wire or tube, for which clinical correlation is suggested. "," 1. STATUS POST PLACEMENT OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, WITHOUT EVIDENCE SEEN FOR A PNEUMOTHORAX. 2. SLIGHT PULMONARY INTERSTITIAL EDEMA ON INITIAL FILM OF THE SEQUENCE, WHICH HAS IMPROVED BY THE SECOND FILM. 3. PERSISTENT RETROCARDIAC LEFT LOWER LOBE ATELECTASIS. "," 4: Possible significant abnormality/change, may need action. __________________________________ " 95010,CheXpert_Demo_Images\train\patient22868\study1\view1_frontal.jpg,patient22868,"NARRATIVE: SINGLE VIEW CHEST: 6/12/2003 COMPARISON: None available. CLINICAL HISTORY: Moyamoya. Evaluate line placement. FINDINGS: There is a left subclavian central venous catheter with the tip extending superiorly likely in the left internal jugular vein. The remainder of the lungs appear grossly clear. Question mild cephalization of the vessels bilaterally at the lung apices, which may represent mild pulmonary edema. Cardiomediastinal silhouette appears unremarkable. IMPRESSION: 1. INTERVAL PLACEMENT OF A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER WITH THE TIP SEEN EXTENDING SUPERIORLY LIKELY WITHIN THE LEFT INTERNAL JUGULAR VEIN. 2. QUESTION MILD PULMONARY EDEMA AT THE BILATERAL LUNG APICES. NO FOCAL AIR SPACE CONSOLIDATION. 3. CARDIOMEDIASTINAL SILHOUETTE APPEARS WITHIN NORMAL LIMITS. 4. FINDINGS WERE DISCUSSED WITH M.D. Camila AT 1100 ON 03 12th june. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #42303554385 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a left subclavian central venous catheter with the tip extending superiorly likely in the left internal jugular vein. The remainder of the lungs appear grossly clear. Question mild cephalization of the vessels bilaterally at the lung apices, which may represent mild pulmonary edema. Cardiomediastinal silhouette appears unremarkable. "," 1. INTERVAL PLACEMENT OF A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER WITH THE TIP SEEN EXTENDING SUPERIORLY LIKELY WITHIN THE LEFT INTERNAL JUGULAR VEIN. 2. QUESTION MILD PULMONARY EDEMA AT THE BILATERAL LUNG APICES. NO FOCAL AIR SPACE CONSOLIDATION. 3. CARDIOMEDIASTINAL SILHOUETTE APPEARS WITHIN NORMAL LIMITS. 4. FINDINGS WERE DISCUSSED WITH M.D. Camila AT 1100 ON 03 12th june. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 151587,CheXpert_Demo_Images\train\patient35826\study1\view1_frontal.jpg,patient35826,"NARRATIVE: CHEST X-RAY: 5-13-2018 COMPARISON: 5/13/2018 CLINICAL HISTORY: A 67-year-old female, evaluate fluid status. IMPRESSION: 1. A SINGLE FRONTAL SEMI-UPRIGHT VIEW OF THE CHEST DEMONSTRATES PERSISTENT CARDIOMEGALY. 2. DECREASED LUNG VOLUMES IN COMPARISON TO THE PRIOR EXAMINATION, BUT NO EVIDENCE FOR FOCAL INFILTRATE OR PULMONARY EDEMA. END OF IMPRESSION: SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 96373160699 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. A SINGLE FRONTAL SEMI-UPRIGHT VIEW OF THE CHEST DEMONSTRATES PERSISTENT CARDIOMEGALY. 2. DECREASED LUNG VOLUMES IN COMPARISON TO THE PRIOR EXAMINATION, BUT NO EVIDENCE FOR FOCAL INFILTRATE OR PULMONARY EDEMA. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 180204,CheXpert_Demo_Images\train\patient42420\study1\view1_frontal.jpg,patient42420,"NARRATIVE: Chest 1 View: 1-22-2001 HISTORY: Male, 69 years old, reason for exam: ""Tachycardia "". COMPARISON: Chest radiograph 01/22/01. IMPRESSION: 1.CARDIOMEGALY 2.SMALL LEFT PLEURAL EFFUSION 3.MINOR LEFT BASE ATELECTASIS VERSUS SCAR 4.POSSIBLE RIGHT LOWER LOBE OPACITY. RECOMMEND REPEAT CHEST X-RAY SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 04240392 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.CARDIOMEGALY 2.SMALL LEFT PLEURAL EFFUSION 3.MINOR LEFT BASE ATELECTASIS VERSUS SCAR 4.POSSIBLE RIGHT LOWER LOBE OPACITY. RECOMMEND REPEAT CHEST X-RAY ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 40123,CheXpert_Demo_Images\train\patient09840\study2\view1_frontal.jpg,patient09840,"NARRATIVE: SINGLE VIEW CHEST: 4/11/2004 COMPARISON: 11/04/2004. CLINICAL HISTORY: A 48-year-old man line placement. IMPRESSION: 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH THE TIP PROJECTING OVER THE MID SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. CLEAR LUNGS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: HaIEYEMsc3j This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH THE TIP PROJECTING OVER THE MID SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. CLEAR LUNGS. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 74278,CheXpert_Demo_Images\train\patient17829\study5\view1_frontal.jpg,patient17829,"NARRATIVE: CHEST AP PORTABLE: 7-19-2004 CLINICAL HISTORY: This is a 94 year old male with ICU followup. IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST DONE ON 7/19/2004 AT 1037 DEMONSTRATES A RIGHT IJ LOCATED WITHIN THE RIGHT ATRIUM. THERE IS A RIGHT PLEURAL EFFUSION, SMALL. RIGHT BASE OPACITY IS SEEN AS LINEAR OPACITIES. THERE IS NO PULMONARY EDEMA. STABLE CARDIOMEDIASTINAL SILHOUETTE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 79594821156 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST DONE ON 7/19/2004 AT 1037 DEMONSTRATES A RIGHT IJ LOCATED WITHIN THE RIGHT ATRIUM. THERE IS A RIGHT PLEURAL EFFUSION, SMALL. RIGHT BASE OPACITY IS SEEN AS LINEAR OPACITIES. THERE IS NO PULMONARY EDEMA. STABLE CARDIOMEDIASTINAL SILHOUETTE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 163557,CheXpert_Demo_Images\train\patient38199\study3\view2_frontal.jpg,patient38199,"NARRATIVE: Chest 1 View 7-12 CLINICAL HISTORY: 69 years-old Female. Respiratory failure COMPARISON: 7/12/2011 IMPRESSION: 1.ENDOTRACHEAL TUBE TIP 2 CM FROM THE CARINA. RIGHT JUGULAR CENTRAL VENOUS CATHETER POSITIONED AT THE ATRIOCAVAL JUNCTION. INTERVAL PLACEMENT OF NASOGASTRIC TUBE AND ESOPHAGOGASTRIC FEEDING TUBE, BOTH OF WHICH COURSE INFERIOR TO THE DIAPHRAGM AND ARE EXCLUDED FROM THE FIELD-OF-VIEW. 2.UNCHANGED LEFT BASILAR/RETROCARDIAC CONSOLIDATION WITH LIKELY ACCOMPANYING PLEURAL EFFUSION. MINIMAL RIGHT BASILAR OPACITIES. NO PNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: YNFL This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.ENDOTRACHEAL TUBE TIP 2 CM FROM THE CARINA. RIGHT JUGULAR CENTRAL VENOUS CATHETER POSITIONED AT THE ATRIOCAVAL JUNCTION. INTERVAL PLACEMENT OF NASOGASTRIC TUBE AND ESOPHAGOGASTRIC FEEDING TUBE, BOTH OF WHICH COURSE INFERIOR TO THE DIAPHRAGM AND ARE EXCLUDED FROM THE FIELD-OF-VIEW. 2.UNCHANGED LEFT BASILAR/RETROCARDIAC CONSOLIDATION WITH LIKELY ACCOMPANYING PLEURAL EFFUSION. MINIMAL RIGHT BASILAR OPACITIES. NO PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 172991,CheXpert_Demo_Images\train\patient40417\study1\view1_frontal.jpg,patient40417,"NARRATIVE: ONE VIEW CHEST: 5/7/2001 COMPARISON: One view chest 5-7-2001 HISTORY: Aortic dissection status post- CVP placement. IMPRESSION: 1. INTERVAL PLACEMENT OF LEFT IJ LINE NOW DISTAL TIP IN THE INNOMINATE. 2. NO CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT CARDIOMEGALY, MINIMAL PULMONARY EDEMA, AND NO EVIDENCE OF PNEUMOTHORAX. END OF IMPRESSION: SUMMARY 2: Abnormal; previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: BAILEY LOGAN E., MD. on: May 7, 01 __________________________________ ACCESSION NUMBER: 3029123233 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF LEFT IJ LINE NOW DISTAL TIP IN THE INNOMINATE. 2. NO CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT CARDIOMEGALY, MINIMAL PULMONARY EDEMA, AND NO EVIDENCE OF PNEUMOTHORAX. "," 2: Abnormal; previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: BAILEY LOGAN E., MD. on: May 7, 01 __________________________________ " 133571,CheXpert_Demo_Images\train\patient32074\study1\view1_frontal.jpg,patient32074,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 10/29/05 AVANOS MEDICAL 19:05 HOURS COMPARISON: None. CLINICAL HISTORY: Subarachnoid bleed. Status post line placement. FINDINGS: Mid left subclavian central venous catheter is seen with tip in the SVC. No pneumothorax is noted. Mediastinal and cardiac silhouettes appear within normal limits. The lungs appear clear. No evidence of atelectasis or consolidation. No other pleural or bony abnormalities are noted. IMPRESSION: 1. INTERVAL PLACEMENT OF A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER WITH TIP IN THE SVC. NO EVIDENCE OF PNEUMOTHORAX. 2. THE LUNGS APPEAR CLEAR. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Stout, Emerson on: OCTOBER 29 ACCESSION NUMBER: 731_491 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Mid left subclavian central venous catheter is seen with tip in the SVC. No pneumothorax is noted. Mediastinal and cardiac silhouettes appear within normal limits. The lungs appear clear. No evidence of atelectasis or consolidation. No other pleural or bony abnormalities are noted. "," 1. INTERVAL PLACEMENT OF A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER WITH TIP IN THE SVC. NO EVIDENCE OF PNEUMOTHORAX. 2. THE LUNGS APPEAR CLEAR. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. "," 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Stout, Emerson on: OCTOBER 29 " 55464,CheXpert_Demo_Images\train\patient13468\study2\view1_frontal.jpg,patient13468,"NARRATIVE: PORTABLE CHEST ONE VIEW: 17TH MAY CLINICAL DATA: 63-year-old female with left chest laceration status post stabbing. COMPARISON: 5-17-2015 IMPRESSION: 1. NO EVIDENCE OF PNEUMOTHORAX OR SUBCUTANEOUS EMPHYSEMA. 2. REDEMONSTRATION OF LEFT RETROCARDIAC OPACITY WITH DECREASED RIGHT-SIDED ATELECTASIS SINCE THE PRIOR STUDY. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: adeline, dr. on: 5/17/2015 ACCESSION NUMBER: 58994311 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO EVIDENCE OF PNEUMOTHORAX OR SUBCUTANEOUS EMPHYSEMA. 2. REDEMONSTRATION OF LEFT RETROCARDIAC OPACITY WITH DECREASED RIGHT-SIDED ATELECTASIS SINCE THE PRIOR STUDY. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: adeline, dr. on: 5/17/2015 " 192408,CheXpert_Demo_Images\train\patient46516\study4\view1_frontal.jpg,patient46516,"NARRATIVE: TECHNIQUE: AP PORTABLE CHEST, 11/6/2012 COMPARISON: AP chest, 11/6/2012 CLINICAL HISTORY: A 70-year-old female intubated in the ICU and septic. IMPRESSION: 1. UNCHANGED POSITIONING OF ENDOTRACHEAL TUBE, LEFT INTERNAL JUGULAR VENOUS CATHETER WITH DISTAL TIP IN THE INNOMINATE VEIN, ENTERIC TUBE WITH DISTAL TIP NOT VISUALIZED, THORACIC SPINAL FUSION ORTHOPEDIC HARDWARE, AND SURGICAL DRAINS OVERLYING THE MEDIASTINUM. 2. LOW LUNG VOLUMES, NO SIGNIFICANT CONSOLIDATION OR INTERVAL CHANGE. 3. CARDIOMEDIASTINAL SILHOUETTE LIKELY UNCHANGED FROM PRIOR GIVEN ROTATION OF PRIOR FILM. IF CLINICAL CONCERN, WOULD RECOMMEND REPEAT CHEST X-RAY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #yJHRWFg This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UNCHANGED POSITIONING OF ENDOTRACHEAL TUBE, LEFT INTERNAL JUGULAR VENOUS CATHETER WITH DISTAL TIP IN THE INNOMINATE VEIN, ENTERIC TUBE WITH DISTAL TIP NOT VISUALIZED, THORACIC SPINAL FUSION ORTHOPEDIC HARDWARE, AND SURGICAL DRAINS OVERLYING THE MEDIASTINUM. 2. LOW LUNG VOLUMES, NO SIGNIFICANT CONSOLIDATION OR INTERVAL CHANGE. 3. CARDIOMEDIASTINAL SILHOUETTE LIKELY UNCHANGED FROM PRIOR GIVEN ROTATION OF PRIOR FILM. IF CLINICAL CONCERN, WOULD RECOMMEND REPEAT CHEST X-RAY. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 64469,CheXpert_Demo_Images\train\patient15536\study1\view1_frontal.jpg,patient15536,"NARRATIVE: CHEST TWO VIEWS: 1-12-2008 COMPARISON: No prior studies available for comparison. CLINICAL DATA: Lung carcinoma with hemoptysis. IMPRESSION: 1. AP AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A LARGE MASS PROJECTING OVER THE RIGHT HILUM, WITH PERIPHERAL ATELECTASIS. THERE IS ALSO A SMALL RIGHT-SIDED PLEURAL EFFUSION. THERE IS ALSO A SMALL ILL-DEFINED NODULE PERIPHERIALLY IN THE LEFT MID ZONE. THE LEFT LUNG, OTHERWISE, APPEARS CLEAR. 2. THE BONES APPEAR MARKEDLY OSTEOPENIC. NO OBVIOUS FOCAL BONY LYTIC LESIONS DEMONSTRATED. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 2809510 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A LARGE MASS PROJECTING OVER THE RIGHT HILUM, WITH PERIPHERAL ATELECTASIS. THERE IS ALSO A SMALL RIGHT-SIDED PLEURAL EFFUSION. THERE IS ALSO A SMALL ILL-DEFINED NODULE PERIPHERIALLY IN THE LEFT MID ZONE. THE LEFT LUNG, OTHERWISE, APPEARS CLEAR. 2. THE BONES APPEAR MARKEDLY OSTEOPENIC. NO OBVIOUS FOCAL BONY LYTIC LESIONS DEMONSTRATED. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 146390,CheXpert_Demo_Images\train\patient34980\study1\view1_frontal.jpg,patient34980,"NARRATIVE: (#y3-we-4j) SINGLE VIEW PORTABLE CHEST X-RAY: 12/19/17. (97747416646) SINGLE VIEW PORTABLE CHEST X-RAY: 12-19-17. COMPARISON: There are no prior studies available for a comparison. FINDINGS: (Y3WE4J) The patient is intubated with the ET tip at the level of the clavicles. Right subclavian line with tip at the cavoatrial junction. The patient has two right pleural pigtail drains. No pneumothorax. Bilateral interstitial pattern suggesting interstitial pulmonary edema. Band-like opacity in the right mid- lung zone could be fluid in the minor fissure. (97-74-74-16-64-6) Interval removal of right subclavian line with placement of right subclavian Swan-Ganz catheter with tip positioned in the right pulmonary artery. Otherwise supportive equipment is stable. New left upper lobe atelectasis. Opaque object overlying the left lower lung, likely syringe with contrast. IMPRESSION: SEQUENCE OF TWO PORTABLE CHEST X-RAYS: 1. INTERVAL REMOVAL OF RIGHT SUBCLAVIAN LINE, REPLACED BY A RIGHT SUBCLAVIAN SWAN-GANZ CATHETER WITH TIP POSITIONED IN THE PULMONARY ARTERY. 2. BILATERAL INTERSTITIAL PATTERN SUGGESTING INTERSTITIAL PULMONARY EDEMA. BAND-LIKE OPACITY IN THE RIGHT MID-LUNG ZONE COULD BE FLUID IN THE MINOR FISSURE. INTERVAL DEVELOPMENT OF NEW LEFT UPPER LOBE ATELECTASIS. OPAQUE OBJECT OVERLYING THE LEFT LOWER LUNG, LIKELY SYRINGE WITH CONTRAST. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Le, Tobias on: 12-19-2017 ACCESSION NUMBER: Y3WE4J This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," (Y3WE4J) The patient is intubated with the ET tip at the level of the clavicles. Right subclavian line with tip at the cavoatrial junction. The patient has two right pleural pigtail drains. No pneumothorax. Bilateral interstitial pattern suggesting interstitial pulmonary edema. Band-like opacity in the right mid- lung zone could be fluid in the minor fissure. (97-74-74-16-64-6) Interval removal of right subclavian line with placement of right subclavian Swan-Ganz catheter with tip positioned in the right pulmonary artery. Otherwise supportive equipment is stable. New left upper lobe atelectasis. Opaque object overlying the left lower lung, likely syringe with contrast. "," SEQUENCE OF TWO PORTABLE CHEST X-RAYS: 1. INTERVAL REMOVAL OF RIGHT SUBCLAVIAN LINE, REPLACED BY A RIGHT SUBCLAVIAN SWAN-GANZ CATHETER WITH TIP POSITIONED IN THE PULMONARY ARTERY. 2. BILATERAL INTERSTITIAL PATTERN SUGGESTING INTERSTITIAL PULMONARY EDEMA. BAND-LIKE OPACITY IN THE RIGHT MID-LUNG ZONE COULD BE FLUID IN THE MINOR FISSURE. INTERVAL DEVELOPMENT OF NEW LEFT UPPER LOBE ATELECTASIS. OPAQUE OBJECT OVERLYING THE LEFT LOWER LUNG, LIKELY SYRINGE WITH CONTRAST. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Le, Tobias on: 12-19-2017 " 222127,CheXpert_Demo_Images\train\patient63542\study1\view1_frontal.jpg,patient63542,"NARRATIVE: X-RAY CHEST, ONE VIEW: 11/22/2019 COMPARISON: X-ray chest 11/22/2019. IMPRESSION: 1. BIBASILAR OPACITIES ARE NOTED, POSSIBLY SECONDARY TO LOW LUNG VOLUMES. LEFT-SIDED PLEURAL EFFUSION WITH POSSIBLE SMALL RIGHT-SIDED EFFUSION. 2. CARDIOMEGALY. 3. POSSIBLE VERY MILD PULMONARY EDEMA. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 686628212217 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. BIBASILAR OPACITIES ARE NOTED, POSSIBLY SECONDARY TO LOW LUNG VOLUMES. LEFT-SIDED PLEURAL EFFUSION WITH POSSIBLE SMALL RIGHT-SIDED EFFUSION. 2. CARDIOMEGALY. 3. POSSIBLE VERY MILD PULMONARY EDEMA. ","4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 212609,CheXpert_Demo_Images\train\patient56840\study1\view1_frontal.jpg,patient56840,"NARRATIVE: SINGLE PORTABLE SEMIUPRIGHT VIEW OF THE CHEST: 9/6/2019 AT 0554 HOURS. COMPARISON: 09-06 at 0508 hours. CLINICAL HISTORY: Critical care follow up. IMPRESSION: 1. STABLE LEFT CHEST WALL PACER WITH THE TIPS IN THE RIGHT ATRIUM AND RIGHT VENTRICLE. MEDIAN STERNOTOMY WIRES. PROSTHETIC VALVE. MEDIASTINAL CLIPS AND LEFT AXILLARY SURGICAL CLIPS. 2. LUNG VOLUMES ARE LOW. LUNGS ARE OTHERWISE CLEAR. 3. LEFT MID AND UPPER RIB FRACTURE DEFORMITIES. ACCESSION NUMBER: x.h.D.x.Q.T This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE LEFT CHEST WALL PACER WITH THE TIPS IN THE RIGHT ATRIUM AND RIGHT VENTRICLE. MEDIAN STERNOTOMY WIRES. PROSTHETIC VALVE. MEDIASTINAL CLIPS AND LEFT AXILLARY SURGICAL CLIPS. 2. LUNG VOLUMES ARE LOW. LUNGS ARE OTHERWISE CLEAR. 3. LEFT MID AND UPPER RIB FRACTURE DEFORMITIES. ", 142509,CheXpert_Demo_Images\train\patient34287\study15\view1_frontal.jpg,patient34287,"NARRATIVE: PA AND LATERAL VIEWS OF THE CHEST: 5/28/2004 COMPARISON: 5-28-2004 CLINICAL HISTORY: Status post heart transplant. FINDINGS: Partially loculated small to moderate bilateral pleural effusions are again identified, demonstrating on balance Mild interval improvement. There is patchy subsegmental atelectasis and/or consolidation in the mid to lower lungs, mILDly decreased. Pulmonary vascularity is mildly prominent. Mild cardiomegaly is again noted. Right-sided central venous catheter and permanent transvenous pacemaker remain in place. Right chest tube has been removed. IMPRESSION: 1. MILD INTERVAL IMPROVEMENT OF SMALL TO MODERATE BILATERAL PROBABLY PARTIALLY LOCULATED BILATERAL PLURAL EFFUSIONS. 2. PATCHY SUBSEGMENTAL ATELECTASIS/CONSOLIDATION IN THE MID TO LOWER LUNGS, MILDLY DECREASED. 3. PERSISTENT MILD CARDIOMEGALY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: aM04WYAtQ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Partially loculated small to moderate bilateral pleural effusions are again identified, demonstrating on balance Mild interval improvement. There is patchy subsegmental atelectasis and/or consolidation in the mid to lower lungs, mILDly decreased. Pulmonary vascularity is mildly prominent. Mild cardiomegaly is again noted. Right-sided central venous catheter and permanent transvenous pacemaker remain in place. Right chest tube has been removed. "," 1. MILD INTERVAL IMPROVEMENT OF SMALL TO MODERATE BILATERAL PROBABLY PARTIALLY LOCULATED BILATERAL PLURAL EFFUSIONS. 2. PATCHY SUBSEGMENTAL ATELECTASIS/CONSOLIDATION IN THE MID TO LOWER LUNGS, MILDLY DECREASED. 3. PERSISTENT MILD CARDIOMEGALY. ","2-ABNORMAL, PREVIOUSLY REPORTED " 204484,CheXpert_Demo_Images\train\patient51766\study2\view1_frontal.jpg,patient51766,"NARRATIVE: PORTABLE CHEST 03 June 17: COMPARISON: 6-17-2003. IMPRESSION: 1. INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. LEFT IJ CENTRAL LINE REMAINS POSITIONED, WITH THE TIP TERMINATING JUNCTION OF THE IJ AND SUBCLAVIAN VEIN. MEDIASTINAL DRAIN TUBE. LEFT UPPER QUADRANT SURGICAL CLIPS. 2. LOW LUNG VOLUMES WITH BIBASILAR ATELECTASIS, STATUS POST MEDIAN STERNOTOMY. MINIMAL LEFT PLEURAL EFFUSION QUESTIONED. END OF IMPRESSION: ACCESSION NUMBER: 95700315210 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. LEFT IJ CENTRAL LINE REMAINS POSITIONED, WITH THE TIP TERMINATING JUNCTION OF THE IJ AND SUBCLAVIAN VEIN. MEDIASTINAL DRAIN TUBE. LEFT UPPER QUADRANT SURGICAL CLIPS. 2. LOW LUNG VOLUMES WITH BIBASILAR ATELECTASIS, STATUS POST MEDIAN STERNOTOMY. MINIMAL LEFT PLEURAL EFFUSION QUESTIONED. ", 198061,CheXpert_Demo_Images\train\patient48803\study1\view1_frontal.jpg,patient48803,"NARRATIVE: Exam: Chest 1 View, 8-27-2021 This study was resubmitted for interpretation on 8-27-2021. Comparison: 8/27/2021. Clinical History: Male, 74 years old post central line placement Findings: A portable upright radiograph of the chest was obtained. There are low lung volumes. No focal pulmonary consolidation or pleural effusion is seen. The cardiomediastinal silhouette is stable. There is been interval placement of a right internal jugular central venous catheter with the tip in the upper right atrium. No pneumothorax is seen. The pulmonary vasculature is within normal limits. IMPRESSION: 1.Post right internal jugular central venous catheter placement with tip in the upper right atrium. No pneumothorax is seen. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 96858959 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A portable upright radiograph of the chest was obtained. There are low lung volumes. No focal pulmonary consolidation or pleural effusion is seen. The cardiomediastinal silhouette is stable. There is been interval placement of a right internal jugular central venous catheter with the tip in the upper right atrium. No pneumothorax is seen. The pulmonary vasculature is within normal limits. "," 1.Post right internal jugular central venous catheter placement with tip in the upper right atrium. No pneumothorax is seen. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 60104,CheXpert_Demo_Images\train\patient14526\study1\view1_frontal.jpg,patient14526,"NARRATIVE: PORTABLE CHEST SINGLE VIEW: 11/4/2010 CLINICAL HISTORY: 53-year-old male with left leg cellulitis. COMPARISON: None available. FINDINGS: Cardiomediastinal silhouette is unremarkable. Lung volumes are low. There is prominence of bilateral hila with mild peribronchial cuffing consistent with mild pulmonary edema. Retrocardiac opacity is demonstrated, likely atelectasis. IMPRESSION: 1. MILD PULMONARY EDEMA. 2. LOW LUNG VOLUMES WITH RETROCARDIAC OPACITY, LIKELY ATELECTASIS. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Nina, Reed on: 11/4/10 ACCESSION NUMBER: 30924 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Cardiomediastinal silhouette is unremarkable. Lung volumes are low. There is prominence of bilateral hila with mild peribronchial cuffing consistent with mild pulmonary edema. Retrocardiac opacity is demonstrated, likely atelectasis. "," 1. MILD PULMONARY EDEMA. 2. LOW LUNG VOLUMES WITH RETROCARDIAC OPACITY, LIKELY ATELECTASIS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Nina, Reed on: 11/4/10 " 133560,CheXpert_Demo_Images\train\patient32069\study1\view2_frontal.jpg,patient32069,"NARRATIVE: THREE VIEWS OF THE RIGHT HAND, THREE VIEWS OF THE LEFT HAND, FIVE VIEWS OF THE RIGHT FEMUR, SINGLE VIEW OF THE PELVIS, AND TWO VIEWS OF THE CHEST: december 26, 2013 COMPARISON: None. CLINICAL HISTORY: A 31-year-old male with history of trauma. IMPRESSION: 1. THREE VIEWS OF THE RIGHT HAND DEMONSTRATE NO DEFINITE EVIDENCE OF FRACTURE OR DISLOCATION. A SUBTLE CORTICAL LUCENCY IS SEEN AT THE BASE OF THE 4TH METACARPAL, LIKELY REPRESENTING A VASCULAR GROOVE. 2. THREE VIEWS OF THE LEFT HAND DEMONSTRATE NO DEFINITE EVIDENCE OF FRACTURE OR DISLOCATION. 3. FIVE VIEWS OF THE RIGHT FEMUR DEMONSTRATE NO DEFINITE EVIDENCE OF FRACTURE OR DISLOCATION. 4. SINGLE FRONTAL VIEW OF THE PELVIS DEMONSTRATES TRANSITIONAL ANATOMY AT THE L5-S1 LEVEL. OTHERWISE, NO DEFINITE EVIDENCE OF FRACTURE OR DISLOCATION. 5. TWO VIEWS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. NO EVIDENCE OF CONSOLIDATION, EFFUSION, OR PNEUMOTHORAX. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1NO0441CR76 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THREE VIEWS OF THE RIGHT HAND DEMONSTRATE NO DEFINITE EVIDENCE OF FRACTURE OR DISLOCATION. A SUBTLE CORTICAL LUCENCY IS SEEN AT THE BASE OF THE 4TH METACARPAL, LIKELY REPRESENTING A VASCULAR GROOVE. 2. THREE VIEWS OF THE LEFT HAND DEMONSTRATE NO DEFINITE EVIDENCE OF FRACTURE OR DISLOCATION. 3. FIVE VIEWS OF THE RIGHT FEMUR DEMONSTRATE NO DEFINITE EVIDENCE OF FRACTURE OR DISLOCATION. 4. SINGLE FRONTAL VIEW OF THE PELVIS DEMONSTRATES TRANSITIONAL ANATOMY AT THE L5-S1 LEVEL. OTHERWISE, NO DEFINITE EVIDENCE OF FRACTURE OR DISLOCATION. 5. TWO VIEWS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. NO EVIDENCE OF CONSOLIDATION, EFFUSION, OR PNEUMOTHORAX. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 132479,CheXpert_Demo_Images\train\patient31804\study2\view1_frontal.jpg,patient31804,"NARRATIVE: SINGLE VIEW OF THE CHEST: 6/10/2013 at 0813 hours COMPARISON: 6/10/2013 at 2052 hours IMPRESSION: 1. PORTABLE AP UPRIGHT VIEW OF THE CHEST DEMONSTRATES A SINGLE LEAD PACEMAKER THAT IS UNCHANGED. STABLE CARDIOMEGALY. NO PULMONARY EDEMA. 2. BILATERAL LEFT GREATER THAN RIGHT SIDE PLEURAL EFFUSIONS WITH BIBASILAR ATELECTASIS. RIGHT-SIDED PERIHILAR OPACITY LIKELY REPRESENTING ASPIRATION, CONSOLIDATION OR ATELECTASIS. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: wz-pu-xb-qf This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE AP UPRIGHT VIEW OF THE CHEST DEMONSTRATES A SINGLE LEAD PACEMAKER THAT IS UNCHANGED. STABLE CARDIOMEGALY. NO PULMONARY EDEMA. 2. BILATERAL LEFT GREATER THAN RIGHT SIDE PLEURAL EFFUSIONS WITH BIBASILAR ATELECTASIS. RIGHT-SIDED PERIHILAR OPACITY LIKELY REPRESENTING ASPIRATION, CONSOLIDATION OR ATELECTASIS. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 113478,CheXpert_Demo_Images\train\patient27251\study2\view1_frontal.jpg,patient27251,"NARRATIVE: BGIXZBCC: SINGLE VIEW PORTABLE CHEST: 5-4-17 44984378327: SINGLE VIEW PORTABLE CHEST: 05-04 FINDINGS: On the first film, there has been interval placement of a new endotracheal tube, which is at the thoracic inlet. There are low lung volumes. There is persistent blunting of the left costophrenic angle, which could represent a small pleural effusion or pleural thickening. The subsequent film does not include the right costophrenic angle and is significantly rotated. Otherwise, there is no significant interval change. IMPRESSION: BLUNTING OF THE LEFT COSTOPHRENIC ANGLE COULD INDICATE SMALL PLEURAL EFFUSION OR PLEURAL THICKENING. OTHERWISE, THE LUNGS ARE CLEAR. END OF IMPRESSION: ACCESSION NUMBER: 44-98-43-78-32-7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," On the first film, there has been interval placement of a new endotracheal tube, which is at the thoracic inlet. There are low lung volumes. There is persistent blunting of the left costophrenic angle, which could represent a small pleural effusion or pleural thickening. The subsequent film does not include the right costophrenic angle and is significantly rotated. Otherwise, there is no significant interval change. "," BLUNTING OF THE LEFT COSTOPHRENIC ANGLE COULD INDICATE SMALL PLEURAL EFFUSION OR PLEURAL THICKENING. OTHERWISE, THE LUNGS ARE CLEAR. ", 77502,CheXpert_Demo_Images\train\patient18635\study1\view1_frontal.jpg,patient18635,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 2010/06 CLINICAL HISTORY: 86 years of age, Male, S/P ICD/Pacemaker insertion. COMPARISON: Chest x-ray 6/29/10 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Interval placement of pacemaker in the left chest wall, with leads to the right atrium and right ventricle. Good lung volumes. Lung parenchyma is clear. No significant pleural effusion. No visualized pneumothorax. Degenerative changes of the thoracic spine. IMPRESSION: 1. Interval placement of pacemaker in the left chest wall, with leads to the right atrium and right ventricle. No visualized pneumothorax. 2. No acute cardiopulmonary process. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 023936 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval placement of pacemaker in the left chest wall, with leads to the right atrium and right ventricle. Good lung volumes. Lung parenchyma is clear. No significant pleural effusion. No visualized pneumothorax. Degenerative changes of the thoracic spine. "," 1. Interval placement of pacemaker in the left chest wall, with leads to the right atrium and right ventricle. No visualized pneumothorax. 2. No acute cardiopulmonary process. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 82011,CheXpert_Demo_Images\train\patient19727\study1\view2_lateral.jpg,patient19727,"NARRATIVE: Chest 2 Views 6/24/2019 CLINICAL HISTORY: Pleural effusion COMPARISON: No prior chest x-ray available for comparison. CT of the abdomen and pelvis from 6-24-2019. FINDINGS: The lungs are adequately expanded. There is a loculated, moderate right pleural effusion. Associated atelectasis is noted. No pneumothorax is seen. The left lung is clear. The cardiomediastinal silhouette and pulmonary vascularity appear normal. Healed right third posterior rib fracture is noted. No acute osseous or soft tissue abnormality. IMPRESSION: 1.MODERATE LOCULATED RIGHT PLEURAL EFFUSION WITH ASSOCIATED ATELECTASIS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 40-07-51-13-67 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The lungs are adequately expanded. There is a loculated, moderate right pleural effusion. Associated atelectasis is noted. No pneumothorax is seen. The left lung is clear. The cardiomediastinal silhouette and pulmonary vascularity appear normal. Healed right third posterior rib fracture is noted. No acute osseous or soft tissue abnormality. "," 1.MODERATE LOCULATED RIGHT PLEURAL EFFUSION WITH ASSOCIATED ATELECTASIS. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 111019,CheXpert_Demo_Images\train\patient26649\study1\view2_lateral.jpg,patient26649,"NARRATIVE: Chest 2 Views 9-19-17 CLINICAL IDENTITY: Male, 52 years-old REASON FOR STUDY: S/P partial glossectomy for tongue carcinoma, annual xray to evaluate lung fields. COMPARISON: None IMPRESSION: 1.PA AND LATERAL CHEST RADIOGRAPH SHOWS A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.THE LUNG FIELDS ARE CLEAR BILATERALLY. NO PULMONARY NODULES VISUALIZED ON RADIOGRAPHY. 3.NO PLEURAL EFFUSION. 4.THE BONY THORAX IS GROSSLY UNREMARKABLE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 3406860 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PA AND LATERAL CHEST RADIOGRAPH SHOWS A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.THE LUNG FIELDS ARE CLEAR BILATERALLY. NO PULMONARY NODULES VISUALIZED ON RADIOGRAPHY. 3.NO PLEURAL EFFUSION. 4.THE BONY THORAX IS GROSSLY UNREMARKABLE. ","1-NO SIGNIFICANT ABNORMALITY " 219819,CheXpert_Demo_Images\train\patient61439\study1\view1_frontal.jpg,patient61439,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: may 15th, 2011 CLINICAL HISTORY: 41 years of age, Female, Assess central line. COMPARISON: 5-15-2011 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval placement of right internal jugular central venous catheter the tip of which is obscured by overlying artifact. The tip is likely about 3 cm below the carina. Low lung volumes and retrocardiac opacity, atelectasis or consolidation. IMPRESSION: 1. New central venous catheter the tip of which is not clearly seen due to overlying artifact. Left base opacity, atelectasis or consolidation. ""Physician to Physician Radiology Consult Line: (283) 579-8727"" ACCESSION NUMBER: 16417071 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval placement of right internal jugular central venous catheter the tip of which is obscured by overlying artifact. The tip is likely about 3 cm below the carina. Low lung volumes and retrocardiac opacity, atelectasis or consolidation. "," 1. New central venous catheter the tip of which is not clearly seen due to overlying artifact. Left base opacity, atelectasis or consolidation. ""Physician to Physician Radiology Consult Line: (283) 579-8727"" ", 95568,CheXpert_Demo_Images\train\patient22995\study1\view1_frontal.jpg,patient22995,"NARRATIVE: Exam: Chest 2 Views, 12-28-2009 Clinical History: 81 years Male with Hematemesis Comparison: None IMPRESSION: 1.TWO VIEWS OF THE CHEST DEMONSTRATE A NASOGASTRIC TUBE, WITH THE TIP BELOW THE DIAPHRAGM. POSTSURGICAL CHANGES OF THE LEFT SHOULDER. 2.HEART SIZE IS WITHIN NORMAL LIMITS. THERE IS PROMINENT TORTUOSITY OF THE THORACIC AORTA. BILATERAL PULMONARY ARTERIES ARE PROMINENT. THE PULMONARY VASCULATURE IS OTHERWISE WITHIN NORMAL LIMITS, WITHOUT EVIDENCE OF EDEMA. 3.LINEAR OPACITIES AT THE LUNG BASES MAY REFLECT ATELECTASIS OR POSSIBLY SCARRING. 4.NO EFFUSIONS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 924053216 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.TWO VIEWS OF THE CHEST DEMONSTRATE A NASOGASTRIC TUBE, WITH THE TIP BELOW THE DIAPHRAGM. POSTSURGICAL CHANGES OF THE LEFT SHOULDER. 2.HEART SIZE IS WITHIN NORMAL LIMITS. THERE IS PROMINENT TORTUOSITY OF THE THORACIC AORTA. BILATERAL PULMONARY ARTERIES ARE PROMINENT. THE PULMONARY VASCULATURE IS OTHERWISE WITHIN NORMAL LIMITS, WITHOUT EVIDENCE OF EDEMA. 3.LINEAR OPACITIES AT THE LUNG BASES MAY REFLECT ATELECTASIS OR POSSIBLY SCARRING. 4.NO EFFUSIONS. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 177059,CheXpert_Demo_Images\train\patient41507\study1\view1_frontal.jpg,patient41507,"NARRATIVE: SINGLE VIEW OF THE CHEST: 3-6-2021 COMPARISON: 3-6-2021 CLINICAL HISTORY: A 61-year-old female, critical care follow-up. IMPRESSION: 1. SUPPORT HARDWARE STABLE. 2. STABLE MASSIVELY ENLARGED CARDIAC SILHOUETTE. 3. NO FOCAL OPACITIES OR PNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4158417856 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SUPPORT HARDWARE STABLE. 2. STABLE MASSIVELY ENLARGED CARDIAC SILHOUETTE. 3. NO FOCAL OPACITIES OR PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 120430,CheXpert_Demo_Images\train\patient28863\study1\view2_lateral.jpg,patient28863,"NARRATIVE: FRONTAL AND LATERAL VIEWS OF THE CHEST: 1/16/2013 COMPARISON: None. CLINICAL HISTORY: 48-year-old male with evaluate cardiomyopathy, status post AICD placement. IMPRESSION: 1. LEFT CHEST WALL AICD DEVICE IN PLACE. NO PNEUMOTHORAX. 2. SMALL BAND-LIKE ATELECTASIS WITHIN THE LEFT LOWER LOBE. THE LUNGS ARE, OTHERWISE, CLEAR. CARDIOMEDIASTINAL SILHOUETTE IS AT THE UPPER LIMITS OF NORMAL FOR SIZE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #6076 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LEFT CHEST WALL AICD DEVICE IN PLACE. NO PNEUMOTHORAX. 2. SMALL BAND-LIKE ATELECTASIS WITHIN THE LEFT LOWER LOBE. THE LUNGS ARE, OTHERWISE, CLEAR. CARDIOMEDIASTINAL SILHOUETTE IS AT THE UPPER LIMITS OF NORMAL FOR SIZE. ","4-POSSIBLY SIGNIFICANT FINDING; MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 222935,CheXpert_Demo_Images\train\patient64277\study1\view1_frontal.jpg,patient64277,"NARRATIVE: PORTABLE CHEST SINGLE VIEW: 9-28-2016 COMPARISON: 9-28-2016. IMPRESSION: 1. STATUS POST INTERVAL PLACEMENT OF A RIGHT SUBCLAVIAN VENOUS CATHETER WITH THE TIP IN THE SUPERIOR VENA CAVA. NO EVIDENCE OF PNEUMOTHORAX. 2. A LEFT CAROTID STENT IS INCIDENTALLY NOTED. 3. LUNGS ARE CLEAR. 4. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Bridges, Ryder on: 9/28/16 ACCESSION NUMBER: fAklKlJlkETQ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STATUS POST INTERVAL PLACEMENT OF A RIGHT SUBCLAVIAN VENOUS CATHETER WITH THE TIP IN THE SUPERIOR VENA CAVA. NO EVIDENCE OF PNEUMOTHORAX. 2. A LEFT CAROTID STENT IS INCIDENTALLY NOTED. 3. LUNGS ARE CLEAR. 4. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Bridges, Ryder on: 9/28/16 " 119889,CheXpert_Demo_Images\train\patient28745\study1\view1_frontal.jpg,patient28745,"NARRATIVE: Chest 1 View, 1/27/00 HISTORY: 25 years Female, several hours after clamping of the right sided chest tube, evaluate for pneumothorax. COMPARISON: 1/27/00.m. IMPRESSION: 1.SINGLE PORTABLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES A SIMILAR APPEARANCE OF THE POST SURGICAL CHEST STATUS POST RESECTION OF THE RIGHT FIRST RIB WITH CONTINUED SUBCUTANEOUS EMPHYSEMA ALONG THE UPPER CHEST WALL AND BASE OF THE NECK. 2.SIMILAR POSITION OF THE RIGHT CHEST TUBE WITH A SMALL RIGHT APICAL PNEUMOTHORAX. 3.SLIGHT INTERVAL INCREASE IN THE SIZE OF THE RIGHT APICAL LENTIFORM PLEURAL BASED OPACITY, POSSIBLY REFLECTING AN EXTRAPLEURAL HEMATOMA. 4.LUNGS ARE CLEAR BILATERALLY. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 172827 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE PORTABLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES A SIMILAR APPEARANCE OF THE POST SURGICAL CHEST STATUS POST RESECTION OF THE RIGHT FIRST RIB WITH CONTINUED SUBCUTANEOUS EMPHYSEMA ALONG THE UPPER CHEST WALL AND BASE OF THE NECK. 2.SIMILAR POSITION OF THE RIGHT CHEST TUBE WITH A SMALL RIGHT APICAL PNEUMOTHORAX. 3.SLIGHT INTERVAL INCREASE IN THE SIZE OF THE RIGHT APICAL LENTIFORM PLEURAL BASED OPACITY, POSSIBLY REFLECTING AN EXTRAPLEURAL HEMATOMA. 4.LUNGS ARE CLEAR BILATERALLY. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 206682,CheXpert_Demo_Images\train\patient53164\study1\view1_frontal.jpg,patient53164,"NARRATIVE: EXAM: Chest 2 Views, 11/2/2016 CLINICAL HISTORY: Weakness COMPARISON: 11/2/2016 IMPRESSION: 1. NO FOCAL CONSOLIDATION OR PLEURAL EFFUSIONS. 2. STABLE CARDIAC SILHOUETTE. 3. RETROCARDIAC AIR-FLUID LEVEL IS CONSISTENT WITH A HIATAL HERNIA. 4. STABLE COMPRESSION DEFORMITY OF THE LOWER THORACIC/UPPER LUMBAR VERTEBRAL BODY. 5. SMALL METALLIC OBJECT OVERLYING THE RIGHT HEMITHORAX IS EXTERNAL TO THE PATIENT. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 5851643010 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO FOCAL CONSOLIDATION OR PLEURAL EFFUSIONS. 2. STABLE CARDIAC SILHOUETTE. 3. RETROCARDIAC AIR-FLUID LEVEL IS CONSISTENT WITH A HIATAL HERNIA. 4. STABLE COMPRESSION DEFORMITY OF THE LOWER THORACIC/UPPER LUMBAR VERTEBRAL BODY. 5. SMALL METALLIC OBJECT OVERLYING THE RIGHT HEMITHORAX IS EXTERNAL TO THE PATIENT. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 211521,CheXpert_Demo_Images\train\patient56152\study4\view1_frontal.jpg,patient56152,"NARRATIVE: CHEST RADIOGRAPH: 2012-1-30. COMPARISON: 12/1. CLINICAL HISTORY: Seventy-three year-old female, pulmonary edema. IMPRESSION: 1. SUPPORT HARDWARE IS STABLE. 2. STABLE BIBASILAR OPACITIES, LEFT GREATER THAN RIGHT. 3. STABLE MILD PULMONARY EDEMA. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #332-3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SUPPORT HARDWARE IS STABLE. 2. STABLE BIBASILAR OPACITIES, LEFT GREATER THAN RIGHT. 3. STABLE MILD PULMONARY EDEMA. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 100229,CheXpert_Demo_Images\train\patient24147\study2\view2_lateral.jpg,patient24147,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 8/3/2004 CLINICAL HISTORY: 46 years of age, Male, Chest pain. COMPARISON: Chest x-ray 8/3/2004 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: PA and lateral radiographs of the chest demonstrate similar appearance of multilead left chest wall ICD device when compared to 8/3/2004. The cardiac mediastinal silhouette appears unchanged. A 6 mm rounded opacity is seen laterally at the right lung base, which may reflect a pulmonary nodule, versus nipple shadow, versus overlapping rib shadows. A curvilinear opacity is again seen at the right lung apex, which may be related to the undersurface of the right third rib, as it is stable compared to 8/3/2004. Otherwise, there are no lobar consolidations, pleural effusions, pulmonary edema, or pneumothorax. Mild degenerative changes are again seen of the visualized thoracolumbar spine. IMPRESSION: 1. A 6 mm rounded opacity seen laterally at the right lung base may reflect a pulmonary nodule versus nipple shadow versus overlapping rib shadows. If there is clinical concern for a pulmonary nodule, consider further evaluation with repeat chest x-ray with nipple markers or CT scan of the chest. 2. Similar appearance of multilead left chest wall AICD device. 3. No consolidations, pleural effusions, pulmonary edema, or pneumothorax are identified. ACCESSION NUMBER: 45 77 50 45 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral radiographs of the chest demonstrate similar appearance of multilead left chest wall ICD device when compared to 8/3/2004. The cardiac mediastinal silhouette appears unchanged. A 6 mm rounded opacity is seen laterally at the right lung base, which may reflect a pulmonary nodule, versus nipple shadow, versus overlapping rib shadows. A curvilinear opacity is again seen at the right lung apex, which may be related to the undersurface of the right third rib, as it is stable compared to 8/3/2004. Otherwise, there are no lobar consolidations, pleural effusions, pulmonary edema, or pneumothorax. Mild degenerative changes are again seen of the visualized thoracolumbar spine. "," 1. A 6 mm rounded opacity seen laterally at the right lung base may reflect a pulmonary nodule versus nipple shadow versus overlapping rib shadows. If there is clinical concern for a pulmonary nodule, consider further evaluation with repeat chest x-ray with nipple markers or CT scan of the chest. 2. Similar appearance of multilead left chest wall AICD device. 3. No consolidations, pleural effusions, pulmonary edema, or pneumothorax are identified. ", 43459,CheXpert_Demo_Images\train\patient10644\study3\view2_lateral.jpg,patient10644,"NARRATIVE: CHEST: COMPARISON: 1-8-2013, 1-8-2013, 1-8-2013, 1-8-2013 FINDINGS: Metastatic rectal cancer. The trachea is midline. Mediastinum unremarkable. No significant change in heart size. Right diaphragm is clear. No change in the appearance of the pulmonary parenchyma. No pneumothorax. Decrease in left pleural effusion with subsegmental atelectasis at the left lung base. IMPRESSION: 1. DECREASE IN LEFT PLEURAL EFFUSION IN PATIENT WITH KNOWN METASTATIC RECTAL CANCER. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: ANXOCP This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Metastatic rectal cancer. The trachea is midline. Mediastinum unremarkable. No significant change in heart size. Right diaphragm is clear. No change in the appearance of the pulmonary parenchyma. No pneumothorax. Decrease in left pleural effusion with subsegmental atelectasis at the left lung base. "," 1. DECREASE IN LEFT PLEURAL EFFUSION IN PATIENT WITH KNOWN METASTATIC RECTAL CANCER. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 75147,CheXpert_Demo_Images\train\patient18059\study3\view1_frontal.jpg,patient18059,"NARRATIVE: Chest 1 View 4/21/2001 CLINICAL HISTORY: 84 years-old Male. Febrile overnight COMPARISON: 4/21/2001 IMPRESSION: 1.SINGLE PORTABLE SUPINE VIEW THE CHEST IS PARTIALLY OBSCURED BY THE PATIENT'S LEFT HAND. 2.A FEEDING TUBE IS IDENTIFIED PROJECTING OFF OF THE INFERIOR PORTION OF THE RADIOGRAPH. 3.THE LEFT LUNG BASE IS NOT WELL VISUALIZED AND IS OBSCURED BY THE PATIENT'S LEFT HAND, AND ANY OPACITY IN THE LEFT LUNG BASE IS NOT WELL-VISUALIZED. 4.DIFFUSE RETICULAR MARKINGS ARE IDENTIFIED IN THE BILATERAL LUNGS, STABLE COMPARED TO THE PRIOR EXAM. 5.THE PREVIOUSLY IDENTIFIED LEFT-SIDED PLEURAL EFFUSION IS NOT WELL VISUALIZED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1622 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE PORTABLE SUPINE VIEW THE CHEST IS PARTIALLY OBSCURED BY THE PATIENT'S LEFT HAND. 2.A FEEDING TUBE IS IDENTIFIED PROJECTING OFF OF THE INFERIOR PORTION OF THE RADIOGRAPH. 3.THE LEFT LUNG BASE IS NOT WELL VISUALIZED AND IS OBSCURED BY THE PATIENT'S LEFT HAND, AND ANY OPACITY IN THE LEFT LUNG BASE IS NOT WELL-VISUALIZED. 4.DIFFUSE RETICULAR MARKINGS ARE IDENTIFIED IN THE BILATERAL LUNGS, STABLE COMPARED TO THE PRIOR EXAM. 5.THE PREVIOUSLY IDENTIFIED LEFT-SIDED PLEURAL EFFUSION IS NOT WELL VISUALIZED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 183111,CheXpert_Demo_Images\train\patient43291\study11\view1_frontal.jpg,patient43291,"NARRATIVE: Chest 1 View 6-21-2008 History: 55-year-old male patient intubated. Comparison: 6-21-2008. Findings: The central line has been removed. PICC line in place unchanged. Endotracheal tube tip approximately T4. Enteric tube in place. Persistent opacity of the left retrocardiac area. Probable hiatus hernia. Left pleural effusion. The right lung is clear. Cardiac configuration within normal limits. Possible segmental consolidation superior distribution left lower lobe. Impression: LEFT RETROCARDIAC OPACITY. PROBABLE HIATUS HERNIA. POSSIBLE SEGMENTAL CONSOLIDATION SUPERIOR DISTRIBUTION LEFT LOWER LOBE. SUMMARY CODE: SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. ACCESSION NUMBER: O4-10-83-W This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The central line has been removed. PICC line in place unchanged. Endotracheal tube tip approximately T4. Enteric tube in place. Persistent opacity of the left retrocardiac area. Probable hiatus hernia. Left pleural effusion. The right lung is clear. Cardiac configuration within normal limits. Possible segmental consolidation superior distribution left lower lobe. "," LEFT RETROCARDIAC OPACITY. PROBABLE HIATUS HERNIA. POSSIBLE SEGMENTAL CONSOLIDATION SUPERIOR DISTRIBUTION LEFT LOWER LOBE. SUMMARY CODE: "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. " 195156,CheXpert_Demo_Images\train\patient47582\study1\view1_frontal.jpg,patient47582,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 1-15-2020. COMPARISON: No prior studies for comparison. CLINICAL DATA: 76 year old female who is unresponsive. Status post endotracheal intubation. FINDINGS: There is demonstration of an endotracheal tube, whose distal tip is seen at the level of the carina directed into the right mainstem bronchus. Overlying pacing pads are seen projecting over the right hemithorax. A nasogastric tube is present, whose distal termination is in the region of the gastroesophageal junction. There are low bilateral lung volumes. The cardiac silhouette is prominent, a finding that may be due in part to the low lung volumes, although cardiomegaly is not excluded. Bilateral air space opacities are identified, predominantly within the left upper lobe, and likely suggestive of either pulmonary edema or infection. Marked lucency is demonstrated over the entire demonstrated abdomen, with focal lucency along the lateral liver margin and beneath the right hemidiaphragm that strongly suggests a pneumoperitoneum. Several healed rib fractures are demonstrated in the left upper hemithorax. IMPRESSION: 1. STATUS POST ENDOTRACHEAL INTUBATION, WITH THE TIP OF THE ENDOTRACHEAL TUBE SEATED WITHIN THE RIGHT MAINSTEM BRONCHUS. 2. NASOGASTRIC TUBE WITH ITS TIP AT THE GASTROESOPHAGEAL JUNCTION. 3. QUESTION OF CARDIOMEGALY WITH DIFFUSE BILATERAL AIR SPACE OPACITIES THAT ARE WORSE IN THE LEFT UPPER LOBE. CONSTELLATION OF FINDINGS MAY SUGGEST CONGESTIVE FAILURE WITH PULMONARY EDEMA. AN ADDITIONAL DIFFERENTIAL DIAGNOSTIC CONSIDERATION FOR THE AIR SPACE OPACITIES WOULD INCLUDE CONSOLIDATIVE PROCESSES SUCH AS PNEUMONIA. 4. PNEUMOPERITONEUM. 5. OLD FRACTURES OF THE LEFT THIRD THROUGH SIXTH POSTERIOR RIBS. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Clayton, Cheyenne on: 20-01 ACCESSION NUMBER: #75400186149 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is demonstration of an endotracheal tube, whose distal tip is seen at the level of the carina directed into the right mainstem bronchus. Overlying pacing pads are seen projecting over the right hemithorax. A nasogastric tube is present, whose distal termination is in the region of the gastroesophageal junction. There are low bilateral lung volumes. The cardiac silhouette is prominent, a finding that may be due in part to the low lung volumes, although cardiomegaly is not excluded. Bilateral air space opacities are identified, predominantly within the left upper lobe, and likely suggestive of either pulmonary edema or infection. Marked lucency is demonstrated over the entire demonstrated abdomen, with focal lucency along the lateral liver margin and beneath the right hemidiaphragm that strongly suggests a pneumoperitoneum. Several healed rib fractures are demonstrated in the left upper hemithorax. "," 1. STATUS POST ENDOTRACHEAL INTUBATION, WITH THE TIP OF THE ENDOTRACHEAL TUBE SEATED WITHIN THE RIGHT MAINSTEM BRONCHUS. 2. NASOGASTRIC TUBE WITH ITS TIP AT THE GASTROESOPHAGEAL JUNCTION. 3. QUESTION OF CARDIOMEGALY WITH DIFFUSE BILATERAL AIR SPACE OPACITIES THAT ARE WORSE IN THE LEFT UPPER LOBE. CONSTELLATION OF FINDINGS MAY SUGGEST CONGESTIVE FAILURE WITH PULMONARY EDEMA. AN ADDITIONAL DIFFERENTIAL DIAGNOSTIC CONSIDERATION FOR THE AIR SPACE OPACITIES WOULD INCLUDE CONSOLIDATIVE PROCESSES SUCH AS PNEUMONIA. 4. PNEUMOPERITONEUM. 5. OLD FRACTURES OF THE LEFT THIRD THROUGH SIXTH POSTERIOR RIBS. "," 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Clayton, Cheyenne on: 20-01 " 87754,CheXpert_Demo_Images\train\patient21081\study1\view1_frontal.jpg,patient21081,"NARRATIVE: EXAM: Chest 1 View, 9/30/2011. HISTORY: 46 years Male, CXR SINGLE VIEW. +QFT, R/O ACTIVE PUL TB. COMPARISON: NONE. IMPRESSION: 1.LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION OR PNEUMOTHORAX. 2.NO EVIDENCE OF ACUTE GRANULOMATOUS DISEASE. 3.CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY APPEAR NORMAL. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 97370351572 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION OR PNEUMOTHORAX. 2.NO EVIDENCE OF ACUTE GRANULOMATOUS DISEASE. 3.CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY APPEAR NORMAL. "," 1-NO SIGNIFICANT ABNORMALITY " 121861,CheXpert_Demo_Images\train\patient29208\study1\view2_lateral.jpg,patient29208,"NARRATIVE: TWO VIEWS OF THE CHEST, 6/2/2014: COMPARISON: 6/2/2014 IMPRESSION: 1. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 2. THERE ARE LOW LUNG VOLUMES WITH LINEAR BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS. THERE IS NO DEFINITE FOCAL CONSOLIDATION. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Addyson Henry, MD on: 6/2/2014 ACCESSION NUMBER: 434528892 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 2. THERE ARE LOW LUNG VOLUMES WITH LINEAR BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS. THERE IS NO DEFINITE FOCAL CONSOLIDATION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Addyson Henry, MD on: 6/2/2014 " 7362,CheXpert_Demo_Images\train\patient01820\study2\view2_lateral.jpg,patient01820,"NARRATIVE: EXAM: Chest 2 Views, 10 April 20th CLINICAL HISTORY: 77 year old female with severe headache and cough. COMPARISON: 4/20/2010 TECHNIQUE: Frontal and lateral views of chest IMPRESSION: 1.MILD RETICULAR OPACITIES ARE SEEN IN BOTH LUNG BASES, RIGHT GREATER THAN LEFT, AND LIKELY REPRESENT ATELECTASIS, GIVEN THE LUNG VOLUMES AND ELEVATION OF THE RIGHT HEMIDIAPHRAGM. NO FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, PULMONARY EDEMA. 2.GIVEN DIFFERENCES IN TECHNIQUE AND LUNG VOLUMES, GROSSLY STABLE CARDIOMEDIASTINAL SILHOUETTE. 3.NO DISPLACED FRACTURES. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 779139 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.MILD RETICULAR OPACITIES ARE SEEN IN BOTH LUNG BASES, RIGHT GREATER THAN LEFT, AND LIKELY REPRESENT ATELECTASIS, GIVEN THE LUNG VOLUMES AND ELEVATION OF THE RIGHT HEMIDIAPHRAGM. NO FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, PULMONARY EDEMA. 2.GIVEN DIFFERENCES IN TECHNIQUE AND LUNG VOLUMES, GROSSLY STABLE CARDIOMEDIASTINAL SILHOUETTE. 3.NO DISPLACED FRACTURES. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 138687,CheXpert_Demo_Images\train\patient33328\study1\view1_frontal.jpg,patient33328,"NARRATIVE: Chest 1 View 01 1ST FEBRUARY CLINICAL IDENTITY: Female, 59 years-old REASON FOR STUDY: Back pain. COMPARISON: NONE IMPRESSION: 1. PORTABLE SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES A PROMINENT CARDIOMEDIASTINAL SILHOUETTE. 2. QUESTIONABLE MILD PULMONARY EDEMA. 3. NO CONSOLIDATION OR EFFUSION IS SEEN. 4. THE OSSEOUS STRUCTURES ARE GROSSLY UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 12087788542 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES A PROMINENT CARDIOMEDIASTINAL SILHOUETTE. 2. QUESTIONABLE MILD PULMONARY EDEMA. 3. NO CONSOLIDATION OR EFFUSION IS SEEN. 4. THE OSSEOUS STRUCTURES ARE GROSSLY UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 20651,CheXpert_Demo_Images\train\patient05073\study1\view1_frontal.jpg,patient05073,"NARRATIVE: EXAM: Chest 2 Views, 4/24/2001 CLINICAL HISTORY: Male of 57 years. Reason for study: ""Pre-Admission Ancillary Studies"" COMPARISON: 4/24/2001 FINDINGS: Linear opacities are noted in the bilateral lung bases. Small right pleural effusion is new. There is increased obscuration of the left hemidiaphragm. No pneumothorax. The cardiomediastinal silhouette is without significant interval change. The cardiac silhouette is again noted to be enlarged. Pulmonary vascularity is within normal limits. No acute osseous abnormalities. Generalized osteopenia and some degenerative changes of the spine are noted. Old distal right clavicular fracture. IMPRESSION: 1. SMALL RIGHT PLEURAL EFFUSION IS NEW. THERE ARE LINEAR OPACITIES ALSO NOTED IN THE RIGHT LUNG BASE WHICH MAY REPRESENT A COMPONENT OF ATELECTASIS. DIFFERENTIAL INCLUDES ASPIRATION OR INFECTION GIVEN LEFT LUNG BASE FINDINGS. 2. THERE IS INCREASED OBSCURATION OF THE LEFT HEMIDIAPHRAGM, WORRISOME FOR DEVELOPING ATELECTASIS OR CONSOLIDATION. CLINICAL CORRELATION IS RECOMMENDED. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: SPBCTPXRMQFD This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Linear opacities are noted in the bilateral lung bases. Small right pleural effusion is new. There is increased obscuration of the left hemidiaphragm. No pneumothorax. The cardiomediastinal silhouette is without significant interval change. The cardiac silhouette is again noted to be enlarged. Pulmonary vascularity is within normal limits. No acute osseous abnormalities. Generalized osteopenia and some degenerative changes of the spine are noted. Old distal right clavicular fracture. "," 1. SMALL RIGHT PLEURAL EFFUSION IS NEW. THERE ARE LINEAR OPACITIES ALSO NOTED IN THE RIGHT LUNG BASE WHICH MAY REPRESENT A COMPONENT OF ATELECTASIS. DIFFERENTIAL INCLUDES ASPIRATION OR INFECTION GIVEN LEFT LUNG BASE FINDINGS. 2. THERE IS INCREASED OBSCURATION OF THE LEFT HEMIDIAPHRAGM, WORRISOME FOR DEVELOPING ATELECTASIS OR CONSOLIDATION. CLINICAL CORRELATION IS RECOMMENDED. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 32426,CheXpert_Demo_Images\train\patient07914\study1\view1_frontal.jpg,patient07914,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 8-31-2018 CLINICAL HISTORY: 82 years of age, Male, Pre-Admission Ancillary Studies. COMPARISON: None. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The heart size is within normal limits. Coarse opacities project over the lung bases, suggestive of mild fibrosis, versus age-related senescent changes. There is a small right-sided pleural effusion. No acute consolidation. There is mild hyperinflation with flattening of the hemidiaphragms. Multilevel degenerative changes of the spine with bridging osteophytosis. IMPRESSION: 1. Mildly prominent basilar reticular pattern suggestive of mild fibrosis versus age-related senescent changes. 2. Small right-sided pleural effusion. ACCESSION NUMBER: 2765325 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The heart size is within normal limits. Coarse opacities project over the lung bases, suggestive of mild fibrosis, versus age-related senescent changes. There is a small right-sided pleural effusion. No acute consolidation. There is mild hyperinflation with flattening of the hemidiaphragms. Multilevel degenerative changes of the spine with bridging osteophytosis. "," 1. Mildly prominent basilar reticular pattern suggestive of mild fibrosis versus age-related senescent changes. 2. Small right-sided pleural effusion. ", 187608,CheXpert_Demo_Images\train\patient44736\study3\view1_frontal.jpg,patient44736,"NARRATIVE: CHEST ONE VIEW: 4-21-2016 CLINICAL HISTORY: A 49-year-old male with routine ICU film. COMPARISON: Chest x-ray 4/21/2016. IMPRESSION: 1. STABLE APPEARANCE OF LINES AND TUBES INCLUDING RIGHT INTERNAL JUGULAR CENTRAL LINE, STERNOTOMY WIRES, AND PERICARDIAL DRAIN. 2. INTERVAL INCREASE IN RIGHT LOWER LOBE OPACITY WITH ELEVATION OF THE RIGHT HEMIDIAPHRAGM, WHICH LIKELY RELATES TO INCREASED RIGHT LOWER LOBE ATELECTASIS ALTHOUGH CONSOLIDATION CANNOT BE EXCLUDED. 3. STABLE APPEARANCE OF A SMALL LEFT PLEURAL EFFUSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 081-745-578-61 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE APPEARANCE OF LINES AND TUBES INCLUDING RIGHT INTERNAL JUGULAR CENTRAL LINE, STERNOTOMY WIRES, AND PERICARDIAL DRAIN. 2. INTERVAL INCREASE IN RIGHT LOWER LOBE OPACITY WITH ELEVATION OF THE RIGHT HEMIDIAPHRAGM, WHICH LIKELY RELATES TO INCREASED RIGHT LOWER LOBE ATELECTASIS ALTHOUGH CONSOLIDATION CANNOT BE EXCLUDED. 3. STABLE APPEARANCE OF A SMALL LEFT PLEURAL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 103462,CheXpert_Demo_Images\train\patient24882\study4\view2_lateral.jpg,patient24882,"NARRATIVE: Chest 2 Views 10/10/2009 CLINICAL HISTORY: 84 years-old Female. Recent pneumonia COMPARISON: 10-10-2009 IMPRESSION: 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE AN INTERVAL DECREASE IN BILATERAL LUNG VOLUMES COMPARED TO THE PRIOR EXAM, WITH INCREASED RETICULAR LUNG MARKINGS BILATERALLY WHICH MAY REFLECT CHRONIC POSTINFLAMMATORY CHANGES VERSUS MILD CONGESTIVE HEART FAILURE. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY STABLE COMPARED TO THE PRIOR EXAM, AND REMAINS ENLARGED. 3.MILD BIBASILAR OPACITIES ARE IDENTIFIED, WHICH MAY REFLECT ATELECTASIS OR CONSOLIDATION. 4.MULTILEVEL DEGENERATIVE CHANGES ARE AGAIN IDENTIFIED THROUGHOUT THE THORACIC SPINE. 5.SMALL RIGHT-SIDED PLEURAL EFFUSION IS IDENTIFIED. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: pnDLEGYbrQ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE AN INTERVAL DECREASE IN BILATERAL LUNG VOLUMES COMPARED TO THE PRIOR EXAM, WITH INCREASED RETICULAR LUNG MARKINGS BILATERALLY WHICH MAY REFLECT CHRONIC POSTINFLAMMATORY CHANGES VERSUS MILD CONGESTIVE HEART FAILURE. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY STABLE COMPARED TO THE PRIOR EXAM, AND REMAINS ENLARGED. 3.MILD BIBASILAR OPACITIES ARE IDENTIFIED, WHICH MAY REFLECT ATELECTASIS OR CONSOLIDATION. 4.MULTILEVEL DEGENERATIVE CHANGES ARE AGAIN IDENTIFIED THROUGHOUT THE THORACIC SPINE. 5.SMALL RIGHT-SIDED PLEURAL EFFUSION IS IDENTIFIED. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 137763,CheXpert_Demo_Images\train\patient33113\study1\view1_frontal.jpg,patient33113,"NARRATIVE: PORTABLE CHEST ONE VIEW: 8/12/2006 CLINICAL DATA: 85-year-old woman with brain tumor. Check line placement. IMPRESSION: 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES A LEFT SUBCLAVIAN VENOUS LINE WITH ITS TIP IN THE INNOMINATE VEIN. NO EVIDENCE OF PNEUMOTHORAX. 2. SMALL LEFT PLEURAL EFFUSIONS WITH LEFT LOWER LOBE ATELECTASIS. 3. REMAINING LUNG FIELDS ARE CLEAR. 4. MILD DEGENERATIVE CHANGES OF THE LEFT SHOULDER. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Avila, Kenzie. on: 8-12-2006 __________________________________ ACCESSION NUMBER: #75 46 40 45 5 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES A LEFT SUBCLAVIAN VENOUS LINE WITH ITS TIP IN THE INNOMINATE VEIN. NO EVIDENCE OF PNEUMOTHORAX. 2. SMALL LEFT PLEURAL EFFUSIONS WITH LEFT LOWER LOBE ATELECTASIS. 3. REMAINING LUNG FIELDS ARE CLEAR. 4. MILD DEGENERATIVE CHANGES OF THE LEFT SHOULDER. "," 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Avila, Kenzie. on: 8-12-2006 __________________________________ " 41679,CheXpert_Demo_Images\train\patient10203\study4\view1_frontal.jpg,patient10203,"NARRATIVE: SINGLE VIEW OF THE CHEST: 9/9/2004. CLINICAL HISTORY: A 68-year-old male with critical care follow-up. COMPARISON: 9/9/2004. IMPRESSION: 1. POSTOPERATIVE FILM WITH NEW STERNOTOMY WIRES, MEDIASTINAL DRAIN, LEFT-SIDED CHEST TUBE, NASOGASTRIC TUBE, AND ENDOTRACHEAL TUBE WITH THE TIP 4 CM ABOVE THE LEVEL OF THE CARINA. 2. THERE IS AN INTRAAORTIC BALLOON PUMP AND A RIGHT INTERNAL JUGULAR VENOUS CATHETER WITH THE TIP TURNING INTO THE RIGHT SUBCLAVIAN VEIN. RECOMMEND REPOSITIONING OF THE RIGHT SUBCLAVIAN VEIN CATHETER. NO PNEUMOTHORAX. 3. BIBASILAR OPACITIES WITH AIR BRONCHOGRAMS NOTED IN THE LEFT BASE CONSOLIDATION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 102871697 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. POSTOPERATIVE FILM WITH NEW STERNOTOMY WIRES, MEDIASTINAL DRAIN, LEFT-SIDED CHEST TUBE, NASOGASTRIC TUBE, AND ENDOTRACHEAL TUBE WITH THE TIP 4 CM ABOVE THE LEVEL OF THE CARINA. 2. THERE IS AN INTRAAORTIC BALLOON PUMP AND A RIGHT INTERNAL JUGULAR VENOUS CATHETER WITH THE TIP TURNING INTO THE RIGHT SUBCLAVIAN VEIN. RECOMMEND REPOSITIONING OF THE RIGHT SUBCLAVIAN VEIN CATHETER. NO PNEUMOTHORAX. 3. BIBASILAR OPACITIES WITH AIR BRONCHOGRAMS NOTED IN THE LEFT BASE CONSOLIDATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 131589,CheXpert_Demo_Images\train\patient31546\study8\view2_lateral.jpg,patient31546,"NARRATIVE: Exam: Chest 2 Views, 6/17/2012 Clinical History: 68 years Female with Recent chest tube, drainage from incision Comparison: 6-17-2012 IMPRESSION: 1.INTERVAL REMOVAL OF THE CENTRAL VENOUS CATHETER. INTERVAL REMOVAL OF THE CHEST TUBE. 2.PERSISTENT BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT, AS WELL AS RETROCARDIAC OPACITY, ATELECTASIS OR CONSOLIDATION. LOW LUNG VOLUMES. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 8280898 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INTERVAL REMOVAL OF THE CENTRAL VENOUS CATHETER. INTERVAL REMOVAL OF THE CHEST TUBE. 2.PERSISTENT BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT, AS WELL AS RETROCARDIAC OPACITY, ATELECTASIS OR CONSOLIDATION. LOW LUNG VOLUMES. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 99418,CheXpert_Demo_Images\train\patient23973\study1\view1_frontal.jpg,patient23973,"NARRATIVE: EXAMINATION: Chest 2 Views 18/19/06 INDICATION: FUO. concern for malignancy vs. tb HISTORY: Female,71 years old, with fever COMPARISON : None FINDINGS: PA and lateral chest show an enlarged cardiac silhouette and an enlarged aorta. There is vague opacity at the right apex, which could represent infection. If there is concern for tuberculosis this finding is worrisome for reactivation tuberculosis. There is scarring at the right lung base. There is eventration of the right hemidiaphragm. The remainder of the lungs are negative. IMPRESSION: OPACITY AT THE RIGHT LUNG APEX AND MEASURING 3 CM IN SIZE, WORRISOME FOR REACTIVATION TUBERCULOSIS OR PNEUMONIA IN LIGHT OF THE CLINICAL HISTORY. Findings called to the bnh medical group office by Mayer, Dr. on 6/19/2018 at 9 a.m. and a message left for MD Tyson with her nurse. SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, ACTION MAY BE REQUIRED ACCESSION NUMBER: 90311037 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral chest show an enlarged cardiac silhouette and an enlarged aorta. There is vague opacity at the right apex, which could represent infection. If there is concern for tuberculosis this finding is worrisome for reactivation tuberculosis. There is scarring at the right lung base. There is eventration of the right hemidiaphragm. The remainder of the lungs are negative. "," OPACITY AT THE RIGHT LUNG APEX AND MEASURING 3 CM IN SIZE, WORRISOME FOR REACTIVATION TUBERCULOSIS OR PNEUMONIA IN LIGHT OF THE CLINICAL HISTORY. Findings called to the bnh medical group office by Mayer, Dr. on 6/19/2018 at 9 a.m. and a message left for MD Tyson with her nurse. "," 4: POSSIBLE SIGNIFICANT FINDINGS, ACTION MAY BE REQUIRED " 192748,CheXpert_Demo_Images\train\patient46651\study1\view1_frontal.jpg,patient46651,"NARRATIVE: EXAM: Chest 1 View, 1-25-2000 CLINICAL HISTORY: Female of 89 years of age, ICU follow-up. COMPARISON: 00/01/25 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATE STABLE PACING DEVICE OVER THE LEFT CHEST. 2.STABLE CONFLUENT AIRSPACE OPACITY IN THE LEFT LUNG BASE AND SMALL-MODERATE BILATERAL PLEURAL EFFUSIONS. 3.NO PULMONARY EDEMA OR PNEUMOTHORAX. 4.MILD SOFT TISSUE PROMINENCE ALONG THE RIGHT PARATRACHEAL STRIPE MAY REPRESENT PROMINENT VASCULATURE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8312210965 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATE STABLE PACING DEVICE OVER THE LEFT CHEST. 2.STABLE CONFLUENT AIRSPACE OPACITY IN THE LEFT LUNG BASE AND SMALL-MODERATE BILATERAL PLEURAL EFFUSIONS. 3.NO PULMONARY EDEMA OR PNEUMOTHORAX. 4.MILD SOFT TISSUE PROMINENCE ALONG THE RIGHT PARATRACHEAL STRIPE MAY REPRESENT PROMINENT VASCULATURE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 71511,CheXpert_Demo_Images\train\patient17153\study1\view2_lateral.jpg,patient17153,"NARRATIVE: Chest 2 Views: 1-15-2010 HISTORY: 45 years Male, DYSPNEA ON EXERTION. COMPARISON: None IMPRESSION: 1. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 2. MILDLY COARSENED INTERSTITIAL MARKINGS IN THE LUNG BASES. OTHERWISE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. ACCESSION NUMBER: 48717835835 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 2. MILDLY COARSENED INTERSTITIAL MARKINGS IN THE LUNG BASES. OTHERWISE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. ", 23622,CheXpert_Demo_Images\train\patient05786\study2\view1_frontal.jpg,patient05786,"NARRATIVE: PORTABLE CHEST: 20th November 2018 COMPARISON: 11/20/2018 IMPRESSION: PORTABLE CHEST RADIOGRAPH REDEMONSTRATES DIFFUSE COARSE RETICULAR OPACITIES BILATERALLY WITH MARKED CONFLUENT PATCHY AREAS OF OPACITIES NOTED IN THE RIGHT MIDDLE LUNG ZONE, RIGHT LUNG BASE, AND LEFT LUNG BASE. IT APPEARS NOW THAT THERE APPEARS TO BE A DEVELOPING CONFLUENT OPACITY IN THE LEFT MID LUNG ZONE AS WELL. THESE FINDINGS ARE HIGHLY WORRISOME FOR PULMONARY EDEMA WITH SUPERIMPOSED PROGRESSIVE INFECTION. OTHER POSSIBILITIES MIGHT INCLUDE AN ACUTE ON CHRONIC UNDERLYING INTERSTITIAL PULMONARY PROCESS. RECOMMEND CLINICAL CORRELATION. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. ACCESSION NUMBER: 99.90.87 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," PORTABLE CHEST RADIOGRAPH REDEMONSTRATES DIFFUSE COARSE RETICULAR OPACITIES BILATERALLY WITH MARKED CONFLUENT PATCHY AREAS OF OPACITIES NOTED IN THE RIGHT MIDDLE LUNG ZONE, RIGHT LUNG BASE, AND LEFT LUNG BASE. IT APPEARS NOW THAT THERE APPEARS TO BE A DEVELOPING CONFLUENT OPACITY IN THE LEFT MID LUNG ZONE AS WELL. THESE FINDINGS ARE HIGHLY WORRISOME FOR PULMONARY EDEMA WITH SUPERIMPOSED PROGRESSIVE INFECTION. OTHER POSSIBILITIES MIGHT INCLUDE AN ACUTE ON CHRONIC UNDERLYING INTERSTITIAL PULMONARY PROCESS. RECOMMEND CLINICAL CORRELATION. "," 4: Possible significant abnormality/change, may need action. " 74932,CheXpert_Demo_Images\train\patient18005\study1\view1_frontal.jpg,patient18005,"NARRATIVE: PORTABLE CHEST, 2-4-2010 AT 0324 HOURS: CLINICAL HISTORY: 22-year-old male status post trauma. COMPARISON: None. TECHNIQUE: Portable AP supine view of the chest. FINDINGS: Underlying trauma board is in place. The trachea is midline. Cardiomediastinal silhouette is normal in size and configuration. The bilateral lung fields are clear, without focal consolidation. There is no evidence of pneumothorax, pulmonary edema, or pleural effusions. The visualized osseous structures are unremarkable, without acute abnormalities. IMPRESSION: 1. UNDERLYING TRAUMA BOARD IN PLACE. 2. NO FOCAL PULMONARY PARENCHYMAL CONSOLIDATION, PNEUMOTHORAX, OR EVIDENCE OF OTHER ACUTE CARDIOPULMONARY ABNORMALITIES. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. NO ACUTE OSSEOUS ABNORMALITIES. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 0mn7k8v4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Underlying trauma board is in place. The trachea is midline. Cardiomediastinal silhouette is normal in size and configuration. The bilateral lung fields are clear, without focal consolidation. There is no evidence of pneumothorax, pulmonary edema, or pleural effusions. The visualized osseous structures are unremarkable, without acute abnormalities. "," 1. UNDERLYING TRAUMA BOARD IN PLACE. 2. NO FOCAL PULMONARY PARENCHYMAL CONSOLIDATION, PNEUMOTHORAX, OR EVIDENCE OF OTHER ACUTE CARDIOPULMONARY ABNORMALITIES. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. NO ACUTE OSSEOUS ABNORMALITIES. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 32090,CheXpert_Demo_Images\train\patient07838\study1\view1_frontal.jpg,patient07838,"NARRATIVE: EXAM: Chest 1 View, 6/8/2000 CLINICAL HISTORY: Chest pain COMPARISON: None IMPRESSION: 1.HEART SIZE IS WITHIN NORMAL LIMITS. PROMINENCE OF THE RIGHT HILUM, BUT THIS IS LIKELY SECONDARY TO PATIENT ROTATION. 2.THE LUNGS APPEAR CLEAR, WITH NO FOCAL CONSOLIDATION, EFFUSIONS, OR PNEUMOTHORAX. 3.THE VISUALIZED OSSEOUS STRUCTURES APPEAR UNREMARKABLE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: ESPHMUIS This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.HEART SIZE IS WITHIN NORMAL LIMITS. PROMINENCE OF THE RIGHT HILUM, BUT THIS IS LIKELY SECONDARY TO PATIENT ROTATION. 2.THE LUNGS APPEAR CLEAR, WITH NO FOCAL CONSOLIDATION, EFFUSIONS, OR PNEUMOTHORAX. 3.THE VISUALIZED OSSEOUS STRUCTURES APPEAR UNREMARKABLE. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 219135,CheXpert_Demo_Images\train\patient60816\study1\view1_frontal.jpg,patient60816,"NARRATIVE: AP UPRIGHT CHEST: 7/19/2020 at 1936 hours. COMPARISON: Compared with report of currently unavailable prior examination of 7-19-2020. CLINICAL HISTORY: Postoperative evaluation. FINDINGS: The examination is compromised by exclusion of the inferior portion of the thorax secondary to positioning artifact. Minor atelectasis and/or consolidation is noted medially in the right lower lung. The lungs are otherwise clear. Pulmonary vascularity is mildly prominent. The cardiac size and configuration are within normal limits. No acute osseous abnormality is seen. IMPRESSION: 1. MINOR RIGHT PULMONARY BASILAR ATELECTASIS/CONSOLIDATION. 2. MILD PROMINENCE OF THE PULMONARY VASCULARITY. 3. CURRENTLY UNAVAILABLE EXAMINATION OF 7/19/2020 REPORTED NO CARDIAC OR PULMONARY DISEASE DEMONSTRATED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 99962550 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The examination is compromised by exclusion of the inferior portion of the thorax secondary to positioning artifact. Minor atelectasis and/or consolidation is noted medially in the right lower lung. The lungs are otherwise clear. Pulmonary vascularity is mildly prominent. The cardiac size and configuration are within normal limits. No acute osseous abnormality is seen. "," 1. MINOR RIGHT PULMONARY BASILAR ATELECTASIS/CONSOLIDATION. 2. MILD PROMINENCE OF THE PULMONARY VASCULARITY. 3. CURRENTLY UNAVAILABLE EXAMINATION OF 7/19/2020 REPORTED NO CARDIAC OR PULMONARY DISEASE DEMONSTRATED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 60453,CheXpert_Demo_Images\train\patient14619\study4\view2_lateral.jpg,patient14619,"NARRATIVE: TWO VIEW CHEST AND ONE VIEW ABDOMEN, 6-26-2002: COMPARISON: None. CLINICAL HISTORY: Hypotension. IMPRESSION: 1. AP ERECT CHEST RADIOGRAPH DEMONSTRATES A LEFT-SIDED PERMANENT PACEMAKER WITH INTACT LEADS. THE HEART SIZE IS WITHIN NORMAL LIMITS. THERE IS MODERATE ELEVATION OF THE RIGHT HEMIDIAPHRAGM, UNCHANGED SINCE PRIOR FILMS. THERE IS MINIMAL BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE ON THE LATERAL VIEW, THAT COULD REPRESENT A SMALL PLEURAL EFFUSION. THE LUNGS OTHERWISE APPEAR CLEAR. 2. PROMINENT BRIDGING OSTEOPHYTOSIS IS SEEN IN THE LOWER THORACIC SPINE, SUGGESTING EARLY DISH. 3. AP SUPINE FILM OF THE ABDOMEN, WITH THE LEFT HEMIPELVIS NOT FULLY INCLUDED ON THE FILM. THERE ARE GAS-FILLED LOOPS OF BOTH SMALL AND LARGE BOWEL, WITH NO OBVIOUS OBSTRUCTION OR FREE AIR. HOWEVER, FURTHER VIEWS ARE RECOMMENDED IF THERE IS CONCERN FOR PERFORATION. THERE IS PROMINENT FECAL LOADING OF THE ASCENDING COLON AND RECTUM. 4. THERE IS POSTERIOR FUSION HARDWARE IN THE LOWER LUMBAR SPINE WITH A SPINAL STIMULATOR DEVICE IN PLACE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 26036 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP ERECT CHEST RADIOGRAPH DEMONSTRATES A LEFT-SIDED PERMANENT PACEMAKER WITH INTACT LEADS. THE HEART SIZE IS WITHIN NORMAL LIMITS. THERE IS MODERATE ELEVATION OF THE RIGHT HEMIDIAPHRAGM, UNCHANGED SINCE PRIOR FILMS. THERE IS MINIMAL BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE ON THE LATERAL VIEW, THAT COULD REPRESENT A SMALL PLEURAL EFFUSION. THE LUNGS OTHERWISE APPEAR CLEAR. 2. PROMINENT BRIDGING OSTEOPHYTOSIS IS SEEN IN THE LOWER THORACIC SPINE, SUGGESTING EARLY DISH. 3. AP SUPINE FILM OF THE ABDOMEN, WITH THE LEFT HEMIPELVIS NOT FULLY INCLUDED ON THE FILM. THERE ARE GAS-FILLED LOOPS OF BOTH SMALL AND LARGE BOWEL, WITH NO OBVIOUS OBSTRUCTION OR FREE AIR. HOWEVER, FURTHER VIEWS ARE RECOMMENDED IF THERE IS CONCERN FOR PERFORATION. THERE IS PROMINENT FECAL LOADING OF THE ASCENDING COLON AND RECTUM. 4. THERE IS POSTERIOR FUSION HARDWARE IN THE LOWER LUMBAR SPINE WITH A SPINAL STIMULATOR DEVICE IN PLACE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 88075,CheXpert_Demo_Images\train\patient21171\study1\view1_frontal.jpg,patient21171,"NARRATIVE: SINGLE VIEW OF THE CHEST: 05/16 COMPARISON: None. CLINICAL DATA: Evaluate for infiltrates. IMPRESSION: 1. INCREASED OPACITY IN THE RETROCARDIAC REGION WHICH COULD REPRESENT ATELECTASIS, CONSOLIDATION, OR ASPIRATION. COULD CONSIDER REPEAT PA AND LATERAL WITH IMPROVED INSPIRATION WHEN PATIENT IS ABLE. 2. TORTUOUS AORTA. 3. DEGENERATIVE CHANGE OF THE THORACIC SPINE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 19496147 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INCREASED OPACITY IN THE RETROCARDIAC REGION WHICH COULD REPRESENT ATELECTASIS, CONSOLIDATION, OR ASPIRATION. COULD CONSIDER REPEAT PA AND LATERAL WITH IMPROVED INSPIRATION WHEN PATIENT IS ABLE. 2. TORTUOUS AORTA. 3. DEGENERATIVE CHANGE OF THE THORACIC SPINE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 84892,CheXpert_Demo_Images\train\patient20412\study1\view1_frontal.jpg,patient20412,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 4/2/2006 CLINICAL HISTORY: 66 years of age, Female, Chest pain and vomiting. COMPARISON: 4-2-2006 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The cardiomediastinal silhouette is normal. The lung parenchyma is clear. There is a small posterior left pleural effusion. No acute bony abnormalities. Abdominal clips are compatible with prior cholecystectomy IMPRESSION: 1. Trace left pleural effusion. No pulmonary edema or focal consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #fkzSXrbuoIHXtNc This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is normal. The lung parenchyma is clear. There is a small posterior left pleural effusion. No acute bony abnormalities. Abdominal clips are compatible with prior cholecystectomy "," 1. Trace left pleural effusion. No pulmonary edema or focal consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 94826,CheXpert_Demo_Images\train\patient22825\study1\view1_frontal.jpg,patient22825,"NARRATIVE: Exam: Chest 2 Views, 10-25-2002 Clinical History: 65 years Female with Sj?gren's? with night sweats Comparison: No prior chest radiographs. IMPRESSION: 1.MILD CARDIOMEGALY IS PRESENT. ATHEROSCLEROTIC PLAQUES OF THE AORTIC ARCH. 2.NO EVIDENCE OF FOCAL PULMONARY CONSOLIDATION, PLEURAL EFFUSION OR PNEUMOTHORAX. PULMONARY VASCULARITY WITHIN NORMAL LIMITS. 3.DEGENERATIVE CHANGES OF THE OSSEOUS STRUCTURES RELATED TO AGING. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 7266-3102-95 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.MILD CARDIOMEGALY IS PRESENT. ATHEROSCLEROTIC PLAQUES OF THE AORTIC ARCH. 2.NO EVIDENCE OF FOCAL PULMONARY CONSOLIDATION, PLEURAL EFFUSION OR PNEUMOTHORAX. PULMONARY VASCULARITY WITHIN NORMAL LIMITS. 3.DEGENERATIVE CHANGES OF THE OSSEOUS STRUCTURES RELATED TO AGING. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 68038,CheXpert_Demo_Images\train\patient16355\study2\view1_frontal.jpg,patient16355,"NARRATIVE: SINGLE PORTABLE CHEST: October 2013 AT 0145 HOURS COMPARISON: 10-5-2013. IMPRESSION: 1. THERE IS INCREASED OPACITY OF THE RIGHT LUNG BASE CONSISTENT WITH A SMALL, RIGHT PLEURAL EFFUSION. BORDERLINE, DIFFUSE INTERSTITIAL PROMINENCE IS UNCHANGED AND MAY BE CHRONIC IN NATURE. END OF IMPRESSION: SINGLE VIEW PORTABLE CHEST, (ACCESSION: 2923475): 10/5/2013 AT 0355 HOURS IMPRESSION: 1. THERE IS IMPROVED AERATION AT THE RIGHT LUNG BASE CONSISTENT WITH IMPROVED ATELECTASIS. A RIGHT IJ CENTRAL LINE HAS BEEN PLACED WITH TIP AT THE LEVEL OF THE PROXIMAL SVC. THERE IS NO EVIDENT PNEUMOTHORAX. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. ACCESSION NUMBER: 2923475 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE IS INCREASED OPACITY OF THE RIGHT LUNG BASE CONSISTENT WITH A SMALL, RIGHT PLEURAL EFFUSION. BORDERLINE, DIFFUSE INTERSTITIAL PROMINENCE IS UNCHANGED AND MAY BE CHRONIC IN NATURE. "," 2: Abnormal, previously reported. " 159394,CheXpert_Demo_Images\train\patient37329\study1\view1_frontal.jpg,patient37329,"NARRATIVE: CHEST 1 VIEW: 9/20/07 COMPARISON: No comparisons available. IMPRESSION: 1. SEMI-UPRIGHT VIEW OF THE CHEST DEMONSTRATES ET TUBE WITH THE TIP 6.5 CM ABOVE THE CARINA. RIGHT IJ LINE WITH THE TIP IN THE CAVOATRIAL JUNCTION. BIBASILAR OPACITIES, SMALL RIGHT PLEURAL EFFUSION. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 28352288 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SEMI-UPRIGHT VIEW OF THE CHEST DEMONSTRATES ET TUBE WITH THE TIP 6.5 CM ABOVE THE CARINA. RIGHT IJ LINE WITH THE TIP IN THE CAVOATRIAL JUNCTION. BIBASILAR OPACITIES, SMALL RIGHT PLEURAL EFFUSION. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 184264,CheXpert_Demo_Images\train\patient43656\study4\view1_frontal.jpg,patient43656,"NARRATIVE: SINGLE AP VIEW CHEST: 5/17/09 AT 1207 HOURS COMPARISON: 5-17-2009. CLINICAL HISTORY: An 87-year-old female with cough. IMPRESSION: 1. IMPROVED AERATION OF RIGHT BASE WITH DECREASED SIZE OF THE RIGHT-SIDED PLEURAL EFFUSION. 2. NEW RIGHT MIDLUNG ZONE STREAKY OPACITY MAY REFLECT ATELECTASIS, ATTENTION IS RECOMMENDED TO THIS AREA ON FOLLOW-UP IMAGING. 3. PERSISTENT BIBASILAR OPACITY COULD REPRESENT ATELECTASIS VERSUS CONSOLIDATION. 4. PERSISTENT CARDIOMEGALY. UNCHANGED DEGREE OF MODERATE PULMONARY EDEMA. 5. DIFFUSE OSTEOPOROSIS WITH DEGENERATIVE CHANGES OF BOTH ACROMIOCLAVICULAR JOINTS, ATHEROSCLEROTIC CALCIFICATION WITHIN THE AORTA, AND TRACHEOBRONCHIAL CALCIFICATIONS ARE AGAIN NOTED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 3008437 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. IMPROVED AERATION OF RIGHT BASE WITH DECREASED SIZE OF THE RIGHT-SIDED PLEURAL EFFUSION. 2. NEW RIGHT MIDLUNG ZONE STREAKY OPACITY MAY REFLECT ATELECTASIS, ATTENTION IS RECOMMENDED TO THIS AREA ON FOLLOW-UP IMAGING. 3. PERSISTENT BIBASILAR OPACITY COULD REPRESENT ATELECTASIS VERSUS CONSOLIDATION. 4. PERSISTENT CARDIOMEGALY. UNCHANGED DEGREE OF MODERATE PULMONARY EDEMA. 5. DIFFUSE OSTEOPOROSIS WITH DEGENERATIVE CHANGES OF BOTH ACROMIOCLAVICULAR JOINTS, ATHEROSCLEROTIC CALCIFICATION WITHIN THE AORTA, AND TRACHEOBRONCHIAL CALCIFICATIONS ARE AGAIN NOTED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 120891,CheXpert_Demo_Images\train\patient28985\study1\view1_frontal.jpg,patient28985,"NARRATIVE: CHEST SINGLE VIEW, PORTABLE: 2/25 CLINICAL HISTORY: 74-year-old male with known prostate metastases. Altered mental status. COMPARISON: None. IMPRESSION: 1. THE BONES DEMONSTRATE DIFFUSE SCLEROTIC DENSITY WITH THE THORACIC SPINE HAVING A DIFFUSE IVORY VERTEBRAE APPEARANCE. SIMILARLY THE CLAVICLES, RIBS AND SCAPULAE ARE VERY DENSE CONSISTENT WITH DIFFUSE METASTASES. A ROUNDED FOCAL RADIODENSITY IS SEEN AT THE LEFT HUMERAL HEAD CONSISTENT WITH BONY METASTASIS. 2. THE LUNG FIELDS ARE GROSSLY CLEAR WITHOUT FOCAL CONSOLIDATION, PULMONARY EDEMA OR PLEURAL EFFUSION. NO OBVIOUS PULMONARY MASSES VISUALIZED. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS FOR SIZE. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Oliver Rollins, Dr. on: 2/25/2011 ACCESSION NUMBER: QMNRQZ86Z This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE BONES DEMONSTRATE DIFFUSE SCLEROTIC DENSITY WITH THE THORACIC SPINE HAVING A DIFFUSE IVORY VERTEBRAE APPEARANCE. SIMILARLY THE CLAVICLES, RIBS AND SCAPULAE ARE VERY DENSE CONSISTENT WITH DIFFUSE METASTASES. A ROUNDED FOCAL RADIODENSITY IS SEEN AT THE LEFT HUMERAL HEAD CONSISTENT WITH BONY METASTASIS. 2. THE LUNG FIELDS ARE GROSSLY CLEAR WITHOUT FOCAL CONSOLIDATION, PULMONARY EDEMA OR PLEURAL EFFUSION. NO OBVIOUS PULMONARY MASSES VISUALIZED. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS FOR SIZE. ", 8839,CheXpert_Demo_Images\train\patient02186\study1\view1_frontal.jpg,patient02186,"NARRATIVE: PORTABLE CHEST, ONE VIEW: 1/14/2001 CLINICAL DATA: Unresponsive. FINDINGS: Single frontal radiograph of the chest demonstrates aortic calcifications. The right lung base demonstrates atelectasis or consolidation with right base pleural effusion. The left lung demonstrates mild edema. Left humerus arthroplasty has been performed. IMPRESSION: 1. RIGHT LOWER LOBE AND RIGHT MIDDLE LOBE ATELECTASIS OR CONSOLIDATION WITH RIGHT PLEURAL EFFUSION. 2. MILD PULMONARY EDEMA OF THE LEFT LUNG. 3. LEFT HUMERUS ARTHROPLASTY. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: MARILYN CHRISTIAN, MD on: January 14th, 2001 ACCESSION NUMBER: 668554 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single frontal radiograph of the chest demonstrates aortic calcifications. The right lung base demonstrates atelectasis or consolidation with right base pleural effusion. The left lung demonstrates mild edema. Left humerus arthroplasty has been performed. "," 1. RIGHT LOWER LOBE AND RIGHT MIDDLE LOBE ATELECTASIS OR CONSOLIDATION WITH RIGHT PLEURAL EFFUSION. 2. MILD PULMONARY EDEMA OF THE LEFT LUNG. 3. LEFT HUMERUS ARTHROPLASTY. ", 89742,CheXpert_Demo_Images\train\patient21589\study6\view2_lateral.jpg,patient21589,"NARRATIVE: Chest 2 Views 12/7/2000 CLINICAL IDENTITY: Male, 59 years-old REASON FOR STUDY: R/o infiltrate. COMPARISON: 12/07/2000 IMPRESSION: 1. PA AND LATERAL CHEST RADIOGRAPH SHOWS NO SIGNIFICANT CHANGE COMPARED TO PRIOR. CLEAR LUNG FIELDS BILATERALLY WITHOUT EVIDENCE OF FOCAL CONSOLIDATION, PULMONARY EDEMA OR PLEURAL EFFUSION. 2. STABLE AND UNREMARKABLE CARDIAC MEDIASTINAL SILHOUETTE IS RIGHT-SIDED CENTRAL VENOUS CATHETER IN UNCHANGED POSITION. 3. PERSISTENT MODERATE ELEVATION OF THE LEFT HEMIDIAPHRAGM WITH DISTENDED STOMACH AND LARGE AIR-FLUID LEVEL VISUALIZED SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: OOSE This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL CHEST RADIOGRAPH SHOWS NO SIGNIFICANT CHANGE COMPARED TO PRIOR. CLEAR LUNG FIELDS BILATERALLY WITHOUT EVIDENCE OF FOCAL CONSOLIDATION, PULMONARY EDEMA OR PLEURAL EFFUSION. 2. STABLE AND UNREMARKABLE CARDIAC MEDIASTINAL SILHOUETTE IS RIGHT-SIDED CENTRAL VENOUS CATHETER IN UNCHANGED POSITION. 3. PERSISTENT MODERATE ELEVATION OF THE LEFT HEMIDIAPHRAGM WITH DISTENDED STOMACH AND LARGE AIR-FLUID LEVEL VISUALIZED ","2-ABNORMAL, PREVIOUSLY REPORTED " 145624,CheXpert_Demo_Images\train\patient34876\study1\view1_frontal.jpg,patient34876,"NARRATIVE: AP PORTABLE SEMI-UPRIGHT CHEST: 2/28/2018, 1117 AM. COMPARISON: 2/28/2018 CT thoracic and examination performed earlier the same date. IMPRESSION: The lungs are free of radiographically evident consolidation, without conventional radiographic evidence of previously CT demonstrated small scattered nodular pulmonary densities. Pulmonary vascularity is normal. Cardiomediastinum is within normal limits. Right upper extremity PICC is noted in place. ACCESSION NUMBER: adxbs0bcdkawao This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," The lungs are free of radiographically evident consolidation, without conventional radiographic evidence of previously CT demonstrated small scattered nodular pulmonary densities. Pulmonary vascularity is normal. Cardiomediastinum is within normal limits. Right upper extremity PICC is noted in place. ", 61893,CheXpert_Demo_Images\train\patient14948\study1\view1_frontal.jpg,patient14948,"NARRATIVE: PORTABLE CHEST, 6-21-15: CLINICAL HISTORY: CHF, exacerbation. COMPARISON: Comparison is made to study dated 6-21-15. IMPRESSION: 1. STERNAL WIRES. 2. BORDERLINE CARDIOMEGALY. 3. MILD IMPROVEMENT IN INTERSTITIAL EDEMA. 4. BILATERAL PLEURAL EFFUSIONS. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Jay C CRNP on: June 21 ACCESSION NUMBER: HW00CKX609443 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STERNAL WIRES. 2. BORDERLINE CARDIOMEGALY. 3. MILD IMPROVEMENT IN INTERSTITIAL EDEMA. 4. BILATERAL PLEURAL EFFUSIONS. ", 214433,CheXpert_Demo_Images\train\patient57967\study1\view1_frontal.jpg,patient57967,"NARRATIVE: SINGLE VIEW OF THE CHEST: 3-10-2014 COMPARISON: March 10, 2014 at 2134 hours. CLINICAL DATA: Forty-eight-year-old male with rib fracture and small pneumothorax. IMPRESSION: 1. STABLE POSITION OF LEFT CHEST TUBE. 2. STABLE LEFT RIB FRACTURES, LEFT PLEURAL EFFUSION/HEMOTHORAX, BIBASILAR OPACITY THAT MAY REPRESENT ATELECTASIS OR ASPIRATION, AND NEW GASTRIC DISTENSION. 3. NO LARGE PNEUMOTHORAX IS SEEN. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: DBO-PDD-626-O This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE POSITION OF LEFT CHEST TUBE. 2. STABLE LEFT RIB FRACTURES, LEFT PLEURAL EFFUSION/HEMOTHORAX, BIBASILAR OPACITY THAT MAY REPRESENT ATELECTASIS OR ASPIRATION, AND NEW GASTRIC DISTENSION. 3. NO LARGE PNEUMOTHORAX IS SEEN. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 64879,CheXpert_Demo_Images\train\patient15625\study4\view3_lateral.jpg,patient15625,"NARRATIVE: EXAMINATION: PORTABLE Chest 2 Views 00-07 HISTORY: Male, 47 years old, S/p OHT. COMPARISON: Chest x-ray dated 7/9/2000 IMPRESSION: 1. TWO VIEW CHEST RADIOGRAPH DEMONSTRATES: 2. STABLE POSITION OF LINES AND SUPPORT DEVICES. 3. SMALL LEFT PLEURAL EFFUSION 4. SIMILAR LEFT BASILAR OPACITIES, LIKELY ATELECTASIS 5. MEDIAN STERNOTOMY WIRES 6. VISUALIZED BONES AND SOFT TISSUES ARE UNREMARKABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 48216665 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO VIEW CHEST RADIOGRAPH DEMONSTRATES: 2. STABLE POSITION OF LINES AND SUPPORT DEVICES. 3. SMALL LEFT PLEURAL EFFUSION 4. SIMILAR LEFT BASILAR OPACITIES, LIKELY ATELECTASIS 5. MEDIAN STERNOTOMY WIRES 6. VISUALIZED BONES AND SOFT TISSUES ARE UNREMARKABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 209314,CheXpert_Demo_Images\train\patient54768\study1\view1_frontal.jpg,patient54768,"NARRATIVE: SINGLE VIEW OF THE CHEST: 4/10/2000 COMPARISON: 4/10/2000 CLINICAL HISTORY: Chest pain. FINDINGS: The cardiomediastinal silhouette is unremarkable. Low lung volumes, with bibasilar plate-like atelectasis. No definite focal consolidation. The visualized osseous structures are unremarkable. IMPRESSION: LOW VOLUMES, WITHOUT EVIDENCE OF FOCAL CONSOLIDATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is unremarkable. Low lung volumes, with bibasilar plate-like atelectasis. No definite focal consolidation. The visualized osseous structures are unremarkable. "," LOW VOLUMES, WITHOUT EVIDENCE OF FOCAL CONSOLIDATION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 46299,CheXpert_Demo_Images\train\patient11276\study1\view1_frontal.jpg,patient11276,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5-16-2018 CLINICAL HISTORY: 61 years of age, Female, Sepsis, reported infiltrate at OSH. COMPARISON: 5-16-18 PROCEDURE COMMENTS: Two views of the chest. IMPRESSION: 1. Frontal and lateral views of the chest taken on 5-16-2018 at 10:00 show hyperinflated lungs with flatten diaphragm. 2. Lung are clear with no evidence for pneumonia. 3. Mildly enlarged cardiac silhouette but unchanged from the previous study. ACCESSION NUMBER: 108699823 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. Frontal and lateral views of the chest taken on 5-16-2018 at 10:00 show hyperinflated lungs with flatten diaphragm. 2. Lung are clear with no evidence for pneumonia. 3. Mildly enlarged cardiac silhouette but unchanged from the previous study. ", 127486,CheXpert_Demo_Images\train\patient30567\study1\view1_frontal.jpg,patient30567,"NARRATIVE: CHEST: 6/14/2000 COMPARISON: 6-14-2000 CLINICAL HISTORY: 69-year-old gentleman with non Hodgkin's lymphoma; for pre-operative evaluation. IMPRESSION: 1. INTERVAL REMOVAL OF LEFT SUBCLAVIAN MEDIPORT AND INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR TUNNELED CATHETER. THE CATHETER TIP IS LOCATED IN THE DISTAL SUPERIOR VENA CAVA. 2. THERE IS INTERVAL INCREASE IN THE RETROCARDIAC OPACITY WITH CONFLUENCE IN THE LEFT POSTERIOR BASE. THIS MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 3. THE APICES ARE EXCLUDED FROM THE CURRENT STUDY. THERE IS NO OBVIOUS PNEUMOTHORAX. 4. AGAIN DEMONSTRATED ARE LOWER THORACIC FUSION HARDWARE WHICH IS NOT CHANGED WHEN COMPARED TO THE PRIOR STUDY. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Jackson, Calderon on: 6-14-2000 ACCESSION NUMBER: 737782344 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF LEFT SUBCLAVIAN MEDIPORT AND INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR TUNNELED CATHETER. THE CATHETER TIP IS LOCATED IN THE DISTAL SUPERIOR VENA CAVA. 2. THERE IS INTERVAL INCREASE IN THE RETROCARDIAC OPACITY WITH CONFLUENCE IN THE LEFT POSTERIOR BASE. THIS MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 3. THE APICES ARE EXCLUDED FROM THE CURRENT STUDY. THERE IS NO OBVIOUS PNEUMOTHORAX. 4. AGAIN DEMONSTRATED ARE LOWER THORACIC FUSION HARDWARE WHICH IS NOT CHANGED WHEN COMPARED TO THE PRIOR STUDY. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Jackson, Calderon on: 6-14-2000 " 208806,CheXpert_Demo_Images\train\patient54465\study1\view1_frontal.jpg,patient54465,"NARRATIVE: Chest 1 View: 7/31/2020 HISTORY: Female, 71 years old, status post PICC line placement. COMPARISON: 7-31-2020 IMPRESSION: Interval placement of a left upper extremity PICC line with tip projecting 4.1 cm beneath the level of the carina. Low lung volumes. Stable cardiomediastinal silhouette. Slight improvement in the aeration of both lungs, with diffuse bilateral reticular and airspace opacities which may be due to pulmonary edema, multifocal infection, or ARDS. Relative lucency at the apices correlates with centrilobular and paraseptal emphysema better seen on CT from 7/31/2020. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: H This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Interval placement of a left upper extremity PICC line with tip projecting 4.1 cm beneath the level of the carina. Low lung volumes. Stable cardiomediastinal silhouette. Slight improvement in the aeration of both lungs, with diffuse bilateral reticular and airspace opacities which may be due to pulmonary edema, multifocal infection, or ARDS. Relative lucency at the apices correlates with centrilobular and paraseptal emphysema better seen on CT from 7/31/2020. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 75700,CheXpert_Demo_Images\train\patient18182\study1\view2_lateral.jpg,patient18182,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1/29/2001 CLINICAL HISTORY: 54 years of age, Male, Eval pleural effusion. COMPARISON: Chest x-ray 1/29/2001 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Surgical clips projecting over the left axilla. Mildly increased left lung volume. Persistent bibasilar opacities. Moderate right pleural effusion. Small left pleural effusion. No visualized pneumothorax. Air-fluid level under the right hemidiaphragm. IMPRESSION: 1. Persistent bibasilar opacities, which may represent atelectasis or consolidation. 2. Bilateral pleural effusions, moderate on the right and small on the left. 3. Air-fluid level under the right hemidiaphragm, likely corresponds to known gas and fluid in the abdomen. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7266310295 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Surgical clips projecting over the left axilla. Mildly increased left lung volume. Persistent bibasilar opacities. Moderate right pleural effusion. Small left pleural effusion. No visualized pneumothorax. Air-fluid level under the right hemidiaphragm. "," 1. Persistent bibasilar opacities, which may represent atelectasis or consolidation. 2. Bilateral pleural effusions, moderate on the right and small on the left. 3. Air-fluid level under the right hemidiaphragm, likely corresponds to known gas and fluid in the abdomen. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 173035,CheXpert_Demo_Images\train\patient40426\study2\view1_frontal.jpg,patient40426,"NARRATIVE: Addendum Begins ADDENDUM: No evidence of active Tb or post granulomatous changes. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED Addendum Ends SINGLE FRONTAL UPRIGHT CHEST RADIOGRAPH: 7/24/2013 at 1717 hours CLINICAL HISTORY: A 46-year-old male, pre-transplant evaluation with a history of pulmonary hypertension. COMPARISON: Chest radiograph on 7-24-13 at 2259 hours. IMPRESSION: 1. NEW LEFT-SIDED DUAL-LUMEN CATHETER WITH ITS TIP AT THE CAVOATRIAL JUNCTION. RETROCARDIAC DENSITY REFLECTING ATELECTASIS VERSUS CONSOLIDATION. STABLE MIDLINE RETROCARDIAC DENSITY WHICH REFLECTS THE PATIENT'S ESOPHAGEAL VARICES. 2. LUNG FIELDS ARE OTHERWISE CLEAR. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. RIGHT IJ CENTRAL VENOUS CATHETER IS STABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #tmkpnph This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",,,"2-ABNORMAL, PREVIOUSLY REPORTED Addendum Ends SINGLE FRONTAL UPRIGHT CHEST RADIOGRAPH: 7/24/2013 at 1717 hours CLINICAL HISTORY: A 46-year-old male, pre-transplant evaluation with a history of pulmonary hypertension. COMPARISON: Chest radiograph on 7-24-13 at 2259 hours. IMPRESSION: 1. NEW LEFT-SIDED DUAL-LUMEN CATHETER WITH ITS TIP AT THE CAVOATRIAL JUNCTION. RETROCARDIAC DENSITY REFLECTING ATELECTASIS VERSUS CONSOLIDATION. STABLE MIDLINE RETROCARDIAC DENSITY WHICH REFLECTS THE PATIENT'S ESOPHAGEAL VARICES. 2. LUNG FIELDS ARE OTHERWISE CLEAR. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. RIGHT IJ CENTRAL VENOUS CATHETER IS STABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED " 180174,CheXpert_Demo_Images\train\patient42413\study1\view1_frontal.jpg,patient42413,"NARRATIVE: COMPARISON: 2014-05-04 IMPRESSION: 1.RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, ENDOTRACHEAL TUBE, AND FEEDING TUBE ARE ALL STABLE. 2.CARDIAC SILHOUETTE REMAINS ENLARGED THERE ARE PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR OPACITIES. PULMONARY EDEMA IS MILD AND STABLE. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #4896361446 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, ENDOTRACHEAL TUBE, AND FEEDING TUBE ARE ALL STABLE. 2.CARDIAC SILHOUETTE REMAINS ENLARGED THERE ARE PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR OPACITIES. PULMONARY EDEMA IS MILD AND STABLE. "," 2-ABNORMAL, PREVIOUSLY REPORTED " 64783,CheXpert_Demo_Images\train\patient15606\study1\view2_lateral.jpg,patient15606,"NARRATIVE: CHEST PA AND LATERAL: 6/30/2010 FINDINGS: There is cardiomegaly. Atherosclerotic vascular calcification of the thoracic aorta. The lungs are clear without evidence of consolidation. Mild prominence of the pulmonary arteries may reflect pulmonary arterial hypertension. There are mild multilevel degenerative changes of the thoracic spine. IMPRESSION: 1. NO EVIDENCE OF ACUTE CONSOLIDATION. 2. MILD CARDIOMEGALY. 3. MILD ENLARGEMENT OF THE PULMONARY ARTERIES MAY REFLECT PULMONARY ARTERIAL HYPERTENSION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: Hw-00-CK-x6-09-44-3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is cardiomegaly. Atherosclerotic vascular calcification of the thoracic aorta. The lungs are clear without evidence of consolidation. Mild prominence of the pulmonary arteries may reflect pulmonary arterial hypertension. There are mild multilevel degenerative changes of the thoracic spine. "," 1. NO EVIDENCE OF ACUTE CONSOLIDATION. 2. MILD CARDIOMEGALY. 3. MILD ENLARGEMENT OF THE PULMONARY ARTERIES MAY REFLECT PULMONARY ARTERIAL HYPERTENSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 66931,CheXpert_Demo_Images\train\patient16099\study1\view1_frontal.jpg,patient16099,"NARRATIVE: CHEST TWO VIEWS: 6/26/2005 COMPARISON: None. CLINICAL DATA: 67-year-old with chest pain. IMPRESSION: 1. PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE LOW LUNG VOLUMES. THERE IS DENSE RETROCARDIAC LEFT BASILAR OPACITY LIKELY REPRESENTING CONSOLIDATION. 2. CARDIOMEGALY. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Compton, Dr. on: 3/4/2010 ACCESSION NUMBER: 703093 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE LOW LUNG VOLUMES. THERE IS DENSE RETROCARDIAC LEFT BASILAR OPACITY LIKELY REPRESENTING CONSOLIDATION. 2. CARDIOMEGALY. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Compton, Dr. on: 3/4/2010 " 159597,CheXpert_Demo_Images\train\patient37367\study1\view1_frontal.jpg,patient37367,"NARRATIVE: Chest 1 View, 6/29/00 HISTORY: 61 years Female, Tachypneic COMPARISON: No relevant studies for comparison TECHNIQUE: Upright AP view of the chest IMPRESSION: 1.LOW LUNG VOLUMES WITHOUT FOCAL INFILTRATE, EFFUSION OR PNEUMOTHORAX. PULMONARY VASCULATURE AND CARDIOMEDIASTINAL SILHOUETTE ARE WITHIN NORMAL LIMITS. 2.RIGHT CHEST MEDIPORT WITH TIP AT THE LEVEL OF THE CAVOATRIAL JUNCTION. 3.INCIDENTAL SMALL BONE ISLAND WITHIN THE RIGHT HUMERAL HEAD. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 674913 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LOW LUNG VOLUMES WITHOUT FOCAL INFILTRATE, EFFUSION OR PNEUMOTHORAX. PULMONARY VASCULATURE AND CARDIOMEDIASTINAL SILHOUETTE ARE WITHIN NORMAL LIMITS. 2.RIGHT CHEST MEDIPORT WITH TIP AT THE LEVEL OF THE CAVOATRIAL JUNCTION. 3.INCIDENTAL SMALL BONE ISLAND WITHIN THE RIGHT HUMERAL HEAD. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 196430,CheXpert_Demo_Images\train\patient48098\study2\view1_frontal.jpg,patient48098,"NARRATIVE: Chest 1 View, 02/08 HISTORY: 68 years Female, Critical Care follow-up(ICU) COMPARISON: No relevant studies for comparison IMPRESSION: 1.SUPINE AP VIEW OF THE CHEST ON THE 9-2-2014 22:47 DEMONSTRATES AN ENDOTRACHEAL TUBE WITH TIP APPROXIMATELY 5.0 CM ABOVE THE CARINA AND A NASOGASTRIC TUBE WITH THE TIP IN A SUBDIAPHRAGMATIC LOCATION. 2.LUNG FIELDS ARE CLEAR WITHOUT FOCAL INFILTRATE, EFFUSION OR PNEUMOTHORAX. PULMONARY VASCULARITY AND CARDIOMEDIASTINAL SILHOUETTE ARE WITHIN NORMAL LIMITS. 3.SEMIUPRIGHT AP VIEW OF THE CHEST ON September 2 AT 4:20 DEMONSTRATES INTERVAL RETRACTION OF THE ENDOTRACHEAL TUBE WITH THE TIP NOW 6.8 CM ABOVE THE CARINA; STABLE POSITIONING OF THE NASOGASTRIC TUBE. NO SIGNIFICANT INTERVAL CHANGE OTHERWISE. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #0199693802 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SUPINE AP VIEW OF THE CHEST ON THE 9-2-2014 22:47 DEMONSTRATES AN ENDOTRACHEAL TUBE WITH TIP APPROXIMATELY 5.0 CM ABOVE THE CARINA AND A NASOGASTRIC TUBE WITH THE TIP IN A SUBDIAPHRAGMATIC LOCATION. 2.LUNG FIELDS ARE CLEAR WITHOUT FOCAL INFILTRATE, EFFUSION OR PNEUMOTHORAX. PULMONARY VASCULARITY AND CARDIOMEDIASTINAL SILHOUETTE ARE WITHIN NORMAL LIMITS. 3.SEMIUPRIGHT AP VIEW OF THE CHEST ON September 2 AT 4:20 DEMONSTRATES INTERVAL RETRACTION OF THE ENDOTRACHEAL TUBE WITH THE TIP NOW 6.8 CM ABOVE THE CARINA; STABLE POSITIONING OF THE NASOGASTRIC TUBE. NO SIGNIFICANT INTERVAL CHANGE OTHERWISE. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 205736,CheXpert_Demo_Images\train\patient52553\study1\view1_frontal.jpg,patient52553,"NARRATIVE: PORTABLE ONE VIEW OF THE CHEST: 8/25/2019 COMPARISON: No comparison studies available. CLINICAL HISTORY: 56-year old man with fever. Check for infiltrates. IMPRESSION: 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES THE PATIENT TO BE ROTATED. LOW LUNG VOLUMES. NO EVIDENCE OF FOCAL CONSOLIDATION. END OF IMPRESSION: SUMMARY 1: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Donovan, Dr. on: august 25, 2019 ACCESSION NUMBER: S-I-B-N-R-I-M-J This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES THE PATIENT TO BE ROTATED. LOW LUNG VOLUMES. NO EVIDENCE OF FOCAL CONSOLIDATION. "," 1: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Donovan, Dr. on: august 25, 2019 " 105577,CheXpert_Demo_Images\train\patient25367\study1\view1_frontal.jpg,patient25367,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12-15-2012 CLINICAL HISTORY: 37 years of age, Male, S/p ICD implant. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: 2-lead pacer implanted in the left chest wall. No evidence of pneumothorax. The left lung base is not completely included in this film. Lung markings are clear without evidence of airspace opacities or pleural effusions. Mediastinal silhouette is within the normal. Cardiac silhouette is minimally prominent. IMPRESSION: 1. No evidence of pneumothorax following ICD implant. Minimally prominent cardiac silhouette.. ACCESSION NUMBER: QMNRQZ86Z This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 2-lead pacer implanted in the left chest wall. No evidence of pneumothorax. The left lung base is not completely included in this film. Lung markings are clear without evidence of airspace opacities or pleural effusions. Mediastinal silhouette is within the normal. Cardiac silhouette is minimally prominent. "," 1. No evidence of pneumothorax following ICD implant. Minimally prominent cardiac silhouette.. ", 217969,CheXpert_Demo_Images\train\patient60171\study1\view1_frontal.jpg,patient60171,"NARRATIVE: CHEST: Single AP portable COMPARISON: Previous study 01/5 IMPRESSION: 1. POST SURGICAL CHANGES WITH PARASPINAL RODS PLACED IN THE INTERVAL WITH RODS EXTENDING FROM T4 INFERIORLY. THE INFERIOR EXTENT IS NOT WELL SEEN ON THIS EXAMINATION. 2. MIDLINE STAPLES WITH RIGHT SIDED CHEST TUBE IN PLACE WITH TIP IN THE MEDIAL RIGHT UPPER HEMITHORAX. NO EVIDENCE OF PNEUMOTHORAX IS NOTED. 3. LOW LUNG VOLUMES WITH LEFT LOWER LOBE ATELECTASIS OR CONSOLIDATION AND MILD PULMONARY EDEMA. 4. PREVIOUSLY DESCRIBED RIGHT MIDLUNG ZONE MASS APPEARS TO HAVE BEEN RESECTED IN THE INTERVAL. END OF IMPRESSION: SUMMARY 2: Abnormal; previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Franklin Seth, MD. on: 4-5-2001 __________________________________ ACCESSION NUMBER: 802801186 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. POST SURGICAL CHANGES WITH PARASPINAL RODS PLACED IN THE INTERVAL WITH RODS EXTENDING FROM T4 INFERIORLY. THE INFERIOR EXTENT IS NOT WELL SEEN ON THIS EXAMINATION. 2. MIDLINE STAPLES WITH RIGHT SIDED CHEST TUBE IN PLACE WITH TIP IN THE MEDIAL RIGHT UPPER HEMITHORAX. NO EVIDENCE OF PNEUMOTHORAX IS NOTED. 3. LOW LUNG VOLUMES WITH LEFT LOWER LOBE ATELECTASIS OR CONSOLIDATION AND MILD PULMONARY EDEMA. 4. PREVIOUSLY DESCRIBED RIGHT MIDLUNG ZONE MASS APPEARS TO HAVE BEEN RESECTED IN THE INTERVAL. "," 2: Abnormal; previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Franklin Seth, MD. on: 4-5-2001 __________________________________ " 25890,CheXpert_Demo_Images\train\patient06316\study9\view1_frontal.jpg,patient06316,"NARRATIVE: SINGLE AP PORTABLE VIEW OF THE CHEST: 4/2/2020 COMPARISON: 20/4/2. IMPRESSION: 1. ENDOTRACHEAL TUBE, RIGHT IJ CENTRAL VENOUS CATHETER AND LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER REMAIN IN PLACE AS WELL AS NASOGASTRIC TUBE AND FEEDING TUBE UNCHANGED. 2. DIFFUSED AIRSPACE OPACITY IN A PATCHY PATTERN BILATERALLY AND SYMMETRICALLY CONSISTENT WITH PULMONARY EDEMA AND POSSIBLY INDICATIVE OF RDS. 3. PERSISTENT LEFT LOWER LOBE ATELECTASIS OR CONSOLIDATION, UNCHANGED. 4. OVERALL, NO SIGNIFICANT CHANGE FROM THE PREVIOUS EXAMINATION. END OF IMPRESSION: SUMMARY: 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: Frye MD on: 20-02 ACCESSION NUMBER: 15952 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ENDOTRACHEAL TUBE, RIGHT IJ CENTRAL VENOUS CATHETER AND LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER REMAIN IN PLACE AS WELL AS NASOGASTRIC TUBE AND FEEDING TUBE UNCHANGED. 2. DIFFUSED AIRSPACE OPACITY IN A PATCHY PATTERN BILATERALLY AND SYMMETRICALLY CONSISTENT WITH PULMONARY EDEMA AND POSSIBLY INDICATIVE OF RDS. 3. PERSISTENT LEFT LOWER LOBE ATELECTASIS OR CONSOLIDATION, UNCHANGED. 4. OVERALL, NO SIGNIFICANT CHANGE FROM THE PREVIOUS EXAMINATION. "," 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: Frye MD on: 20-02 " 222529,CheXpert_Demo_Images\train\patient63909\study1\view1_frontal.jpg,patient63909,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 4/6/2000 CLINICAL HISTORY: 69 year-old female status post left subclavian line placement. COMPARISON: 7/5/2014 at 15:15 PROCEDURE COMMENTS: Single view of the chest at 16:46. FINDINGS: AP chest radiograph demonstrates interval placement of a left subclavian central venous catheter with tip at the cavoatrial junction. Median sternotomy wires and mediastinal clips are again noted. There is stable cardiomegaly and mild pulmonary edema. Left retrocardiac opacities are evident, likely subsegmental atelectasis versus less likely consolidation. No evidence of pneumothorax. IMPRESSION: 1. Interval placement of a left subclavian central venous catheter with tip at the cavoatrial junction. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7tax0l9 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," AP chest radiograph demonstrates interval placement of a left subclavian central venous catheter with tip at the cavoatrial junction. Median sternotomy wires and mediastinal clips are again noted. There is stable cardiomegaly and mild pulmonary edema. Left retrocardiac opacities are evident, likely subsegmental atelectasis versus less likely consolidation. No evidence of pneumothorax. "," 1. Interval placement of a left subclavian central venous catheter with tip at the cavoatrial junction. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 132794,CheXpert_Demo_Images\train\patient31885\study1\view1_frontal.jpg,patient31885,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 2/27/2015 CLINICAL HISTORY: 66 years of age, Male, Rule out abnormalities for liver transplant. COMPARISON: No prior PROCEDURE COMMENTS: Two views of the chest. FINDINGS: There is a left subclavian dual lead intracardiac pacemaker/AICD. Sternal wire sutures and mediastinal clips are noted. There is mild cardiomegaly and mild aortic tortuosity. Pulmonary vessels are prominent centrally, do not appear congested. Lateral view demonstrates an unusual rounded contour overlying the cardiac silhouette posteriorly; this finding is not visualized on frontal projection. The lungs and pleural spaces appear unremarkable. Prominent osteophytes involve a few mid thoracic vertebral bodies. IMPRESSION: 1. Dual-lead pacemaker/AICD, with cardiomegaly, no CHF. 2. Bulge on lateral view overlying the posterior cardiac contour raises the possibility of vascular abnormality or ventricular aneurysm. Consider chest CT study unless prior outside exams can be obtained to document stability or etiology of this finding. ""Physician to Physician Radiology Consult Line: (121)612-1049"" ACCESSION NUMBER: 1549195 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a left subclavian dual lead intracardiac pacemaker/AICD. Sternal wire sutures and mediastinal clips are noted. There is mild cardiomegaly and mild aortic tortuosity. Pulmonary vessels are prominent centrally, do not appear congested. Lateral view demonstrates an unusual rounded contour overlying the cardiac silhouette posteriorly; this finding is not visualized on frontal projection. The lungs and pleural spaces appear unremarkable. Prominent osteophytes involve a few mid thoracic vertebral bodies. "," 1. Dual-lead pacemaker/AICD, with cardiomegaly, no CHF. 2. Bulge on lateral view overlying the posterior cardiac contour raises the possibility of vascular abnormality or ventricular aneurysm. Consider chest CT study unless prior outside exams can be obtained to document stability or etiology of this finding. ""Physician to Physician Radiology Consult Line: (121)612-1049"" ", 27404,CheXpert_Demo_Images\train\patient06701\study2\view1_frontal.jpg,patient06701,"NARRATIVE: SINGLE PORTABLE SEMIUPRIGHT VIEW OF CHEST: 2-20-00 0913 CLINICAL HISTORY: 83-year-old man CVA. COMPARISON: 2/20/2000 0837. IMPRESSION: 1. NO INTERVAL CHANGE IN SUPPORTING DEVICES. 2. NO SIGNIFICANT INTERVAL CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT LOW LUNG VOLUMES, RETROCARDIAC AIR SPACE OPACITY, AND MILD INTERSTITIAL PULMONARY EDEMA. END OF IMPRESSION SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: summers gael jesse, md on: 2/20/2000 ACCESSION NUMBER: EFZHCJJIBUDUY This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO INTERVAL CHANGE IN SUPPORTING DEVICES. 2. NO SIGNIFICANT INTERVAL CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT LOW LUNG VOLUMES, RETROCARDIAC AIR SPACE OPACITY, AND MILD INTERSTITIAL PULMONARY EDEMA. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: summers gael jesse, md on: 2/20/2000 " 102915,CheXpert_Demo_Images\train\patient24749\study1\view2_lateral.jpg,patient24749,"NARRATIVE: Exam: Chest 2 Views, 4/18/2020 Clinical History: 21 years Male with Cp s/p mvc Comparison: None IMPRESSION: 1.THE LUNGS APPEAR CLEAR. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2.NO RIB FRACTURE OR PNEUMOTHORAX. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 4455490 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.THE LUNGS APPEAR CLEAR. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2.NO RIB FRACTURE OR PNEUMOTHORAX. ","1-NO SIGNIFICANT ABNORMALITY " 168091,CheXpert_Demo_Images\train\patient39249\study1\view1_frontal.jpg,patient39249,"NARRATIVE: Chest 1 View 12-9-13 History: 63-year-old female patient post axillary vein stick. Evaluate for pneumothorax. Comparison: 12/9/2013. Findings: Two portable radiographs at the bedside. First labeled 1/6/25. The second labeled 1/7/2018. The second was performed in expiration. No evidence of pneumothorax is identified on either film. Mild cardiomegaly is present. Slight tortuosity of the intrathoracic aorta is seen. Pacemaker in place with multiple leads. Impression: NO EVIDENCE OF PNEUMOTHORAX. RESULTS TO andres q obrien, dr. BY THE RADIOLOGY RESIDENT ON CALL. SUMMARY CODE: SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. ACCESSION NUMBER: 87914709 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Two portable radiographs at the bedside. First labeled 1/6/25. The second labeled 1/7/2018. The second was performed in expiration. No evidence of pneumothorax is identified on either film. Mild cardiomegaly is present. Slight tortuosity of the intrathoracic aorta is seen. Pacemaker in place with multiple leads. "," NO EVIDENCE OF PNEUMOTHORAX. RESULTS TO andres q obrien, dr. BY THE RADIOLOGY RESIDENT ON CALL. SUMMARY CODE: "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. " 22960,CheXpert_Demo_Images\train\patient05627\study3\view1_frontal.jpg,patient05627,"NARRATIVE: Exam: Chest 2 Views, 8/27/11 Clinical History: 66 years Male with Lightheaded Comparison: august 27th 11 IMPRESSION: 1. PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. THE LUNGS ARE EMPHYSEMATOUS, WITH FLATTENING OF THE HEMIDIAPHRAGMS. THE INCREASED RETICULAR MARKINGS ARE SEEN IN THE RIGHT MIDLUNG, LIKELY A COMBINATION OF SCARRING AND CROWDING OF LUNG MARKINGS. A SMALL NODULAR DENSITY IS SEEN PERIPHERALLY IN THE RIGHT MID LUNG, JUST ABOVE THE HORIZONTAL FISSURE, BUT THIS APPEARS UNCHANGED IN COMPARISON TO PRIOR RADIOGRAPHS DATING BACK TO 8/27/2011. THERE IS ALSO A UNCHANGED BLUNTING OF THE COSTOPHRENIC ANGLE, COMPATIBLE WITH PLEURAL THICKENING OR A SMALL PLEURAL EFFUSION 3. THE LUNGS OTHERWISE APPEAR CLEAR. 4. MILD DISK DEGENERATION IN THE MID THORACIC SPINE. VISUALIZED OSSEOUS STRUCTURES OTHERWISE UNREMARKABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 2248H6421 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. THE LUNGS ARE EMPHYSEMATOUS, WITH FLATTENING OF THE HEMIDIAPHRAGMS. THE INCREASED RETICULAR MARKINGS ARE SEEN IN THE RIGHT MIDLUNG, LIKELY A COMBINATION OF SCARRING AND CROWDING OF LUNG MARKINGS. A SMALL NODULAR DENSITY IS SEEN PERIPHERALLY IN THE RIGHT MID LUNG, JUST ABOVE THE HORIZONTAL FISSURE, BUT THIS APPEARS UNCHANGED IN COMPARISON TO PRIOR RADIOGRAPHS DATING BACK TO 8/27/2011. THERE IS ALSO A UNCHANGED BLUNTING OF THE COSTOPHRENIC ANGLE, COMPATIBLE WITH PLEURAL THICKENING OR A SMALL PLEURAL EFFUSION 3. THE LUNGS OTHERWISE APPEAR CLEAR. 4. MILD DISK DEGENERATION IN THE MID THORACIC SPINE. VISUALIZED OSSEOUS STRUCTURES OTHERWISE UNREMARKABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED " 114387,CheXpert_Demo_Images\train\patient27475\study1\view1_frontal.jpg,patient27475,"NARRATIVE: Chest 1 View, 8/23/2005 HISTORY: 35 years Male, Hypotension, r/o PNA COMPARISON: None IMPRESSION: 1.SINGLE PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.NO EVIDENCE OF FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 3.BONES AND SOFT TISSUES ARE UNREMARKABLE. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8203 184 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.NO EVIDENCE OF FOCAL CONSOLIDATION OR PLEURAL EFFUSION. 3.BONES AND SOFT TISSUES ARE UNREMARKABLE. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 167824,CheXpert_Demo_Images\train\patient39205\study3\view1_frontal.jpg,patient39205,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 6-2-13 COMPARISON: 6/2/2013 and before. CLINICAL HISTORY: Thirty-six-year-old female with multiple facial fractures. IMPRESSION: 1. LINES AND TUBES ARE STABLE. 2. CLEARING OF THE RETROCARDIAC SPACE. 3. NO PNEUMOTHORAX. END OF IMPRESSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 9534322655 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LINES AND TUBES ARE STABLE. 2. CLEARING OF THE RETROCARDIAC SPACE. 3. NO PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED " 85681,CheXpert_Demo_Images\train\patient20558\study1\view1_frontal.jpg,patient20558,"NARRATIVE: TWO VIEW CHEST: 8-28-2013 953-335-891 COMPARISON: None. IMPRESSION: THERE IS SLIGHT BLUNTING OF THE RIGHT LATERAL COSTOPHRENIC SULCUS WHICH MAY REPRESENT MINIMAL PLEURAL THICKENING VERSUS PLEURAL EFFUSION. COMPARISON TO ANY PREVIOUS OUTSIDE EXAMINATIONS WOULD BE USEFUL. LUNGS OTHERWISE CLEAR AND CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. END OF IMPRESSION SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: #exmqyyzcoo This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," THERE IS SLIGHT BLUNTING OF THE RIGHT LATERAL COSTOPHRENIC SULCUS WHICH MAY REPRESENT MINIMAL PLEURAL THICKENING VERSUS PLEURAL EFFUSION. COMPARISON TO ANY PREVIOUS OUTSIDE EXAMINATIONS WOULD BE USEFUL. LUNGS OTHERWISE CLEAR AND CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 20011,CheXpert_Demo_Images\train\patient04949\study2\view1_frontal.jpg,patient04949,"NARRATIVE: Exam: Chest 1 View, 7/8/2005 Comparison: 7/8/2005. Clinical History: Male, 46 years old S/p R VATS Findings: A portable upright radiograph of the chest was obtained. There has been no significant change since the prior exam. There is a small right pneumothorax, without evidence of mediastinal shift. There is persistent right lower lobe atelectasis. No new consolidation is seen. The cardiomediastinal silhouette is stable. The tubes and lines are unchanged. IMPRESSION: 1.STABLE SMALL RIGHT PNEUMOTHORAX, WITHOUT EVIDENCE OF MEDIASTINAL SHIFT. 2.STABLE RIGHT LOWER LOBE ATELECTASIS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 779139 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A portable upright radiograph of the chest was obtained. There has been no significant change since the prior exam. There is a small right pneumothorax, without evidence of mediastinal shift. There is persistent right lower lobe atelectasis. No new consolidation is seen. The cardiomediastinal silhouette is stable. The tubes and lines are unchanged. "," 1.STABLE SMALL RIGHT PNEUMOTHORAX, WITHOUT EVIDENCE OF MEDIASTINAL SHIFT. 2.STABLE RIGHT LOWER LOBE ATELECTASIS. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 220373,CheXpert_Demo_Images\train\patient61951\study1\view1_frontal.jpg,patient61951,"NARRATIVE: CHEST: 11/4/2004 COMPARISON: Chest X-ray done 2004, November 4. CLINICAL HISTORY: Tachycardiac, rule out pneumothorax. IMPRESSION: 1. INTERVAL PLACEMENT OF A LEFT ANTERIOR CHEST WALL DUAL LEAD PACER WITHOUT EVIDENCE FOR PNEUMOTHORAX. 2. STREAKY OPACITY AT THE LEFT LOWER LUNG, LIKELY SCARRING. CARDIAC SILHOUETTE AT THE UPPER LIMITS OF NORMAL. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Sellers on: 11/4/2004 ACCESSION NUMBER: 8869608 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF A LEFT ANTERIOR CHEST WALL DUAL LEAD PACER WITHOUT EVIDENCE FOR PNEUMOTHORAX. 2. STREAKY OPACITY AT THE LEFT LOWER LUNG, LIKELY SCARRING. CARDIAC SILHOUETTE AT THE UPPER LIMITS OF NORMAL. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Sellers on: 11/4/2004 " 204818,CheXpert_Demo_Images\train\patient51981\study1\view1_frontal.jpg,patient51981,"NARRATIVE: AP SEMI-UPRIGHT SINGLE VIEW OF THE CHEST: 3/9/2006 IMPRESSION: 1. THE ENDOTRACHEAL TUBE HAS BEEN PULLED BACK TO A MORE OPTIMAL POSITION. THE REMAINING LINES AND TUBES ARE STABLE. 2. THERE ARE LOW LUNG VOLUMES AND BIBASILAR ATELECTASIS. THERE IS NO EVIDENCE OF PNEUMOTHORAX OR PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: jase washingon, crna on: 3/9/2006 ACCESSION NUMBER: 0439377405 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE ENDOTRACHEAL TUBE HAS BEEN PULLED BACK TO A MORE OPTIMAL POSITION. THE REMAINING LINES AND TUBES ARE STABLE. 2. THERE ARE LOW LUNG VOLUMES AND BIBASILAR ATELECTASIS. THERE IS NO EVIDENCE OF PNEUMOTHORAX OR PLEURAL EFFUSION. "," 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: jase washingon, crna on: 3/9/2006 " 14940,CheXpert_Demo_Images\train\patient03715\study9\view1_frontal.jpg,patient03715,"NARRATIVE: 4466097017 PORTABLE CHEST: 26/2010 COMPARISON: 9/26/2010 IMPRESSION: 1. SWAN-GANZ LINE HAS BEEN INSERTED WITH TIP IN RIGHT MAIN PULMONARY ARTERY. RIGHT PLEURAL EFFUSION AND EVIDENCE OF MILD CONGESTIVE FAILURE PERSISTS. END OF IMPRESSION: 4144 PORTABLE CHEST: 1/4/2009 COMPARISON: Prior date. IMPRESSION: 1. NO CHANGE SINCE PRIOR DATE. END OF IMPRESSION: 4466097017 PORTABLE CHEST: 1-5-2009 COMPARISON: Early same date. IMPRESSION: 1. SIGNIFICANT CHANGE WITH LEFT PLEURAL EFFUSION AND MILD CONGESTIVE FAILURE. END OF IMPRESSION: ACCESSION NUMBER: 4144 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SWAN-GANZ LINE HAS BEEN INSERTED WITH TIP IN RIGHT MAIN PULMONARY ARTERY. RIGHT PLEURAL EFFUSION AND EVIDENCE OF MILD CONGESTIVE FAILURE PERSISTS. ", 35536,CheXpert_Demo_Images\train\patient08726\study5\view1_frontal.jpg,patient08726,"NARRATIVE: EXAM: Chest 2 Views, 16th September. HISTORY: Female of 23 years; imaging performed for ""BMT routine"". COMPARISON: Chest x-ray dated 9-16-2005. IMPRESSION: 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LUNGS DEMONSTRATE NO FOCAL CONSOLIDATION, NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES ARE UNREMARKABLE. 4. INTERVAL REMOVAL OF RIGHT INTERNAL JUGULAR VEIN CENTRAL VENOUS CATHETER.. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 79919709697 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LUNGS DEMONSTRATE NO FOCAL CONSOLIDATION, NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES ARE UNREMARKABLE. 4. INTERVAL REMOVAL OF RIGHT INTERNAL JUGULAR VEIN CENTRAL VENOUS CATHETER.. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 58975,CheXpert_Demo_Images\train\patient14287\study1\view1_frontal.jpg,patient14287,"NARRATIVE: Chest 2 Views 11/5/2011 CLINICAL HISTORY: 73 years-old Female. Sob COMPARISON: 11-5-11 IMPRESSION: 1. PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A HEART SIZE AT THE UPPER LIMITS OF NORMAL. STABLE POSTOPERATIVE CHANGES WITH INTACT STERNOTOMY WIRES AND 2 LEAD LEFT SIDED PERMANENT PACEMAKER 2. PERSISTENT LINGULAR AIR SPACE OPACITY WHICH MAY REFLECT ASPIRATION, ATELECTASIS, OR INFECTION. NEW SMALL LEFT PLEURAL EFFUSION. 3. MILD ATELECTASIS AT THE RIGHT BASE. 4. MULTILEVEL OSTEOPHYTOSIS OF THE SPINE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8564 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A HEART SIZE AT THE UPPER LIMITS OF NORMAL. STABLE POSTOPERATIVE CHANGES WITH INTACT STERNOTOMY WIRES AND 2 LEAD LEFT SIDED PERMANENT PACEMAKER 2. PERSISTENT LINGULAR AIR SPACE OPACITY WHICH MAY REFLECT ASPIRATION, ATELECTASIS, OR INFECTION. NEW SMALL LEFT PLEURAL EFFUSION. 3. MILD ATELECTASIS AT THE RIGHT BASE. 4. MULTILEVEL OSTEOPHYTOSIS OF THE SPINE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 159177,CheXpert_Demo_Images\train\patient37292\study1\view1_frontal.jpg,patient37292,"NARRATIVE: EXAM: Chest 1 View 2/11/2020 CLINICAL HISTORY: 100 year old old Male. ICU Protocol. COMPARISON: Portable AP Chest Radiograph, 2-11-2020. IMPRESSION: PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES INCREASING DENSE OPACIFICATION IN THE RETROCARDIAC REGION, WHICH MAY REPRESENT ATELECTASIS, ASPIRATION OR DEVELOPING PNEUMONIA. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS, UNCHANGED IN SIZE. OTHERWISE NO SIGNIFICANT CHANGE FROM PREVIOUS EXAMINATION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 271153275122 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES INCREASING DENSE OPACIFICATION IN THE RETROCARDIAC REGION, WHICH MAY REPRESENT ATELECTASIS, ASPIRATION OR DEVELOPING PNEUMONIA. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS, UNCHANGED IN SIZE. OTHERWISE NO SIGNIFICANT CHANGE FROM PREVIOUS EXAMINATION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 184830,CheXpert_Demo_Images\train\patient43827\study1\view1_frontal.jpg,patient43827,"NARRATIVE: CHEST RADIOGRAPH: 1/29/04."" CLINICAL HISTORY: A 46-year-old-male, postoperative. COMPARISON: 1-29-2004. IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE PREVIOUSLY SEEN LOOPED NG TUBE FROM THE ESOPHAGUS. THE REMAINING SUPPORT EQUIPMENT IS IN STABLE POSITION. THE ENDOTRACHEAL TUBE TERMINATES 3.4 CM ABOVE THE CARINA AND THE SWAN-GANZ CATHETER LIKELY TERMINATES WITHIN THE MAIN PULMONARY ARTERY. NO EVIDENCE OF PNEUMOTHORAX. 2. INTERVAL INCREASE IN BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT, AND BIBASILAR OPACITIES, WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION. 3. STABLE APPEARANCE OF POSTOPERATIVE WIDENING OF THE SUPERIOR MEDIASTINUM. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: W-I-A-Y-X-X-J-G-P-C This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE PREVIOUSLY SEEN LOOPED NG TUBE FROM THE ESOPHAGUS. THE REMAINING SUPPORT EQUIPMENT IS IN STABLE POSITION. THE ENDOTRACHEAL TUBE TERMINATES 3.4 CM ABOVE THE CARINA AND THE SWAN-GANZ CATHETER LIKELY TERMINATES WITHIN THE MAIN PULMONARY ARTERY. NO EVIDENCE OF PNEUMOTHORAX. 2. INTERVAL INCREASE IN BILATERAL PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT, AND BIBASILAR OPACITIES, WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION. 3. STABLE APPEARANCE OF POSTOPERATIVE WIDENING OF THE SUPERIOR MEDIASTINUM. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 60402,CheXpert_Demo_Images\train\patient14599\study1\view1_frontal.jpg,patient14599,"NARRATIVE: CHEST 1 VIEW PORTABLE: 6-27-13 COMPARISON: 6-27-2013 CLINICAL HISTORY: The patient is a 27 year old male with concern for pneumonia. IMPRESSION: 1. OPACITY IN THE LEFT RETROCARDIAC REGION MAY REPRESENT ATELECTASIS OR CONSOLIDATION. GIVEN THE CLINICAL CONCERN FOR INFECTION THIS FINDING MAY REPRESENT PNEUMONIA. RECOMMEND PA AND LATERAL VIEW FOR FURTHER EVALUATION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8871744881 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. OPACITY IN THE LEFT RETROCARDIAC REGION MAY REPRESENT ATELECTASIS OR CONSOLIDATION. GIVEN THE CLINICAL CONCERN FOR INFECTION THIS FINDING MAY REPRESENT PNEUMONIA. RECOMMEND PA AND LATERAL VIEW FOR FURTHER EVALUATION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 81021,CheXpert_Demo_Images\train\patient19479\study1\view2_lateral.jpg,patient19479,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10/16/10 CLINICAL HISTORY: 63 years of age, Female, continued URI symptoms and new rib pain. COMPARISON: Radiograph dated 10/16/2010 and outside chest CT dated 10-16-2010. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Stable positioning of the left chest wall MediPort with the tip terminating in the mid SVC. The cardiomediastinal silhouette is normal. No significant change in the subtle opacity in the left lower lung which likely corresponds to the area of scarring/consolidation seen on chest CT dated 10-16-10. The remainder of the lungs are clear with no focal consolidation. No pleural effusion. Patient is status post right mastectomy with surgical clips projecting over the right axilla. IMPRESSION: 1. No significant change in the subtle opacity in the left lower lung which likely corresponds to the area of scarring/consolidation seen on outside chest CT dated 10/16/10. 2. No new focal consolidation. ACCESSION NUMBER: #266087957329 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Stable positioning of the left chest wall MediPort with the tip terminating in the mid SVC. The cardiomediastinal silhouette is normal. No significant change in the subtle opacity in the left lower lung which likely corresponds to the area of scarring/consolidation seen on chest CT dated 10-16-10. The remainder of the lungs are clear with no focal consolidation. No pleural effusion. Patient is status post right mastectomy with surgical clips projecting over the right axilla. "," 1. No significant change in the subtle opacity in the left lower lung which likely corresponds to the area of scarring/consolidation seen on outside chest CT dated 10/16/10. 2. No new focal consolidation. ", 189308,CheXpert_Demo_Images\train\patient45315\study2\view1_frontal.jpg,patient45315,"NARRATIVE: CHEST ONE VIEW: DECEMBER 2004 CLINICAL HISTORY: Intubated. TECHNIQUE: AP semiupright chest radiograph. COMPARISON: 12-29-2004. IMPRESSION: 1. INTERVAL INCREASE IN RIGHT LOWER LOBE OPACITY, CONSIDER ATELECTASIS, CONSOLIDATION, OR ASPIRATION. 2. STABLE RETROCARDIAC OPACITY. 3. STABLE PLACEMENT OF ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR, AND ENTERIC TUBE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 309537780 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL INCREASE IN RIGHT LOWER LOBE OPACITY, CONSIDER ATELECTASIS, CONSOLIDATION, OR ASPIRATION. 2. STABLE RETROCARDIAC OPACITY. 3. STABLE PLACEMENT OF ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR, AND ENTERIC TUBE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 2586,CheXpert_Demo_Images\train\patient00641\study1\view2_lateral.jpg,patient00641,"NARRATIVE: CHEST, TWO VIEWS, 00/3/15 COMPARISON: Comparison is made with 3/15/2000. CLINICAL HISTORY: Hodgkin's disease. IMPRESSION: 1. THE CENTRAL LINE IS UNCHANGED. 2. NO SIGNIFICANT CHANGE IN THE AREA OF CONSOLIDATION WITH AIR BRONCHOGRAMS AND SCARRING IN THE LEFT UPPER LOBE WHICH MAY BE SECONDARY TO EXTENSION OF LYMPHOMA VERSUS POST IRRADIATION CHANGE. 3. REDEMONSTRATION OF SURGICAL CLIPS OVERLYING THE LEFT UPPER CHEST. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Simmons, PA on: 3-15-2000 ACCESSION NUMBER: #x830g995434 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE CENTRAL LINE IS UNCHANGED. 2. NO SIGNIFICANT CHANGE IN THE AREA OF CONSOLIDATION WITH AIR BRONCHOGRAMS AND SCARRING IN THE LEFT UPPER LOBE WHICH MAY BE SECONDARY TO EXTENSION OF LYMPHOMA VERSUS POST IRRADIATION CHANGE. 3. REDEMONSTRATION OF SURGICAL CLIPS OVERLYING THE LEFT UPPER CHEST. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Simmons, PA on: 3-15-2000 " 42009,CheXpert_Demo_Images\train\patient10272\study1\view1_frontal.jpg,patient10272,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12/17 CLINICAL HISTORY: 17 years of age, Female, 17 yo F with 2 weeks of cough. COMPARISON: None. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The cardiomediastinal silhouette is normal. Small left pleural effusion and left basilar opacity. There are no pleural or significant bony abnormalities. IMPRESSION: 1. Small left pleural effusion. 2. Left basilar opacity may reflect atelectasis or infection. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: bldribei This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is normal. Small left pleural effusion and left basilar opacity. There are no pleural or significant bony abnormalities. "," 1. Small left pleural effusion. 2. Left basilar opacity may reflect atelectasis or infection. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 26629,CheXpert_Demo_Images\train\patient06499\study1\view2_lateral.jpg,patient06499,"NARRATIVE: COMPARISON: 11/13/2003. CLINICAL HISTORY: Asthma. IMPRESSION: 1. MILD BLUNTING OF THE COSTOPHRENIC SULCI BILATERALLY WHICH MAY BE DUE TO SMALL BILATERAL PLEURAL EFFUSIONS OR CHRONIC PLEURAL SCARRING. 2. NO EVIDENCE OF PULMONARY INFILTRATE. ON THE PA VIEW ONLY THERE IS A QUESTIONABLE SMALL NODULAR OPACITY IN THE PERIPHERY OF THE LEFT LUNG BASE. THIS IS NOT IDENTIFIED ON THE LATERAL PROJECTION AND IS THOUGHT TO REPRESENT FILM ARTIFACT FROM SUPERIMPOSITION OF SHADOWS. RECOMMEND ATTENTION ON FOLLOW-UP. 3. MILD DEGENERATIVE CHANGES ARE SEEN THROUGHOUT THE THORACIC SPINE. 4. NO PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. END OF IMPRESSION SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: casejidu This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. MILD BLUNTING OF THE COSTOPHRENIC SULCI BILATERALLY WHICH MAY BE DUE TO SMALL BILATERAL PLEURAL EFFUSIONS OR CHRONIC PLEURAL SCARRING. 2. NO EVIDENCE OF PULMONARY INFILTRATE. ON THE PA VIEW ONLY THERE IS A QUESTIONABLE SMALL NODULAR OPACITY IN THE PERIPHERY OF THE LEFT LUNG BASE. THIS IS NOT IDENTIFIED ON THE LATERAL PROJECTION AND IS THOUGHT TO REPRESENT FILM ARTIFACT FROM SUPERIMPOSITION OF SHADOWS. RECOMMEND ATTENTION ON FOLLOW-UP. 3. MILD DEGENERATIVE CHANGES ARE SEEN THROUGHOUT THE THORACIC SPINE. 4. NO PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 219111,CheXpert_Demo_Images\train\patient60795\study1\view1_frontal.jpg,patient60795,"NARRATIVE: EXAMINATION: PORTABLE Chest 1 View 8-12-2007 HISTORY: Female, 27 years old. Study obtained for ""Confirm PICC line remains in appropriate location"". COMPARISON: Chest x-ray dated 8/12/07 IMPRESSION: 1. PORTABLE CHEST RADIOGRAPH DEMONSTRATES STABLE POSITION OF RIGHT UPPER EXTREMITY PICC. 2. LUNGS DEMONSTRATE NO FOCAL CONSOLIDATION, NO PLEURAL EFFUSION, PNEUMOTHORAX. 3. ANTERIOR MEDIASTINAL MASS IDENTIFIED ON PRIOR IMAGING IS SMALLER IN SIZE COMPARED TO PRIOR STUDIES. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 34588841 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE CHEST RADIOGRAPH DEMONSTRATES STABLE POSITION OF RIGHT UPPER EXTREMITY PICC. 2. LUNGS DEMONSTRATE NO FOCAL CONSOLIDATION, NO PLEURAL EFFUSION, PNEUMOTHORAX. 3. ANTERIOR MEDIASTINAL MASS IDENTIFIED ON PRIOR IMAGING IS SMALLER IN SIZE COMPARED TO PRIOR STUDIES. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 214871,CheXpert_Demo_Images\train\patient58242\study1\view1_frontal.jpg,patient58242,"NARRATIVE: EXAM: Chest 1 View 8-17-2008 CLINICAL HISTORY: SOB COMPARISON: 08-17 IMPRESSION: 1. TUNNELED RIGHT CENTRAL VENOUS CATHETER IS PRESENT WITH TIP IN THE RIGHT ATRIUM. LEFT CHEST WALL MEDIPORT WITH TIP IN THE MID TO UPPER SUPERIOR VENA CAVA IS UNCHANGED. 2. MARKED DECREASE IN LUNG VOLUMES, INCREASE IN BILATERAL MID TO LOWER LUNG ZONE OPACITIES, SMALL TO MODERATE BILATERAL PLEURAL EFFUSIONS. SUPERIMPOSED PULMONARY EDEMA IS SUSPECTED. 3. CARDIOMEDIASTINAL SILHOUETTE IS BORDERLINE IN SIZE 4. HETEROGENEOUS BONES MOST NOTABLY IN THE HUMERI BILATERALLY ACCESSION NUMBER: 2324841 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TUNNELED RIGHT CENTRAL VENOUS CATHETER IS PRESENT WITH TIP IN THE RIGHT ATRIUM. LEFT CHEST WALL MEDIPORT WITH TIP IN THE MID TO UPPER SUPERIOR VENA CAVA IS UNCHANGED. 2. MARKED DECREASE IN LUNG VOLUMES, INCREASE IN BILATERAL MID TO LOWER LUNG ZONE OPACITIES, SMALL TO MODERATE BILATERAL PLEURAL EFFUSIONS. SUPERIMPOSED PULMONARY EDEMA IS SUSPECTED. 3. CARDIOMEDIASTINAL SILHOUETTE IS BORDERLINE IN SIZE 4. HETEROGENEOUS BONES MOST NOTABLY IN THE HUMERI BILATERALLY ", 50973,CheXpert_Demo_Images\train\patient12427\study10\view1_frontal.jpg,patient12427,"NARRATIVE: Exam: Chest 1 View, -6/24/13 Clinical History: 63 years Male with CVC placement confirmation Comparison: 6-24-13 IMPRESSION: 1.A SINGLE FRONTAL VIEW OF THE CHEST DATED 6-24-13 DEMONSTRATES INTERVAL PLACEMENT OF A LEFT IJ CENTRAL LINE WITH THE TIP IN THE DISTAL BRACHIOCEPHALIC VEIN. THERE IS NO EVIDENCE OF PNEUMOTHORAX. 2.STABLE CARDIA MEDIASTINAL SILHOUETTE. 3.LUNG VOLUMES ARE LOW, BUT LUNGS ARE CLEAR WITHOUT FOCAL OPACITY OR EFFUSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: argjyqfglwv This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A SINGLE FRONTAL VIEW OF THE CHEST DATED 6-24-13 DEMONSTRATES INTERVAL PLACEMENT OF A LEFT IJ CENTRAL LINE WITH THE TIP IN THE DISTAL BRACHIOCEPHALIC VEIN. THERE IS NO EVIDENCE OF PNEUMOTHORAX. 2.STABLE CARDIA MEDIASTINAL SILHOUETTE. 3.LUNG VOLUMES ARE LOW, BUT LUNGS ARE CLEAR WITHOUT FOCAL OPACITY OR EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 222927,CheXpert_Demo_Images\train\patient64269\study1\view1_frontal.jpg,patient64269,"NARRATIVE: EXAM: Chest 1 View, 12-7-2009 CLINICAL HISTORY: Female of 66 years; reason for study: ""Line and ET tube position verification"" COMPARISON: Chest radiograph 12/7/09 IMPRESSION: 1. INCREASED PATCHY BILATERAL AIRSPACE OPACITIES MOST CONSISTENT WITH PULMONARY EDEMA. 2. INCREASED BILATERAL MODERATE POSTERIOR LAYERING PLEURAL EFFUSIONS WITH COMPRESSIVE ATELECTASIS. 3. NO PNEUMOTHORAX. 4. CARDIAC SILHOUETTE REMAINS ENLARGED. 5. MEDICAL SUPPORT DEVICES AND TUBES ARE UNCHANGED IN POSITION WITH THE SWAN-GANZ CATHETER TIP LOCATED IN THE RIGHT INTERLOBAR ARTERY. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #376794 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INCREASED PATCHY BILATERAL AIRSPACE OPACITIES MOST CONSISTENT WITH PULMONARY EDEMA. 2. INCREASED BILATERAL MODERATE POSTERIOR LAYERING PLEURAL EFFUSIONS WITH COMPRESSIVE ATELECTASIS. 3. NO PNEUMOTHORAX. 4. CARDIAC SILHOUETTE REMAINS ENLARGED. 5. MEDICAL SUPPORT DEVICES AND TUBES ARE UNCHANGED IN POSITION WITH THE SWAN-GANZ CATHETER TIP LOCATED IN THE RIGHT INTERLOBAR ARTERY. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 161421,CheXpert_Demo_Images\train\patient37746\study8\view1_frontal.jpg,patient37746,"NARRATIVE: SINGLE VIEW OF THE CHEST: 7/19/2009 AT 1357 COMPARISON: 7-19-2009 at 1114. CLINICAL HISTORY: Line placement. IMPRESSION: 1. SINGLE PORTABLE SEMIUPRIGHT AP RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL REPOSITIONING OF THE ENDOTRACHEAL TUBE, WITH THE TIP NOW 6 CM ABOVE THE LEVEL OF THE CARINA. LEFT INTERNAL JUGULAR LINE HAS BEEN PLACED WITH THE TIP IN PROJECTION OVER THE LEFT INNOMINATE VEIN. RIGHT INTERNAL JUGULAR CENTRAL LINE IS STABLE. POSTSURGICAL CHANGES ARE STABLE. 2. THE REMAINDER OF THE EXAM IS UNCHANGED WITH OPACIFICATION OF THE LEFT LUNG WITH AIR BRONCHOGRAMS WITHIN THE LEFT UPPER LOBE AND A LAYERING LEFT PLEURAL EFFUSION. 3. PATCHY OPACITIES OF THE LEFT MID AND LOWER LUNG ZONES ARE STABLE. SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 54.64.21.54.65.29 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE SEMIUPRIGHT AP RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL REPOSITIONING OF THE ENDOTRACHEAL TUBE, WITH THE TIP NOW 6 CM ABOVE THE LEVEL OF THE CARINA. LEFT INTERNAL JUGULAR LINE HAS BEEN PLACED WITH THE TIP IN PROJECTION OVER THE LEFT INNOMINATE VEIN. RIGHT INTERNAL JUGULAR CENTRAL LINE IS STABLE. POSTSURGICAL CHANGES ARE STABLE. 2. THE REMAINDER OF THE EXAM IS UNCHANGED WITH OPACIFICATION OF THE LEFT LUNG WITH AIR BRONCHOGRAMS WITHIN THE LEFT UPPER LOBE AND A LAYERING LEFT PLEURAL EFFUSION. 3. PATCHY OPACITIES OF THE LEFT MID AND LOWER LUNG ZONES ARE STABLE. "," 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 192193,CheXpert_Demo_Images\train\patient46416\study1\view1_frontal.jpg,patient46416,"NARRATIVE: Exam: Chest Post Needle Biopsy, 8/16/12 Clinical History: 64 years Female with Evaluate for pneumothorax, in patient status post biopsy of right upper lobe pulmonary nodule; known GGO within RUL, likely pulmonary hemorrhage Comparison: CT guided lung biopsy performed earlier on the same date IMPRESSION: 1.PATCHY PARENCHYMAL DENSITY IS IDENTIFIED IN THE RIGHT MID TO LOWER LUNG LATERALLY, BETTER DEMONSTRATED ON PRECEDING CT EXAMINATION OBTAINED FOLLOWING BIOPSY OF A RIGHT UPPER LOBE NODULE. 2.NO CONVENTIONAL RADIOGRAPHIC EVIDENCE OF PREVIOUSLY CT DEMONSTRATED TINY LATERAL RIGHT-SIDED PNEUMOTHORAX IS NOTED ON THIS EXPIRATORY VIEW. 3.PULMONARY VASCULARITY IS NORMAL. 4.CARDIAC SIZE AND CONFIGURATION REMAIN WITHIN NORMAL LIMITS. 5.THORACOLUMBAR STABILIZATION RODS IN POST TRAUMATIC DEFORMITY OF THE UPPER RIBS BILATERALLY ARE AGAIN IDENTIFIED. 6.FINDINGS WERE DISCUSSED CONTEMPORANEOUSLY BY TELEPHONE WITH osborn, rocco. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 7080461445025 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PATCHY PARENCHYMAL DENSITY IS IDENTIFIED IN THE RIGHT MID TO LOWER LUNG LATERALLY, BETTER DEMONSTRATED ON PRECEDING CT EXAMINATION OBTAINED FOLLOWING BIOPSY OF A RIGHT UPPER LOBE NODULE. 2.NO CONVENTIONAL RADIOGRAPHIC EVIDENCE OF PREVIOUSLY CT DEMONSTRATED TINY LATERAL RIGHT-SIDED PNEUMOTHORAX IS NOTED ON THIS EXPIRATORY VIEW. 3.PULMONARY VASCULARITY IS NORMAL. 4.CARDIAC SIZE AND CONFIGURATION REMAIN WITHIN NORMAL LIMITS. 5.THORACOLUMBAR STABILIZATION RODS IN POST TRAUMATIC DEFORMITY OF THE UPPER RIBS BILATERALLY ARE AGAIN IDENTIFIED. 6.FINDINGS WERE DISCUSSED CONTEMPORANEOUSLY BY TELEPHONE WITH osborn, rocco. ","2-ABNORMAL, PREVIOUSLY REPORTED " 23230,CheXpert_Demo_Images\train\patient05699\study1\view2_lateral.jpg,patient05699,"NARRATIVE: EXAMINATION: PORTABLE Chest 2 Views 9/24/2000 HISTORY: Female, 61 years old, SIRS. COMPARISON: Chest x-ray dated 9/24/2000 IMPRESSION: 1. PORTABLE SEMI-UPRIGHT CHEST RADIOGRAPH DEMONSTRATES: 2. NEW KERLEY B LINES WITH VASCULAR ENGORGEMENT, REPRESENTING MILD PULMONARY EDEMA 3. VISUALIZED BONES AND SOFT TISSUES ARE UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6340977630 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMI-UPRIGHT CHEST RADIOGRAPH DEMONSTRATES: 2. NEW KERLEY B LINES WITH VASCULAR ENGORGEMENT, REPRESENTING MILD PULMONARY EDEMA 3. VISUALIZED BONES AND SOFT TISSUES ARE UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 184786,CheXpert_Demo_Images\train\patient43811\study8\view1_frontal.jpg,patient43811,"NARRATIVE: EXAM: Chest 1 View, 3-24-2019. HISTORY: Female who is of 96 year old, Chest tube. COMPARISON: 3/24/2019 CXR. IMPRESSION: 1.FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITION OF RIGHT-SIDED PLEURAL DRAIN. THERE HAS BEEN SLIGHT INTERVAL INCREASE IN SIZE OF THE SMALL RIGHT-SIDED PNEUMOTHORAX. EXTENSIVE SUBCUTANEOUS EMPHYSEMA IS AGAIN SEEN WITHIN THE RIGHT CHEST WALL AND LOWER NECK. 2.THERE ARE PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS AND BASILAR OPACITIES, WHICH MAY REFLECT ATELECTASIS VERSUS CONSOLIDATION. 3.PERSISTENT CARDIOMEGALY. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: tmkpnph This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITION OF RIGHT-SIDED PLEURAL DRAIN. THERE HAS BEEN SLIGHT INTERVAL INCREASE IN SIZE OF THE SMALL RIGHT-SIDED PNEUMOTHORAX. EXTENSIVE SUBCUTANEOUS EMPHYSEMA IS AGAIN SEEN WITHIN THE RIGHT CHEST WALL AND LOWER NECK. 2.THERE ARE PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS AND BASILAR OPACITIES, WHICH MAY REFLECT ATELECTASIS VERSUS CONSOLIDATION. 3.PERSISTENT CARDIOMEGALY. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 175438,CheXpert_Demo_Images\train\patient41081\study1\view1_frontal.jpg,patient41081,"NARRATIVE: SINGLE VIEW OF THE CHEST, 4-19-07: CLINICAL HISTORY: Rule out pneumothorax. COMPARISON: 4-19-2007 IMPRESSION: 1. TINY LEFT APICAL PLEURAL LINE IS SEEN ON THIS PORTABLE UPRIGHT VIEW. THIS MAY REPRESENT A VERY SMALL PNEUMOTHORAX. IF CLINICALLY INDICATED, CONSIDER UPRIGHT PA AND LATERAL AND EXPIRATORY FILMS. 2. INTERVAL INSERTION OF LEFT SUBCLAVIAN PACEMAKER WITH LEADS IN THE RIGHT ATRIUM AND RIGHT VENTRICLE. THE LUNGS OTHERWISE REMAIN CLEAR. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 67-77-46-46-6 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TINY LEFT APICAL PLEURAL LINE IS SEEN ON THIS PORTABLE UPRIGHT VIEW. THIS MAY REPRESENT A VERY SMALL PNEUMOTHORAX. IF CLINICALLY INDICATED, CONSIDER UPRIGHT PA AND LATERAL AND EXPIRATORY FILMS. 2. INTERVAL INSERTION OF LEFT SUBCLAVIAN PACEMAKER WITH LEADS IN THE RIGHT ATRIUM AND RIGHT VENTRICLE. THE LUNGS OTHERWISE REMAIN CLEAR. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 9237,CheXpert_Demo_Images\train\patient02300\study2\view2_lateral.jpg,patient02300,"NARRATIVE: Chest 2 Views, 11/15/2009 HISTORY: 20 years Male, Chest pain COMPARISON: AP view of the chest dated 11-15-2009 TECHNIQUE: PA and lateral views of the chest IMPRESSION: 1.RIGHT UPPER LOBE OPACITY HAS INCREASED SINCE THE PRIOR STUDY AND IS CONCERNING FOR NEW CONSOLIDATION. THERE IS SUGGESTION OF MILD BRONCHIECTASIS WITHIN THE RIGHT UPPER LOBE. NO PLEURAL EFFUSIONS. 2.CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY ARE WITHIN NORMAL LIMITS. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 0569354 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.RIGHT UPPER LOBE OPACITY HAS INCREASED SINCE THE PRIOR STUDY AND IS CONCERNING FOR NEW CONSOLIDATION. THERE IS SUGGESTION OF MILD BRONCHIECTASIS WITHIN THE RIGHT UPPER LOBE. NO PLEURAL EFFUSIONS. 2.CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY ARE WITHIN NORMAL LIMITS. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 3608,CheXpert_Demo_Images\train\patient00875\study1\view1_frontal.jpg,patient00875,"NARRATIVE: Chest 1 View 2009-2-6 CLINICAL HISTORY: 71 years-old Female. Sob COMPARISON: None IMPRESSION: 1. PROMINENT INTERSTITIAL MARKINGS SUGGESTING MILD EDEMA. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE WITH AORTIC VALVE REPLACEMENT. MEDIAN STERNOTOMY WIRES. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 80297 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PROMINENT INTERSTITIAL MARKINGS SUGGESTING MILD EDEMA. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE WITH AORTIC VALVE REPLACEMENT. MEDIAN STERNOTOMY WIRES. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 217028,CheXpert_Demo_Images\train\patient59563\study1\view1_frontal.jpg,patient59563,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5-16-04 CLINICAL HISTORY: 48 years of age, Male, Mediport placement. COMPARISON: 5/16/04 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Stable appearance of right chest port with tip in the lower right atrium. Lung volumes are progressively lower compared to prior radiograph with slightly enlarged bilateral pleural effusions. Persistent bibasilar opacities consistent with atelectasis versus consolidation. Nodularity is seen likely corresponding to patient's known pulmonary nodules. IMPRESSION: 1. Decreased lung volumes with bilateral pleural effusions. 2. Bibasilar opacities consistent with atelectasis versus consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 268.3r2.7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Stable appearance of right chest port with tip in the lower right atrium. Lung volumes are progressively lower compared to prior radiograph with slightly enlarged bilateral pleural effusions. Persistent bibasilar opacities consistent with atelectasis versus consolidation. Nodularity is seen likely corresponding to patient's known pulmonary nodules. "," 1. Decreased lung volumes with bilateral pleural effusions. 2. Bibasilar opacities consistent with atelectasis versus consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 213405,CheXpert_Demo_Images\train\patient57343\study1\view1_frontal.jpg,patient57343,"NARRATIVE: CHEST: 1-23-08. COMPARISON: 1/23/08. CLINICAL HISTORY: 32-year-old male with subarachnoid hemorrhage. IMPRESSION: 1. ENDOTRACHEAL TUBE AND RIGHT INTERNAL JUGULAR CATHETER REMAIN UNCHANGED. NASOGASTRIC TUBE, DISTAL TIP IS AT THE GASTROESOPHAGEAL JUNCTION. FEEDING TUBE DISTAL TIP IS IN THE STOMACH. 2. PERSISTENT CARDIOMEGALY WITH INTERSTITIAL PROMINENCE, COMPATIBLE WITH PULMONARY EDEMA. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Montoya, Ashlyn A on: 01-2008 ACCESSION NUMBER: ARIpossQO This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ENDOTRACHEAL TUBE AND RIGHT INTERNAL JUGULAR CATHETER REMAIN UNCHANGED. NASOGASTRIC TUBE, DISTAL TIP IS AT THE GASTROESOPHAGEAL JUNCTION. FEEDING TUBE DISTAL TIP IS IN THE STOMACH. 2. PERSISTENT CARDIOMEGALY WITH INTERSTITIAL PROMINENCE, COMPATIBLE WITH PULMONARY EDEMA. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Montoya, Ashlyn A on: 01-2008 " 130002,CheXpert_Demo_Images\train\patient31156\study1\view2_lateral.jpg,patient31156,"NARRATIVE: CHEST TWO VIEWS: 5/7/2020 CLINICAL DATA: 49-year-old with gangrene of the hand, rule out infiltrate. REFERENCE: None. IMPRESSION: 1. FRONTAL AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE LINEAR OPACITIES IN THE LEFT LINGULAR REGION WHICH MAY REPRESENT ATELECTASIS, SCARRING, EARLY INFECTION IS NOT EXCLUDED. THERE IS NO FOCAL CONSOLIDATION. 2. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. PLATING WITH SCREWS NOTED IN THE LEFT CLAVICLE FROM PRIOR FRACTURE. OLD FRACTURE OF THE RIGHT CLAVICLE IS ALSO NOTED. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: EATON KEITH on: 5-7-2020 ACCESSION NUMBER: 81645997 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE LINEAR OPACITIES IN THE LEFT LINGULAR REGION WHICH MAY REPRESENT ATELECTASIS, SCARRING, EARLY INFECTION IS NOT EXCLUDED. THERE IS NO FOCAL CONSOLIDATION. 2. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. PLATING WITH SCREWS NOTED IN THE LEFT CLAVICLE FROM PRIOR FRACTURE. OLD FRACTURE OF THE RIGHT CLAVICLE IS ALSO NOTED. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: EATON KEITH on: 5-7-2020 " 187160,CheXpert_Demo_Images\train\patient44583\study2\view1_frontal.jpg,patient44583,"NARRATIVE: CHEST X-RAY AND CERVICAL SPINE: DATE OF EXAMINATION: 13/06/10 COMPARISON: No previous films. CLINICAL INFORMATION: Status post MVA. Rule out fracture. IMPRESSION: 1. AP SUPINE CHEST RADIOGRAPH DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. THE LUNGS APPEAR CLEAR, WITH NO RIB FRACTURES OR PNEUMOTHORAX. 2. 4 VIEWS OF THE CERVICAL SPINE DEMONSTRATE REVERSAL OF THE NORMAL CERVICAL LORDOSIS. NO PREVERTEBRAL SOFT TISSUE SWELLING. THE DISC SPACES APPEAR WELL PRESERVED. NO EVIDENCE OF ACUTE BONY INJURY. END OF IMPRESSION: SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 37844890 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP SUPINE CHEST RADIOGRAPH DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. THE LUNGS APPEAR CLEAR, WITH NO RIB FRACTURES OR PNEUMOTHORAX. 2. 4 VIEWS OF THE CERVICAL SPINE DEMONSTRATE REVERSAL OF THE NORMAL CERVICAL LORDOSIS. NO PREVERTEBRAL SOFT TISSUE SWELLING. THE DISC SPACES APPEAR WELL PRESERVED. NO EVIDENCE OF ACUTE BONY INJURY. ","1-NO SIGNIFICANT ABNORMALITY " 84663,CheXpert_Demo_Images\train\patient20361\study4\view1_frontal.jpg,patient20361,"NARRATIVE: SINGLE VIEW CHEST, November 4: CLINICAL HISTORY: This is a 47-year-old male who is post-operative from aortic surgery. COMPARISON: 9-3-2022, 9-2-2022, 9/1/2022, 9/1/2022. IMPRESSION: 1. INTERVAL REMOVAL OF RIGHT INTERNAL JUGULAR CORDIS. 2. RIGHT-SIDED CHEST TUBE, UNCHANGED. 3. PROGRESSIVE INCREASE IN SIZE OF A LEFT PLEURAL EFFUSION AND ASSOCIATED INCREASE IN CONSOLIDATION OF THE LEFT MIDDLE TO LOWER LUNG ZONES. 4. OF NOTE, THE LEFT CHEST TUBE HAS BEEN PARTIALLY WITHDRAWN RELATIVE TO PRIOR STUDY. 5. THE RIGHT LUNG REMAINS CLEAR. 6. RESULTS CONVEYED TO NURSE BENSON ELIANA KAVIAN, PA, WHO WAS TAKING CARE OF THE PATIENT AT THE TIME OF THE PHONE CALL, WHICH OCCURRED ON 9/1/2022 AT 1100 HOURS. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 40759071496 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF RIGHT INTERNAL JUGULAR CORDIS. 2. RIGHT-SIDED CHEST TUBE, UNCHANGED. 3. PROGRESSIVE INCREASE IN SIZE OF A LEFT PLEURAL EFFUSION AND ASSOCIATED INCREASE IN CONSOLIDATION OF THE LEFT MIDDLE TO LOWER LUNG ZONES. 4. OF NOTE, THE LEFT CHEST TUBE HAS BEEN PARTIALLY WITHDRAWN RELATIVE TO PRIOR STUDY. 5. THE RIGHT LUNG REMAINS CLEAR. 6. RESULTS CONVEYED TO NURSE BENSON ELIANA KAVIAN, PA, WHO WAS TAKING CARE OF THE PATIENT AT THE TIME OF THE PHONE CALL, WHICH OCCURRED ON 9/1/2022 AT 1100 HOURS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 156004,CheXpert_Demo_Images\train\patient36617\study1\view1_frontal.jpg,patient36617,"NARRATIVE: Chest 1 View 12/11/01 CLINICAL HISTORY: 60 years-old Male. Thrombolytic Therapy COMPARISON: 12-11 IMPRESSION: 1.SINGLE VIEW OF THE CHEST DEMONSTRATES NO EVIDENCE OF FOCAL CONSOLIDATION OR ATELECTASIS. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE COMPARED TO THE PRIOR EXAM SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 684-539 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE VIEW OF THE CHEST DEMONSTRATES NO EVIDENCE OF FOCAL CONSOLIDATION OR ATELECTASIS. 2.THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE COMPARED TO THE PRIOR EXAM ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 120875,CheXpert_Demo_Images\train\patient28976\study1\view1_frontal.jpg,patient28976,"NARRATIVE: ONE VIEW OF THE PELVIS AND ONE VIEW OF THE CHEST: 3/14/2002. COMPARISON: None. CLINICAL HISTORY: Trauma. IMPRESSION: 1. ONE VIEW OF THE PELVIS DEMONSTRATES NO EVIDENCE FOR ACUTE FRACTURE OR DISLOCATION. 2. ONE VIEW OF THE CHEST DEMONSTRATES LIMITED EXAMINATION PERFORMED ON TRAUMA BOARD WITH LOW VOLUMES. PROMINENCE OF THE SUPERIOR MEDIASTINUM, RECOMMEND CORRELATION FOR VASCULAR INJURY AND DEDICATED CT ANGIOGRAM OR REPEAT PA AND LATERAL AS CLINICALLY INDICATED. NO EVIDENCE FOR PULMONARY CONSOLIDATION, PNEUMOTHORAX, PLEURAL EFFUSION, OR FRACTURE. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Knox, Adelynn on: 3/14/02 ACCESSION NUMBER: #138505000 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ONE VIEW OF THE PELVIS DEMONSTRATES NO EVIDENCE FOR ACUTE FRACTURE OR DISLOCATION. 2. ONE VIEW OF THE CHEST DEMONSTRATES LIMITED EXAMINATION PERFORMED ON TRAUMA BOARD WITH LOW VOLUMES. PROMINENCE OF THE SUPERIOR MEDIASTINUM, RECOMMEND CORRELATION FOR VASCULAR INJURY AND DEDICATED CT ANGIOGRAM OR REPEAT PA AND LATERAL AS CLINICALLY INDICATED. NO EVIDENCE FOR PULMONARY CONSOLIDATION, PNEUMOTHORAX, PLEURAL EFFUSION, OR FRACTURE. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Knox, Adelynn on: 3/14/02 " 194259,CheXpert_Demo_Images\train\patient47248\study1\view1_frontal.jpg,patient47248,"NARRATIVE: PORTABLE CHEST: 4-12-2005 CLINICAL DATA: Line placement. COMPARISON: APRIL 2005 IMPRESSION: 1. THERE IS A RIGHT SUBCLAVIAN VENOUS CATHETER WITH ITS TIP NEAR THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX IS SEEN. 2. THERE IS MILD INTERSTITIAL PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: enrique c, md on: 4-12-2005 ACCESSION NUMBER: AFNQLEV This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE IS A RIGHT SUBCLAVIAN VENOUS CATHETER WITH ITS TIP NEAR THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX IS SEEN. 2. THERE IS MILD INTERSTITIAL PULMONARY EDEMA. "," 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: enrique c, md on: 4-12-2005 " 220473,CheXpert_Demo_Images\train\patient62042\study1\view1_frontal.jpg,patient62042,"NARRATIVE: EXAM: Chest 1 View 1-28-16 CLINICAL HISTORY: 79 years-Female patient, ""Fever."" COMPARISON: 1/28/2016 TECHNIQUE: A single upright AP view of the chest. IMPRESSION: 1.NO FOCAL AIRSPACE CONSOLIDATION OR PLEURAL EFFUSION. DIFFUSE RETICULAR MARKINGS BILATERALLY MAY REPRESENT AGE-RELATED CHANGES. 2.NORMAL HEART SIZE AND PULMONARY VASCULARITY. 3.ELEVATION OF THE RIGHT HEMIDIAPHRAGM. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 267 895 906 8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NO FOCAL AIRSPACE CONSOLIDATION OR PLEURAL EFFUSION. DIFFUSE RETICULAR MARKINGS BILATERALLY MAY REPRESENT AGE-RELATED CHANGES. 2.NORMAL HEART SIZE AND PULMONARY VASCULARITY. 3.ELEVATION OF THE RIGHT HEMIDIAPHRAGM. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 118684,CheXpert_Demo_Images\train\patient28479\study24\view1_frontal.jpg,patient28479,"NARRATIVE: SINGLE PORTABLE VIEW CHEST: 06/28/01 COMPARISON: Chest radiograph 6/28/2001 CLINICAL DATA: 64-year-old male. Evaluate for fluid in the lungs. IMPRESSION: 1. NO SIGNIFICANT CHANGE. PERSISTENT PULMONARY EDEMA, LEFT LOWER LOBE OPACITY AND LEFT PLEURAL EFFUSION. STABLE ENLARGED CARDIOMEDIASTINAL SILHOUETTE. 2. LEFT CHEST WALL PACER, RIGHT UPPER EXTREMITY PICC LINE AND MEDIAN STERNOTOMY WIRES IN STABLE POSITION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #695599997543 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO SIGNIFICANT CHANGE. PERSISTENT PULMONARY EDEMA, LEFT LOWER LOBE OPACITY AND LEFT PLEURAL EFFUSION. STABLE ENLARGED CARDIOMEDIASTINAL SILHOUETTE. 2. LEFT CHEST WALL PACER, RIGHT UPPER EXTREMITY PICC LINE AND MEDIAN STERNOTOMY WIRES IN STABLE POSITION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 143781,CheXpert_Demo_Images\train\patient34573\study1\view2_lateral.jpg,patient34573,"NARRATIVE: Chest 2 Views: 2/8/2015 HISTORY: Male, 70 years old, Neutropenic fever. Under evaluation for pneumonia. COMPARISON: PET/CT 2/8/2015 IMPRESSION: Low lung volumes. Patchy airspace opacity at the left lung base which may be due to atelectasis or early infection. Normal heart size and pulmonary vascularity. No pleural effusion or pneumothorax. Multilevel spine degenerative changes. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 174399723 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Low lung volumes. Patchy airspace opacity at the left lung base which may be due to atelectasis or early infection. Normal heart size and pulmonary vascularity. No pleural effusion or pneumothorax. Multilevel spine degenerative changes. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 219891,CheXpert_Demo_Images\train\patient61507\study1\view1_frontal.jpg,patient61507,"NARRATIVE: Chest 1 View 12-14-00 History:69 years Female, Intubated Comparison: 12/14/2000 Impression: 1. REDEMONSTRATION OF ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE, GROSSLY UNCHANGED. 2. REDEMONSTRATION OF LEFT RETROCARDIAC ATELECTASIS AND INTERSTITIAL EDEMA, ALSO UNCHANGED. SUMMARY CODE: SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 06951 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDEMONSTRATION OF ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE, GROSSLY UNCHANGED. 2. REDEMONSTRATION OF LEFT RETROCARDIAC ATELECTASIS AND INTERSTITIAL EDEMA, ALSO UNCHANGED. SUMMARY CODE: "," 2-ABNORMAL, PREVIOUSLY REPORTED " 204122,CheXpert_Demo_Images\train\patient51565\study1\view1_frontal.jpg,patient51565,"NARRATIVE: PORTABLE CHEST, 9/18: COMPARISON: There are no prior films available for comparison. CLINICAL HISTORY: 83-year-old woman with shortness of breath. FINDINGS: There is diffuse prominence of the interstitial vascular markings with indistinct vessel margins. Bilateral pleural effusions are noted, left greater than right. The cardiac silhouette appears mildly enlarged. Aortic vascular calcifications are noted. No acute bony or soft tissue abnormalities are detected on this study performed to evaluate the chest. IMPRESSION: 1. FINDINGS CONSISTENT WITH MILD PULMONARY EDEMA ASSOCIATED WITH BILATERAL PLEURAL EFFUSIONS. 2. FINDINGS COMMUNICATED TO EMERGENCY ROOM STAFF FOLLOWING STUDY COMPLETION. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Vance, Nora on: 9-18-02 ACCESSION NUMBER: 222878 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is diffuse prominence of the interstitial vascular markings with indistinct vessel margins. Bilateral pleural effusions are noted, left greater than right. The cardiac silhouette appears mildly enlarged. Aortic vascular calcifications are noted. No acute bony or soft tissue abnormalities are detected on this study performed to evaluate the chest. "," 1. FINDINGS CONSISTENT WITH MILD PULMONARY EDEMA ASSOCIATED WITH BILATERAL PLEURAL EFFUSIONS. 2. FINDINGS COMMUNICATED TO EMERGENCY ROOM STAFF FOLLOWING STUDY COMPLETION. "," 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Vance, Nora on: 9-18-02 " 217844,CheXpert_Demo_Images\train\patient60086\study1\view1_frontal.jpg,patient60086,"NARRATIVE: Exam: Chest 1 View, 7-8-2021 Clinical History: 50 year old Male, ""Every morning while intubated."" Comparison: Outside chest CT from 7-8-2021 at 1217 hrs Findings: Single portable semiupright frontal view of the chest from 8 July 21 at 2315 hrs demonstrates two sets of sternotomy wires, the clamshell sternotomy wires appear broken superiorly. There is evidence of prior mechanical aortic valve replacement. There is widening of the mediastinum compatible with the patient's history of the sections seen on the outside chest CT. A right internal jugular sheath is in place. There is also a right internal greater central venous catheter with the tip in the cavoatrial junction. Surgical clips project over the right mid clavicular region. There is a small right pleural effusion and mild pulmonary edema. There is also minimal atelectasis at the medial lung bases. Osseous structures and upper abdomen without acute abnormality. Follow-up semiupright portable frontal view of the chest from 7-8-21, 2014 and 0350 hrs excludes the left costophrenic angle. Findings are grossly unchanged from prior with mild pulmonary edema and widening of the mediastinum. IMPRESSION: 1. EXTENSIVE POSTSURGICAL CHANGE OF THE STERNUM AND MEDIASTINUM AS DESCRIBED WITH A MECHANICAL AORTIC VALVE REPLACEMENT AND SURGICAL CLIPS OVER THE RIGHT MID CLAVICULAR REGION. 2. WIDENING OF THE MEDIASTINUM CONSISTENT WITH THE PATIENT'S HISTORY OF AORTIC DISSECTION SEEN ON THE OUTSIDE CHEST CT. 3. SMALL RIGHT PLEURAL EFFUSION AND MILD PULMONARY EDEMA WITH MINIMAL ATELECTASIS AT THE MEDIAL LUNG BASES. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 562 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single portable semiupright frontal view of the chest from 8 July 21 at 2315 hrs demonstrates two sets of sternotomy wires, the clamshell sternotomy wires appear broken superiorly. There is evidence of prior mechanical aortic valve replacement. There is widening of the mediastinum compatible with the patient's history of the sections seen on the outside chest CT. A right internal jugular sheath is in place. There is also a right internal greater central venous catheter with the tip in the cavoatrial junction. Surgical clips project over the right mid clavicular region. There is a small right pleural effusion and mild pulmonary edema. There is also minimal atelectasis at the medial lung bases. Osseous structures and upper abdomen without acute abnormality. Follow-up semiupright portable frontal view of the chest from 7-8-21, 2014 and 0350 hrs excludes the left costophrenic angle. Findings are grossly unchanged from prior with mild pulmonary edema and widening of the mediastinum. "," 1. EXTENSIVE POSTSURGICAL CHANGE OF THE STERNUM AND MEDIASTINUM AS DESCRIBED WITH A MECHANICAL AORTIC VALVE REPLACEMENT AND SURGICAL CLIPS OVER THE RIGHT MID CLAVICULAR REGION. 2. WIDENING OF THE MEDIASTINUM CONSISTENT WITH THE PATIENT'S HISTORY OF AORTIC DISSECTION SEEN ON THE OUTSIDE CHEST CT. 3. SMALL RIGHT PLEURAL EFFUSION AND MILD PULMONARY EDEMA WITH MINIMAL ATELECTASIS AT THE MEDIAL LUNG BASES. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 86039,CheXpert_Demo_Images\train\patient20655\study1\view3_lateral.jpg,patient20655,"NARRATIVE: FRONTAL AND LATERAL CHEST RADIOGRAPHS: 5-14-2015 COMPARISON: None. IMPRESSION: 1. DENSE CONFLUENT AIR SPACE OPACITY IS SEEN WITHIN THE RIGHT LOWER LOBE LATERALLY AND IS CONSISTENT FOR INFARCT AND/OR PNEUMONIA. THE LEFT LUNG IS CLEAR. 2. LIKELY A SMALL RIGHT PLEURAL EFFUSION. 3. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4. NO BONY ABNORMALITY. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Norah I Foley, MD on: 5/14/2015 ACCESSION NUMBER: 7266310295 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. DENSE CONFLUENT AIR SPACE OPACITY IS SEEN WITHIN THE RIGHT LOWER LOBE LATERALLY AND IS CONSISTENT FOR INFARCT AND/OR PNEUMONIA. THE LEFT LUNG IS CLEAR. 2. LIKELY A SMALL RIGHT PLEURAL EFFUSION. 3. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4. NO BONY ABNORMALITY. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Norah I Foley, MD on: 5/14/2015 " 158849,CheXpert_Demo_Images\train\patient37211\study1\view1_frontal.jpg,patient37211,"NARRATIVE: PORTABLE CHEST: 12-6-2007 COMPARISON: December 6th 2007 IMPRESSION: BILATERAL DIFFUSE COALESCENT RETICULAR OPACITIES WITH A DEGREE OF CONSOLIDATION IN THE RETROCARDIAC REGION, PULMONARY EDEMA, VERSUS ATYPICAL INFECTION. NO DEFINITE PLEURAL EFFUSIONS. HEART SIZE IS LIKELY NORMAL FOR FILM TECHNIQUE. END OF IMPRESSION: ACCESSION NUMBER: #3PSVC05EHU This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," BILATERAL DIFFUSE COALESCENT RETICULAR OPACITIES WITH A DEGREE OF CONSOLIDATION IN THE RETROCARDIAC REGION, PULMONARY EDEMA, VERSUS ATYPICAL INFECTION. NO DEFINITE PLEURAL EFFUSIONS. HEART SIZE IS LIKELY NORMAL FOR FILM TECHNIQUE. ", 206099,CheXpert_Demo_Images\train\patient52779\study2\view1_frontal.jpg,patient52779,"NARRATIVE: AP VIEW OF THE CHEST: 21, FEBRUARY 27 AT 2114 HOURS. COMPARISON: February 2021. CLINICAL HISTORY: 55-year-old male with intracranial hemorrhage. IMPRESSION: 1. AP VIEW OF THE SEMI-ERECT CHEST ON 2/27/2021 AT 2114 HOURS SHOWS LEFT INTERNAL JUGULAR VENOUS CATHETER WITH TIP IN THE SUPERIOR VENA CAVA. INTERVAL INCREASE IN BILATERAL PATCHY OPACITIES AND INCREASED PERIHILAR FULLNESS, CONSISTENT WITH INCREASING PULMONARY EDEMA. THERE IS ALSO DEVELOPMENT OF A RIGHT RETROCARDIAC OPACITY, SUGGESTIVE OF INCREASED ATELECTASIS VERSUS CONSOLIDATION VERSUS ASPIRATION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 368858271 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP VIEW OF THE SEMI-ERECT CHEST ON 2/27/2021 AT 2114 HOURS SHOWS LEFT INTERNAL JUGULAR VENOUS CATHETER WITH TIP IN THE SUPERIOR VENA CAVA. INTERVAL INCREASE IN BILATERAL PATCHY OPACITIES AND INCREASED PERIHILAR FULLNESS, CONSISTENT WITH INCREASING PULMONARY EDEMA. THERE IS ALSO DEVELOPMENT OF A RIGHT RETROCARDIAC OPACITY, SUGGESTIVE OF INCREASED ATELECTASIS VERSUS CONSOLIDATION VERSUS ASPIRATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 57868,CheXpert_Demo_Images\train\patient14018\study2\view2_lateral.jpg,patient14018,"NARRATIVE: EXAM: Chest 2 Views 12/16/00 CLINICAL HISTORY: Evaluate for pulm edema COMPARISON: 12/16/00 IMPRESSION: 1.MILD ELEVATION OF THE LEFT HEMIDIAPHRAGM. LINEAR AREAS OF SCARRING OR SUBSEGMENTAL ATELECTASIS IN THE LOWER LUNG ZONES BILATERAL 2.NO EVIDENCE OF PULMONARY EDEMA AS CLINICALLY QUERIED. 3.SEVERAL SMALL PULMONARY NODULES ARE AGAIN SEEN IN THE LUNGS BILATERALLY. 4.DIFFUSELY MOTTLED APPEARANCE OF THE BONES. CORRELATE WITH HISTORY OF MALIGNANCY. 5.CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS. CALCIFIED AORTIC ARCH. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: #RITFFQUH This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.MILD ELEVATION OF THE LEFT HEMIDIAPHRAGM. LINEAR AREAS OF SCARRING OR SUBSEGMENTAL ATELECTASIS IN THE LOWER LUNG ZONES BILATERAL 2.NO EVIDENCE OF PULMONARY EDEMA AS CLINICALLY QUERIED. 3.SEVERAL SMALL PULMONARY NODULES ARE AGAIN SEEN IN THE LUNGS BILATERALLY. 4.DIFFUSELY MOTTLED APPEARANCE OF THE BONES. CORRELATE WITH HISTORY OF MALIGNANCY. 5.CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS. CALCIFIED AORTIC ARCH. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 23532,CheXpert_Demo_Images\train\patient05753\study1\view1_frontal.jpg,patient05753,"NARRATIVE: Exam: Chest 2 Views, 2006, june 10 Clinical History: 79 years Male with Shortness of breath Comparison: 6/10/2006. IMPRESSION: 1.LEFT LOWER LOBE PLEURAL EFFUSION AND ATELECTASIS. LEFT SUBDIAPHRAGMATIC ABSCESS. PIGTAIL CATHETER IN THE REGION OF THE PANCREATIC TAIL. 2.THE PICC LINE HAS BEEN REMOVED. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4.THE RIGHT LUNG REMAINS CLEAR. 5.MARKED DEMINERALIZATION OF THE THORACIC VERTEBRAE WITH ANTERIOR WEDGING AT T8. 6.POSSIBLE LEFT LOWER LOBE LUNG CA. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: wwxewpqgsfm This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LEFT LOWER LOBE PLEURAL EFFUSION AND ATELECTASIS. LEFT SUBDIAPHRAGMATIC ABSCESS. PIGTAIL CATHETER IN THE REGION OF THE PANCREATIC TAIL. 2.THE PICC LINE HAS BEEN REMOVED. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4.THE RIGHT LUNG REMAINS CLEAR. 5.MARKED DEMINERALIZATION OF THE THORACIC VERTEBRAE WITH ANTERIOR WEDGING AT T8. 6.POSSIBLE LEFT LOWER LOBE LUNG CA. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 204524,CheXpert_Demo_Images\train\patient51792\study1\view1_frontal.jpg,patient51792,"NARRATIVE: CHEST SINGLE VIEW: 8-25-2016 COMPARISON: August 2016 HISTORY: A 75-year-old female status post rib fracture and liver laceration. IMPRESSION: 1. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. A DOUBLE DENSITY SHADOW BEHIND THE HEART IS CONSISTENT WITH A HIATAL HERNIA AS PREVIOUSLY SHOWN ON PRIOR CT SCAN. 2. LUNGS CLEAR WITHOUT EDEMA, EFFUSION, OR FOCAL CONSOLIDATION. 3. DEFORMITIES OF THE RIGHT NINTH AND TENTH RIBS CONSISTENT WITH ACUTE RIB FRACTURES. IRREGULARITY OF THE RIGHT HUMERAL HEAD AND AC JOINT LIKELY RELATED TO OLD TRAUMA. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: BRANDT,ANAYA on: 8/25/2016 ACCESSION NUMBER: zkNMsOjU This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. A DOUBLE DENSITY SHADOW BEHIND THE HEART IS CONSISTENT WITH A HIATAL HERNIA AS PREVIOUSLY SHOWN ON PRIOR CT SCAN. 2. LUNGS CLEAR WITHOUT EDEMA, EFFUSION, OR FOCAL CONSOLIDATION. 3. DEFORMITIES OF THE RIGHT NINTH AND TENTH RIBS CONSISTENT WITH ACUTE RIB FRACTURES. IRREGULARITY OF THE RIGHT HUMERAL HEAD AND AC JOINT LIKELY RELATED TO OLD TRAUMA. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: BRANDT,ANAYA on: 8/25/2016 " 61509,CheXpert_Demo_Images\train\patient14855\study1\view1_frontal.jpg,patient14855,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 3/10/03 COMPARISON: None. CLINICAL HISTORY: 56-year-old with abdominal wound infection, status post central line, question pneumothorax. IMPRESSION: SINGLE AP PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A RIGHT SUBCLAVIAN CENTRAL VENOUS LINE WITH IT'S TIP AT THE CAVOATRIAL JUNCTION. THERE IS NO EVIDENCE OF PNEUMOTHORAX. THE LUNGS ARE CLEAR. A DRAIN OVERLIES THE RIGHT FLANK, WITH PRESUMED POST-PROCEDURAL SUBCUTANEOUS EMPHYSEMA IN THE REGION OF THE DRAIN. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4863-589 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," SINGLE AP PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A RIGHT SUBCLAVIAN CENTRAL VENOUS LINE WITH IT'S TIP AT THE CAVOATRIAL JUNCTION. THERE IS NO EVIDENCE OF PNEUMOTHORAX. THE LUNGS ARE CLEAR. A DRAIN OVERLIES THE RIGHT FLANK, WITH PRESUMED POST-PROCEDURAL SUBCUTANEOUS EMPHYSEMA IN THE REGION OF THE DRAIN. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 166949,CheXpert_Demo_Images\train\patient38993\study1\view1_frontal.jpg,patient38993,"NARRATIVE: SINGLE AP PORTABLE VIEW OF THE CHEST: 9/6/2007. COMPARISON: 9/6/2007. IMPRESSION: 1. INTERVAL INCREASE IN AERATION OF THE LEFT UPPER LUNG ZONE AND LEFT MID LUNG ZONE. THERE IS INTERVAL DECREASE IN SIZE OF THE LEFT PLEURAL EFFUSION. 2. REDEMONSTRATION OF NODULAR DENSITIES IN THE RIGHT HEMITHORAX MEASURING UP TO 1.6 CM IN MAXIMAL DIAMETER. THESE FINDINGS ARE WORRISOME FOR POSSIBLE METASTATIC DISEASE. WOULD RECOMMEND CLINICAL CORRELATION AND CT IF INDICATED. 3. POORLY SEEN LEFT T12 PEDICLE, BOTH ON CURRENT EXAMINATION AND ON PRIOR EXAMINATION. FINDINGS ARE WORRISOME FOR POSSIBLE METASTATIC LESION WITHIN THE LEFT T12 VERTEBRAL BODY. WOULD RECOMMEND CORRELATION WITH CT IF INDICATED. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: CRUZ J. REILLY MD on: 9/6/2007 ACCESSION NUMBER: DpiTxGc This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL INCREASE IN AERATION OF THE LEFT UPPER LUNG ZONE AND LEFT MID LUNG ZONE. THERE IS INTERVAL DECREASE IN SIZE OF THE LEFT PLEURAL EFFUSION. 2. REDEMONSTRATION OF NODULAR DENSITIES IN THE RIGHT HEMITHORAX MEASURING UP TO 1.6 CM IN MAXIMAL DIAMETER. THESE FINDINGS ARE WORRISOME FOR POSSIBLE METASTATIC DISEASE. WOULD RECOMMEND CLINICAL CORRELATION AND CT IF INDICATED. 3. POORLY SEEN LEFT T12 PEDICLE, BOTH ON CURRENT EXAMINATION AND ON PRIOR EXAMINATION. FINDINGS ARE WORRISOME FOR POSSIBLE METASTATIC LESION WITHIN THE LEFT T12 VERTEBRAL BODY. WOULD RECOMMEND CORRELATION WITH CT IF INDICATED. "," 4: Possible Significant Abnormality Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: CRUZ J. REILLY MD on: 9/6/2007 " 202724,CheXpert_Demo_Images\train\patient50867\study1\view1_frontal.jpg,patient50867,"NARRATIVE: CHEST, ONE VIEW: 8-19-2009 COMPARISON: 8/19/2009 at 0613 hours. CLINICAL HISTORY: Postop. IMPRESSION: 1. ONE VIEW ERECT CHEST RADIOGRAPH REVEALS A STABLE SMALL RIGHT APICAL PNEUMOTHORAX AS WELL AS MILD SUBCUTANEOUS EMPHYSEMA ALONG THE RIGHT NECK. 2. CLEAR BILATERAL LUNGS. NORMAL CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY. SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: 012_428_777_5 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ONE VIEW ERECT CHEST RADIOGRAPH REVEALS A STABLE SMALL RIGHT APICAL PNEUMOTHORAX AS WELL AS MILD SUBCUTANEOUS EMPHYSEMA ALONG THE RIGHT NECK. 2. CLEAR BILATERAL LUNGS. NORMAL CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY. "," 2 ABNORMAL, PREVIOUSLY REPORTED. " 214236,CheXpert_Demo_Images\train\patient57846\study2\view1_frontal.jpg,patient57846,"NARRATIVE: HISTORY: Critical aortic stenosis. COMPARISON: 04/12 and April 12th 19. IMPRESSION: 1. EXTUBATION WITH REMOVAL OF NG TUBE AND MEDIASTINAL DRAIN. RIGHT INTERNAL JUGULAR LINE REMAINS IN PLACE. 2. MILD PULMONARY EDEMA AGAIN NOTED ASSOCIATED WITH SMALL LEFT- SIDED PLEURAL EFFUSION AND MINIMAL PERSISTENT LEFT BASILAR ATELECTASIS. END OF IMPRESSION: SUMMARY: 2 __________________________________ ACCESSION NUMBER: #2044924735 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. EXTUBATION WITH REMOVAL OF NG TUBE AND MEDIASTINAL DRAIN. RIGHT INTERNAL JUGULAR LINE REMAINS IN PLACE. 2. MILD PULMONARY EDEMA AGAIN NOTED ASSOCIATED WITH SMALL LEFT- SIDED PLEURAL EFFUSION AND MINIMAL PERSISTENT LEFT BASILAR ATELECTASIS. "," 2 __________________________________ " 197978,CheXpert_Demo_Images\train\patient48769\study2\view1_frontal.jpg,patient48769,"NARRATIVE: SINGLE VIEW CHEST: 11-4-2016 VasoPrep Surgical 1814 HOURS CLINICAL HISTORY: 51-year-old female with acute drop in hematocrit. COMPARISON: 11-4-2016 VasoPrep Surgical 1222 hours. IMPRESSION: 1. INTERVAL INCREASE IN RIGHT BASE ATELECTASIS AND PLEURAL EFFUSION. 2. PERSISTENT PLEURAL BASED SHADOW ALONG THE LEFT LATERAL CHEST WALL. 3. STABLE APPEARANCE OF THE LEFT-SIDED CHEST TUBE, EPIDURAL CATHETER, AND RIGHT CLAVICULAR PLATE AND SCREW FIXATION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 92336084 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL INCREASE IN RIGHT BASE ATELECTASIS AND PLEURAL EFFUSION. 2. PERSISTENT PLEURAL BASED SHADOW ALONG THE LEFT LATERAL CHEST WALL. 3. STABLE APPEARANCE OF THE LEFT-SIDED CHEST TUBE, EPIDURAL CATHETER, AND RIGHT CLAVICULAR PLATE AND SCREW FIXATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 99248,CheXpert_Demo_Images\train\patient23926\study1\view1_frontal.jpg,patient23926,"NARRATIVE: CHEST: CLINICAL HISTORY: Post fall. COMPARISON: None. TECHNIQUE: Single frontal view of the chest. FINDINGS: The trachea is midline. There is mild pulmonary edema. Cardiomediastinal silhouette is unremarkable, other than calcification of the aortic arch. There is narrowing of the right subacromial space, consistent with complete rotator cuff injury. A rotator cuff tear. No fractures are identified. IMPRESSION: 1. MILD PULMONARY EDEMA. 2. POSSIBLE COMPLETE RIGHT ROTATOR CUFF TEAR. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 341440973 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The trachea is midline. There is mild pulmonary edema. Cardiomediastinal silhouette is unremarkable, other than calcification of the aortic arch. There is narrowing of the right subacromial space, consistent with complete rotator cuff injury. A rotator cuff tear. No fractures are identified. "," 1. MILD PULMONARY EDEMA. 2. POSSIBLE COMPLETE RIGHT ROTATOR CUFF TEAR. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 141410,CheXpert_Demo_Images\train\patient34022\study1\view1_frontal.jpg,patient34022,"NARRATIVE: Exam: Chest 1 View, 6-9-2005 Clinical History: 26 years Female with Sepsis Comparison: None IMPRESSION: 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES AN UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. 2.RETICULAR OPACITIES IN THE MEDIAL RIGHT LUNG BASE, LIKELY ATELECTASIS. OTHERWISE, CLEAR LUNGS. 3.NO PLEURAL EFFUSION OR PNEUMOTHORAX. 4.UNREMARKABLE OSSEOUS STRUCTURES. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #613456453 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES AN UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. 2.RETICULAR OPACITIES IN THE MEDIAL RIGHT LUNG BASE, LIKELY ATELECTASIS. OTHERWISE, CLEAR LUNGS. 3.NO PLEURAL EFFUSION OR PNEUMOTHORAX. 4.UNREMARKABLE OSSEOUS STRUCTURES. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 214845,CheXpert_Demo_Images\train\patient58226\study1\view1_frontal.jpg,patient58226,"NARRATIVE: Chest 1 View: September 6 HISTORY: Female, 59 years old, Chest Pain. COMPARISON: 9/6/2004 IMPRESSION: Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 551262188961 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. ","1-NO SIGNIFICANT ABNORMALITY " 107249,CheXpert_Demo_Images\train\patient25793\study3\view1_frontal.jpg,patient25793,"NARRATIVE: CHEST: 5/24/2005 COMPARISON: 5/24/2005 COMPARISON: 55 -year-old female with lymphoma and bilateral pleural effusions. IMPRESSION: 1. RIGHT LATERAL DECUBITUS VIEW OF THE CHEST DEMONSTRATES LAYERING OF RIGHT PLEURAL EFFUSION WITH EXTENSION INTO THE FISSURE. TUNNELED RIGHT CENTRAL LINE REMAINS IN PLACE. THERE IS CONTINUED OPACIFICATION IN THE LEFT BASE WITH OBSCURATION OF THE HEMIDIAPHRAGM UNCHANGED FROM COMPARISON. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED QAD I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kailiah K Trevino, MD on: 1/12/2013 ACCESSION NUMBER: 92837752080816 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RIGHT LATERAL DECUBITUS VIEW OF THE CHEST DEMONSTRATES LAYERING OF RIGHT PLEURAL EFFUSION WITH EXTENSION INTO THE FISSURE. TUNNELED RIGHT CENTRAL LINE REMAINS IN PLACE. THERE IS CONTINUED OPACIFICATION IN THE LEFT BASE WITH OBSCURATION OF THE HEMIDIAPHRAGM UNCHANGED FROM COMPARISON. ","2-ABNORMAL, PREVIOUSLY REPORTED QAD I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kailiah K Trevino, MD on: 1/12/2013 " 92099,CheXpert_Demo_Images\train\patient22126\study1\view1_frontal.jpg,patient22126,"NARRATIVE: SINGLE VIEW OF THE CHEST: 7/26/11. CLINICAL DATA: A 46-year-old male status post lead implantation. COMPARISON: None. FINDINGS: Portable AP upright view of the chest demonstrates a left-sided AICD with one lead in the right atrium and two leads overlying the right ventricle. Mild pulmonary edema. Indentation of the right lateral aspect of the trachea, questionable mass or enlarged thyroid. No pneumothorax. IMPRESSION: 1. PULMONARY EDEMA, NO EVIDENCE OF PNEUMOTHORAX. 2. QUESTIONABLE MASS OR ENLARGED THYROID GLAND INDENTING THE RIGHT SIDE OF THE TRACHEA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #jtqWWoWsYoL This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Portable AP upright view of the chest demonstrates a left-sided AICD with one lead in the right atrium and two leads overlying the right ventricle. Mild pulmonary edema. Indentation of the right lateral aspect of the trachea, questionable mass or enlarged thyroid. No pneumothorax. "," 1. PULMONARY EDEMA, NO EVIDENCE OF PNEUMOTHORAX. 2. QUESTIONABLE MASS OR ENLARGED THYROID GLAND INDENTING THE RIGHT SIDE OF THE TRACHEA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 48956,CheXpert_Demo_Images\train\patient11879\study2\view1_frontal.jpg,patient11879,"NARRATIVE: Chest 1 View 4-16-04 History: Critical care follow-up(ICU) Comparison: 16 April 04. Impression: 1.NEW FEEDING TUBE, TIP NOT VISUALIZED BUT BELOW DIAPHRAGM. STABLE RIGHT IJ CENTRAL VENOUS CATHETER, AND LEFT DUAL LEAD CHEST WALL PACEMAKER. 2.STABLE CARDIOMEGALY WITH MILD PULMONARY EDEMA AND BILATERAL PLEURAL EFFUSIONS, RIGHT MORE THAN LEFT. 3.AIR BRONCHOGRAMS IN RIGHT MID/LOWER LOBE MAY REFLECT SUPERIMPOSED EARLY INFECTION. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. ACCESSION NUMBER: 567083 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NEW FEEDING TUBE, TIP NOT VISUALIZED BUT BELOW DIAPHRAGM. STABLE RIGHT IJ CENTRAL VENOUS CATHETER, AND LEFT DUAL LEAD CHEST WALL PACEMAKER. 2.STABLE CARDIOMEGALY WITH MILD PULMONARY EDEMA AND BILATERAL PLEURAL EFFUSIONS, RIGHT MORE THAN LEFT. 3.AIR BRONCHOGRAMS IN RIGHT MID/LOWER LOBE MAY REFLECT SUPERIMPOSED EARLY INFECTION. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. " 191125,CheXpert_Demo_Images\train\patient46005\study1\view1_frontal.jpg,patient46005,"NARRATIVE: Exam: Chest 1 View, 3-31-2005 Clinical History: 58 years Male with Evaluate for pneumothorax progression Comparison: 3/31/2005 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A LARGE AMOUNT OF SUBCUTANEOUS EMPHYSEMA IN THE NECK AND RIGHT CHEST WALL WITH A MINIMALLY LESS PROMINENT PNEUMOMEDIASTINUM. THERE IS REDEMONSTRATION OF A RIGHT CLAVICULAR FRACTURE. KNOWN RIB FRACTURES ON THE RIGHT ARE BETTER DEMONSTRATED ON OUTSIDE CT DATED 03-31. NO DEFINITE PNEUMOTHORAX DEMONSTRATED. THE LUNGS ARE CLEAR WITH NO FOCAL ATELECTASIS OR CONSOLIDATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 368_668_6 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A LARGE AMOUNT OF SUBCUTANEOUS EMPHYSEMA IN THE NECK AND RIGHT CHEST WALL WITH A MINIMALLY LESS PROMINENT PNEUMOMEDIASTINUM. THERE IS REDEMONSTRATION OF A RIGHT CLAVICULAR FRACTURE. KNOWN RIB FRACTURES ON THE RIGHT ARE BETTER DEMONSTRATED ON OUTSIDE CT DATED 03-31. NO DEFINITE PNEUMOTHORAX DEMONSTRATED. THE LUNGS ARE CLEAR WITH NO FOCAL ATELECTASIS OR CONSOLIDATION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 32604,CheXpert_Demo_Images\train\patient07958\study2\view1_frontal.jpg,patient07958,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/4/2005 CLINICAL HISTORY: 64 years of age, Female, Patient status post throacentesis.. COMPARISON: Single view chest dated 04 May PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Compared to prior exam, there is been interval improvement in right-sided pleural effusion. There is a persistent left pleural effusion. There are persistent bibasilar opacities, which may represent atelectasis versus consolidation versus aspiration. Unchanged appearance of right upper lobe opacity, which likely represents infectious nodule and appears to contain loculated fluid. There is mild pulmonary edema. No evidence of pneumothorax. Unchanged appearance of left PICC. IMPRESSION: 1. Interval decrease in size of right-sided pleural effusion. Persistent small left-sided pleural effusion. 2. Bibasilar opacities, which may represent atelectasis versus consolidation versus aspiration. 3. Unchanged appearance of right upper lobe opacity, which represents gradually improving fungal nodule. ""Physician to Physician Radiology Consult Line: (292) 460-8061"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: KQPYNGCVNOL This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Compared to prior exam, there is been interval improvement in right-sided pleural effusion. There is a persistent left pleural effusion. There are persistent bibasilar opacities, which may represent atelectasis versus consolidation versus aspiration. Unchanged appearance of right upper lobe opacity, which likely represents infectious nodule and appears to contain loculated fluid. There is mild pulmonary edema. No evidence of pneumothorax. Unchanged appearance of left PICC. "," 1. Interval decrease in size of right-sided pleural effusion. Persistent small left-sided pleural effusion. 2. Bibasilar opacities, which may represent atelectasis versus consolidation versus aspiration. 3. Unchanged appearance of right upper lobe opacity, which represents gradually improving fungal nodule. ""Physician to Physician Radiology Consult Line: (292) 460-8061"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 63214,CheXpert_Demo_Images\train\patient15257\study3\view1_frontal.jpg,patient15257,"NARRATIVE: CHEST: 3-2-2014. COMPARISON: March 2, 2014. IMPRESSION: 1. UNCHANGED WIDENED MEDIASTINUM, CONSISTENT WITH AORTIC DISSECTION OR ANEURYSM. 2. STERNAL WIRES WITH UNCHANGED LINES AND TUBES. 3. NEW MODERATE RIGHT PNEUMOTHORAX. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: SPENCER, LEVY on: 2014 March 2nd ACCESSION NUMBER: 3822 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UNCHANGED WIDENED MEDIASTINUM, CONSISTENT WITH AORTIC DISSECTION OR ANEURYSM. 2. STERNAL WIRES WITH UNCHANGED LINES AND TUBES. 3. NEW MODERATE RIGHT PNEUMOTHORAX. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: SPENCER, LEVY on: 2014 March 2nd " 140481,CheXpert_Demo_Images\train\patient33782\study1\view2_lateral.jpg,patient33782,"NARRATIVE: Chest 2 Views 3/20/2017 CLINICAL HISTORY: 44 years-old Male. Fever and URI COMPARISON: No comparison. IMPRESSION: 1.NORMAL CARDIOMEDIASTINAL CONTOURS AND PULMONARY VASCULARITY. NO PNEUMOTHORAX, PLEURAL EFFUSION, OR FOCAL CONSOLIDATION. 2.CLEAR LUNGS. NO ACUTE CARDIOPULMONARY ABNORMALITY. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #21615021279 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NORMAL CARDIOMEDIASTINAL CONTOURS AND PULMONARY VASCULARITY. NO PNEUMOTHORAX, PLEURAL EFFUSION, OR FOCAL CONSOLIDATION. 2.CLEAR LUNGS. NO ACUTE CARDIOPULMONARY ABNORMALITY. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 49179,CheXpert_Demo_Images\train\patient11944\study1\view1_frontal.jpg,patient11944,"NARRATIVE: IMPRESSION: 1. SINGLE SUPINE AP VIEW OF THE CHEST DEMONSTRATES CLEAR LUNG FIELDS BILATERALLY WITH NO EVIDENCE OF PNEUMOTHORAX. NO PLEURAL EFFUSIONS. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. NO BONY FRACTURE IS IDENTIFIED. 2. SINGLE FRONTAL VIEW OF THE PELVIS DEMONSTRATE NO EVIDENCE OF ACUTE FRACTURES OR DISLOCATIONS. THE SACROILIAC JOINTS AND HIP JOINTS ARE GROSSLY INTACT. END OF IMPRESSION: SUMMARY 1: NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 96968528 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE SUPINE AP VIEW OF THE CHEST DEMONSTRATES CLEAR LUNG FIELDS BILATERALLY WITH NO EVIDENCE OF PNEUMOTHORAX. NO PLEURAL EFFUSIONS. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. NO BONY FRACTURE IS IDENTIFIED. 2. SINGLE FRONTAL VIEW OF THE PELVIS DEMONSTRATE NO EVIDENCE OF ACUTE FRACTURES OR DISLOCATIONS. THE SACROILIAC JOINTS AND HIP JOINTS ARE GROSSLY INTACT. "," 1: NO SIGNIFICANT ABNORMALITY " 97858,CheXpert_Demo_Images\train\patient23585\study1\view2_lateral.jpg,patient23585,"NARRATIVE: EXAM: Chest 2 Views, 3-13-2001 CLINICAL HISTORY: Male of 64 years. Reason for study: ""Lung cancer"" COMPARISON: Chest x-ray 3-13-2001. CT 3-13-01. CT of 3-13-01 is unavailable at time of interpretation. FINDINGS: Exact comparison is somewhat suboptimal given differences in technique. Overall, there appears to be markedly worsened patchy opacification of the left hemithorax and mild worsened patchy opacification of the right hemithorax. Stable to slightly increased loculated left pleural effusion. The cardiomediastinal silhouette is unchanged in appearance when compared to scout imaging of 3/13/2001. Pulmonary vascularity is within normal limits. The trachea is midline. Osteopenia. IMPRESSION: 1.OVERALL, THERE APPEARS TO BE MARKEDLY WORSENED PATCHY OPACIFICATION OF THE LEFT HEMITHORAX AND MILD WORSENED PATCHY OPACIFICATION OF THE RIGHT HEMITHORAX CONCERNING FOR WORSENED LEFT GREATER THAN RIGHT METASTATIC DISEASE. EXACT COMPARISON IS SOMEWHAT SUBOPTIMAL GIVEN DIFFERENCES IN TECHNIQUE AND A CT EXAM COULD BE HELPFUL TO EVALUATE FOR PROGRESSION OF DISEASE. 2.STABLE TO SLIGHTLY INCREASED LOCULATED LEFT PLEURAL EFFUSION. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: pl7hz1g2 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Exact comparison is somewhat suboptimal given differences in technique. Overall, there appears to be markedly worsened patchy opacification of the left hemithorax and mild worsened patchy opacification of the right hemithorax. Stable to slightly increased loculated left pleural effusion. The cardiomediastinal silhouette is unchanged in appearance when compared to scout imaging of 3/13/2001. Pulmonary vascularity is within normal limits. The trachea is midline. Osteopenia. "," 1.OVERALL, THERE APPEARS TO BE MARKEDLY WORSENED PATCHY OPACIFICATION OF THE LEFT HEMITHORAX AND MILD WORSENED PATCHY OPACIFICATION OF THE RIGHT HEMITHORAX CONCERNING FOR WORSENED LEFT GREATER THAN RIGHT METASTATIC DISEASE. EXACT COMPARISON IS SOMEWHAT SUBOPTIMAL GIVEN DIFFERENCES IN TECHNIQUE AND A CT EXAM COULD BE HELPFUL TO EVALUATE FOR PROGRESSION OF DISEASE. 2.STABLE TO SLIGHTLY INCREASED LOCULATED LEFT PLEURAL EFFUSION. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 179488,CheXpert_Demo_Images\train\patient42211\study1\view1_frontal.jpg,patient42211,"NARRATIVE: PORTABLE CHEST SINGLE VIEW: 01/17/19 AT 1338 HOURS. COMPARISON: No comparison. CLINICAL DATA: Rule out infiltrate. IMPRESSION: 1. CARDIOMEGALY WITH MODERATE PULMONARY EDEMA, BILATERAL PLEURAL EFFUSIONS, AND BILATERAL PULMONARY OPACITIES. 2. EXTENSIVE CALCIFIED PLEURAL PLAQUE. 3. PRIOR MEDIAN STERNOTOMY WITH PROSTHETIC CARDIAC VALVE IN PLACE. 4. CALCIFICATION OF THE AORTIC ARCH. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 66436875 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CARDIOMEGALY WITH MODERATE PULMONARY EDEMA, BILATERAL PLEURAL EFFUSIONS, AND BILATERAL PULMONARY OPACITIES. 2. EXTENSIVE CALCIFIED PLEURAL PLAQUE. 3. PRIOR MEDIAN STERNOTOMY WITH PROSTHETIC CARDIAC VALVE IN PLACE. 4. CALCIFICATION OF THE AORTIC ARCH. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 219320,CheXpert_Demo_Images\train\patient60984\study1\view1_lateral.jpg,patient60984,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 2/27/11 CLINICAL HISTORY: 75 years of age, Male, Admission. COMPARISON: Chest 2/27/2011. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval placement of ETT, tip is high at 7.0 cm above the carina. Diffuse interstitial edema, mild to moderate. Cardiac silhouette appears unremarkable. IMPRESSION: 1. Interval placement of ETT, tip is high at 7.0 cm above the carina. 2. Diffuse mild to moderate interstitial edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 562 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval placement of ETT, tip is high at 7.0 cm above the carina. Diffuse interstitial edema, mild to moderate. Cardiac silhouette appears unremarkable. "," 1. Interval placement of ETT, tip is high at 7.0 cm above the carina. 2. Diffuse mild to moderate interstitial edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 81468,CheXpert_Demo_Images\train\patient19608\study2\view1_frontal.jpg,patient19608,"NARRATIVE: Exam: Chest 1 View, August 06th Clinical History: 48 years Male with Sob Comparison: 8/6/2012 IMPRESSION: 1.AP ERECT CHEST RADIOGRAPH DEMONSTRATES MILD CARDIOMEGALY. 2.THE LUNGS APPEAR CLEAR, WITH NO EVIDENCE OF PULMONARY EDEMA OR PLEURAL EFFUSION. 3.VISUALIZED OSSEOUS STRUCTURES UNREMARKABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 1 2 9 7 3 2 4 1 5 1 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.AP ERECT CHEST RADIOGRAPH DEMONSTRATES MILD CARDIOMEGALY. 2.THE LUNGS APPEAR CLEAR, WITH NO EVIDENCE OF PULMONARY EDEMA OR PLEURAL EFFUSION. 3.VISUALIZED OSSEOUS STRUCTURES UNREMARKABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED " 21528,CheXpert_Demo_Images\train\patient05247\study1\view2_lateral.jpg,patient05247,"NARRATIVE: TWO VIEWS OF THE CHEST: 7-24-2005 CLINICAL HISTORY: Previous infiltrate versus mass on chest x-ray. Evaluate for improvement. IMPRESSION: 1. PERSISTENT RETROCARDIAC OPACITY, ATELECTASIS, OR CONSOLIDATION. THIS IS UNCHANGED WHEN COMPARED WITH THE PRIOR FILM. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: aqxscztu This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PERSISTENT RETROCARDIAC OPACITY, ATELECTASIS, OR CONSOLIDATION. THIS IS UNCHANGED WHEN COMPARED WITH THE PRIOR FILM. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 185205,CheXpert_Demo_Images\train\patient43941\study3\view1_frontal.jpg,patient43941,"NARRATIVE: EXAM: Chest 1 View, 6-27-2019. HISTORY: : 59 years Female, Daily icu cxray. COMPARISON: 6/27/2019. IMPRESSION: 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL DECREASE IN LUNG VOLUMES WITH PERSISTENT PERIHILAR OPACITIES WHICH ARE SLIGHTLY WORSE COMPARED TO THE PRIOR LIKELY REPRESENT PULMONARY EDEMA. 2. BILATERAL PLEURAL EFFUSIONS. 3. PERSISTENT LEFT BASILAR OPACITY. 4. MODERATE CARDIOMEGALY. 5. STABLE POSITION OF A RIGHT UPPER EXTREMITY PICC. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 56637 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL DECREASE IN LUNG VOLUMES WITH PERSISTENT PERIHILAR OPACITIES WHICH ARE SLIGHTLY WORSE COMPARED TO THE PRIOR LIKELY REPRESENT PULMONARY EDEMA. 2. BILATERAL PLEURAL EFFUSIONS. 3. PERSISTENT LEFT BASILAR OPACITY. 4. MODERATE CARDIOMEGALY. 5. STABLE POSITION OF A RIGHT UPPER EXTREMITY PICC. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 222889,CheXpert_Demo_Images\train\patient64234\study1\view1_frontal.jpg,patient64234,"NARRATIVE: Addendum Begins I have reviewed the study and agree with the described findings. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED Addendum Ends CHEST ONE VIEW: 1/21/2013 COMPARISON: 1-21-2013. CLINICAL DATA: Evaluate for infiltrates. IMPRESSION: 1. UNCHANGED POSITION OF RIGHT-SIDED INTERNAL JUGULAR CATHETER. 2. DECREASE IN PULMONARY EDEMA. UNCHANGED MILD CARDIOMEGALY. NO SIGNIFICANT PLEURAL EFFUSIONS ARE PRESENT. FOCAL PULMONARY OPACITIES ARE ABSENT. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #ubfqbi This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",". ",," 2-ABNORMAL, PREVIOUSLY REPORTED Addendum Ends CHEST ONE VIEW: 1/21/2013 COMPARISON: 1-21-2013. CLINICAL DATA: Evaluate for infiltrates. IMPRESSION: 1. UNCHANGED POSITION OF RIGHT-SIDED INTERNAL JUGULAR CATHETER. 2. DECREASE IN PULMONARY EDEMA. UNCHANGED MILD CARDIOMEGALY. NO SIGNIFICANT PLEURAL EFFUSIONS ARE PRESENT. FOCAL PULMONARY OPACITIES ARE ABSENT. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED " 215444,CheXpert_Demo_Images\train\patient58595\study2\view1_frontal.jpg,patient58595,"NARRATIVE: Chest 1 View 7/5/2001 CLINICAL IDENTITY: Female, 96 year old-old REASON FOR STUDY: Every morning while intubated. COMPARISON: Chest one view 7-5-2001 IMPRESSION: 1. STABLE RIGHT IJ SHEATH, TAVR, AND EPIGASTRIUM SURGICAL CLIPS. 2. CALCIFIED RIGHT PLEURAL PLAQUE. 3. WORSENING PULMONARY EDEMA AND BIBASILAR AIRSPACE OPACITIES. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: usjd This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE RIGHT IJ SHEATH, TAVR, AND EPIGASTRIUM SURGICAL CLIPS. 2. CALCIFIED RIGHT PLEURAL PLAQUE. 3. WORSENING PULMONARY EDEMA AND BIBASILAR AIRSPACE OPACITIES. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 95495,CheXpert_Demo_Images\train\patient22983\study1\view2_lateral.jpg,patient22983,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12/11/2011 CLINICAL HISTORY: 57 years of age, Female, Chronic cough with h/o +ppd, quantiferon; concerned for TB. COMPARISON: Same day PET/CT PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The cardiomediastinal silhouette is normal. There is a diffuse reticular pattern in the bilateral lungs, but no focal consolidation or significant pleural effusion. Several bilateral pulmonary nodules are better appreciated on same day PET/CT. There are multilevel degenerative changes of the lower thoracic spine.. IMPRESSION: 1. No focal consolidation or significant pleural effusion. Subcentimeter pulmonary nodules better appreciated on same day PET/CT are not visualized due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: LKLBMBBS This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is normal. There is a diffuse reticular pattern in the bilateral lungs, but no focal consolidation or significant pleural effusion. Several bilateral pulmonary nodules are better appreciated on same day PET/CT. There are multilevel degenerative changes of the lower thoracic spine.. "," 1. No focal consolidation or significant pleural effusion. Subcentimeter pulmonary nodules better appreciated on same day PET/CT are not visualized due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 92896,CheXpert_Demo_Images\train\patient22298\study1\view2_lateral.jpg,patient22298,"NARRATIVE: CHEST, TWO VIEWS: 3/11/20 CLINICAL HISTORY: 39-year-old male with history of gastric carcinoma status post gastrectomy, now with shortness of breath and cough. Evaluate for pneumonia. COMPARISON: Chest radiograph 7/29/2004. IMPRESSION: 1.INTERVAL INCREASE IN LEFT LOWER LOBE CONSOLIDATION SUSPICIOUS FOR PNEUMONIA. INCREASE IN MINIMAL PATCHY OPACITIES AT THE RIGHT LUNG BASE AS WELL. 2.NEW SMALL LEFT PLEURAL EFFUSION AND LIKELY TINY RIGHT PLEURAL EFFUSION. 3.LEFT UPPER EXTREMITY PICC UNCHANGED IN POSITION WITH TIP OVERLYING THE SUPERIOR VENA CAVA. FINDINGS REPORTED TO Howe Londyn AT 16:15. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. ACCESSION NUMBER: 91L5RB73P5 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INTERVAL INCREASE IN LEFT LOWER LOBE CONSOLIDATION SUSPICIOUS FOR PNEUMONIA. INCREASE IN MINIMAL PATCHY OPACITIES AT THE RIGHT LUNG BASE AS WELL. 2.NEW SMALL LEFT PLEURAL EFFUSION AND LIKELY TINY RIGHT PLEURAL EFFUSION. 3.LEFT UPPER EXTREMITY PICC UNCHANGED IN POSITION WITH TIP OVERLYING THE SUPERIOR VENA CAVA. FINDINGS REPORTED TO Howe Londyn AT 16:15. "," 4: Possible significant abnormality/change, may need action. " 196742,CheXpert_Demo_Images\train\patient48243\study3\view1_frontal.jpg,patient48243,"NARRATIVE: EXAM: Chest 1 View, 12-9-2018 CLINICAL HISTORY: Male of 82 years; reason for study: ""Intubated"" COMPARISON: Chest radiograph 12-9-2018 at 332 IMPRESSION: 1.ON THE CHEST RADIOGRAPH DATED December 2018 AT 1459, THE TIP OF THE ENDOTRACHEAL TUBE IS 9 CM ABOVE THE CARINA. RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH SHEATH, 3 MEDIASTINAL DRAINS, PROSTHETIC AORTIC VALVE, LEFT CHEST TUBE, AND INTRA-AORTIC BALLOON PUMP ARE UNCHANGED. STABLE MILD RIGHT LOWER LOBE ATELECTASIS. NO PLEURAL EFFUSION. STABLE SMALL BIAPICAL PNEUMOTHORACES. STABLE 14-MM ROUNDED DENSITY OVERLYING THE RIGHT LOWER LOBE. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. 2.ON THE CHEST RADIOGRAPH DATED 12/9/2018 AT 341, TIP OF THE ENDOTRACHEAL TUBE IS 7 CM ABOVE THE CARINA. THERE IS INCREASED PATCHY AIRSPACE OPACIFICATION IN THE RIGHT MID LUNG ZONE THAT MAY REPRESENT INFECTION VERSUS ASPIRATION. FINDINGS FROM THE PRIOR STUDY ARE OTHERWISE UNCHANGED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 333-984-740-45 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.ON THE CHEST RADIOGRAPH DATED December 2018 AT 1459, THE TIP OF THE ENDOTRACHEAL TUBE IS 9 CM ABOVE THE CARINA. RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH SHEATH, 3 MEDIASTINAL DRAINS, PROSTHETIC AORTIC VALVE, LEFT CHEST TUBE, AND INTRA-AORTIC BALLOON PUMP ARE UNCHANGED. STABLE MILD RIGHT LOWER LOBE ATELECTASIS. NO PLEURAL EFFUSION. STABLE SMALL BIAPICAL PNEUMOTHORACES. STABLE 14-MM ROUNDED DENSITY OVERLYING THE RIGHT LOWER LOBE. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. 2.ON THE CHEST RADIOGRAPH DATED 12/9/2018 AT 341, TIP OF THE ENDOTRACHEAL TUBE IS 7 CM ABOVE THE CARINA. THERE IS INCREASED PATCHY AIRSPACE OPACIFICATION IN THE RIGHT MID LUNG ZONE THAT MAY REPRESENT INFECTION VERSUS ASPIRATION. FINDINGS FROM THE PRIOR STUDY ARE OTHERWISE UNCHANGED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 202480,CheXpert_Demo_Images\train\patient50759\study1\view1_frontal.jpg,patient50759,"NARRATIVE: SINGLE VIEW CHEST, 2/7/2020 : COMPARISON: Prior chest, 7-12-2008. CLINICAL HISTORY: 93 year old female with history of CHF and atrial fibrillation. IMPRESSION: THERE ARE BILATERAL PLEURAL EFFUSIONS WITH BIBASILAR OPACITIES. THERE ARE LOW LUNG VOLUMES WITH INTERVAL DEVELOPMENT OF PROMINENT RETICULAR OPACITY WHICH MAY REPRESENT PULMONARY EDEMA. THE CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 82562801844708 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," THERE ARE BILATERAL PLEURAL EFFUSIONS WITH BIBASILAR OPACITIES. THERE ARE LOW LUNG VOLUMES WITH INTERVAL DEVELOPMENT OF PROMINENT RETICULAR OPACITY WHICH MAY REPRESENT PULMONARY EDEMA. THE CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 218188,CheXpert_Demo_Images\train\patient60300\study1\view1_frontal.jpg,patient60300,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10-15-10 CLINICAL HISTORY: 52 years of age, Male, Evaluate for pneumothorax and central line placement. COMPARISON: 10-15-2010 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval placement of left subclavian vein central venous catheter with tip in the mid superior vena cava. The cardiomediastinal silhouette is within normal limits for size. No pneumothorax. There is a focal opacity right upper lung zone. Left basilar opacities consistent with atelectasis versus aspiration versus infection. IMPRESSION: 1. Left subclavian vein central venous catheter with tip in the mid superior vena cava. No pneumothorax. 2. Focal opacities in the right upper lung zone and left lung base are concerning for infection versus aspiration. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 078535138 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval placement of left subclavian vein central venous catheter with tip in the mid superior vena cava. The cardiomediastinal silhouette is within normal limits for size. No pneumothorax. There is a focal opacity right upper lung zone. Left basilar opacities consistent with atelectasis versus aspiration versus infection. "," 1. Left subclavian vein central venous catheter with tip in the mid superior vena cava. No pneumothorax. 2. Focal opacities in the right upper lung zone and left lung base are concerning for infection versus aspiration. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 126705,CheXpert_Demo_Images\train\patient30387\study2\view1_frontal.jpg,patient30387,"NARRATIVE: SINGLE VIEW OF THE CHEST: 8/17/2020 CLINICAL HISTORY: Fifty-two-year-old male with history of abdominal pain. IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES LOW LUNG VOLUMES WITHOUT EVIDENCE OF EFFUSION, CONSOLIDATION OR PNEUMOTHORAX. 2. NO EVIDENCE OF ACUTE CARDIOPULMONARY PROCESS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 59994135 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES LOW LUNG VOLUMES WITHOUT EVIDENCE OF EFFUSION, CONSOLIDATION OR PNEUMOTHORAX. 2. NO EVIDENCE OF ACUTE CARDIOPULMONARY PROCESS. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 72223,CheXpert_Demo_Images\train\patient17352\study1\view1_frontal.jpg,patient17352,"NARRATIVE: EXAM: Chest 2 Views, October 21, 05 CLINICAL HISTORY: 31 years Male Evaluate for left side rib fracture COMPARISON: No comparative chest x-ray. IMPRESSION: 1. FRONTAL AND LATERAL CHEST RADIOGRAPH SHOWING A MINIMALLY DISPLACED FRACTURE OF A LEFT ANTERIOR SEVENTH RIB. CORRELATE WITH HISTORY OF TRAUMA. NO PNEUMOTHORAX. NO PLEURAL EFFUSION. 2. THE LUNG PARENCHYMA IS CLEAR. CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: eox8j2mt This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL CHEST RADIOGRAPH SHOWING A MINIMALLY DISPLACED FRACTURE OF A LEFT ANTERIOR SEVENTH RIB. CORRELATE WITH HISTORY OF TRAUMA. NO PNEUMOTHORAX. NO PLEURAL EFFUSION. 2. THE LUNG PARENCHYMA IS CLEAR. CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 83961,CheXpert_Demo_Images\train\patient20206\study1\view1_frontal.jpg,patient20206,"NARRATIVE: CHEST ONE VIEW: April 19 COMPARISON: None. CLINICAL HISTORY: Ischemic cardiomyopathy, evaluate IABP placement. IMPRESSION: 1. INTRA-AORTIC BALLOON PUMP IS APPROXIMATELY 2 CM BELOW THE AORTIC ARCH. A TRIPLE LEAD LEFT ANTERIOR CHEST WALL PACEMAKER IS PRESENT. MEDIAN STERNOTOMY WIRES AND CORONARY OSTIAL MARKERS ARE PRESENT. SWAN-GANZ CATHETER TIP IS IN A DESCENDING BRANCH OF THE RIGHT PULMONARY ARTERY. 2. MODERATE INTERSTITIAL EDEMA. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: farley alicia aaron, pa-c on: 19/2008 __________________________________ ACCESSION NUMBER: 3_7_4_3_6_5_8_6 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTRA-AORTIC BALLOON PUMP IS APPROXIMATELY 2 CM BELOW THE AORTIC ARCH. A TRIPLE LEAD LEFT ANTERIOR CHEST WALL PACEMAKER IS PRESENT. MEDIAN STERNOTOMY WIRES AND CORONARY OSTIAL MARKERS ARE PRESENT. SWAN-GANZ CATHETER TIP IS IN A DESCENDING BRANCH OF THE RIGHT PULMONARY ARTERY. 2. MODERATE INTERSTITIAL EDEMA. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: farley alicia aaron, pa-c on: 19/2008 __________________________________ " 34705,CheXpert_Demo_Images\train\patient08495\study1\view2_lateral.jpg,patient08495,"NARRATIVE: TWO VIEWS OF THE CHEST: 1-8-2004 CLINICAL HISTORY: Weight loss. COMPARISON: CT chest, abdomen and pelvis 1-8-2004. IMPRESSION: TWO VIEWS OF THE CHEST DEMONSTRATE NO ACUTE CARDIAC OR PULMONARY PROCESS. CARDIAC SIZE IS WITHIN NORMAL LIMITS. THE LUNGS ARE CLEAR, WITH NO PULMONARY EDEMA, CONSOLIDATION OR PLEURAL EFFUSION. PATIENT IS MILDLY OSTEOPENIC WITH EVIDENCE OF DISH IN THE SPINE. NO ACUTE OSSEOUS ABNORMALITY. SURGICAL CLIPS DEMONSTRATED IN THE RIGHT UPPER QUADRANT. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 39526500383 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," TWO VIEWS OF THE CHEST DEMONSTRATE NO ACUTE CARDIAC OR PULMONARY PROCESS. CARDIAC SIZE IS WITHIN NORMAL LIMITS. THE LUNGS ARE CLEAR, WITH NO PULMONARY EDEMA, CONSOLIDATION OR PLEURAL EFFUSION. PATIENT IS MILDLY OSTEOPENIC WITH EVIDENCE OF DISH IN THE SPINE. NO ACUTE OSSEOUS ABNORMALITY. SURGICAL CLIPS DEMONSTRATED IN THE RIGHT UPPER QUADRANT. ","2-ABNORMAL, PREVIOUSLY REPORTED " 13405,CheXpert_Demo_Images\train\patient03352\study1\view1_frontal.jpg,patient03352,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10-7-2009 CLINICAL HISTORY: 67 years of age, Male, R/o infection. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: There is a right internal jugular central venous catheter with its tip at the cavoatrial junction. There are low lung volumes. There are bibasilar opacities, left greater than right. No pneumothorax. Bilateral pleural effusions. IMPRESSION: 1. There is a right internal jugular central venous catheter with its tip at the cavoatrial junction. No pneumothorax. 2. Bibasilar parenchymal opacities, left greater than right, consistent with atelectasis, infection, or aspiration. Bilateral pleural effusions are present. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 3719546 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a right internal jugular central venous catheter with its tip at the cavoatrial junction. There are low lung volumes. There are bibasilar opacities, left greater than right. No pneumothorax. Bilateral pleural effusions. "," 1. There is a right internal jugular central venous catheter with its tip at the cavoatrial junction. No pneumothorax. 2. Bibasilar parenchymal opacities, left greater than right, consistent with atelectasis, infection, or aspiration. Bilateral pleural effusions are present. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 103602,CheXpert_Demo_Images\train\patient24913\study1\view1_frontal.jpg,patient24913,"NARRATIVE: EXAM: Chest 1 View, 11/11/20 CLINICAL HISTORY: Male of 65 years. Reason for study: ""Critical care follow-up(ICU)"" COMPARISON: None available for comparison. FINDINGS: Low lung volumes. No infiltrates or consolidations. No pleural effusions. Enlarged cardiomediastinal silhouette, involving both the mediastinum and heart shadow. Ectatic aorta. Pulmonary vascularity is mildly increased, possibly indicating a component of pulmonary edema. The trachea is midline. No acute osseous abnormalities. IMPRESSION: 1.NO INFILTRATES OR CONSOLIDATIONS. 2.PULMONARY VASCULATURE IS MILDLY INCREASED, POSSIBLY INDICATING A COMPONENT OF PULMONARY EDEMA. 3.CARDIOMEGALY AND ECTATIC AORTA. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: SGpxtuFyAoGX This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Low lung volumes. No infiltrates or consolidations. No pleural effusions. Enlarged cardiomediastinal silhouette, involving both the mediastinum and heart shadow. Ectatic aorta. Pulmonary vascularity is mildly increased, possibly indicating a component of pulmonary edema. The trachea is midline. No acute osseous abnormalities. "," 1.NO INFILTRATES OR CONSOLIDATIONS. 2.PULMONARY VASCULATURE IS MILDLY INCREASED, POSSIBLY INDICATING A COMPONENT OF PULMONARY EDEMA. 3.CARDIOMEGALY AND ECTATIC AORTA. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 126178,CheXpert_Demo_Images\train\patient30263\study2\view1_frontal.jpg,patient30263,"NARRATIVE: SINGLE VIEW OF THE CHEST: 10-26 COMPARISON: 10-26-2002 CLINICAL HISTORY: An 86 year-old male following pleural catheter placement. IMPRESSION: 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A LEFT PLEURAL DRAINAGE CATHETER WITH MARKED DECREASED IN SIZE OF A MODERATE TO LARGE LEFT PLEURAL EFFUSION. MINOR DEGREE OF LUCENCY IS SEEN ALONG THE LATERAL LEFT HEMITHORAX, WHICH MAY REFLECT A SMALL AMOUNT OF PLEURAL AIR. 2. LEFT PERIHILAR MASS-LIKE CONSOLIDATION IS NOW VISUALIZED. STABLE PATCHY OPACITY IN THE RIGHT UPPER LUNG ZONE. SUMMARY: 2- ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: M-Z-Y-5-V-J-A-I This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A LEFT PLEURAL DRAINAGE CATHETER WITH MARKED DECREASED IN SIZE OF A MODERATE TO LARGE LEFT PLEURAL EFFUSION. MINOR DEGREE OF LUCENCY IS SEEN ALONG THE LATERAL LEFT HEMITHORAX, WHICH MAY REFLECT A SMALL AMOUNT OF PLEURAL AIR. 2. LEFT PERIHILAR MASS-LIKE CONSOLIDATION IS NOW VISUALIZED. STABLE PATCHY OPACITY IN THE RIGHT UPPER LUNG ZONE. "," 2- ABNORMAL, PREVIOUSLY REPORTED " 207375,CheXpert_Demo_Images\train\patient53575\study2\view1_frontal.jpg,patient53575,"NARRATIVE: Chest 1 View, 5-16-2009 HISTORY: 68 years Male, Critical care follow-up(ICU) COMPARISON: 5-16-2009 IMPRESSION: 1.STABLE POSITIONING OF FEEDING TUBE AND RIGHT UPPER EXTREMITY PICC, WHICH TERMINATES WITHIN THE ATRIUM PROXIMALLY 5.6 CM BENEATH THE CARINA. 2.LOW LUNG VOLUMES AND MILD PULMONARY EDEMA. 3.MILD CARDIOMEGALY. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 985464954 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.STABLE POSITIONING OF FEEDING TUBE AND RIGHT UPPER EXTREMITY PICC, WHICH TERMINATES WITHIN THE ATRIUM PROXIMALLY 5.6 CM BENEATH THE CARINA. 2.LOW LUNG VOLUMES AND MILD PULMONARY EDEMA. 3.MILD CARDIOMEGALY. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 36573,CheXpert_Demo_Images\train\patient08970\study1\view2_lateral.jpg,patient08970,"NARRATIVE: Exam: Chest 2 Views, 8/29/09 Clinical History: 81 years Male with SOB. Wheezing. Comparison: None IMPRESSION: 1.FRONTAL AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.INCREASED RETICULAR MARKINGS ARE SEEN BILATERALLY IN THE LUNGS, MOST MARKED AT THE LUNG BASES. LUNG VOLUMES ARE LOW, BUT THERE IS LIKELY SUPERIMPOSED CHRONIC LUNG DISEASE. SMALL IRREGULAR OPACITIES ARE SEEN PERIPHERALLY AT THE RIGHT APEX, LIKELY REPRESENTING PLEURAL CALCIFICATION. A SIMILAR OPACITY IS SEEN IN THE LEFT MID ZONE, BUT THIS APPEARS TO CORRESPOND TO CALLUS AROUND A LEFT ANTERIOR THIRD RIB FRACTURE. NO OBVIOUS SUPERIMPOSED CONSOLIDATION. 3.THE VISUALIZED OSSEOUS STRUCTURES OTHERWISE APPEAR UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: nghcsxkyt This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.INCREASED RETICULAR MARKINGS ARE SEEN BILATERALLY IN THE LUNGS, MOST MARKED AT THE LUNG BASES. LUNG VOLUMES ARE LOW, BUT THERE IS LIKELY SUPERIMPOSED CHRONIC LUNG DISEASE. SMALL IRREGULAR OPACITIES ARE SEEN PERIPHERALLY AT THE RIGHT APEX, LIKELY REPRESENTING PLEURAL CALCIFICATION. A SIMILAR OPACITY IS SEEN IN THE LEFT MID ZONE, BUT THIS APPEARS TO CORRESPOND TO CALLUS AROUND A LEFT ANTERIOR THIRD RIB FRACTURE. NO OBVIOUS SUPERIMPOSED CONSOLIDATION. 3.THE VISUALIZED OSSEOUS STRUCTURES OTHERWISE APPEAR UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 189028,CheXpert_Demo_Images\train\patient45216\study2\view1_frontal.jpg,patient45216,"NARRATIVE: CHEST ONE VIEW: March 12th COMPARISON: 3/12/2014 CLINICAL HISTORY: Sixty-four-year-old female with a new cardiac arrhythmia. IMPRESSION: 1. A SINGLE FRONTAL UPRIGHT CHEST RADIOGRAPH DEMONSTRATES DECREASED LUNG VOLUMES AND INCREASED BIBASILAR OPACITIES WHICH MAY REPRESENT ATELECTASIS BUT EARLY CONSOLIDATION CANNOT BE EXCLUDED. NO EVIDENCE OF EDEMA. 2. NO CLEAR EVIDENCE OF CONSOLIDATION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #tMKpnPh This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. A SINGLE FRONTAL UPRIGHT CHEST RADIOGRAPH DEMONSTRATES DECREASED LUNG VOLUMES AND INCREASED BIBASILAR OPACITIES WHICH MAY REPRESENT ATELECTASIS BUT EARLY CONSOLIDATION CANNOT BE EXCLUDED. NO EVIDENCE OF EDEMA. 2. NO CLEAR EVIDENCE OF CONSOLIDATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 206550,CheXpert_Demo_Images\train\patient53075\study1\view1_frontal.jpg,patient53075,"NARRATIVE: EXAM DATE, 11/11/2014: COMPARISON: There are no prior films available for comparison. FINDINGS: CHEST: AP view of the chest on the trauma backboard. Low lung volumes. Prominence of the pulmonary vascularity may be secondary to low lung volumes versus mild pulmonary edema. Accounting for low lung volumes, the mediastinum is within normal limits. No focal consolidation. The pleura is unremarkable. The osseous structures are intact. RIGHT ELBOW: Two views of the right elbow. Limited secondary to oblique view of the elbow instead of true lateral. There is no definite fracture or effusion. There is irregularity of the soft tissues posteromedially consistent with abrasion. There is a punctate radiodense structure posteriorly at the level of the distal right humeral metaphysis, likely on the skin. No other radiopaque foreign bodies identified. LEFT ELBOW: Two views. Limited secondary to a markedly oblique view, no true lateral view. Minimally displaced fracture of the ulnar coronoid process. No other fracture is identified. Well-circumscribed osseous densities are seen just distal to the lateral humeral epicondyle, representing likely old trauma. No obvious effusion. The remaining osseous structures are unremarkable. LEFT FOREARM: Two views. No evidence of fracture or mal-alignment. The visualized carpal bones are unremarkable. LIMITED AP VIEW OF THE THORACIC AND LUMBAR SPINE: Lateral views were not obtained. According to technologist, the patient was taken to the Operating Room before the lateral views could be obtained. No definite fracture or disc space abnormality; however, this is a limited evaluation secondary to lack of a lateral view. There is a small square density overlying the left L4 transverse process, likely external. Otherwise unremarkable limited AP views of the thoracolumbar spine. IMPRESSION: 1. LOW LUNG VOLUMES WITH PULMONARY VASCULAR INDISTINCTNESS REPRESENTING MILD PULMONARY EDEMA VERSUS LOW LUNG VOLUMES. OTHERWISE, NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. LIMITED AP VIEWS OF THE THORACOLUMBAR SPINE WITHOUT OBVIOUS ACUTE OSSEOUS INJURY. HOWEVER, IF CLINICALLY INDICATED RECOMMEND LATERAL VIEW OR CT AS THIS IS AN INCOMPLETE EVALUATION OF THE SPINE. 3. LIMITED VIEWS OF THE ELBOWS BILATERALLY SECONDARY TO LACK OF A TRUE LATERAL VIEW. THIS COULD BE REPEATED IF CLINICALLY INDICATED. 4. MILDLY DISPLACED FRACTURE OF THE LEFT ULNAR CORONOID PROCESS. OTHERWISE, NO OTHER OBVIOUS OSSEOUS INJURY IN THE ELBOWS BILATERALLY, OR LEFT FOREARM. 5. SOFT TISSUE DEFECT IN THE POSTEROMEDIAL RIGHT ELBOW. SINGLE PUNCTATE DENSITIES PROBABLY WITHIN THE SKIN POSTERIORLY AT THE LEVEL OF THE HUMERAL METAPHYSIS, OTHERWISE, NO OTHER RADIOPAQUE FOREIGN BODY. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. Addendum # 1 by madison watts, cnm on 11/11/2014 Accession code association only ACCESSION NUMBER: 93diei7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," CHEST: AP view of the chest on the trauma backboard. Low lung volumes. Prominence of the pulmonary vascularity may be secondary to low lung volumes versus mild pulmonary edema. Accounting for low lung volumes, the mediastinum is within normal limits. No focal consolidation. The pleura is unremarkable. The osseous structures are intact. RIGHT ELBOW: Two views of the right elbow. Limited secondary to oblique view of the elbow instead of true lateral. There is no definite fracture or effusion. There is irregularity of the soft tissues posteromedially consistent with abrasion. There is a punctate radiodense structure posteriorly at the level of the distal right humeral metaphysis, likely on the skin. No other radiopaque foreign bodies identified. LEFT ELBOW: Two views. Limited secondary to a markedly oblique view, no true lateral view. Minimally displaced fracture of the ulnar coronoid process. No other fracture is identified. Well-circumscribed osseous densities are seen just distal to the lateral humeral epicondyle, representing likely old trauma. No obvious effusion. The remaining osseous structures are unremarkable. LEFT FOREARM: Two views. No evidence of fracture or mal-alignment. The visualized carpal bones are unremarkable. LIMITED AP VIEW OF THE THORACIC AND LUMBAR SPINE: Lateral views were not obtained. According to technologist, the patient was taken to the Operating Room before the lateral views could be obtained. No definite fracture or disc space abnormality; however, this is a limited evaluation secondary to lack of a lateral view. There is a small square density overlying the left L4 transverse process, likely external. Otherwise unremarkable limited AP views of the thoracolumbar spine. "," 1. LOW LUNG VOLUMES WITH PULMONARY VASCULAR INDISTINCTNESS REPRESENTING MILD PULMONARY EDEMA VERSUS LOW LUNG VOLUMES. OTHERWISE, NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. LIMITED AP VIEWS OF THE THORACOLUMBAR SPINE WITHOUT OBVIOUS ACUTE OSSEOUS INJURY. HOWEVER, IF CLINICALLY INDICATED RECOMMEND LATERAL VIEW OR CT AS THIS IS AN INCOMPLETE EVALUATION OF THE SPINE. 3. LIMITED VIEWS OF THE ELBOWS BILATERALLY SECONDARY TO LACK OF A TRUE LATERAL VIEW. THIS COULD BE REPEATED IF CLINICALLY INDICATED. 4. MILDLY DISPLACED FRACTURE OF THE LEFT ULNAR CORONOID PROCESS. OTHERWISE, NO OTHER OBVIOUS OSSEOUS INJURY IN THE ELBOWS BILATERALLY, OR LEFT FOREARM. 5. SOFT TISSUE DEFECT IN THE POSTEROMEDIAL RIGHT ELBOW. SINGLE PUNCTATE DENSITIES PROBABLY WITHIN THE SKIN POSTERIORLY AT THE LEVEL OF THE HUMERAL METAPHYSIS, OTHERWISE, NO OTHER RADIOPAQUE FOREIGN BODY. "," 4: Possible Significant Abnormality/Change, may need action. Addendum # 1 by madison watts, cnm on 11/11/2014 Accession code association only " 203861,CheXpert_Demo_Images\train\patient51437\study1\view1_frontal.jpg,patient51437,"NARRATIVE: EXAM: Chest 1 View, 9/29/2019. HISTORY: Female who is of 61 years, Sp EBUS with subcarinal LN bx. COMPARISON: September 29th, 2019 IMPRESSION: 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL DECREASE IN LUNG VOLUMES. 2. NO PNEUMOTHORAX. 3. IRREGULAR CONTOUR OF THE RIGHT SUPERIOR MEDIASTINUM IS CONSISTENT WITH PATIENT'S KNOWN LYMPHADENOPATHY, AS BETTER DEMONSTRATED ON THE CT FROM 09/29/19 4. INCREASED LEFT RETROCARDIAC DENSITY MAY REFLECT ATELECTASIS OR CONSOLIDATION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: afadx This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL DECREASE IN LUNG VOLUMES. 2. NO PNEUMOTHORAX. 3. IRREGULAR CONTOUR OF THE RIGHT SUPERIOR MEDIASTINUM IS CONSISTENT WITH PATIENT'S KNOWN LYMPHADENOPATHY, AS BETTER DEMONSTRATED ON THE CT FROM 09/29/19 4. INCREASED LEFT RETROCARDIAC DENSITY MAY REFLECT ATELECTASIS OR CONSOLIDATION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 174795,CheXpert_Demo_Images\train\patient40918\study1\view1_frontal.jpg,patient40918,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11-29-2012 CLINICAL HISTORY: 68 years of age, Male, Post-intubation. COMPARISON: 11/29/2012 at 2:23 PM. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval intubation with the ET tube tip 4.8 cm above the carina. The cardiac silhouette is obscured. Left more than right basilar opacities, concerning for atelectasis or consolidation. Small bilateral pleural effusions. Degenerative changes in the left glenohumeral joint. IMPRESSION: 1. Interval intubation with the ET tube tip 4.8 cm above the carina. 2. Left more than right basilar atelectasis or consolidation. Small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 044972 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval intubation with the ET tube tip 4.8 cm above the carina. The cardiac silhouette is obscured. Left more than right basilar opacities, concerning for atelectasis or consolidation. Small bilateral pleural effusions. Degenerative changes in the left glenohumeral joint. "," 1. Interval intubation with the ET tube tip 4.8 cm above the carina. 2. Left more than right basilar atelectasis or consolidation. Small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 203408,CheXpert_Demo_Images\train\patient51209\study1\view1_frontal.jpg,patient51209,"NARRATIVE: Chest 1 View: 10/29/2011 HISTORY: 78 years Female, Ss/p temporary pacemaker. COMPARISON: 10/29/11 at 0442 IMPRESSION: 1.A RIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR LINE, THE TIP PROJECTING OVER THE EXPECTED RIGHT VENTRICLE. 2.CARDIOMEDIASTINAL SILHOUETTE IS STABLE. 3.LUNGS ARE CLEAR. NO PNEUMOTHORAX. 4.SURGICAL CLIPS PROJECT OVER THE RIGHT AXILLA. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 01386870 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A RIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR LINE, THE TIP PROJECTING OVER THE EXPECTED RIGHT VENTRICLE. 2.CARDIOMEDIASTINAL SILHOUETTE IS STABLE. 3.LUNGS ARE CLEAR. NO PNEUMOTHORAX. 4.SURGICAL CLIPS PROJECT OVER THE RIGHT AXILLA. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 157061,CheXpert_Demo_Images\train\patient36828\study1\view1_frontal.jpg,patient36828,"NARRATIVE: AP VIEW OF THE CHEST: 5-31-2009 Loyalhanna Therapeutics 2110 HOURS AP VIEW OF THE CHEST: 5/31/2009 LOYALHANNA THERAPEUTICS 2208 HOURS AP VIEW OF THE CHEST: May 31st, 09 Loyalhanna Therapeutics 0459 HOURS COMPARISON: Comparison previously was 5/31/2009 at 1312 hours. CLINICAL HISTORY: A 67-year-old female rule out bleeding after Swan-Ganz catheter placement. FINDINGS: 5/31/2009 at 2110 hours demonstrates extubation and removal of nasogastric tube. Epicardial pacing wires, right internal jugular central venous catheter within a sheath, and median sternotomy wires remain in place. The cardiac silhouette is stable. There is persistent retrocardiac opacity reflective of atelectasis and/or consolidation. Left-sided pleural effusion is increased in prominence. Findings of AP view of the chest on 5/31/2009 at 2208 hours demonstrates interval Swan-Ganz catheter placement via the right internal jugular vein. The tip of the Swan-Ganz catheter is within the right atrium. A right internal jugular central venous catheter remains in place with its tip in the mid superior vena cava. Retrocardiac opacity and left pleural effusion persist. Slight increase in opacification of the right base suggestive of increasing atelectasis. Findings of AP view of the chest on 5/31/2009 at 0459 hours demonstrates interval advancement of the Swan-Ganz catheter with its tip now in the main pulmonary artery. Other supporting lines and tubes including right internal jugular central venous catheter with tip in mid superior vena cava, external epicardial pacing wires, mediastinal drain, and median sternotomy wires remain in place. Bibasilar left greater than right airspace opacities persist suggestive of atelectasis/consolidation. Small layering bilateral left greater than right pleural effusions. IMPRESSION: 1. INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. 2. PLACEMENT OF SWAN-GANZ CATHETER WITH ITS TIP IN THE MAIN PULMONARY ARTERY. 3. UNCHANGED LEFT BASE AIRSPACE OPACITY REFLECTIVE OF ATELECTASIS OR CONSOLIDATION. 4. SLIGHTLY INCREASED RIGHT BASILAR AIRSPACE OPACITY SUGGESTIVE OF WORSENING ATELECTASIS. 5. BILATERAL LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 698_937_794_0 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 5/31/2009 at 2110 hours demonstrates extubation and removal of nasogastric tube. Epicardial pacing wires, right internal jugular central venous catheter within a sheath, and median sternotomy wires remain in place. The cardiac silhouette is stable. There is persistent retrocardiac opacity reflective of atelectasis and/or consolidation. Left-sided pleural effusion is increased in prominence. Findings of AP view of the chest on 5/31/2009 at 2208 hours demonstrates interval Swan-Ganz catheter placement via the right internal jugular vein. The tip of the Swan-Ganz catheter is within the right atrium. A right internal jugular central venous catheter remains in place with its tip in the mid superior vena cava. Retrocardiac opacity and left pleural effusion persist. Slight increase in opacification of the right base suggestive of increasing atelectasis. Findings of AP view of the chest on 5/31/2009 at 0459 hours demonstrates interval advancement of the Swan-Ganz catheter with its tip now in the main pulmonary artery. Other supporting lines and tubes including right internal jugular central venous catheter with tip in mid superior vena cava, external epicardial pacing wires, mediastinal drain, and median sternotomy wires remain in place. Bibasilar left greater than right airspace opacities persist suggestive of atelectasis/consolidation. Small layering bilateral left greater than right pleural effusions. "," 1. INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. 2. PLACEMENT OF SWAN-GANZ CATHETER WITH ITS TIP IN THE MAIN PULMONARY ARTERY. 3. UNCHANGED LEFT BASE AIRSPACE OPACITY REFLECTIVE OF ATELECTASIS OR CONSOLIDATION. 4. SLIGHTLY INCREASED RIGHT BASILAR AIRSPACE OPACITY SUGGESTIVE OF WORSENING ATELECTASIS. 5. BILATERAL LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 210402,CheXpert_Demo_Images\train\patient55459\study2\view1_frontal.jpg,patient55459,"NARRATIVE: COMPARISON: 1/5/2001. IMPRESSION: COMPARED TO 5-1-01, STABLE CARDIOPULMONARY STATUS AS WELL AS LIFE SUPPORT APPARATUS. REDUCED LUNG VOLUMES WITH LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS, MILD PULMONARY EDEMA AND LEFT GREATER THAN RIGHT BASILAR CONSOLIDATION AND/OR ATELECTASIS. END OF IMPRESSION: ACCESSION NUMBER: 9976644 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," COMPARED TO 5-1-01, STABLE CARDIOPULMONARY STATUS AS WELL AS LIFE SUPPORT APPARATUS. REDUCED LUNG VOLUMES WITH LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS, MILD PULMONARY EDEMA AND LEFT GREATER THAN RIGHT BASILAR CONSOLIDATION AND/OR ATELECTASIS. ", 181449,CheXpert_Demo_Images\train\patient42774\study1\view1_frontal.jpg,patient42774,"NARRATIVE: SINGLE AP VIEW OF THE CHEST: 6/30/2019 at 1727 hours COMPARISON: 6-30-2019 and also with 6/30. CLINICAL HISTORY: A 96 year old female, rule out infiltrate. FINDINGS: There is interval resolved pulmonary edema. Persistent mild hilar prominence appears to have been stable since 9-28-2016. Lung volumes are slightly low. There is minimal hazy opacity over the right upper lobe which may represent pleural calcifications, regional atelectasis, or confluence of shadows. If clinical concern persists for pneumonia, then followup PA imaging is recommended. IMPRESSION: 1. NO OBVIOUS FOCAL CONSOLIDATION. SLIGHTLY INCREASED HAZY OPACITY OVER THE RIGHT UPPER LUNG ZONE MAY REPRESENT PLEURAL CALCIFICATIONS, REGIONAL ATELECTASIS, OR CONFLUENCE OF SHADOWS. IF THERE IS CONTINUED CLINICAL CONCERN FOR CONSOLIDATION, THEN, SHORT-TERM FOLLOWUP IMAGING IS RECOMMENDED PREFERABLY WITH PA AND LATERAL UPRIGHT VIEWS. 2. INTERVAL RESOLVED PULMONARY EDEMA. 3. PERSISTENTLY PROMINENT RIGHT HILUM. IF THERE IS CLINICAL CONCERN FOR A HILAR MASS, CT CAN BE CONSIDERED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 84337580 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is interval resolved pulmonary edema. Persistent mild hilar prominence appears to have been stable since 9-28-2016. Lung volumes are slightly low. There is minimal hazy opacity over the right upper lobe which may represent pleural calcifications, regional atelectasis, or confluence of shadows. If clinical concern persists for pneumonia, then followup PA imaging is recommended. "," 1. NO OBVIOUS FOCAL CONSOLIDATION. SLIGHTLY INCREASED HAZY OPACITY OVER THE RIGHT UPPER LUNG ZONE MAY REPRESENT PLEURAL CALCIFICATIONS, REGIONAL ATELECTASIS, OR CONFLUENCE OF SHADOWS. IF THERE IS CONTINUED CLINICAL CONCERN FOR CONSOLIDATION, THEN, SHORT-TERM FOLLOWUP IMAGING IS RECOMMENDED PREFERABLY WITH PA AND LATERAL UPRIGHT VIEWS. 2. INTERVAL RESOLVED PULMONARY EDEMA. 3. PERSISTENTLY PROMINENT RIGHT HILUM. IF THERE IS CLINICAL CONCERN FOR A HILAR MASS, CT CAN BE CONSIDERED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 207329,CheXpert_Demo_Images\train\patient53548\study1\view1_frontal.jpg,patient53548,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/5/2009 CLINICAL HISTORY: 19 years of age, Male, S/p central line placement. COMPARISON: 10/14/17 hours PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval placement of a left subclavian central venous catheter terminating in the SVC. The lung fields are clear. No pneumothorax. The cardiac mediastinal silhouette is within normal limits. Nonspecific air density seen projecting over the neck. No acute osseous abnormalities. IMPRESSION: 1. Interval placement of a left subclavian central venous catheter at the SVC. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 42962043 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval placement of a left subclavian central venous catheter terminating in the SVC. The lung fields are clear. No pneumothorax. The cardiac mediastinal silhouette is within normal limits. Nonspecific air density seen projecting over the neck. No acute osseous abnormalities. "," 1. Interval placement of a left subclavian central venous catheter at the SVC. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 129906,CheXpert_Demo_Images\train\patient31128\study1\view1_frontal.jpg,patient31128,"NARRATIVE: CHEST ONE VIEW: 2/24/2006 COMPARISON: None. CLINICAL HISTORY: Forty-nine-year-old male with shortness of breath. IMPRESSION: 1. A SINGLE PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A SLIGHTLY TORTUOUS AORTA, BUT NORMAL CARDIAC SIZE. 2. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION OR EFFUSION. 3. VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. A SINGLE PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A SLIGHTLY TORTUOUS AORTA, BUT NORMAL CARDIAC SIZE. 2. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION OR EFFUSION. 3. VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 78495,CheXpert_Demo_Images\train\patient18866\study1\view2_lateral.jpg,patient18866,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1/11/2004 CLINICAL HISTORY: 67 years of age, Male, Chest pain. COMPARISON: 1-11-2004 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The cardiomediastinal silhouette is normal. Linear opacities in the bilateral bases may reflect atelectasis or consolidation. There are no pleural or significant bony abnormalities. IMPRESSION: 1. Linear opacities in the bilateral bases may reflect atelectasis or consolidation. Physician to Physician Radiology Consult Line: (111) 1943398 I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #945429 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is normal. Linear opacities in the bilateral bases may reflect atelectasis or consolidation. There are no pleural or significant bony abnormalities. "," 1. Linear opacities in the bilateral bases may reflect atelectasis or consolidation. Physician to Physician Radiology Consult Line: (111) 1943398 I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 125243,CheXpert_Demo_Images\train\patient30025\study1\view2_lateral.jpg,patient30025,"NARRATIVE: Chest 2 Views: JANUARY 07 HISTORY: Female, 52 years old, Shortness of breath. COMPARISON: 1/7/2010 IMPRESSION: Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 64801849 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. ","1-NO SIGNIFICANT ABNORMALITY " 219911,CheXpert_Demo_Images\train\patient61526\study1\view1_frontal.jpg,patient61526,"NARRATIVE: SINGLE VIEW OF THE CHEST: 2016/17 COMPARISON: 7/17/2016. CLINICAL HISTORY: Rule out infiltrates. FINDINGS: The cardiomediastinal silhouette appears unchanged. Low lung volumes with blunting of the right costophrenic sulcus which appears similar to the prior study. No definite focal consolidation. IMPRESSION: 1. NO EVIDENCE OF FOCAL CONSOLIDATION. 2. LOW LUNG VOLUMES WITH BLUNTING OF THE RIGHT COSTOPHRENIC SULCUS WHICH COULD REPRESENT PLEURAL THICKENING OR A SMALL EFFUSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 5851643010 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette appears unchanged. Low lung volumes with blunting of the right costophrenic sulcus which appears similar to the prior study. No definite focal consolidation. "," 1. NO EVIDENCE OF FOCAL CONSOLIDATION. 2. LOW LUNG VOLUMES WITH BLUNTING OF THE RIGHT COSTOPHRENIC SULCUS WHICH COULD REPRESENT PLEURAL THICKENING OR A SMALL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 115962,CheXpert_Demo_Images\train\patient27816\study3\view1_frontal.jpg,patient27816,"NARRATIVE: EXAM: Chest 1 View, 9/28/04 CLINICAL HISTORY: Male of 79 years; Reason for study: ""After HD today to evaluate dyspnea"" COMPARISON: Chest X-Ray 9/28/2004 IMPRESSION: 1.NEW TUNNELED RIGHT-SIDED HEMODIALYSIS CATHETER. UNCHANGED LEFT IJ CATHETER AND LEFT PICC. 2.PROBABLE SMALL LEFT EFFUSION WITH LEFT RETROCARDIAC OPACITY WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 3.NO PULMONARY EDEMA. 4.NORMAL CARDIOMEDIASTINAL SILHOUETTE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 931126491701 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NEW TUNNELED RIGHT-SIDED HEMODIALYSIS CATHETER. UNCHANGED LEFT IJ CATHETER AND LEFT PICC. 2.PROBABLE SMALL LEFT EFFUSION WITH LEFT RETROCARDIAC OPACITY WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 3.NO PULMONARY EDEMA. 4.NORMAL CARDIOMEDIASTINAL SILHOUETTE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 145357,CheXpert_Demo_Images\train\patient34818\study1\view1_frontal.jpg,patient34818,"NARRATIVE: PORTABLE CHEST ONE VIEW: COMPARISON: Prior chest 10-30-2015 CLINICAL HISTORY: 91 year old male with history of urinary tract infection, atrial fibrillation, check for infiltrates. IMPRESSION: 1. POSITION OF ALL SUPPORT DEVICES ARE STABLE. 2. THERE IS NO SIGNIFICANT INTERVAL CHANGE. THERE IS REDEMONSTRATION OF BILATERAL DIFFUSE PATCHY RETICULAR OPACITIES AND MILD TO MODERATE PULMONARY EDEMA WHICH IS UNCHANGED. THERE IS PERSISTENT RIGHT PLEURAL EFFUSION. THERE HAS BEEN INTERVAL DEVELOPMENT OF A RIGHT UPPER LUNG OPACITY WHICH MAY BE SECONDARY TO ASPIRATION. INFECTION CANNOT BE EXCLUDED. CARDIOMEDIASTINAL SILHOUETTE IS STABLE. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Elijah, Briggs on: 10/30/2015 ACCESSION NUMBER: 9.1.5.B.8.3.7.N.8.P This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. POSITION OF ALL SUPPORT DEVICES ARE STABLE. 2. THERE IS NO SIGNIFICANT INTERVAL CHANGE. THERE IS REDEMONSTRATION OF BILATERAL DIFFUSE PATCHY RETICULAR OPACITIES AND MILD TO MODERATE PULMONARY EDEMA WHICH IS UNCHANGED. THERE IS PERSISTENT RIGHT PLEURAL EFFUSION. THERE HAS BEEN INTERVAL DEVELOPMENT OF A RIGHT UPPER LUNG OPACITY WHICH MAY BE SECONDARY TO ASPIRATION. INFECTION CANNOT BE EXCLUDED. CARDIOMEDIASTINAL SILHOUETTE IS STABLE. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Elijah, Briggs on: 10/30/2015 " 142539,CheXpert_Demo_Images\train\patient34290\study1\view1_frontal.jpg,patient34290,"NARRATIVE: EXAM: Chest 1 View, 11/7/2000. HISTORY: 75 years Male, Chest pain. COMPARISON: NONE. IMPRESSION: 1.LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION OR PNEUMOTHORAX. 2.CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY APPEAR NORMAL. AORTIC ATHEROSCLEROTIC CALCIFICATION PRESENT. 3.THORACIC SCOLIOSIS, WHICH MAY BE POSITIONAL. NO ACUTE OSSEOUS ABNORMALITY DEMONSTRATED. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 11_76_78_53_68_68 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION OR PNEUMOTHORAX. 2.CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY APPEAR NORMAL. AORTIC ATHEROSCLEROTIC CALCIFICATION PRESENT. 3.THORACIC SCOLIOSIS, WHICH MAY BE POSITIONAL. NO ACUTE OSSEOUS ABNORMALITY DEMONSTRATED. ","1-NO SIGNIFICANT ABNORMALITY " 212359,CheXpert_Demo_Images\train\patient56677\study1\view1_frontal.jpg,patient56677,"NARRATIVE: CHEST ONE VIEW: 10/24/2001 HISTORY: Eighty-five-year-old female with pneumonia. COMPARISON: Chest x-ray 10-24-01. IMPRESSION: 1. NASOGASTRIC TUBE, WITH TIP WITHIN THE STOMACH BUT NOT VISUALIZED. 2. PLATELIKE ATELECTASIS OF THE LEFT LOWER LOBE, IN SIMILAR DISTRIBUTION TO PRIOR STUDY. NO FOCAL PNEUMONIA OR PULMONARY EDEMA. 3. STABLE NORMAL HEART SIZE AND CARDIOMEDIASTINAL SILHOUETTE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 673-174-7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NASOGASTRIC TUBE, WITH TIP WITHIN THE STOMACH BUT NOT VISUALIZED. 2. PLATELIKE ATELECTASIS OF THE LEFT LOWER LOBE, IN SIMILAR DISTRIBUTION TO PRIOR STUDY. NO FOCAL PNEUMONIA OR PULMONARY EDEMA. 3. STABLE NORMAL HEART SIZE AND CARDIOMEDIASTINAL SILHOUETTE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 5207,CheXpert_Demo_Images\train\patient01283\study6\view1_frontal.jpg,patient01283,"NARRATIVE: Single view of the CHEST: december 2000 COMPARISON: Single view the chest, 12/8/2000 CLINICAL HISTORY: A 61-year-old male in the ICU. IMPRESSION: 1. there is stable appearance of medical support devices, with a Swan Ganz catheter tip in the right ventricular out flow tract. 2. Again seen is cardiomegaly and mild interstitial edema with retrocardiac opacification, all stable. 3. Pleural opacification on the left mid represent fluid or subpleural fat. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 945081098 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. there is stable appearance of medical support devices, with a Swan Ganz catheter tip in the right ventricular out flow tract. 2. Again seen is cardiomegaly and mild interstitial edema with retrocardiac opacification, all stable. 3. Pleural opacification on the left mid represent fluid or subpleural fat. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 11952,CheXpert_Demo_Images\train\patient02981\study1\view1_frontal.jpg,patient02981,"NARRATIVE: Chest 2 Views 11/4/2010 CLINICAL HISTORY: 65 years-old Female. Cough hx CA COMPARISON: 11/4/2010 IMPRESSION: 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE STABLE POSITIONING OF THE PREVIOUSLY IDENTIFIED RIGHT CHEST WALL MEDIPORT COMPARED TO THE PRIOR EXAM. 2.NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSION, PNEUMOTHORAX, OR PULMONARY EDEMA. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE. 4.NO EVIDENCE OF ACUTE FRACTURE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 81094471 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE STABLE POSITIONING OF THE PREVIOUSLY IDENTIFIED RIGHT CHEST WALL MEDIPORT COMPARED TO THE PRIOR EXAM. 2.NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSION, PNEUMOTHORAX, OR PULMONARY EDEMA. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE. 4.NO EVIDENCE OF ACUTE FRACTURE. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 215161,CheXpert_Demo_Images\train\patient58420\study1\view1_frontal.jpg,patient58420,"NARRATIVE: EXAM: Chest 1 View 23/2019 CLINICAL HISTORY: 24 years old Male. Intubated, O2 requirement . COMPARISON: 4/23/2019 IMPRESSION: 1. PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITIONING OF SUPPORT LINES AND TUBES, INCLUDING AN ENDOTRACHEAL TUBE, NASOGASTRIC TUBE, FEEDING TUBE, AND LEFT INTERNAL JUGULAR CENTRAL LINE. 2. INTERVAL INCREASE IN SIZE OF A LARGE RIGHT PLEURAL EFFUSION. 3. WORSENING AIRSPACE OPACITY IN THE LEFT MIDLUNG ZONE IS CONCERNING FOR WORSENING ASPIRATION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 66QCPB This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITIONING OF SUPPORT LINES AND TUBES, INCLUDING AN ENDOTRACHEAL TUBE, NASOGASTRIC TUBE, FEEDING TUBE, AND LEFT INTERNAL JUGULAR CENTRAL LINE. 2. INTERVAL INCREASE IN SIZE OF A LARGE RIGHT PLEURAL EFFUSION. 3. WORSENING AIRSPACE OPACITY IN THE LEFT MIDLUNG ZONE IS CONCERNING FOR WORSENING ASPIRATION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 1387,CheXpert_Demo_Images\train\patient00323\study1\view1_frontal.jpg,patient00323,"NARRATIVE: PA AND LATERAL CHEST: 2-11-2003 COMPARISON: None. IMPRESSION: 1. THERE ARE STRANDY RETICULAR OPACITIES IN THE MEDIAL LEFT UPPER LOBE. ADDITIONAL SCATTERED MILD OPACITIES ARE SEEN IN THE MID LUNG BILATERALLY. THE LEFT UPPER LOBE FINDINGS HAVE THE APPEARANCE OF FIBROSIS FROM RADIATION CHANGES. THE REMAINING OPACITIES COULD REPRESENT SCARRING, HOWEVER, AN ACUTE INFLAMMATORY CONDITION SUCH AS PNEUMONIA CANNOT BE EXCLUDED. THERE IS NO PNEUMOTHORAX. THE LUNG VOLUMES ARE LOW. 2. HEART SIZE IS NORMAL. THERE IS SLIGHT PROMINENCE OF THE MEDIASTINUM, HOWEVER, EVALUATION IS SOMEWHAT LIMITED DUE TO THE LOW LUNG VOLUMES. 3. A RIGHT-SIDED CENTRAL VENOUS CATHETER IS PRESENT WITH ITS TIP AT THE CAVOATRIAL JUNCTION. 4. BONES ARE UNREMARKABLE. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: QX-OM-IG-EB This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE ARE STRANDY RETICULAR OPACITIES IN THE MEDIAL LEFT UPPER LOBE. ADDITIONAL SCATTERED MILD OPACITIES ARE SEEN IN THE MID LUNG BILATERALLY. THE LEFT UPPER LOBE FINDINGS HAVE THE APPEARANCE OF FIBROSIS FROM RADIATION CHANGES. THE REMAINING OPACITIES COULD REPRESENT SCARRING, HOWEVER, AN ACUTE INFLAMMATORY CONDITION SUCH AS PNEUMONIA CANNOT BE EXCLUDED. THERE IS NO PNEUMOTHORAX. THE LUNG VOLUMES ARE LOW. 2. HEART SIZE IS NORMAL. THERE IS SLIGHT PROMINENCE OF THE MEDIASTINUM, HOWEVER, EVALUATION IS SOMEWHAT LIMITED DUE TO THE LOW LUNG VOLUMES. 3. A RIGHT-SIDED CENTRAL VENOUS CATHETER IS PRESENT WITH ITS TIP AT THE CAVOATRIAL JUNCTION. 4. BONES ARE UNREMARKABLE. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 221601,CheXpert_Demo_Images\train\patient63066\study1\view1_frontal.jpg,patient63066,"NARRATIVE: Exam: Chest 1 View, 2014/8/21 INDICATION: Trauma HISTORY: Male,47 years. Comparison: 8/21 IMPRESSION: 1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES LOW LUNG VOLUMES. 2. MINIMAL STRANDING OPACITIES AT BILATERAL LUNG BASES LIKELY RELATED TO ATELECTASIS. OTHERWISE NO FOCAL CONSOLIDATION OR OTHER ACUTE CARDIOPULMONARY FINDINGS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 4NW50T38LS778 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES LOW LUNG VOLUMES. 2. MINIMAL STRANDING OPACITIES AT BILATERAL LUNG BASES LIKELY RELATED TO ATELECTASIS. OTHERWISE NO FOCAL CONSOLIDATION OR OTHER ACUTE CARDIOPULMONARY FINDINGS. ","1-NO SIGNIFICANT ABNORMALITY " 208099,CheXpert_Demo_Images\train\patient54023\study1\view1_frontal.jpg,patient54023,"NARRATIVE: EXAM: Chest 1 View, 7-4-04 INDICATION: Post transbronchial biopsy of RML lesion, r/o pneumothorax HISTORY: Female,67 years. COMPARISON: 7/4/2004 IMPRESSION: 1. PORTABLE SEMIERECT CHEST RADIOGRAPH DEMONSTRATES NO EVIDENCE OF PNEUMOTHORAX. 2. PREVIOUSLY NOTED RIGHT MIDDLE LOBE MASS NOT AS WELL VISUALIZED ON TODAY'S EXAM. RECOMMEND ATTENTION ON FOLLOW-UP. 3. OTHERWISE NO OTHER FOCAL PULMONARY FINDINGS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 2330921 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMIERECT CHEST RADIOGRAPH DEMONSTRATES NO EVIDENCE OF PNEUMOTHORAX. 2. PREVIOUSLY NOTED RIGHT MIDDLE LOBE MASS NOT AS WELL VISUALIZED ON TODAY'S EXAM. RECOMMEND ATTENTION ON FOLLOW-UP. 3. OTHERWISE NO OTHER FOCAL PULMONARY FINDINGS. ","2-ABNORMAL, PREVIOUSLY REPORTED " 125193,CheXpert_Demo_Images\train\patient30011\study1\view1_frontal.jpg,patient30011,"NARRATIVE: EXAM: Chest 2 Views, 12-27-2021. HISTORY: 83 years Male, Eval for infection. COMPARISON: NONE. IMPRESSION: 1.FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST ARE SUBOPTIMAL IN TECHNIQUE WHICH LIMITS EVALUATION. 2.THERE IS A DUAL LEAD PACER IN PLACE. A CARDIAC MONITOR IS OVER THE LEFT CHEST. THERE IS A PROSTHETIC VALVE IN THE AORTIC POSITION. 3.THERE ARE LOW LUNG VOLUMES. CROWDING OF THE VASCULATURE MAY BE DUE TO THE LOW LUNG VOLUMES. THERE IS A POSSIBLE OPACITY IN THE LEFT LUNG BASE, WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION. RECOMMEND REPEAT PA AND LATERAL RADIOGRAPHS WHEN PATIENT ABLE TO TOLERATE. 4.DIFFUSE OSTEOPENIA AND DEGENERATIVE JOINT DISEASE IS NOTED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 68873 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST ARE SUBOPTIMAL IN TECHNIQUE WHICH LIMITS EVALUATION. 2.THERE IS A DUAL LEAD PACER IN PLACE. A CARDIAC MONITOR IS OVER THE LEFT CHEST. THERE IS A PROSTHETIC VALVE IN THE AORTIC POSITION. 3.THERE ARE LOW LUNG VOLUMES. CROWDING OF THE VASCULATURE MAY BE DUE TO THE LOW LUNG VOLUMES. THERE IS A POSSIBLE OPACITY IN THE LEFT LUNG BASE, WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION. RECOMMEND REPEAT PA AND LATERAL RADIOGRAPHS WHEN PATIENT ABLE TO TOLERATE. 4.DIFFUSE OSTEOPENIA AND DEGENERATIVE JOINT DISEASE IS NOTED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 202370,CheXpert_Demo_Images\train\patient50706\study1\view1_frontal.jpg,patient50706,"NARRATIVE: PORTABLE CHEST, ONE VIEW IN THE RECOVERY ROOM: 10/21/2020 COMPARISON: 10-21-2020 IMPRESSION: 1. INTERVAL PLACEMENT OF A RIGHT-SIDED CHEST TUBE. THE TIP OF THE CHEST TUBE IS AT THE APEX OF THE RIGHT HEMITHORAX. NO OBVIOUS PNEUMOTHORAX IS SEEN. 2. SUBSTANTIAL INCREASE IN PULMONARY EDEMA. 3. BIBASILAR OPACITIES WHICH MAY REPRESENT AREAS OF ATELECTASIS VERSUS AIRSPACE DISEASE. 4. RIGHT PERITRACHEAL MASS AGAIN NOTED. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: #HCKABDNVVR This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF A RIGHT-SIDED CHEST TUBE. THE TIP OF THE CHEST TUBE IS AT THE APEX OF THE RIGHT HEMITHORAX. NO OBVIOUS PNEUMOTHORAX IS SEEN. 2. SUBSTANTIAL INCREASE IN PULMONARY EDEMA. 3. BIBASILAR OPACITIES WHICH MAY REPRESENT AREAS OF ATELECTASIS VERSUS AIRSPACE DISEASE. 4. RIGHT PERITRACHEAL MASS AGAIN NOTED. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 57375,CheXpert_Demo_Images\train\patient13887\study1\view1_frontal.jpg,patient13887,"NARRATIVE: CHEST: 1/21/2002. CLINICAL HISTORY: Short of breath. COMPARISON: 01/21/02 and 1-21-2002. IMPRESSION: 1. ENGORGEMENT OF VASCULATURE WITH ILL-DEFINITION OF VASCULAR MARGINS, SUGGESTIVE OF PULMONARY EDEMA. INTERVAL DEVELOPMENT OF BILATERAL PLEURAL EFFUSIONS. 2. LOWER VOLUMES WITH INCREASED BIBASILAR PARENCHYMAL OPACITIES, LIKELY REPRESENTING ATELECTASIS. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: nUI 18R 9PJ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ENGORGEMENT OF VASCULATURE WITH ILL-DEFINITION OF VASCULAR MARGINS, SUGGESTIVE OF PULMONARY EDEMA. INTERVAL DEVELOPMENT OF BILATERAL PLEURAL EFFUSIONS. 2. LOWER VOLUMES WITH INCREASED BIBASILAR PARENCHYMAL OPACITIES, LIKELY REPRESENTING ATELECTASIS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 115970,CheXpert_Demo_Images\train\patient27820\study1\view1_frontal.jpg,patient27820,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 7/14/2012 CLINICAL HISTORY: 76 years of age, Male, Central line placement. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Right IJ catheter seen terminating in the mid SVC. There is mild prominence of the superior mediastinum which is likely secondary to positioning and technique. Attention on follow-up. The heart size appears normal. No evidence of pneumothorax. Minimal bibasilar opacities suggestive of atelectasis. IMPRESSION: 1. Right IJ catheter seen terminating in the mid SVC. No evidence of pneumothorax. 2. Mild prominence of the superior mediastinum, likely secondary to positioning and technique. Attention on follow-up is recommended. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 73469315 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right IJ catheter seen terminating in the mid SVC. There is mild prominence of the superior mediastinum which is likely secondary to positioning and technique. Attention on follow-up. The heart size appears normal. No evidence of pneumothorax. Minimal bibasilar opacities suggestive of atelectasis. "," 1. Right IJ catheter seen terminating in the mid SVC. No evidence of pneumothorax. 2. Mild prominence of the superior mediastinum, likely secondary to positioning and technique. Attention on follow-up is recommended. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 219958,CheXpert_Demo_Images\train\patient61572\study1\view1_frontal.jpg,patient61572,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 8/13/2003 CLINICAL HISTORY: 79 years of age, Male, Cardiac arrest/ IABP. COMPARISON: 8/13/2003. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval removal of ET tube. An external pacing pad and an electronic monitoring devices remain. IABP is also unchanged in position. Mild increase in pulmonary edema. A small left pleural effusion and left basilar atelectasis, unchanged. Stable cardiomediastinal silhouette. IMPRESSION: 1. Mild increase in pulmonary edema following extubation. ""Physician to Physician Radiology Consult Line: 702 633-3903"" ACCESSION NUMBER: #75628867732 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval removal of ET tube. An external pacing pad and an electronic monitoring devices remain. IABP is also unchanged in position. Mild increase in pulmonary edema. A small left pleural effusion and left basilar atelectasis, unchanged. Stable cardiomediastinal silhouette. "," 1. Mild increase in pulmonary edema following extubation. ""Physician to Physician Radiology Consult Line: 702 633-3903"" ", 44292,CheXpert_Demo_Images\train\patient10826\study6\view1_frontal.jpg,patient10826,"NARRATIVE: Chest 1 View, 8/7/2006 HISTORY: 45 years Male, Nausea vomiting COMPARISON: AP view of the chest dated 8/7/2006 TECHNIQUE: Semi-upright AP view of the chest IMPRESSION: 1.NO FOCAL INFILTRATE, EFFUSION OR PNEUMOTHORAX. STABLE CARDIOMEDIASTINAL SILHOUETTE. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES ARE UNREMARKABLE. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 94852130038 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NO FOCAL INFILTRATE, EFFUSION OR PNEUMOTHORAX. STABLE CARDIOMEDIASTINAL SILHOUETTE. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES ARE UNREMARKABLE. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 211129,CheXpert_Demo_Images\train\patient55903\study1\view2_lateral.jpg,patient55903,"NARRATIVE: TWO VIEW CHEST, 10/29/2006: COMPARISON: Comparison is made to study dated 10-29. CLINICAL HISTORY: 79 year-old male, status post fall. FINDINGS: The patient is rotated to the left. Given the degree of rotation, the cardiomediastinal size and configuration appear within normal limits. Bibasilar linear opacities are seen that likely suggest atelectasis. Additionally, increased interstitial opacities are seen in the perihilar regions bilaterally that may be due to technique and rotation. No definite superimposed consolidation is identified. Multi-level bridging osteophytosis of the thoracic spine is seen with preservation of the intervertebral disc spaces, consistent with DISH. IMPRESSION: 1. INCREASED INTERSTITIAL MARKINGS IN THE PERIHILAR REGIONS THAT MAY BE SECONDARY TO TECHNIQUE AND ROTATION. NO DEFINITE SUPERIMPOSED CONSOLIDATION IS IDENTIFIED. 2. BIBASILAR ATELECTASIS. 3. DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS. END OF IMPRESSION: SUMMARY: 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: tallan garza, md on: 10/29/2006 ACCESSION NUMBER: 123971337535 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The patient is rotated to the left. Given the degree of rotation, the cardiomediastinal size and configuration appear within normal limits. Bibasilar linear opacities are seen that likely suggest atelectasis. Additionally, increased interstitial opacities are seen in the perihilar regions bilaterally that may be due to technique and rotation. No definite superimposed consolidation is identified. Multi-level bridging osteophytosis of the thoracic spine is seen with preservation of the intervertebral disc spaces, consistent with DISH. "," 1. INCREASED INTERSTITIAL MARKINGS IN THE PERIHILAR REGIONS THAT MAY BE SECONDARY TO TECHNIQUE AND ROTATION. NO DEFINITE SUPERIMPOSED CONSOLIDATION IS IDENTIFIED. 2. BIBASILAR ATELECTASIS. 3. DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS. "," 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: tallan garza, md on: 10/29/2006 " 4179,CheXpert_Demo_Images\train\patient01035\study2\view1_frontal.jpg,patient01035,"NARRATIVE: SINGLE SEMI-UPRIGHT, FRONTAL VIEW OF THE CHEST: 10/18/2010 FitMango 0302 HOURS. CLINICAL HISTORY: A 71-year-old woman with a fever. COMPARISON: Chest radiograph on 10-18-2010 fitmango 1529 hours. IMPRESSION: 1. LOW LUNG VOLUMES COMPARED TO THE PRIOR EXAMINATION WITH INCREASED BASILAR OPACITIES OF THE RIGHT AND LEFT, REFLECTING INFECTION, ASPIRATION, OR ATELECTASIS. THERE IS A NEW LEFT-SIDED PLEURAL EFFUSION. 2. STABLE CARDIOMEGALY. 3. NO NEW PULMONARY EDEMA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 18041270381 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LOW LUNG VOLUMES COMPARED TO THE PRIOR EXAMINATION WITH INCREASED BASILAR OPACITIES OF THE RIGHT AND LEFT, REFLECTING INFECTION, ASPIRATION, OR ATELECTASIS. THERE IS A NEW LEFT-SIDED PLEURAL EFFUSION. 2. STABLE CARDIOMEGALY. 3. NO NEW PULMONARY EDEMA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 162352,CheXpert_Demo_Images\train\patient37928\study1\view1_frontal.jpg,patient37928,"NARRATIVE: SINGLE VIEW CHEST: 1/23/2020. CLINICAL DATA: A 52-year-old male with altered level of consciousness. COMPARISON: No prior for comparison. FINDINGS: Extremely low lung volumes. Increased density adjacent to aortic knob of uncertain significance. Questionable small left pleural effusion. Vascular status is hard to delineate due to low lung volumes. IMPRESSION: 1. EXTREMELY LOW LUNG VOLUMES LIMITS EVALUATION FOR PULMONARY EDEMA. 2. QUESTIONABLE SMALL LEFT PLEURAL EFFUSION. 3. OPACITY ADJACENT TO THE AORTIC ARCH WOULD BE BETTER EVALUATED WITH INSPIRATORY PA AND LATERAL FILMS. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Jeremy, MD on: 1-23-2020 ACCESSION NUMBER: 314 410 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Extremely low lung volumes. Increased density adjacent to aortic knob of uncertain significance. Questionable small left pleural effusion. Vascular status is hard to delineate due to low lung volumes. "," 1. EXTREMELY LOW LUNG VOLUMES LIMITS EVALUATION FOR PULMONARY EDEMA. 2. QUESTIONABLE SMALL LEFT PLEURAL EFFUSION. 3. OPACITY ADJACENT TO THE AORTIC ARCH WOULD BE BETTER EVALUATED WITH INSPIRATORY PA AND LATERAL FILMS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Jeremy, MD on: 1-23-2020 " 63339,CheXpert_Demo_Images\train\patient15278\study1\view1_frontal.jpg,patient15278,"NARRATIVE: Exam: Chest 2 Views, 7-25-2003 Clinical History: 77 years Male with Pre-Admission Ancillary Studies Comparison: None IMPRESSION: 1.TWO VIEWS OF THE CHEST DEMONSTRATE HEART SIZE AT THE UPPER LIMITS OF NORMAL. SLIGHTLY LEFT ECCENTRIC CONTOUR OF THE PROXIMAL DESCENDING THORACIC AORTA IS APPRECIATED, AND ANEURYSMAL DILATATION CANNOT BE EXCLUDED. 2.LUNGS ARE CLEAR WITHOUT EVIDENCE OF FOCAL CONSOLIDATION, PULMONARY EDEMA, OR PLEURAL FLUID. 3.MINIMAL DEGENERATIVE CHANGES ARE APPRECIATED IN THE VISUALIZED THORACIC SPINE. SOFT TISSUES AND OSSEOUS STRUCTURES ARE OTHERWISE UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: xDreOAc This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.TWO VIEWS OF THE CHEST DEMONSTRATE HEART SIZE AT THE UPPER LIMITS OF NORMAL. SLIGHTLY LEFT ECCENTRIC CONTOUR OF THE PROXIMAL DESCENDING THORACIC AORTA IS APPRECIATED, AND ANEURYSMAL DILATATION CANNOT BE EXCLUDED. 2.LUNGS ARE CLEAR WITHOUT EVIDENCE OF FOCAL CONSOLIDATION, PULMONARY EDEMA, OR PLEURAL FLUID. 3.MINIMAL DEGENERATIVE CHANGES ARE APPRECIATED IN THE VISUALIZED THORACIC SPINE. SOFT TISSUES AND OSSEOUS STRUCTURES ARE OTHERWISE UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 1106,CheXpert_Demo_Images\train\patient00263\study1\view1_frontal.jpg,patient00263,"NARRATIVE: EXAM: Chest 2 Views, 4/1/07 CLINICAL HISTORY: Female of 89 years; reason for study: ""Rule out pacemaker lead fracture"" COMPARISON: Chest radiograph 4-1-2007 IMPRESSION: 1.LEFT DUAL LEAD AICD WITH LEADS IN THE RIGHT ATRIUM AND RIGHT VENTRICLE APPEAR INTACT. 2.UNCHANGED MILD CARDIOMEGALY AND INTERVAL RESOLUTION OF A RIGHT PLEURAL EFFUSION. PERSISTENT SMALL LEFT PLEURAL EFFUSION. NO PNEUMOTHORAX 3.UNCHANGED DEXTROSCOLIOSIS OF THE THORACIC SPINE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6340977630 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LEFT DUAL LEAD AICD WITH LEADS IN THE RIGHT ATRIUM AND RIGHT VENTRICLE APPEAR INTACT. 2.UNCHANGED MILD CARDIOMEGALY AND INTERVAL RESOLUTION OF A RIGHT PLEURAL EFFUSION. PERSISTENT SMALL LEFT PLEURAL EFFUSION. NO PNEUMOTHORAX 3.UNCHANGED DEXTROSCOLIOSIS OF THE THORACIC SPINE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 93455,CheXpert_Demo_Images\train\patient22451\study2\view2_lateral.jpg,patient22451,"NARRATIVE: Exam: Chest 2 Views, 6-15-2005 Clinical History: 31 years Female with 30 year old woman with ho hodkin disease 9 month from chemoradiation. Comparison: 6-15-2005. IMPRESSION: 1.PA AND LATERAL VIEWS OF THE CHEST SHOW NO INTERVAL CHANGE. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. LUNGS ARE CLEAR EXCEPT FOR A DENSE AND CALCIFIED NODULE IN THE LEFT MIDLUNG 2.NEGATIVE FOR CONSOLIDATION, ADENOPATHY, OR PLEURAL EFFUSIONS.. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 8611261973 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PA AND LATERAL VIEWS OF THE CHEST SHOW NO INTERVAL CHANGE. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. LUNGS ARE CLEAR EXCEPT FOR A DENSE AND CALCIFIED NODULE IN THE LEFT MIDLUNG 2.NEGATIVE FOR CONSOLIDATION, ADENOPATHY, OR PLEURAL EFFUSIONS.. ","2-ABNORMAL, PREVIOUSLY REPORTED " 216574,CheXpert_Demo_Images\train\patient59279\study2\view1_frontal.jpg,patient59279,"NARRATIVE: SINGLE VIEW OF THE CHEST: 11/30/1 HISTORY: 53-year-old female status post auto versus pedestrian accident. COMPARISON: Single supine view of the chest obtained earlier on 01-30. IMPRESSION: AP SUPINE VIEW OF THE CHEST SHOWING INTERVAL PLACEMENT OF A LEFT- SIDED CHEST TUBE WITH A KINK IN THE CHEST TUBE IN THE LOWER LOBE. THERE IS NO LARGE PNEUMOTHORAX SEEN. ENDOTRACHEAL TUBE AND NG TUBE ARE AGAIN NOTED. THE MULTIPLE FRACTURES ARE AGAIN NOTED AND ARE UNCHANGED. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Delilah Schultz, MD on: 1-30-2011 ACCESSION NUMBER: 152441 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AP SUPINE VIEW OF THE CHEST SHOWING INTERVAL PLACEMENT OF A LEFT- SIDED CHEST TUBE WITH A KINK IN THE CHEST TUBE IN THE LOWER LOBE. THERE IS NO LARGE PNEUMOTHORAX SEEN. ENDOTRACHEAL TUBE AND NG TUBE ARE AGAIN NOTED. THE MULTIPLE FRACTURES ARE AGAIN NOTED AND ARE UNCHANGED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Delilah Schultz, MD on: 1-30-2011 " 29924,CheXpert_Demo_Images\train\patient07279\study1\view1_frontal.jpg,patient07279,"NARRATIVE: Chest 1 View: 12/15/07 HISTORY: Male, 69 years old, reason for exam: ""Difficult to arouse, vomiting, possible aspiration "". COMPARISON: None. FINDINGS: A single view of the chest dated 12-15-2007 demonstrating mild reticular opacities at the bases which could represent aspiration. A single view of the chest dated 12-15 demonstrating stable mild reticular opacities at the bases. Interval placement of endotracheal tube between the clavicles and carina and placement of right internal jugular catheter tip at the mid SVC. No pneumothorax. IMPRESSION: 1.MILD RETICULAR OPACITIES AT THE BASES WHICH COULD REPRESENT ASPIRATION 2.INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE BETWEEN THE CLAVICLES AND CARINA. PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER TIP AT THE MID-SVC. NO PNEUMOTHORAX. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7-2-1-3-2-8-3-0-6-4-2 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A single view of the chest dated 12-15-2007 demonstrating mild reticular opacities at the bases which could represent aspiration. A single view of the chest dated 12-15 demonstrating stable mild reticular opacities at the bases. Interval placement of endotracheal tube between the clavicles and carina and placement of right internal jugular catheter tip at the mid SVC. No pneumothorax. "," 1.MILD RETICULAR OPACITIES AT THE BASES WHICH COULD REPRESENT ASPIRATION 2.INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE BETWEEN THE CLAVICLES AND CARINA. PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER TIP AT THE MID-SVC. NO PNEUMOTHORAX. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 75357,CheXpert_Demo_Images\train\patient18097\study3\view1_frontal.jpg,patient18097,"NARRATIVE: Chest 1 View october 30 HISTORY: 66-year-old man postop, follow-up. COMPARISON: 10/30/2003 at 3:44 a.m. FINDINGS: Frontal radiograph of the chest 10/30/2003 at 5:37 p.m. demonstrates a feeding tube, endotracheal tube, right internal jugular Swan-Ganz with its tip in the right main PA, right sided pigtail chest tube and mediastinal drains. Small bilateral pleural effusions are present, decreased compared to the prior exam with residual opacity in the lung bases. Mild pulmonary edema is present, accounting for low volumes and supine positioning. The cardiomediastinal silhouette remains enlarged, stable in size. Subsequent frontal radiograph of the chest on 10-30-2003 demonstrates a stable appearance of the support lines and tubes with continued decrease in small bilateral pleural effusions. Mild pulmonary edema is present. IMPRESSION: 1.INTERVAL DECREASE IN SMALL BILATERAL PLEURAL EFFUSIONS. DECREASED MILD EDEMA. 2.STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #94659088 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Frontal radiograph of the chest 10/30/2003 at 5:37 p.m. demonstrates a feeding tube, endotracheal tube, right internal jugular Swan-Ganz with its tip in the right main PA, right sided pigtail chest tube and mediastinal drains. Small bilateral pleural effusions are present, decreased compared to the prior exam with residual opacity in the lung bases. Mild pulmonary edema is present, accounting for low volumes and supine positioning. The cardiomediastinal silhouette remains enlarged, stable in size. Subsequent frontal radiograph of the chest on 10-30-2003 demonstrates a stable appearance of the support lines and tubes with continued decrease in small bilateral pleural effusions. Mild pulmonary edema is present. "," 1.INTERVAL DECREASE IN SMALL BILATERAL PLEURAL EFFUSIONS. DECREASED MILD EDEMA. 2.STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 180647,CheXpert_Demo_Images\train\patient42545\study1\view1_frontal.jpg,patient42545,"NARRATIVE: SINGLE VIEW PORTABLE CHEST, 9-15-2003 AT 1435 HOURS COMPARISON: Comparison is made with September 2003. IMPRESSION: 1. NO SIGNIFICANT INTERVAL CHANGE. ENLARGED CARDIAC SILHOUETTE AGAIN NOTED CONSISTENT WITH COR PULMONALE. NO EVIDENCE OF CONGESTIVE HEART FAILURE. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. __________________________________ ACCESSION NUMBER: 80499 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO SIGNIFICANT INTERVAL CHANGE. ENLARGED CARDIAC SILHOUETTE AGAIN NOTED CONSISTENT WITH COR PULMONALE. NO EVIDENCE OF CONGESTIVE HEART FAILURE. "," 2: Abnormal, previously reported. __________________________________ " 37883,CheXpert_Demo_Images\train\patient09297\study1\view2_lateral.jpg,patient09297,"NARRATIVE: EXAM: Chest 2 Views, 6/21/2019 CLINICAL HISTORY: Female of 55 years; reason for study: ""Palpitations"" COMPARISON: Chest radiograph 6-21-19 IMPRESSION: 1. CLEAR LUNGS WITHOUT FOCAL CONSOLIDATION. 2. NO PLEURAL EFFUSION. NO PNEUMOTHORAX. 3. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 4. UNCHANGED DEXTROSCOLIOSIS OF THE THORACOLUMBAR SPINE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 71 13 68 23 73 86 53 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CLEAR LUNGS WITHOUT FOCAL CONSOLIDATION. 2. NO PLEURAL EFFUSION. NO PNEUMOTHORAX. 3. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 4. UNCHANGED DEXTROSCOLIOSIS OF THE THORACOLUMBAR SPINE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 76679,CheXpert_Demo_Images\train\patient18427\study1\view1_frontal.jpg,patient18427,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12/6/2002 CLINICAL HISTORY: 74 years of age, Female, LLL bx. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: AP chest radiograph at 11:19 AM demonstrates a normal cardiomediastinal silhouette. A tiny left apical pneumothorax is present, measuring 4 mm in maximal depth. The left lung is otherwise clear. Minimal scarring or atelectasis is seen at the right lung base. The distal clavicle is been resected on the right. Cystic change is seen in the greater tuberosity, compatible with rotator cuff disease, but the subacromial space appears preserved. Prominent degenerative changes are seen in the lower cervical spine. AP erect chest radiograph at 12:43 PM demonstrates a tiny residual left apical pneumothorax, decreased in size. The lungs otherwise appear clear. IMPRESSION: 1. Tiny left apical pneumothorax post lung biopsy. ACCESSION NUMBER: 2.8.4.0.2.8.0.9.2.3.5 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," AP chest radiograph at 11:19 AM demonstrates a normal cardiomediastinal silhouette. A tiny left apical pneumothorax is present, measuring 4 mm in maximal depth. The left lung is otherwise clear. Minimal scarring or atelectasis is seen at the right lung base. The distal clavicle is been resected on the right. Cystic change is seen in the greater tuberosity, compatible with rotator cuff disease, but the subacromial space appears preserved. Prominent degenerative changes are seen in the lower cervical spine. AP erect chest radiograph at 12:43 PM demonstrates a tiny residual left apical pneumothorax, decreased in size. The lungs otherwise appear clear. "," 1. Tiny left apical pneumothorax post lung biopsy. ", 211301,CheXpert_Demo_Images\train\patient56021\study1\view1_frontal.jpg,patient56021,"NARRATIVE: CHEST X-RAY: MAY 8TH, 2014 COMPARISON: No previous films. CLINICAL HISTORY: Trauma. IMPRESSION: 1. AP SUPINE CHEST RADIOGRAPH DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. THE LUNGS APPEAR CLEAR. NO OBVIOUS RIB FRACTURES OR PNEUMOTHORAX. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 7-5-7-5-8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP SUPINE CHEST RADIOGRAPH DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. THE LUNGS APPEAR CLEAR. NO OBVIOUS RIB FRACTURES OR PNEUMOTHORAX. ","1-NO SIGNIFICANT ABNORMALITY " 56944,CheXpert_Demo_Images\train\patient13795\study1\view3_lateral.jpg,patient13795,"NARRATIVE: EXAM: Chest 2 Views, 9/17/2011. HISTORY: 33 years Male, Donor. COMPARISON: NONE. IMPRESSION: LUNGS ARE CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. 1)CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 2) SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 6943.99 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," LUNGS ARE CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. 1)CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 2) ","1-NO SIGNIFICANT ABNORMALITY " 134793,CheXpert_Demo_Images\train\patient32382\study1\view1_frontal.jpg,patient32382,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW (X 2): 8-26-2016 AND 8/26/2016. COMPARISON: None. CLINICAL DATA: 80 year old female with perianal and buttocks fibrosarcoma. FINDINGS: Initial chest x-ray from 08/26/2016 at 21:58 hours shows an endotracheal tube with the tip approximately 3 cm above the carina. A left subclavian line is present with the tip at the cavoatrial junction. A nasogastric tube is noted with its distal tip not included on the film. The costophrenic sulci are blunted bilaterally. There is indistinctness to the pulmonary vascularity. Increased opacity with volume loss is present in the left upper lobe, consistent with atelectasis. No pneumothorax. Follow-up chest x-ray from 26-8-2016 at 03:55 hours shows an improvement in the left upper lobe atelectasis. The lung volumes have decreased. The pulmonary edema is somewhat improved. The tip of the nasogastric tube is in the stomach. IMPRESSION: 1. ENDOTRACHEAL TUBE 3 CM ABOVE CARINA. LEFT SUBCLAVIAN LINE TIP AT CAVOATRIAL JUNCTION. NASOGASTRIC TUBE IN THE STOMACH. 2. PULMONARY EDEMA WHICH IMPROVES ON FOLLOW-UP FILM. 3. SMALL BILATERAL PLEURAL EFFUSIONS. 4. LEFT UPPER LOBE ATELECTASIS WHICH IS IMPROVED ON FOLLOW-UP. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: torres, ibrahim robert. on: 8-26-2016 __________________________________ ACCESSION NUMBER: 21615021279 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Initial chest x-ray from 08/26/2016 at 21:58 hours shows an endotracheal tube with the tip approximately 3 cm above the carina. A left subclavian line is present with the tip at the cavoatrial junction. A nasogastric tube is noted with its distal tip not included on the film. The costophrenic sulci are blunted bilaterally. There is indistinctness to the pulmonary vascularity. Increased opacity with volume loss is present in the left upper lobe, consistent with atelectasis. No pneumothorax. Follow-up chest x-ray from 26-8-2016 at 03:55 hours shows an improvement in the left upper lobe atelectasis. The lung volumes have decreased. The pulmonary edema is somewhat improved. The tip of the nasogastric tube is in the stomach. "," 1. ENDOTRACHEAL TUBE 3 CM ABOVE CARINA. LEFT SUBCLAVIAN LINE TIP AT CAVOATRIAL JUNCTION. NASOGASTRIC TUBE IN THE STOMACH. 2. PULMONARY EDEMA WHICH IMPROVES ON FOLLOW-UP FILM. 3. SMALL BILATERAL PLEURAL EFFUSIONS. 4. LEFT UPPER LOBE ATELECTASIS WHICH IS IMPROVED ON FOLLOW-UP. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: torres, ibrahim robert. on: 8-26-2016 __________________________________ " 139151,CheXpert_Demo_Images\train\patient33458\study1\view2_lateral.jpg,patient33458,"NARRATIVE: Exam: Chest 2 Views, 1/8/21 Clinical History: 63 years old Male with 61yoM T3N0 BOT SCC s/p chemoRT 1/8/2021. Surveillance imaging. Comparison: None Impression: 1. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, PULMONARY EDEMA OR PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2.NO EVIDENCE OF PULMONARY NODULES OR MEDIASTINAL DISEASE. HOWEVER, CT SCAN OF THE THORAX MORE SENSITIVE IN THE EVALUATION OF INTRATHORACIC MALIGNANCY. 3.CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4.UNREMARKABLE BONY STRUCTURES. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 29120301459 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, PULMONARY EDEMA OR PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2.NO EVIDENCE OF PULMONARY NODULES OR MEDIASTINAL DISEASE. HOWEVER, CT SCAN OF THE THORAX MORE SENSITIVE IN THE EVALUATION OF INTRATHORACIC MALIGNANCY. 3.CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4.UNREMARKABLE BONY STRUCTURES. ","1-NO SIGNIFICANT ABNORMALITY " 189549,CheXpert_Demo_Images\train\patient45399\study1\view1_frontal.jpg,patient45399,"NARRATIVE: Chest 1 View 7-30-2002 CLINICAL HISTORY: 66 years-old Female. Chest pain COMPARISON: No prior comparison. IMPRESSION: LOW LUNG VOLUMES WITH LINEAR BASILAR ATELECTASIS. LUNG PARENCHYMA OTHERWISE CLEAR. NO CONSOLIDATION, PNEUMOTHORAX, OR PLEURAL EFFUSION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 29-39-34-85-99-2 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," LOW LUNG VOLUMES WITH LINEAR BASILAR ATELECTASIS. LUNG PARENCHYMA OTHERWISE CLEAR. NO CONSOLIDATION, PNEUMOTHORAX, OR PLEURAL EFFUSION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 31843,CheXpert_Demo_Images\train\patient07776\study10\view1_frontal.jpg,patient07776,"NARRATIVE: Two view CHEST: DECEMBER 10. CLINICAL HISTORY: 40-year-old female with infiltrate, status-post ascending aorta and aortic arch repair. COMPARISON: 12/10/2000. IMPRESSION: 1. there is persistent left lower lobe atelectasis or consolidation and a persistent left pleural effusion, however, the previously-seen pulmonary edema has completely resolved. 2. There is decreased prominence of the left upper mediastinal border in the region that corresponds to the patient's known descending thoracic aortic aneurysm, consistent with recent repair. 3. The right IJ sheath has been replaced with a central venous catheter with its tip in the mid-SVC. The mediastinal drain has been removed. Sternotomy wires and prosthetic aortic valves, as well as mediastinal clips are unchanged in position. END OF IMPRESSION: SUMMARY: 4:-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 34547510 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. there is persistent left lower lobe atelectasis or consolidation and a persistent left pleural effusion, however, the previously-seen pulmonary edema has completely resolved. 2. There is decreased prominence of the left upper mediastinal border in the region that corresponds to the patient's known descending thoracic aortic aneurysm, consistent with recent repair. 3. The right IJ sheath has been replaced with a central venous catheter with its tip in the mid-SVC. The mediastinal drain has been removed. Sternotomy wires and prosthetic aortic valves, as well as mediastinal clips are unchanged in position. "," 4:-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 207615,CheXpert_Demo_Images\train\patient53722\study4\view1_frontal.jpg,patient53722,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 9/8/2003 CLINICAL HISTORY: 79 years of age, Female, Assess right apical pneumothorax. COMPARISON: 9/8/2003 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: AP erect chest radiograph demonstrates poststernotomy changes, with a left IJ venous line, feeding tube, mediastinal drain, bibasal chest drains and epicardial pacing wires. The heart is mildly enlarged, with patchy opacification in the retrocardiac lung, and a small left pleural effusion. The previously noted small right apical pneumothorax has almost resolved. Patchy opacification is seen medially at the right base, but the right lung otherwise appears clear. IMPRESSION: 1. Knee complete resolution of the small right apical pneumothorax, with improved aeration at the right lung base compared to prior. 2. Persistent retrocardiac opacification and small left pleural effusion. ""Physician to Physician Radiology Consult Line: (755) 885-6239"" ACCESSION NUMBER: 551262188961 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," AP erect chest radiograph demonstrates poststernotomy changes, with a left IJ venous line, feeding tube, mediastinal drain, bibasal chest drains and epicardial pacing wires. The heart is mildly enlarged, with patchy opacification in the retrocardiac lung, and a small left pleural effusion. The previously noted small right apical pneumothorax has almost resolved. Patchy opacification is seen medially at the right base, but the right lung otherwise appears clear. "," 1. Knee complete resolution of the small right apical pneumothorax, with improved aeration at the right lung base compared to prior. 2. Persistent retrocardiac opacification and small left pleural effusion. ""Physician to Physician Radiology Consult Line: (755) 885-6239"" ", 207834,CheXpert_Demo_Images\train\patient53868\study2\view1_frontal.jpg,patient53868,"NARRATIVE: PORTABLE CHEST: 4-13-2000. COMPARISON: Prior film from April 13 2000. IMPRESSION: SINCE THE PREVIOUS DAY'S EXAMINATION, THE RIGHT SUBCLAVIAN LINE HAS BEEN REMOVED. THERE IS NO EVIDENCE OF PNEUMOTHORAX. THERE ARE BILATERAL EFFUSIONS, LEFT GREATER THAN RIGHT. THERE IS MILD WIDENING OF THE SUPERIOR MEDIASTINUM WHICH MAY BE RELATED TO POSITIONING. RECOMMENDATION IS FOR CONTINUED FOLLOW-UP OF THIS FINDING. REPORT OF PRIOR CHEST CT DATED 4-13-00 SUGGESTS THAT THE MEDIASTINUM WAS NEGATIVE FOR INJURY AT THAT TIME. END OF IMPRESSION: SUMMARY: Possible Significant Abnormality/Change, may need action. ACCESSION NUMBER: 54685321 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," SINCE THE PREVIOUS DAY'S EXAMINATION, THE RIGHT SUBCLAVIAN LINE HAS BEEN REMOVED. THERE IS NO EVIDENCE OF PNEUMOTHORAX. THERE ARE BILATERAL EFFUSIONS, LEFT GREATER THAN RIGHT. THERE IS MILD WIDENING OF THE SUPERIOR MEDIASTINUM WHICH MAY BE RELATED TO POSITIONING. RECOMMENDATION IS FOR CONTINUED FOLLOW-UP OF THIS FINDING. REPORT OF PRIOR CHEST CT DATED 4-13-00 SUGGESTS THAT THE MEDIASTINUM WAS NEGATIVE FOR INJURY AT THAT TIME. "," Possible Significant Abnormality/Change, may need action. " 210104,CheXpert_Demo_Images\train\patient55272\study1\view1_frontal.jpg,patient55272,"NARRATIVE: Chest 1 View, 1/31/2017 HISTORY: 63 years Female, Critical care follow-up(ICU) COMPARISON: No relevant studies for comparison TECHNIQUE: Upright AP view of the chest IMPRESSION: 1.SMALL LINEAR RETROCARDIAC OPACITY IS LIKELY REFLECTIVE OF ATELECTASIS. OTHERWISE, THE LUNGS ARE CLEAR WITHOUT FOCAL INFILTRATE, EFFUSION OR PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1210764093 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SMALL LINEAR RETROCARDIAC OPACITY IS LIKELY REFLECTIVE OF ATELECTASIS. OTHERWISE, THE LUNGS ARE CLEAR WITHOUT FOCAL INFILTRATE, EFFUSION OR PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 220379,CheXpert_Demo_Images\train\patient61957\study1\view1_frontal.jpg,patient61957,"NARRATIVE: EXAM: Chest 1 View, 3-19-04 CLINICAL HISTORY: 55 years-old Male. Neutropenic fever COMPARISON: 3-19-2004 IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST AGAIN DEMONSTRATES A NEW LEFT-SIDED MODERATE-SIZED PNEUMOTHORAX. THIS IS POSSIBLY FROM FROM PLEURAL DEFECT PRODUCED BY METASTATIC DISEASE 2. REDEMONSTRATION OF MULTIPLE NODULES IN THE LUNGS REFLECTING METASTATIC DISEASE 3. NEW ILL-DEFINED LEFT BASILAR OPACITY THAT MAY REPRESENT INFECTION OR ASPIRATION, AND LESS LIKELY ATELECTASIS 4. RIGHT SIDED PORTED CENTRAL VENOUS CATHETER REMAINS IN PLACE 5. FINDINGS DISCUSSED WITH Frank, MD AT 0755 ON 3-19-2004 SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 242.56 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST AGAIN DEMONSTRATES A NEW LEFT-SIDED MODERATE-SIZED PNEUMOTHORAX. THIS IS POSSIBLY FROM FROM PLEURAL DEFECT PRODUCED BY METASTATIC DISEASE 2. REDEMONSTRATION OF MULTIPLE NODULES IN THE LUNGS REFLECTING METASTATIC DISEASE 3. NEW ILL-DEFINED LEFT BASILAR OPACITY THAT MAY REPRESENT INFECTION OR ASPIRATION, AND LESS LIKELY ATELECTASIS 4. RIGHT SIDED PORTED CENTRAL VENOUS CATHETER REMAINS IN PLACE 5. FINDINGS DISCUSSED WITH Frank, MD AT 0755 ON 3-19-2004 "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 150265,CheXpert_Demo_Images\train\patient35608\study2\view1_frontal.jpg,patient35608,"NARRATIVE: SINGLE VIEW OF THE CHEST: 2-22-00 CLINICAL HISTORY: Upper GI bleed, q a.m. COMPARISON: 2-22-2000. IMPRESSION: 1. LINES AND TUBES ARE UNCHANGED IN POSITION. 2. INCREASING OPACITY AT THE LEFT LUNG BASE, ATELECTASIS OR EARLY CONSOLIDATION. END OF IMPRESSION: ACCESSION NUMBER: 0923071339 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LINES AND TUBES ARE UNCHANGED IN POSITION. 2. INCREASING OPACITY AT THE LEFT LUNG BASE, ATELECTASIS OR EARLY CONSOLIDATION. ", 185024,CheXpert_Demo_Images\train\patient43887\study3\view1_frontal.jpg,patient43887,"NARRATIVE: Exam: Chest 1 View, 8/13/2002 Clinical History: 70 years Female, Postop Comparison: 2002-8-13 IMPRESSION: 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF TWO LEFT PLEURAL CATHETERS. THERE IS NO EVIDENCE OF A PNEUMOTHORAX. THE ILL-DEFINED NODULAR OPACITY IN THE LEFT MID TO LOWER LUNG ZONE IS NO LONGER VISUALIZED. THE RIGHT LUNG IS CLEAR. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: DIYXGN This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF TWO LEFT PLEURAL CATHETERS. THERE IS NO EVIDENCE OF A PNEUMOTHORAX. THE ILL-DEFINED NODULAR OPACITY IN THE LEFT MID TO LOWER LUNG ZONE IS NO LONGER VISUALIZED. THE RIGHT LUNG IS CLEAR. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 168728,CheXpert_Demo_Images\train\patient39384\study1\view1_frontal.jpg,patient39384,"NARRATIVE: Exam: Chest 1 View, 9/30/2000 Clinical History: 87 years Female with Post op cardiac pt. with chest tubes Comparison: 9/30/2000 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL EXTUBATION. THE REMAINING MEDICAL SUPPORT DEVICES ARE IN UNCHANGED POSITION. 2.STABLE CARDIOMEGALY WITHOUT PULMONARY EDEMA. 3.THERE IS LOSS OF THE RIGHT HEMIDIAPHRAGM, LIKELY REPRESENTING A RIGHT PLEURAL EFFUSION. 4.BIBASILAR OPACITIES, GREATER IN THE LEFT RETROCARDIAC REGION THAN ON THE RIGHT, LIKELY REPRESENT ATELECTASIS. 5.NO PNEUMOTHORAX. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #80314916306 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL EXTUBATION. THE REMAINING MEDICAL SUPPORT DEVICES ARE IN UNCHANGED POSITION. 2.STABLE CARDIOMEGALY WITHOUT PULMONARY EDEMA. 3.THERE IS LOSS OF THE RIGHT HEMIDIAPHRAGM, LIKELY REPRESENTING A RIGHT PLEURAL EFFUSION. 4.BIBASILAR OPACITIES, GREATER IN THE LEFT RETROCARDIAC REGION THAN ON THE RIGHT, LIKELY REPRESENT ATELECTASIS. 5.NO PNEUMOTHORAX. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 97355,CheXpert_Demo_Images\train\patient23464\study1\view2_lateral.jpg,patient23464,"NARRATIVE: TWO VIEWS OF THE CHEST, FRONTAL AND LATERAL: January 24 00 COMPARISON: None. CLINICAL HISTORY: A sixty-nine-year-old male here for preoperative plain film of the chest for a AAA. IMPRESSION: 1. LUNGS ARE CLEAR BILATERALLY. NO EVIDENCE OF EFFUSION OR CONSOLIDATION TO SUGGEST ACUTE CARDIOPULMONIC PROCESS. 2. THERE IS SOME MINIMAL ATHEROSCLEROTIC CALCIFICATION OF THE AORTIC ARCH. THE INTRATHORACIC AORTA IS MARKEDLY TORTUOUS. 3. THE OSSEOUS STRUCTURES APPEAR GROSSLY UNREMARKABLE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 7266310295 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LUNGS ARE CLEAR BILATERALLY. NO EVIDENCE OF EFFUSION OR CONSOLIDATION TO SUGGEST ACUTE CARDIOPULMONIC PROCESS. 2. THERE IS SOME MINIMAL ATHEROSCLEROTIC CALCIFICATION OF THE AORTIC ARCH. THE INTRATHORACIC AORTA IS MARKEDLY TORTUOUS. 3. THE OSSEOUS STRUCTURES APPEAR GROSSLY UNREMARKABLE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 51700,CheXpert_Demo_Images\train\patient12620\study1\view1_frontal.jpg,patient12620,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 3-23-07 AT 20:25 HOURS. CLINICAL DATA: Meningioma. Check line placement. IMPRESSION: 1. RIGHT INTERNAL JUGULAR CATHETER TIP IN THE PROXIMAL SUPERIOR VENA CAVA. 2. PATIENT IS SPLINTING TO THE RIGHT WITH PERSISTENT LOW LUNG VOLUMES, VASCULAR CROWDING IN THE RIGHT UPPER LOBE AND RIGHT LOWER LOBE LIKELY SECONDARY TO PATIENT POSITIONING. RECOMMEND FOLLOW-UP PA LATERAL FOR FURTHER EVALUATION. 3. NO DEFINITE EVIDENCE OF CONSOLIDATION, PULMONARY EDEMA, PLEURAL EFFUSIONS. 4. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS FOR SIZE. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: jett blanchard, md on: 3/23/2007 ACCESSION NUMBER: 0390149 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RIGHT INTERNAL JUGULAR CATHETER TIP IN THE PROXIMAL SUPERIOR VENA CAVA. 2. PATIENT IS SPLINTING TO THE RIGHT WITH PERSISTENT LOW LUNG VOLUMES, VASCULAR CROWDING IN THE RIGHT UPPER LOBE AND RIGHT LOWER LOBE LIKELY SECONDARY TO PATIENT POSITIONING. RECOMMEND FOLLOW-UP PA LATERAL FOR FURTHER EVALUATION. 3. NO DEFINITE EVIDENCE OF CONSOLIDATION, PULMONARY EDEMA, PLEURAL EFFUSIONS. 4. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS FOR SIZE. ", 66127,CheXpert_Demo_Images\train\patient15920\study1\view1_frontal.jpg,patient15920,"NARRATIVE: COMPARISON: None. CLINICAL HISTORY: Trauma. IMPRESSION: LIMITED SUPINE EXAMINATION WITH PATIENT ON A TRAUMA BOARD. NO EVIDENCE OF FRACTURE/PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. END OF IMPRESSION SUMMARY: 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: IVY HOOVER, MD on: 6/8/2003 ACCESSION NUMBER: #279817795478577 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," LIMITED SUPINE EXAMINATION WITH PATIENT ON A TRAUMA BOARD. NO EVIDENCE OF FRACTURE/PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. "," 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: IVY HOOVER, MD on: 6/8/2003 " 151853,CheXpert_Demo_Images\train\patient35881\study1\view1_frontal.jpg,patient35881,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/9/2009 CLINICAL HISTORY: 35 years of age, Female, Tachypnea. COMPARISON: 5/9/2009 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Unchanged position of the dual-lead pacemaker. Stable mild cardiomegaly with prominent central pulmonary artery and indistinctness of pulmonary markings, suggestive of mild edema. No focal pulmonary abnormalities or consolidations. No pleural fluid. IMPRESSION: 1. Cardiomegaly with mild interstitial pulmonary edema. ACCESSION NUMBER: 774711 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Unchanged position of the dual-lead pacemaker. Stable mild cardiomegaly with prominent central pulmonary artery and indistinctness of pulmonary markings, suggestive of mild edema. No focal pulmonary abnormalities or consolidations. No pleural fluid. "," 1. Cardiomegaly with mild interstitial pulmonary edema. ", 125572,CheXpert_Demo_Images\train\patient30102\study3\view1_frontal.jpg,patient30102,"NARRATIVE: CHEST 1 VIEW: 1-22-2005 COMPARISON: 1/22/2005 CLINICAL HISTORY: A 52-year-old man, followup. IMPRESSION: 1. SINGLE UPRIGHT AP VIEW OF THE CHEST AGAIN DEMONSTRATES RETICULAR AND CONSOLIDATIVE OPACITIES IN THE RIGHT LUNG, WHICH APPEAR SLIGHTLY IMPROVED IN THE RIGHT LUNG BASE ALTHOUGH SLIGHTLY WORSENED IN THE RIGHT UPPER LUNG ZONE. 2. INTERVAL SLIGHT IMPROVED AERATION OF THE RETROCARDIAC AREA AND LEFT LUNG BASE. 3. POSSIBLE SMALL RIGHT PLEURAL EFFUSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 523520116355 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE UPRIGHT AP VIEW OF THE CHEST AGAIN DEMONSTRATES RETICULAR AND CONSOLIDATIVE OPACITIES IN THE RIGHT LUNG, WHICH APPEAR SLIGHTLY IMPROVED IN THE RIGHT LUNG BASE ALTHOUGH SLIGHTLY WORSENED IN THE RIGHT UPPER LUNG ZONE. 2. INTERVAL SLIGHT IMPROVED AERATION OF THE RETROCARDIAC AREA AND LEFT LUNG BASE. 3. POSSIBLE SMALL RIGHT PLEURAL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED " 78216,CheXpert_Demo_Images\train\patient18802\study8\view1_frontal.jpg,patient18802,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11-6-2005 CLINICAL HISTORY: 80 years of age, Female, f/u hypoxia. COMPARISON: 11/2005 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Right PICC line remains in place. Consolidation again noted involving the right lower and left upper and midlung zones, without significant interval change. Improved lung volumes with decreased size of previously noted left pleural effusion. IMPRESSION: 1. Improved lung volumes with decreased size of left pleural effusion. 2. Patchy bilateral parenchymal opacities again seen, without significant interval change. ""Physician to Physician Radiology Consult Line: (957)-674-7045"" Signed ACCESSION NUMBER: kigwmp This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right PICC line remains in place. Consolidation again noted involving the right lower and left upper and midlung zones, without significant interval change. Improved lung volumes with decreased size of previously noted left pleural effusion. "," 1. Improved lung volumes with decreased size of left pleural effusion. 2. Patchy bilateral parenchymal opacities again seen, without significant interval change. ""Physician to Physician Radiology Consult Line: (957)-674-7045"" Signed ", 58835,CheXpert_Demo_Images\train\patient14265\study1\view2_lateral.jpg,patient14265,"NARRATIVE: Chest 2 Views 3-12-2000 History: Shortness of Breath Comparison: None Findings: PA and lateral view of the chest demonstrates slightly prominent pulmonary vasculature, suggestion of Kerley B lines, and small bilateral pleural effusions. The heart is at the upper limits of normal size. The mediastinum and hila are unremarkable. IMPRESSION: SUGGESTIVE OF MILD CONGESTIVE HEART FAILURE. CLINICAL CORRELATION ADVISED. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. ACCESSION NUMBER: 4O760295WKK This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral view of the chest demonstrates slightly prominent pulmonary vasculature, suggestion of Kerley B lines, and small bilateral pleural effusions. The heart is at the upper limits of normal size. The mediastinum and hila are unremarkable. "," SUGGESTIVE OF MILD CONGESTIVE HEART FAILURE. CLINICAL CORRELATION ADVISED. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. " 125410,CheXpert_Demo_Images\train\patient30059\study1\view2_lateral.jpg,patient30059,"NARRATIVE: Chest 2 Views: 9-2 HISTORY: 81 years Male, Concern for pleural effusions. COMPARISON: None IMPRESSION: Normal heart size and pulmonary vascularity. Low lung volumes. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 82436 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Normal heart size and pulmonary vascularity. Low lung volumes. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. ","1-NO SIGNIFICANT ABNORMALITY " 168761,CheXpert_Demo_Images\train\patient39390\study1\view1_frontal.jpg,patient39390,"NARRATIVE: CHEST ONE VIEW: 10-12-2013 IMPRESSION: 1151 hours COMPARISON: No comparisons. FINDINGS: AP portable chest demonstrates a normal cardiomediastinal configuration and clear lungs. Negative for edema, consolidation, effusions or pneumothorax. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 8544315 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1151 hours COMPARISON: No comparisons. FINDINGS: AP portable chest demonstrates a normal cardiomediastinal configuration and clear lungs. Negative for edema, consolidation, effusions or pneumothorax. ","1-NO SIGNIFICANT ABNORMALITY " 91324,CheXpert_Demo_Images\train\patient21911\study1\view2_lateral.jpg,patient21911,"NARRATIVE: EXAM: Chest 2 Views, 7/8/2015. HISTORY: 66 years Male, Fever. COMPARISON: 6/25/2014 CXR. IMPRESSION: 1.FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A STABLE CARDIOMEDIASTINAL SILHOUETTE. MILD TORTUOSITY OF THE DESCENDING THORACIC AORTA IS AGAIN REDEMONSTRATED. 2.LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. REDEMONSTRATION OF ELEVATION OF THE RIGHT HEMIDIAPHRAGM. 3.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 746811093 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A STABLE CARDIOMEDIASTINAL SILHOUETTE. MILD TORTUOSITY OF THE DESCENDING THORACIC AORTA IS AGAIN REDEMONSTRATED. 2.LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. REDEMONSTRATION OF ELEVATION OF THE RIGHT HEMIDIAPHRAGM. 3.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 40064,CheXpert_Demo_Images\train\patient09817\study1\view2_lateral.jpg,patient09817,"NARRATIVE: COMPARISON: None available IMPRESSION: AORTA IS MILDLY TORTUOUS. CARDIAC SILHOUETTE IS NORMAL. LUNGS ARE CLEAR. THERE IS NO PNEUMOTHORAX. THERE IS NO PLEURAL EFFUSION. NO ACUTE BONY ABNORMALITIES ARE IDENTIFIED. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 024062 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AORTA IS MILDLY TORTUOUS. CARDIAC SILHOUETTE IS NORMAL. LUNGS ARE CLEAR. THERE IS NO PNEUMOTHORAX. THERE IS NO PLEURAL EFFUSION. NO ACUTE BONY ABNORMALITIES ARE IDENTIFIED. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 159078,CheXpert_Demo_Images\train\patient37267\study1\view1_frontal.jpg,patient37267,"NARRATIVE: SINGLE VIEW OF THE CHEST: 1/10/2001. COMPARISON: 1/10/01. CLINICAL DATA: Meningioma, decreased level of consciousness, rule out infiltrates. IMPRESSION: 1. THERE HAS BEEN INTERVAL REMOVAL OF THE ET TUBE AND NG TUBE. THE RIGHT IJ AND LEFT IJ VENOUS LINE ARE UNCHANGED. 2. THERE ARE PERSISTENTLY LOW LUNG VOLUMES, WITH ATELECTASIS AT THE RIGHT MID-BASE AND LEFT LOWER LUNG ZONE. THERE ARE BILATERAL PLEURAL EFFUSIONS, BUT WITH DECREASED OPACITY IN THE LEFT LOWER LOBE, LIKELY INDICATING IMPROVEMENT OF THE LEFT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Keegan, MD on: 1/10/2001 ACCESSION NUMBER: 44235494 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE HAS BEEN INTERVAL REMOVAL OF THE ET TUBE AND NG TUBE. THE RIGHT IJ AND LEFT IJ VENOUS LINE ARE UNCHANGED. 2. THERE ARE PERSISTENTLY LOW LUNG VOLUMES, WITH ATELECTASIS AT THE RIGHT MID-BASE AND LEFT LOWER LUNG ZONE. THERE ARE BILATERAL PLEURAL EFFUSIONS, BUT WITH DECREASED OPACITY IN THE LEFT LOWER LOBE, LIKELY INDICATING IMPROVEMENT OF THE LEFT PLEURAL EFFUSION. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Keegan, MD on: 1/10/2001 " 63879,CheXpert_Demo_Images\train\patient15401\study1\view1_frontal.jpg,patient15401,"NARRATIVE: EXAM: Chest 2 Views, 12/10/2002. HISTORY: 34 years Male, Hodgkins disease. COMPARISON: 12/10/2002. IMPRESSION: 1.MINIMAL BIAPICAL PLEURAL THICKENING. OTHERWISE, LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. STABLE OVERALL AERATION AND LUNG VOLUME. 2.CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY APPEAR NORMAL. 3.MILD MID THORACIC DEXTROSCOLIOSIS, UNCHANGED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 96968528 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.MINIMAL BIAPICAL PLEURAL THICKENING. OTHERWISE, LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. STABLE OVERALL AERATION AND LUNG VOLUME. 2.CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY APPEAR NORMAL. 3.MILD MID THORACIC DEXTROSCOLIOSIS, UNCHANGED. ","2-ABNORMAL, PREVIOUSLY REPORTED " 205896,CheXpert_Demo_Images\train\patient52652\study1\view1_frontal.jpg,patient52652,"NARRATIVE: Chest 1 View: 10/18/2007 HISTORY: 29 years Female, Neutropenic fevers. COMPARISON: 10/18/2007 IMPRESSION: AP upright radiograph of the chest demonstrates stable position of the right-sided central venous catheter. The heart is normal in size. The lungs are clear without focal consolidation, edema or effusion. The bones and soft tissues are unremarkable. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 45109 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AP upright radiograph of the chest demonstrates stable position of the right-sided central venous catheter. The heart is normal in size. The lungs are clear without focal consolidation, edema or effusion. The bones and soft tissues are unremarkable. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 38850,CheXpert_Demo_Images\train\patient09530\study19\view2_lateral.jpg,patient09530,"NARRATIVE: CHEST, TWO VIEWS: 1/1/2004. CLINICAL HISTORY: Lung transplant. IMPRESSION: 1. STABLE POSTOPERATIVE CHEST, WITH REDEMONSTRATION OF LOW LUNG VOLUMES BUT NO FOCAL CONSOLIDATION OR INTERSTITIAL EDEMA. 2. REDEMONSTRATION OF SLIGHT BLUNTING OF THE RIGHT POSTERIOR COSTOPHRENIC SULCUS, WHICH MAY BE SECONDARY TO A SMALL EFFUSION, UNCHANGED. 3. CENTRAL CATHETER WITH TIP PROJECTING IN THE REGION OF THE RIGHT HEART. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: KQPYNGCVNOL This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE POSTOPERATIVE CHEST, WITH REDEMONSTRATION OF LOW LUNG VOLUMES BUT NO FOCAL CONSOLIDATION OR INTERSTITIAL EDEMA. 2. REDEMONSTRATION OF SLIGHT BLUNTING OF THE RIGHT POSTERIOR COSTOPHRENIC SULCUS, WHICH MAY BE SECONDARY TO A SMALL EFFUSION, UNCHANGED. 3. CENTRAL CATHETER WITH TIP PROJECTING IN THE REGION OF THE RIGHT HEART. ","2-ABNORMAL, PREVIOUSLY REPORTED. " 138918,CheXpert_Demo_Images\train\patient33397\study2\view1_frontal.jpg,patient33397,"NARRATIVE: Chest 1 View: 1-21-2015 HISTORY: 22 years Male, Eval asp pna. COMPARISON: 01-21-15 IMPRESSION: 1.STABLE POSITIONING OF A VAGAL NERVE STIMULATOR AND ENTERIC TUBE. 2.PERSISTENT LOW LUNG VOLUMES WITH LEFT BASILAR OPACITY WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY STABLE SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4711707896 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.STABLE POSITIONING OF A VAGAL NERVE STIMULATOR AND ENTERIC TUBE. 2.PERSISTENT LOW LUNG VOLUMES WITH LEFT BASILAR OPACITY WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS GROSSLY STABLE ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 30563,CheXpert_Demo_Images\train\patient07461\study1\view2_lateral.jpg,patient07461,"NARRATIVE: Exam: Chest 2 Views, 2009/4/13 Clinical History: 82 years Female with WEIGHT LOSS Comparison: 4-13-2009. IMPRESSION: 1.PA AND LATERAL VIEWS OF THE CHEST SHOW NO SIGNIFICANT INTERVAL CHANGE. MILD THORACIC SCOLIOSIS WITH APEX TOWARDS THE LEFT AT THE THORACOLUMBAR JUNCTION. HEART SIZE AT UPPER LIMITS OF NORMAL WITH A TORTUOUS, CALCIFIED THORACIC AORTA. HILAR CONTOURS ARE WITHIN NORMAL LIMITS. 2.MULTIPLE DENSE NODULAR AREAS IN THE RIGHT HILUM CONSISTENT WITH CALCIFIED HILAR LYMPH NODES. SIMILAR BUT LESSER NUMBER OF THESE ARE PRESENT ON THE LEFT. 3.DENSE NODULAR OPACITIES PROJECTING IN THE LEFT APEX ARE CONSISTENT WITH CALCIFIED GRANULOMATA. 4.APART FROM THE ABOVE FINDINGS, THE LUNGS APPEAR CLEAR. NO CONSOLIDATION, EDEMA OR PLEURAL EFFUSIONS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: RC QU Nk BQ OW This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PA AND LATERAL VIEWS OF THE CHEST SHOW NO SIGNIFICANT INTERVAL CHANGE. MILD THORACIC SCOLIOSIS WITH APEX TOWARDS THE LEFT AT THE THORACOLUMBAR JUNCTION. HEART SIZE AT UPPER LIMITS OF NORMAL WITH A TORTUOUS, CALCIFIED THORACIC AORTA. HILAR CONTOURS ARE WITHIN NORMAL LIMITS. 2.MULTIPLE DENSE NODULAR AREAS IN THE RIGHT HILUM CONSISTENT WITH CALCIFIED HILAR LYMPH NODES. SIMILAR BUT LESSER NUMBER OF THESE ARE PRESENT ON THE LEFT. 3.DENSE NODULAR OPACITIES PROJECTING IN THE LEFT APEX ARE CONSISTENT WITH CALCIFIED GRANULOMATA. 4.APART FROM THE ABOVE FINDINGS, THE LUNGS APPEAR CLEAR. NO CONSOLIDATION, EDEMA OR PLEURAL EFFUSIONS. ","1-NO SIGNIFICANT ABNORMALITY " 32119,CheXpert_Demo_Images\train\patient07847\study1\view1_frontal.jpg,patient07847,"NARRATIVE: SINGLE VIEW OF THE CHEST: 4-15-2013 COMPARISON: None. IMPRESSION: 1. AN NG TUBE IS PRESENT WITHIN THE STOMACH. A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER PROJECTS OVER THE PROXIMAL SUPERIOR VENA CAVA. THE PATIENT IS SUBSTANTIALLY ROTATED TO THE RIGHT. 2. THERE IS ENLARGEMENT OF THE CARDIAC SILHOUETTE. LUNG VOLUMES ARE DIMINISHED BILATERALLY. THERE IS RETROCARDIAC ATELECTASIS OR CONSOLIDATION AS WELL AS OPACITY IN THE MEDIAL ASPECT OF THE RIGHT LUNG BASE. THE MAIN PULMONARY ARTERY IS ENLARGED. PRIOR HISTORY OF PULMONARY ARTERY HYPERTENSION. END OF IMPRESSION: SUMMARY 4: Possible Significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Samuel, Beard on: 4/15/13 ACCESSION NUMBER: #17395 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AN NG TUBE IS PRESENT WITHIN THE STOMACH. A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER PROJECTS OVER THE PROXIMAL SUPERIOR VENA CAVA. THE PATIENT IS SUBSTANTIALLY ROTATED TO THE RIGHT. 2. THERE IS ENLARGEMENT OF THE CARDIAC SILHOUETTE. LUNG VOLUMES ARE DIMINISHED BILATERALLY. THERE IS RETROCARDIAC ATELECTASIS OR CONSOLIDATION AS WELL AS OPACITY IN THE MEDIAL ASPECT OF THE RIGHT LUNG BASE. THE MAIN PULMONARY ARTERY IS ENLARGED. PRIOR HISTORY OF PULMONARY ARTERY HYPERTENSION. "," 4: Possible Significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Samuel, Beard on: 4/15/13 " 101729,CheXpert_Demo_Images\train\patient24458\study1\view1_frontal.jpg,patient24458,"NARRATIVE: SINGLE VIEW OF THE CHEST: DATE OF STUDY: May 15th, 2014 HISTORY: Epilepsy, check line placement. ICD-9: #1 3 8 5 0 5 0 0 0 FINDINGS: Single portable view of the chest demonstrates right internal jugular line with tip in the SVC. Low lung volumes with possibly mild pulmonary edema. The cardiomediastinal silhouette is within normal limits. IMPRESSION: 1. LOW VOLUMES AND POSSIBLE MILD PULMONARY EDEMA. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: RBmoRahhbDrs This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single portable view of the chest demonstrates right internal jugular line with tip in the SVC. Low lung volumes with possibly mild pulmonary edema. The cardiomediastinal silhouette is within normal limits. "," 1. LOW VOLUMES AND POSSIBLE MILD PULMONARY EDEMA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 212760,CheXpert_Demo_Images\train\patient56936\study1\view1_frontal.jpg,patient56936,"NARRATIVE: CHEST ONE VIEW: 8/2/21 COMPARISON: 8/2/2021. CLINICAL HISTORY: 84 year-old evaluate central line placement. IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST IS LIMITED SECONDARY TO PATIENT MARKEDLY ROTATED TO THE LEFT. THERE HAS BEEN INTERVAL PLACEMENT OF A RIGHT SUBCLAVIAN CENTRAL LINE, TIP LIKELY AT THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX IS SEEN. 2. THERE IS PERSISTENT LEFT BASILAR ATELECTASIS. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: DR. MORENO GRADY on: 8/2/2021 ACCESSION NUMBER: 11825 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST IS LIMITED SECONDARY TO PATIENT MARKEDLY ROTATED TO THE LEFT. THERE HAS BEEN INTERVAL PLACEMENT OF A RIGHT SUBCLAVIAN CENTRAL LINE, TIP LIKELY AT THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX IS SEEN. 2. THERE IS PERSISTENT LEFT BASILAR ATELECTASIS. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: DR. MORENO GRADY on: 8/2/2021 " 214654,CheXpert_Demo_Images\train\patient58099\study1\view1_frontal.jpg,patient58099,"NARRATIVE: Exam: Chest 1 View, 8/12/2019 Clinical History: 46 years Male with Critical care follow-up(ICU) Comparison: None IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A RIGHT IJ CVC IN PLACE WITH TIP AT THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX ON THIS SEMIUPRIGHT RADIOGRAPH. NO FOCAL AIR SPACE OPACITY DEMONSTRATED. THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 89492751 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A RIGHT IJ CVC IN PLACE WITH TIP AT THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX ON THIS SEMIUPRIGHT RADIOGRAPH. NO FOCAL AIR SPACE OPACITY DEMONSTRATED. THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 181638,CheXpert_Demo_Images\train\patient42826\study1\view1_frontal.jpg,patient42826,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/2005 CLINICAL HISTORY: 46 years of age, Female, Hypoxemia. COMPARISON: CT torso on 5/28/05 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Right arm PICC line terminates near cavoatrial junction. Cardiac silhouette size is top normal. Pulmonary vasculature is normal. Dense left base opacity likely reflects small left pleural effusion with overlying atelectasis or developing infectious consolidation. There is trace right pleural effusion. No pneumothorax. Drain in left upper abdomen is partially visualized. Deformity of the right humerus is from prior fracture. IMPRESSION: Left base opacity, likely small left pleural effusion with overlying compressive atelectasis or infectious consolidation. Trace right pleural effusion. ""Physician to Physician Radiology Consult Line: (730) 947-9221"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: AEKJCE This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right arm PICC line terminates near cavoatrial junction. Cardiac silhouette size is top normal. Pulmonary vasculature is normal. Dense left base opacity likely reflects small left pleural effusion with overlying atelectasis or developing infectious consolidation. There is trace right pleural effusion. No pneumothorax. Drain in left upper abdomen is partially visualized. Deformity of the right humerus is from prior fracture. "," Left base opacity, likely small left pleural effusion with overlying compressive atelectasis or infectious consolidation. Trace right pleural effusion. ""Physician to Physician Radiology Consult Line: (730) 947-9221"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 187083,CheXpert_Demo_Images\train\patient44560\study2\view1_frontal.jpg,patient44560,"NARRATIVE: SINGLE VIEW CHEST: 6/2/2012 CLINICAL HISTORY: An 88-year-old male, follow-up pneumonia and CHF. COMPARISON: AP view of the chest from 6/2/2012. IMPRESSION: 1. STABLE CARDIOMEGALY AND TWO-LEAD PACEMAKER. 2. IMPROVEMENT IN THE RETROCARDIAC OPACIFICATION WITH PERSISTENT SMALL LEFT PLEURAL EFFUSION. NO NEW AREAS OF PULMONARY PARENCHYMAL CONSOLIDATION. 3. STABLE APPEARANCE OF PULMONARY VASCULATURE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 39-20-80-53 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE CARDIOMEGALY AND TWO-LEAD PACEMAKER. 2. IMPROVEMENT IN THE RETROCARDIAC OPACIFICATION WITH PERSISTENT SMALL LEFT PLEURAL EFFUSION. NO NEW AREAS OF PULMONARY PARENCHYMAL CONSOLIDATION. 3. STABLE APPEARANCE OF PULMONARY VASCULATURE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 217314,CheXpert_Demo_Images\train\patient59743\study1\view1_frontal.jpg,patient59743,"NARRATIVE: CHEST, SINGLE VIEW: 4/1/2012 COMPARISON: 4/1/2012. IMPRESSION: 1. INTERVAL PLACEMENT OF A LEFT UPPER EXTREMITY PICC LINE WITH ITS TIP SEEN IN THE EXPECTED LOCATION OF THE CAVOATRIAL JUNCTION. 2. HEART SIZE IS AT THE UPPER LIMITS OF NORMAL. TRACE INTERSTITIAL PULMONARY EDEMA, SMALL TO MODERATE PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT, WITH ASSOCIATED LEFT BASE OPACITY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: ZHSWVKPK This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF A LEFT UPPER EXTREMITY PICC LINE WITH ITS TIP SEEN IN THE EXPECTED LOCATION OF THE CAVOATRIAL JUNCTION. 2. HEART SIZE IS AT THE UPPER LIMITS OF NORMAL. TRACE INTERSTITIAL PULMONARY EDEMA, SMALL TO MODERATE PLEURAL EFFUSIONS, LEFT GREATER THAN RIGHT, WITH ASSOCIATED LEFT BASE OPACITY. ","2-ABNORMAL, PREVIOUSLY REPORTED " 76200,CheXpert_Demo_Images\train\patient18313\study12\view1_frontal.jpg,patient18313,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 2020-2-15 AT 2008 HOURS. COMPARISON: 2/15/2020 at 0910 hours. CLINICAL HISTORY: A 45-year-old male status post chest tube removal. IMPRESSION: 1. INTERVAL REMOVAL OF RIGHT CHEST TUBE. OTHERWISE, LINES AND TUBES ARE UNCHANGED. 2. DECREASED BUT RESIDUAL RIGHT PNEUMOTHORAX. 3. NO SIGNIFICANT CHANGE IN COMPLETE COLLAPSE OF LEFT LUNG AND RIGHT AIR SPACE OPACITIES. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 754969 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF RIGHT CHEST TUBE. OTHERWISE, LINES AND TUBES ARE UNCHANGED. 2. DECREASED BUT RESIDUAL RIGHT PNEUMOTHORAX. 3. NO SIGNIFICANT CHANGE IN COMPLETE COLLAPSE OF LEFT LUNG AND RIGHT AIR SPACE OPACITIES. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 31833,CheXpert_Demo_Images\train\patient07774\study1\view2_lateral.jpg,patient07774,"NARRATIVE: CHEST TWO VIEWS: 3-24-2007 COMPARISON: 3/24/07. CLINICAL HISTORY: Fifty-year-old female with fever. IMPRESSION: 1. PA AND LATERAL UPRIGHT VIEWS OF THE CHEST DEMONSTRATE INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR DUAL LUMEN CATHETER WITH DISTAL TIP AT THE CAVOATRIAL JUNCTION. NO EVIDENCE OF PNEUMOTHORAX. INTERVAL REMOVAL OF A NASOGASTRIC TUBE. 2. LINEAR ATELECTASIS IS SEEN AT THE LEFT LUNG BASE. LUNGS ARE OTHERWISE CLEAR. THERE IS A TRACE LEFT PLEURAL EFFUSION POSTERIORLY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 254871 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL UPRIGHT VIEWS OF THE CHEST DEMONSTRATE INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR DUAL LUMEN CATHETER WITH DISTAL TIP AT THE CAVOATRIAL JUNCTION. NO EVIDENCE OF PNEUMOTHORAX. INTERVAL REMOVAL OF A NASOGASTRIC TUBE. 2. LINEAR ATELECTASIS IS SEEN AT THE LEFT LUNG BASE. LUNGS ARE OTHERWISE CLEAR. THERE IS A TRACE LEFT PLEURAL EFFUSION POSTERIORLY. ","2-ABNORMAL, PREVIOUSLY REPORTED " 131295,CheXpert_Demo_Images\train\patient31482\study16\view1_frontal.jpg,patient31482,"NARRATIVE: CHEST, ONE VIEW: 5/17/2006. CLINICAL HISTORY: 57-year-old male with follow-up chest x-ray. COMPARISON: Portable chest x-ray 5/17/2006. IMPRESSION: 1. AP PORTABLE SUPINE VIEW OF THE CHEST DEMONSTRATES STABLE APPEARANCE OF MEDICAL DEVICE SUPPORT HARDWARE. 2. STABLE APPEARANCE OF RIGHT SIDED PLEURAL EFFUSION. NO INTERVAL CHANGE OF PERIPHERAL AIR SPACE AND DIFFUSE RETICULAR PATTERN OF LUNG DISEASE. STABLE VASCULATURE. NO INTERVAL CHANGE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: llxhookb0yof This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP PORTABLE SUPINE VIEW OF THE CHEST DEMONSTRATES STABLE APPEARANCE OF MEDICAL DEVICE SUPPORT HARDWARE. 2. STABLE APPEARANCE OF RIGHT SIDED PLEURAL EFFUSION. NO INTERVAL CHANGE OF PERIPHERAL AIR SPACE AND DIFFUSE RETICULAR PATTERN OF LUNG DISEASE. STABLE VASCULATURE. NO INTERVAL CHANGE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 183424,CheXpert_Demo_Images\train\patient43384\study6\view2_frontal.jpg,patient43384,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 7-2016 CLINICAL HISTORY: 38 years of age, Male, Known right pneumothorax after right lung microwave ablation. 2 hour post.. COMPARISON: 7-21-2016 01.16 PM PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Redemonstration of right chest wall port. Right perihilar mass persists, with enlarging now moderate right-sided pneumothorax. Multiple sutures are present in the right lung. Redemonstration of opacity in the left lung base with persistent small left-sided pleural effusion and left-sided volume loss. Postoperative changes near the GE junction are redemonstrated. IMPRESSION: 1. Enlarging now moderate-sized right-sided pneumothorax. Discussed with Stephenson, Quinn on 21 July 2016 at 1459 hours ""Physician to Physician Radiology Consult Line: 1 674 515-5773"" Signed ACCESSION NUMBER: j6y8l8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Redemonstration of right chest wall port. Right perihilar mass persists, with enlarging now moderate right-sided pneumothorax. Multiple sutures are present in the right lung. Redemonstration of opacity in the left lung base with persistent small left-sided pleural effusion and left-sided volume loss. Postoperative changes near the GE junction are redemonstrated. "," 1. Enlarging now moderate-sized right-sided pneumothorax. Discussed with Stephenson, Quinn on 21 July 2016 at 1459 hours ""Physician to Physician Radiology Consult Line: 1 674 515-5773"" Signed ", 158350,CheXpert_Demo_Images\train\patient37099\study1\view1_frontal.jpg,patient37099,"NARRATIVE: SINGLE FRONTAL CHEST RADIOGRAPH: 5-1-2019 COMPARISON: 01/2019 CLINICAL HISTORY: The patient is a 45-year-old female, evaluate for pneumonia. IMPRESSION: 1. RIGHT-SIDED CENTRAL VENOUS CATHETER REMAINS IN STABLE POSITION. 2. LUNGS APPEAR CLEAR BILATERALLY WITH NO EVIDENCE OF FOCAL CONSOLIDATION. 3. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 169079 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RIGHT-SIDED CENTRAL VENOUS CATHETER REMAINS IN STABLE POSITION. 2. LUNGS APPEAR CLEAR BILATERALLY WITH NO EVIDENCE OF FOCAL CONSOLIDATION. 3. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 48961,CheXpert_Demo_Images\train\patient11882\study2\view1_frontal.jpg,patient11882,"NARRATIVE: ONE VIEW CHEST: 1/7/02 COMPARISON: 1-7-02 at 1928 hours IMPRESSION: 1. INTERVAL ADJUSTMENT OF RIGHT PLEURAL DRAIN, WITH INTERVAL RESOLUTION OF RIGHT PNEUMOTHORAX. 2. PERSISTENT RIGHT SUBCUTANEOUS GAS. 3. PERSISTENT BAND-LIKE ATELECTASIS IN THE RIGHT LOWER LUNG ZONE. 4. STABLE CARDIOMEDIASTINAL SILHOUETTE AND NORMAL APPEARANCE TO PULMONARY VESSELS. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Chang on: 1-7-2002 ACCESSION NUMBER: 89534805 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL ADJUSTMENT OF RIGHT PLEURAL DRAIN, WITH INTERVAL RESOLUTION OF RIGHT PNEUMOTHORAX. 2. PERSISTENT RIGHT SUBCUTANEOUS GAS. 3. PERSISTENT BAND-LIKE ATELECTASIS IN THE RIGHT LOWER LUNG ZONE. 4. STABLE CARDIOMEDIASTINAL SILHOUETTE AND NORMAL APPEARANCE TO PULMONARY VESSELS. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Chang on: 1-7-2002 " 88019,CheXpert_Demo_Images\train\patient21150\study1\view2_lateral.jpg,patient21150,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 6/19/2002 CLINICAL HISTORY: 48 years of age, Female, history of ovarian cancer and pleural effusion. COMPARISON: CT chest, abdomen and pelvis 6-19-2002 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Since 6/19/02, the unilateral left pleural effusion has increased and is now large, with minimal aerated lung in the left apex. The right lung and right pleural space are clear. The heart is partially obscured, with minimal rightward mediastinal shift. Bony structures are within normal limits. IMPRESSION: 1. Interval increase in large unilateral left pleural effusion, with minimal rightward mediastinal shift. ACCESSION NUMBER: 76514371YT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Since 6/19/02, the unilateral left pleural effusion has increased and is now large, with minimal aerated lung in the left apex. The right lung and right pleural space are clear. The heart is partially obscured, with minimal rightward mediastinal shift. Bony structures are within normal limits. "," 1. Interval increase in large unilateral left pleural effusion, with minimal rightward mediastinal shift. ", 152221,CheXpert_Demo_Images\train\patient35945\study1\view1_frontal.jpg,patient35945,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 1/9/2014 COMPARISON: 1/9/2014 at 13:18 FINDINGS: LEFT APICAL PNEUMOTHORAX HAS INCREASED IN SIZE. NO ADDITIONAL INTERVAL CHANGE. ACCESSION #CIZVTFJRNO: SINGLE VIEW PORTABLE CHEST 1/9/2014. LEFT SIDED CHEST TUBE HAS BEEN PLACED WITH TIP AT THE LEVEL OF THE LEFT APEX. PREVIOUSLY NOTED PNEUMOTHORAX HAS RESOLVED.NO ADDITIONAL INTERVAL CHANGE. ACCESSION 28352288: SINGLE VIEW PORTABLE CHEST 1-9-2014. NO INTERVAL CHANGE. NO PNEUMOTHORAX. PREVIOUSLY NOTED DIFFUSE BILATERAL AIR SPACE OPACITY AGAIN NOTED. IMPRESSION: 1. RESOLVED LEFT PNEUMOTHORAX STATUS POST- CHEST TUBE PLACEMENT. NO ADDITIONAL INTERVAL CHANGE. END OF IMPRESSION: SUMMARY 2: Abnormal; previously reported. ACCESSION NUMBER: CIZVTFJRNO This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," LEFT APICAL PNEUMOTHORAX HAS INCREASED IN SIZE. NO ADDITIONAL INTERVAL CHANGE. ACCESSION #CIZVTFJRNO: SINGLE VIEW PORTABLE CHEST 1/9/2014. LEFT SIDED CHEST TUBE HAS BEEN PLACED WITH TIP AT THE LEVEL OF THE LEFT APEX. PREVIOUSLY NOTED PNEUMOTHORAX HAS RESOLVED.NO ADDITIONAL INTERVAL CHANGE. ACCESSION 28352288: SINGLE VIEW PORTABLE CHEST 1-9-2014. NO INTERVAL CHANGE. NO PNEUMOTHORAX. PREVIOUSLY NOTED DIFFUSE BILATERAL AIR SPACE OPACITY AGAIN NOTED. "," 1. RESOLVED LEFT PNEUMOTHORAX STATUS POST- CHEST TUBE PLACEMENT. NO ADDITIONAL INTERVAL CHANGE. "," 2: Abnormal; previously reported. " 173844,CheXpert_Demo_Images\train\patient40636\study1\view1_frontal.jpg,patient40636,"NARRATIVE: CLINICAL HISTORY: 49 year old man with dissecting aortic aneurysm. EXAM: Single portable supine view of the chest dated 4-11-2014 at 0348 hours. COMPARISON: 4/11/14 at 1520 hours. IMPRESSION: 1. NO INTERVAL CHANGE IN SUPPORTING DEVICES. 2. PERSISTENT LOW LUNG VOLUMES WITH INTERVAL INCREASED OPACIFICATION IN THE RETROCARDIAC AIR SPACE AND PROBABLE ASSOCIATED LEFT PLEURAL EFFUSION. SLIGHT INTERVAL DECREASE IN CENTRAL PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: barnes katelyn, md on: 4/11/2014 ACCESSION NUMBER: ERHZWTT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO INTERVAL CHANGE IN SUPPORTING DEVICES. 2. PERSISTENT LOW LUNG VOLUMES WITH INTERVAL INCREASED OPACIFICATION IN THE RETROCARDIAC AIR SPACE AND PROBABLE ASSOCIATED LEFT PLEURAL EFFUSION. SLIGHT INTERVAL DECREASE IN CENTRAL PULMONARY EDEMA. "," 2: ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: barnes katelyn, md on: 4/11/2014 " 203886,CheXpert_Demo_Images\train\patient51448\study2\view1_frontal.jpg,patient51448,"NARRATIVE: Chest 1 View, september 24, 2012 HISTORY: 43 years Male, Intubated icu COMPARISON: Single view of the chest x 2: 9/24/2012 and 9-24-2012 IMPRESSION: 1.INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CATHETER. ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE STABLE. NO PNEUMOTHORAX. PERSISTENT TRACE PULMONARY EDEMA PATTERN. 2.9-24-2012 : FINDINGS AS NOTED ABOVE WITH NO SIGNIFICANT INTERVAL CHANGE. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CATHETER. ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE STABLE. NO PNEUMOTHORAX. PERSISTENT TRACE PULMONARY EDEMA PATTERN. 2.9-24-2012 : FINDINGS AS NOTED ABOVE WITH NO SIGNIFICANT INTERVAL CHANGE. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 44082,CheXpert_Demo_Images\train\patient10776\study1\view1_frontal.jpg,patient10776,"NARRATIVE: TWO VIEWS OF THE CHEST: September 18. COMPARISON: 2015/09/18. CLINICAL HISTORY: Chest pain. FINDINGS: Blunting of the anterior and posterior costophrenic sulci on the lateral view, with pleural based density along both lateral chest walls that likely represents pleural thickening with a possible component of pleural effusion. Mild atelectasis in the lung bases. Bridging syndesmophytes in the thoracic spine, consistent with diffuse idiopathic skeletal hyperostosis. IMPRESSION: 1. PROBABLE BILATERAL PLEURAL THICKENING WITH POSSIBLE SUPERIMPOSED EFFUSIONS. 2. NO EVIDENCE OF FOCAL CONSOLIDATION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1180151 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Blunting of the anterior and posterior costophrenic sulci on the lateral view, with pleural based density along both lateral chest walls that likely represents pleural thickening with a possible component of pleural effusion. Mild atelectasis in the lung bases. Bridging syndesmophytes in the thoracic spine, consistent with diffuse idiopathic skeletal hyperostosis. "," 1. PROBABLE BILATERAL PLEURAL THICKENING WITH POSSIBLE SUPERIMPOSED EFFUSIONS. 2. NO EVIDENCE OF FOCAL CONSOLIDATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 217792,CheXpert_Demo_Images\train\patient60047\study1\view1_frontal.jpg,patient60047,"NARRATIVE: EXAM: Chest 1 View, 24-04-06 CLINICAL HISTORY: Female of 40 years; reason for study: ""Evaluate hickman catheter placement; patient complaining of electrical shock like pain."" COMPARISON: CT thorax 4-24-2006 IMPRESSION: 1.ABNORMAL CARDIOMEDIASTINAL SILHOUETTE WITH A LARGE PULMONARY ARTERY CONSISTENT WITH PULMONARY ARTERY HYPERTENSION. 2.RIGHT TUNNELED CENTRAL VENOUS CATHETER. 3.NO CONSOLIDATION OR EFFUSIONS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: gwpHNqpVH This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.ABNORMAL CARDIOMEDIASTINAL SILHOUETTE WITH A LARGE PULMONARY ARTERY CONSISTENT WITH PULMONARY ARTERY HYPERTENSION. 2.RIGHT TUNNELED CENTRAL VENOUS CATHETER. 3.NO CONSOLIDATION OR EFFUSIONS. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 28445,CheXpert_Demo_Images\train\patient06958\study3\view1_frontal.jpg,patient06958,"NARRATIVE: EXAM: Chest 2 Views, 1/26/2009. HISTORY: 57 years Male, Cough. COMPARISON: 1-26-2009. IMPRESSION: 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LUNGS DEMONSTRATE GROSSLY CLEAR LUNG FIELDS BILATERALLY WITHOUT FOCAL CONSOLIDATION. NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 723230132 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LUNGS DEMONSTRATE GROSSLY CLEAR LUNG FIELDS BILATERALLY WITHOUT FOCAL CONSOLIDATION. NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 68875,CheXpert_Demo_Images\train\patient16516\study1\view1_frontal.jpg,patient16516,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 9/27/08 CLINICAL HISTORY: 20 years of age, Male, To check PICC placement. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: A right upper extremity PICC terminates in the high right atrium. The lungs are clear. There is no pleural effusion or pneumothorax. Cardiac size is normal. IMPRESSION: 1. Right upper extremity PICC terminating in the high right atrium. Retraction by approximately 3 cm would place the tip in the superior vena cava. I, the attending signed below, have personally reviewed the images and agree with the report transcribed above. Interpreted by Attending Radiologist: stark, sadie Authored By : Sadie, Stark Approval Date : 9/27/08 ACCESSION NUMBER: LZWSZBQJACZM This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A right upper extremity PICC terminates in the high right atrium. The lungs are clear. There is no pleural effusion or pneumothorax. Cardiac size is normal. "," 1. Right upper extremity PICC terminating in the high right atrium. Retraction by approximately 3 cm would place the tip in the superior vena cava. I, the attending signed below, have personally reviewed the images and agree with the report transcribed above. Interpreted by Attending Radiologist: stark, sadie Authored By : Sadie, Stark Approval Date : 9/27/08 ", 201821,CheXpert_Demo_Images\train\patient50470\study2\view1_frontal.jpg,patient50470,"NARRATIVE: Exam: Chest 1 View, 8/17/2008 Clinical History: 71 years Female with Post op eval Comparison: 8/17/2008 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE FEEDING TUBE AND TRACHEOSTOMY TUBE WHEN COMPARED TO PRIOR FROM 8-17-2008. MEDIASTINAL SURGICAL CLIPS AND STERNAL WIRES ARE SEEN IN PLACE WITH STABLE CARDIOMEGALY. THERE IS A DIFFUSE RETICULAR PATTERN WITH MORE CONFLUENT OPACITY IN THE LEFT RETROCARDIAC REGION. THERE IS LIKELY A LEFT PLEURAL EFFUSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 5-6-2 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE FEEDING TUBE AND TRACHEOSTOMY TUBE WHEN COMPARED TO PRIOR FROM 8-17-2008. MEDIASTINAL SURGICAL CLIPS AND STERNAL WIRES ARE SEEN IN PLACE WITH STABLE CARDIOMEGALY. THERE IS A DIFFUSE RETICULAR PATTERN WITH MORE CONFLUENT OPACITY IN THE LEFT RETROCARDIAC REGION. THERE IS LIKELY A LEFT PLEURAL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 25070,CheXpert_Demo_Images\train\patient06131\study1\view1_frontal.jpg,patient06131,"NARRATIVE: SINGLE VIEW OF THE CHEST: 9-22-2008 COMPARISON: None. CLINICAL HISTORY: Seventy-six-year-old female, admission film. IMPRESSION: 1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST DEMONSTRATES CLEAR LUNG FIELDS BILATERALLY WITH NO EVIDENCE OF PULMONARY EDEMA OR FOCAL PARENCHYMAL OPACITY. CARDIOMEDIASTINAL SILHOUETTE AND HILA ARE WITHIN NORMAL LIMITS GIVEN TECHNIQUE. NO PLEURAL EFFUSIONS. NO RADIOGRAPHIC EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 5340-981 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST DEMONSTRATES CLEAR LUNG FIELDS BILATERALLY WITH NO EVIDENCE OF PULMONARY EDEMA OR FOCAL PARENCHYMAL OPACITY. CARDIOMEDIASTINAL SILHOUETTE AND HILA ARE WITHIN NORMAL LIMITS GIVEN TECHNIQUE. NO PLEURAL EFFUSIONS. NO RADIOGRAPHIC EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. ","1-NO SIGNIFICANT ABNORMALITY " 169944,CheXpert_Demo_Images\train\patient39676\study11\view1_frontal.jpg,patient39676,"NARRATIVE: Chest 1 View, 1/28/09 HISTORY: 56 years Male, PTX eval COMPARISON: 1/28/2009 IMPRESSION: 1.SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF A LEFT ANTERIOR CHEST WALL MEDIPORT AS WELL AS OF A RIGHT PLEURAL PIGTAIL CATHETER. 2.STABLE TINY RIGHT APICAL PNEUMOTHORAX. 3.REDEMONSTRATION OF BILATERAL NODULES AND MASS LESIONS, MOST CONFLUENT IN THE RIGHT COSTOPHRENIC ANGLE, COMPATIBLE WITH KNOWN METASTATIC DISEASE. 4.NO SIGNIFICANT CHANGE COMPARED TO PRIOR EXAM. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 2628637089 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF A LEFT ANTERIOR CHEST WALL MEDIPORT AS WELL AS OF A RIGHT PLEURAL PIGTAIL CATHETER. 2.STABLE TINY RIGHT APICAL PNEUMOTHORAX. 3.REDEMONSTRATION OF BILATERAL NODULES AND MASS LESIONS, MOST CONFLUENT IN THE RIGHT COSTOPHRENIC ANGLE, COMPATIBLE WITH KNOWN METASTATIC DISEASE. 4.NO SIGNIFICANT CHANGE COMPARED TO PRIOR EXAM. "," 2-ABNORMAL, PREVIOUSLY REPORTED " 131751,CheXpert_Demo_Images\train\patient31589\study1\view1_frontal.jpg,patient31589,"NARRATIVE: CHEST, TWO VIEW: 3/13/2019. COMPARISON: None. IMPRESSION: 1. TWO VIEWS OF THE CHEST SHOW CLEAR LUNG PARENCHYMA AND PLEURA. NO PLEURAL EFFUSIONS OR PNEUMOTHORAX. NORMAL VARIANT ANATOMY IS NOTED AT THE LEFT ANTERIOR COSTOCHONDRAL JUNCTION. NO ACUTE OR SUBACUTE OSSEOUS ABNORMALITIES. 2. SLIGHT PROMINENCE AT THE RIGHT TRACHEOBRONCHIAL ANGLE, LIKELY AZYGOS VEIN. BRONCHOGENIC CYST, LYMPH NODE, OR OTHER MASS PATHOLOGY CANNOT BE EXCLUDED RADIOGRAPHICALLY. END OF IMPRESSION. __________________________________ ACCESSION NUMBER: 790691 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO VIEWS OF THE CHEST SHOW CLEAR LUNG PARENCHYMA AND PLEURA. NO PLEURAL EFFUSIONS OR PNEUMOTHORAX. NORMAL VARIANT ANATOMY IS NOTED AT THE LEFT ANTERIOR COSTOCHONDRAL JUNCTION. NO ACUTE OR SUBACUTE OSSEOUS ABNORMALITIES. 2. SLIGHT PROMINENCE AT THE RIGHT TRACHEOBRONCHIAL ANGLE, LIKELY AZYGOS VEIN. BRONCHOGENIC CYST, LYMPH NODE, OR OTHER MASS PATHOLOGY CANNOT BE EXCLUDED RADIOGRAPHICALLY. ", 188020,CheXpert_Demo_Images\train\patient44878\study1\view1_frontal.jpg,patient44878,"NARRATIVE: X-RAY CHEST ONE VIEW: 12-26-2016 COMPARISON: X-ray chest 12/26/2016. CLINICAL HISTORY: A 96 year old female with history of cardiac PE. IMPRESSION: SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A NORMAL CARDIAC MEDIASTINAL SILHOUETTE. NO DEFINITE EVIDENCE OF EFFUSION, CONSOLIDATION, OR PNEUMOTHORAX. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6 0 4 8 3 3 7 5 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A NORMAL CARDIAC MEDIASTINAL SILHOUETTE. NO DEFINITE EVIDENCE OF EFFUSION, CONSOLIDATION, OR PNEUMOTHORAX. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 58079,CheXpert_Demo_Images\train\patient14058\study1\view2_lateral.jpg,patient14058,"NARRATIVE: CHEST: 09/29 Frontal and lateral views COMPARISON: 9/04 IMPRESSION: 1. THE PREVIOUSLY NOTED NODULAR DENSITY IN THE RIGHT LOWER LUNG ZONE IS LESS CLEARLY SEEN ON THE FRONTAL FILM AND IS NOT SEEN ON THE LATERAL FILM. THIS MAY REPRESENT A FOCAL REGION OF CONSOLIDATION WHICH IS IMPROVED. RECOMMEND ATTENTION ON FOLLOW-UP. 2. BAND-LIKE OPACITY IN THE RETROCARDIAC REGION OF THE LEFT LOWER LOBE, LIKELY SUBSEGMENTAL ATELECTASIS. 3. NO PLEURAL EFFUSION. 4. POSSIBLE MILD PULMONARY EDEMA. 5. MILD CARDIOMEGALY. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Eduard, Bauer on: 9/29/2004 ACCESSION NUMBER: 21661892701 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE PREVIOUSLY NOTED NODULAR DENSITY IN THE RIGHT LOWER LUNG ZONE IS LESS CLEARLY SEEN ON THE FRONTAL FILM AND IS NOT SEEN ON THE LATERAL FILM. THIS MAY REPRESENT A FOCAL REGION OF CONSOLIDATION WHICH IS IMPROVED. RECOMMEND ATTENTION ON FOLLOW-UP. 2. BAND-LIKE OPACITY IN THE RETROCARDIAC REGION OF THE LEFT LOWER LOBE, LIKELY SUBSEGMENTAL ATELECTASIS. 3. NO PLEURAL EFFUSION. 4. POSSIBLE MILD PULMONARY EDEMA. 5. MILD CARDIOMEGALY. "," 2: ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Eduard, Bauer on: 9/29/2004 " 136901,CheXpert_Demo_Images\train\patient32869\study4\view1_frontal.jpg,patient32869,"NARRATIVE: PA AND LATERAL VIEWS OF THE CHEST: 1-17-2008. COMPARISON: 1-17-08. CLINICAL HISTORY: A 60-year-old male, with chest pain. FINDINGS: PA and lateral views of the upright chest re-demonstrate coronary artery bypass postsurgical changes with surrounding wires, mediastinal vascular clips, and coronary ostial markers. The cardiomediastinal silhouette is within normal limits. The descending thoracic aorta is mildly tortuous. The lungs appear clear, without pulmonary edema or focal consolidations. Healing right-sided rib fractures are re-demonstrated, along with posttraumatic changes of the proximal left humerus, fracture of the mid left clavicle, and left acromioclavicular separation. IMPRESSION: NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. NO PULMONARY EDEMA. STABLE POSTSURGICAL CHANGES. EVOLVING POSTTRAUMATIC CHANGES OF RIGHT-SIDED RIBS AND PROXIMAL LEFT HUMERUS, AND LEFT CLAVICLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 446380281 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral views of the upright chest re-demonstrate coronary artery bypass postsurgical changes with surrounding wires, mediastinal vascular clips, and coronary ostial markers. The cardiomediastinal silhouette is within normal limits. The descending thoracic aorta is mildly tortuous. The lungs appear clear, without pulmonary edema or focal consolidations. Healing right-sided rib fractures are re-demonstrated, along with posttraumatic changes of the proximal left humerus, fracture of the mid left clavicle, and left acromioclavicular separation. "," NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. NO PULMONARY EDEMA. STABLE POSTSURGICAL CHANGES. EVOLVING POSTTRAUMATIC CHANGES OF RIGHT-SIDED RIBS AND PROXIMAL LEFT HUMERUS, AND LEFT CLAVICLE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 199972,CheXpert_Demo_Images\train\patient49607\study1\view1_frontal.jpg,patient49607,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: February 12th 2017 CLINICAL HISTORY: 34 years of age, Female, Post op. COMPARISON: 2/12/2017 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval surgical changes with placement of a right internal jugular central venous catheter and Swan-Ganz catheter terminating in the main pulmonary artery, endotracheal tube, naso/orogastric tube, mitral valve, thoracic drains and epicardial pacer wires. Small right apical pneumothorax. Right base opacity seen which may reflect atelectasis or aspiration. The cardiac mediastinal silhouette is within normal limits. IMPRESSION: 1. Interval surgery with a small right apical pneumothorax and right base opacity which may reflect atelectasis or aspiration. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7167843 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval surgical changes with placement of a right internal jugular central venous catheter and Swan-Ganz catheter terminating in the main pulmonary artery, endotracheal tube, naso/orogastric tube, mitral valve, thoracic drains and epicardial pacer wires. Small right apical pneumothorax. Right base opacity seen which may reflect atelectasis or aspiration. The cardiac mediastinal silhouette is within normal limits. "," 1. Interval surgery with a small right apical pneumothorax and right base opacity which may reflect atelectasis or aspiration. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 126343,CheXpert_Demo_Images\train\patient30299\study1\view1_frontal.jpg,patient30299,"NARRATIVE: COMPARISON: None available at time of reporting. CLINICAL HISTORY: Congestive cardiac failure. Status post BIV ICD upgrade. IMPRESSION: AP SEMIERECT FILM. THERE IS A LEFT-SIDED AICD DEVICE, WITH 4 LEADS PROJECTING OVER THE CARDIAC SILHOUETTE. MODERATE CARDIOMEGALY IS PRESENT. MINIMAL OPACIFICATION IS SEEN AT THE LUNG BASES, LIKELY REPRESENTING ATELECTASIS. THE LUNGS OTHERWISE APPEAR CLEAR. NO PNEUMOTHORAX. END OF IMPRESSION SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 338024495 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AP SEMIERECT FILM. THERE IS A LEFT-SIDED AICD DEVICE, WITH 4 LEADS PROJECTING OVER THE CARDIAC SILHOUETTE. MODERATE CARDIOMEGALY IS PRESENT. MINIMAL OPACIFICATION IS SEEN AT THE LUNG BASES, LIKELY REPRESENTING ATELECTASIS. THE LUNGS OTHERWISE APPEAR CLEAR. NO PNEUMOTHORAX. "," 2 ABNORMAL, PREVIOUSLY REPORTED " 100637,CheXpert_Demo_Images\train\patient24217\study1\view1_frontal.jpg,patient24217,"NARRATIVE: CHEST PA AND LATERAL: 3/16/04 CLINICAL HISTORY: Decreased breast sounds in left lower lobe and nonproductive cough for four weeks. COMPARISON: None. FINDINGS: The bones, soft tissues, heart, and lungs are within normal limits. There is no consolidation in the lungs. Nipple shadows are noted bilaterally. IMPRESSION: WITHIN NORMAL LIMITS CHEST. NO EVIDENCE OF PNEUMONIA. SUMMARY:1-NO SIGNIFICANT ABNORMALITY. ACCESSION NUMBER: #198279021 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The bones, soft tissues, heart, and lungs are within normal limits. There is no consolidation in the lungs. Nipple shadows are noted bilaterally. "," WITHIN NORMAL LIMITS CHEST. NO EVIDENCE OF PNEUMONIA. ","1-NO SIGNIFICANT ABNORMALITY. " 52252,CheXpert_Demo_Images\train\patient12741\study2\view1_frontal.jpg,patient12741,"NARRATIVE: CHEST: 7-8-2005. COMPARISON: 7/8/2005. CLINICAL HISTORY: New central line. IMPRESSION: 1. AP SEMI-ERECT CHEST RADIOGRAPH TAKEN IN RECOVERY DEMONSTRATES INTERVAL PLACEMENT OF A LEFT IJ VENOUS LINE, WITH THE TIP IN THE LEFT BRACHIOCEPHALIC VEIN. 2. LUNG VOLUMES ARE LOW, WITH MINIMAL ATELECTASIS AT THE LEFT BASE. THE LUNGS OTHERWISE APPEAR CLEAR. NO PNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: #IRCNRDJCCK This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP SEMI-ERECT CHEST RADIOGRAPH TAKEN IN RECOVERY DEMONSTRATES INTERVAL PLACEMENT OF A LEFT IJ VENOUS LINE, WITH THE TIP IN THE LEFT BRACHIOCEPHALIC VEIN. 2. LUNG VOLUMES ARE LOW, WITH MINIMAL ATELECTASIS AT THE LEFT BASE. THE LUNGS OTHERWISE APPEAR CLEAR. NO PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED. " 30282,CheXpert_Demo_Images\train\patient07381\study1\view2_lateral.jpg,patient07381,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11/5/2007 CLINICAL HISTORY: 45 years of age, Male, Executive medicine physical. COMPARISON: None. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: PA and lateral radiographs of the chest demonstrate no lobar consolidations, pleural effusions, pulmonary edema, or pneumothorax. Multiple linear opacities seen across the bilateral lower lung zones, left greater than right, are favored to reflect linear atelectasis or scarring. The cardiomediastinal silhouette does not appear enlarged. No acute bony or soft tissue abnormalities are identified. IMPRESSION: 1. Thin linear opacities across the bilateral lung bases, left greater than right, are favored to reflect atelectasis or scarring; otherwise, no lobar consolidations, pleural effusions, pulmonary edema, or pneumothorax are identified. ACCESSION NUMBER: 244000 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral radiographs of the chest demonstrate no lobar consolidations, pleural effusions, pulmonary edema, or pneumothorax. Multiple linear opacities seen across the bilateral lower lung zones, left greater than right, are favored to reflect linear atelectasis or scarring. The cardiomediastinal silhouette does not appear enlarged. No acute bony or soft tissue abnormalities are identified. "," 1. Thin linear opacities across the bilateral lung bases, left greater than right, are favored to reflect atelectasis or scarring; otherwise, no lobar consolidations, pleural effusions, pulmonary edema, or pneumothorax are identified. ", 215739,CheXpert_Demo_Images\train\patient58765\study2\view1_frontal.jpg,patient58765,"NARRATIVE: UPRIGHT FRONTAL CHEST FILMS: 3-27-2016 CLINICAL HISTORY: A 68-year-old male follow-up central line placement. COMPARISON: Chest MARCH 2016 1633. IMPRESSION: 1. INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH ITS TIP IN THE DISTAL SVC AND AN EPIDURAL CATHETER. 2. OVERALL DECREASED LOWER LUNG VOLUMES WITH A DIFFUSE RETICULAR PATTERN DUE TO EITHER LOW LUNG VOLUMES OR SUPERIMPOSED PULMONARY EDEMA. THIS IS STABLE ON THE FOLLOW-UP STUDY. 3. PNEUMOPERITONEUM FROM THE PATIENT'S RECENT PROCEDURE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 5851643010 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH ITS TIP IN THE DISTAL SVC AND AN EPIDURAL CATHETER. 2. OVERALL DECREASED LOWER LUNG VOLUMES WITH A DIFFUSE RETICULAR PATTERN DUE TO EITHER LOW LUNG VOLUMES OR SUPERIMPOSED PULMONARY EDEMA. THIS IS STABLE ON THE FOLLOW-UP STUDY. 3. PNEUMOPERITONEUM FROM THE PATIENT'S RECENT PROCEDURE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 77186,CheXpert_Demo_Images\train\patient18572\study1\view1_frontal.jpg,patient18572,"NARRATIVE: CHEST, ONE VIEW, 3-6-2008 AT 1020 HOURS IMPRESSION: THERE IS MILD PULMONARY EDEMA. LEFT PICC LINE HAS THE TIP AT THE CAVOATRIAL JUNCTION. NASOGASTRIC TUBE IS COILED WITHIN THE STOMACH. END OF IMPRESSION: SUMMARY: 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kline MD on: 3-6-2008 ACCESSION NUMBER: 35234708 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," THERE IS MILD PULMONARY EDEMA. LEFT PICC LINE HAS THE TIP AT THE CAVOATRIAL JUNCTION. NASOGASTRIC TUBE IS COILED WITHIN THE STOMACH. "," 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kline MD on: 3-6-2008 " 125241,CheXpert_Demo_Images\train\patient30024\study1\view1_frontal.jpg,patient30024,"NARRATIVE: CHEST ONE VIEW: 2015/09/29 COMPARISON: None. IMPRESSION: 1. SUPINE FILM ON TRAUMA BOARD. 2. NO EVIDENCE OF RIB FRACTURE. NO EVIDENCE OF PNEUMOTHORAX. 3. THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. THE LUNG ZONES ARE CLEAR. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Plagmann, Itzel on: 9/29/15 ACCESSION NUMBER: s-o-s-m-h This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SUPINE FILM ON TRAUMA BOARD. 2. NO EVIDENCE OF RIB FRACTURE. NO EVIDENCE OF PNEUMOTHORAX. 3. THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. THE LUNG ZONES ARE CLEAR. "," 1 NO SIGNIFICANT ABNORMALITY. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Plagmann, Itzel on: 9/29/15 " 179379,CheXpert_Demo_Images\train\patient42169\study1\view2_lateral.jpg,patient42169,"NARRATIVE: CHEST: 12/7/2000. CLINICAL HISTORY: Chest pain with endstage renal disease. COMPARISON: 12/7/2000. IMPRESSION: 1. THE PREVIOUSLY SEEN LEFT PLEURAL EFFUSION HAS RESOLVED. THERE IS NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE IN THE PRESENT STUDY. 2. DEGENERATIVE DISK DISEASE IS SEEN IN THE THORACIC SPINE. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: RN Blackwell Kate Anderson. on: 12/7/2000 ACCESSION NUMBER: 6642-6935 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE PREVIOUSLY SEEN LEFT PLEURAL EFFUSION HAS RESOLVED. THERE IS NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE IN THE PRESENT STUDY. 2. DEGENERATIVE DISK DISEASE IS SEEN IN THE THORACIC SPINE. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: RN Blackwell Kate Anderson. on: 12/7/2000 " 209003,CheXpert_Demo_Images\train\patient54582\study1\view1_frontal.jpg,patient54582,"NARRATIVE: EXAM: Chest 1 View, 9/8/13 CLINICAL HISTORY: 45 years Male S/p picc placement COMPARISON: 9/8/2013, 9/8/2013 IMPRESSION: 1.PLACEMENT LEFT PICC LINE WITH TIP 4-CM BELOW CARINA. 2.INTERVAL EXTUBATION. 3.PERSISTENT LOW VOLUMES WITH ABNORMAL OPACITY IN BASES. PROBABLY SMALL LEFT-SIDED PLEURAL EFFUSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #8165225 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PLACEMENT LEFT PICC LINE WITH TIP 4-CM BELOW CARINA. 2.INTERVAL EXTUBATION. 3.PERSISTENT LOW VOLUMES WITH ABNORMAL OPACITY IN BASES. PROBABLY SMALL LEFT-SIDED PLEURAL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED " 14807,CheXpert_Demo_Images\train\patient03674\study1\view2_lateral.jpg,patient03674,"NARRATIVE: EXAM: Chest 2 Views, March 2020. HISTORY: 34 years Female, Indication Chest Pain. COMPARISON: NONE. IMPRESSION: 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LUNGS DEMONSTRATE NO FOCAL OPACITY. NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8b9j5i This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LUNGS DEMONSTRATE NO FOCAL OPACITY. NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 100119,CheXpert_Demo_Images\train\patient24121\study1\view1_frontal.jpg,patient24121,"NARRATIVE: Chest Post Needle Biopsy: 3-26-2010 HISTORY: Male, 81 years old, Left lung biopsy. COMPARISON: CT chest 3-26-2010 at 1324 hrs IMPRESSION: Small left apical pneumothorax and blunting of the left costophrenic angle, status post CT guided biopsy. 2.2-cm pulmonary nodule in the left upper lobe, not to be FDG avid on recent head CT. Normal heart size and pulmonary vascularity. Clear right lung without right pleural effusion. Multilevel spine degenerative changes. Findings communicated to Adam, Curry in person via CT nurse at 2pm on 3-26-10. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: YPI75Zmd0 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Small left apical pneumothorax and blunting of the left costophrenic angle, status post CT guided biopsy. 2.2-cm pulmonary nodule in the left upper lobe, not to be FDG avid on recent head CT. Normal heart size and pulmonary vascularity. Clear right lung without right pleural effusion. Multilevel spine degenerative changes. Findings communicated to Adam, Curry in person via CT nurse at 2pm on 3-26-10. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 211239,CheXpert_Demo_Images\train\patient55981\study1\view2_lateral.jpg,patient55981,"NARRATIVE: EXAM: Chest 2 Views, 1/22/2018. HISTORY: 67 years Female, Febrile, eval for PNA. COMPARISON: 1/22/2018. IMPRESSION: 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE A RIGHT UPPER EXTREMITY PICC WITH TIP IN THE DISTAL SVC. A FEEDING TUBE IS PRESENT, AND NOW APPEARS COILED WITHIN THE FUNDUS OF THE STOMACH. THE TIP OF THE TUBE IS BELOW THE CONFINES OF THE FILM. 2.STABLE CARDIOMEGALY. NO PULMONARY EDEMA. 3.SMALL BILATERAL PLEURAL EFFUSIONS APPEAR NEW FROM PRIOR. MINIMAL RETICULAR OPACITIES AT THE LUNG BASES LIKELY REFLECT ATELECTASIS. 4.OSTEOPENIA. NO ACUTE OSSEOUS NORMALITY. DEGENERATIVE CHANGES OF THE RIGHT GREATER THAN LEFT ACROMIOCLAVICULAR JOINTS ARE PRESENT. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 0566383554 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE A RIGHT UPPER EXTREMITY PICC WITH TIP IN THE DISTAL SVC. A FEEDING TUBE IS PRESENT, AND NOW APPEARS COILED WITHIN THE FUNDUS OF THE STOMACH. THE TIP OF THE TUBE IS BELOW THE CONFINES OF THE FILM. 2.STABLE CARDIOMEGALY. NO PULMONARY EDEMA. 3.SMALL BILATERAL PLEURAL EFFUSIONS APPEAR NEW FROM PRIOR. MINIMAL RETICULAR OPACITIES AT THE LUNG BASES LIKELY REFLECT ATELECTASIS. 4.OSTEOPENIA. NO ACUTE OSSEOUS NORMALITY. DEGENERATIVE CHANGES OF THE RIGHT GREATER THAN LEFT ACROMIOCLAVICULAR JOINTS ARE PRESENT. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 211348,CheXpert_Demo_Images\train\patient56051\study1\view1_frontal.jpg,patient56051,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST POST NEEDLE BIOPSY: 8-30-2004 CLINICAL HISTORY: 81 years of age, Male, S/p right lung biopsy. COMPARISON: Outside chest radiograph from 04 august 30; CT thorax from 8-30-2004. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: A left-sided dual-lead pacer is present. There is volume loss in the right lung with right-sided rib deformities and suture material at the right lung base. Right basilar opacities could represent small post biopsy hemorrhage. Right basilar mass seen on prior CT from 8-30-2004 is obscured by the right heart border. No definite pneumothorax. No acute osseous abnormalities. Stable cardiomediastinal silhouette. IMPRESSION: 1. Opacities in the right lung base that could represent a small amount of post-biopsy hemorrhage. No visible pneumothorax. Right basilar mass seen on prior CT from 8-30-2004 is obscured by the right heart border in this study. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 10933 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A left-sided dual-lead pacer is present. There is volume loss in the right lung with right-sided rib deformities and suture material at the right lung base. Right basilar opacities could represent small post biopsy hemorrhage. Right basilar mass seen on prior CT from 8-30-2004 is obscured by the right heart border. No definite pneumothorax. No acute osseous abnormalities. Stable cardiomediastinal silhouette. "," 1. Opacities in the right lung base that could represent a small amount of post-biopsy hemorrhage. No visible pneumothorax. Right basilar mass seen on prior CT from 8-30-2004 is obscured by the right heart border in this study. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 179679,CheXpert_Demo_Images\train\patient42261\study4\view1_frontal.jpg,patient42261,"NARRATIVE: PORTABLE CHEST: 6-19-2002 AT 0854 HOURS COMPARISON: 6/19/2002 CLINICAL DATA: Evaluate for edema. IMPRESSION: 1. NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS POST NEAR COMPLETE OPACIFICATION OF THE LEFT HEMITHORAX CONSISTENT WITH THE PATIENT'S UNDERLYING HISTORY OF MASS LESION. 2. UNCHANGED RIGHT PLEURAL EFFUSION WITH ATELECTASIS AT THE RIGHT LUNG BASE, LIKELY REPRESENTING RIGHT LOWER LOBE AND PORTIONS OF THE RIGHT MIDDLE LOBE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #441248490853 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS POST NEAR COMPLETE OPACIFICATION OF THE LEFT HEMITHORAX CONSISTENT WITH THE PATIENT'S UNDERLYING HISTORY OF MASS LESION. 2. UNCHANGED RIGHT PLEURAL EFFUSION WITH ATELECTASIS AT THE RIGHT LUNG BASE, LIKELY REPRESENTING RIGHT LOWER LOBE AND PORTIONS OF THE RIGHT MIDDLE LOBE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 77643,CheXpert_Demo_Images\train\patient18670\study15\view1_frontal.jpg,patient18670,"NARRATIVE: CHEST, ONE VIEW: july 2010 CLINICAL HISTORY: A 56-year-old man with worsening shortness of breath. IMPRESSION: 1. SINGLE UPRIGHT AP VIEW OF THE CHEST IS LIMITED DUE TO RESPIRATORY MOTION. A PACING WIRE IS AGAIN SEEN OVERLYING THE LEFT HEMITHORAX. 2. STABLE CARDIOMEGALY. NO SIGNIFICANT CHANGE COMPARED TO PRIOR EXAM WITH NO DEFINITE PULMONARY EDEMA THOUGH EVALUATION IS LIMITED BY MOTION. 3. POSSIBLE SMALL BILATERAL PLEURAL EFFUSIONS. SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: 5721422598276 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE UPRIGHT AP VIEW OF THE CHEST IS LIMITED DUE TO RESPIRATORY MOTION. A PACING WIRE IS AGAIN SEEN OVERLYING THE LEFT HEMITHORAX. 2. STABLE CARDIOMEGALY. NO SIGNIFICANT CHANGE COMPARED TO PRIOR EXAM WITH NO DEFINITE PULMONARY EDEMA THOUGH EVALUATION IS LIMITED BY MOTION. 3. POSSIBLE SMALL BILATERAL PLEURAL EFFUSIONS. "," 2 ABNORMAL, PREVIOUSLY REPORTED. " 116106,CheXpert_Demo_Images\train\patient27852\study5\view1_frontal.jpg,patient27852,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 7-9-2004 CLINICAL HISTORY: 84 years of age, Female, Assess fluid status. COMPARISON: 7-9-2004 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: 7/9/2004 at 1301 The cardiomediastinal silhouette is unchanged. There is a persistent small bilateral pleural effusions, left greater than right. Left retrocardiac and bibasilar opacities suggestive of atelectasis or aspiration. Diffuse reticular opacities are again seen suggestive of pulmonary edema. 7-9-2004 Interval increase in reticular pattern of the lung suggestive of edema. Redemonstration of small bilateral pleural effusions, left greater than right. Persistent bibasilar opacities suggestive of atelectasis or aspiration. IMPRESSION: 1. Mild pulmonary edema. 2. Small bilateral pleural effusions. 3. Left retrocardiac and bibasilar opacities suggestive of atelectasis or aspiration. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 87431242462 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 7/9/2004 at 1301 The cardiomediastinal silhouette is unchanged. There is a persistent small bilateral pleural effusions, left greater than right. Left retrocardiac and bibasilar opacities suggestive of atelectasis or aspiration. Diffuse reticular opacities are again seen suggestive of pulmonary edema. 7-9-2004 Interval increase in reticular pattern of the lung suggestive of edema. Redemonstration of small bilateral pleural effusions, left greater than right. Persistent bibasilar opacities suggestive of atelectasis or aspiration. "," 1. Mild pulmonary edema. 2. Small bilateral pleural effusions. 3. Left retrocardiac and bibasilar opacities suggestive of atelectasis or aspiration. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 90314,CheXpert_Demo_Images\train\patient21713\study1\view2_lateral.jpg,patient21713,"NARRATIVE: TWO VIEW CHEST: 12-18-2014 AT 06:45 HOURS CLINICAL HISTORY: 62-year-old female with possible perforation, status post pacemaker revision. COMPARISON: 12/18/2014 at 07:10 hours. IMPRESSION: 1. DUAL-LEAD CARDIAC PACER IN PLACE WITH AN INTACT SINGLE ATRIAL LEAD AND INTACT VENTRICULAR LEAD. 2. NO PNEUMOTHORAX. 3. CARDIOMEDIASTINAL SILHOUETTE IS STABLE FROM PRIOR. NO RADIOGRAPHIC EVIDENCE TO SUGGEST ACUTE PULMONARY OR CARDIAC ABNORMALITY. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: hunt christian, md on: 2014 december 18 ACCESSION NUMBER: XMMQVDGIQ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. DUAL-LEAD CARDIAC PACER IN PLACE WITH AN INTACT SINGLE ATRIAL LEAD AND INTACT VENTRICULAR LEAD. 2. NO PNEUMOTHORAX. 3. CARDIOMEDIASTINAL SILHOUETTE IS STABLE FROM PRIOR. NO RADIOGRAPHIC EVIDENCE TO SUGGEST ACUTE PULMONARY OR CARDIAC ABNORMALITY. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: hunt christian, md on: 2014 december 18 " 211012,CheXpert_Demo_Images\train\patient55824\study1\view1_frontal.jpg,patient55824,"NARRATIVE: CHEST: CLINICAL HISTORY: 70 -year-old female with history of internal jugular placement. COMPARISON: 4-21-06 TECHNIQUE: Portable AP supine chest. IMPRESSION: 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH THE TIP LOCATED PERIPHERAL SUPERIOR VENA CAVA. 2. LOW LUNG VOLUMES PRESENT. OTHERWISE, THE LUNGS ARE CLEAR WITH NO EVIDENCE OF PNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: ihufhnnDKJ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH THE TIP LOCATED PERIPHERAL SUPERIOR VENA CAVA. 2. LOW LUNG VOLUMES PRESENT. OTHERWISE, THE LUNGS ARE CLEAR WITH NO EVIDENCE OF PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 223016,CheXpert_Demo_Images\train\patient64352\study1\view1_frontal.jpg,patient64352,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11/24/2018 CLINICAL HISTORY: 31 years of age, Male, Shortness of breath, tachycardia, fever. COMPARISON: 11-24-2018 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Unchanged position of right arm PICC line. Persistent elevation of the left hemidiaphragm with a small to moderate pleural effusion. Left basilar opacity is slightly improved from comparison examination. Pneumoperitoneum related to abdominal surgery is again seen. Lung fields are otherwise clear. IMPRESSION: 1. Slightly improved left basilar opacity consistent with atelectasis versus consolidation. 2. Persistent small to moderate left-sided pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 20-48-79-20-17-55 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Unchanged position of right arm PICC line. Persistent elevation of the left hemidiaphragm with a small to moderate pleural effusion. Left basilar opacity is slightly improved from comparison examination. Pneumoperitoneum related to abdominal surgery is again seen. Lung fields are otherwise clear. "," 1. Slightly improved left basilar opacity consistent with atelectasis versus consolidation. 2. Persistent small to moderate left-sided pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 169506,CheXpert_Demo_Images\train\patient39566\study1\view1_frontal.jpg,patient39566,"NARRATIVE: CHEST, AP PORTABLE SEMIUPRIGHT: 4-11-2007. COMPARISON: 4/11/2007. CLINICAL HISTORY: Fall, injury. FINDINGS: The cardiomediastinal silhouette appears unremarkable. Somewhat low lung volumes are noted with prominent bronchovascular markings at the lung bases, no consolidation or pleural fluid. No pneumothorax. The heart is not enlarged. Aortic tortuosity and calcification appear unchanged. No rib fracture identified. IMPRESSION: 1. LOW LUNG VOLUMES WITHOUT RIB FRACTURE OR ACUTE ABNORMALITY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 178-146-1 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette appears unremarkable. Somewhat low lung volumes are noted with prominent bronchovascular markings at the lung bases, no consolidation or pleural fluid. No pneumothorax. The heart is not enlarged. Aortic tortuosity and calcification appear unchanged. No rib fracture identified. "," 1. LOW LUNG VOLUMES WITHOUT RIB FRACTURE OR ACUTE ABNORMALITY. ","2-ABNORMAL, PREVIOUSLY REPORTED " 205332,CheXpert_Demo_Images\train\patient52303\study1\view1_frontal.jpg,patient52303,"NARRATIVE: CHEST: COMPARISON: 6/23/2006-6/23/2006 IMPRESSION: 1. STABLE CHEST WITH INCREASED INTERSTITIAL MARKINGS AND PROBABLE SMALL LEFT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY 2: Abnormal; previously reported. ACCESSION NUMBER: U3N07 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE CHEST WITH INCREASED INTERSTITIAL MARKINGS AND PROBABLE SMALL LEFT PLEURAL EFFUSION. "," 2: Abnormal; previously reported. " 100250,CheXpert_Demo_Images\train\patient24155\study2\view1_frontal.jpg,patient24155,"NARRATIVE: EXAM: Chest 1 View, 5/18 CLINICAL HISTORY: Hypotension, eval for infection COMPARISON: 5-18-2018 IMPRESSION: 1.FRONTAL VIEW OF THE CHEST DEMONSTRATE NO LINES OR TUBES. 2.LOWER LUNG VOLUMES WITH INTERVAL APPEARANCE OF A LATERAL RIGHT BASE OPACITY CONCERNING FOR INFECTION. 3.MILD PULMONARY EDEMA VERSUS PROMINENCE OF THE VASCULATURE SECONDARY TO LOWER LUNG VOLUMES. 4.STABLE CARDIOMEGALY. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 196489557 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL VIEW OF THE CHEST DEMONSTRATE NO LINES OR TUBES. 2.LOWER LUNG VOLUMES WITH INTERVAL APPEARANCE OF A LATERAL RIGHT BASE OPACITY CONCERNING FOR INFECTION. 3.MILD PULMONARY EDEMA VERSUS PROMINENCE OF THE VASCULATURE SECONDARY TO LOWER LUNG VOLUMES. 4.STABLE CARDIOMEGALY. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 36330,CheXpert_Demo_Images\train\patient08912\study1\view1_frontal.jpg,patient08912,"NARRATIVE: TWO VIEWS OF THE CHEST: 03-9-26 CLINICAL HISTORY: Hyponatremia. Prior lung nodules. COMPARISON: 9/26/2003 FINDINGS: The cardiomediastinal silhouette is stable. There is redemonstration of left base and right upper lung nodules which appear stable compared with 9/26/2003. There are streaky opacities of bilateral lung bases. Lungs are otherwise clear. Osseous structures are stable. IMPRESSION: 1. BIBASILAR OPACITIES LIKELY REFLECT ATELECTASIS RATHER THAN PNEUMONIA. 2. LEFT LOWER LUNG AND RIGHT UPPER LUNG NODULES ARE STABLE, BUT NONSPECIFIC AND CT THORAX COULD BE ORDERED FOR FURTHER EVALUATION, IF CLINICALLY INDICATED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 8612-3634-7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is stable. There is redemonstration of left base and right upper lung nodules which appear stable compared with 9/26/2003. There are streaky opacities of bilateral lung bases. Lungs are otherwise clear. Osseous structures are stable. "," 1. BIBASILAR OPACITIES LIKELY REFLECT ATELECTASIS RATHER THAN PNEUMONIA. 2. LEFT LOWER LUNG AND RIGHT UPPER LUNG NODULES ARE STABLE, BUT NONSPECIFIC AND CT THORAX COULD BE ORDERED FOR FURTHER EVALUATION, IF CLINICALLY INDICATED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 61699,CheXpert_Demo_Images\train\patient14898\study6\view1_frontal.jpg,patient14898,"NARRATIVE: PORTABLE CHEST, 10/5/2018: CLINICAL HISTORY: 61-year-old female, follow-up study. COMPARISON: 2018-10-05 IMPRESSION: 1. FEEDING TUBE AND LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER ARE UNCHANGED IN POSITION. 2. EDEMA HAS ALMOST COMPLETELY RESOLVED COMPARED TO THE PRIOR STUDY AND THERE ARE NO FOCAL AIRSPACE OPACITIES OR EFFUSIONS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: hw_00_ck_x6_09_44_3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FEEDING TUBE AND LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER ARE UNCHANGED IN POSITION. 2. EDEMA HAS ALMOST COMPLETELY RESOLVED COMPARED TO THE PRIOR STUDY AND THERE ARE NO FOCAL AIRSPACE OPACITIES OR EFFUSIONS. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 87017,CheXpert_Demo_Images\train\patient20919\study1\view1_frontal.jpg,patient20919,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11/10/2010 CLINICAL HISTORY: 35 years of age, Female, DKA, ro PNA. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: The cardiomediastinal silhouette is normal. Prominent perihilar reticular markings and vasculature. Right basilar opacities are present. Trace right pleural effusion. No pneumothorax is visualized. There are no acute osseous abnormalities. IMPRESSION: 1. Right basilar opacities which may be representative of atelectasis, though mild aspiration or infection cannot be excluded. 2. Mild pulmonary edema. ""Physician to Physician Radiology Consult Line: (409) 948-4002"" Signed ACCESSION NUMBER: 453090006 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is normal. Prominent perihilar reticular markings and vasculature. Right basilar opacities are present. Trace right pleural effusion. No pneumothorax is visualized. There are no acute osseous abnormalities. "," 1. Right basilar opacities which may be representative of atelectasis, though mild aspiration or infection cannot be excluded. 2. Mild pulmonary edema. ""Physician to Physician Radiology Consult Line: (409) 948-4002"" Signed ", 220496,CheXpert_Demo_Images\train\patient62063\study1\view1_frontal.jpg,patient62063,"NARRATIVE: SINGLE FRONTAL VIEW OF THE CHEST: 11/12/2006 CLINICAL HISTORY: Rule out MI. COMPARISON: No priors for comparison. FINDINGS: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. The lung parenchyma demonstrates mildly increased reticular markings diffusely throughout both lungs but no focal parenchymal opacity. Soft tissues and osseous structures demonstrate an old left-sided posterolateral rib fracture that has healed but no suspicious osseous lesions. IMPRESSION: 1. THERE IS THE APPEARANCE OF DIFFUSELY MILDLY INCREASED RETICULAR OPACITIES THROUGHOUT BOTH LUNGS, ALTHOUGH, THIS MAY BE RELATED TO TECHNIQUE AND CORRELATION WITH CLINICAL HISTORY MAY BE HELPFUL. THE DIFFERENTIAL WOULD INCLUDE ATYPICAL INFECTION VERSUS DRUG REACTION VERSUS HYPERSENSITIVITY PNEUMONITIS. 2. HEALED LEFT RIB FRACTURE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: uquitwnj This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. The lung parenchyma demonstrates mildly increased reticular markings diffusely throughout both lungs but no focal parenchymal opacity. Soft tissues and osseous structures demonstrate an old left-sided posterolateral rib fracture that has healed but no suspicious osseous lesions. "," 1. THERE IS THE APPEARANCE OF DIFFUSELY MILDLY INCREASED RETICULAR OPACITIES THROUGHOUT BOTH LUNGS, ALTHOUGH, THIS MAY BE RELATED TO TECHNIQUE AND CORRELATION WITH CLINICAL HISTORY MAY BE HELPFUL. THE DIFFERENTIAL WOULD INCLUDE ATYPICAL INFECTION VERSUS DRUG REACTION VERSUS HYPERSENSITIVITY PNEUMONITIS. 2. HEALED LEFT RIB FRACTURE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 185245,CheXpert_Demo_Images\train\patient43954\study1\view1_frontal.jpg,patient43954,"NARRATIVE: PORTABLE CHEST,SINGLE VIEW, 8-9-2020 NextRep Health 1540 HOURS: COMPARISON: 8/9/2020. CLINICAL HISTORY: Moya-Moya, evaluate line placement. IMPRESSION: 1. INTERVAL REMOVAL OF LEFT SUBCLAVIAN VENOUS LINE. INTERVAL PLACEMENT OF A RIGHT SUBCLAVIAN VENOUS LINE WITH THE TIP EXTENDING INTO THE LEFT SUBCLAVIAN VEIN. NO EVIDENCE OF PNEUMOTHORAX. 2. MILD DIFFUSE RETICULAR INTERSTITIAL PATTERN CONSISTENT WITH MILD PULMONARY EDEMA VERSUS MINIMAL ATELECTASIS DUE TO LOW LUNG VOLUMES. THE THORAX IS OTHERWISE UNREMARKABLE. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: fox, hope on: 20/8/9 ACCESSION NUMBER: 1-0-9-3-q-8-a-4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF LEFT SUBCLAVIAN VENOUS LINE. INTERVAL PLACEMENT OF A RIGHT SUBCLAVIAN VENOUS LINE WITH THE TIP EXTENDING INTO THE LEFT SUBCLAVIAN VEIN. NO EVIDENCE OF PNEUMOTHORAX. 2. MILD DIFFUSE RETICULAR INTERSTITIAL PATTERN CONSISTENT WITH MILD PULMONARY EDEMA VERSUS MINIMAL ATELECTASIS DUE TO LOW LUNG VOLUMES. THE THORAX IS OTHERWISE UNREMARKABLE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: fox, hope on: 20/8/9 " 121944,CheXpert_Demo_Images\train\patient29228\study2\view1_frontal.jpg,patient29228,"NARRATIVE: EXAM: Chest 2 Views, 4-20-2019 CLINICAL HISTORY: 53 years old with pain COMPARISON: 4-20-2019 IMPRESSION: 1.CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. LUNGS ARE CLEAR. NO PLEURAL EFFUSION. NO PNEUMOTHORAX. NO ACUTE BONY ABNORMALITIES. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: HGYZSTDBQ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. LUNGS ARE CLEAR. NO PLEURAL EFFUSION. NO PNEUMOTHORAX. NO ACUTE BONY ABNORMALITIES. ","1-NO SIGNIFICANT ABNORMALITY " 200425,CheXpert_Demo_Images\train\patient49798\study2\view1_frontal.jpg,patient49798,"NARRATIVE: CHEST AP PORTABLE: January 14th, 04 COMPARISON: 1/14/2004 CLINICAL HISTORY: Intubated. IMPRESSION: 1. SINGLE PORTABLE SUPINE AP VIEW OF THE CHEST REDEMONSTRATES AN ENDOTRACHEAL TUBE, TEMPERATURE PROBE AND NASOGASTRIC TUBE, WHICH ARE UNCHANGED IN POSITION. THE SIDEHOLE OF THE NASOGASTRIC TUBE IS AT THE LEVEL OF THE ESOPHAGOGASTRIC JUNCTION. 2. LUNG VOLUMES ARE LOW, BUT THERE IS NO EVIDENCE OF PULMONARY EDEMA, PLEURAL EFFUSION, OR NEW FOCAL PULMONIC OPACITY. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4189088295 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE SUPINE AP VIEW OF THE CHEST REDEMONSTRATES AN ENDOTRACHEAL TUBE, TEMPERATURE PROBE AND NASOGASTRIC TUBE, WHICH ARE UNCHANGED IN POSITION. THE SIDEHOLE OF THE NASOGASTRIC TUBE IS AT THE LEVEL OF THE ESOPHAGOGASTRIC JUNCTION. 2. LUNG VOLUMES ARE LOW, BUT THERE IS NO EVIDENCE OF PULMONARY EDEMA, PLEURAL EFFUSION, OR NEW FOCAL PULMONIC OPACITY. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 179455,CheXpert_Demo_Images\train\patient42198\study4\view1_frontal.jpg,patient42198,"NARRATIVE: EXAM: Chest 1 View 5/26/2010 CLINICAL HISTORY: 65 years old Female. Diminished breath sounds. COMPARISON: Portable AP Chest Radiograph, 26th May 10. IMPRESSION: 1.PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITIONING OF A RIGHT ARM PICC. 2.LEFT AXILLARY SURGICAL CLIPS ARE AGAIN SEEN. NEW LINEAR OPACITIES ARE SEEN OVERLYING THE LEFT AXILLA, WHICH ARE LIKELY EXTERNAL TO THE PATIENT. ATTENTION ON FOLLOW UP. 3.NORMAL CARDIOMEDIASTINAL SILHOUETTE WITHOUT EVIDENCE OF PULMONARY EDEMA. 4.CLEAR LUNGS WITHOUT FOCAL CONSOLIDATION, PLEURAL EFFUSION OR PNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4189z326 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITIONING OF A RIGHT ARM PICC. 2.LEFT AXILLARY SURGICAL CLIPS ARE AGAIN SEEN. NEW LINEAR OPACITIES ARE SEEN OVERLYING THE LEFT AXILLA, WHICH ARE LIKELY EXTERNAL TO THE PATIENT. ATTENTION ON FOLLOW UP. 3.NORMAL CARDIOMEDIASTINAL SILHOUETTE WITHOUT EVIDENCE OF PULMONARY EDEMA. 4.CLEAR LUNGS WITHOUT FOCAL CONSOLIDATION, PLEURAL EFFUSION OR PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 213551,CheXpert_Demo_Images\train\patient57435\study1\view1_frontal.jpg,patient57435,"NARRATIVE: Exam: Chest 1 View, 3/28/01 Clinical History: 47 years Female with S/p central line in or Comparison: 3/28/2001 IMPRESSION: 1.INTERVAL STATUS POST PLACEMENT OF A LEFT SUBCLAVIAN CENTRAL VENOUS LINE WITH THE TIP PROJECTING OVER THE SVC. 2.MARKEDLY DISTENDED STOMACH. 3.THE LUNGS REMAIN CLEAR, NO SIGNIFICANT PLEURAL EFFUSION, NO SIGNS OF PULMONARY EDEMA. NO EVIDENCE OF PNEUMOTHORAX. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 412-682 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INTERVAL STATUS POST PLACEMENT OF A LEFT SUBCLAVIAN CENTRAL VENOUS LINE WITH THE TIP PROJECTING OVER THE SVC. 2.MARKEDLY DISTENDED STOMACH. 3.THE LUNGS REMAIN CLEAR, NO SIGNIFICANT PLEURAL EFFUSION, NO SIGNS OF PULMONARY EDEMA. NO EVIDENCE OF PNEUMOTHORAX. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 110235,CheXpert_Demo_Images\train\patient26488\study4\view1_frontal.jpg,patient26488,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 9-10-2019 CLINICAL HISTORY: 116 year old of age, Female, Sob. COMPARISON: 2019/9 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: There is new airspace disease worrisome for pulmonary edema or pneumonia, with bilateral pleural fluid collections. There is no change in the dual lead left pectoral pacemaker. The cardiomediastinal silhouette is enlarged. There is osteopenia but otherwise there are no other significant bony abnormalities. IMPRESSION: 1. New airspace disease, greater on the right than on the left suggestive of pulmonary edema or pneumonia. Pulmonary edema. ""Physician to Physician Radiology Consult Line: (833) 902-1183"" ACCESSION NUMBER: 9681337266 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is new airspace disease worrisome for pulmonary edema or pneumonia, with bilateral pleural fluid collections. There is no change in the dual lead left pectoral pacemaker. The cardiomediastinal silhouette is enlarged. There is osteopenia but otherwise there are no other significant bony abnormalities. "," 1. New airspace disease, greater on the right than on the left suggestive of pulmonary edema or pneumonia. Pulmonary edema. ""Physician to Physician Radiology Consult Line: (833) 902-1183"" ", 159171,CheXpert_Demo_Images\train\patient37290\study1\view1_frontal.jpg,patient37290,"NARRATIVE: SINGLE VIEW OF THE CHEST: 1-7-2001 CLINICAL HISTORY: This is a 73-year-old male, rule out infiltrate. COMPARISON: 1-7-2001. IMPRESSION: 1. MINIMAL LINEAR OPACITIES AT THE MID LUNG BASE, WHICH MAY REPRESENT ATELECTASIS. THERE IS A SMALL RIGHT-SIDED PLEURAL EFFUSION. 2. ELEVATED LEFT HEMIDIAPHRAGM. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 326-388 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. MINIMAL LINEAR OPACITIES AT THE MID LUNG BASE, WHICH MAY REPRESENT ATELECTASIS. THERE IS A SMALL RIGHT-SIDED PLEURAL EFFUSION. 2. ELEVATED LEFT HEMIDIAPHRAGM. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 53300,CheXpert_Demo_Images\train\patient12994\study5\view1_frontal.jpg,patient12994,"NARRATIVE: Exam: Chest 1 View, April 04 INDICATION: Pleural effusion. HISTORY: Female,75 years. Comparison: 4/4/2001 IMPRESSION: 1.PORTABLE SEMIERECT CHEST RADIOGRAPH DEMONSTRATES UNCHANGED POSITION OF E. RIGHT UPPER EXTREMITY PICC LINE AND RIGHT PIGTAIL CHEST DRAIN. THERE IS A POSSIBLE SMALL RIGHT APICAL PNEUMOTHORAX SUGGESTED BY INCREASED LUCENCY IN THIS REGION. 2.PERSISTENT LOW LUNG VOLUMES WITH BIBASILAR OPACITIES, RIGHT GREATER THAN LEFT, WITHOUT SIGNIFICANT CHANGE SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #4414505 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PORTABLE SEMIERECT CHEST RADIOGRAPH DEMONSTRATES UNCHANGED POSITION OF E. RIGHT UPPER EXTREMITY PICC LINE AND RIGHT PIGTAIL CHEST DRAIN. THERE IS A POSSIBLE SMALL RIGHT APICAL PNEUMOTHORAX SUGGESTED BY INCREASED LUCENCY IN THIS REGION. 2.PERSISTENT LOW LUNG VOLUMES WITH BIBASILAR OPACITIES, RIGHT GREATER THAN LEFT, WITHOUT SIGNIFICANT CHANGE ","2-ABNORMAL, PREVIOUSLY REPORTED " 185943,CheXpert_Demo_Images\train\patient44195\study3\view1_frontal.jpg,patient44195,"NARRATIVE: PORTABLE SEMI-UPRIGHT VIEW OF THE CHEST: 6-29-07 Kratikal 03:57 HOURS COMPARISON: Portable supine view of the chest dated 6-29-2007. IMPRESSION: 1. MULTIPLE TUBES AND LINES ARE STABLE IN POSITION WITH THE DISTAL TIP OF THE ENDOTRACHEAL TUBE 1.5 CM ABOVE THE CARINA. STABLE AORTIC VALVE PROSTHESIS. 2. LOW LUNG VOLUMES WITH NO FOCAL CONSOLIDATION. 3. STABLE DEXTROSCOLIOSIS. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: josue, koch on: 6/29/2007 ACCESSION NUMBER: TMKPNPH This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. MULTIPLE TUBES AND LINES ARE STABLE IN POSITION WITH THE DISTAL TIP OF THE ENDOTRACHEAL TUBE 1.5 CM ABOVE THE CARINA. STABLE AORTIC VALVE PROSTHESIS. 2. LOW LUNG VOLUMES WITH NO FOCAL CONSOLIDATION. 3. STABLE DEXTROSCOLIOSIS. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: josue, koch on: 6/29/2007 " 208710,CheXpert_Demo_Images\train\patient54399\study1\view1_frontal.jpg,patient54399,"NARRATIVE: X-RAY CHEST, ONE VIEW: june 10th, 19 COMPARISON: X-ray chest, 6/10/2019. IMPRESSION: 1. STABLE POSITIONING OF ENDOTRACHEAL TUBE, NASOGASTRIC TUBE, MEDIASTINAL DRAIN, RIGHT IJ CATHETER, PERICARDIAL DRAIN AS WELL AS A PROBABLE EPICARDIAL PACER LEAD. 2. LOW LUNG VOLUMES. 3. RETROCARDIAC OPACITY WITH SMALL LEFT-SIDED PLEURAL EFFUSION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #WFGOGHHUQ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE POSITIONING OF ENDOTRACHEAL TUBE, NASOGASTRIC TUBE, MEDIASTINAL DRAIN, RIGHT IJ CATHETER, PERICARDIAL DRAIN AS WELL AS A PROBABLE EPICARDIAL PACER LEAD. 2. LOW LUNG VOLUMES. 3. RETROCARDIAC OPACITY WITH SMALL LEFT-SIDED PLEURAL EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 162928,CheXpert_Demo_Images\train\patient38059\study1\view1_frontal.jpg,patient38059,"NARRATIVE: CHEST: 7-9-2005 0417 hours COMPARISON: 7/9/2005 0441 hours CLINICAL HISTORY: Infiltrates. IMPRESSION: 1. STABLE RIGHT INTERNAL JUGULAR LINE, MEDIASTINAL TUBE AND AVR. 2. PNEUMOMEDIASTINUM HAS DECREASED IN THE INTERVAL. 3. PERSISTENT RIGHT BASILAR OPACITY MEDIALLY. INCREASING LEFT LOWER LOBE RETROCARDIAC OPACITY. 4. SMALL LEFT PLEURAL EFFUSION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6808571614 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE RIGHT INTERNAL JUGULAR LINE, MEDIASTINAL TUBE AND AVR. 2. PNEUMOMEDIASTINUM HAS DECREASED IN THE INTERVAL. 3. PERSISTENT RIGHT BASILAR OPACITY MEDIALLY. INCREASING LEFT LOWER LOBE RETROCARDIAC OPACITY. 4. SMALL LEFT PLEURAL EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 30770,CheXpert_Demo_Images\train\patient07520\study1\view1_frontal.jpg,patient07520,"NARRATIVE: SINGLE VIEW CHEST, April 11th, 2012: COMPARISON: None. CLINICAL HISTORY: Chest pain. FINDINGS: The cardiomediastinal silhouette appears unremarkable. Low lung volumes, with the lung bases not well-visualized. No evidence of focal consolidation. There is a suggestion of mild peribronchial cuffing. No pleural effusions. IMPRESSION: POSSIBLE PERIBRONCHIAL CUFFING, WITHOUT DEFINITE EVIDENCE OF FOCAL CONSOLIDATION. A DEDICATED PA AND LATERAL FILM WITH IMPROVED INSPIRATION COULD BE HELPFUL FOR FURTHER EVALUATION IF CLINICALLY INDICATED. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mccuien Dr on: 2012-04-11 ACCESSION NUMBER: 211295341 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette appears unremarkable. Low lung volumes, with the lung bases not well-visualized. No evidence of focal consolidation. There is a suggestion of mild peribronchial cuffing. No pleural effusions. "," POSSIBLE PERIBRONCHIAL CUFFING, WITHOUT DEFINITE EVIDENCE OF FOCAL CONSOLIDATION. A DEDICATED PA AND LATERAL FILM WITH IMPROVED INSPIRATION COULD BE HELPFUL FOR FURTHER EVALUATION IF CLINICALLY INDICATED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mccuien Dr on: 2012-04-11 " 105048,CheXpert_Demo_Images\train\patient25226\study1\view2_lateral.jpg,patient25226,"NARRATIVE: EXAM: Chest 2 Views, 9-14-2009 CLINICAL HISTORY: 73 years Male Fever, on chemo COMPARISON: 9/14/2009 IMPRESSION: 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE STABLE POSITIONING OF THE RIGHT-SIDED MEDIPORT LINE WITH ITS TIP TERMINATING AT THE CAVAL ATRIAL JUNCTION. 2.INTERNAL/EXTERNAL BILIARY DRAINS ARE SEEN PROJECTING OVER THE RIGHT UPPER QUADRANT. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS NORMAL WITH MILD CALCIFICATION AT THE AORTIC ARCH. 4.MINIMAL ATELECTASIS IS SEEN IN THE BILATERAL LOWER LOBES. NO FOCAL CONSOLIDATION OR EFFUSION IS PRESENT. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 138505000 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE STABLE POSITIONING OF THE RIGHT-SIDED MEDIPORT LINE WITH ITS TIP TERMINATING AT THE CAVAL ATRIAL JUNCTION. 2.INTERNAL/EXTERNAL BILIARY DRAINS ARE SEEN PROJECTING OVER THE RIGHT UPPER QUADRANT. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS NORMAL WITH MILD CALCIFICATION AT THE AORTIC ARCH. 4.MINIMAL ATELECTASIS IS SEEN IN THE BILATERAL LOWER LOBES. NO FOCAL CONSOLIDATION OR EFFUSION IS PRESENT. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 215662,CheXpert_Demo_Images\train\patient58714\study2\view1_frontal.jpg,patient58714,"NARRATIVE: AP PORTABLE SEMI-UPRIGHT CHEST: 8/18/2020 COMPARISON: 8-18-2020. CLINICAL HISTORY: Type I aortic dissection status post surgery. IMPRESSION: 1. TWO LEFT-SIDED CHEST TUBES ARE IN STABLE POSITION. THERE IS NO PNEUMOTHORAX. 2. THE NASOGASTRIC TUBE AND ENDOTRACHEAL TUBES HAVE BEEN REMOVED. 3. LUNG VOLUMES ARE LOWER WITH INCREASED LEFT BASE OPACITY, MILD PULMONARY EDEMA PERSISTS. END OF IMPRESSION. SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 658443116 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO LEFT-SIDED CHEST TUBES ARE IN STABLE POSITION. THERE IS NO PNEUMOTHORAX. 2. THE NASOGASTRIC TUBE AND ENDOTRACHEAL TUBES HAVE BEEN REMOVED. 3. LUNG VOLUMES ARE LOWER WITH INCREASED LEFT BASE OPACITY, MILD PULMONARY EDEMA PERSISTS. "," 2 ABNORMAL, PREVIOUSLY REPORTED " 154098,CheXpert_Demo_Images\train\patient36302\study5\view1_frontal.jpg,patient36302,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11/10/2009 CLINICAL HISTORY: 57 years of age, Male, Evaluate lung fields. COMPARISON: 11/10/2009 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Interval removal of right internal jugular central venous catheter. Other medical support devices are unchanged in position. Similar appearance of right greater than left patchy diffuse airspace opacities, likely aspiration versus multifocal infection. Small bilateral pleural effusions with loculation on the right. The cardiomediastinal silhouette is within normal limits. No acute bony abnormality. IMPRESSION: 1. Interval removal of a right internal jugular central venous catheter with no pneumothorax. 2. Otherwise, no significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8569 3726 27 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval removal of right internal jugular central venous catheter. Other medical support devices are unchanged in position. Similar appearance of right greater than left patchy diffuse airspace opacities, likely aspiration versus multifocal infection. Small bilateral pleural effusions with loculation on the right. The cardiomediastinal silhouette is within normal limits. No acute bony abnormality. "," 1. Interval removal of a right internal jugular central venous catheter with no pneumothorax. 2. Otherwise, no significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 157601,CheXpert_Demo_Images\train\patient36945\study1\view1_frontal.jpg,patient36945,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 4-25-2004 CLINICAL HISTORY: 49 years of age, Male, Eval evolution of PTX seen on CT. COMPARISON: CT abdomen and pelvis dated 4/25/2004 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: The lungs are clear. No visible pneumothorax is present. No pleural effusion. Cardiomediastinal silhouette is normal. Minimally displaced fractures of the left fifth through seventh posterolateral ribs are not visible on this study. IMPRESSION: 1. No visible pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 187841190 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The lungs are clear. No visible pneumothorax is present. No pleural effusion. Cardiomediastinal silhouette is normal. Minimally displaced fractures of the left fifth through seventh posterolateral ribs are not visible on this study. "," 1. No visible pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 94429,CheXpert_Demo_Images\train\patient22704\study1\view1_frontal.jpg,patient22704,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 7-29-13 CLINICAL HISTORY: 60 years of age, Female, SOB. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: AICD overlying the left lateral chest with single lead in the right atrium. The cardiac silhouette is enlarged with small to moderate bilateral pleural effusions. Perihilar prominence, right greater than left, consistent with mild pulmonary edema. IMPRESSION: 1. Cardiomegaly with moderate pulmonary edema and bilateral pleural effusions. 2. Bibasilar opacities consistent with atelectasis versus consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1510 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," AICD overlying the left lateral chest with single lead in the right atrium. The cardiac silhouette is enlarged with small to moderate bilateral pleural effusions. Perihilar prominence, right greater than left, consistent with mild pulmonary edema. "," 1. Cardiomegaly with moderate pulmonary edema and bilateral pleural effusions. 2. Bibasilar opacities consistent with atelectasis versus consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 39287,CheXpert_Demo_Images\train\patient09636\study1\view1_frontal.jpg,patient09636,"NARRATIVE: EXAM: Chest 2 Views, 4-1-08. HISTORY: 50 years Male, Chest pain. COMPARISON: NONE. IMPRESSION: 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION, PNEUMOTHORAX, OR PLEURAL EFFUSION. 3. AGE INDETERMINANT MILD COMPRESSION DEFORMITY OF A MID THORACIC VERTEBRAL BODY. RECOMMEND CORRELATION FOR SITE OF PATIENT'S PAIN. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 72-32-30-13-2 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION, PNEUMOTHORAX, OR PLEURAL EFFUSION. 3. AGE INDETERMINANT MILD COMPRESSION DEFORMITY OF A MID THORACIC VERTEBRAL BODY. RECOMMEND CORRELATION FOR SITE OF PATIENT'S PAIN. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 83363,CheXpert_Demo_Images\train\patient20084\study2\view2_lateral.jpg,patient20084,"NARRATIVE: TWO VIEWS OF THE CHEST: 11-4-2005. COMPARISON: 04/11. CLINICAL HISTORY: Rule out infiltrates. FINDINGS: Interval removal of a right internal jugular venous sheath and mediastinal drains. A right internal jugular venous line appears unchanged. Improved lung volumes with a small left pleural effusion. Mildly improved aeration at the left lung base; however, there is persistent left lower lobe atelectasis or consolidation. IMPRESSION: 1. MILD IMPROVEMENT IN LEFT LOWER LOBE AERATION WITH PERSISTENT RETROCARDIAC OPACITY AND SMALL PLEURAL EFFUSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: cmaz0 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval removal of a right internal jugular venous sheath and mediastinal drains. A right internal jugular venous line appears unchanged. Improved lung volumes with a small left pleural effusion. Mildly improved aeration at the left lung base; however, there is persistent left lower lobe atelectasis or consolidation. "," 1. MILD IMPROVEMENT IN LEFT LOWER LOBE AERATION WITH PERSISTENT RETROCARDIAC OPACITY AND SMALL PLEURAL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 38577,CheXpert_Demo_Images\train\patient09466\study1\view1_frontal.jpg,patient09466,"NARRATIVE: PORTABLE CHEST SINGLE VIEW: 05/2000 COMPARISON: None. CLINICAL HISTORY: None provided. TECHNIQUE: AP portable upright chest radiograph was obtained. FINDINGS: Low lung volumes. No focal pulmonary opacities. No evidence of pleural effusion or pneumothorax. Calcified plaque at the aortic arch. Tortuosity of the descending aorta. Mild bilateral degenerative changes of the acromioclavicular joints. IMPRESSION: 1. LOW LUNG VOLUMES. NO EVIDENCE OF PNEUMONIA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 59848203381829 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Low lung volumes. No focal pulmonary opacities. No evidence of pleural effusion or pneumothorax. Calcified plaque at the aortic arch. Tortuosity of the descending aorta. Mild bilateral degenerative changes of the acromioclavicular joints. "," 1. LOW LUNG VOLUMES. NO EVIDENCE OF PNEUMONIA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 118619,CheXpert_Demo_Images\train\patient28463\study1\view1_frontal.jpg,patient28463,"NARRATIVE: EXAM: Chest 2 Views, 5/13/2013. HISTORY: 31 years Female, Chest pain. COMPARISON: NONE. IMPRESSION: 1.LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION OR PNEUMOTHORAX. STABLE OVERALL AERATION AND LUNG VOLUME. 2.CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY APPEAR NORMAL. 3.OSSEOUS STRUCTURES APPEAR NORMAL. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 01733899 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION OR PNEUMOTHORAX. STABLE OVERALL AERATION AND LUNG VOLUME. 2.CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY APPEAR NORMAL. 3.OSSEOUS STRUCTURES APPEAR NORMAL. ","1-NO SIGNIFICANT ABNORMALITY " 54366,CheXpert_Demo_Images\train\patient13196\study1\view1_frontal.jpg,patient13196,"NARRATIVE: HISTORY: AS COMPARISON: None. FINDINGS: The tip of the endotracheal tube is 3 cm above the carina. The right IJ line, sternotomy wires and mediastinal drain are in place. Prosthetic valve is identified. Low volumes which renders assessment of cardiac size difficult. Mild pulmonary edema. Subsegmental atelectasis left upper lung zone. Small bilateral pleural effusions. Subsequent film of 9/11/2006 shows the lines and tubes unchanged in position. Persistent low volumes; mild pulmonary edema again noted. IMPRESSION: 1. LINES AND TUBES AS DESCRIBED. 2. LOW VOLUMES WITH MILD PULMONARY EDEMA, BIBASILAR ATELECTASIS, AND SMALL BILATERAL PLEURAL EFFUSIONS. END OF IMPRESSION: SUMMARY: Possible significant abnormality/change, may need action. ACCESSION NUMBER: 427v3828 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The tip of the endotracheal tube is 3 cm above the carina. The right IJ line, sternotomy wires and mediastinal drain are in place. Prosthetic valve is identified. Low volumes which renders assessment of cardiac size difficult. Mild pulmonary edema. Subsegmental atelectasis left upper lung zone. Small bilateral pleural effusions. Subsequent film of 9/11/2006 shows the lines and tubes unchanged in position. Persistent low volumes; mild pulmonary edema again noted. "," 1. LINES AND TUBES AS DESCRIBED. 2. LOW VOLUMES WITH MILD PULMONARY EDEMA, BIBASILAR ATELECTASIS, AND SMALL BILATERAL PLEURAL EFFUSIONS. "," Possible significant abnormality/change, may need action. " 207793,CheXpert_Demo_Images\train\patient53839\study3\view1_frontal.jpg,patient53839,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1/18/2016 CLINICAL HISTORY: 81 years of age, Female, Intubation. COMPARISON: 1-18-2016. PROCEDURE COMMENTS: Single AP view of the chest from 1:25 AM, 5:36 AM, and 6:06 AM. FINDINGS: There is new consolidation behind the heart containing air bronchograms. This probably represents pneumonia.. There may be a small amount of associated pleural fluid. On the most recent exam, there is superimposed mild edema. On the first exam, the endotracheal tube has its tip in the right mainstem bronchus. On the most recent exam, the endotracheal tube terminates just below the thoracic inlet. A feeding tube, left PICC line, and right central catheter are present in satisfactory position. IMPRESSION: 1. Mild cardiogenic edema 2. Left lung pneumonia ACCESSION NUMBER: 8179 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is new consolidation behind the heart containing air bronchograms. This probably represents pneumonia.. There may be a small amount of associated pleural fluid. On the most recent exam, there is superimposed mild edema. On the first exam, the endotracheal tube has its tip in the right mainstem bronchus. On the most recent exam, the endotracheal tube terminates just below the thoracic inlet. A feeding tube, left PICC line, and right central catheter are present in satisfactory position. "," 1. Mild cardiogenic edema 2. Left lung pneumonia ", 95355,CheXpert_Demo_Images\train\patient22950\study1\view2_lateral.jpg,patient22950,"NARRATIVE: TWO VIEW CHEST: 7-15-2004. CLINICAL DATA: 65-year-old male with ICD/pacemaker lead revision on 7/15/2004. COMPARISON: Chest x-ray 7/15/2004. IMPRESSION: 1. REDEMONSTRATION OF TWO LEAD AICD DEVICE WITH INTACT LEADS. NO PNEUMOTHORAX. 2. CLEAR LUNGS WITH NO EVIDENCE FOR ACUTE CARDIOPULMONARY DISEASE. 3. MILD DEGENERATIVE CHANGES OF THE THORACIC SPINE WITH DISC DEGENERATION AND OSTEOPHYTOSIS, ARE STABLE. 4. CALCIFICATION OF A LOWER THORACIC VERTEBRAL BODY. 5. STABLE TORTUOUS AORTA WITH CALCIFICATION OF THE AORTIC ARCH. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 40-72-84-4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDEMONSTRATION OF TWO LEAD AICD DEVICE WITH INTACT LEADS. NO PNEUMOTHORAX. 2. CLEAR LUNGS WITH NO EVIDENCE FOR ACUTE CARDIOPULMONARY DISEASE. 3. MILD DEGENERATIVE CHANGES OF THE THORACIC SPINE WITH DISC DEGENERATION AND OSTEOPHYTOSIS, ARE STABLE. 4. CALCIFICATION OF A LOWER THORACIC VERTEBRAL BODY. 5. STABLE TORTUOUS AORTA WITH CALCIFICATION OF THE AORTIC ARCH. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 146386,CheXpert_Demo_Images\train\patient34978\study1\view1_frontal.jpg,patient34978,"NARRATIVE: CHEST, ONE VIEW: 2/21/2016 CLINICAL HISTORY: Subarachnoid hemorrhage. COMPARISON: Prior studies from 2-21-2016, 2/21/2016. IMPRESSION: 1. NO CHANGE IN LINES AND TUBES. 2. MILD CARDIOMEGALY, UNCHANGED. 3. LUNGS ARE CLEAR WITHOUT EVIDENCE OF FOCAL ABNORMALITY OR EDEMA. END OF IMPRESSION: SUMMARY: 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Roman on: 2/21/16 ACCESSION NUMBER: #4AZ048D2RE This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO CHANGE IN LINES AND TUBES. 2. MILD CARDIOMEGALY, UNCHANGED. 3. LUNGS ARE CLEAR WITHOUT EVIDENCE OF FOCAL ABNORMALITY OR EDEMA. "," 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: MD Roman on: 2/21/16 " 166547,CheXpert_Demo_Images\train\patient38891\study2\view1_frontal.jpg,patient38891,"NARRATIVE: CHEST: PA and lateral. 10-2-2019 COMPARISON: 10/2/2019 CLINICAL HISTORY: 83-year-old female with presyncope. IMPRESSION: 1. INTERVAL DEVELOPMENT OF LEFT LOWER LOBE OPACITY CONSISTENT WITH ATELECTASIS VERSUS INFILTRATE. INTERVAL DEVELOPMENT OF LEFT SMALL PLEURAL EFFUSION. 2. INTERVAL DEVELOPMENT OF RIGHT LOWER LOBE MINIMAL ATELECTASIS AND VERY SMALL EFFUSION. 3. INTERVAL DECREASE IN LUNG VOLUMES. 4. ONCE AGAIN IS NOTED KYPHOSCOLIOSIS WITH OSTEOPENIA AND COMPRESSION DEFORMITIES OF THE LOWER THORACIC SPINE. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kade E., Osada on: 10-2-2019 ACCESSION NUMBER: 16-90-79 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL DEVELOPMENT OF LEFT LOWER LOBE OPACITY CONSISTENT WITH ATELECTASIS VERSUS INFILTRATE. INTERVAL DEVELOPMENT OF LEFT SMALL PLEURAL EFFUSION. 2. INTERVAL DEVELOPMENT OF RIGHT LOWER LOBE MINIMAL ATELECTASIS AND VERY SMALL EFFUSION. 3. INTERVAL DECREASE IN LUNG VOLUMES. 4. ONCE AGAIN IS NOTED KYPHOSCOLIOSIS WITH OSTEOPENIA AND COMPRESSION DEFORMITIES OF THE LOWER THORACIC SPINE. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kade E., Osada on: 10-2-2019 " 73498,CheXpert_Demo_Images\train\patient17662\study1\view1_frontal.jpg,patient17662,"NARRATIVE: CHEST: 1/3/2011. COMPARISON: 2011 January. CLINICAL HISTORY: A 62-year-old man with amyloid, undergoing auto-BMT. Reevaluate possible abnormality on prior chest x-ray. IMPRESSION: 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF A TUNNELED RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER. 2. DECREASING SMALL LEFT PLEURAL EFFUSION. NO EVIDENCE OF PULMONARY EDEMA OR FOCAL PARENCHYMAL OPACITY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: #H2MXF4Z8E This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF A TUNNELED RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER. 2. DECREASING SMALL LEFT PLEURAL EFFUSION. NO EVIDENCE OF PULMONARY EDEMA OR FOCAL PARENCHYMAL OPACITY. ","2-ABNORMAL, PREVIOUSLY REPORTED. " 80042,CheXpert_Demo_Images\train\patient19251\study1\view2_lateral.jpg,patient19251,"NARRATIVE: CHEST, TWO VIEWS: june 2nd, 2012 COMPARISON: None. HISTORY: A 44-year-old female with difficulty breathing and chest pain. FINDINGS/IMPRESSION: 1. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS. 2. LUNGS CLEAR WITHOUT EDEMA, EFFUSION, FOCAL OPACITY OR PNEUMOTHORAX. 3. NO GROSS BONY ABNORMALITY. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Zachariah Dudley, Dr. on: 6-2-2012 ACCESSION NUMBER: 179252578 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",/," 1. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS. 2. LUNGS CLEAR WITHOUT EDEMA, EFFUSION, FOCAL OPACITY OR PNEUMOTHORAX. 3. NO GROSS BONY ABNORMALITY. "," 1 NO SIGNIFICANT ABNORMALITY. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Zachariah Dudley, Dr. on: 6-2-2012 " 86933,CheXpert_Demo_Images\train\patient20897\study2\view1_frontal.jpg,patient20897,"NARRATIVE: Chest 1 View: 4-9-2009 HISTORY: Male, 59 years old, reason for exam: ""Desaturation"". COMPARISON: Chest radiograph 4/9/2009. IMPRESSION: 1.STABLE CARDIOMEGALY. 2.INCREASING DIFFUSE RETICULAR OPACITIES COMPATIBLE WITH MODERATE TO SEVERE PULMONARY EDEMA. 3.SMALL BILATERAL PLEURAL EFFUSIONS. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: PBZDEABG This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.STABLE CARDIOMEGALY. 2.INCREASING DIFFUSE RETICULAR OPACITIES COMPATIBLE WITH MODERATE TO SEVERE PULMONARY EDEMA. 3.SMALL BILATERAL PLEURAL EFFUSIONS. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 157052,CheXpert_Demo_Images\train\patient36825\study4\view1_frontal.jpg,patient36825,"NARRATIVE: Chest 2 Views: 12/14/2015 HISTORY: 66 years Female, under evaluation for pneumonia. COMPARISON: 12-14-15 IMPRESSION: 1.UPRIGHT AP AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL APPEARANCE OF THE CARDIOMEDIASTINAL SILHOUETTE. 2.MINIMAL OPACITY IS SEEN AT THE LEFT LUNG BASE AND THERE IS A SMALL LEFT PLEURAL EFFUSION. OPACITY MAY REFLECT COMPRESSIVE ATELECTASIS OR EARLY INFECTION. RIGHT LUNG IS CLEAR. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 9791 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.UPRIGHT AP AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL APPEARANCE OF THE CARDIOMEDIASTINAL SILHOUETTE. 2.MINIMAL OPACITY IS SEEN AT THE LEFT LUNG BASE AND THERE IS A SMALL LEFT PLEURAL EFFUSION. OPACITY MAY REFLECT COMPRESSIVE ATELECTASIS OR EARLY INFECTION. RIGHT LUNG IS CLEAR. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 133956,CheXpert_Demo_Images\train\patient32180\study1\view1_frontal.jpg,patient32180,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5-31-2008 CLINICAL HISTORY: 65 years of age, Female, Post op evaluation; r/o infiltrates and effusions.. COMPARISON: Chest x-ray of 5-31-08 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The heart size remains moderately enlarged. Right IJ central venous catheter has been removed. A right arm PICC line has been placed with its tip at the level of the carina. A left-sided pleural drain remains in place, while a pericardial drain has been removed. A small left apical pneumothorax is new. A small right-sided pleural effusion is slightly smaller. Circumscribed nodular opacity over the left midlung zone on the frontal view likely reflects a small amount of fluid loculated within the major fissure. IMPRESSION: 1. New small left apical pneumothorax. Left sided pleural drain remains in place. 2. Right arm PICC line tip at the level of the carina, likely in the mid SVC. ACCESSION NUMBER: 6r-rt-mf-hv-4z-3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The heart size remains moderately enlarged. Right IJ central venous catheter has been removed. A right arm PICC line has been placed with its tip at the level of the carina. A left-sided pleural drain remains in place, while a pericardial drain has been removed. A small left apical pneumothorax is new. A small right-sided pleural effusion is slightly smaller. Circumscribed nodular opacity over the left midlung zone on the frontal view likely reflects a small amount of fluid loculated within the major fissure. "," 1. New small left apical pneumothorax. Left sided pleural drain remains in place. 2. Right arm PICC line tip at the level of the carina, likely in the mid SVC. ", 85617,CheXpert_Demo_Images\train\patient20554\study1\view2_lateral.jpg,patient20554,"NARRATIVE: EXAMINATION: Chest 2 Views 10/19/2005 INDICATION: Pleuritic chest pain HISTORY: Female,55 years old, with s/p Right breast tissue expander placement with total submuscular coverage, multiple intercostal nerve blocks ribs 3 through 7 on the right side on 10-19-2005 COMPARISON : None FINDINGS: PA and lateral chest show a right breast tissue expander and a small right pleural fluid collection. The cardiac size is at the upper limits of normal. The lungs are clear without focal air space disease. The bony thorax is intact. IMPRESSION: SMALL RIGHT PLEURAL FLUID COLLECTION RIGHT TISSUE EXPANDER IN THE RIGHT BREAST WITHOUT FOCAL AIRSPACE DISEASE. NO PNEUMONIA OR PNEUMOTHORAX EXPLAIN PLEURITIC CHEST PAIN. FINDINGS DISCUSSED WITH villa, ace SUMMARY 2: ABNORMAL PREVIOUSLY REPORTED ACCESSION NUMBER: 9394107 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral chest show a right breast tissue expander and a small right pleural fluid collection. The cardiac size is at the upper limits of normal. The lungs are clear without focal air space disease. The bony thorax is intact. "," SMALL RIGHT PLEURAL FLUID COLLECTION RIGHT TISSUE EXPANDER IN THE RIGHT BREAST WITHOUT FOCAL AIRSPACE DISEASE. NO PNEUMONIA OR PNEUMOTHORAX EXPLAIN PLEURITIC CHEST PAIN. FINDINGS DISCUSSED WITH villa, ace "," 2: ABNORMAL PREVIOUSLY REPORTED " 42667,CheXpert_Demo_Images\train\patient10462\study1\view1_frontal.jpg,patient10462,"NARRATIVE: PORTABLE CHEST RADIOGRAPH, ONE VIEW: 5/24/2002. CLINICAL HISTORY: 19-year-old female, status post trauma. COMPARISON: None. TECHNIQUE: Portable AP supine view of the chest. FINDINGS: Examination is somewhat limited secondary to patient's body habitus. Lung volumes are mildly decreased. Cardiomediastinal silhouette is mildly prominent, likely secondary to patient's supine position and portable AP technique. The bilateral hila are within normal limits. The bilateral lung fields are clear, without focal consolidation. There is no evidence of pneumothorax, pulmonary edema, or pleural effusion. The visualized osseous structures reveal no acute abnormalities. IMPRESSION: 1. LOW LUNG VOLUMES. 2. MILDLY PROMINENT CARDIOMEDIASTINAL SILHOUETTE, WHICH MAY BE SECONDARY TO PATIENT POSITION AND PORTABLE AP TECHNIQUE. CONSIDER REPEAT IMAGING WITH UPRIGHT PA AND LATERAL VIEWS. 3. OTHERWISE, NO FOCAL PULMONARY PARENCHYMAL CONSOLIDATION OR EVIDENCE OF OTHER ACUTE CARDIOPULMONARY ABNORMALITIES. 4. NO ACUTE OSSEOUS ABNORMALITIES. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #12432300058220 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Examination is somewhat limited secondary to patient's body habitus. Lung volumes are mildly decreased. Cardiomediastinal silhouette is mildly prominent, likely secondary to patient's supine position and portable AP technique. The bilateral hila are within normal limits. The bilateral lung fields are clear, without focal consolidation. There is no evidence of pneumothorax, pulmonary edema, or pleural effusion. The visualized osseous structures reveal no acute abnormalities. "," 1. LOW LUNG VOLUMES. 2. MILDLY PROMINENT CARDIOMEDIASTINAL SILHOUETTE, WHICH MAY BE SECONDARY TO PATIENT POSITION AND PORTABLE AP TECHNIQUE. CONSIDER REPEAT IMAGING WITH UPRIGHT PA AND LATERAL VIEWS. 3. OTHERWISE, NO FOCAL PULMONARY PARENCHYMAL CONSOLIDATION OR EVIDENCE OF OTHER ACUTE CARDIOPULMONARY ABNORMALITIES. 4. NO ACUTE OSSEOUS ABNORMALITIES. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 213151,CheXpert_Demo_Images\train\patient57178\study1\view1_frontal.jpg,patient57178,"NARRATIVE: CHEST: 2/15/18 COMPARISON: No priors for comparison. IMPRESSION: 1. PATIENT HAS A LEFT SUBCLAVIAN LINE WITH TIP IN THE SVC. OTHERWISE, UNREMARKABLE CHEST X-RAY. THE CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. BILATERAL LUNGS ARE CLEAR. NO PLEURAL OR BONY ABNORMALITIES. NO EVIDENCE OF PNEUMOTHORAX. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: ewing, mark on: 2/15/2018 ACCESSION NUMBER: UkaChJbth This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PATIENT HAS A LEFT SUBCLAVIAN LINE WITH TIP IN THE SVC. OTHERWISE, UNREMARKABLE CHEST X-RAY. THE CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. BILATERAL LUNGS ARE CLEAR. NO PLEURAL OR BONY ABNORMALITIES. NO EVIDENCE OF PNEUMOTHORAX. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: ewing, mark on: 2/15/2018 " 184767,CheXpert_Demo_Images\train\patient43806\study1\view1_frontal.jpg,patient43806,"NARRATIVE: Chest 1 View 7-10-2017 CLINICAL HISTORY: 53 years-old Male. Desats to 80s on 4L COMPARISON: Chest two views 10/7. IMPRESSION: 1.NO CHANGE IN THE BILATERAL SMALL PLEURAL EFFUSIONS. 2.SLIGHT WORSENING OF BILATERAL LOWER LOBE OPACITIES. THESE ARE NONSPECIFIC AND MAY REPRESENT ASPIRATION VERSUS CONSOLIDATION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 54ZQLKJKr This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NO CHANGE IN THE BILATERAL SMALL PLEURAL EFFUSIONS. 2.SLIGHT WORSENING OF BILATERAL LOWER LOBE OPACITIES. THESE ARE NONSPECIFIC AND MAY REPRESENT ASPIRATION VERSUS CONSOLIDATION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 164409,CheXpert_Demo_Images\train\patient38381\study3\view1_frontal.jpg,patient38381,"NARRATIVE: Exam: Chest 2 Views 4/18/2007 Clinical History: 64 years Male with Postop Comparison: 4/18/2007 IMPRESSION: 1. PA and lateral views of the chest demonstrates stable positioning of the left IJ dialysis catheter, right IJ central venous catheter, and right chest tube. 2. There is stable mild cardiomegaly with postsurgical changes compatible with CABG. 3. The left basilar airspace opacity persists possibly representing atelectasis versus consolidation. A small right sided pleural effusion is seen posteriorly. 4. No significant change compared to prior exam. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 347849929 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA and lateral views of the chest demonstrates stable positioning of the left IJ dialysis catheter, right IJ central venous catheter, and right chest tube. 2. There is stable mild cardiomegaly with postsurgical changes compatible with CABG. 3. The left basilar airspace opacity persists possibly representing atelectasis versus consolidation. A small right sided pleural effusion is seen posteriorly. 4. No significant change compared to prior exam. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 3399,CheXpert_Demo_Images\train\patient00829\study1\view1_frontal.jpg,patient00829,"NARRATIVE: COMPARISON: None. CLINICAL HISTORY: Trauma. IMPRESSION: LIMITED SUPINE VIEW WITH PATIENT ON THE TRAUMA BOARD. NO EVIDENCE OF PNEUMOTHORAX OR FRACTURE. THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE AND THE LUNGS ARE CLEAR BILATERALLY. INCIDENTAL NOTE OF BILATERAL BREAST AUGMENTATION. END OF IMPRESSION SUMMARY: 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Rich Lucy, PA-C on: 10-24-2008 ACCESSION NUMBER: 377 933 67 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," LIMITED SUPINE VIEW WITH PATIENT ON THE TRAUMA BOARD. NO EVIDENCE OF PNEUMOTHORAX OR FRACTURE. THE CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE AND THE LUNGS ARE CLEAR BILATERALLY. INCIDENTAL NOTE OF BILATERAL BREAST AUGMENTATION. "," 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Rich Lucy, PA-C on: 10-24-2008 " 220842,CheXpert_Demo_Images\train\patient62374\study1\view1_frontal.jpg,patient62374,"NARRATIVE: EXAM: Chest 1 View, 4/8/2012. HISTORY: : 53 years Female, Line placement. COMPARISON: 4/8/2012. IMPRESSION: 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH DISTAL TO THE 4.7 CM BELOW THE CARINA. NO PNEUMOTHORAX. 2. CENTRAL VASCULAR ENGORGEMENT COMPATIBLE WITH MILD FLUID OVERLOAD. 3. MODERATE CARDIOMEGALY. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 20449 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH DISTAL TO THE 4.7 CM BELOW THE CARINA. NO PNEUMOTHORAX. 2. CENTRAL VASCULAR ENGORGEMENT COMPATIBLE WITH MILD FLUID OVERLOAD. 3. MODERATE CARDIOMEGALY. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 158453,CheXpert_Demo_Images\train\patient37120\study1\view1_frontal.jpg,patient37120,"NARRATIVE: Exam: Chest 1 View, 8/28/2009 Clinical History: 93 year old female ? Pneumonia or pulmonary edema Comparison: 8-28-09 IMPRESSION: 1. AP SEMIERECT CHEST RADIOGRAPH DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. MILD ATELECTASIS IS SEEN IN THE RIGHT MIDLUNG AND RIGHT BASE, WITH BLUNTING OF THE COSTOPHRENIC ANGLE COMPATIBLE WITH A TINY PLEURAL EFFUSION OR PLEURAL THICKENING. 3. A ROUNDED DENSITY AT THE LEFT BASE MOST LIKELY REPRESENTS A NIPPLE SHADOW. THIS COULD BE CONFIRMED WITH A PA RADIOGRAPH AND NIPPLE MARKER. 4. LUNGS OTHERWISE CLEAR. 5. MODERATE DEGENERATIVE CHANGE AT THE LEFT GLENOHUMERAL JOINT. OSTEOPHYTOSIS OF THE THORACIC SPINE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 84-08-87-3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP SEMIERECT CHEST RADIOGRAPH DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. MILD ATELECTASIS IS SEEN IN THE RIGHT MIDLUNG AND RIGHT BASE, WITH BLUNTING OF THE COSTOPHRENIC ANGLE COMPATIBLE WITH A TINY PLEURAL EFFUSION OR PLEURAL THICKENING. 3. A ROUNDED DENSITY AT THE LEFT BASE MOST LIKELY REPRESENTS A NIPPLE SHADOW. THIS COULD BE CONFIRMED WITH A PA RADIOGRAPH AND NIPPLE MARKER. 4. LUNGS OTHERWISE CLEAR. 5. MODERATE DEGENERATIVE CHANGE AT THE LEFT GLENOHUMERAL JOINT. OSTEOPHYTOSIS OF THE THORACIC SPINE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 26833,CheXpert_Demo_Images\train\patient06558\study1\view1_frontal.jpg,patient06558,"NARRATIVE: TWO VIEWS CHEST: 05/3 COMPARISON: None. CLINICAL HISTORY: A 65-year-old male, shortness of breath. FINDINGS: PA and lateral views of the chest dated 3/7/05 demonstrate midline appearance to the trachea. The cardiac silhouette appears enlarged. There is left basilar opacity with blunting of the left costophrenic angle. Additionally along the left lateral chest wall, there is a convex-shaped opacity that may represent loculated pleural fluid, though pleural scarring or a solid lesion is not excluded. Elsewhere, no pleural or bony abnormalities are identified. IMPRESSION: 1. MILD CARDIOMEGALY. 2. LEFT RETROCARDIAC OPACITY, CONSISTENT WITH ATELECTASIS OR CONSOLIDATION. 3. SMALL LEFT PLEURAL EFFUSION. 4. CONVEX OPACITY ALONG THE LEFT LATERAL CHEST WALL THAT MAY REPRESENT A SMALL FOCUS OF LOCULATED PLEURAL FLUID. HOWEVER, PLEURAL LESION IS NOT EXCLUDED AND ATTENTION IS RECOMMENDED ON FOLLOW-UP. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #91158368517 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral views of the chest dated 3/7/05 demonstrate midline appearance to the trachea. The cardiac silhouette appears enlarged. There is left basilar opacity with blunting of the left costophrenic angle. Additionally along the left lateral chest wall, there is a convex-shaped opacity that may represent loculated pleural fluid, though pleural scarring or a solid lesion is not excluded. Elsewhere, no pleural or bony abnormalities are identified. "," 1. MILD CARDIOMEGALY. 2. LEFT RETROCARDIAC OPACITY, CONSISTENT WITH ATELECTASIS OR CONSOLIDATION. 3. SMALL LEFT PLEURAL EFFUSION. 4. CONVEX OPACITY ALONG THE LEFT LATERAL CHEST WALL THAT MAY REPRESENT A SMALL FOCUS OF LOCULATED PLEURAL FLUID. HOWEVER, PLEURAL LESION IS NOT EXCLUDED AND ATTENTION IS RECOMMENDED ON FOLLOW-UP. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 58308,CheXpert_Demo_Images\train\patient14133\study1\view1_frontal.jpg,patient14133,"NARRATIVE: EXAM: Chest 2 Views, 2-12-2003. HISTORY: Male of 66 years; imaging performed for ""Baseline prior to starting chemotherapy"". COMPARISON: Chest x-ray dated 2-12-03. IMPRESSION: 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE RIGHT UPPER EXTREMITY PICC TIP PROJECTING OVER THE CAVOATRIAL JUNCTION. 2. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3. THERE IS MILD CARDIOMEGALY WHICH IS STABLE COMPARED TO PRIOR STUDY. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: hw00ckx609443 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE RIGHT UPPER EXTREMITY PICC TIP PROJECTING OVER THE CAVOATRIAL JUNCTION. 2. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3. THERE IS MILD CARDIOMEGALY WHICH IS STABLE COMPARED TO PRIOR STUDY. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 31008,CheXpert_Demo_Images\train\patient07578\study2\view1_frontal.jpg,patient07578,"NARRATIVE: Chest 2 Views, 6-19-2002 HISTORY: 99 year old Female, ; pt with asp pna, on Levaquin, getting more delirious COMPARISON: AP view of the chest dated 6/19/2002 TECHNIQUE: Semi-upright AP view of the chest IMPRESSION: 1.INTERVAL REMOVAL OF THE ENTERIC FEEDING TUBE. 2.NO SIGNIFICANT CHANGE IN BILATERAL PLEURAL EFFUSIONS, WITH RIGHT GREATER THAN LEFT. 3.STABLE APPEARANCE OF BIBASILAR OPACITIES WHICH COULD BE REFLECTIVE OF ATELECTASIS, ASPIRATION OR PNEUMONIA. 4.FINDINGS WERE DISCUSSED WITH THE COVERING PHYSICIAN mullins spencer, md AT 12:10 P.M.. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 15-0684 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INTERVAL REMOVAL OF THE ENTERIC FEEDING TUBE. 2.NO SIGNIFICANT CHANGE IN BILATERAL PLEURAL EFFUSIONS, WITH RIGHT GREATER THAN LEFT. 3.STABLE APPEARANCE OF BIBASILAR OPACITIES WHICH COULD BE REFLECTIVE OF ATELECTASIS, ASPIRATION OR PNEUMONIA. 4.FINDINGS WERE DISCUSSED WITH THE COVERING PHYSICIAN mullins spencer, md AT 12:10 P.M.. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 199578,CheXpert_Demo_Images\train\patient49434\study2\view1_frontal.jpg,patient49434,"NARRATIVE: ONE VIEW CHEST: 4/10/201, 0850 HOURS COMPARISON: 10/12/20, 0444 hours. CLINICAL DATA: This is a 69-year-old after chest tube removal. FINDINGS: Single frontal view of the chest again demonstrates right internal jugular vascular catheter, nasogastric tube, epidural catheter, and left chest wall dual lead pacer. Sternotomy wires, mediastinal clips again demonstrated. There is interval removal of the right-sided chest tube. There is no pneumothorax. There is interval increase in opacities in the right upper lobe. Left base consolidation again demonstrated. Gaseous distention. IMPRESSION: 1. NO EVIDENCE OF PNEUMOTHORAX STATUS POST CHEST TUBE REMOVAL . 2. INTERVAL INCREASE IN RIGHT UPPER LOBE OPACITIES AS DESCRIBED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8329212 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single frontal view of the chest again demonstrates right internal jugular vascular catheter, nasogastric tube, epidural catheter, and left chest wall dual lead pacer. Sternotomy wires, mediastinal clips again demonstrated. There is interval removal of the right-sided chest tube. There is no pneumothorax. There is interval increase in opacities in the right upper lobe. Left base consolidation again demonstrated. Gaseous distention. "," 1. NO EVIDENCE OF PNEUMOTHORAX STATUS POST CHEST TUBE REMOVAL . 2. INTERVAL INCREASE IN RIGHT UPPER LOBE OPACITIES AS DESCRIBED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 72246,CheXpert_Demo_Images\train\patient17359\study1\view1_frontal.jpg,patient17359,"NARRATIVE: Exam: Chest 2 Views, 2/21 Clinical History: 43 years old Female with Pre-op Evaluation. Comparison: None Impression: 1. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, PULMONARY EDEMA OR PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. UNREMARKABLE BONY STRUCTURES. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 3668325499 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, PULMONARY EDEMA OR PNEUMOTHORAX. NO EVIDENCE OF ACUTE CARDIOPULMONARY DISEASE. 2. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. UNREMARKABLE BONY STRUCTURES. ","1-NO SIGNIFICANT ABNORMALITY " 193805,CheXpert_Demo_Images\train\patient47071\study1\view1_frontal.jpg,patient47071,"NARRATIVE: CHEST AP PORTABLE: 7/13/2015 COMPARISON: 7/13/2015 CLINICAL HISTORY: This is a 54-year-old woman here to evaluate for infiltrates. IMPRESSION: 1. TUBES AND LINES UNCHANGED. 2. PERSISTENT LOW LUNG VOLUMES WITH PERSISTENT MILD EDEMA WHICH IS UNCHANGED FROM THE PRIOR EXAM. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Joaquin, Montoya on: 13TH JULY ACCESSION NUMBER: 7122128174 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TUBES AND LINES UNCHANGED. 2. PERSISTENT LOW LUNG VOLUMES WITH PERSISTENT MILD EDEMA WHICH IS UNCHANGED FROM THE PRIOR EXAM. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Joaquin, Montoya on: 13TH JULY " 35123,CheXpert_Demo_Images\train\patient08595\study1\view1_frontal.jpg,patient08595,"NARRATIVE: Chest 2 Views: 2-4-20 HISTORY: 35 years Male, For follow up clinic visit. COMPARISON: Chest x-ray 2/4/2020 Findings: The heart size with normal limits. The lungs are without focal new consolidation. Post-surgical changes related to lung transplant are present, with clamshell incision cerclage wires and nail within the sternum. IMPRESSION: 1. NO NEW CONSOLIDATION WITHIN THE TRANSPLANTED LUNGS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: KQP-YNG-CVN-OL This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The heart size with normal limits. The lungs are without focal new consolidation. Post-surgical changes related to lung transplant are present, with clamshell incision cerclage wires and nail within the sternum. "," 1. NO NEW CONSOLIDATION WITHIN THE TRANSPLANTED LUNGS. ","1-NO SIGNIFICANT ABNORMALITY " 96271,CheXpert_Demo_Images\train\patient23182\study1\view1_frontal.jpg,patient23182,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12/29/2015 CLINICAL HISTORY: 66 years of age, Male, Cough. COMPARISON: None available. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Confluent opacity in the left mid and lower lung zones, concerning for aspiration versus infection. Small left pleural effusion. No pneumothorax. The cardiac silhouette is within normal limits for size. No acute bony abnormality. IMPRESSION: 1. Confluent opacity in the left mid and lower lung zones, concerning for aspiration versus infection, with small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 84950014 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Confluent opacity in the left mid and lower lung zones, concerning for aspiration versus infection. Small left pleural effusion. No pneumothorax. The cardiac silhouette is within normal limits for size. No acute bony abnormality. "," 1. Confluent opacity in the left mid and lower lung zones, concerning for aspiration versus infection, with small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 2987,CheXpert_Demo_Images\train\patient00726\study1\view1_frontal.jpg,patient00726,"NARRATIVE: PORTABLE CHEST: october 29th CLINICAL DATA: A 40-year-old woman with small bowel obstruction. Evaluate CDP. IMPRESSION: 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES RIGHT SUBCLAVIAN LINE IN PLACE WITH ITS TIP AT THE CAVOATRIAL JUNCTION. A RADIOLUCENT LINE IS SEEN NEAR THE RIGHT APEX, AND PULMONARY VESSELS ARE NOT CLEARLY SEEN AS THE APEX IS NOT WELL-VISUALIZED. CANNOT RULE OUT SMALL PNEUMOTHORAX. 2. REMAINDER OF THE LUNG FIELDS APPEAR CLEAR. 3. SUBCUTANEOUS AIR IS SEEN IN THE RIGHT SUPRACLAVICULAR SOFT TISSUES. 4. RESULTS CALLED TO SAWYER PUGH, DR. ON GENERAL SURGERY ON 10/29/2019 AT 11:00 HRS. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Grimes, MD. on: 10/29/2019 __________________________________ ACCESSION NUMBER: #200130 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES RIGHT SUBCLAVIAN LINE IN PLACE WITH ITS TIP AT THE CAVOATRIAL JUNCTION. A RADIOLUCENT LINE IS SEEN NEAR THE RIGHT APEX, AND PULMONARY VESSELS ARE NOT CLEARLY SEEN AS THE APEX IS NOT WELL-VISUALIZED. CANNOT RULE OUT SMALL PNEUMOTHORAX. 2. REMAINDER OF THE LUNG FIELDS APPEAR CLEAR. 3. SUBCUTANEOUS AIR IS SEEN IN THE RIGHT SUPRACLAVICULAR SOFT TISSUES. 4. RESULTS CALLED TO SAWYER PUGH, DR. ON GENERAL SURGERY ON 10/29/2019 AT 11:00 HRS. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Grimes, MD. on: 10/29/2019 __________________________________ " 183207,CheXpert_Demo_Images\train\patient43317\study3\view1_frontal.jpg,patient43317,"NARRATIVE: CHEST: 11-22-19. COMPARISON: 11-22-2019 at 0352 hours. CLINICAL HISTORY: A 83-year-old female,status 01078post pacemaker insertion, question pneumothorax. IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT ANTERIOR CHEST WALL PACEMAKER WITH LEADS OVERLYING THE RIGHT ATRIUM AND RIGHT VENTRICLE. STABLE POSTSURGICAL CHANGES IN THE MEDIASTINUM WITH RE-DEMONSTRATION OF PATIENT'S PROSTHETIC AORTIC VALVE. 2. NO EVIDENCE OF PNEUMOTHORAX. BIBASILAR OPACITIES AND BILATERAL PLEURAL EFFUSIONS. 3. THE CARDIAC SILHOUETTE IS ENLARGED, UNCHANGED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: CUIOLWSIWBX This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT ANTERIOR CHEST WALL PACEMAKER WITH LEADS OVERLYING THE RIGHT ATRIUM AND RIGHT VENTRICLE. STABLE POSTSURGICAL CHANGES IN THE MEDIASTINUM WITH RE-DEMONSTRATION OF PATIENT'S PROSTHETIC AORTIC VALVE. 2. NO EVIDENCE OF PNEUMOTHORAX. BIBASILAR OPACITIES AND BILATERAL PLEURAL EFFUSIONS. 3. THE CARDIAC SILHOUETTE IS ENLARGED, UNCHANGED. ","2-ABNORMAL, PREVIOUSLY REPORTED. " 21370,CheXpert_Demo_Images\train\patient05223\study1\view1_frontal.jpg,patient05223,"NARRATIVE: CHEST, ONE VIEW: 9/7/2011 COMPARISON: None available. CLINICAL HISTORY: A 21-year-old female being evaluated following line placement. FINDINGS: A single semiupright frontal chest radiograph demonstrates the presence of a left IJ central line with the tip seen in the proximal superior vena cava. There is no evidence of pneumothorax. There is prominence of the right paratracheal stripe which can be related to venous dilatation on supine film, but nodal disease cannot be fully excluded. The remainder of the cardiomediastinal silhouette is unremarkable. The lung fields are clear without focal consolidation or evidence of effusion. IMPRESSION: 1. LEFT-SIDED IJ CENTRAL LINE WITH TIPS SEEN IN THE PROXIMAL SUPERIOR VENA CAVA. NO EVIDENCE OF PNEUMOTHORAX. 2. PROMINENT RIGHT PARATRACHEAL STRIPE MAY BE POSITIONAL AND NORMAL, BUT RECOMMEND UPRIGHT FILM TO RULE OUT NODAL DISEASE IN THIS LOCATION. SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 263322 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A single semiupright frontal chest radiograph demonstrates the presence of a left IJ central line with the tip seen in the proximal superior vena cava. There is no evidence of pneumothorax. There is prominence of the right paratracheal stripe which can be related to venous dilatation on supine film, but nodal disease cannot be fully excluded. The remainder of the cardiomediastinal silhouette is unremarkable. The lung fields are clear without focal consolidation or evidence of effusion. "," 1. LEFT-SIDED IJ CENTRAL LINE WITH TIPS SEEN IN THE PROXIMAL SUPERIOR VENA CAVA. NO EVIDENCE OF PNEUMOTHORAX. 2. PROMINENT RIGHT PARATRACHEAL STRIPE MAY BE POSITIONAL AND NORMAL, BUT RECOMMEND UPRIGHT FILM TO RULE OUT NODAL DISEASE IN THIS LOCATION. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 64784,CheXpert_Demo_Images\train\patient15607\study1\view1_frontal.jpg,patient15607,"NARRATIVE: Chest 1 View 17TH JUNE COMPARISON: None HISTORY: 63 years Female with Sob IMPRESSION: 1.AP UPRIGHT VIEW OF THE CHEST AND DEMONSTRATES NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. CARDIA MEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. PULMONARY VASCULATURE IS WITHIN NORMAL LIMITS. OSSEOUS AND SOFT TISSUE STRUCTURES ARE GROSSLY UNREMARKABLE. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 96968528 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.AP UPRIGHT VIEW OF THE CHEST AND DEMONSTRATES NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. CARDIA MEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. PULMONARY VASCULATURE IS WITHIN NORMAL LIMITS. OSSEOUS AND SOFT TISSUE STRUCTURES ARE GROSSLY UNREMARKABLE. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 10539,CheXpert_Demo_Images\train\patient02626\study5\view1_frontal.jpg,patient02626,"NARRATIVE: CHEST: (x2) Single 6/3/2006 , 11/11/201 COMPARISON: 11/1/2021 CLINICAL HISTORY: Organ donor; evaluate donor patient. FINDINGS: On the study of 4/4/2013 at 9:47 P.M., there is again demonstration of an endotracheal tube, a left subclavian central venous catheter and a nasogastric tube. The PA catheter is seen with the tip in the main pulmonary outflow tract. The lungs are clear without focal air space consolidation. On the follow-up study of 11/3/2016 at 5:15 A.M. no significant interval change in the appearance of lines and tubes. Lung volumes have decreased. IMPRESSION: 1. STABLE APPEARANCE OF LINES AND TUBES. 2. INTERVAL DECREASE IN LUNG VOLUMES. NO FOCAL AIR SPACE CONSOLIDATION. CARDIOMEDIASTINAL SILHOUETTE APPEARS GROSSLY WITHIN NORMAL LIMITS. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: John Potter on: 12th September ACCESSION NUMBER: 7651092 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," On the study of 4/4/2013 at 9:47 P.M., there is again demonstration of an endotracheal tube, a left subclavian central venous catheter and a nasogastric tube. The PA catheter is seen with the tip in the main pulmonary outflow tract. The lungs are clear without focal air space consolidation. On the follow-up study of 11/3/2016 at 5:15 A.M. no significant interval change in the appearance of lines and tubes. Lung volumes have decreased. "," 1. STABLE APPEARANCE OF LINES AND TUBES. 2. INTERVAL DECREASE IN LUNG VOLUMES. NO FOCAL AIR SPACE CONSOLIDATION. CARDIOMEDIASTINAL SILHOUETTE APPEARS GROSSLY WITHIN NORMAL LIMITS. ", 198647,CheXpert_Demo_Images\train\patient49053\study1\view1_frontal.jpg,patient49053,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 9-25-2017 CLINICAL HISTORY: 61 years of age, Male, Chest congestion, moist breath sounds. COMPARISON: 9-25-2017 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Partially visualized cervical spine fixation hardware. The cardiomediastinal silhouette is unchanged. The lung parenchyma is clear. IMPRESSION: 1. No evidence of pulmonary edema or acute cardiopulmonary disease. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 00836257827 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Partially visualized cervical spine fixation hardware. The cardiomediastinal silhouette is unchanged. The lung parenchyma is clear. "," 1. No evidence of pulmonary edema or acute cardiopulmonary disease. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 19039,CheXpert_Demo_Images\train\patient04731\study1\view2_lateral.jpg,patient04731,"NARRATIVE: TWO VIEWS OF THE CHEST: 1-24-10 COMPARISON: 1/24/2010 FINDINGS: The previous abnormality around the left hilum has shrunk down with an appearance suggesting previous XRT. The left pleural effusion has disappeared with some scarring in the posterior costophrenic angle, shortening it. Surgical clips in left thorax, unchanged. No new findings. IMPRESSION: 1. CLEARING OF PRIOR PLEURAL EFFUSION AND REDUCTION IN SIZE OF LEFT HILAR MASS SINCE PREVIOUS STUDY, WITH NO NEW FINDINGS. IN VIEW OF THE SYMPTOMS, FILMS OF THE CERVICAL SPINE MAY BE HELPFUL. 2. MCKAY, MD PAGED TWICE AND OFFICE ASSISTANT CONTACTED WITHOUT RESPONSE BY 15:25 HRS TO INFORM HER OF THE FINDINGS AT HER REQUEST. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 6340977630 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The previous abnormality around the left hilum has shrunk down with an appearance suggesting previous XRT. The left pleural effusion has disappeared with some scarring in the posterior costophrenic angle, shortening it. Surgical clips in left thorax, unchanged. No new findings. "," 1. CLEARING OF PRIOR PLEURAL EFFUSION AND REDUCTION IN SIZE OF LEFT HILAR MASS SINCE PREVIOUS STUDY, WITH NO NEW FINDINGS. IN VIEW OF THE SYMPTOMS, FILMS OF THE CERVICAL SPINE MAY BE HELPFUL. 2. MCKAY, MD PAGED TWICE AND OFFICE ASSISTANT CONTACTED WITHOUT RESPONSE BY 15:25 HRS TO INFORM HER OF THE FINDINGS AT HER REQUEST. ","2-ABNORMAL, PREVIOUSLY REPORTED " 134891,CheXpert_Demo_Images\train\patient32411\study1\view1_frontal.jpg,patient32411,"NARRATIVE: SINGLE VIEW OF THE CHEST: 10/3/2002 COMPARISON: 10-3-2002. CLINICAL HISTORY: 37-year-old female with metastatic esophageal cancer status post gastric pull through. IMPRESSION: 1. SINGLE FRONTAL UPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF A RIGHT CHEST TUBE WITH PERSISTENT RIGHT PLEURAL THICKENING AND LOCULATED RIGHT PLEURAL EFFUSION. THERE IS INTERVAL SLIGHT IMPROVEMENT IN RIGHT BASILAR PATCHY OPACITIES. 2. MINIMAL LEFT RETROCARDIAC ATELECTASIS WITH OTHERWISE UNREMARKABLE LEFT LUNG. PULMONARY VASCULATURE IS WITHIN NORMAL LIMITS. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 9722110140 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL UPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF A RIGHT CHEST TUBE WITH PERSISTENT RIGHT PLEURAL THICKENING AND LOCULATED RIGHT PLEURAL EFFUSION. THERE IS INTERVAL SLIGHT IMPROVEMENT IN RIGHT BASILAR PATCHY OPACITIES. 2. MINIMAL LEFT RETROCARDIAC ATELECTASIS WITH OTHERWISE UNREMARKABLE LEFT LUNG. PULMONARY VASCULATURE IS WITHIN NORMAL LIMITS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 223351,CheXpert_Demo_Images\train\patient64633\study1\view1_frontal.jpg,patient64633,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12-24-01 CLINICAL HISTORY: 61 years of age, Female, Increased work of breathing. COMPARISON: 12-24-01 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: There is no change in the right-sided central venous catheter. An NG tube is present. There is no change in the enlargement of the cardiac silhouette. There are bilateral bibasilar opacities compatible with effusions and/or atelectasis that has increased on the right. There is diffuse bronchovascular marking prominence is also present compatible with edema or infection. IMPRESSION: 1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation and/or atelectasis. ACCESSION NUMBER: 7314536 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is no change in the right-sided central venous catheter. An NG tube is present. There is no change in the enlargement of the cardiac silhouette. There are bilateral bibasilar opacities compatible with effusions and/or atelectasis that has increased on the right. There is diffuse bronchovascular marking prominence is also present compatible with edema or infection. "," 1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation and/or atelectasis. ", 7301,CheXpert_Demo_Images\train\patient01812\study4\view1_frontal.jpg,patient01812,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 5/7/2002 COMPARISON: 5/7/2002. CLINICAL HISTORY: Fifty-three-year-old female, check for infiltrates. IMPRESSION: 1. SINGLE FRONTAL SEMI-UPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF TWO RIGHT INTERNAL JUGULAR CATHETERS. 2. REDEMONSTRATION OF RIGHT MIDDLE LOBE AND RIGHT LOWER LOBE COLLAPSE, WITH A RIGHT PLEURAL EFFUSION. 3. STABLE CARDIOMEGALY, WITH AORTIC AND MITRAL VALVE REPLACEMENTS, AND PERSISTENT PROBABLE MILD PULMONARY EDEMA. 4. PERSISTENT LEFT LOWER LOBE CONSOLIDATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 779139 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL SEMI-UPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF TWO RIGHT INTERNAL JUGULAR CATHETERS. 2. REDEMONSTRATION OF RIGHT MIDDLE LOBE AND RIGHT LOWER LOBE COLLAPSE, WITH A RIGHT PLEURAL EFFUSION. 3. STABLE CARDIOMEGALY, WITH AORTIC AND MITRAL VALVE REPLACEMENTS, AND PERSISTENT PROBABLE MILD PULMONARY EDEMA. 4. PERSISTENT LEFT LOWER LOBE CONSOLIDATION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 142364,CheXpert_Demo_Images\train\patient34247\study8\view1_frontal.jpg,patient34247,"NARRATIVE: SINGLE VIEW OF CHEST: 4/17/03 at 0355 hours. COMPARISON: 17-03 CLINICAL HISTORY: The patient is 24-year old female, status post heart transplant. Check for infiltrates. IMPRESSION: 1. SINGLE PORTABLE AP UPRIGHT CHEST RADIOGRAPH DATED 4-17-2003 AT 0355 DEMONSTRATES STABLE APPEARANCE OF ALL INSTRUMENTS AND DEVICES. LEFT BASILAR CONSOLIDATION IS UNCHANGED WHEN COMPARED TO THE PRIOR EXAM. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 134203 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE AP UPRIGHT CHEST RADIOGRAPH DATED 4-17-2003 AT 0355 DEMONSTRATES STABLE APPEARANCE OF ALL INSTRUMENTS AND DEVICES. LEFT BASILAR CONSOLIDATION IS UNCHANGED WHEN COMPARED TO THE PRIOR EXAM. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 211194,CheXpert_Demo_Images\train\patient55947\study1\view1_frontal.jpg,patient55947,"NARRATIVE: Chest 1 View Portable 4/27/20 CLINICAL HISTORY: 96 year old-old Male. Syncope, trauma COMPARISON: Chest 4/27/20 IMPRESSION: 1.FRONTAL VIEW OF THE CHEST DEMONSTRATES BIBASILAR OPACITIES. 2.NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 3.CARDIOMEDIASTINAL SILHOUETTE DEMONSTRATES ATHEROSCLEROTIC DISEASE AT THE AORTIC ARCH. NO CARDIOMEGALY. 4.VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2930317930 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL VIEW OF THE CHEST DEMONSTRATES BIBASILAR OPACITIES. 2.NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 3.CARDIOMEDIASTINAL SILHOUETTE DEMONSTRATES ATHEROSCLEROTIC DISEASE AT THE AORTIC ARCH. NO CARDIOMEGALY. 4.VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 214391,CheXpert_Demo_Images\train\patient57938\study1\view1_frontal.jpg,patient57938,"NARRATIVE: EXAM: Chest 1 View, 21/11/2008 CLINICAL HISTORY: Female of 49 years with a history of rheumatoid arthritis; Reason for study: ""Critical care follow-up(ICU)"" COMPARISON: Chest X-Ray 11/21/08 IMPRESSION: 1.LINES AND TUBES ARE NOT SIGNIFICANTLY CHANGED. REDUNDANT ENTERIC TUBE REMAINS LOOPED IN THE STOMACH WITH THE TIP LIKELY NEAR THE PYLORUS OR FIRST DUODENUM. THE RIGHT IJ REMAINS DEEP. 2.THE LEFT RETROCARDIAC CONSOLIDATION IS SOMEWHAT IMPROVED SINCE THE PRIOR STUDY. 3. NO SIGNIFICANT INTERVAL CHANGE IN THE EXTREMELY LOW LUNG VOLUMES AND DIFFUSE RETICULAR OPACITIES. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LINES AND TUBES ARE NOT SIGNIFICANTLY CHANGED. REDUNDANT ENTERIC TUBE REMAINS LOOPED IN THE STOMACH WITH THE TIP LIKELY NEAR THE PYLORUS OR FIRST DUODENUM. THE RIGHT IJ REMAINS DEEP. 2.THE LEFT RETROCARDIAC CONSOLIDATION IS SOMEWHAT IMPROVED SINCE THE PRIOR STUDY. 3. NO SIGNIFICANT INTERVAL CHANGE IN THE EXTREMELY LOW LUNG VOLUMES AND DIFFUSE RETICULAR OPACITIES. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 22748,CheXpert_Demo_Images\train\patient05570\study1\view1_frontal.jpg,patient05570,"NARRATIVE: Chest 1 View april 26 CLINICAL HISTORY: 78 years-old Female. S/p PPM COMPARISON: NONE IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST TAKEN ON 4/26/2007 AT 14:19 HOUR SHOW A DUAL-CHAMBER PACEMAKER OVER THE LEFT SHOULDER, WITH TWO LEADS THAT TERMINATE AT THE RIGHT ATRIUM AND THE RIGHT VENTRICLE. 2. NO EVIDENCE OF PNEUMOTHORAX. 3. NORMAL CARDIAC SILHOUETTE. NO CONSOLIDATION OR PLEURAL EFFUSION. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 7154407945477 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST TAKEN ON 4/26/2007 AT 14:19 HOUR SHOW A DUAL-CHAMBER PACEMAKER OVER THE LEFT SHOULDER, WITH TWO LEADS THAT TERMINATE AT THE RIGHT ATRIUM AND THE RIGHT VENTRICLE. 2. NO EVIDENCE OF PNEUMOTHORAX. 3. NORMAL CARDIAC SILHOUETTE. NO CONSOLIDATION OR PLEURAL EFFUSION. ","1-NO SIGNIFICANT ABNORMALITY " 70500,CheXpert_Demo_Images\train\patient16920\study2\view1_frontal.jpg,patient16920,"NARRATIVE: CHEST TWO VIEWS 5-11-2000: COMPARISON: 00-05. CLINICAL HISTORY: 44 year-old male with abdominal pain. FINDINGS/IMPRESSION: 1. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 2. LUNGS ARE CLEAR WITHOUT EDEMA, EFFUSION, OR FOCAL CONSOLIDATION. 3. NO GROSS BONY ABNORMALITY. 4. INTERVAL REMOVAL OF LEFT SIDED CENTRAL LINE. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: asher cordova, md on: 5-11-2000 ACCESSION NUMBER: #553462838 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",/," 1. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 2. LUNGS ARE CLEAR WITHOUT EDEMA, EFFUSION, OR FOCAL CONSOLIDATION. 3. NO GROSS BONY ABNORMALITY. 4. INTERVAL REMOVAL OF LEFT SIDED CENTRAL LINE. "," 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: asher cordova, md on: 5-11-2000 " 13677,CheXpert_Demo_Images\train\patient03427\study1\view1_frontal.jpg,patient03427,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 4-28-2013 CLINICAL HISTORY: 69 years of age, Female, Post op. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Right internal jugular central venous catheter is in place with the tip in the superior vena cava. Lower thoracic and lumbar spinal fusion rods are identified. Lungs demonstrate a left pleural effusion and left base opacity. Cardiomediastinal silhouette and pulmonary vascularity are within normal limits given the low lung volumes. IMPRESSION: 1. Left base opacity, atelectasis or consolidation. ""Physician to Physician Radiology Consult Line: (671) 371-4584"" ACCESSION NUMBER: RAJN-BUI This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right internal jugular central venous catheter is in place with the tip in the superior vena cava. Lower thoracic and lumbar spinal fusion rods are identified. Lungs demonstrate a left pleural effusion and left base opacity. Cardiomediastinal silhouette and pulmonary vascularity are within normal limits given the low lung volumes. "," 1. Left base opacity, atelectasis or consolidation. ""Physician to Physician Radiology Consult Line: (671) 371-4584"" ", 181193,CheXpert_Demo_Images\train\patient42702\study1\view1_frontal.jpg,patient42702,"NARRATIVE: CHEST ONE VIEW: 6/19/2014 CLINICAL HISTORY: A 61-year-old male rule out pneumonia. COMPARISON: No priors for comparison. FINDINGS: Single upright view of the chest demonstrates a left upper extremity PICC line with the tip overlying the expected location of the cavoatrial junction. No evidence of airspace opacities or pleural effusions. The cardiomediastinal silhouette is within the norm. IMPRESSION: 1. NO EVIDENCE OF PNEUMONIA. UNREMARKABLE CHEST X-RAY. PICC LINE IN THE EXPECTED LOCATION OF THE CAVOATRIAL JUNCTION. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: #04240392 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single upright view of the chest demonstrates a left upper extremity PICC line with the tip overlying the expected location of the cavoatrial junction. No evidence of airspace opacities or pleural effusions. The cardiomediastinal silhouette is within the norm. "," 1. NO EVIDENCE OF PNEUMONIA. UNREMARKABLE CHEST X-RAY. PICC LINE IN THE EXPECTED LOCATION OF THE CAVOATRIAL JUNCTION. ","1-NO SIGNIFICANT ABNORMALITY " 96409,CheXpert_Demo_Images\train\patient23221\study1\view1_frontal.jpg,patient23221,"NARRATIVE: TWO VIEWS CHEST: 1-7-2014. CLINICAL HISTORY: A 54-year-old female with shortness of breath. COMPARISON: 1-7-2014 and CT thorax 1/7/14. IMPRESSION: 1. AP UPRIGHT AND LATERAL VIEWS OF THE CHEST RE-DEMONSTRATE PULMONARY ARTERIAL ENLARGEMENT, SHOWN TO BETTER FAVOR ON THE CT PERFORMED 2 DAYS PRIOR. PROMINENT INTERSTITIAL OPACITY APPEARS STABLE IN COMPARISON TO THE PRIOR EXAMINATIONS. NO EVIDENCE OF FOCAL CONSOLIDATION OR CHANGE COMPARED TO THE PRIOR EXAMINATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #06297 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP UPRIGHT AND LATERAL VIEWS OF THE CHEST RE-DEMONSTRATE PULMONARY ARTERIAL ENLARGEMENT, SHOWN TO BETTER FAVOR ON THE CT PERFORMED 2 DAYS PRIOR. PROMINENT INTERSTITIAL OPACITY APPEARS STABLE IN COMPARISON TO THE PRIOR EXAMINATIONS. NO EVIDENCE OF FOCAL CONSOLIDATION OR CHANGE COMPARED TO THE PRIOR EXAMINATION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 24785,CheXpert_Demo_Images\train\patient06061\study5\view1_frontal.jpg,patient06061,"NARRATIVE: SINGLE VIEW OF THE CHEST: 6/28/2005 AT 1627 COMPARISON: June 2005 AT 1225. CLINICAL HISTORY: An 80-year-old female, shortness of breath. IMPRESSION: 1. STABLE RIGHT BASILAR OPACITY. 2. UNCHANGED RIGHT PLEURAL EFFUSION. 3. TRACE INTERSTITIAL PULMONARY EDEMA, IMPROVED WHEN COMPARED TO THE PRIOR EXAM. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8v5 2os s This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE RIGHT BASILAR OPACITY. 2. UNCHANGED RIGHT PLEURAL EFFUSION. 3. TRACE INTERSTITIAL PULMONARY EDEMA, IMPROVED WHEN COMPARED TO THE PRIOR EXAM. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 129999,CheXpert_Demo_Images\train\patient31155\study1\view1_frontal.jpg,patient31155,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/25/2016 CLINICAL HISTORY: 33 years of age, Female, Evaluate CVP after placement and r/o pneumothorax. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Left subclavian venous catheter terminates in the upper SVC. Low lung volumes. No focal consolidation. Mild left basilar opacity. Small left pleural effusion. No visualized pneumothorax. IMPRESSION: 1. Left subclavian venous catheter terminates in the upper SVC. No visualized pneumothorax. 2. Mild bibasilar opacities, which may represent atelectasis, aspiration, or consolidation. 3. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 13615 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Left subclavian venous catheter terminates in the upper SVC. Low lung volumes. No focal consolidation. Mild left basilar opacity. Small left pleural effusion. No visualized pneumothorax. "," 1. Left subclavian venous catheter terminates in the upper SVC. No visualized pneumothorax. 2. Mild bibasilar opacities, which may represent atelectasis, aspiration, or consolidation. 3. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 116358,CheXpert_Demo_Images\train\patient27917\study1\view1_frontal.jpg,patient27917,"NARRATIVE: SINGLE VIEW OF THE CHEST: 9-19. COMPARISON: None. FINDINGS: Single view of the chest is limited by an underlying trauma board. Cardiomediastinal silhouette is within normal limits given technique and low inspiratory effort. There are low lung volumes bilaterally with no evidence of focal consolidation. The bibasilar opacities, consistent with atelectasis. Visualized soft tissues and osseous structures demonstrates no evidence of acute traumatic osseous abnormality. IMPRESSION: 1. LOW VOLUMES WITH NO EVIDENCE OF FOCAL CONSOLIDATION OR ACUTE OSSEOUS ABNORMALITY. END OF IMPRESSION: SUMMARY 1: No significant abnormality. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kelly, MD on: 9/19/2000 ACCESSION NUMBER: #4553039202 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single view of the chest is limited by an underlying trauma board. Cardiomediastinal silhouette is within normal limits given technique and low inspiratory effort. There are low lung volumes bilaterally with no evidence of focal consolidation. The bibasilar opacities, consistent with atelectasis. Visualized soft tissues and osseous structures demonstrates no evidence of acute traumatic osseous abnormality. "," 1. LOW VOLUMES WITH NO EVIDENCE OF FOCAL CONSOLIDATION OR ACUTE OSSEOUS ABNORMALITY. "," 1: No significant abnormality. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kelly, MD on: 9/19/2000 " 211634,CheXpert_Demo_Images\train\patient56219\study1\view1_frontal.jpg,patient56219,"NARRATIVE: EXAM: Chest 1 View 3-7-2010 CLINICAL HISTORY: 48 years old Male. Post op COMPARISON: 3/7/2010 IMPRESSION: 1.PORTABLE CHEST RADIOGRAPH DEMONSTRATES LEFT MIDDLE LUNG ZONE OPACITY LIKELY REPRESENTING POST BRONCHOSCOPIC EFFECTS WITH NO PNEUMOTHORAX IDENTIFIED. 2.UNCHANGED SOFT TISSUE DENSITY ALONG THE MEDIAL LEFT HEMITHORAX. 3. 4.OTHERWISE NO SIGNIFICANT CHANGE FROM PRIOR. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: M 3 2 N 6 8 8 W T B 4 K W This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PORTABLE CHEST RADIOGRAPH DEMONSTRATES LEFT MIDDLE LUNG ZONE OPACITY LIKELY REPRESENTING POST BRONCHOSCOPIC EFFECTS WITH NO PNEUMOTHORAX IDENTIFIED. 2.UNCHANGED SOFT TISSUE DENSITY ALONG THE MEDIAL LEFT HEMITHORAX. 3. 4.OTHERWISE NO SIGNIFICANT CHANGE FROM PRIOR. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 145496,CheXpert_Demo_Images\train\patient34852\study6\view1_frontal.jpg,patient34852,"NARRATIVE: February 26 COMPARISON: 2/26/2009 at 0620 hours CLINICAL HISTORY: A 72-year-old man, confirm line placement. IMPRESSION: 1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST IS LIMITED BY ROTATION OF THE PATIENT TO THE RIGHT AND RESPIRATORY MOTION. 2. INTERVAL PLACEMENT OF A LEFT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WHOSE DISTAL TIP IS NOT CLEARLY VISUALIZED BUT WHICH IS SEEN AT LEAST TO THE PROXIMAL LEFT BRACHIOCEPHALIC VEIN. NO DEFINITE PNEUMOTHORAX, THOUGH, AGAIN, THE EXAM IS LIMITED. 3. STABLE POSITIONING OF AN ENDOTRACHEAL TUBE, NASOGASTRIC TUBE, FEEDING TUBE, RIGHT UPPER EXTREMITY PICC LINE, AND RIGHT AXILLARY CATHETER. 4. LOWER LUNG VOLUMES WITH REDEMONSTRATION OF PATCHY OPACITIES BILATERALLY AND SMALL BILATERAL EFFUSIONS. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: #4315607535 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST IS LIMITED BY ROTATION OF THE PATIENT TO THE RIGHT AND RESPIRATORY MOTION. 2. INTERVAL PLACEMENT OF A LEFT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WHOSE DISTAL TIP IS NOT CLEARLY VISUALIZED BUT WHICH IS SEEN AT LEAST TO THE PROXIMAL LEFT BRACHIOCEPHALIC VEIN. NO DEFINITE PNEUMOTHORAX, THOUGH, AGAIN, THE EXAM IS LIMITED. 3. STABLE POSITIONING OF AN ENDOTRACHEAL TUBE, NASOGASTRIC TUBE, FEEDING TUBE, RIGHT UPPER EXTREMITY PICC LINE, AND RIGHT AXILLARY CATHETER. 4. LOWER LUNG VOLUMES WITH REDEMONSTRATION OF PATCHY OPACITIES BILATERALLY AND SMALL BILATERAL EFFUSIONS. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 49856,CheXpert_Demo_Images\train\patient12135\study1\view1_frontal.jpg,patient12135,"NARRATIVE: CHEST, TWO VIEWS: 4-6-2018 CLINICAL DATA: 22-year-old with syncopal episode. COMPARISON: None. IMPRESSION: AP AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE NO FOCAL CONSOLIDATION, EFFUSION, OR PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Roth, MD on: 4/6/2018 ACCESSION NUMBER: 7478516 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AP AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE NO FOCAL CONSOLIDATION, EFFUSION, OR PNEUMOTHORAX. CARDIOMEDIASTINAL SILHOUETTE IS UNREMARKABLE. VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. "," 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Roth, MD on: 4/6/2018 " 48026,CheXpert_Demo_Images\train\patient11652\study1\view2_lateral.jpg,patient11652,"NARRATIVE: CHEST: Two views. HISTORY: The patient is a 66 -year-old male with multiple myeloma. COMPARISON: Chest two views, 10/24/2001 IMPRESSION: 1. UNCHANGED POSITION OF THE DUAL LUMEN INTERNAL JUGULAR TUNNELED CENTRAL LINE. 2. UNCHANGED POSTERIOR SPINAL FUSION HARDWARE WHICH SPANS A COMPRESSED VERTEBRAL BODY IN THE MID THORACIC SPINE. 3. NO PULMONARY INFILTRATES, PLEURAL EFFUSIONS OR PULMONARY EDEMA. 4. THE HEART SIZE IS WITHIN NORMAL LIMITS. END OF IMPRESSION: ACCESSION NUMBER: 248100822 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UNCHANGED POSITION OF THE DUAL LUMEN INTERNAL JUGULAR TUNNELED CENTRAL LINE. 2. UNCHANGED POSTERIOR SPINAL FUSION HARDWARE WHICH SPANS A COMPRESSED VERTEBRAL BODY IN THE MID THORACIC SPINE. 3. NO PULMONARY INFILTRATES, PLEURAL EFFUSIONS OR PULMONARY EDEMA. 4. THE HEART SIZE IS WITHIN NORMAL LIMITS. ", 19592,CheXpert_Demo_Images\train\patient04878\study1\view1_frontal.jpg,patient04878,"NARRATIVE: PLAIN FILMS OF THE ABDOMEN AND OF THE CHEST, 11/26/2002: REASON FOR EXAMINATION: Aspiration pneumonia and ileus. IMPRESSION: 1. SINGLE VIEW OF THE ABDOMEN DEMONSTRATES PREVIOUSLY ADMINISTERED ORAL CONTRAST MATERIAL PREDOMINANTLY NOW IN THE COLON. A MODERATE AMOUNT OF GAS IS SEEN IN THE STOMACH. NO EVIDENCE FOR OBSTRUCTION. NASOGASTRIC TUBE WITH TIP IN THE STOMACH. 2. SINGLE VIEW OF THE CHEST DEMONSTRATES MINIMAL INCREASED LUNG MARKINGS MEDIAL LEFT BASE, NON-SPECIFIC. NO FRANK PULMONARY CONSOLIDATION IDENTIFIED. RIGHT SUBCLAVIAN VENOUS CATHETER TIP IN SUPERIOR VENA CAVA. END OF IMPRESSION: ACCESSION NUMBER: 6340977630 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE VIEW OF THE ABDOMEN DEMONSTRATES PREVIOUSLY ADMINISTERED ORAL CONTRAST MATERIAL PREDOMINANTLY NOW IN THE COLON. A MODERATE AMOUNT OF GAS IS SEEN IN THE STOMACH. NO EVIDENCE FOR OBSTRUCTION. NASOGASTRIC TUBE WITH TIP IN THE STOMACH. 2. SINGLE VIEW OF THE CHEST DEMONSTRATES MINIMAL INCREASED LUNG MARKINGS MEDIAL LEFT BASE, NON-SPECIFIC. NO FRANK PULMONARY CONSOLIDATION IDENTIFIED. RIGHT SUBCLAVIAN VENOUS CATHETER TIP IN SUPERIOR VENA CAVA. ", 127282,CheXpert_Demo_Images\train\patient30517\study1\view1_frontal.jpg,patient30517,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW: 11/16/2017 AT 2324 HOURS. COMPARISON: None. CLINICAL HISTORY: None provided. IMPRESSION: 1. RIGHT CENTRAL VENOUS LINE, TIP IN THE LOWER SVC AT THE CAVOATRIAL JUNCTION. NO EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES, NO EVIDENCE FOR CONSOLIDATION OR EFFUSION. SUMMARY:1-NO SIGNIFICANT ABNORMALITY. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 98749587 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RIGHT CENTRAL VENOUS LINE, TIP IN THE LOWER SVC AT THE CAVOATRIAL JUNCTION. NO EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES, NO EVIDENCE FOR CONSOLIDATION OR EFFUSION. ","1-NO SIGNIFICANT ABNORMALITY. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 137123,CheXpert_Demo_Images\train\patient32927\study4\view1_frontal.jpg,patient32927,"NARRATIVE: EXAM: Chest 1 View, 11/29/2004 CLINICAL HISTORY: CCU patient with heart failure COMPARISON: 29/2004 IMPRESSION: 1.THE RIGHT PICC LINE TIP IS IN STABLE POSITIONING WITH THE TIP IN THE UPPER ASPECT OF THE SVC. 2.NO SIGNIFICANT PULMONARY EDEMA. 3.THE MODERATE LEFT AND SMALL RIGHT PLEURAL EFFUSIONS ARE NOT SIGNIFICANTLY CHANGED ALTHOUGH LUNG VOLUMES ARE DECREASED. BIBASILAR OPACITIES CONSISTENT WITH ATELECTASIS OR CONSOLIDATION ARE STABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 78UBKSDH1N This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.THE RIGHT PICC LINE TIP IS IN STABLE POSITIONING WITH THE TIP IN THE UPPER ASPECT OF THE SVC. 2.NO SIGNIFICANT PULMONARY EDEMA. 3.THE MODERATE LEFT AND SMALL RIGHT PLEURAL EFFUSIONS ARE NOT SIGNIFICANTLY CHANGED ALTHOUGH LUNG VOLUMES ARE DECREASED. BIBASILAR OPACITIES CONSISTENT WITH ATELECTASIS OR CONSOLIDATION ARE STABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 134982,CheXpert_Demo_Images\train\patient32437\study1\view1_frontal.jpg,patient32437,"NARRATIVE: Exam: Chest 2 Views, 9/25/2006 Clinical History: 87 years Male with Back Pain, CXR PREOP Comparison: None IMPRESSION: 1.THERE IS MODERATE PULMONARY HYPEREXPANSION. 2.MILD ACCENTUATION OF INTERSTITIAL MARKINGS IN THE LOWER LUNGS IS NOTED, WITH THE LUNGS ARE FREE OF ACUTE CONSOLIDATION. 3.PULMONARY VASCULARITY IS WITHIN NORMAL LIMITS. 4.CARDIAC SIZE AND CONFIGURATION ARE NORMAL. 5.MODERATE PECTUS EXCAVATUM DEFORMITY AND DEGENERATIVE CHANGES OF THE THORACIC SPINE ARE NOTED, WITHOUT ACUTE OSSEOUS ABNORMALITY IDENTIFIED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: V-0-G-R-B-5-K-9-D-2-5 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.THERE IS MODERATE PULMONARY HYPEREXPANSION. 2.MILD ACCENTUATION OF INTERSTITIAL MARKINGS IN THE LOWER LUNGS IS NOTED, WITH THE LUNGS ARE FREE OF ACUTE CONSOLIDATION. 3.PULMONARY VASCULARITY IS WITHIN NORMAL LIMITS. 4.CARDIAC SIZE AND CONFIGURATION ARE NORMAL. 5.MODERATE PECTUS EXCAVATUM DEFORMITY AND DEGENERATIVE CHANGES OF THE THORACIC SPINE ARE NOTED, WITHOUT ACUTE OSSEOUS ABNORMALITY IDENTIFIED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 108120,CheXpert_Demo_Images\train\patient25990\study1\view1_frontal.jpg,patient25990,"NARRATIVE: EXAM: Chest 1 View, August 2008. HISTORY: 34 years Male, R/o pneumonia. COMPARISON: None. Findings: A single semiupright radiograph of the chest demonstrates a normal cardiomediastinal silhouette. The lungs appear clear without any focal consolidation. There is minimal blunting of the right costophrenic angle, which could represent pleural effusion versus pleural thickening. no pneumothorax. Visualized bones and soft tissues are unremarkable. IMPRESSION: 1.NO FOCAL CONSOLIDATIONS. 2.MINIMAL BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE, WHICH COULD REPRESENT A SMALL PLEURAL EFFUSION SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: QMNRQZ86Z This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A single semiupright radiograph of the chest demonstrates a normal cardiomediastinal silhouette. The lungs appear clear without any focal consolidation. There is minimal blunting of the right costophrenic angle, which could represent pleural effusion versus pleural thickening. no pneumothorax. Visualized bones and soft tissues are unremarkable. "," 1.NO FOCAL CONSOLIDATIONS. 2.MINIMAL BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE, WHICH COULD REPRESENT A SMALL PLEURAL EFFUSION ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 58757,CheXpert_Demo_Images\train\patient14237\study1\view2_lateral.jpg,patient14237,"NARRATIVE: CHEST TWO VIEWS: 11/2/2013 AT 1420 HOURS CLINICAL HISTORY: Sixty-one-year-old female who presents with shortness of breath. COMPARISON: None. TECHNIQUE: Frontal and lateral views of the chest. FINDINGS: The trachea is midline. Cardiomediastinal silhouette is within normal limits. There are diffuse patchy airspace opacities throughout the right lung with peripheral predominance and minimal sparing of the right apex. The left lung appears clear. No pneumothorax or pleural effusion is visualized. The visualized osseous structures reveal no acute bony abnormalities. There is mild rightward curvature of the thoracic spine, which may be positional. IMPRESSION: 1. DIFFUSE PATCHY AIRSPACE OPACITIES IN THE RIGHT LUNG WITH PERIPHERAL PREDOMINANCE WHICH MAY REPRESENT ATYPICAL INFECTION, MULTILEVEL PNEUMONIA, OR NEOPLASTIC PROCESS. GIVEN ATYPICAL ASYMMETRIC APPEARANCE, RECOMMEND FOLLOW UP TILL RESOLUTION. 2. LEFT LUNG IS CLEAR. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: HRf.15k This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The trachea is midline. Cardiomediastinal silhouette is within normal limits. There are diffuse patchy airspace opacities throughout the right lung with peripheral predominance and minimal sparing of the right apex. The left lung appears clear. No pneumothorax or pleural effusion is visualized. The visualized osseous structures reveal no acute bony abnormalities. There is mild rightward curvature of the thoracic spine, which may be positional. "," 1. DIFFUSE PATCHY AIRSPACE OPACITIES IN THE RIGHT LUNG WITH PERIPHERAL PREDOMINANCE WHICH MAY REPRESENT ATYPICAL INFECTION, MULTILEVEL PNEUMONIA, OR NEOPLASTIC PROCESS. GIVEN ATYPICAL ASYMMETRIC APPEARANCE, RECOMMEND FOLLOW UP TILL RESOLUTION. 2. LEFT LUNG IS CLEAR. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 189076,CheXpert_Demo_Images\train\patient45234\study1\view1_frontal.jpg,patient45234,"NARRATIVE: CHEST, ONE VIEW: 9-21-09 COMPARISON: 48;yo male with history of AVM status post line placement. IMPRESSION: 1. CARDIAC AND MEDIASTINAL SILHOUETTE ARE WITHIN NORMAL LIMITS. 2. LUNGS APPEAR CLEAR WITHOUT SIGNIFICANT EDEMA, EFFUSION, FOCAL OPACITY, OR PNEUMOTHORAX. 3. INCIDENTALLY NOTED IS AN AZYGOUS LOBE. 4. LEFT SUBCLAVIAN LINE DISTAL TIP IS AT THE SVC/INNOMINATE JUNCTION. END OF IMPRESSION: Summary 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: BENJAMIN, MD on: 9-21-2009 ACCESSION NUMBER: UKLZUYXKGO This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CARDIAC AND MEDIASTINAL SILHOUETTE ARE WITHIN NORMAL LIMITS. 2. LUNGS APPEAR CLEAR WITHOUT SIGNIFICANT EDEMA, EFFUSION, FOCAL OPACITY, OR PNEUMOTHORAX. 3. INCIDENTALLY NOTED IS AN AZYGOUS LOBE. 4. LEFT SUBCLAVIAN LINE DISTAL TIP IS AT THE SVC/INNOMINATE JUNCTION. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: BENJAMIN, MD on: 9-21-2009 " 98625,CheXpert_Demo_Images\train\patient23790\study1\view2_lateral.jpg,patient23790,"NARRATIVE: TWO VIEW CHEST: 12-25-2007 COMPARISON: None. IMPRESSION: 1. NO EVIDENCE OF RIB FRACTURE OR PNEUMOTHORAX. 2. UNREMARKABLE CHEST X-RAY. END OF IMPRESSION SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 953896205 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO EVIDENCE OF RIB FRACTURE OR PNEUMOTHORAX. 2. UNREMARKABLE CHEST X-RAY. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 50799,CheXpert_Demo_Images\train\patient12380\study1\view1_frontal.jpg,patient12380,"NARRATIVE: Chest 1 View, 1/29/2019 HISTORY: 65 years Female, Critical care follow-up(ICU) COMPARISON: None IMPRESSION: 1.SINGLE SEMI-UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES CARDIOMEGALY. THERE IS A MILD DIFFUSE RETICULAR PATTERN OF THE LUNGS, WHICH MAY REFLECT A MILD DEGREE OF PULMONARY EDEMA. 2.LINEAR ATELECTASIS IS PRESENT WITHIN THE LEFT MIDLUNG ZONE. NO SIGNIFICANT PLEURAL EFFUSIONS. 3.MILD TORTUOSITY AND CALCIFICATION OF THE THORACIC AORTA. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. ACCESSION NUMBER: 1549588728Y This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE SEMI-UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES CARDIOMEGALY. THERE IS A MILD DIFFUSE RETICULAR PATTERN OF THE LUNGS, WHICH MAY REFLECT A MILD DEGREE OF PULMONARY EDEMA. 2.LINEAR ATELECTASIS IS PRESENT WITHIN THE LEFT MIDLUNG ZONE. NO SIGNIFICANT PLEURAL EFFUSIONS. 3.MILD TORTUOSITY AND CALCIFICATION OF THE THORACIC AORTA. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. " 198644,CheXpert_Demo_Images\train\patient49050\study1\view1_frontal.jpg,patient49050,"NARRATIVE: CHEST SINGLE VIEW 8-26-2004: COMPARISON: 8-26-04 CLINICAL HISTORY: Poisoning with stridor. IMPRESSION: AP SEMI-ERECT FILM TAKEN ON POOR INSPIRATION. THE LUNGS APPEAR CLEAR, WITH NO EVIDENCE OF PULMONARY EDEMA OR OTHER FOCAL PATHOLOGY. END OF IMPRESSION: SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 0891 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AP SEMI-ERECT FILM TAKEN ON POOR INSPIRATION. THE LUNGS APPEAR CLEAR, WITH NO EVIDENCE OF PULMONARY EDEMA OR OTHER FOCAL PATHOLOGY. ","1-NO SIGNIFICANT ABNORMALITY " 140906,CheXpert_Demo_Images\train\patient33893\study2\view1_frontal.jpg,patient33893,"NARRATIVE: TWO VIEWS OF THE CHEST: 2-5-2009 PRIOR STUDY: 2/5/2009. CLINICAL HISTORY: Left atrial myxoma. IMPRESSION: 1. RIGHT INTERNAL JUGULAR LINE IS UNCHANGED. 2. INCREASED LUNG VOLUMES, WITH IMPROVING PULMONARY EDEMA. 3. REDEMONSTRATION OF INCREASED OPACITY IN THE RIGHT UPPER AND LOWER LUNG ZONES, CANNOT EXCLUDE INFECTION. 4. SMALL BILATERAL PLEURAL EFFUSIONS. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: herman, levi on: 2-5-2009 ACCESSION NUMBER: 23391017117 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RIGHT INTERNAL JUGULAR LINE IS UNCHANGED. 2. INCREASED LUNG VOLUMES, WITH IMPROVING PULMONARY EDEMA. 3. REDEMONSTRATION OF INCREASED OPACITY IN THE RIGHT UPPER AND LOWER LUNG ZONES, CANNOT EXCLUDE INFECTION. 4. SMALL BILATERAL PLEURAL EFFUSIONS. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: herman, levi on: 2-5-2009 " 214193,CheXpert_Demo_Images\train\patient57817\study1\view3_lateral.jpg,patient57817,"NARRATIVE: Chest 2 Views: 9-20-13 HISTORY: Male, 50 years old, reason for exam: ""Cough"". COMPARISON: Chest radiograph 09/20. IMPRESSION: 1. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. MODERATE PULMONARY EDEMA. 3. LEFT RETROCARDIAC OPACITY WHICH COULD REPRESENT ATELECTASIS VERSUS CONSOLIDATION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 184 707 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. MODERATE PULMONARY EDEMA. 3. LEFT RETROCARDIAC OPACITY WHICH COULD REPRESENT ATELECTASIS VERSUS CONSOLIDATION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 192585,CheXpert_Demo_Images\train\patient46585\study1\view1_frontal.jpg,patient46585,"NARRATIVE: PORTABLE CHEST SINGLE VIEW: 8/30/2004 AT 0555 HOURS. COMPARISON: August 30th 2004 . CLINICAL DATA: Metastatic pancreatic neuroendocrine tumor, acute hypoxia. IMPRESSION: 1. INTERVAL REMOVAL OF RIGHT IJ LINE, NO EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES WITH VASCULAR CROWDING. 3. PATCHY OPACITY AT THE LUNG BASES BILATERALLY, LIKELY SECONDARY TO ATELECTASIS. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Chapman, Dr.. on: 8-30-2004 ACCESSION NUMBER: 04240392 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF RIGHT IJ LINE, NO EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES WITH VASCULAR CROWDING. 3. PATCHY OPACITY AT THE LUNG BASES BILATERALLY, LIKELY SECONDARY TO ATELECTASIS. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Chapman, Dr.. on: 8-30-2004 " 191453,CheXpert_Demo_Images\train\patient46124\study1\view1_frontal.jpg,patient46124,"NARRATIVE: PORTABLE CHEST, SINGLE VIEW (X 2): 10-25-2013 AND 10/25/2013. COMPARISON: Comparison is made with exam from 10/25/2013. CLINICAL DATA: 65 year old woman, aortic stenosis. FINDINGS: AP portable view of the chest taken on 10-25-2013 at 21:40 hours demonstrates interval placement of endotracheal tube just above the clavicles. There is a nasogastric tube into the abdomen. There is a right internal jugular sheath and a catheter in the superior vena cava. There is interval placement of an aortic valve. Lung volumes are low and there is interstitial pulmonary edema. There is right base atelectasis. A retrocardiac opacity and a left pleural effusion as well. No pneumothorax is seen. AP portable view of the chest taken on 10/25/2013 at 04:18 hours demonstrates tubes and lines stable. Interval decrease in pulmonary edema. Subcutaneous emphysema is seen at the right shoulder. IMPRESSION: 1. INTERVAL PLACEMENT OF AN AORTIC VALVE. 2. LOW LUNG VOLUMES WITH PULMONARY EDEMA. 3. LEFT PLEURAL EFFUSION AND RETROCARDIAC OPACITY. 4. APPEARANCE OF RIGHT SHOULDER SUBCUTANEOUS EMPHYSEMA, RECOMMEND ATTENTION ON FOLLOW-UP. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. ACCESSION NUMBER: TMKPNPH This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," AP portable view of the chest taken on 10-25-2013 at 21:40 hours demonstrates interval placement of endotracheal tube just above the clavicles. There is a nasogastric tube into the abdomen. There is a right internal jugular sheath and a catheter in the superior vena cava. There is interval placement of an aortic valve. Lung volumes are low and there is interstitial pulmonary edema. There is right base atelectasis. A retrocardiac opacity and a left pleural effusion as well. No pneumothorax is seen. AP portable view of the chest taken on 10/25/2013 at 04:18 hours demonstrates tubes and lines stable. Interval decrease in pulmonary edema. Subcutaneous emphysema is seen at the right shoulder. "," 1. INTERVAL PLACEMENT OF AN AORTIC VALVE. 2. LOW LUNG VOLUMES WITH PULMONARY EDEMA. 3. LEFT PLEURAL EFFUSION AND RETROCARDIAC OPACITY. 4. APPEARANCE OF RIGHT SHOULDER SUBCUTANEOUS EMPHYSEMA, RECOMMEND ATTENTION ON FOLLOW-UP. "," 4: Possible Significant Abnormality/Change, may need action. " 202057,CheXpert_Demo_Images\train\patient50569\study1\view1_frontal.jpg,patient50569,"NARRATIVE: SINGLE VIEW CHEST: september 18, 2007 COMPARISON: 9/18/07 CLINICAL HISTORY: A 50-year-old male, ICU follow up. IMPRESSION: 1. SINGLE SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF ET TUBE WITH INTERVAL PLACEMENT OF NASOGASTRIC TUBE, WITH TIP IN THE PROXIMAL STOMACH. 2. INTERVAL DEVELOPMENT OF CEPHALIZATION SUGGESTING MILD PULMONARY EDEMA. 3. NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #874.064.5 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF ET TUBE WITH INTERVAL PLACEMENT OF NASOGASTRIC TUBE, WITH TIP IN THE PROXIMAL STOMACH. 2. INTERVAL DEVELOPMENT OF CEPHALIZATION SUGGESTING MILD PULMONARY EDEMA. 3. NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 214471,CheXpert_Demo_Images\train\patient57988\study1\view1_frontal.jpg,patient57988,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 3-25-2001 CLINICAL HISTORY: 70 years of age, Female, Pre op eval. COMPARISON: 3-25-01 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Low lung volumes. The cardiomediastinal silhouette is normal. Mild interstitial prominence. No focal consolidation. There are no pleural abnormalities. Severe degenerative change. IMPRESSION: 1. Mild interstitial prominence may reflect low lung volumes or mild edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 58445381 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Low lung volumes. The cardiomediastinal silhouette is normal. Mild interstitial prominence. No focal consolidation. There are no pleural abnormalities. Severe degenerative change. "," 1. Mild interstitial prominence may reflect low lung volumes or mild edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 158213,CheXpert_Demo_Images\train\patient37072\study2\view1_frontal.jpg,patient37072,"NARRATIVE: Chest 1 View 8/22/2004 History:78 years Female, Intubated Comparison: 8-22-2004 Impression: 1.NEW COARSE RETROCARDIAC OPACITY, CONCERNING FOR PNEUMONIA SUMMARY CODE: SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. ACCESSION NUMBER: 609-7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NEW COARSE RETROCARDIAC OPACITY, CONCERNING FOR PNEUMONIA SUMMARY CODE: "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. " 221456,CheXpert_Demo_Images\train\patient62939\study1\view1_frontal.jpg,patient62939,"NARRATIVE: Exam: Chest 1 View, 4/28/2008 Clinical History: 24 years Female with Febrile Comparison: 04/28 IMPRESSION: 1. NORMAL HEART SIZE AND PULMONARY VASCULARITY. 2. LUNG VOLUMES ARE LOW. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, OR PNEUMOTHORAX. MINIMAL LINEAR ATELECTASIS IS SEEN IN THE LEFT RETROCARDIAC REGION. AN IRREGULAR OPACITY PROJECTING OVER THE RIGHT MID LUNG ZONE THIS LIKELY ARTIFACTUAL. 3. THE VISUALIZED OSSEUS AND SOFT TISSUE STRUCTURES ARE UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #7608048681 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NORMAL HEART SIZE AND PULMONARY VASCULARITY. 2. LUNG VOLUMES ARE LOW. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, OR PNEUMOTHORAX. MINIMAL LINEAR ATELECTASIS IS SEEN IN THE LEFT RETROCARDIAC REGION. AN IRREGULAR OPACITY PROJECTING OVER THE RIGHT MID LUNG ZONE THIS LIKELY ARTIFACTUAL. 3. THE VISUALIZED OSSEUS AND SOFT TISSUE STRUCTURES ARE UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 123015,CheXpert_Demo_Images\train\patient29497\study2\view1_frontal.jpg,patient29497,"NARRATIVE: ONE VIEW CHEST: 7-3-2019 at 0938 hours COMPARISON: One view chest dated 7-3-2019 at 0543 hours. IMPRESSION: 1. INTERVAL PLACEMENT OF A RIGHT UPPER EXTREMITY PICC LINE WITH THE DISTAL TIP APPROXIMATELY 3 CM BELOW THE CAVOATRIAL JUNCTION WITHIN THE RIGHT ATRIUM. 2. THERE HAS BEEN INTERVAL IMPROVEMENT IN AERATION WITHIN THE LUNGS WITH SLIGHT INTERVAL DECREASE IN PULMONARY EDEMA. 3. STABLE RIGHT BASILAR CONSOLIDATION WHICH MAY REPRESENT ATELECTASIS OR OTHER CONSOLIDATIVE PROCESS. 4. STABLE BILATERAL PLEURAL EFFUSIONS, RIGHT LARGER THAN LEFT. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Hannah Kalmes, DNP on: 7-3-19 ACCESSION NUMBER: #85224853276 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF A RIGHT UPPER EXTREMITY PICC LINE WITH THE DISTAL TIP APPROXIMATELY 3 CM BELOW THE CAVOATRIAL JUNCTION WITHIN THE RIGHT ATRIUM. 2. THERE HAS BEEN INTERVAL IMPROVEMENT IN AERATION WITHIN THE LUNGS WITH SLIGHT INTERVAL DECREASE IN PULMONARY EDEMA. 3. STABLE RIGHT BASILAR CONSOLIDATION WHICH MAY REPRESENT ATELECTASIS OR OTHER CONSOLIDATIVE PROCESS. 4. STABLE BILATERAL PLEURAL EFFUSIONS, RIGHT LARGER THAN LEFT. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Hannah Kalmes, DNP on: 7-3-19 " 114113,CheXpert_Demo_Images\train\patient27409\study8\view1_frontal.jpg,patient27409,"NARRATIVE: Chest 1 View, 7/31/2011 HISTORY: 81 years Female, Every morning while intubated COMPARISON: 11/7/31 IMPRESSION: 1.SINGLE SEMIUPRIGHT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR SWAN-GANZ CATHETER. A SHEATH REMAINS WITH DISTAL TIP WITHIN THE RIGHT INTERNAL JUGULAR VEIN. REMAINING SUPPORT LINES AND TUBES ARE STABLE. POSTSURGICAL CHANGES OF MITRAL VALVE REPLACEMENT AND TRICUSPID ANNULOPLASTY. 2.THE LEFT APICAL PNEUMOTHORAX IS NO LONGER IDENTIFIED. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE WITH SMALL BILATERAL PLEURAL EFFUSIONS AND BIBASILAR OPACITIES MOST DENSE IN THE RETROCARDIAC AREA. IMPROVED LUNG VOLUMES COMPARED TO PRIOR EXAM, OTHERWISE NO SIGNIFICANT INTERVAL CHANGE. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #70542522298 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE SEMIUPRIGHT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR SWAN-GANZ CATHETER. A SHEATH REMAINS WITH DISTAL TIP WITHIN THE RIGHT INTERNAL JUGULAR VEIN. REMAINING SUPPORT LINES AND TUBES ARE STABLE. POSTSURGICAL CHANGES OF MITRAL VALVE REPLACEMENT AND TRICUSPID ANNULOPLASTY. 2.THE LEFT APICAL PNEUMOTHORAX IS NO LONGER IDENTIFIED. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE WITH SMALL BILATERAL PLEURAL EFFUSIONS AND BIBASILAR OPACITIES MOST DENSE IN THE RETROCARDIAC AREA. IMPROVED LUNG VOLUMES COMPARED TO PRIOR EXAM, OTHERWISE NO SIGNIFICANT INTERVAL CHANGE. "," 2-ABNORMAL, PREVIOUSLY REPORTED " 203285,CheXpert_Demo_Images\train\patient51150\study1\view1_frontal.jpg,patient51150,"NARRATIVE: EXAM: Chest 1 View, 5/21/2011. HISTORY: 45 years Female, Chest pain. COMPARISON: 5/21/2011 and prior. IMPRESSION: 1. SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES LEFT BASILAR OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION A SMALL LEFT PLEURAL EFFUSION. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2258385758 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES LEFT BASILAR OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION A SMALL LEFT PLEURAL EFFUSION. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 204472,CheXpert_Demo_Images\train\patient51757\study1\view1_frontal.jpg,patient51757,"NARRATIVE: EXAM: Chest 1 View, 9/21/20 CLINICAL HISTORY: Female of 68 years; reason for study: ""Cordis/Central Line Placement"" COMPARISON: Chest radiograph 9/21/2020 IMPRESSION: 1. SUPINE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT IJ SHEATH WITH A RIGHT IJ CATHETER THAT PASSES INTO THE LEFT BRACHIOCEPHALIC VEIN. WITHDRAWAL AND READVANCEMENT IS RECOMMENDED. THERE IS NO PNEUMOTHORAX 2. THE ENDOTRACHEAL TUBE LIES WITH ITS TIP 3 CM FROM THE CARINA. EPIDURAL CATHETER IS NOTED. 3. A LINEAR PATTERN OF OPACIFICATION IS NOTED THROUGHOUT AND IS WORSE IN THE BASES. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 64394 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SUPINE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT IJ SHEATH WITH A RIGHT IJ CATHETER THAT PASSES INTO THE LEFT BRACHIOCEPHALIC VEIN. WITHDRAWAL AND READVANCEMENT IS RECOMMENDED. THERE IS NO PNEUMOTHORAX 2. THE ENDOTRACHEAL TUBE LIES WITH ITS TIP 3 CM FROM THE CARINA. EPIDURAL CATHETER IS NOTED. 3. A LINEAR PATTERN OF OPACIFICATION IS NOTED THROUGHOUT AND IS WORSE IN THE BASES. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 210167,CheXpert_Demo_Images\valid\patient55312\study2\view1_frontal.jpg,patient55312,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: August 2019 CLINICAL HISTORY: 63 years of age, Female, Hypoxia. COMPARISON: 8/18/2019 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: The right internal jugular central venous catheter is unchanged in position and appearance. The enlarged cardiomediastinal silhouette is unchanged. There are decreased lung volumes with diffuse reticular airspace opacities with perihilar prominence, small bilateral pleural effusions, and dense bibasilar parenchymal opacities. There is no pneumothorax. The soft tissues and osseous structures are unchanged. IMPRESSION: 1. Moderate to severe pulmonary edema. 2. Bibasilar parenchymal opacities with small bilateral pleural effusions suggestive of compressive atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #5851643010 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The right internal jugular central venous catheter is unchanged in position and appearance. The enlarged cardiomediastinal silhouette is unchanged. There are decreased lung volumes with diffuse reticular airspace opacities with perihilar prominence, small bilateral pleural effusions, and dense bibasilar parenchymal opacities. There is no pneumothorax. The soft tissues and osseous structures are unchanged. "," 1. Moderate to severe pulmonary edema. 2. Bibasilar parenchymal opacities with small bilateral pleural effusions suggestive of compressive atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 90259,CheXpert_Demo_Images\valid\patient21702\study1\view1_frontal.jpg,patient21702,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10-1-2000 CLINICAL HISTORY: 20 years of age, Male, Trauma. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: 0147 hours: Endotracheal tube with tip 3.3 cm above the carina. NG/OG tube with tip coursing below the diaphragm and off the field of view. The cardiomediastinal silhouette is widened corresponding to known mediastinal injury/hematoma. Low lung volumes. Bilateral upper lobe and lower lobe opacities. Left greater than right pleural effusions. Fracture deformity of the mid right clavicle. 0236 hours: Interval placement of left chest tube with tip at the cardiophrenic angle. Decrease in left pleural effusion. No other significant interval change. 0503 hours: Improved aeration of the lungs at the bases. Decreased pleural effusions. Persistent right and left upper lobe atelectasis. Persistent mediastinal widening corresponding to known vascular injury. IMPRESSION: 1. Widened mediastinum corresponding to known ascending vascular injury, better evaluated on CT. 2. Subsequent placement of left chest tube with decrease in pleural effusion. 3. Persistent upper lung atelectasis bilaterally. ""Physician to Physician Radiology Consult Line: (335) 752-1725"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: PBZD EABG This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 0147 hours: Endotracheal tube with tip 3.3 cm above the carina. NG/OG tube with tip coursing below the diaphragm and off the field of view. The cardiomediastinal silhouette is widened corresponding to known mediastinal injury/hematoma. Low lung volumes. Bilateral upper lobe and lower lobe opacities. Left greater than right pleural effusions. Fracture deformity of the mid right clavicle. 0236 hours: Interval placement of left chest tube with tip at the cardiophrenic angle. Decrease in left pleural effusion. No other significant interval change. 0503 hours: Improved aeration of the lungs at the bases. Decreased pleural effusions. Persistent right and left upper lobe atelectasis. Persistent mediastinal widening corresponding to known vascular injury. "," 1. Widened mediastinum corresponding to known ascending vascular injury, better evaluated on CT. 2. Subsequent placement of left chest tube with decrease in pleural effusion. 3. Persistent upper lung atelectasis bilaterally. ""Physician to Physician Radiology Consult Line: (335) 752-1725"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 164912,CheXpert_Demo_Images\valid\patient38499\study1\view1_frontal.jpg,patient38499,"NARRATIVE: SINGLE AP VIEW OF THE CHEST: 7/4/2014. COMPARISON: 7/4/2014. FINDINGS: A single AP view of the chest demonstrates interval placement of a right IJ central venous catheter with the distal tip remaining in the cavoatrial junction. There are low lung volumes. There has been interval development of mild pulmonary edema and bibasilar, left greater than right, patchy air-space opacity compared to prior study. There is a small left-sided pleural effusion. No pneumothorax is present. IMPRESSION: 1. INTERVAL PLACEMENT OF RIGHT IJ CENTRAL VENOUS CATHETER WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA AND LEFT GREATER THAN RIGHT BASILAR OPACITY AS ABOVE, WITH ASSOCIATED SMALL LEFT- SIDED EFFUSION. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: lee, keegan on: 7/4/14 ACCESSION NUMBER: 4J4D347700 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A single AP view of the chest demonstrates interval placement of a right IJ central venous catheter with the distal tip remaining in the cavoatrial junction. There are low lung volumes. There has been interval development of mild pulmonary edema and bibasilar, left greater than right, patchy air-space opacity compared to prior study. There is a small left-sided pleural effusion. No pneumothorax is present. "," 1. INTERVAL PLACEMENT OF RIGHT IJ CENTRAL VENOUS CATHETER WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA AND LEFT GREATER THAN RIGHT BASILAR OPACITY AS ABOVE, WITH ASSOCIATED SMALL LEFT- SIDED EFFUSION. "," 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: lee, keegan on: 7/4/14 " 93515,CheXpert_Demo_Images\valid\patient22470\study1\view1_frontal.jpg,patient22470,"NARRATIVE: EXAM: Chest 1 View, 8/25/2017. HISTORY: 57 years Male, Chest pain. COMPARISON: NONE. IMPRESSION: 1. LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. 2. CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: WNOJZGT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. 2. CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 126419,CheXpert_Demo_Images\valid\patient30314\study1\view1_frontal.jpg,patient30314,"NARRATIVE: CHEST AP AND LATERAL: 11 SEPTEMBER COMPARISON: None. CLINICAL HISTORY: 66-year-old male with history of right rib pain. Rule out infiltrate. IMPRESSION: 1. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS BIBASILAR ATELECTASIS. THE LUNGS ARE OTHERWISE CLEAR BILATERALLY. NO AREAS OF FOCAL CONSOLIDATION OR INFILTRATE ARE SEEN. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr. Paul Angelica on: 9/26/11 ACCESSION NUMBER: 296610189123 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS BIBASILAR ATELECTASIS. THE LUNGS ARE OTHERWISE CLEAR BILATERALLY. NO AREAS OF FOCAL CONSOLIDATION OR INFILTRATE ARE SEEN. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr. Paul Angelica on: 9/26/11 " 48451,CheXpert_Demo_Images\valid\patient11748\study2\view1_frontal.jpg,patient11748,"NARRATIVE: SINGLE VIEW OF THE CHEST: 1/1/2002; SINGLE VIEW OF THE CHEST; 1/1/2002 COMPARISON: 1/1/2002 . HISTORY: A 73-year-old with left popliteal embolization. IMPRESSION: 1. SINGLE PORTABLE SUPINE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF AN ENDOTRACHEAL TUBE WITH ITS TIP AT THE LEVEL OF THE CLAVICLES; A LEFT INTERNAL JUGULAR CENTRAL VENOUS LINE WITH ITS TIP IN THE PROXIMAL SUPERIOR VENA CAVA; AND A NASOGASTRIC TUBE WITH ITS TIP BELOW THE LEVEL OF THE FILM. 2. THERE HAS BEEN INTERVAL DEVELOPMENT OF PERIBRONCHIAL BAND-LIKE OPACIFICATION WITHIN THE RIGHT LOWER LOBE, CONSISTENT WITH ATELECTASIS. 3. FOLLOW-UP PORTABLE SEMIUPRIGHT FRONTAL VIEW OF THE CHEST DEMONSTRATES PERSISTENT RIGHT LOWER LOBE ATELECTASIS AS WELL AS RETROCARDIAC OPACIFICATION AND ASSOCIATED LEFT-SIDED PLEURAL EFFUSION. THE PATIENT'S LINES AND TUBES ARE NOT CHANGED. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: 0086424881 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE SUPINE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF AN ENDOTRACHEAL TUBE WITH ITS TIP AT THE LEVEL OF THE CLAVICLES; A LEFT INTERNAL JUGULAR CENTRAL VENOUS LINE WITH ITS TIP IN THE PROXIMAL SUPERIOR VENA CAVA; AND A NASOGASTRIC TUBE WITH ITS TIP BELOW THE LEVEL OF THE FILM. 2. THERE HAS BEEN INTERVAL DEVELOPMENT OF PERIBRONCHIAL BAND-LIKE OPACIFICATION WITHIN THE RIGHT LOWER LOBE, CONSISTENT WITH ATELECTASIS. 3. FOLLOW-UP PORTABLE SEMIUPRIGHT FRONTAL VIEW OF THE CHEST DEMONSTRATES PERSISTENT RIGHT LOWER LOBE ATELECTASIS AS WELL AS RETROCARDIAC OPACIFICATION AND ASSOCIATED LEFT-SIDED PLEURAL EFFUSION. THE PATIENT'S LINES AND TUBES ARE NOT CHANGED. "," 2 ABNORMAL, PREVIOUSLY REPORTED. " 190977,CheXpert_Demo_Images\valid\patient45942\study1\view1_frontal.jpg,patient45942,"NARRATIVE: CHEST: Single AP portable chest, 17-06-10. COMPARISON: 6/10/17. HISTORY: 76 year old male with shortness of breath, rule out congestive heart failure. FINDINGS: There is an opacity in the left lower lung field which obscures the left hemidiaphragm and is consistent with consolidation. Recommend PA and lateral chest radiographs to further evaluate. There is no evidence of pulmonary edema or pleural effusions. The cardiac and mediastinal silhouettes are unremarkable. There is marked right AC joint separation which is unchanged from the prior study. There is no other bony or soft tissue abnormality. IMPRESSION: 1. LEFT LOWER LOBE CONSOLIDATION. RECOMMEND PA AND LATERAL CHEST RADIOGRAPH TO FURTHER EVALUATE. 2. NO EVIDENCE OF CONGESTIVE HEART FAILURE. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: CHANG, PIPER S.. on: 6/10/2017 ACCESSION NUMBER: 46846073 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is an opacity in the left lower lung field which obscures the left hemidiaphragm and is consistent with consolidation. Recommend PA and lateral chest radiographs to further evaluate. There is no evidence of pulmonary edema or pleural effusions. The cardiac and mediastinal silhouettes are unremarkable. There is marked right AC joint separation which is unchanged from the prior study. There is no other bony or soft tissue abnormality. "," 1. LEFT LOWER LOBE CONSOLIDATION. RECOMMEND PA AND LATERAL CHEST RADIOGRAPH TO FURTHER EVALUATE. 2. NO EVIDENCE OF CONGESTIVE HEART FAILURE. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: CHANG, PIPER S.. on: 6/10/2017 " 157550,CheXpert_Demo_Images\valid\patient36933\study3\view1_frontal.jpg,patient36933,"NARRATIVE: CHEST, ONE VIEW: 9-12 CLINICAL HISTORY: A 54-year-old male with followup on pleural effusions. COMPARISON: Chest x-ray 9/12/2001. IMPRESSION: 1. INTERVAL REMOVAL OF NASOGASTRIC TUBE WITH STABLE LEFT UPPER EXTREMITY PICC. 2. INTERVAL NEW RIGHT-SIDED PLEURAL DRAINAGE CATHETER. NO PNEUMOTHORAX. 3. STABLE RIGHT LUNG BASE OPACITY WHICH LIKELY REPRESENTS PLEURAL EFFUSION, ALTHOUGH ADDITIONAL ATELECTASIS AND/OR CONSOLIDATION IS POSSIBLE. SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 132.76 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF NASOGASTRIC TUBE WITH STABLE LEFT UPPER EXTREMITY PICC. 2. INTERVAL NEW RIGHT-SIDED PLEURAL DRAINAGE CATHETER. NO PNEUMOTHORAX. 3. STABLE RIGHT LUNG BASE OPACITY WHICH LIKELY REPRESENTS PLEURAL EFFUSION, ALTHOUGH ADDITIONAL ATELECTASIS AND/OR CONSOLIDATION IS POSSIBLE. "," 2 ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 122224,CheXpert_Demo_Images\valid\patient29318\study1\view1_frontal.jpg,patient29318,"NARRATIVE: Chest 2 Views: 2-24-18 HISTORY: Female, 49 years old, reason for exam: ""History alveolar proteinosis here for BMT "". COMPARISON: Chest radiograph 2/24/2018. IMPRESSION: 1.REDEMONSTRATED SURGICAL CLIPS AT THE RIGHT APEX WITH INTERVAL PLACEMENT OF A TUNNELED RIGHT IJ CATHETER AT THE DISTAL SVC. NO PNEUMOTHORAX OR EFFUSIONS. 2.STABLE DIFFUSE COARSE RETICULAR OPACITIES WITH SPARING OF THE BASES CONSISTENT WITH REPORTED HISTORY OF ALVEOLAR PROTEINOSIS 3.STABLE CARDIOMEDIASTINAL SILHOUETTE 4.DEXTROCURVATURE OF THE THORACIC SPINE SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 66498572509411 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.REDEMONSTRATED SURGICAL CLIPS AT THE RIGHT APEX WITH INTERVAL PLACEMENT OF A TUNNELED RIGHT IJ CATHETER AT THE DISTAL SVC. NO PNEUMOTHORAX OR EFFUSIONS. 2.STABLE DIFFUSE COARSE RETICULAR OPACITIES WITH SPARING OF THE BASES CONSISTENT WITH REPORTED HISTORY OF ALVEOLAR PROTEINOSIS 3.STABLE CARDIOMEDIASTINAL SILHOUETTE 4.DEXTROCURVATURE OF THE THORACIC SPINE ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 215098,CheXpert_Demo_Images\valid\patient58377\study1\view1_frontal.jpg,patient58377,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 6-29-2008 CLINICAL HISTORY: 89 years of age, Male, 89 yo M pre op work up. COMPARISON: 6-29-2008 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: The cardiomediastinal silhouette is again prominent. Increased focal opacity in the right upper lobe. There is also streaky retrocardiac opacity. Progressively lower lung volumes compared to prior study. No nondisplaced rib fractures. IMPRESSION: 1. Increased focal opacity in the right upper lobe concerning for developing infection. Recommend attention on short interval follow-up. 2. Persistent low lung volumes with retrocardiac opacity consistent with atelectasis versus consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 9990 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is again prominent. Increased focal opacity in the right upper lobe. There is also streaky retrocardiac opacity. Progressively lower lung volumes compared to prior study. No nondisplaced rib fractures. "," 1. Increased focal opacity in the right upper lobe concerning for developing infection. Recommend attention on short interval follow-up. 2. Persistent low lung volumes with retrocardiac opacity consistent with atelectasis versus consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 82673,CheXpert_Demo_Images\valid\patient19937\study1\view1_frontal.jpg,patient19937,"NARRATIVE: TWO VIEWS OF THE CHEST: 10/2/2014 AT 1124 HOURS. COMPARISON: 10/2/2014 at 1631 hours. CLINICAL DATA: A 31-year-old male with germ cell tumor. Check for infiltrates. IMPRESSION: 1. UNCHANGED, BUT TUNNELED, CENTRAL CATHETER. 2. MILD INTERSTITIAL PERIHILAR AND LOWER LOBE DENSITIES CONSISTENT WITH INTERSTITIAL EDEMA. CLOSE FOLLOW-UP RECOMMENDED TO EXCLUDE INFECTION. END OF IMPRESSION: SUMMARY: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mcdonald, Violet on: 10-2-2014 __________________________________ ACCESSION NUMBER: #06791445245283 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UNCHANGED, BUT TUNNELED, CENTRAL CATHETER. 2. MILD INTERSTITIAL PERIHILAR AND LOWER LOBE DENSITIES CONSISTENT WITH INTERSTITIAL EDEMA. CLOSE FOLLOW-UP RECOMMENDED TO EXCLUDE INFECTION. "," Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Mcdonald, Violet on: 10-2-2014 __________________________________ " 206417,CheXpert_Demo_Images\valid\patient52983\study1\view1_frontal.jpg,patient52983,"NARRATIVE: ONE VIEW PORTABLE CHEST: 5/23/2004 928618986 CLINICAL HISTORY: 97 year old female with history of congestive heart failure exacerbation. COMPARISON: 5-23. TECHNIQUE: Single portable AP semiupright view. IMPRESSION: 1. ENDOTRACHEAL TUBE REMAINS LOW IN POSITION WITH THE TIP APPROXIMATELY 1.5 CM ABOVE THE CARINA. FEEDING TUBE IS IN STABLE POSITION WITH DISTAL END AGAIN COILED IN THE STOMACH. 2. PERSISTENT LOW LUNG VOLUMES. 3. REDEMONSTRATION OF ELEVATED LEFT HEMIDIAPHRAGM AND TORTUOUS AORTA. 4. REDEMONSTRATION OF PARENCHYMAL OPACITIES OF THE RIGHT MID AND LOWER LUNG ZONES, MAY REPRESENT INFECTION, ASPIRATION, OR ASYMMETRIC PULMONARY EDEMA. 5. RIGHT PLEURAL EFFUSION, UNCHANGED. END OF IMPRESSION SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Fuller, Cyrus Karter on: 5/23/2004 ACCESSION NUMBER: 5851643010 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ENDOTRACHEAL TUBE REMAINS LOW IN POSITION WITH THE TIP APPROXIMATELY 1.5 CM ABOVE THE CARINA. FEEDING TUBE IS IN STABLE POSITION WITH DISTAL END AGAIN COILED IN THE STOMACH. 2. PERSISTENT LOW LUNG VOLUMES. 3. REDEMONSTRATION OF ELEVATED LEFT HEMIDIAPHRAGM AND TORTUOUS AORTA. 4. REDEMONSTRATION OF PARENCHYMAL OPACITIES OF THE RIGHT MID AND LOWER LUNG ZONES, MAY REPRESENT INFECTION, ASPIRATION, OR ASYMMETRIC PULMONARY EDEMA. 5. RIGHT PLEURAL EFFUSION, UNCHANGED. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Fuller, Cyrus Karter on: 5/23/2004 " 163452,CheXpert_Demo_Images\valid\patient38170\study1\view1_frontal.jpg,patient38170,"NARRATIVE: AP CHEST, 6/4/2001 LOYALHANNA THERAPEUTICS 671 040 8 HOURS: COMPARISON: Comparison is made to study dated 6/4/01. FINDINGS: There has been removal of the patient's endotracheal tube and NG tubes. A right IJ line remains in the superior vena cava. There is a pericardial and epicardial pacemaker wires present. There has been interval development of small bilateral pleural effusions. There has been slight progression of the left basilar air space consolidation. IMPRESSION: 1. TUBES AND LINES AS DESCRIBED. 2. NEW BILATERAL PLEURAL EFFUSIONS AND INCREASING LEFT BASILAR AIR SPACE CONSOLIDATION. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. ACCESSION NUMBER: #YWNHIPRS This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There has been removal of the patient's endotracheal tube and NG tubes. A right IJ line remains in the superior vena cava. There is a pericardial and epicardial pacemaker wires present. There has been interval development of small bilateral pleural effusions. There has been slight progression of the left basilar air space consolidation. "," 1. TUBES AND LINES AS DESCRIBED. 2. NEW BILATERAL PLEURAL EFFUSIONS AND INCREASING LEFT BASILAR AIR SPACE CONSOLIDATION. "," 4: Possible Significant Abnormality/Change, may need action. " 66589,CheXpert_Demo_Images\valid\patient16028\study6\view1_frontal.jpg,patient16028,"NARRATIVE: AP AND LATERAL VIEWS OF THE CHEST: FEBRUARY 2010 COMPARISON: Chest study dated 2/10/2010. CLINICAL HISTORY: COPD, exacerbation. IMPRESSION: IMPROVED AERATION AT THE LEFT LUNG BASE. SMALL LEFT PLEURAL EFFUSION, AS SEEN PREVIOUSLY. REDEMONSTRATION OF STABLE RETICULAR NODULAR OPACITIES WITHIN THE RIGHT LUNG APEX. END OF IMPRESSION SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Coleman, MD on: 2-10-10 ACCESSION NUMBER: #194647 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," IMPROVED AERATION AT THE LEFT LUNG BASE. SMALL LEFT PLEURAL EFFUSION, AS SEEN PREVIOUSLY. REDEMONSTRATION OF STABLE RETICULAR NODULAR OPACITIES WITHIN THE RIGHT LUNG APEX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Coleman, MD on: 2-10-10 " 123682,CheXpert_Demo_Images\valid\patient29644\study1\view1_frontal.jpg,patient29644,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 7/27/2004 CLINICAL HISTORY: This is a 98 year old, status post trauma. COMPARISON: None. IMPRESSION: 1. VERY LOW LUNG VOLUMES. 2. NO EVIDENCE FOR A FRACTURE OR PNEUMOTHORAX. 3. WIDENING OF THE SUPERIOR MEDIASTINUM, LIKELY DUE TO PORTABLE TECHNIQUE AND LOW VOLUMES. HOWEVER, WOULD SUGGEST AN UPRIGHT PA AND LATERAL CHEST RADIOGRAPH WHEN PATIENT CAN TOLERATE. 4. SUPERIOR SUBLUXATION OF THE RIGHT HUMERAL HEAD, SUGGESTIVE OF UNDERLYING ROTATOR CUFF PATHOLOGY. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Brady, MD on: 7-27-2004 ACCESSION NUMBER: RQ2OF7SRT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. VERY LOW LUNG VOLUMES. 2. NO EVIDENCE FOR A FRACTURE OR PNEUMOTHORAX. 3. WIDENING OF THE SUPERIOR MEDIASTINUM, LIKELY DUE TO PORTABLE TECHNIQUE AND LOW VOLUMES. HOWEVER, WOULD SUGGEST AN UPRIGHT PA AND LATERAL CHEST RADIOGRAPH WHEN PATIENT CAN TOLERATE. 4. SUPERIOR SUBLUXATION OF THE RIGHT HUMERAL HEAD, SUGGESTIVE OF UNDERLYING ROTATOR CUFF PATHOLOGY. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Brady, MD on: 7-27-2004 " 76740,CheXpert_Demo_Images\valid\patient18445\study1\view1_frontal.jpg,patient18445,"NARRATIVE: CHEST: 5-2-2007 CLINICAL HISTORY: Dizziness, rule out infiltrate. COMPARISON: None. FINDINGS: This is a somewhat limited film secondary to lordotic position. The patient has a very elevated left hemidiaphragm, which by report, is a chronic condition. However, direct comparison is not available. The heart has been shifted from left to right secondary to the volume in the left lower lung zone. There is the suggestion of possible linear type opacities in the right retrocardiac area which is suggestive of possible scar versus atelectasis versus possible early consolidation. Acuity is uncertain given lack of prior studies. No acute bony abnormalities. Mild degenerative changes through the thoracic spine. IMPRESSION: 1. POSSIBLE RIGHT LOWER LOBE CONSOLIDATION VERSUS ATELECTASIS VERSUS SCAR. COMPARISON WITH PRIOR STUDIES WOULD BE HELPFUL. 2. ELEVATED LEFT HEMIDIAPHRAGM WHICH BY REPORT, IS A CHRONIC FINDING, SEVERITY IS UNCERTAIN. COMPARISON WITH PRIOR STUDIES WOULD BE HELPFUL. END OF IMPRESSION: SUMMARY: Possible significant abnormality/change, may need change. ACCESSION NUMBER: 6484780647 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," This is a somewhat limited film secondary to lordotic position. The patient has a very elevated left hemidiaphragm, which by report, is a chronic condition. However, direct comparison is not available. The heart has been shifted from left to right secondary to the volume in the left lower lung zone. There is the suggestion of possible linear type opacities in the right retrocardiac area which is suggestive of possible scar versus atelectasis versus possible early consolidation. Acuity is uncertain given lack of prior studies. No acute bony abnormalities. Mild degenerative changes through the thoracic spine. "," 1. POSSIBLE RIGHT LOWER LOBE CONSOLIDATION VERSUS ATELECTASIS VERSUS SCAR. COMPARISON WITH PRIOR STUDIES WOULD BE HELPFUL. 2. ELEVATED LEFT HEMIDIAPHRAGM WHICH BY REPORT, IS A CHRONIC FINDING, SEVERITY IS UNCERTAIN. COMPARISON WITH PRIOR STUDIES WOULD BE HELPFUL. "," Possible significant abnormality/change, may need change. " 94317,CheXpert_Demo_Images\valid\patient22684\study1\view1_frontal.jpg,patient22684,"NARRATIVE: COMPARISON: NONE FINDINGS: A dual lead pacemaker is visualized. Cholecystectomy clips are seen. Calcific densities are seen in the left upper quadrant. The cardiac silhouette is enlarged. The aorta is somewhat tortuous and atherosclerotic. Lungs are clear except for minimal retrocardiac opacity. There is no pneumothorax. There are no pleural effusions. Bones and soft tissues are unremarkable. IMPRESSION: 1.NO ACUTE CARDIOPULMONARY DISEASE. NO EVIDENCE OF PNEUMOTHORAX. 2.CARDIOMEGALY SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 7266310295 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A dual lead pacemaker is visualized. Cholecystectomy clips are seen. Calcific densities are seen in the left upper quadrant. The cardiac silhouette is enlarged. The aorta is somewhat tortuous and atherosclerotic. Lungs are clear except for minimal retrocardiac opacity. There is no pneumothorax. There are no pleural effusions. Bones and soft tissues are unremarkable. "," 1.NO ACUTE CARDIOPULMONARY DISEASE. NO EVIDENCE OF PNEUMOTHORAX. 2.CARDIOMEGALY "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION " 9469,CheXpert_Demo_Images\valid\patient02355\study2\view1_frontal.jpg,patient02355,"NARRATIVE: SINGLE, PORTABLE VIEW OF THE CHEST: 9/30/2008 CLINICAL HISTORY: Septic shock. COMPARISON EXAMS: 9-30-2008, 9-30-2008, and 9/30/2008. IMPRESSION: 1. DEVELOPMENT PARTIALLY LOCULATED RIGHT PLEURAL EFFUSION; ABNORMAL OPACITIES PERSIST IN BOTH BASES. 2. SMALLER LEFT-SIDED PLEURAL EFFUSION, UNCHANGED IN SIZE. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. ACCESSION NUMBER: #6ny5h-23n This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. DEVELOPMENT PARTIALLY LOCULATED RIGHT PLEURAL EFFUSION; ABNORMAL OPACITIES PERSIST IN BOTH BASES. 2. SMALLER LEFT-SIDED PLEURAL EFFUSION, UNCHANGED IN SIZE. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. " 203555,CheXpert_Demo_Images\valid\patient51286\study1\view1_frontal.jpg,patient51286,"NARRATIVE: FRONTAL AND LATERAL CHEST, 11/23/2015: COMPARISON: There are no prior films available for comparison. IMPRESSION: 1. LARGE CARDIAC SILHOUETTE CONSISTENT WITH CARDIOMEGALY VERSUS PERICARDIAL EFFUSION. 2. MODERATE INTERSTITIAL PULMONARY EDEMA AND LEFT PLEURAL EFFUSION CONSISTENT WITH CONGESTIVE HEART FAILURE. 3. NO FOCAL PULMONARY CONSOLIDATION. END OF IMPRESSION: SUMMARY 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Horne, Marshall K. on: 11/23/2015 ACCESSION NUMBER: yVGJXGZ3d This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LARGE CARDIAC SILHOUETTE CONSISTENT WITH CARDIOMEGALY VERSUS PERICARDIAL EFFUSION. 2. MODERATE INTERSTITIAL PULMONARY EDEMA AND LEFT PLEURAL EFFUSION CONSISTENT WITH CONGESTIVE HEART FAILURE. 3. NO FOCAL PULMONARY CONSOLIDATION. "," 4: Possible Significant Abnormality/Change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Horne, Marshall K. on: 11/23/2015 " 199415,CheXpert_Demo_Images\valid\patient49369\study1\view1_frontal.jpg,patient49369,"NARRATIVE: SINGLE VIEW CHEST 2/8/2011 1425 HOURS: COMPARISON: 2-8-2011. IMPRESSION: 1. DUAL CHAMBER CARDIAC PACEMAKER HAS BEEN PLACED WITH LEADS IN SATISFACTORY POSITION. NO EVIDENCE OF PNEUMOTHORAX OR PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 3MT3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. DUAL CHAMBER CARDIAC PACEMAKER HAS BEEN PLACED WITH LEADS IN SATISFACTORY POSITION. NO EVIDENCE OF PNEUMOTHORAX OR PULMONARY EDEMA. "," 2: ABNORMAL, PREVIOUSLY REPORTED " 28032,CheXpert_Demo_Images\valid\patient06852\study3\view1_frontal.jpg,patient06852,"NARRATIVE: THREE VIEWS OF THE CHEST: 2/2/2021 FINDINGS: There is a moderately large right pleural effusion. No evidence of left effusion. Slight atelectasis in the right parahilar area is noted. The cardiac silhouette is enlarged. No demonstrable interstitial edema. A right decubitus view demonstrates partial mobility of the fluid on that side. PORTABLE CHEST: A right chest tube has been placed. Most of the pleural fluid has been removed. There is a residual small pneumothorax at the right base, extending up the oblique fissure. IMPRESSION: STATUS POST PLACEMENT OF RIGHT CHEST TUBE. SMALL PNEUMOTHORAX. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. __________________________________ ACCESSION NUMBER: 4319907 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a moderately large right pleural effusion. No evidence of left effusion. Slight atelectasis in the right parahilar area is noted. The cardiac silhouette is enlarged. No demonstrable interstitial edema. A right decubitus view demonstrates partial mobility of the fluid on that side. PORTABLE CHEST: A right chest tube has been placed. Most of the pleural fluid has been removed. There is a residual small pneumothorax at the right base, extending up the oblique fissure. "," STATUS POST PLACEMENT OF RIGHT CHEST TUBE. SMALL PNEUMOTHORAX. "," 4: Possible significant abnormality/change, may need action. __________________________________ " 205709,CheXpert_Demo_Images\valid\patient52531\study2\view1_frontal.jpg,patient52531,"NARRATIVE: CHEST X-RAY: December 2020 COMPARISON: 12/22/2020 CLINICAL HISTORY: Recurrent sarcoma right chest. Status post right thoracotomy. IMPRESSION: 1. AP ERECT FILM. THERE IS PERSISTENT SUBCUTANEOUS EMPHYSEMA ALONG THE RIGHT LATERAL CHEST WALL AND LOWER CERVICAL REGION, BUT THIS HAS DECREASED IN SIZE SINCE THE PRIOR FILM. NO OBVIOUS PNEUMOTHORAX. THERE IS DEFORMITY OF THE RIGHT LATERAL RIB, WITH SURGICAL SUTURES SEEN AT THE RIGHT BASE. THERE ALSO APPEARS TO BE RIGHT BASAL ATELECTASIS AND A SMALL PLEURAL EFFUSION, INCREASED SINCE THE PRIOR FILM. THERE IS ALSO MILD LEFT LOWER LOBE ATELECTASIS. THERE IS AN IRREGULAR OPACITY AT THE LEFT BASE ADJACENT TO THE LEFT HEART BORDER, WHICH MEASURES APPROXIMATELY 16 MM IN DIAMETER. THIS APPEARS UNCHANGED SINCE THE PRIOR FILM. 2. RADIO-OPAQUE CEMENT IS SEEN WITHIN LOWER THORACIC VERTEBRAL BODIES, CONSISTENT WITH PRIOR VERTEBROPLASTY. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. ACCESSION NUMBER: 4068JV6U95 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP ERECT FILM. THERE IS PERSISTENT SUBCUTANEOUS EMPHYSEMA ALONG THE RIGHT LATERAL CHEST WALL AND LOWER CERVICAL REGION, BUT THIS HAS DECREASED IN SIZE SINCE THE PRIOR FILM. NO OBVIOUS PNEUMOTHORAX. THERE IS DEFORMITY OF THE RIGHT LATERAL RIB, WITH SURGICAL SUTURES SEEN AT THE RIGHT BASE. THERE ALSO APPEARS TO BE RIGHT BASAL ATELECTASIS AND A SMALL PLEURAL EFFUSION, INCREASED SINCE THE PRIOR FILM. THERE IS ALSO MILD LEFT LOWER LOBE ATELECTASIS. THERE IS AN IRREGULAR OPACITY AT THE LEFT BASE ADJACENT TO THE LEFT HEART BORDER, WHICH MEASURES APPROXIMATELY 16 MM IN DIAMETER. THIS APPEARS UNCHANGED SINCE THE PRIOR FILM. 2. RADIO-OPAQUE CEMENT IS SEEN WITHIN LOWER THORACIC VERTEBRAL BODIES, CONSISTENT WITH PRIOR VERTEBROPLASTY. "," 4: Possible significant abnormality/change, may need action. " 76084,CheXpert_Demo_Images\valid\patient18281\study1\view1_frontal.jpg,patient18281,"NARRATIVE: EXAM: Chest 1 View, 01/3/2. HISTORY: 64 years Male, Pre-op. COMPARISON: NONE. IMPRESSION: 1.SINGLE PORTABLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.LOW LUNG VOLUME. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4631760378564 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE PORTABLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.LOW LUNG VOLUME. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 198060,CheXpert_Demo_Images\valid\patient48802\study2\view1_frontal.jpg,patient48802,"NARRATIVE: SINGLE VIEW CHEST: 4/24/21 CLINICAL HISTORY: An 86-year-old male post aortic valve replacement. COMPARISON: 4/24/2021. FINDINGS: Portable AP semiupright view of the chest shows stable support equipment. Severe degenerative changes of the bilateral shoulders are again seen. Slightly improved aeration bilaterally with likely still low lung volumes given the patient's emphysematous changes. Persistent left pleural effusion, retrocardiac opacity and right lung base atelectasis. Cardiomegaly is stable. IMPRESSION: PERSISTENT LEFT PLEURAL EFFUSION, RETROCARDIAC OPACITY AND RIGHT BASE ATELECTASIS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 585-164-301-0 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Portable AP semiupright view of the chest shows stable support equipment. Severe degenerative changes of the bilateral shoulders are again seen. Slightly improved aeration bilaterally with likely still low lung volumes given the patient's emphysematous changes. Persistent left pleural effusion, retrocardiac opacity and right lung base atelectasis. Cardiomegaly is stable. "," PERSISTENT LEFT PLEURAL EFFUSION, RETROCARDIAC OPACITY AND RIGHT BASE ATELECTASIS. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 187550,CheXpert_Demo_Images\valid\patient44714\study3\view1_frontal.jpg,patient44714,"NARRATIVE: PORTABLE CHEST SINGLE VIEW: 3-20-2020 CLINICAL HISTORY: 94 year old male with congestive heart failure. COMPARISON: Portable chest x-ray 3/20/2020. IMPRESSION: 1. AP PORTABLE SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE APPEARANCE OF ABNORMAL OPACITIES IN THE BILATERAL LUNG BASES, AND LEFT-SIDED PLEURAL EFFUSION. NO EVIDENCE FOR OVERT PULMONARY EDEMA. NO INTERVAL CHANGE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 221343778095 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP PORTABLE SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE APPEARANCE OF ABNORMAL OPACITIES IN THE BILATERAL LUNG BASES, AND LEFT-SIDED PLEURAL EFFUSION. NO EVIDENCE FOR OVERT PULMONARY EDEMA. NO INTERVAL CHANGE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 222711,CheXpert_Demo_Images\valid\patient64070\study1\view1_frontal.jpg,patient64070,"NARRATIVE: SINGLE VIEW PORTABLE CHEST RADIOGRAPH: 10/5/2017 cloud practice 1217 HOURS CLINICAL HISTORY: 42-year-old female. COMPARISON: 10/5/17 TECHNIQUE: Portable AP upright view of the chest. IMPRESSION: 1. INTERVAL PLACEMENT OF A LEFT CHEST WALL CARDIAC PACEMAKER WITH TWO INTACT LEADS THAT TERMINATE IN THE REGION OF THE RIGHT ATRIUM AND RIGHT VENTRICLE. NO PNEUMOTHORAX. 2. CLEAR LUNGS. 3. STABLE CARDIOMEDIASTINAL SILHOUETTE WITH HEART SIZE AT THE UPPER LIMITS OF NORMAL. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #514-745-735-9 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF A LEFT CHEST WALL CARDIAC PACEMAKER WITH TWO INTACT LEADS THAT TERMINATE IN THE REGION OF THE RIGHT ATRIUM AND RIGHT VENTRICLE. NO PNEUMOTHORAX. 2. CLEAR LUNGS. 3. STABLE CARDIOMEDIASTINAL SILHOUETTE WITH HEART SIZE AT THE UPPER LIMITS OF NORMAL. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 3559,CheXpert_Demo_Images\valid\patient00863\study4\view1_frontal.jpg,patient00863,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11/25/08 CLINICAL HISTORY: 30 years of age, Female, S/p placement of LVAD. COMPARISON: 11/25/2008 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Chest x-ray 11-25-2008 at 2059: Tip of ET tube at level of tracheal carina; sternotomy wires, NG tube, mediastinal drain, and LVAD in place. Remainder of medical device is stable. Dense left retrocardiac opacity again seen associated with small, left-sided pleural effusion. Chest x-ray 11-25-2008 at 0 38: Retraction of ET tube with tip 3 cm above Carina. Medical devices otherwise stable. Interval decrease in lung volumes. No other interval change. Chest x-ray 11-25-2008 at 0509: Interval removal of NG tube; endoscope in place. Field of Other medical devices are stable. Improved lung volumes probable mild pulmonary edema. Persistent bibasal parenchymal opacities associated with moderate-sized, left-sided pleural effusion. No pneumothorax. IMPRESSION: 1. Interval placement of LVAD. 2. Persistent mild pulmonary edema. 3. Persistent bibasilar parenchymal opacities likely representing atelectasis. Associated small left pleural effusion. ACCESSION NUMBER: 99135855 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Chest x-ray 11-25-2008 at 2059: Tip of ET tube at level of tracheal carina; sternotomy wires, NG tube, mediastinal drain, and LVAD in place. Remainder of medical device is stable. Dense left retrocardiac opacity again seen associated with small, left-sided pleural effusion. Chest x-ray 11-25-2008 at 0 38: Retraction of ET tube with tip 3 cm above Carina. Medical devices otherwise stable. Interval decrease in lung volumes. No other interval change. Chest x-ray 11-25-2008 at 0509: Interval removal of NG tube; endoscope in place. Field of Other medical devices are stable. Improved lung volumes probable mild pulmonary edema. Persistent bibasal parenchymal opacities associated with moderate-sized, left-sided pleural effusion. No pneumothorax. "," 1. Interval placement of LVAD. 2. Persistent mild pulmonary edema. 3. Persistent bibasilar parenchymal opacities likely representing atelectasis. Associated small left pleural effusion. ", 98558,CheXpert_Demo_Images\valid\patient23772\study1\view1_frontal.jpg,patient23772,"NARRATIVE: Chest 2 Views 1/11/2012 at 10:22 hours HISTORY: 21 years Male, R/o mass or pneumonia COMPARISON: Nine FINDINGS: PA and lateral upright views of the chest demonstrate clear lung fields bilaterally. Normal cardiomediastinal silhouette and hila. No pleural effusions. There is slight levoscoliosis of the upper thoracic spine. There is also a slight pectus excavatum deformity. IMPRESSION: 1.NO EVIDENCE OF MASS OR PNEUMONIA AS CLINICALLY QUERIED. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: QMNRQZ86Z This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral upright views of the chest demonstrate clear lung fields bilaterally. Normal cardiomediastinal silhouette and hila. No pleural effusions. There is slight levoscoliosis of the upper thoracic spine. There is also a slight pectus excavatum deformity. "," 1.NO EVIDENCE OF MASS OR PNEUMONIA AS CLINICALLY QUERIED. "," 1-NO SIGNIFICANT ABNORMALITY " 106618,CheXpert_Demo_Images\valid\patient25627\study1\view1_frontal.jpg,patient25627,"NARRATIVE: SINGLE VIEW CHEST, 3/13/20:Pelico 1456 HOURS, FOLLOWUP CHEST, 2020, March 13th Pelico 1525 HOURS, AND SINGLE VIEW PELVIS, 3-13-2020: CLINICAL HISTORY: 89 -year-old female with trauma. COMPARISON: None. FINDINGS: Single portable AP view of the chest in the supine position at 1456 hours on a trauma board demonstrates widened mediastinum likely secondary due to technique. The cardiac silhouette is within normal limits. Low lung volumes with no evidence of pneumothorax. No effusions, consolidation, or edema. Biapical pleural thickening is noted. Severe degenerative change of the bilateral shoulder joints with no acute fracture. Followup chest film at 1525 hours demonstrates portable upright view of the chest with mildly prominent mediastinum decreased since prior study. Stable cardiac silhouette. Lungs remain clear. No acute fractures. Single AP view of the pelvis demonstrates marked degenerative changes of the bilateral hip joints with deformity of the right femoral head. Surgical suture is noted in the left pelvis. No definite fractures. IMPRESSION: 1. MILD PROMINENCE OF THE MEDIASTINUM ON INITIAL AND FOLLOWUP CHEST FILMS. RECOMMEND CLINICAL CORRELATION FOR SIGNS OF VASCULAR INJURY AND FURTHER IMAGING AS WARRANTED. 2. NO EVIDENCE OF PNEUMOTHORAX OR ACUTE LUNG PROCESS. 3. NO EVIDENCE OF ACUTE FRACTURES IN THE CHEST OR PELVIS. SEVERE DEGENERATIVE CHANGES OF THE RIGHT HIP JOINT ARE NOTED WITH DEFORMITY OF THE FEMORAL HEAD. RECOMMEND CLINICAL CORRELATION FOR OCCULT FRACTURE AND FURTHER IMAGING AS CLINICALLY WARRANTED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 645-437-707-1 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single portable AP view of the chest in the supine position at 1456 hours on a trauma board demonstrates widened mediastinum likely secondary due to technique. The cardiac silhouette is within normal limits. Low lung volumes with no evidence of pneumothorax. No effusions, consolidation, or edema. Biapical pleural thickening is noted. Severe degenerative change of the bilateral shoulder joints with no acute fracture. Followup chest film at 1525 hours demonstrates portable upright view of the chest with mildly prominent mediastinum decreased since prior study. Stable cardiac silhouette. Lungs remain clear. No acute fractures. Single AP view of the pelvis demonstrates marked degenerative changes of the bilateral hip joints with deformity of the right femoral head. Surgical suture is noted in the left pelvis. No definite fractures. "," 1. MILD PROMINENCE OF THE MEDIASTINUM ON INITIAL AND FOLLOWUP CHEST FILMS. RECOMMEND CLINICAL CORRELATION FOR SIGNS OF VASCULAR INJURY AND FURTHER IMAGING AS WARRANTED. 2. NO EVIDENCE OF PNEUMOTHORAX OR ACUTE LUNG PROCESS. 3. NO EVIDENCE OF ACUTE FRACTURES IN THE CHEST OR PELVIS. SEVERE DEGENERATIVE CHANGES OF THE RIGHT HIP JOINT ARE NOTED WITH DEFORMITY OF THE FEMORAL HEAD. RECOMMEND CLINICAL CORRELATION FOR OCCULT FRACTURE AND FURTHER IMAGING AS CLINICALLY WARRANTED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 212941,CheXpert_Demo_Images\valid\patient57050\study3\view2_frontal.jpg,patient57050,"NARRATIVE: Exam: Chest 1 View, 2-6-2020 Clinical History: 76 years Female with Critical care follow-up(ICU) Comparison: 2-6-20 at 16:29 IMPRESSION: 1.LEFT PULMONARY BASILAR SEGMENTAL ATELECTASIS/CONSOLIDATION AND SMALL LEFT PLEURAL EFFUSION ARE AGAIN NOTED. 2.MODERATE PULMONARY HYPEREXPANSION PERSISTS. 3.CARDIAC SIZE REMAINS WITHIN NORMAL LIMITS FOR 4.ENDOTRACHEAL TUBE TIP CURRENTLY LIES 6.5 TO 7 CM SUPERIOR TO THE LEVEL OF THE CARINA. 5.NASOGASTRIC TUBE AND LEFT JUGULAR CENTRAL VENOUS CATHETER ARE AGAIN NOTED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #66285 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LEFT PULMONARY BASILAR SEGMENTAL ATELECTASIS/CONSOLIDATION AND SMALL LEFT PLEURAL EFFUSION ARE AGAIN NOTED. 2.MODERATE PULMONARY HYPEREXPANSION PERSISTS. 3.CARDIAC SIZE REMAINS WITHIN NORMAL LIMITS FOR 4.ENDOTRACHEAL TUBE TIP CURRENTLY LIES 6.5 TO 7 CM SUPERIOR TO THE LEVEL OF THE CARINA. 5.NASOGASTRIC TUBE AND LEFT JUGULAR CENTRAL VENOUS CATHETER ARE AGAIN NOTED. ","2-ABNORMAL, PREVIOUSLY REPORTED " 190902,CheXpert_Demo_Images\valid\patient45911\study4\view1_frontal.jpg,patient45911,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 09/2001 CLINICAL HISTORY: 59 years of age, Female, S/p LVAD. COMPARISON: September 2001 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Right pleural drain has been removed. Other devices are unchanged. Severe cardiomegaly is unchanged. Pulmonary edema has improved, now mild. Left pleural effusion has decreased. Left more than right base opacities likely reflect atelectasis or infectious consolidation. No pneumothorax. Calcific tendinosis of the right shoulder is incidentally noted. IMPRESSION: 1. Improved pulmonary edema, now mild. 2. Right pleural drain removal. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: PCLDQBCP This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right pleural drain has been removed. Other devices are unchanged. Severe cardiomegaly is unchanged. Pulmonary edema has improved, now mild. Left pleural effusion has decreased. Left more than right base opacities likely reflect atelectasis or infectious consolidation. No pneumothorax. Calcific tendinosis of the right shoulder is incidentally noted. "," 1. Improved pulmonary edema, now mild. 2. Right pleural drain removal. No pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 69987,CheXpert_Demo_Images\valid\patient16793\study7\view1_frontal.jpg,patient16793,"NARRATIVE: SINGLE PORTABLE VIEW OF THE CHEST: October 2014 COMPARISON: 14/10/13 CLINICAL HISTORY: Pelvic fracture. IMPRESSION: 1. STABLE POSITION OF RIGHT INTERNAL JUGULAR LINE, ENDOTRACHEAL TUBE, AND NASOGASTRIC TUBE. 2. PERSISTENT DIFFUSE PATCHY OPACIFICATIONS THAT CHANGE IN THEIR LOCALIZATION DAY TO DAY. CONSIDERATION SHOULD BE GIVEN FOR PULMONARY EDEMA VERSUS INFECTION. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: haas celeste, dr on: 10-13-14 ACCESSION NUMBER: P9KH This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE POSITION OF RIGHT INTERNAL JUGULAR LINE, ENDOTRACHEAL TUBE, AND NASOGASTRIC TUBE. 2. PERSISTENT DIFFUSE PATCHY OPACIFICATIONS THAT CHANGE IN THEIR LOCALIZATION DAY TO DAY. CONSIDERATION SHOULD BE GIVEN FOR PULMONARY EDEMA VERSUS INFECTION. "," 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: haas celeste, dr on: 10-13-14 " 202852,CheXpert_Demo_Images\valid\patient50930\study1\view1_frontal.jpg,patient50930,"NARRATIVE: TECHNIQUE: AP CHEST, 1/17/2005 COMPARISON: AP chest, 1/17/2005 and priors. CLINICAL HISTORY: Eighty-year-old male, evaluate for pneumonia. IMPRESSION: 1. ATHEROSCLEROTIC DISEASE OF THE AORTA, UNCHANGED FROM PRIOR. STABLE CARDIOMEDIASTINAL SILHOUETTE. 2. PATCHY OPACIFICATIONS AT THE BILATERAL BASES, NOT REMARKABLY CHANGED FROM PRIOR, DIFFERENTIAL OF INFECTION VERSUS ASPIRATION. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, UNCHANGED, DIFFERENTIAL OF EFFUSION VERSUS SCAR. NO RIGHT PLEURAL EFFUSION. NO PNEUMOTHORACES. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #FRVXKYDIZSEKYVUN This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. ATHEROSCLEROTIC DISEASE OF THE AORTA, UNCHANGED FROM PRIOR. STABLE CARDIOMEDIASTINAL SILHOUETTE. 2. PATCHY OPACIFICATIONS AT THE BILATERAL BASES, NOT REMARKABLY CHANGED FROM PRIOR, DIFFERENTIAL OF INFECTION VERSUS ASPIRATION. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, UNCHANGED, DIFFERENTIAL OF EFFUSION VERSUS SCAR. NO RIGHT PLEURAL EFFUSION. NO PNEUMOTHORACES. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 207023,CheXpert_Demo_Images\valid\patient53360\study2\view1_frontal.jpg,patient53360,"NARRATIVE: Chest 1 View 01/5 CLINICAL HISTORY: 94 year old-old Female. Seizure, intubation COMPARISON: No prior comparison. IMPRESSION: 1.ENDOTRACHEAL TUBE TIP TERMINATES 3-CM FROM THE CARINA. 2.BORDERLINE CARDIAC SILHOUETTE ENLARGEMENT. OBSCURATION OF THE LEFT LATERAL HEMIDIAPHRAGM AND COSTOPHRENIC SULCUS, POSSIBLY REFLECTING SMALL PLEURAL EFFUSION OR BASILAR AIRSPACE DISEASE. 3.HYPEREXPANDED LUNGS WITH ASYMMETRIC BIAPICAL PLEUROPARENCHYMAL THICKENING, RIGHT GREATER THAN LEFT. ILL-DEFINED COARSE RETICULAR LINEAR OPACITIES NOTED THROUGHOUT THE LUNG PARENCHYMA, MOST NOTABLE WITHIN THE RIGHT LUNG BASE. NO PNEUMOTHORAX IDENTIFIED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 552729 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.ENDOTRACHEAL TUBE TIP TERMINATES 3-CM FROM THE CARINA. 2.BORDERLINE CARDIAC SILHOUETTE ENLARGEMENT. OBSCURATION OF THE LEFT LATERAL HEMIDIAPHRAGM AND COSTOPHRENIC SULCUS, POSSIBLY REFLECTING SMALL PLEURAL EFFUSION OR BASILAR AIRSPACE DISEASE. 3.HYPEREXPANDED LUNGS WITH ASYMMETRIC BIAPICAL PLEUROPARENCHYMAL THICKENING, RIGHT GREATER THAN LEFT. ILL-DEFINED COARSE RETICULAR LINEAR OPACITIES NOTED THROUGHOUT THE LUNG PARENCHYMA, MOST NOTABLE WITHIN THE RIGHT LUNG BASE. NO PNEUMOTHORAX IDENTIFIED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 221914,CheXpert_Demo_Images\valid\patient63344\study1\view1_frontal.jpg,patient63344,"NARRATIVE: CHEST ONE VIEW: 02-20 CLINICAL HISTORY: A 56-year-old man with hepatic encephalopathy. Post line placement. COMPARISON: 05 February 20th FINDINGS: A left subclavian sheath has been placed. The Swan-Ganz catheter has been inserted through the sheath with the tip in the main pulmonary artery. An endotracheal tube and nasogastric tube have been placed. The NG tube tip is not visualized. There are bilateral air space opacities which may represent pulmonary edema versus infection. A small right effusion is also visualized. IMPRESSION: 1. LINES AND TUBES AS ABOVE. 2. BILATERAL AIR SPACE OPACITIES MAY REPRESENT PULMONARY EDEMA VERSUS INFECTION. 3. SMALL RIGHT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr. Abram on: 2-20-2005 ACCESSION NUMBER: 3479849 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A left subclavian sheath has been placed. The Swan-Ganz catheter has been inserted through the sheath with the tip in the main pulmonary artery. An endotracheal tube and nasogastric tube have been placed. The NG tube tip is not visualized. There are bilateral air space opacities which may represent pulmonary edema versus infection. A small right effusion is also visualized. "," 1. LINES AND TUBES AS ABOVE. 2. BILATERAL AIR SPACE OPACITIES MAY REPRESENT PULMONARY EDEMA VERSUS INFECTION. 3. SMALL RIGHT PLEURAL EFFUSION. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr. Abram on: 2-20-2005 " 211073,CheXpert_Demo_Images\valid\patient55864\study1\view1_frontal.jpg,patient55864,"NARRATIVE: HISTORY: Seventy-three-year-old female with metastatic colon carcinoma, Mediport placement. TECHNIQUE: Single portable view of the chest from the Recovery Room is submitted. COMPARISON: There are no prior films available for comparison. FINDINGS: Catheter enters via left-sided approach, has its tip in the region of the distal IVC. There is a large, approximately 3.5 cm left lung mass, a well as a 2.5 cm right lower lobe mass, and smaller nodules scattered elsewhere. There is some linear atelectasis or scarring at the lung bases, left slightly more prominent than right. There is no pneumothorax. Cardiac size is within normal limits for technique. IMPRESSION: CATHETER TIP IN THE DISTAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX. BILATERAL PULMONARY MASSES AND MULTIPLE SMALLER NODULES AS ABOVE. END OF IMPRESSION: ACCESSION NUMBER: 562 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Catheter enters via left-sided approach, has its tip in the region of the distal IVC. There is a large, approximately 3.5 cm left lung mass, a well as a 2.5 cm right lower lobe mass, and smaller nodules scattered elsewhere. There is some linear atelectasis or scarring at the lung bases, left slightly more prominent than right. There is no pneumothorax. Cardiac size is within normal limits for technique. "," CATHETER TIP IN THE DISTAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX. BILATERAL PULMONARY MASSES AND MULTIPLE SMALLER NODULES AS ABOVE. ", 184219,CheXpert_Demo_Images\valid\patient43645\study2\view1_frontal.jpg,patient43645,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 7-29-2004 CLINICAL HISTORY: 72 years of age, Female, Post-op CV surgery. COMPARISON: Chest radiograph dated 7-29-2004 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: There is unchanged positioning of supportive medical devices, including a Swan-Ganz catheter with the terminus in the main pulmonary artery. There is redemonstration of sternotomy wires, mediastinal clips, and a bioprosthetic aortic valve. There is a persistent small left pleural effusion, and a small right pleural effusion is now noted. There are persistent bibasilar opacifications, with mild interval worsening in the right basilar opacity. The heart size is at the upper limit of normal. No acute bony abnormalities are noted. IMPRESSION: 1. Persistent small left pleural effusions, with interval increase in a small right pleural effusion. 2. Persistent bibasilar opacifications, with interval worsening in the right basilar opacification. These findings can represent atelectasis, aspiration, or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: TMKPNPH This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is unchanged positioning of supportive medical devices, including a Swan-Ganz catheter with the terminus in the main pulmonary artery. There is redemonstration of sternotomy wires, mediastinal clips, and a bioprosthetic aortic valve. There is a persistent small left pleural effusion, and a small right pleural effusion is now noted. There are persistent bibasilar opacifications, with mild interval worsening in the right basilar opacity. The heart size is at the upper limit of normal. No acute bony abnormalities are noted. "," 1. Persistent small left pleural effusions, with interval increase in a small right pleural effusion. 2. Persistent bibasilar opacifications, with interval worsening in the right basilar opacification. These findings can represent atelectasis, aspiration, or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 190060,CheXpert_Demo_Images\valid\patient45587\study2\view1_frontal.jpg,patient45587,"NARRATIVE: Chest 1 View 8-25-2014 CLINICAL IDENTITY: Male, 80 years-old REASON FOR STUDY: Post-op. COMPARISON: 8/25/2014. IMPRESSION: 1. SEMIUPRIGHT PORTABLE VIEW OF THE CHEST DEMONSTRATES A TINY RIGHT APICAL PNEUMOTHORAX. 2. STABLE POSITION OF THE RIGHT-SIDED CHEST TUBE. 3. THE REMAINDER OF THE LUNG FINDINGS ARE OTHERWISE UNCHANGED COMPARED TO PRIOR. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: V1QROEAK This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SEMIUPRIGHT PORTABLE VIEW OF THE CHEST DEMONSTRATES A TINY RIGHT APICAL PNEUMOTHORAX. 2. STABLE POSITION OF THE RIGHT-SIDED CHEST TUBE. 3. THE REMAINDER OF THE LUNG FINDINGS ARE OTHERWISE UNCHANGED COMPARED TO PRIOR. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 209108,CheXpert_Demo_Images\valid\patient54647\study1\view1_frontal.jpg,patient54647,"NARRATIVE: SINGLE VIEW OF THE CHEST: 12-31-2016 AT 0900 HOURS. COMPARISON: No priors. CLINICAL HISTORY: Kidney rejection. FINDINGS: The cardiomediastinal silhouette is within normal limits. Small right pleural effusion, as well as retrocardiac consolidation. No significant osseous abnormalities. IMPRESSION: 1. THERE IS A SMALL RIGHT PLEURAL EFFUSION, AS WELL AS MILD AMOUNT OF RETROCARDIAC CONSOLIDATION. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: brielle, feinstein on: December 2016 ACCESSION NUMBER: 06-17-43-23-1 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is within normal limits. Small right pleural effusion, as well as retrocardiac consolidation. No significant osseous abnormalities. "," 1. THERE IS A SMALL RIGHT PLEURAL EFFUSION, AS WELL AS MILD AMOUNT OF RETROCARDIAC CONSOLIDATION. "," 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agree with the report transcribed above. By: brielle, feinstein on: December 2016 " 63685,CheXpert_Demo_Images\valid\patient15355\study1\view1_frontal.jpg,patient15355,"NARRATIVE: EXAM: Chest 2 Views, 5/14/07. HISTORY: 72 years Male, R/O pneumothorax following lung biopsy. Pt complains of SOB, pain in the site and shallow breathing.. COMPARISON: 5/14/2007 IMPRESSION: Frontal and lateral views of the chest demonstrate a small right apical pneumothorax without definite evidence of tension. 1) Interval development of a small right pleural effusion. 2) Lung markings are clear. No evidence of air space opacities. 3) The cardiomediastinal silhouette is within normal limits. 4) Degenerative changes of the thoracic spine. 5) 6) Requesting physician cayden andres, dr. was paged at 11:38 a.m. to discuss findings. 7) SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: #96-70-08-8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Frontal and lateral views of the chest demonstrate a small right apical pneumothorax without definite evidence of tension. 1) Interval development of a small right pleural effusion. 2) Lung markings are clear. No evidence of air space opacities. 3) The cardiomediastinal silhouette is within normal limits. 4) Degenerative changes of the thoracic spine. 5) 6) Requesting physician cayden andres, dr. was paged at 11:38 a.m. to discuss findings. 7) ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 159932,CheXpert_Demo_Images\valid\patient37443\study1\view1_frontal.jpg,patient37443,"NARRATIVE: CHEST, ONE VIEW: 8-10-2011. CLINICAL HISTORY: Intubated. TECHNIQUE: AP chest radiograph. COMPARISON: 8-10-11. IMPRESSION: 1. INTERVAL DEVELOPMENT OF SMALL APICAL PNEUMOTHORAX. 2. INTERVAL PLACEMENT OF MEDIASTINAL CHEST TUBE. 3. NEW SMALL LEFT EFFUSION. 4. HEART AND VASCULATURE WITHIN NORMAL LIMITS WITH MILD LEFT LOWER LOBE OPACITY. 5. ENDOTRACHEAL TUBE PROJECTS OVER MID TRACHEA. INTERVAL PLACEMENT RIGHT INTERNAL JUGULAR WITHOUT PNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #19136089 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL DEVELOPMENT OF SMALL APICAL PNEUMOTHORAX. 2. INTERVAL PLACEMENT OF MEDIASTINAL CHEST TUBE. 3. NEW SMALL LEFT EFFUSION. 4. HEART AND VASCULATURE WITHIN NORMAL LIMITS WITH MILD LEFT LOWER LOBE OPACITY. 5. ENDOTRACHEAL TUBE PROJECTS OVER MID TRACHEA. INTERVAL PLACEMENT RIGHT INTERNAL JUGULAR WITHOUT PNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 65077,CheXpert_Demo_Images\valid\patient15677\study1\view1_frontal.jpg,patient15677,"NARRATIVE: CHEST ONE VIEW PORTABLE, 6-12-2012 AT 1346 HOURS: COMPARISON: None. DIAGNOSIS: Non-ruptured aneurysm. HISTORY: Check line placement. FINDINGS: There is a left subclavian central venous catheter with tip in the superior vena cava. No evidence of pneumothorax noted. The cardiac and mediastinal silhouettes are within normal limits. There is mild prominence noted of the central pulmonary vasculature. The lung volumes are low, but otherwise, the lungs appear clear. No evidence of atelectasis or consolidation. No acute disease identified. No pleural or bony abnormalities. IMPRESSION: 1. LEFT SUBCLAVIAN CATHETER NOTED WITH TIP IN THE SUPERIOR VENA CAVA. NO PNEUMOTHORAX NOTED. 2. CENTRAL PULMONARY VASCULATURE PROMINENCE. 3. LUNGS ARE CLEAR. NO ACUTE DISEASE IDENTIFIED. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: RICHMOND DOMINIC, MD on: 6/12/2012 ACCESSION NUMBER: 6771214 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a left subclavian central venous catheter with tip in the superior vena cava. No evidence of pneumothorax noted. The cardiac and mediastinal silhouettes are within normal limits. There is mild prominence noted of the central pulmonary vasculature. The lung volumes are low, but otherwise, the lungs appear clear. No evidence of atelectasis or consolidation. No acute disease identified. No pleural or bony abnormalities. "," 1. LEFT SUBCLAVIAN CATHETER NOTED WITH TIP IN THE SUPERIOR VENA CAVA. NO PNEUMOTHORAX NOTED. 2. CENTRAL PULMONARY VASCULATURE PROMINENCE. 3. LUNGS ARE CLEAR. NO ACUTE DISEASE IDENTIFIED. "," 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: RICHMOND DOMINIC, MD on: 6/12/2012 " 223398,CheXpert_Demo_Images\valid\patient64678\study1\view1_frontal.jpg,patient64678,"NARRATIVE: CHEST: 2/9/2020 COMPARISON: 2-9-2020 IMPRESSION: 1. INTERVAL REMOVAL OF PREVIOUSLY SEEN SKIN STAPLES. 2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: JESSE, CONNER on: February 20 ACCESSION NUMBER: 8382067077848 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF PREVIOUSLY SEEN SKIN STAPLES. 2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: JESSE, CONNER on: February 20 " 136917,CheXpert_Demo_Images\valid\patient32873\study4\view1_frontal.jpg,patient32873,"NARRATIVE: PORTABLE CHEST, 4/21/2012: COMPARISON: 4/21/2012 CLINICAL HISTORY: 95 year old woman with congestive heart failure exacerbation. IMPRESSION: 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES CARDIOMEGALY WITH BILATERAL HILAR PROMINENCE AS WELL AS PROMINENT OF THE MAIN PULMONARY ARTERIAL SEGMENT. THESE FINDINGS ARE CONSISTENT WITH MILD INCREASE IN PULMONARY EDEMA. REDEMONSTRATION OF A SMALL RIGHT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: VAZQUEZ LOGAN, MD on: April 21 2012 ACCESSION NUMBER: 037916965726 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES CARDIOMEGALY WITH BILATERAL HILAR PROMINENCE AS WELL AS PROMINENT OF THE MAIN PULMONARY ARTERIAL SEGMENT. THESE FINDINGS ARE CONSISTENT WITH MILD INCREASE IN PULMONARY EDEMA. REDEMONSTRATION OF A SMALL RIGHT PLEURAL EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: VAZQUEZ LOGAN, MD on: April 21 2012 " 91761,CheXpert_Demo_Images\valid\patient22046\study1\view2_lateral.jpg,patient22046,"NARRATIVE: CHEST TWO VIEWS: 1/2/2000. COMPARISON: No recent comparisons available. IMPRESSION: 1. CARDIOMEGALY WITH DIFFUSE INTERSTITIAL PROMINENCE, SUGGESTIVE OF INTERSTITIAL (CARDIOGENIC) PULMONARY EDEMA. SMALL BILATERAL PLEURAL EFFUSIONS ARE ALSO NOTED. 2. IN THE REGION OF THE BASE OF THE RIGHT UPPER LOBE, THERE IS A SUPERIMPOSED POSSIBLE MORE FOCAL ILL-DEFINED OPACITY, WHICH MIGHT BE CAUSED BY SUPERIMPOSITION OF SHADOWS; HOWEVER, A FOCUS OF INFECTION IS NOT EXCLUDED. 3. THE BILATERAL HILAR AND MEDIASTINAL CONTOURS ARE WITHIN NORMAL LIMITS RADIOGRAPHICALLY. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 6249123 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CARDIOMEGALY WITH DIFFUSE INTERSTITIAL PROMINENCE, SUGGESTIVE OF INTERSTITIAL (CARDIOGENIC) PULMONARY EDEMA. SMALL BILATERAL PLEURAL EFFUSIONS ARE ALSO NOTED. 2. IN THE REGION OF THE BASE OF THE RIGHT UPPER LOBE, THERE IS A SUPERIMPOSED POSSIBLE MORE FOCAL ILL-DEFINED OPACITY, WHICH MIGHT BE CAUSED BY SUPERIMPOSITION OF SHADOWS; HOWEVER, A FOCUS OF INFECTION IS NOT EXCLUDED. 3. THE BILATERAL HILAR AND MEDIASTINAL CONTOURS ARE WITHIN NORMAL LIMITS RADIOGRAPHICALLY. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 75321,CheXpert_Demo_Images\valid\patient18087\study1\view2_lateral.jpg,patient18087,"NARRATIVE: CHEST, TWO VIEWS: 12/20/2012 CLINICAL HISTORY: A 34-year-old man with chest pain, rule out rib fractures or pneumonia. COMPARISON: No priors. FINDINGS: The lungs are clear without consolidation, pulmonary edema or pleural effusion. The cardiomediastinal silhouette is within normal limits. Lobulated density is projected in the region of the right axilla which may be artifactual or perhaps lymphadenopathy. Lobulated sclerotic density within the right proximal humerus could potentially represent a healed fibrous cortical defect or a composite shadow. No evidence of rib fracture or other destructive lesion. IMPRESSION: 1. NO ACUTE CARDIOPULMONARY PROCESS. 2. NO EVIDENCE OF RIB FRACTURE. 3. LOBULATED DENSITY PROJECTED AT THE RIGHT AXILLA MAY BE ARTIFACTUAL VERSUS THE POSSIBILITY OF LYMPHADENOPATHY. CORRELATION WITH CLINICAL EXAM IS RECOMMENDED. 4. APPARENT LOBULATED SCLEROTIC DENSITY AT THE RIGHT PROXIMAL HUMERUS MAY BE ARTIFACTUAL VERSUS POTENTIALLY A HEALED FIBROUS CORTICAL DEFECT. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: kash, md. on: 12-20-2012 ACCESSION NUMBER: tmmgsfb This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The lungs are clear without consolidation, pulmonary edema or pleural effusion. The cardiomediastinal silhouette is within normal limits. Lobulated density is projected in the region of the right axilla which may be artifactual or perhaps lymphadenopathy. Lobulated sclerotic density within the right proximal humerus could potentially represent a healed fibrous cortical defect or a composite shadow. No evidence of rib fracture or other destructive lesion. "," 1. NO ACUTE CARDIOPULMONARY PROCESS. 2. NO EVIDENCE OF RIB FRACTURE. 3. LOBULATED DENSITY PROJECTED AT THE RIGHT AXILLA MAY BE ARTIFACTUAL VERSUS THE POSSIBILITY OF LYMPHADENOPATHY. CORRELATION WITH CLINICAL EXAM IS RECOMMENDED. 4. APPARENT LOBULATED SCLEROTIC DENSITY AT THE RIGHT PROXIMAL HUMERUS MAY BE ARTIFACTUAL VERSUS POTENTIALLY A HEALED FIBROUS CORTICAL DEFECT. ", 10344,CheXpert_Demo_Images\valid\patient02562\study1\view1_frontal.jpg,patient02562,"NARRATIVE: PA AND LATERAL CHEST X-RAY: DATE OF EXAMINATION: 3-8-00 HISTORY: Liver transplant evaluation. COMPARISON: No prior chest x-ray for comparison. FINDINGS: Slight blunting of the right costophrenic angle, compatible with a small pleural effusion. Otherwise lung markings are clear. Normal cardiomediastinal silhouette. No osseous or soft tissue abnormalities are noted. IMPRESSION: 1. SMALL RIGHT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 485 835 0 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Slight blunting of the right costophrenic angle, compatible with a small pleural effusion. Otherwise lung markings are clear. Normal cardiomediastinal silhouette. No osseous or soft tissue abnormalities are noted. "," 1. SMALL RIGHT PLEURAL EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 15220,CheXpert_Demo_Images\valid\patient03791\study1\view1_frontal.jpg,patient03791,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: CLINICAL HISTORY: 63 years of age, Female, Post intubation. COMPARISON: None. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: 3-2-2010: Left reverse total shoulder arthroplasty is in place. Epidural catheter is in place. Low lung volumes. Groundglass right parenchymal opacities are visualized. Linear opacity is also visualized in the left middle lung field. Bibasilar opacities can represent atelectasis or consolidation. Small left pleural effusion. 3-2-10: Interval intubation, with tip of ETT at right mainstem bronchus. IMPRESSION: 1. Interval intubation, with tip of ETT at right mainstem bronchus. Recommend withdrawing by approximately 4 cm. 2. Low lung volumes with bilateral parenchymal opacities. Bibasilar opacities can represent atelectasis or consolidation. Small left pleural effusion. Can consider aspiration as an etiology. These findings were discussed with MICU cervantes md by Ada, Pacheco at approximately 4:00 PM on 10-03-02. ""Physician to Physician Radiology Consult Line: (381) 137-1017"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: dhefplriq This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 3-2-2010: Left reverse total shoulder arthroplasty is in place. Epidural catheter is in place. Low lung volumes. Groundglass right parenchymal opacities are visualized. Linear opacity is also visualized in the left middle lung field. Bibasilar opacities can represent atelectasis or consolidation. Small left pleural effusion. 3-2-10: Interval intubation, with tip of ETT at right mainstem bronchus. "," 1. Interval intubation, with tip of ETT at right mainstem bronchus. Recommend withdrawing by approximately 4 cm. 2. Low lung volumes with bilateral parenchymal opacities. Bibasilar opacities can represent atelectasis or consolidation. Small left pleural effusion. Can consider aspiration as an etiology. These findings were discussed with MICU cervantes md by Ada, Pacheco at approximately 4:00 PM on 10-03-02. ""Physician to Physician Radiology Consult Line: (381) 137-1017"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 77148,CheXpert_Demo_Images\valid\patient18557\study1\view1_frontal.jpg,patient18557,"NARRATIVE: Exam: Chest 1 View, 10/4/2015 Clinical History: 35 years Male with Epigastric pain Comparison: None IMPRESSION: 1. NORMAL HEART SIZE AND PULMONARY VASCULARITY. 2. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, OR PNEUMOTHORAX. 3. THE VISUALIZED OSSEUS AND SOFT TISSUE STRUCTURES ARE UNREMARKABLE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 24 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NORMAL HEART SIZE AND PULMONARY VASCULARITY. 2. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, OR PNEUMOTHORAX. 3. THE VISUALIZED OSSEUS AND SOFT TISSUE STRUCTURES ARE UNREMARKABLE. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 113048,CheXpert_Demo_Images\valid\patient27111\study1\view1_frontal.jpg,patient27111,"NARRATIVE: CHEST, SINGLE AP VIEW: 7/7/2017. CLINICAL HISTORY: A 76-year-old female after PICC placement. FINDINGS: Single frontal view of the chest in semiupright position demonstrates left upper extremity PICC with the tip approximately 5 cm above the carina. The lung volumes are low with prominence of the superior mediastinum, likely reflecting a tortuous thoracic aorta. The heart size is enlarged. Mild interstitial pattern reflects mild pulmonary edema. Marked degenerative changes of both glenohumeral joints with osteophytosis and joint space narrowing, right greater than left. Mild dextroscoliosis apex at the thoracolumbar junction. IMPRESSION: 1. LEFT UPPER EXTREMITY PICC WITH TIP 5 CM ABOVE THE ATRIOCAVAL JUNCTION. 2. CARDIOMEGALY AND TORTUOUS THORACIC AORTA. 3. MILD PULMONARY EDEMA. 4. DEGENERATIVE CHANGES OF BOTH SHOULDERS, RIGHT GREATER THAN LEFT. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7371493198 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single frontal view of the chest in semiupright position demonstrates left upper extremity PICC with the tip approximately 5 cm above the carina. The lung volumes are low with prominence of the superior mediastinum, likely reflecting a tortuous thoracic aorta. The heart size is enlarged. Mild interstitial pattern reflects mild pulmonary edema. Marked degenerative changes of both glenohumeral joints with osteophytosis and joint space narrowing, right greater than left. Mild dextroscoliosis apex at the thoracolumbar junction. "," 1. LEFT UPPER EXTREMITY PICC WITH TIP 5 CM ABOVE THE ATRIOCAVAL JUNCTION. 2. CARDIOMEGALY AND TORTUOUS THORACIC AORTA. 3. MILD PULMONARY EDEMA. 4. DEGENERATIVE CHANGES OF BOTH SHOULDERS, RIGHT GREATER THAN LEFT. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 162727,CheXpert_Demo_Images\valid\patient38014\study6\view1_frontal.jpg,patient38014,"NARRATIVE: Exam: Chest 1 View, 20 22 SEPTEMBER Clinical History: 80 year-old female status post resection of lung cancer, evaluate for pneumothorax. Comparison: 9-22-2020 at 0549 TECHNIQUE/FINDINGS: Single frontal view chest on 9/22/2020 at 1506: Stable right chest tube. Interval slight decrease in small right apical pneumothorax. No mediastinal shift. Stable mild reticular opacities in both lung bases. No large pleural effusions. Stable large subcutaneous emphysema in the right chest wall. Single frontal view of the chest 9/2020 at 1623: Interval removal of right chest tube. Continued slight decrease in small right apical pneumothorax. No mediastinal shift. The remainder of the lung parenchyma is stable. Stable subcutaneous emphysema in the right chest wall. Single frontal view of the chest on 9/22/20 at 0535: Continued decrease in right apical pneumothorax, which is now tiny. No mediastinal shift. Lung parenchyma is stable. Stable large subcutaneous emphysema in the right chest wall. IMPRESSION: 1.SERIES OF 3 FRONTAL CHEST RADIOGRAPHS DEMONSTRATE INTERVAL REMOVAL OF RIGHT CHEST TUBE, WITH PROGRESSIVE DECREASE IN RIGHT APICAL PNEUMOTHORAX, WHICH IS TINY ON THE MOST RECENT FILM. NO MEDIASTINAL SHIFT. 2.STABLE MILD RETICULAR OPACITIES IN BOTH LUNG BASES. NO SIGNIFICANT PLEURAL EFFUSIONS. 3.STABLE LARGE SUBCUTANEOUS EMPHYSEMA IN THE RIGHT CHEST WALL. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 42883960 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single frontal view chest on 9/22/2020 at 1506: Stable right chest tube. Interval slight decrease in small right apical pneumothorax. No mediastinal shift. Stable mild reticular opacities in both lung bases. No large pleural effusions. Stable large subcutaneous emphysema in the right chest wall. Single frontal view of the chest 9/2020 at 1623: Interval removal of right chest tube. Continued slight decrease in small right apical pneumothorax. No mediastinal shift. The remainder of the lung parenchyma is stable. Stable subcutaneous emphysema in the right chest wall. Single frontal view of the chest on 9/22/20 at 0535: Continued decrease in right apical pneumothorax, which is now tiny. No mediastinal shift. Lung parenchyma is stable. Stable large subcutaneous emphysema in the right chest wall. "," 1.SERIES OF 3 FRONTAL CHEST RADIOGRAPHS DEMONSTRATE INTERVAL REMOVAL OF RIGHT CHEST TUBE, WITH PROGRESSIVE DECREASE IN RIGHT APICAL PNEUMOTHORAX, WHICH IS TINY ON THE MOST RECENT FILM. NO MEDIASTINAL SHIFT. 2.STABLE MILD RETICULAR OPACITIES IN BOTH LUNG BASES. NO SIGNIFICANT PLEURAL EFFUSIONS. 3.STABLE LARGE SUBCUTANEOUS EMPHYSEMA IN THE RIGHT CHEST WALL. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 207109,CheXpert_Demo_Images\valid\patient53409\study1\view1_frontal.jpg,patient53409,"NARRATIVE: SINGLE AP PORTABLE VIEW OF THE CHEST, 9/16/2015 COMPARISON: Comparison is made with previous study of September 16th. IMPRESSION: 1. INTERVAL INCREASE IN BIBASILAR AIR-SPACE OPACITIES, WORRISOME FOR DEVELOPING PNEUMONIA. 2. STABLE BRONCHIECTASIS AND PERIBRONCHIAL SCARRING AND THICKENING CONSISTENT WITH PATIENT'S HISTORY OF CYSTIC FIBROSIS. 3. RIGHT IJ CENTRAL VENOUS CATHETER UNCHANGED. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: JAMES NAVARRO, MBBS on: 9-16-2015 ACCESSION NUMBER: 6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL INCREASE IN BIBASILAR AIR-SPACE OPACITIES, WORRISOME FOR DEVELOPING PNEUMONIA. 2. STABLE BRONCHIECTASIS AND PERIBRONCHIAL SCARRING AND THICKENING CONSISTENT WITH PATIENT'S HISTORY OF CYSTIC FIBROSIS. 3. RIGHT IJ CENTRAL VENOUS CATHETER UNCHANGED. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: JAMES NAVARRO, MBBS on: 9-16-2015 " 221072,CheXpert_Demo_Images\valid\patient62582\study1\view1_frontal.jpg,patient62582,"NARRATIVE: PORTABLE CHEST 12/10/2009 0411: COMPARISON: 12/10/2009 at 0344: CLINICAL HISTORY: Ethylene glycol poisoning. IMPRESSION: 1. STABLE POSITION OF ET TUBE, FEEDING TUBE, AND RIGHT IJ LINE AND SHEATH. 2. INCREASE IN MILD INTERSTITIAL PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Velazquez, Miles on: 12/10/09 __________________________________ ACCESSION NUMBER: 4Nw50t38LS778 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE POSITION OF ET TUBE, FEEDING TUBE, AND RIGHT IJ LINE AND SHEATH. 2. INCREASE IN MILD INTERSTITIAL PULMONARY EDEMA. "," 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Velazquez, Miles on: 12/10/09 __________________________________ " 23048,CheXpert_Demo_Images\valid\patient05650\study3\view1_frontal.jpg,patient05650,"NARRATIVE: Chest 1 View, 4/1/2009 HISTORY: 96 year old Male, Picc line placement COMPARISON: 4-1-2009 IMPRESSION: 1.INTERVAL PLACEMENT OF A NASOGASTRIC TUBE, DISTAL TIP IS NOT VISUALIZED. NEW LEFT UPPER EXTREMITY PICC LINE WITH THE DISTAL TIP NEAR THE CAVOATRIAL JUNCTION. STABLE CABG CLIPS AND STERNOTOMY WIRES. 2.DECREASED CARDIOMEGALY WITH IMPROVED PULMONARY EDEMA PATTERN. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: qugprigd This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.INTERVAL PLACEMENT OF A NASOGASTRIC TUBE, DISTAL TIP IS NOT VISUALIZED. NEW LEFT UPPER EXTREMITY PICC LINE WITH THE DISTAL TIP NEAR THE CAVOATRIAL JUNCTION. STABLE CABG CLIPS AND STERNOTOMY WIRES. 2.DECREASED CARDIOMEGALY WITH IMPROVED PULMONARY EDEMA PATTERN. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 191665,CheXpert_Demo_Images\valid\patient46219\study1\view1_frontal.jpg,patient46219,"NARRATIVE: CHEST X-RAY: 3-31-2020 COMPARISON: No previous films. CLINICAL INFORMATION: Fever. IMPRESSION: TWO AP VIEWS OF THE CHEST DEMONSTRATE EVIDENCE OF A PRIOR MEDIAN STERNOTOMY, WITH MEDIASTINAL CLIPS. THE HEART SIZE IS WITHIN NORMAL LIMITS. NO OBVIOUS CEPHALIZATION OR OVERT PULMONARY EDEMA. MILD ATELECTASIS IS SEEN AT THE LUNG BASES. THE LUNGS OTHERWISE APPEAR CLEAR. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 46940X.19 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," TWO AP VIEWS OF THE CHEST DEMONSTRATE EVIDENCE OF A PRIOR MEDIAN STERNOTOMY, WITH MEDIASTINAL CLIPS. THE HEART SIZE IS WITHIN NORMAL LIMITS. NO OBVIOUS CEPHALIZATION OR OVERT PULMONARY EDEMA. MILD ATELECTASIS IS SEEN AT THE LUNG BASES. THE LUNGS OTHERWISE APPEAR CLEAR. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 183440,CheXpert_Demo_Images\valid\patient43388\study12\view1_frontal.jpg,patient43388,"NARRATIVE: EXAM: Chest 1 View 4/16/2013 CLINICAL HISTORY: 82 years old Female. ICU Protocol. COMPARISON: Portable AP Chest Radiograph, 4-16-2013. IMPRESSION: PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITIONING OF TRACHEOSTOMY TUBE AND LEFT ARM PICC LINE. PERSISTENT MODERATE-SIZED PLEURAL EFFUSIONS BILATERALLY WITH ASSOCIATED OPACITIES AT THE BILATERAL LUNG BASES. UNCHANGED MILD PULMONARY EDEMA. OTHERWISE NO SIGNIFICANT CHANGE FROM PREVIOUS EXAMINATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #LRMXFOKUUD This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITIONING OF TRACHEOSTOMY TUBE AND LEFT ARM PICC LINE. PERSISTENT MODERATE-SIZED PLEURAL EFFUSIONS BILATERALLY WITH ASSOCIATED OPACITIES AT THE BILATERAL LUNG BASES. UNCHANGED MILD PULMONARY EDEMA. OTHERWISE NO SIGNIFICANT CHANGE FROM PREVIOUS EXAMINATION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 191210,CheXpert_Demo_Images\valid\patient46040\study1\view1_frontal.jpg,patient46040,"NARRATIVE: PORTABLE CHEST RADIOGRAPH ONE VIEW: 3-31-2004 AT 0505 HOURS CLINICAL HISTORY: Sixty-year-old male with history of bowel obstruction. COMPARISON: 3/31/04 at 0354 hours TECHNIQUE: Portable AP semiupright view of the chest. IMPRESSION: 1. STABLE POSITION OF RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER. 2. PERSISTENT LOW LUNG VOLUMES AND SLIGHT INTERVAL INCREASED INDISTINCTIVENESS OF THE PULMONARY VASCULATURE, REFLECTING MILD PULMONARY EDEMA. 3. PREVIOUSLY DESCRIBED VAGUE OPACITY IN THE RIGHT MID LUNG ZONE IS NOT VISUALIZED ON THIS CURRENT STUDY. 4. STABLE CARDIOMEDIASTINAL SILHOUETTE. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: serena serrano on: 04 MARCH 31ST ACCESSION NUMBER: 439.699.237.456 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE POSITION OF RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER. 2. PERSISTENT LOW LUNG VOLUMES AND SLIGHT INTERVAL INCREASED INDISTINCTIVENESS OF THE PULMONARY VASCULATURE, REFLECTING MILD PULMONARY EDEMA. 3. PREVIOUSLY DESCRIBED VAGUE OPACITY IN THE RIGHT MID LUNG ZONE IS NOT VISUALIZED ON THIS CURRENT STUDY. 4. STABLE CARDIOMEDIASTINAL SILHOUETTE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: serena serrano on: 04 MARCH 31ST " 7776,CheXpert_Demo_Images\valid\patient01917\study1\view1_frontal.jpg,patient01917,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 3/30/2016 COMPARISON: 3/30/2016. CLINICAL HISTORY: Empyema. IMPRESSION: 1. STABLE POSTOPERATIVE CHANGES ARE IDENTIFIED CONSISTENT WITH LEFT PNEUMONECTOMY. THERE IS A GAS AND FLUID COLLECTION IDENTIFIED WITHIN THE LEFT HEMITHORAX. 2. THE RIGHT LUNG IS WELL-EXPANDED WITH NO FOCAL PARENCHYMAL CONSOLIDATION, EFFUSION, OR MASSES NOTED. END OF IMPRESSION SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 28372O699611 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE POSTOPERATIVE CHANGES ARE IDENTIFIED CONSISTENT WITH LEFT PNEUMONECTOMY. THERE IS A GAS AND FLUID COLLECTION IDENTIFIED WITHIN THE LEFT HEMITHORAX. 2. THE RIGHT LUNG IS WELL-EXPANDED WITH NO FOCAL PARENCHYMAL CONSOLIDATION, EFFUSION, OR MASSES NOTED. "," 2 ABNORMAL, PREVIOUSLY REPORTED " 131419,CheXpert_Demo_Images\valid\patient31510\study2\view1_frontal.jpg,patient31510,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 1/2/07 CLINICAL HISTORY: 60 years of age, Female, Pt w hx of HbSS, presenting with abdominal pai. COMPARISON: 1-2-2007. PROCEDURE COMMENTS: Two views of the chest. FINDINGS: There is mild cardiac enlargement. There is diffuse interstitial prominence unchanged. Blunting of the left costophrenic angle is present. There has been removal of the right-sided central venous catheter IMPRESSION: 1. No acute cardiopulmonary process. 2. Probable left pleural effusion. ""Physician to Physician Radiology Consult Line: (678) 735-9472"" ACCESSION NUMBER: 983923u27 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is mild cardiac enlargement. There is diffuse interstitial prominence unchanged. Blunting of the left costophrenic angle is present. There has been removal of the right-sided central venous catheter "," 1. No acute cardiopulmonary process. 2. Probable left pleural effusion. ""Physician to Physician Radiology Consult Line: (678) 735-9472"" ", 161946,CheXpert_Demo_Images\valid\patient37845\study1\view3_lateral.jpg,patient37845,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/12/2014 CLINICAL HISTORY: 81 years of age, Female, Eval effusion. COMPARISON: CXR 5-12-2014 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: CXR 5/12/2014 Interval placement of a right PICC line with the tip terminating at the cavoatrial junction. There is complete opacification of the right lung, possibly from a large right pleural effusion. Hazy reticulonodular opacities are seen in the left lung consistent with moderate pulmonary edema. Right heart border is silhouetted out. CXR 5-12-14 Right PICC line in stable position. Redemonstration of opacification of the right lung. Persistent reticular opacities in the left lung consistent with possible mild edema. IMPRESSION: 1. Complete opacification of the right lung, likely from a large right pleural effusion. 2. Hazy reticular nodular opacities seen in the left lung consistent with moderate pulmonary edema. 3. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 526722 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," CXR 5/12/2014 Interval placement of a right PICC line with the tip terminating at the cavoatrial junction. There is complete opacification of the right lung, possibly from a large right pleural effusion. Hazy reticulonodular opacities are seen in the left lung consistent with moderate pulmonary edema. Right heart border is silhouetted out. CXR 5-12-14 Right PICC line in stable position. Redemonstration of opacification of the right lung. Persistent reticular opacities in the left lung consistent with possible mild edema. "," 1. Complete opacification of the right lung, likely from a large right pleural effusion. 2. Hazy reticular nodular opacities seen in the left lung consistent with moderate pulmonary edema. 3. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 123442,CheXpert_Demo_Images\valid\patient29593\study2\view1_frontal.jpg,patient29593,"NARRATIVE: SINGLE CHEST AND MULTIPLE VIEWS OF THE LEFT KNEE: 8/5/2018 COMPARISON: 18/08/05 CLINICAL HISTORY: Headache, rule out CHF, rule out osteomyelitis. FINDINGS: There is cardiomegaly with left basal consolidation. There are bilateral pleural effusions. Chronic interstitial prominence is again identified. Marked degenerative changes of the visualized osseous structures are seen. Multiple views of the left knee demonstrate marked prepatellar soft tissue swelling, which may reflect prepatellar bursitis. No evidence for acute fracture or subluxation of the left knee. Note is made of a prominently calcified vessels posterior to the left distal femur. IMPRESSION: 1. CARDIOMEGALY, BILATERAL SMALL PLEURAL EFFUSIONS, AND LEFT LOWER LOBE CONSOLIDATION. 2. PROMINENT CHRONIC INTERSTITIAL PATTERN TO THE LUNGS. 3. NO EVIDENCE FOR ACUTE FRACTURE OR SUBLUXATION OF THE LEFT KNEE. THERE IS PREPATELLAR SOFT TISSUE SWELLING, WHICH MAY REPRESENT PREPATELLAR BURSITIS. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 22538 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is cardiomegaly with left basal consolidation. There are bilateral pleural effusions. Chronic interstitial prominence is again identified. Marked degenerative changes of the visualized osseous structures are seen. Multiple views of the left knee demonstrate marked prepatellar soft tissue swelling, which may reflect prepatellar bursitis. No evidence for acute fracture or subluxation of the left knee. Note is made of a prominently calcified vessels posterior to the left distal femur. "," 1. CARDIOMEGALY, BILATERAL SMALL PLEURAL EFFUSIONS, AND LEFT LOWER LOBE CONSOLIDATION. 2. PROMINENT CHRONIC INTERSTITIAL PATTERN TO THE LUNGS. 3. NO EVIDENCE FOR ACUTE FRACTURE OR SUBLUXATION OF THE LEFT KNEE. THERE IS PREPATELLAR SOFT TISSUE SWELLING, WHICH MAY REPRESENT PREPATELLAR BURSITIS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 67549,CheXpert_Demo_Images\valid\patient16230\study2\view3_lateral.jpg,patient16230,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 2/10/2013 CLINICAL HISTORY: 21 years of age, Male, 20 year old with MPNST and a left sided effusion. Follow-up film. COMPARISON: February 2013 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: The cardiomediastinal silhouette slightly shifted to the left secondary to pectus deformity , but is normal in size . The lung parenchyma is clear. Small left pleural effusion, appearing decreased in size from prior radiograph IMPRESSION: 1. Small left pleural effusion, decreased in size from prior radiograph. Dictated by Resident: Chavez, Skylar - 2/2013 Interpreted by Attending Radiologist: tucker nina, md - 2-10-2013 I, the attending signed below, have personally reviewed the images and agree with the report transcribed above. Interpreted by Attending Radiologist: nina tucker, md Authored By : Nina Tucker, MD Approval Date : 2/10/2013 ACCESSION NUMBER: 4936184 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette slightly shifted to the left secondary to pectus deformity , but is normal in size . The lung parenchyma is clear. Small left pleural effusion, appearing decreased in size from prior radiograph "," 1. Small left pleural effusion, decreased in size from prior radiograph. Dictated by Resident: Chavez, Skylar - 2/2013 Interpreted by Attending Radiologist: tucker nina, md - 2-10-2013 I, the attending signed below, have personally reviewed the images and agree with the report transcribed above. Interpreted by Attending Radiologist: nina tucker, md Authored By : Nina Tucker, MD Approval Date : 2/10/2013 ", 204198,CheXpert_Demo_Images\valid\patient51602\study1\view1_frontal.jpg,patient51602,"NARRATIVE: PORTABLE AP UPRIGHT CHEST RADIOGRAPH: 5/26 HISTORY: Breast cancer. MediPort insertion. COMPARISON: 5/26/2017 FINDINGS: There is a new left subclavian central venous catheter, tip in the superior vena cava. No pneumothorax. Mediastinal contours and heart size are within normal limits. There is no consolidation, pleural effusion or evidence of pulmonary nodules. The previously described mass located in the lateral right breast or axilla is not apparent on today's radiograph and postsurgical changes are noted in the lateral right breast. IMPRESSION: 1. NEW LEFT SUBCLAVIAN CENTRAL VENOUS LINE, TIP IN THE SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. INTERVAL RESECTION OF RIGHT LATERAL BREAST/AXILLA MASS SINCE THE PRIOR STUDY OF 5-26-2017. END OF IMPRESSION: ACCESSION NUMBER: Pv5WsJOFF This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is a new left subclavian central venous catheter, tip in the superior vena cava. No pneumothorax. Mediastinal contours and heart size are within normal limits. There is no consolidation, pleural effusion or evidence of pulmonary nodules. The previously described mass located in the lateral right breast or axilla is not apparent on today's radiograph and postsurgical changes are noted in the lateral right breast. "," 1. NEW LEFT SUBCLAVIAN CENTRAL VENOUS LINE, TIP IN THE SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. INTERVAL RESECTION OF RIGHT LATERAL BREAST/AXILLA MASS SINCE THE PRIOR STUDY OF 5-26-2017. ", 179319,CheXpert_Demo_Images\valid\patient42151\study3\view1_frontal.jpg,patient42151,"NARRATIVE: EXAM: Chest 1 View, 3-13-2011 CLINICAL HISTORY: Male of 42 years; reason for study: ""S/p lung txp"" Patient is status post heart-lung transplant on 3-13-2011. COMPARISON: Chest radiograph 3-13-2011 IMPRESSION: 1. UNCHANGED LEFT PERIHILAR AIRSPACE OPACITY AND RESIDUAL LOCULATED LEFT PLEURAL EFFUSION. 2. INTERVAL REMOVAL OF ONE LEFT CHEST TUBE. THE SECOND LEFT CHEST TUBE IS UNCHANGED IN POSITION OVERLYING THE LEFT LUNG BASE. 3. NO PNEUMOTHORAX. 4. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. 5. LEFT PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER, TRACHEOSTOMY TUBE, MEDIAN STERNOTOMY WIRES, AND MIDLINE SKIN CLIPS ARE UNCHANGED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 73976546497 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. UNCHANGED LEFT PERIHILAR AIRSPACE OPACITY AND RESIDUAL LOCULATED LEFT PLEURAL EFFUSION. 2. INTERVAL REMOVAL OF ONE LEFT CHEST TUBE. THE SECOND LEFT CHEST TUBE IS UNCHANGED IN POSITION OVERLYING THE LEFT LUNG BASE. 3. NO PNEUMOTHORAX. 4. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED. 5. LEFT PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER, TRACHEOSTOMY TUBE, MEDIAN STERNOTOMY WIRES, AND MIDLINE SKIN CLIPS ARE UNCHANGED. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 46708,CheXpert_Demo_Images\valid\patient11347\study6\view1_frontal.jpg,patient11347,"NARRATIVE: CHEST: 10-14-2002 COMPARISON: 10-14-2002 CLINICAL HISTORY: ICU. IMPRESSION: 1. AP SUPINE CHEST RADIOGRAPH DEMONSTRATES INTERVAL EXTUBATION OF THE PATIENT WITH A NASOGASTRIC TUBE, FEEDING TUBE, RIGHT IJ VENOUS CATHETER AND SHEATH, AND LEFT SUBCLAVIAN VENOUS LINE REMAINING IN PLACE. 2. LUNG VOLUMES ARE LOW WITH PERSISTENT PATCHY AIRSPACE DISEASE SEEN BILATERALLY, THAT MAY REFLECT PULMONARY EDEMA. NO SIGNIFICANT INTERVAL CHANGE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 24713658834 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP SUPINE CHEST RADIOGRAPH DEMONSTRATES INTERVAL EXTUBATION OF THE PATIENT WITH A NASOGASTRIC TUBE, FEEDING TUBE, RIGHT IJ VENOUS CATHETER AND SHEATH, AND LEFT SUBCLAVIAN VENOUS LINE REMAINING IN PLACE. 2. LUNG VOLUMES ARE LOW WITH PERSISTENT PATCHY AIRSPACE DISEASE SEEN BILATERALLY, THAT MAY REFLECT PULMONARY EDEMA. NO SIGNIFICANT INTERVAL CHANGE. ","2-ABNORMAL, PREVIOUSLY REPORTED " 170761,CheXpert_Demo_Images\valid\patient39847\study1\view1_frontal.jpg,patient39847,"NARRATIVE: EXAM: Chest 1 View, 6/17/2007 CLINICAL HISTORY: Fever, O2 sat 92%, cough, eval for PNA COMPARISON: 6/17/2007 IMPRESSION: 1. SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES HAZY RETROCARDIAC AND RIGHT INFRAHILAR OPACITY WHICH MAY REPRESENT ATELECTASIS IN THE CONTEXT OF PORTABLE TECHNIQUE. IF CLINICAL CONCERN FOR INFECTIVE CONSOLIDATION, PA AND LATERAL MAY BE OBTAINED FOR DEFINITIVE CHARACTERIZATION. 2. UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 642382837705 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES HAZY RETROCARDIAC AND RIGHT INFRAHILAR OPACITY WHICH MAY REPRESENT ATELECTASIS IN THE CONTEXT OF PORTABLE TECHNIQUE. IF CLINICAL CONCERN FOR INFECTIVE CONSOLIDATION, PA AND LATERAL MAY BE OBTAINED FOR DEFINITIVE CHARACTERIZATION. 2. UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE AND VASCULARITY. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 193216,CheXpert_Demo_Images\valid\patient46824\study1\view1_frontal.jpg,patient46824,"NARRATIVE: Chest 1 View: 6/26/2010 HISTORY: Male, 42 years old, ? volume overload. COMPARISON: 6-26-2010 IMPRESSION: Low lung volumes. Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 554814844 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Low lung volumes. Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. ","1-NO SIGNIFICANT ABNORMALITY " 38526,CheXpert_Demo_Images\valid\patient09454\study1\view1_frontal.jpg,patient09454,"NARRATIVE: CHEST: COMPARISON: None. CLINICAL HISTORY: 92 year old with subdural hematoma, rule-out infiltrate. IMPRESSION: 1. PORTABLE SEMI-ERECT CHEST RADIOGRAPH DEMONSTRATES MILD VENOUS CONGESTION. THERE IS NO FOCAL CONSOLIDATION OR EFFUSION. 2. CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. CALCIFICATIONS ARE SEEN WITHIN THE AORTIC ARCH. 3. SCOLIOSIS OF THE THORACOLUMBAR SPINE IS PRESENT. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Meyers, MD on: 7/18/01 ACCESSION NUMBER: OzHjxqgdZ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMI-ERECT CHEST RADIOGRAPH DEMONSTRATES MILD VENOUS CONGESTION. THERE IS NO FOCAL CONSOLIDATION OR EFFUSION. 2. CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. CALCIFICATIONS ARE SEEN WITHIN THE AORTIC ARCH. 3. SCOLIOSIS OF THE THORACOLUMBAR SPINE IS PRESENT. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Meyers, MD on: 7/18/01 " 165804,CheXpert_Demo_Images\valid\patient38703\study1\view1_frontal.jpg,patient38703,"NARRATIVE: Exam: Chest 1 View, 6-27-2006 Clinical History: 97 year old, Female, Critical care follow-up(ICU) Comparison: 6/27 IMPRESSION: 1.Semiupright frontal radiograph of the chest demonstrates a stable exam with a calcified tortuous aorta, but no focal consolidation, pleural effusion or pneumothorax. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #791391395 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.Semiupright frontal radiograph of the chest demonstrates a stable exam with a calcified tortuous aorta, but no focal consolidation, pleural effusion or pneumothorax. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 75672,CheXpert_Demo_Images\valid\patient18175\study1\view2_lateral.jpg,patient18175,"NARRATIVE: TWO VIEWS CHEST: 2013/12/4 COMPARISON: No previous studies. CLINICAL HISTORY: Rule-out infiltrates. FINDINGS: The cardiomediastinal silhouette is unremarkable. There is elevation of the right hemidiaphragm. Atelectasis in the right lower lung zone. Probable pulmonary venous hypertension and mild pulmonary edema. IMPRESSION: 1. ATELECTASIS IN THE RIGHT LUNG BASE WITH ELEVATION OF THE RIGHT HEMIDIAPHRAGM. 2. PROBABLE PULMONARY VENOUS HYPERTENSION AND MILD EDEMA. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: wrczwkxcin This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The cardiomediastinal silhouette is unremarkable. There is elevation of the right hemidiaphragm. Atelectasis in the right lower lung zone. Probable pulmonary venous hypertension and mild pulmonary edema. "," 1. ATELECTASIS IN THE RIGHT LUNG BASE WITH ELEVATION OF THE RIGHT HEMIDIAPHRAGM. 2. PROBABLE PULMONARY VENOUS HYPERTENSION AND MILD EDEMA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 63972,CheXpert_Demo_Images\valid\patient15422\study4\view1_frontal.jpg,patient15422,"NARRATIVE: SINGLE VIEW PORTABLE CHEST: 2-22-2011 at 0805 hours COMPARISON: 2-22-2011 FINDINGS: No change in previously noted mixed interstitial and air-space opacity and small to moderate bilateral pleural effusions. The cardiomediastinal silhouette is grossly unchanged with cardiomegaly again noted. Prominent calcification of the aortic arch and descending thoracic aorta is again seen. IMPRESSION: PERSISTENT CONGESTIVE HEART FAILURE, NOT SIGNIFICANTLY CHANGED COMPARED TO 2/22/2011. END OF IMPRESSION: SUMMARY: 2 __________________________________ ACCESSION NUMBER: 1549588728y This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," No change in previously noted mixed interstitial and air-space opacity and small to moderate bilateral pleural effusions. The cardiomediastinal silhouette is grossly unchanged with cardiomegaly again noted. Prominent calcification of the aortic arch and descending thoracic aorta is again seen. "," PERSISTENT CONGESTIVE HEART FAILURE, NOT SIGNIFICANTLY CHANGED COMPARED TO 2/22/2011. "," 2 __________________________________ " 14912,CheXpert_Demo_Images\valid\patient03708\study1\view1_frontal.jpg,patient03708,"NARRATIVE: EXAM: Chest 2 Views, 10-20-2019 CLINICAL HISTORY: 69 years Male Chest pain COMPARISON: 10/19 IMPRESSION: 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE STABLE POSITIONING OF A RIGHT-SIDED MEDIPORT AND DISTAL ESOPHAGEAL STENT. 2.CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. 3.UNCHANGED APPEARANCE OF ATELECTASIS AT THE RIGHT BASE AND LEFT LOWER LOBE OPACITY WHICH OBSCURES THE COSTOVERTEBRAL ANGLE, LIKELY RELATED TO SMALL LEFT PLEURAL EFFUSION. 4.MULTIPLE SURGICAL CLIPS PROJECT OVER THE UPPER ABDOMEN. NO FREE AIR IS PRESENT. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #06781294 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE STABLE POSITIONING OF A RIGHT-SIDED MEDIPORT AND DISTAL ESOPHAGEAL STENT. 2.CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. 3.UNCHANGED APPEARANCE OF ATELECTASIS AT THE RIGHT BASE AND LEFT LOWER LOBE OPACITY WHICH OBSCURES THE COSTOVERTEBRAL ANGLE, LIKELY RELATED TO SMALL LEFT PLEURAL EFFUSION. 4.MULTIPLE SURGICAL CLIPS PROJECT OVER THE UPPER ABDOMEN. NO FREE AIR IS PRESENT. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 191335,CheXpert_Demo_Images\valid\patient46078\study1\view1_frontal.jpg,patient46078,"NARRATIVE: SINGLE VIEW OF THE CHEST: 6-14-2007 DrugStars 0700 HOURS COMPARISON: 6-14-2007. IMPRESSION: 1. NO INTERVAL CHANGE WITH NO EVIDENCE OF PNEUMONIA OR OTHER ACUTE ABNORMALITY. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 9189572740 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO INTERVAL CHANGE WITH NO EVIDENCE OF PNEUMONIA OR OTHER ACUTE ABNORMALITY. ","1-NO SIGNIFICANT ABNORMALITY " 79580,CheXpert_Demo_Images\valid\patient19143\study1\view1_frontal.jpg,patient19143,"NARRATIVE: EXAM: Fingers Right, Chest 1 View, Hand 2 Views Right 12-17-2009 CLINICAL HISTORY: Trauma COMPARISON: None Addendum Begins FIRST IMPRESSION POINT SHOULD READ AS FOLLOWS: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NORMAL HEART SIZE AND VASCULARITY. LUNGS ARE CLEAR, WITHOUT DISPLACED RIB FRACTURES OR PNEUMOTHORAX. Addendum Ends IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NORMAL HEART SIZE AND VASCULARITY. LUNGS ARE CLEAR, WITH DISPLACED RIB FRACTURES OR PNEUMOTHORAX. 2.THREE VIEWS OF THE RIGHT THUMB AND TWO VIEWS OF THE RIGHT HAND DEMONSTRATE AN OBLIQUE, INTRA-ARTICULAR FRACTURE THROUGH THE BASE OF THE FIRST PROXIMAL PHALANX, WITH ASSOCIATED ULNAR SUBLUXATION OF THE FIRST METACARPAL BASE. VISUALIZED OSSEOUS STRUCTURES OTHERWISE UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 536568094 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NORMAL HEART SIZE AND VASCULARITY. LUNGS ARE CLEAR, WITH DISPLACED RIB FRACTURES OR PNEUMOTHORAX. 2.THREE VIEWS OF THE RIGHT THUMB AND TWO VIEWS OF THE RIGHT HAND DEMONSTRATE AN OBLIQUE, INTRA-ARTICULAR FRACTURE THROUGH THE BASE OF THE FIRST PROXIMAL PHALANX, WITH ASSOCIATED ULNAR SUBLUXATION OF THE FIRST METACARPAL BASE. VISUALIZED OSSEOUS STRUCTURES OTHERWISE UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 55502,CheXpert_Demo_Images\valid\patient13481\study1\view2_lateral.jpg,patient13481,"NARRATIVE: Chest 2 Views: 6/19/2005 HISTORY: Male, 36 years old, atypical chest burning. COMPARISON: None. IMPRESSION: Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 157622911013 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable. ","1-NO SIGNIFICANT ABNORMALITY " 113445,CheXpert_Demo_Images\valid\patient27239\study2\view2_lateral.jpg,patient27239,"NARRATIVE: TWO VIEWS OF THE CHEST: 5/22/08 CLINICAL DATA: Cystic fibrosis with increasing sputum. COMPARISON: may 2008 FINDINGS: Stable appearance of diffuse scattered opacities, as well as findings of bronchiectasis. Lung volumes are normal. No focal consolidation. Cardiomediastinal silhouette is unremarkable. Osseous structures are unremarkable. IMPRESSION: DIFFUSE BRONCHIECTASIS, AS WELL AS SCATTERED PULMONARY OPACITIES, MOST CONSISTENT WITH MUCOID IMPACTION ARE STABLE IN APPEARANCE COMPARED TO may 22nd 08. NO AREAS OF NEW FOCAL CONSOLIDATION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 84921 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Stable appearance of diffuse scattered opacities, as well as findings of bronchiectasis. Lung volumes are normal. No focal consolidation. Cardiomediastinal silhouette is unremarkable. Osseous structures are unremarkable. "," DIFFUSE BRONCHIECTASIS, AS WELL AS SCATTERED PULMONARY OPACITIES, MOST CONSISTENT WITH MUCOID IMPACTION ARE STABLE IN APPEARANCE COMPARED TO may 22nd 08. NO AREAS OF NEW FOCAL CONSOLIDATION. ","2-ABNORMAL, PREVIOUSLY REPORTED " 221747,CheXpert_Demo_Images\valid\patient63197\study1\view1_frontal.jpg,patient63197,"NARRATIVE: EXAM: Chest 1 View, 8/24/00 PATIENT DEMOGRAPHICS: 82 years, Female. REASON FOR EXAM/CLINICAL QUERY: S/p transfemoral TAVR 8/24/2000 COMPARISON: 8-24-2000. IMPRESSION: 1. SINGLE SEMI-UPRIGHT RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL TAVR WITH PLACEMENT OF A RIGHT-SIDED SWAN-GANZ CATHETER, A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INTUBATION.. 2. MILD PULMONARY EDEMA. 3. FOLLOW-UP RADIOGRAPH DEMONSTRATES INTERVAL EXTUBATION OF THE PATIENT AND REMOVAL OF THE SWAN-GANZ CATHETER. 4. INTERVAL WORSENING IN BIBASILAR OPACIFICATION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4NW50T38LS778 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE SEMI-UPRIGHT RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL TAVR WITH PLACEMENT OF A RIGHT-SIDED SWAN-GANZ CATHETER, A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INTUBATION.. 2. MILD PULMONARY EDEMA. 3. FOLLOW-UP RADIOGRAPH DEMONSTRATES INTERVAL EXTUBATION OF THE PATIENT AND REMOVAL OF THE SWAN-GANZ CATHETER. 4. INTERVAL WORSENING IN BIBASILAR OPACIFICATION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 192379,CheXpert_Demo_Images\valid\patient46503\study1\view1_frontal.jpg,patient46503,"NARRATIVE: CHEST RADIOGRAPH PORTABLE: 11/19/2019 COMPARISON: 11-19-2019 at 0345 hours. CLINICAL HISTORY: A 69-year-old female post chest tube removal. FINDINGS: A portable semi-upright radiograph of the chest was obtained. There is stable patchy pulmonary opacities in the right lower lobe and left upper lobe. The cardiomediastinal silhouette is stable. Mild pulmonary edema is unchanged. There has been interval removal of the right chest tube and mediastinal drain. No pneumothorax is seen, although evaluation is limited by semi-upright technique. The right-sided Swan-Ganz catheter and epicardial wires are unchanged. IMPRESSION: POST CHEST TUBE REMOVAL. NO PNEUMOTHORAX IS SEEN, ALTHOUGH, EVALUATION IS LIMITED BY SEMI-UPRIGHT TECHNIQUE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: IWYOKFYR This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A portable semi-upright radiograph of the chest was obtained. There is stable patchy pulmonary opacities in the right lower lobe and left upper lobe. The cardiomediastinal silhouette is stable. Mild pulmonary edema is unchanged. There has been interval removal of the right chest tube and mediastinal drain. No pneumothorax is seen, although evaluation is limited by semi-upright technique. The right-sided Swan-Ganz catheter and epicardial wires are unchanged. "," POST CHEST TUBE REMOVAL. NO PNEUMOTHORAX IS SEEN, ALTHOUGH, EVALUATION IS LIMITED BY SEMI-UPRIGHT TECHNIQUE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 109152,CheXpert_Demo_Images\valid\patient26239\study1\view1_frontal.jpg,patient26239,"NARRATIVE: CHEST ONE VIEW: REASON FOR EXAMINATION: Patient with interstitial lung disease, post-operative study. COMPARISON: Prior study available for comparison 1/9/2019 FINDINGS: Post-operative changes are demonstrated with the left chest tube in place. There is also demonstration of left anterolateral chest wall subcutaneous emphysema. There is no evidence of pneumothorax. Decreased lung volumes when compared to prior study. There has been interval development of bibasilar opacities consistent with either atelectasis and/or pneumonia. There has been interval development of diffuse air space opacification of the right lung. This may represent asymmetric pulmonary edema from operative positioning. However, cannot exclude an infectious process and/or aspiration. Small bilateral pleural effusions are demonstrated. IMPRESSION: 1. POST-OPERATIVE CHANGES. SEE DISCUSSION IN BODY OF NOTE. 2. INTERVAL DEVELOPMENT OF RIGHT DIFFUSE LUNG AIR SPACE DISEASE MAY REPRESENT ASYMMETRIC PULMONARY EDEMA FROM OPERATIVE POSITIONING HOWEVER CANNOT EXCLUDE AN INFECTIOUS PROCESS OR ASPIRATION. 3. INTERVAL DEVELOPMENT OF BIBASILAR ATELECTASIS. 4. SMALL BILATERAL PLEURAL EFFUSIONS. 5. NO EVIDENCE OF PNEUMOTHORAX. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Davidson, Yadriel W on: 1-9-2019 ACCESSION NUMBER: #5216173 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Post-operative changes are demonstrated with the left chest tube in place. There is also demonstration of left anterolateral chest wall subcutaneous emphysema. There is no evidence of pneumothorax. Decreased lung volumes when compared to prior study. There has been interval development of bibasilar opacities consistent with either atelectasis and/or pneumonia. There has been interval development of diffuse air space opacification of the right lung. This may represent asymmetric pulmonary edema from operative positioning. However, cannot exclude an infectious process and/or aspiration. Small bilateral pleural effusions are demonstrated. "," 1. POST-OPERATIVE CHANGES. SEE DISCUSSION IN BODY OF NOTE. 2. INTERVAL DEVELOPMENT OF RIGHT DIFFUSE LUNG AIR SPACE DISEASE MAY REPRESENT ASYMMETRIC PULMONARY EDEMA FROM OPERATIVE POSITIONING HOWEVER CANNOT EXCLUDE AN INFECTIOUS PROCESS OR ASPIRATION. 3. INTERVAL DEVELOPMENT OF BIBASILAR ATELECTASIS. 4. SMALL BILATERAL PLEURAL EFFUSIONS. 5. NO EVIDENCE OF PNEUMOTHORAX. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Davidson, Yadriel W on: 1-9-2019 " 153817,CheXpert_Demo_Images\valid\patient36248\study1\view1_frontal.jpg,patient36248,"NARRATIVE: Chest 1 View, 7/27/2008 HISTORY: 93 year old Male, pleural effusion COMPARISON: 7-27-2008 IMPRESSION: 1.LEFT-SIDED DUAL-LEAD PACER REMAINS IN PLACE UNCHANGED. 2. THE LEFT-SIDED PLEURAL DRAINAGE CATHETER IS AGAIN NOTED ABUTTING THE LEFT CHEST WALL WITH NO SIGNIFICANT CHANGE. THE PREVIOUS FOCAL TINY PNEUMOTHORAX ALONG THE LEFT HEMITHORAX ADJACENT TO THE CATHETER IS NOT VISUALIZED. NO EVIDENCE OF OBVIOUS CHANGE WITHIN THE SMALL LEFT-SIDED PLEURAL EFFUSION. 3.STABLE RETROCARDIAC OPACITY WITH SLIGHTLY INCREASED LINEAR ATELECTASIS WITHIN THE LEFT MID LUNG ZONE. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 431839 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LEFT-SIDED DUAL-LEAD PACER REMAINS IN PLACE UNCHANGED. 2. THE LEFT-SIDED PLEURAL DRAINAGE CATHETER IS AGAIN NOTED ABUTTING THE LEFT CHEST WALL WITH NO SIGNIFICANT CHANGE. THE PREVIOUS FOCAL TINY PNEUMOTHORAX ALONG THE LEFT HEMITHORAX ADJACENT TO THE CATHETER IS NOT VISUALIZED. NO EVIDENCE OF OBVIOUS CHANGE WITHIN THE SMALL LEFT-SIDED PLEURAL EFFUSION. 3.STABLE RETROCARDIAC OPACITY WITH SLIGHTLY INCREASED LINEAR ATELECTASIS WITHIN THE LEFT MID LUNG ZONE. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 203055,CheXpert_Demo_Images\valid\patient51032\study1\view1_frontal.jpg,patient51032,"NARRATIVE: EXAM: Chest 1 View 5-8-2011 CLINICAL HISTORY: 59 years old Female. Rule out aspiration. COMPARISON: Portable AP Chest Radiograph, 5/8/2011. IMPRESSION: 1.PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITIONING OF A TUNNELED RIGHT INTERNAL JUGULAR SINGLE LUMEN MEDIPORT WITH THE TIP TERMINATING AT THE LEVEL OF THE CARINA. 2.INTERVAL IMPROVED AERATION OF THE BILATERAL LUNG BASES. THERE IS PERSISTENT RESIDUAL LINEAR OPACITY AT THE BILATERAL LUNG BASES, WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 3.INTERVAL RESOLUTION OF THE PREVIOUSLY NOTED SMALL BILATERAL PLEURAL EFFUSIONS. 4.NORMAL CARDIOMEDIASTINAL SILHOUETTE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 018339X34 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PORTABLE RADIOGRAPH OF THE CHEST DEMONSTRATES STABLE POSITIONING OF A TUNNELED RIGHT INTERNAL JUGULAR SINGLE LUMEN MEDIPORT WITH THE TIP TERMINATING AT THE LEVEL OF THE CARINA. 2.INTERVAL IMPROVED AERATION OF THE BILATERAL LUNG BASES. THERE IS PERSISTENT RESIDUAL LINEAR OPACITY AT THE BILATERAL LUNG BASES, WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 3.INTERVAL RESOLUTION OF THE PREVIOUSLY NOTED SMALL BILATERAL PLEURAL EFFUSIONS. 4.NORMAL CARDIOMEDIASTINAL SILHOUETTE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 126321,CheXpert_Demo_Images\valid\patient30289\study1\view1_frontal.jpg,patient30289,"NARRATIVE: Chest 1 View: 12/08 HISTORY: Unknown, 92 year old old, Intubation. COMPARISON: None. IMPRESSION: Low lung volumes. Cutaneous pacer pad overlies and partially obscures the right upper lung. Endotracheal tube tip projects at the level of the T3-4 intervertebral disc space. Moderate cardiomegaly. Widened mediastinum, which may be exaggerated due to technique and patient position. Increased density along the right paratracheal region and right lung apex which may be due to pleural fluid. No focal lung parenchymal consolidation or pneumothorax. No displaced fractures. Recommend repeat upright chest radiograph or CTA chest when clinically feasible for further evaluation given the mediastinal widening and suggestion of a right apical cap which may be seen in the setting of acute aortic injury. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 92827742909 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Low lung volumes. Cutaneous pacer pad overlies and partially obscures the right upper lung. Endotracheal tube tip projects at the level of the T3-4 intervertebral disc space. Moderate cardiomegaly. Widened mediastinum, which may be exaggerated due to technique and patient position. Increased density along the right paratracheal region and right lung apex which may be due to pleural fluid. No focal lung parenchymal consolidation or pneumothorax. No displaced fractures. Recommend repeat upright chest radiograph or CTA chest when clinically feasible for further evaluation given the mediastinal widening and suggestion of a right apical cap which may be seen in the setting of acute aortic injury. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 122262,CheXpert_Demo_Images\valid\patient29326\study16\view1_frontal.jpg,patient29326,"NARRATIVE: AP CHEST: 3/25/2003 AT 5:24 HOURS COMPARISON: 3-25-03, 3-25-2003. FINDINGS: Again noted is an NG tube and feeding tube, and ET tube which is approximately 2 cm above the carina. The right IJ line has its distal tip in a right pulmonary artery. It has been withdrawn slightly but still remains relatively peripheral. Pulmonary vasculature is mildly increased but improved. There is persistent left lower lobe consolidation. IMPRESSION: 1. MULTIPLE TUBES AND LINES INCLUDING A PULMONARY ARTERY CATHETER AS DESCRIBED. PERSISTENT LEFT BASILAR CONSOLIDATION. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION __________________________________ ACCESSION NUMBER: 568416718 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Again noted is an NG tube and feeding tube, and ET tube which is approximately 2 cm above the carina. The right IJ line has its distal tip in a right pulmonary artery. It has been withdrawn slightly but still remains relatively peripheral. Pulmonary vasculature is mildly increased but improved. There is persistent left lower lobe consolidation. "," 1. MULTIPLE TUBES AND LINES INCLUDING A PULMONARY ARTERY CATHETER AS DESCRIBED. PERSISTENT LEFT BASILAR CONSOLIDATION. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION __________________________________ " 75685,CheXpert_Demo_Images\valid\patient18178\study2\view1_frontal.jpg,patient18178,"NARRATIVE: ONE VIEW OF THE CHEST: 3-24-2002. COMPARISON: 3/24/2002. CLINICAL HISTORY: A 54-year-old with concern for pneumothorax. FINDINGS: A single frontal radiograph of the chest demonstrates small left hydropneumothorax. Fluid collection in the left pleura appears slightly increased. There is left greater than right basilar opacity which appears unchanged. Otherwise clear lungs. Stable cardiomediastinal silhouette. IMPRESSION: SIMILAR APPEARANCE OF LEFT HYDROPNEUMOTHORAX. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7.2.6.6.3.1.0.2.9.5 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," A single frontal radiograph of the chest demonstrates small left hydropneumothorax. Fluid collection in the left pleura appears slightly increased. There is left greater than right basilar opacity which appears unchanged. Otherwise clear lungs. Stable cardiomediastinal silhouette. "," SIMILAR APPEARANCE OF LEFT HYDROPNEUMOTHORAX. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 162870,CheXpert_Demo_Images\valid\patient38045\study1\view1_frontal.jpg,patient38045,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 7/18/2000 CLINICAL HISTORY: 27 years of age, Female, Mediastinoscopy. COMPARISON: CT thorax 7-18-2000. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Left chest port in place, with the tip terminating in the right atrium. Surgical clip projecting the right neck base. Prominent right superior mediastinum is again visualized. Lungs appear clear. Slightly low lung volumes. No evidence of acute bony abnormalities. No pneumothorax or pneumomediastinum. IMPRESSION: 1. Enlarged right superior mediastinum reflecting mediastinal mass, better evaluated on recent CT 2. No pneumomediastinum or pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1A999W33XKE This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Left chest port in place, with the tip terminating in the right atrium. Surgical clip projecting the right neck base. Prominent right superior mediastinum is again visualized. Lungs appear clear. Slightly low lung volumes. No evidence of acute bony abnormalities. No pneumothorax or pneumomediastinum. "," 1. Enlarged right superior mediastinum reflecting mediastinal mass, better evaluated on recent CT 2. No pneumomediastinum or pneumothorax. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 198968,CheXpert_Demo_Images\valid\patient49196\study1\view1_frontal.jpg,patient49196,"NARRATIVE: Chest 1 View 4/3/2011 at 11:17 hours HISTORY: 76 years Female, S/p evacuation chest s/p CABG COMPARISON: 4/3/11 at 03:34 hours FINDINGS: Single supine AP view of the chest demonstrates interval placement of an endoscopy tube overlying the mid chest. Stable positioning of an endotracheal tube, right internal jugular Swan-Ganz catheter, and intra-aortic balloon pump. Interval removal of sternotomy wires and placement of 3 drains in the midline. Redemonstration of an aortic valve replacement. Interval decrease in size of the cardiac silhouette. Interval improvement in pulmonary edema. Persistent small bilateral pleural effusions and retrocardiac opacity. IMPRESSION: 1.INTERVAL REMOVAL OF STERNOTOMY WIRES AND PLACEMENT OF 3 DRAINS IN THE MIDLINE. 2.INTERVAL DECREASE IN SIZE OF THE CARDIAC SILHOUETTE. IMPROVED PULMONARY EDEMA. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single supine AP view of the chest demonstrates interval placement of an endoscopy tube overlying the mid chest. Stable positioning of an endotracheal tube, right internal jugular Swan-Ganz catheter, and intra-aortic balloon pump. Interval removal of sternotomy wires and placement of 3 drains in the midline. Redemonstration of an aortic valve replacement. Interval decrease in size of the cardiac silhouette. Interval improvement in pulmonary edema. Persistent small bilateral pleural effusions and retrocardiac opacity. "," 1.INTERVAL REMOVAL OF STERNOTOMY WIRES AND PLACEMENT OF 3 DRAINS IN THE MIDLINE. 2.INTERVAL DECREASE IN SIZE OF THE CARDIAC SILHOUETTE. IMPROVED PULMONARY EDEMA. "," 2-ABNORMAL, PREVIOUSLY REPORTED " 211225,CheXpert_Demo_Images\valid\patient55970\study1\view1_frontal.jpg,patient55970,"NARRATIVE: CHEST X-RAY: 6/12/2007. COMPARISON: 6-12-2007. CLINICAL HISTORY: 80-year-old female, check for infiltrates. IMPRESSION: 1. SINGLE FRONTAL SEMI-UPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF DUAL LEAD PACEMAKER. 2. REDEMONSTRATION OF RIGHT LOWER LOBE INFRAHILAR OPACITY, SLIGHTLY IMPROVED FROM THE PRIOR STUDY. 3. MILD PULMONARY EDEMA, UNCHANGED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #551-262-188-961 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL SEMI-UPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF DUAL LEAD PACEMAKER. 2. REDEMONSTRATION OF RIGHT LOWER LOBE INFRAHILAR OPACITY, SLIGHTLY IMPROVED FROM THE PRIOR STUDY. 3. MILD PULMONARY EDEMA, UNCHANGED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 64095,CheXpert_Demo_Images\valid\patient15447\study1\view1_frontal.jpg,patient15447,"NARRATIVE: EXAM: Chest 1 View, 1-26-2017. HISTORY: : 65 years Male, Rule out pneumothorax (s/p RHC with RIJ approach). COMPARISON: None IMPRESSION: 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LOW LUNG VOLUMES WITH ATELECTASIS IN THE LEFT BASE. SMALL BILATERAL PLEURAL EFFUSIONS. NO PNEUMOTHORAX. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: LHQBEEQZ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2. LOW LUNG VOLUMES WITH ATELECTASIS IN THE LEFT BASE. SMALL BILATERAL PLEURAL EFFUSIONS. NO PNEUMOTHORAX. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 24171,CheXpert_Demo_Images\valid\patient05925\study2\view1_frontal.jpg,patient05925,"NARRATIVE: EXAM: Chest 1 View, 4/20/2013 CLINICAL HISTORY: ICU admission COMPARISON: 4/20/2013 at 0448 hours IMPRESSION: 1.NO LINES OR TUBES. 2.LEFT RETROCARDIAC OPACITY IS DEMONSTRATED. 3.RETICULAR PATTERN THROUGHOUT THE LUNGS MAY REPRESENT MILD COMPONENT OF INTERSTITIAL EDEMA. 4.CARDIAC SILHOUETTE IS ENLARGED. SPECIFICALLY, THE LEFT ATRIAL APPENDAGE APPEARS PROMINENT. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: cydykhvrgt This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.NO LINES OR TUBES. 2.LEFT RETROCARDIAC OPACITY IS DEMONSTRATED. 3.RETICULAR PATTERN THROUGHOUT THE LUNGS MAY REPRESENT MILD COMPONENT OF INTERSTITIAL EDEMA. 4.CARDIAC SILHOUETTE IS ENLARGED. SPECIFICALLY, THE LEFT ATRIAL APPENDAGE APPEARS PROMINENT. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 124409,CheXpert_Demo_Images\valid\patient29811\study1\view1_frontal.jpg,patient29811,"NARRATIVE: Exam: Chest 1 View 2/27/2000 Clinical History: 77 years Male with Icu admission Comparison: None IMPRESSION: 1. Single frontal view of the chest dated 00/2/27 at 1642 hrs demonstrates a right IJ central venous catheter in place with tip at the cavoatrial junction. An epicardial pacer lead is seen projecting over the left chest. There is mild cardiomegaly with sternotomy wires in place. Lung volumes are low with a diffuse reticular pattern throughout the bilateral lung zones possibly representing mild pulmonary edema versus atypical infection. A more confluent left basilar air space opacity and small left-sided pleural effusion are seen possibly representing atelectasis versus consolidation. 2. Single frontal view of the chest dated 2/27/2000 at 511 hours demonstrates slight interval improvement in aeration of the left lung base when compared to prior exam otherwise no significant change. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 514_538_24 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. Single frontal view of the chest dated 00/2/27 at 1642 hrs demonstrates a right IJ central venous catheter in place with tip at the cavoatrial junction. An epicardial pacer lead is seen projecting over the left chest. There is mild cardiomegaly with sternotomy wires in place. Lung volumes are low with a diffuse reticular pattern throughout the bilateral lung zones possibly representing mild pulmonary edema versus atypical infection. A more confluent left basilar air space opacity and small left-sided pleural effusion are seen possibly representing atelectasis versus consolidation. 2. Single frontal view of the chest dated 2/27/2000 at 511 hours demonstrates slight interval improvement in aeration of the left lung base when compared to prior exam otherwise no significant change. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 91173,CheXpert_Demo_Images\valid\patient21885\study2\view2_lateral.jpg,patient21885,"NARRATIVE: TWO-VIEW CHEST X-RAY: 11-8-2019 CLINICAL HISTORY: The patient is a 71-year-old male with infiltrate. COMPARISON: One-view portable chest x-ray 11-8-2019. IMPRESSION: 1. PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE STABLE APPEARANCE OF MEDICAL DEVICE SUPPORT HARDWARE. 2. PRESENCE OF BILATERAL LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS. NO EVIDENCE FOR PULMONARY EDEMA. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 72122572695 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL VIEWS OF THE CHEST DEMONSTRATE STABLE APPEARANCE OF MEDICAL DEVICE SUPPORT HARDWARE. 2. PRESENCE OF BILATERAL LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS. NO EVIDENCE FOR PULMONARY EDEMA. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 222151,CheXpert_Demo_Images\valid\patient63566\study1\view1_frontal.jpg,patient63566,"NARRATIVE: Chest 1 View 9/17/2001 CLINICAL HISTORY: 56 years-old Male. Line placement COMPARISON: 9/17/01 IMPRESSION: DECREASED LUNG VOLUMES WITH BRONCHOVASCULAR CROWDING. INCREASED VASCULAR MARKINGS AND RETICULAR INTERSTITIAL THICKENING, POSSIBLY MILD EDEMA. RIGHT JUGULAR CENTRAL VENOUS CATHETER TIP POSITIONED WITHIN THE MID SVC. NO PNEUMOTHORAX. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #263 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," DECREASED LUNG VOLUMES WITH BRONCHOVASCULAR CROWDING. INCREASED VASCULAR MARKINGS AND RETICULAR INTERSTITIAL THICKENING, POSSIBLY MILD EDEMA. RIGHT JUGULAR CENTRAL VENOUS CATHETER TIP POSITIONED WITHIN THE MID SVC. NO PNEUMOTHORAX. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 59827,CheXpert_Demo_Images\valid\patient14453\study1\view1_frontal.jpg,patient14453,"NARRATIVE: PORTABLE CHEST: 5/31/2011 CLINICAL DATA: 30-year-old male with lumbar radiculopathy. Recovery postop film. COMPARISON: None. IMPRESSION: 1. LINEAR AND PATCHY OPACITIES IN THE LEFT RETROCARDIAC AREA, WHICH MOST LIKELY REPRESENTS AREAS OF ATELECTASIS. 2. LINEAR OPACITIES IN THE RIGHT MID LUNG ZONE AND LEFT LOWER LUNG ZONE CONSISTENT WITH SUBSEGMENTAL ATELECTASIS. 3. POSSIBLE MILD PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED. ACCESSION NUMBER: 12 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LINEAR AND PATCHY OPACITIES IN THE LEFT RETROCARDIAC AREA, WHICH MOST LIKELY REPRESENTS AREAS OF ATELECTASIS. 2. LINEAR OPACITIES IN THE RIGHT MID LUNG ZONE AND LEFT LOWER LUNG ZONE CONSISTENT WITH SUBSEGMENTAL ATELECTASIS. 3. POSSIBLE MILD PULMONARY EDEMA. "," 2: ABNORMAL, PREVIOUSLY REPORTED. " 18372,CheXpert_Demo_Images\valid\patient04581\study2\view1_frontal.jpg,patient04581,"NARRATIVE: SINGLE VIEW OF THE CHEST: 8/22/2014 USC Center for Body Computing 1756 HOURS. CLINICAL HISTORY: A 66-year-old male, evaluate PICC line placement. COMPARISON: 8/22/14. TECHNIQUE: Portable AP upright view of the chest. IMPRESSION: 1. INTERVAL REMOVAL OF NASOGASTRIC TUBE, RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, AND EPIDURAL CATHETER. UNCHANGED LEFT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH PORT. INTERVAL PLACEMENT OF A RIGHT UPPER EXTREMITY PICC WITH THE DISTAL TIP NOT CLEARLY VISUALIZED. RECOMMEND REPEAT IMAGING TO CONFIRM POSITIONING. 2. REDEMONSTRATION OF BILATERAL POSTOPERATIVE CHANGES WITH SUTURE MATERIAL SCATTERED IN THE LUNG FIELDS, ARCHITECTURAL DISTORTION, SINGLE CLIP IN THE PERIPHERAL RIGHT BASE, AND PERIPHERAL LINEAR OPACITIES CONSISTENT WITH PARENCHYMAL SCARRING. 3. INTERVAL DECREASE IN LUNG VOLUMES WITH DEVELOPMENT OF MILD BIBASILAR OPACITIES. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS. NO PNEUMOTHORAX APPRECIATED. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: E1-12-QF-22 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL REMOVAL OF NASOGASTRIC TUBE, RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, AND EPIDURAL CATHETER. UNCHANGED LEFT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH PORT. INTERVAL PLACEMENT OF A RIGHT UPPER EXTREMITY PICC WITH THE DISTAL TIP NOT CLEARLY VISUALIZED. RECOMMEND REPEAT IMAGING TO CONFIRM POSITIONING. 2. REDEMONSTRATION OF BILATERAL POSTOPERATIVE CHANGES WITH SUTURE MATERIAL SCATTERED IN THE LUNG FIELDS, ARCHITECTURAL DISTORTION, SINGLE CLIP IN THE PERIPHERAL RIGHT BASE, AND PERIPHERAL LINEAR OPACITIES CONSISTENT WITH PARENCHYMAL SCARRING. 3. INTERVAL DECREASE IN LUNG VOLUMES WITH DEVELOPMENT OF MILD BIBASILAR OPACITIES. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS. NO PNEUMOTHORAX APPRECIATED. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 133899,CheXpert_Demo_Images\valid\patient32160\study1\view1_frontal.jpg,patient32160,"NARRATIVE: Exam: Chest 1 View, 1/18/20 Clinical History: 64 years Male with RIJ cordis placement Comparison: None IMPRESSION: Exam: Chest 1 View, 1/18/20 Clinical History: 64 years Male with RIJ cordis placement Comparison: None IMPRESSION: 1.NASOGASTRIC TUBE IS COILED IN THE BACK OF THE THROAT. RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER SHEATH IS IN PLACE WITH THE TIP IN THE SUPERIOR VENA CAVA. 2.LUNG VOLUMES WITH MILD RIGHT PERIHILAR OPACITY, LIKELY ATELECTASIS. OTHERWISE, NO EVIDENCE OF ATELECTASIS OR CONSOLIDATION. 3.These results were called to the nurse at the bedside. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 383059 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Exam: Chest 1 View, 1/18/20 Clinical History: 64 years Male with RIJ cordis placement Comparison: None IMPRESSION: 1.NASOGASTRIC TUBE IS COILED IN THE BACK OF THE THROAT. RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER SHEATH IS IN PLACE WITH THE TIP IN THE SUPERIOR VENA CAVA. 2.LUNG VOLUMES WITH MILD RIGHT PERIHILAR OPACITY, LIKELY ATELECTASIS. OTHERWISE, NO EVIDENCE OF ATELECTASIS OR CONSOLIDATION. 3.These results were called to the nurse at the bedside. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 53112,CheXpert_Demo_Images\valid\patient12960\study1\view2_lateral.jpg,patient12960,"NARRATIVE: EXAM: Chest 2 Views, 7/10/2002. HISTORY: Male of 64 years; imaging performed for ""Per BMT Protocol"". COMPARISON: Chest x-ray dated 7-10-2002, and priors. IMPRESSION: 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. . 2. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES ARE SIGNIFICANT FOR A PREVIOUSLY SEEN SCLEROTIC FOCUS IN THE ANTERIOR FIFTH RIB. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #ILBHVFRX This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. . 2. LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3. VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES ARE SIGNIFICANT FOR A PREVIOUSLY SEEN SCLEROTIC FOCUS IN THE ANTERIOR FIFTH RIB. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 93415,CheXpert_Demo_Images\valid\patient22436\study1\view1_frontal.jpg,patient22436,"NARRATIVE: SINGLE VIEW CHEST: 3/27/2012 COMPARISON: None. CLINICAL HISTORY: 27-year-old male with history of post surgical bleed after tonsillectomy. FINDINGS: Single portable chest radiograph dated 3-27-12 at 0531 hours demonstrates midline appearance of the trachea. The cardiac silhouette is enlarged. The mediastinal silhouette is unremarkable. The lung volumes are decreased, but there are no focal areas of atelectasis or consolidation. There is mild interstitial pulmonary edema. IMPRESSION: 1. DECREASED LUNG VOLUMES. 2. MILD CARDIOMEGALY. 3. MILD INTERSTITIAL PULMONARY EDEMA. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: AUBRIE, STANKEVICH on: 3/27/2012 ACCESSION NUMBER: 714.772.459.796 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single portable chest radiograph dated 3-27-12 at 0531 hours demonstrates midline appearance of the trachea. The cardiac silhouette is enlarged. The mediastinal silhouette is unremarkable. The lung volumes are decreased, but there are no focal areas of atelectasis or consolidation. There is mild interstitial pulmonary edema. "," 1. DECREASED LUNG VOLUMES. 2. MILD CARDIOMEGALY. 3. MILD INTERSTITIAL PULMONARY EDEMA. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: AUBRIE, STANKEVICH on: 3/27/2012 " 168700,CheXpert_Demo_Images\valid\patient39375\study2\view1_frontal.jpg,patient39375,"NARRATIVE: COMPARISON: 1/7/2000. FINDINGS: Unchanged cardiomegaly. There is increased opacity in the left base and slight increase in the left pleural effusion. There is also increased patchy opacity in the right base and a s mall right pleural effusion. There is redemonstration of mild diffuse reticular pattern that may have slightly increased consistent with increased mild pulmonary edema. There is unchanged multiple granulomata in the right mid zone and evidence of calcified lymph nodes in the right hilum consistent with unchanged granulomatous disease. IMPRESSION: 1. INCREASED OPACITY BIBASALLY LEFT GREATER THAN RIGHT AND INCREASED PLEURAL EFFUSIONS LEFT GREATER THAN RIGHT CONSISTENT WITH CONGESTIVE HEART FAILURE AND PULMONARY EDEMA. INFECTION, ESPECIALLY AT THE LEFT BASE NOT EXCLUDED END OF IMPRESSION SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: SOFIA, PA on: 1/7 ACCESSION NUMBER: #15903304 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Unchanged cardiomegaly. There is increased opacity in the left base and slight increase in the left pleural effusion. There is also increased patchy opacity in the right base and a s mall right pleural effusion. There is redemonstration of mild diffuse reticular pattern that may have slightly increased consistent with increased mild pulmonary edema. There is unchanged multiple granulomata in the right mid zone and evidence of calcified lymph nodes in the right hilum consistent with unchanged granulomatous disease. "," 1. INCREASED OPACITY BIBASALLY LEFT GREATER THAN RIGHT AND INCREASED PLEURAL EFFUSIONS LEFT GREATER THAN RIGHT CONSISTENT WITH CONGESTIVE HEART FAILURE AND PULMONARY EDEMA. INFECTION, ESPECIALLY AT THE LEFT BASE NOT EXCLUDED "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: SOFIA, PA on: 1/7 " 80122,CheXpert_Demo_Images\valid\patient19275\study1\view1_frontal.jpg,patient19275,"NARRATIVE: EXAM: Chest 1 View, 20/04/2002. HISTORY: 33 years Male, Admission. COMPARISON: NONE. IMPRESSION: 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES NORMAL CARDIOMEDIASTINAL SILHOUETTE. LUNGS DEMONSTRATE NO FOCAL OPACITY. NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 2.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 28402809235 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES NORMAL CARDIOMEDIASTINAL SILHOUETTE. LUNGS DEMONSTRATE NO FOCAL OPACITY. NO PLEURAL EFFUSIONS. NO PNEUMOTHORAX. 2.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 219525,CheXpert_Demo_Images\valid\patient61177\study1\view1_frontal.jpg,patient61177,"NARRATIVE: SINGLE VIEW OF THE CHEST: COMPARISON: 09/29. HISTORY: None provided. IMPRESSION: 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES ELEVATED POSITION OF THE ENDOTRACHEAL TUBE, WITH TIP AT APPROXIMATELY 6 CM ABOVE THE CARINA. 2. VERY LOW LUNG VOLUMES, WITH LEFT LOWER LOBE ATELECTASIS AND A LEFT PLEURAL EFFUSION. PULMONARY VASCULATURE IS UNREMARKABLE. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8R2RT9WD3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES ELEVATED POSITION OF THE ENDOTRACHEAL TUBE, WITH TIP AT APPROXIMATELY 6 CM ABOVE THE CARINA. 2. VERY LOW LUNG VOLUMES, WITH LEFT LOWER LOBE ATELECTASIS AND A LEFT PLEURAL EFFUSION. PULMONARY VASCULATURE IS UNREMARKABLE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 65627,CheXpert_Demo_Images\valid\patient15800\study1\view1_frontal.jpg,patient15800,"NARRATIVE: Chest 2 Views: 12-24-2002 HISTORY: 69 years Male, Fever. COMPARISON: 12/24/2002 IMPRESSION: 1.FRONTAL AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A PRESUMED EPIDURAL CATHETER IN PLACE. 2.THERE IS INTERVAL DEVELOPMENT OF SMALL BILATERAL PLEURAL EFFUSIONS AND BILATERAL LUNG BASE OPACITIES, WHICH MAY REFLECT ASPIRATION OR PNEUMONIA. 3.STABLE, UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 219-330-172-6 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A PRESUMED EPIDURAL CATHETER IN PLACE. 2.THERE IS INTERVAL DEVELOPMENT OF SMALL BILATERAL PLEURAL EFFUSIONS AND BILATERAL LUNG BASE OPACITIES, WHICH MAY REFLECT ASPIRATION OR PNEUMONIA. 3.STABLE, UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 4812,CheXpert_Demo_Images\valid\patient01181\study2\view1_frontal.jpg,patient01181,"NARRATIVE: PORTABLE CHEST: September 2010 at 0444 hours. COMPARISON: 2010-9-9 at 0821 hours. CLINICAL DATA: Abdominal aortic aneurysm. Check for infiltrates. IMPRESSION: 1. THE TIP OF THE SWAN GANZ CATHETER APPEARS TO HAVE BEEN PULLED BACK SLIGHTLY AND NOW MAY LIE WITHIN THE PULMONARY OUTFLOW TRACT. 2. THE RIGHT CHEST TUBE, ENDOTRACHEAL TUBE, FEEDING TUBE, AORTIC STENT GRAFT AND STERNAL WIRES APPEAR UNCHANGED. 3. THERE IS STABLE PERSISTENT PATCHY OPACIFICATIONS IN THE BILATERAL BASES, LEFT GREATER THAN RIGHT, WITH A LEFT PLEURAL EFFUSION AND RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Gumina, MD on: 9-9-2010 ACCESSION NUMBER: 4200134779 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THE TIP OF THE SWAN GANZ CATHETER APPEARS TO HAVE BEEN PULLED BACK SLIGHTLY AND NOW MAY LIE WITHIN THE PULMONARY OUTFLOW TRACT. 2. THE RIGHT CHEST TUBE, ENDOTRACHEAL TUBE, FEEDING TUBE, AORTIC STENT GRAFT AND STERNAL WIRES APPEAR UNCHANGED. 3. THERE IS STABLE PERSISTENT PATCHY OPACIFICATIONS IN THE BILATERAL BASES, LEFT GREATER THAN RIGHT, WITH A LEFT PLEURAL EFFUSION AND RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS. "," 4: POSSIBLE SIGNIFICANT ABNORMALITY/CHANGE, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Gumina, MD on: 9-9-2010 " 85982,CheXpert_Demo_Images\valid\patient20636\study1\view1_frontal.jpg,patient20636,"NARRATIVE: CHEST: 2001/3/10 COMPARISON: 10/3/2001 IMPRESSION: 1. STABLE RADIOGRAPHIC APPEARANCE OF THE LUNGS, WITH MINIMAL RESIDUAL OPACITIES AT THE LUNG BASES. NO NEW AREAS OF CONSOLIDATION. 2. NO EVIDENCE OF PLEURAL EFFUSION. 3. STABLE RIGHT INTERNAL JUGULAR TUNNELED CATHETER. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: kgyxnsteuw This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE RADIOGRAPHIC APPEARANCE OF THE LUNGS, WITH MINIMAL RESIDUAL OPACITIES AT THE LUNG BASES. NO NEW AREAS OF CONSOLIDATION. 2. NO EVIDENCE OF PLEURAL EFFUSION. 3. STABLE RIGHT INTERNAL JUGULAR TUNNELED CATHETER. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 6457,CheXpert_Demo_Images\valid\patient01577\study1\view1_frontal.jpg,patient01577,"NARRATIVE: VIEW CHEST: 7-29-2015 hours VIEW PELVIS: 7-29-2015 hours COMPARISON: None. CLINICAL HISTORY: Pedestrian hit by car. IMPRESSION: 1. SINGLE FRONTAL CHEST RADIOGRAPH DEMONSTRATES AN ENDOTRACHEAL TUBE WITH ITS TIP ABOUT 3 CM ABOVE THE CARINA. THE LEFT COSTOPHRENIC ANGLE IS NOT VISUALIZED ON THE RADIOGRAPH. THE LUNGS APPEAR CLEAR. THE HEART SIZE APPEARS NORMAL. NO DEFINITE PNEUMOTHORAX CAN BE SEEN THOUGH CORRELATE WITH CONCURRENT CT. A RIGHT HUMERAL SURGICAL NECK FRACTURE IS EVIDENT. 2. SINGLE FRONTAL VIEW OF THE PELVIS SHOWS A VERY DIFFICULT TO VISUALIZE RIGHT SACRAL ALA FRACTURE THAT IS BETTER SEEN ON THE CURRENT CT. THE PELVIS OTHERWISE APPEARS GROSSLY NEGATIVE. PLEASE CORRELATE WITH CONCURRENT CT. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: petty, md(S) on: 7/29/15 ACCESSION NUMBER: 6340977630 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL CHEST RADIOGRAPH DEMONSTRATES AN ENDOTRACHEAL TUBE WITH ITS TIP ABOUT 3 CM ABOVE THE CARINA. THE LEFT COSTOPHRENIC ANGLE IS NOT VISUALIZED ON THE RADIOGRAPH. THE LUNGS APPEAR CLEAR. THE HEART SIZE APPEARS NORMAL. NO DEFINITE PNEUMOTHORAX CAN BE SEEN THOUGH CORRELATE WITH CONCURRENT CT. A RIGHT HUMERAL SURGICAL NECK FRACTURE IS EVIDENT. 2. SINGLE FRONTAL VIEW OF THE PELVIS SHOWS A VERY DIFFICULT TO VISUALIZE RIGHT SACRAL ALA FRACTURE THAT IS BETTER SEEN ON THE CURRENT CT. THE PELVIS OTHERWISE APPEARS GROSSLY NEGATIVE. PLEASE CORRELATE WITH CONCURRENT CT. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: petty, md(S) on: 7/29/15 " 214667,CheXpert_Demo_Images\valid\patient58106\study1\view1_frontal.jpg,patient58106,"NARRATIVE: EXAM: Chest 1 View, 4/25/14. HISTORY: Female who is of 80 years, Wheezing. COMPARISON: 2014/4/25 CXR. IMPRESSION: 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE ENTERIC TUBE. STABLE POSITION OF LEFT ARM PICC AND DRAINS WITHIN THE UPPER ABDOMEN. 2.PERSISTENTLY LOW LUNG VOLUMES. THERE IS AN INCREASING OPACITY WITHIN THE LEFT LUNG BASE, WHICH MAY REFLECT ATELECTASIS VERSUS CONSOLIDATION 3.INCREASED RETICULAR PATTERN WITHIN THE RIGHT LOWER LUNG ZONE MAY REPRESENT ADDITIONAL SITE OF ATYPICAL OR VIRAL INFECTION. 4.STABLE CARDIOMEDIASTINAL SILHOUETTE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: rvk ocb cb This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE ENTERIC TUBE. STABLE POSITION OF LEFT ARM PICC AND DRAINS WITHIN THE UPPER ABDOMEN. 2.PERSISTENTLY LOW LUNG VOLUMES. THERE IS AN INCREASING OPACITY WITHIN THE LEFT LUNG BASE, WHICH MAY REFLECT ATELECTASIS VERSUS CONSOLIDATION 3.INCREASED RETICULAR PATTERN WITHIN THE RIGHT LOWER LUNG ZONE MAY REPRESENT ADDITIONAL SITE OF ATYPICAL OR VIRAL INFECTION. 4.STABLE CARDIOMEDIASTINAL SILHOUETTE. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 172152,CheXpert_Demo_Images\valid\patient40194\study2\view1_frontal.jpg,patient40194,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 12/29/2011 CLINICAL HISTORY: 62 years of age, Male, Desat, portable. COMPARISON: 12-29-2011 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Right upper extremity PICC's exam appears retracted measuring 5.6 cm below the carina at the expected location of the high right atrium. Background reticular fibrotic changes which become more confluent towards the bases. Persistent diffuse scattered ill-defined airspace opacities which appear slightly improved in the bilateral mid to upper lung zones. Persistent area of loculated effusion versus pleural thickening at the lateral margin of the minor fissure on the right. IMPRESSION: 1. Right upper extremity PICC positioned with tip at the expected location of the high right atrium. 2. Persistent scattered ill-defined opacities which may represent multifocal infection, exacerbation of underlying fibrotic lung disease, or atypical edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 56.63.7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right upper extremity PICC's exam appears retracted measuring 5.6 cm below the carina at the expected location of the high right atrium. Background reticular fibrotic changes which become more confluent towards the bases. Persistent diffuse scattered ill-defined airspace opacities which appear slightly improved in the bilateral mid to upper lung zones. Persistent area of loculated effusion versus pleural thickening at the lateral margin of the minor fissure on the right. "," 1. Right upper extremity PICC positioned with tip at the expected location of the high right atrium. 2. Persistent scattered ill-defined opacities which may represent multifocal infection, exacerbation of underlying fibrotic lung disease, or atypical edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 74012,CheXpert_Demo_Images\valid\patient17766\study2\view2_lateral.jpg,patient17766,"NARRATIVE: Exam: Chest 2 Views, 6/24/2021 Clinical History: 74 years Female with Right sided back and right chest pain Comparison: 6-24-2021 IMPRESSION: 1.PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.THE LUNGS APPEAR CLEAR, WITH NO EVIDENCE OF PNEUMOTHORAX OR PLEURAL EFFUSION. 3.THE DISK SPACES APPEAR WELL PRESERVED, ALTHOUGH THERE IS EARLY ANTERIOR OSTEOPHYTOSIS IN THE MID THORACIC SPINE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: PBZDEABG This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.THE LUNGS APPEAR CLEAR, WITH NO EVIDENCE OF PNEUMOTHORAX OR PLEURAL EFFUSION. 3.THE DISK SPACES APPEAR WELL PRESERVED, ALTHOUGH THERE IS EARLY ANTERIOR OSTEOPHYTOSIS IN THE MID THORACIC SPINE. ","1-NO SIGNIFICANT ABNORMALITY " 219422,CheXpert_Demo_Images\valid\patient61083\study1\view1_frontal.jpg,patient61083,"NARRATIVE: SINGLE VIEW CHEST, 5/31/19 Vivid Vision 2020 HOURS: COMPARISON: 5-31-2019. CLINICAL HISTORY: 53 -year-old female with history of non small cell lung cancer. Evaluate for pneumonia versus rib fracture. IMPRESSION: 1. SINGLE PORTABLE UPRIGHT AP CHEST RADIOGRAPH DATED MAY 31 Vivid Vision 2020 HOURS DEMONSTRATES INTERVAL DEVELOPMENT OF LEFT MID-LUNG AND LOWER LUNG OPACIFICATION CONSISTENT WITH ATELECTASIS OR CONSOLIDATION. 2. THE RIGHT LUNG APPEARS CLEAR. 3. NO EVIDENCE OF PNEUMOTHORAX. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: OBMZFEL This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE UPRIGHT AP CHEST RADIOGRAPH DATED MAY 31 Vivid Vision 2020 HOURS DEMONSTRATES INTERVAL DEVELOPMENT OF LEFT MID-LUNG AND LOWER LUNG OPACIFICATION CONSISTENT WITH ATELECTASIS OR CONSOLIDATION. 2. THE RIGHT LUNG APPEARS CLEAR. 3. NO EVIDENCE OF PNEUMOTHORAX. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 51899,CheXpert_Demo_Images\valid\patient12663\study2\view2_lateral.jpg,patient12663,"NARRATIVE: Chest 2 Views 15-9-14 History: 78-year-old male patient postoperative aortic valve replacement. Comparison: 9-14-15. Findings: There has been clearing of the right pleural effusion. Continued moderate cardiomegaly with generalized enlargement. Tortuosity of the descending thoracic aorta. Two ICD pacer is and wires. Aortic valve replacement. Lungs are clear. Degenerative changes in the osseous structures. Multiple sternotomy sutures. Impression: POST AORTIC VALVE REPLACEMENT WITH CLEARED RIGHT PLEURAL EFFUSION. SUMMARY CODE: SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 969_685_28 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There has been clearing of the right pleural effusion. Continued moderate cardiomegaly with generalized enlargement. Tortuosity of the descending thoracic aorta. Two ICD pacer is and wires. Aortic valve replacement. Lungs are clear. Degenerative changes in the osseous structures. Multiple sternotomy sutures. "," POST AORTIC VALVE REPLACEMENT WITH CLEARED RIGHT PLEURAL EFFUSION. SUMMARY CODE: "," 2-ABNORMAL, PREVIOUSLY REPORTED " 173887,CheXpert_Demo_Images\valid\patient40647\study1\view1_frontal.jpg,patient40647,"NARRATIVE: SINGLE AP VIEW CHEST: 2003/03 COMPARISON: Prior study of 3/9/2003. IMPRESSION: 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES A LIMITED EVALUATION DUE TO DEGRADATION OF IMAGES BY RESPIRATORY MOTION. 2. THERE IS REDEMONSTRATION OF PATCHY AIR-SPACE OPACITIES BILATERALLY, UNCHANGED COMPARED TO PRIOR EXAMINATION. THERE IS SUGGESTION OF MILD PULMONARY EDEMA, ALSO UNCHANGED. 3. DEGENERATIVE CHANGES INVOLVING THE AC JOINT AND BILATERAL GLENOHUMERAL JOINTS ARE AGAIN SEEN AND UNCHANGED. 4. BONES ARE UNCHANGED OTHERWISE. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kylie Walters, CRNP on: 3/9/2003 ACCESSION NUMBER: QMKGEUYMRX This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES A LIMITED EVALUATION DUE TO DEGRADATION OF IMAGES BY RESPIRATORY MOTION. 2. THERE IS REDEMONSTRATION OF PATCHY AIR-SPACE OPACITIES BILATERALLY, UNCHANGED COMPARED TO PRIOR EXAMINATION. THERE IS SUGGESTION OF MILD PULMONARY EDEMA, ALSO UNCHANGED. 3. DEGENERATIVE CHANGES INVOLVING THE AC JOINT AND BILATERAL GLENOHUMERAL JOINTS ARE AGAIN SEEN AND UNCHANGED. 4. BONES ARE UNCHANGED OTHERWISE. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kylie Walters, CRNP on: 3/9/2003 " 203232,CheXpert_Demo_Images\valid\patient51124\study2\view1_frontal.jpg,patient51124,"NARRATIVE: CHEST RADIOGRAPH: 2020/07/13. CLINICAL HISTORY: An 82-year-old male status post aortic and mitral valve replacement as well as tricuspid valve repair, follow up. COMPARISON: 7/13/2020. IMPRESSION: 1. A SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL RETRACTION OF THE RIGHT IJ SWAN-GANZ CATHETER, AS WELL AS REMOVAL OF THE TWO MEDIASTINAL DRAINS. THE RIGHT IJ SHEATH AND POST-SURGICAL CHANGES WITHIN THE MEDIASTINUM APPEAR STABLE. 2. SLIGHT INTERVAL IMPROVEMENT IN PULMONARY EDEMA WITH PERSISTENT RETROCARDIAC OPACITY AND SMALL LEFT PLEURAL EFFUSION. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: CS5-5D0-P93-4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. A SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL RETRACTION OF THE RIGHT IJ SWAN-GANZ CATHETER, AS WELL AS REMOVAL OF THE TWO MEDIASTINAL DRAINS. THE RIGHT IJ SHEATH AND POST-SURGICAL CHANGES WITHIN THE MEDIASTINUM APPEAR STABLE. 2. SLIGHT INTERVAL IMPROVEMENT IN PULMONARY EDEMA WITH PERSISTENT RETROCARDIAC OPACITY AND SMALL LEFT PLEURAL EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 222551,CheXpert_Demo_Images\valid\patient63929\study1\view1_frontal.jpg,patient63929,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 9/24/2009 CLINICAL HISTORY: 81 years of age, Male, Pulm edema vs pna. COMPARISON: 9-24-09 PROCEDURE COMMENTS: Single view of the chest. 9-24-2009: FINDINGS: Interval placement of right IJ CVC with tip in the upper SVC approximately 1.9 cm above the carina. Chronic right sided rib deformities. Calcified aortic knob. Mildly enlarged cardiac silhouette. Bibasilar streaky airspace opacities. 1. Interval placement of right IJ CVC with tip in the upper SVC approximately 1.9 cm above the carina. 9-24-09: FINDINGS: Mildly decreased lung volume. Left greater than right bibasilar ill-defined and streaky airspace opacities. Possible small bilateral pleural effusions. No significant pulmonary edema. IMPRESSION: 1. Left greater than right bibasilar ill-defined and streaky airspace opacities may reflect atelectasis, aspiration, or infection. 2. No significant pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 3527958048 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Interval placement of right IJ CVC with tip in the upper SVC approximately 1.9 cm above the carina. Chronic right sided rib deformities. Calcified aortic knob. Mildly enlarged cardiac silhouette. Bibasilar streaky airspace opacities. 1. Interval placement of right IJ CVC with tip in the upper SVC approximately 1.9 cm above the carina. 9-24-09: FINDINGS: Mildly decreased lung volume. Left greater than right bibasilar ill-defined and streaky airspace opacities. Possible small bilateral pleural effusions. No significant pulmonary edema. "," 1. Left greater than right bibasilar ill-defined and streaky airspace opacities may reflect atelectasis, aspiration, or infection. 2. No significant pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 222347,CheXpert_Demo_Images\valid\patient63745\study1\view1_frontal.jpg,patient63745,"NARRATIVE: CHEST: AUGUST 2001 COMPARISON: 8/24/2001 CLINICAL HISTORY: The patient is a 57-year-old male with pneumonia. IMPRESSION: 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES MARKED ROTATION OF THE PATIENT TO THE RIGHT. STABLE POSITIONING OF A RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER. 2. REDEMONSTRATION OF DIFFUSE RETICULAR PATTERN OF THE LUNGS WHICH MAY REFLECT A MODERATE DEGREE OF PULMONARY EDEMA. MORE FOCAL OPACITIES AGAIN SEEN AT THE LUNG BASES. NO SIGNIFICANT CHANGE COMPARED TO PRIOR EXAM. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 3399662 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE AP VIEW OF THE CHEST DEMONSTRATES MARKED ROTATION OF THE PATIENT TO THE RIGHT. STABLE POSITIONING OF A RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER. 2. REDEMONSTRATION OF DIFFUSE RETICULAR PATTERN OF THE LUNGS WHICH MAY REFLECT A MODERATE DEGREE OF PULMONARY EDEMA. MORE FOCAL OPACITIES AGAIN SEEN AT THE LUNG BASES. NO SIGNIFICANT CHANGE COMPARED TO PRIOR EXAM. ","2-ABNORMAL, PREVIOUSLY REPORTED " 12042,CheXpert_Demo_Images\valid\patient03003\study1\view2_lateral.jpg,patient03003,"NARRATIVE: Exam: Chest 2 Views, 4/20/2009 Clinical History: 82 years Male with Epigastric pain, hx of hiatal hernia Comparison: 4/20/2009 IMPRESSION: 1.SMALL HIATAL HERNIA AGAIN DEMONSTRATED. 2.STABLE CARDIOMEDIASTINAL SILHOUETTE WITH TORTUOUS AORTA. 3.LUNGS ARE STABLE WITH NO EVIDENCE OF FOCAL CONSOLIDATION. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: JHFSLCJYT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SMALL HIATAL HERNIA AGAIN DEMONSTRATED. 2.STABLE CARDIOMEDIASTINAL SILHOUETTE WITH TORTUOUS AORTA. 3.LUNGS ARE STABLE WITH NO EVIDENCE OF FOCAL CONSOLIDATION. "," 2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 215416,CheXpert_Demo_Images\valid\patient58578\study3\view1_frontal.jpg,patient58578,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 3/30/2003 CLINICAL HISTORY: 33 years of age, Male, status post right first rib resection. COMPARISON: 3/30/03 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Redemonstration of a surgical drain projecting over the right lung apex. Interval resection of the distal aspect of the first rib. No evidence of pneumothorax. IMPRESSION: 1. No evidence of pneumothorax as clinically queried. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Redemonstration of a surgical drain projecting over the right lung apex. Interval resection of the distal aspect of the first rib. No evidence of pneumothorax. "," 1. No evidence of pneumothorax as clinically queried. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 209694,CheXpert_Demo_Images\valid\patient55007\study1\view1_frontal.jpg,patient55007,"NARRATIVE: EXAM: CHEST 1 VIEW, 7-11-2000. HISTORY: 58 YEARS MALE, PAIN. COMPARISON: 7/11/2000. IMPRESSION: 1.LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 3.OLD LEFT DISTAL CLAVICULAR FRACTURE. SUMMARY:1-NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: 75748477916 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.LUNGS GROSSLY CLEAR. NO EVIDENCE OF A PLEURAL EFFUSION. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS. 3.OLD LEFT DISTAL CLAVICULAR FRACTURE. ","1-NO SIGNIFICANT ABNORMALITY " 222681,CheXpert_Demo_Images\valid\patient64044\study1\view1_frontal.jpg,patient64044,"NARRATIVE: Addendum Begins ADDENDUM: Impression #2 should state: NO FOCAL CONSOLIDATION IN THE LUNGS. END OF IMPRESSION Addendum Ends SINGLE VIEW OF THE CHEST: 7/31/2014. CLINICAL HISTORY: A 79-year-old male critical care follow-up. COMPARISON: 7/31/2014. IMPRESSION: 1. REDEMONSTRATION OF TORTUOUS AORTA AND PROMINENT RIGHT UPPER HILAR REGION WHICH MAY BE VASCULAR IN NATURE. CONSIDER UPRIGHT PA AND LATERAL WHEN PATIENT IS ABLE FOR FURTHER EVALUATION OF THE RIGHT HILAR REGION. 2. NEW FOCAL CONSOLIDATION IN THE LUNGS. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 6380-0313 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",,,"2-ABNORMAL, PREVIOUSLY REPORTED " 205291,CheXpert_Demo_Images\valid\patient52281\study5\view1_frontal.jpg,patient52281,"NARRATIVE: SINGLE VIEW OF THE CHEST: 2-15-2010. TWO VIEWS OF THE CHEST: 10, February 15. COMPARISON: 2/15/2010. CLINICAL HISTORY: 27-year-old with severe cardiomyopathy, having line placement evaluated. IMPRESSION: 1. SINGLE AP PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES ENLARGEMENT OF THE CARDIOMEDIASTINAL SILHOUETTE. THERE IS A LARGE LEFT SIDED PLEURAL EFFUSION. IN ADDITION, THERE IS REDEMONSTRATION OF AN AREA OF CONSOLIDATION WITHIN THE RIGHT LOWER HEMITHORAX. THERE HAS BEEN NO INTERVAL CHANGE IN THE PATIENT'S LINES AND TUBES. 2. FOLLOW-UP PA AND LATERAL VIEWS OF THE CHEST AGAIN DEMONSTRATE AN ENLARGED CARDIOMEDIASTINAL SILHOUETTE. THE AREA OF OPACIFICATION SEEN PREVIOUSLY CAN NOW BE LOCALIZED TO THE ANTERIOR BASAL SEGMENT OF THE RIGHT LOWER LOBE. THERE HAS BEEN NO INTERVAL CHANGE IN CARDIOPULMONARY STATUS. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 5851643010 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE AP PORTABLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES ENLARGEMENT OF THE CARDIOMEDIASTINAL SILHOUETTE. THERE IS A LARGE LEFT SIDED PLEURAL EFFUSION. IN ADDITION, THERE IS REDEMONSTRATION OF AN AREA OF CONSOLIDATION WITHIN THE RIGHT LOWER HEMITHORAX. THERE HAS BEEN NO INTERVAL CHANGE IN THE PATIENT'S LINES AND TUBES. 2. FOLLOW-UP PA AND LATERAL VIEWS OF THE CHEST AGAIN DEMONSTRATE AN ENLARGED CARDIOMEDIASTINAL SILHOUETTE. THE AREA OF OPACIFICATION SEEN PREVIOUSLY CAN NOW BE LOCALIZED TO THE ANTERIOR BASAL SEGMENT OF THE RIGHT LOWER LOBE. THERE HAS BEEN NO INTERVAL CHANGE IN CARDIOPULMONARY STATUS. "," 2 ABNORMAL, PREVIOUSLY REPORTED " 52350,CheXpert_Demo_Images\valid\patient12762\study1\view1_frontal.jpg,patient12762,"NARRATIVE: TWO VIEWS OF THE RIGHT HUMERUS, TWO VIEWS OF THE RIGHT SHOULDER, AND SINGLE VIEW OF THE CHEST: 11/14/2001 CLINICAL HISTORY: 84-year-old female found down with bruising along the right side. COMPARISON: None. IMPRESSION: 1. PORTABLE AP SEMIUPRIGHT VIEW OF THE CHEST SHOWS INCREASED LUNG MARKINGS IN THE BIBASILAR DISTRIBUTION, COULD REPRESENT ATELECTASIS OR CONSOLIDATION. IF FURTHER DIFFERENTIATION IS NEEDED, PA AND/OR LATERAL VIEWS MAY BE BENEFICIAL. 2. LIKELY CALCIFIED MITRAL ANNULUS. 3. AP AND LATERAL VIEWS OF THE RIGHT HUMERUS SHOW NO EVIDENCE OF FRACTURE OR BONY INJURY. JOINT SPACES ARE WELL PRESERVED. 4. AP AND Y-VIEWSS OF RIGHT SHOULDER SHOW NO EVIDENCE OF BONY INJURY. NO EVIDENCE OF DISLOCATION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 58816305375 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE AP SEMIUPRIGHT VIEW OF THE CHEST SHOWS INCREASED LUNG MARKINGS IN THE BIBASILAR DISTRIBUTION, COULD REPRESENT ATELECTASIS OR CONSOLIDATION. IF FURTHER DIFFERENTIATION IS NEEDED, PA AND/OR LATERAL VIEWS MAY BE BENEFICIAL. 2. LIKELY CALCIFIED MITRAL ANNULUS. 3. AP AND LATERAL VIEWS OF THE RIGHT HUMERUS SHOW NO EVIDENCE OF FRACTURE OR BONY INJURY. JOINT SPACES ARE WELL PRESERVED. 4. AP AND Y-VIEWSS OF RIGHT SHOULDER SHOW NO EVIDENCE OF BONY INJURY. NO EVIDENCE OF DISLOCATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 134610,CheXpert_Demo_Images\valid\patient32329\study1\view2_lateral.jpg,patient32329,"NARRATIVE: EXAM: Chest 2 Views, 1-1-2004. HISTORY: 54 years Male, Neutropenic fever. COMPARISON: NONE. IMPRESSION: 1. SINGLE RADIOGRAPH OF THE CHEST DEMONSTRATES CLEAR LUNG FIELDS BILATERALLY. NO PNEUMOTHORAX. NO PLEURAL EFFUSIONS. 2. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. NO ACUTE OSSEOUS ABNORMALITIES. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 338398 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE RADIOGRAPH OF THE CHEST DEMONSTRATES CLEAR LUNG FIELDS BILATERALLY. NO PNEUMOTHORAX. NO PLEURAL EFFUSIONS. 2. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. NO ACUTE OSSEOUS ABNORMALITIES. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 208823,CheXpert_Demo_Images\valid\patient54475\study1\view1_frontal.jpg,patient54475,"NARRATIVE: Chest 1 View, Abdomen 1 View: 4/27/2007 HISTORY: Female, 66 years old, NGT placement. COMPARISON: 4/27/2007. IMPRESSION: Frontal upright view the chest demonstrates a feeding tube following the expected course of the esophagus, crossing the gastroesophageal junction , tip overlying the proximal stomach. Right pleural effusion and right basilar atelectasis or pneumonia also noted. Left lung appears clear without left pleural effusion. Normal heart size and pulmonary vascularity. No pneumothorax. Left axillary and left midabdomen surgical clips incidentally noted. Frontal view of the abdomen demonstrates the distal end of a feeding tube with tip overlying the proximal stomach. Skin staples overlie the midabdomen from the lower thoracic spine to the pelvis. Prominent air-filled cecum. Otherwise unremarkable bowel gas pattern. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: t4w4-526 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," Frontal upright view the chest demonstrates a feeding tube following the expected course of the esophagus, crossing the gastroesophageal junction , tip overlying the proximal stomach. Right pleural effusion and right basilar atelectasis or pneumonia also noted. Left lung appears clear without left pleural effusion. Normal heart size and pulmonary vascularity. No pneumothorax. Left axillary and left midabdomen surgical clips incidentally noted. Frontal view of the abdomen demonstrates the distal end of a feeding tube with tip overlying the proximal stomach. Skin staples overlie the midabdomen from the lower thoracic spine to the pelvis. Prominent air-filled cecum. Otherwise unremarkable bowel gas pattern. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 138828,CheXpert_Demo_Images\valid\patient33373\study1\view1_frontal.jpg,patient33373,"NARRATIVE: TWO VIEW CHEST, 10-4-2002: CLINICAL HISTORY: 55 year-old male with cough. Rule out infiltrate. COMPARISON: Comparison is made to study dated 10/4/2002. IMPRESSION: NO CHANGE IN CARDIOMEDIASTINAL SILHOUETTE AND NO FOCAL AIR SPACE OPACITY TO SUGGEST PNEUMONIA. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Lucas Dawson, MD on: 10/4/2002 ACCESSION NUMBER: HYTWISXHC This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," NO CHANGE IN CARDIOMEDIASTINAL SILHOUETTE AND NO FOCAL AIR SPACE OPACITY TO SUGGEST PNEUMONIA. "," 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: Lucas Dawson, MD on: 10/4/2002 " 109460,CheXpert_Demo_Images\valid\patient26311\study1\view1_frontal.jpg,patient26311,"NARRATIVE: PORTABLE CHEST RADIOGRAPH, ONE VIEW: 3-13-2006. CLINICAL HISTORY: 43-year-old male, status post motor vehicle accident. COMPARISON: None. TECHNIQUE: Portable AP supine view of the chest. FINDINGS: Single portable AP supine view of the chest with a lordotic projection demonstrates an underlying trauma board in place. Lung volumes are decreased bilaterally. Given this, patient's position, and technique, cardiomediastinal silhouette is within normal limits. There is a displaced fracture of the lateral aspect of the right eighth rib. No pneumothorax or focal pulmonary parenchymal opacities are identified. There is no evidence of pleural effusions or pulmonary edema. IMPRESSION: 1. DISPLACED FRACTURE OF THE LATERAL ASPECT OF THE RIGHT EIGHTH RIB, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES. OTHERWISE, NO ACUTE CARDIOPULMONARY ABNORMALITIES. PLEASE REFER TO CT OF THE THORAX PERFORMED ON THE SAME DAY FOR FURTHER EVALUATION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 8102-p7t0-8d0 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Single portable AP supine view of the chest with a lordotic projection demonstrates an underlying trauma board in place. Lung volumes are decreased bilaterally. Given this, patient's position, and technique, cardiomediastinal silhouette is within normal limits. There is a displaced fracture of the lateral aspect of the right eighth rib. No pneumothorax or focal pulmonary parenchymal opacities are identified. There is no evidence of pleural effusions or pulmonary edema. "," 1. DISPLACED FRACTURE OF THE LATERAL ASPECT OF THE RIGHT EIGHTH RIB, WITHOUT EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES. OTHERWISE, NO ACUTE CARDIOPULMONARY ABNORMALITIES. PLEASE REFER TO CT OF THE THORAX PERFORMED ON THE SAME DAY FOR FURTHER EVALUATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 67154,CheXpert_Demo_Images\valid\patient16147\study6\view2_lateral.jpg,patient16147,"NARRATIVE: EXAM: CHEST 2 VIEWS, 4/21/2021. HISTORY: 74 YEARS MALE, LIKELY RIGHT PNEUMONIA. COMPARISON: 4-21-21. IMPRESSION: 1.OPACITY IN THE RIGHT MIDDLE LOBE, CONCERNING FOR PNEUMONIA; FOLLOW- UP EXAM IS RECOMMENDED TO DOCUMENT RESOLUTION TO EXCLUDE AN UNDERLYING LESION. GIVEN HISTORY OF RECURRENT OPACITIES IN THIS REGION, ASPIRATION COULD BE CONSIDERED. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS, WITH TORTUOSITY OF THE THORACIC AORTA. 3.CARDIAC PACER IS NOTED WITH LEAD IN SIMILAR POSITION COMPARED TO PRIOR. 4.FRACTURES OF THE RIGHT 8TH AND LIKELY 9TH RIBS POSTERIORLY, WITH INCREASED DISPLACEMENT OF THE 8TH RIB FRACTURE SINCE 4/21/2021. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: 4908 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.OPACITY IN THE RIGHT MIDDLE LOBE, CONCERNING FOR PNEUMONIA; FOLLOW- UP EXAM IS RECOMMENDED TO DOCUMENT RESOLUTION TO EXCLUDE AN UNDERLYING LESION. GIVEN HISTORY OF RECURRENT OPACITIES IN THIS REGION, ASPIRATION COULD BE CONSIDERED. 2.CARDIAC SILHOUETTE AND VASCULARITY ARE WITHIN NORMAL LIMITS, WITH TORTUOSITY OF THE THORACIC AORTA. 3.CARDIAC PACER IS NOTED WITH LEAD IN SIMILAR POSITION COMPARED TO PRIOR. 4.FRACTURES OF THE RIGHT 8TH AND LIKELY 9TH RIBS POSTERIORLY, WITH INCREASED DISPLACEMENT OF THE 8TH RIB FRACTURE SINCE 4/21/2021. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 179869,CheXpert_Demo_Images\valid\patient42319\study1\view1_frontal.jpg,patient42319,"NARRATIVE: SINGLE VIEW OF THE CHEST: 2-16-2002. COMPARISON: No priors available for comparison. CLINICAL HISTORY: A 53-year-old female with clinical concern for free intraperitoneal air. FINDINGS: No definite free intraperitoneal air. The cardiomediastinal silhouette is unremarkable. Low lung volumes with atelectasis in the bilateral lung bases with additional platelike atelectasis in the right mid lung zone. Possible small left pleural effusion. No pneumothorax. Osseous structures are within normal limits. IMPRESSION: 1. NO DEFINITE FREE INTRAPERITONEAL AIR. 2. BIBASILAR AND RIGHT MID LUNG ZONE ATELECTASIS LIKELY SECONDARY TO LUNG VOLUMES. SLIGHTLY EXPIRATORY FILM. 3. POSSIBLE SMALL LEFT PLEURAL EFFUSION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 754-447-691-757-4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," No definite free intraperitoneal air. The cardiomediastinal silhouette is unremarkable. Low lung volumes with atelectasis in the bilateral lung bases with additional platelike atelectasis in the right mid lung zone. Possible small left pleural effusion. No pneumothorax. Osseous structures are within normal limits. "," 1. NO DEFINITE FREE INTRAPERITONEAL AIR. 2. BIBASILAR AND RIGHT MID LUNG ZONE ATELECTASIS LIKELY SECONDARY TO LUNG VOLUMES. SLIGHTLY EXPIRATORY FILM. 3. POSSIBLE SMALL LEFT PLEURAL EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 25772,CheXpert_Demo_Images\valid\patient06295\study1\view1_frontal.jpg,patient06295,"NARRATIVE: Exam: Chest 2 Views, 07-12-2016 Clinical History: 51 years Male with Persistent cough, cystic fibrosis Comparison: Chest radiographic examination of july 12 and CT thoracic examination of 7/12/2016 IMPRESSION: 1.PREVIOUSLY RADIOGRAPHICALLY AND CT DEMONSTRATED BRONCHIECTASIS IN THE MEDIAL ASPECT OF THE RIGHT MID TO UPPER LUNG IS AGAIN NOTED. 2.THE LUNGS ARE FREE OF ACUTE CONSOLIDATION. 3.EXAMINATION 7-12-2016 DEMONSTRATED A CIRCUMSCRIBED NODULAR DENSITY ALONG THE LEFT LATERAL CHEST, APPARENTLY ARTIFACTUAL, WITH THIS DENSITY NO LONGER IDENTIFIED. 4.PULMONARY VASCULARITY IS NORMAL. 5.CARDIAC SIZE AND CONFIGURATION REMAIN WITHIN NORMAL LIMITS. 6.NO ACUTE OSSEOUS ABNORMALITIES DEMONSTRATED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 358.972 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PREVIOUSLY RADIOGRAPHICALLY AND CT DEMONSTRATED BRONCHIECTASIS IN THE MEDIAL ASPECT OF THE RIGHT MID TO UPPER LUNG IS AGAIN NOTED. 2.THE LUNGS ARE FREE OF ACUTE CONSOLIDATION. 3.EXAMINATION 7-12-2016 DEMONSTRATED A CIRCUMSCRIBED NODULAR DENSITY ALONG THE LEFT LATERAL CHEST, APPARENTLY ARTIFACTUAL, WITH THIS DENSITY NO LONGER IDENTIFIED. 4.PULMONARY VASCULARITY IS NORMAL. 5.CARDIAC SIZE AND CONFIGURATION REMAIN WITHIN NORMAL LIMITS. 6.NO ACUTE OSSEOUS ABNORMALITIES DEMONSTRATED. ","2-ABNORMAL, PREVIOUSLY REPORTED " 220168,CheXpert_Demo_Images\valid\patient61759\study1\view1_frontal.jpg,patient61759,"NARRATIVE: PORTABLE CHEST: CLINICAL HISTORY: 75 -year-old male post-operative in recovery. COMPARISON: 8/31/2010. IMPRESSION: 1. WHEN COMPARED TO THE PRIOR STUDY THE LOCULATED PLEURAL COLLECTION IN THE RIGHT MINOR FISSURE HAS SLIGHTLY INCREASED IN SIZE SINCE PREVIOUS DAY'S STUDY DATED 8-31-10. 2. LINEAR OPACITIES IN THE LEFT BASE ARE AGAIN SEEN AND MOST LIKELY REPRESENT AREAS OF ATELECTASIS. 3. OTHERWISE NO OVERT PULMONARY EDEMA, PNEUMOTHORAX OR LARGE PLEURAL EFFUSIONS. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. ACCESSION NUMBER: 36871292 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. WHEN COMPARED TO THE PRIOR STUDY THE LOCULATED PLEURAL COLLECTION IN THE RIGHT MINOR FISSURE HAS SLIGHTLY INCREASED IN SIZE SINCE PREVIOUS DAY'S STUDY DATED 8-31-10. 2. LINEAR OPACITIES IN THE LEFT BASE ARE AGAIN SEEN AND MOST LIKELY REPRESENT AREAS OF ATELECTASIS. 3. OTHERWISE NO OVERT PULMONARY EDEMA, PNEUMOTHORAX OR LARGE PLEURAL EFFUSIONS. "," 4: Possible significant abnormality/change, may need action. " 221977,CheXpert_Demo_Images\valid\patient63402\study1\view1_frontal.jpg,patient63402,"NARRATIVE: CHEST: 10/4/2007 Single portable upright. CLINICAL HISTORY: 42 -year-old male with myelodysplastic syndrome and line placement. COMPARISON: 10-4-2007 IMPRESSION: 1. THERE HAS BEEN INTERVAL PLACEMENT OF A RIGHT VENOUS CENTRAL LINE WITH THE TIP IN THE MID SUPERIOR VENA CAVA. THERE IS NO EVIDENCE OF PNEUMOTHORAX. 2. THE LUNGS ARE CLEAR. END OF IMPRESSION: SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: dr. maynard armando on: 10-4-07 ACCESSION NUMBER: 61197592 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE HAS BEEN INTERVAL PLACEMENT OF A RIGHT VENOUS CENTRAL LINE WITH THE TIP IN THE MID SUPERIOR VENA CAVA. THERE IS NO EVIDENCE OF PNEUMOTHORAX. 2. THE LUNGS ARE CLEAR. "," 2: ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: dr. maynard armando on: 10-4-07 " 175442,CheXpert_Demo_Images\valid\patient41083\study2\view1_frontal.jpg,patient41083,"NARRATIVE: ONE VIEW CHEST: 02-6-15 at 0920 hours COMPARISON: One view chest dated 6/15/2002. IMPRESSION: 1. REDEMONSTRATION OF INDISTINCT PROMINENT PULMONARY VASCULATURE CONSISTENT WITH MILD PULMONARY EDEMA. 2. STABLE MILD CARDIOMEGALY. NO OTHER SIGNIFICANT INTERVAL CHANGE. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: CORBIN ANAYA LARA, MD on: 6/15/02 ACCESSION NUMBER: 39589655 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDEMONSTRATION OF INDISTINCT PROMINENT PULMONARY VASCULATURE CONSISTENT WITH MILD PULMONARY EDEMA. 2. STABLE MILD CARDIOMEGALY. NO OTHER SIGNIFICANT INTERVAL CHANGE. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: CORBIN ANAYA LARA, MD on: 6/15/02 " 209618,CheXpert_Demo_Images\valid\patient54961\study2\view1_frontal.jpg,patient54961,"NARRATIVE: Chest 1 View 8/23/2001 CLINICAL HISTORY: 50 years-old Female. S/p central line placement COMPARISON: August 2001 IMPRESSION: 1.ADVANCEMENT OF RIGHT JUGULAR CENTRAL VENOUS CATHETER WITH TIP NOW LIKELY POSITIONED WITHIN THE SUPERIOR RIGHT ATRIUM. 2.LUNGS REMAIN CLEAR WITHOUT FOCAL CONSOLIDATION. 3.UNCHANGED ENLARGEMENT OF THE CARDIAC SILHOUETTE. POSTOPERATIVE CHANGES OF THE LEFT LOWER LUNG AND MID EPIGASTRIC REGION ARE AGAIN NOTED. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 593988225 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.ADVANCEMENT OF RIGHT JUGULAR CENTRAL VENOUS CATHETER WITH TIP NOW LIKELY POSITIONED WITHIN THE SUPERIOR RIGHT ATRIUM. 2.LUNGS REMAIN CLEAR WITHOUT FOCAL CONSOLIDATION. 3.UNCHANGED ENLARGEMENT OF THE CARDIAC SILHOUETTE. POSTOPERATIVE CHANGES OF THE LEFT LOWER LUNG AND MID EPIGASTRIC REGION ARE AGAIN NOTED. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 216846,CheXpert_Demo_Images\valid\patient59449\study1\view1_frontal.jpg,patient59449,"NARRATIVE: Exam: Chest 1 View, 5-7-18 Clinical History: 78 years Male with Critical care follow-up(ICU) Comparison: 5-7-2018 IMPRESSION: 1.BIBASILAR SEGMENTAL PULMONARY ATELECTASIS/CONSOLIDATION AND SMALL BILATERAL PLEURAL EFFUSIONS PERSIST. 2.MODERATE PULMONARY VASCULAR CONGESTION IS NOW APPARENT. 3.CARDIAC SIZE REMAINS WITHIN NORMAL LIMITS. 4.LEFT ARM PICC IS AGAIN SEEN IN PLACE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: NyuqsslbIJ This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.BIBASILAR SEGMENTAL PULMONARY ATELECTASIS/CONSOLIDATION AND SMALL BILATERAL PLEURAL EFFUSIONS PERSIST. 2.MODERATE PULMONARY VASCULAR CONGESTION IS NOW APPARENT. 3.CARDIAC SIZE REMAINS WITHIN NORMAL LIMITS. 4.LEFT ARM PICC IS AGAIN SEEN IN PLACE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 219679,CheXpert_Demo_Images\valid\patient61319\study1\view1_frontal.jpg,patient61319,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 7/10/2020 CLINICAL HISTORY: 53 years of age, Male, R/o infx. COMPARISON: 7-10-2020. PROCEDURE COMMENTS: Single view of the chest. FINDINGS: The mediastinum appears prominent, likely accentuated by low lung volumes. The heart is not enlarged. Pulmonary vessels appear mildly distended. There is no pleural effusion or pneumothorax. There is diffuse interstitial prominence which may be accentuated by low lung volumes. Linear opacities in the lung bases likely represent atelectasis, improved from the prior study. The bones are undermineralized. No acute osseous abnormalities are evident. IMPRESSION: 1. Diffuse interstitial prominence, which may be accentuated by low lung volumes. This could represent interstitial edema or atypical/viral infection. 2. Mild bibasilar atelectasis, improved from the prior study. 3. No consolidative pneumonia. ACCESSION NUMBER: 7591457186374 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," The mediastinum appears prominent, likely accentuated by low lung volumes. The heart is not enlarged. Pulmonary vessels appear mildly distended. There is no pleural effusion or pneumothorax. There is diffuse interstitial prominence which may be accentuated by low lung volumes. Linear opacities in the lung bases likely represent atelectasis, improved from the prior study. The bones are undermineralized. No acute osseous abnormalities are evident. "," 1. Diffuse interstitial prominence, which may be accentuated by low lung volumes. This could represent interstitial edema or atypical/viral infection. 2. Mild bibasilar atelectasis, improved from the prior study. 3. No consolidative pneumonia. ", 202671,CheXpert_Demo_Images\valid\patient50840\study1\view1_frontal.jpg,patient50840,"NARRATIVE: SINGLE VIEW OF THE CHEST: 7-14-21 AT 1809 HOURS. CLINICAL HISTORY: This is a 43-year-old female with abdominal pain and liver mass. COMPARISON: Single view of the chest dated 7/14/2021 at 1149 hours. IMPRESSION: 1. POSTOPERATIVE FILM DEMONSTRATING INTERVAL PLACEMENT OF RIGHT SUBPHRENIC SURGICAL DRAIN AND MULTIPLE SURGICAL CLIPS IN THE RIGHT UPPER QUADRANT. 2. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR VEIN CATHETER WITH THE TIP IN THE PROXIMAL SUPERIOR VENA CAVA. NO DEFINITE PNEUMOTHORAX. INTERVAL PLACEMENT OF LEFT EXTERNAL JUGULAR LINE. 3. CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS MILD PULMONARY EDEMA. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: JASPER, MD on: 7-14-21 ACCESSION NUMBER: 293427419 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. POSTOPERATIVE FILM DEMONSTRATING INTERVAL PLACEMENT OF RIGHT SUBPHRENIC SURGICAL DRAIN AND MULTIPLE SURGICAL CLIPS IN THE RIGHT UPPER QUADRANT. 2. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR VEIN CATHETER WITH THE TIP IN THE PROXIMAL SUPERIOR VENA CAVA. NO DEFINITE PNEUMOTHORAX. INTERVAL PLACEMENT OF LEFT EXTERNAL JUGULAR LINE. 3. CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS MILD PULMONARY EDEMA. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: JASPER, MD on: 7-14-21 " 49156,CheXpert_Demo_Images\valid\patient11937\study4\view1_frontal.jpg,patient11937,"NARRATIVE: CHEST RADIOGRAPH, April 28: CLINICAL HISTORY: 69-year-old male, followup. COMPARISON: 4/28/2012. IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL INTUBATION WITH THE TIP OF THE ENDOTRACHEAL TUBE PROJECTING 6.5 CM ABOVE THE CARINA. A NEW RIGHT IJ CATHETER HAS ITS TIP PROJECTING AT THE DISTAL RIGHT BRACHIOCEPHALIC VEIN AND PROXIMAL SVC. NO EVIDENCE OF PNEUMOTHORAX. 2. UNCHANGED APPEARANCE OF RETROCARDIAC OPACITY AND SMALL RIGHT PLEURAL EFFUSION. 3. STABLE ELEVATION OF THE RIGHT HEMIDIAPHRAGM. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: g0h6x3wt8i This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL INTUBATION WITH THE TIP OF THE ENDOTRACHEAL TUBE PROJECTING 6.5 CM ABOVE THE CARINA. A NEW RIGHT IJ CATHETER HAS ITS TIP PROJECTING AT THE DISTAL RIGHT BRACHIOCEPHALIC VEIN AND PROXIMAL SVC. NO EVIDENCE OF PNEUMOTHORAX. 2. UNCHANGED APPEARANCE OF RETROCARDIAC OPACITY AND SMALL RIGHT PLEURAL EFFUSION. 3. STABLE ELEVATION OF THE RIGHT HEMIDIAPHRAGM. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 208228,CheXpert_Demo_Images\valid\patient54106\study1\view1_frontal.jpg,patient54106,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 9/5/2001 CLINICAL HISTORY: 47 years of age, Male, Fever. COMPARISON: 2 views of chest dated 9-5-2001 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Redemonstration of right IJ central venous catheter. Low lung volumes. There are minimal bibasilar opacities, which likely represent atelectasis, but cannot rule out consolidation. The lungs otherwise appear clear. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. No cardiomegaly. IMPRESSION: 1. Minimal bibasilar opacities, which likely indicate atelectasis, but cannot rule out consolidation. ""Physician to Physician Radiology Consult Line: (112) 040-8284"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: jddpaczvnp This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Redemonstration of right IJ central venous catheter. Low lung volumes. There are minimal bibasilar opacities, which likely represent atelectasis, but cannot rule out consolidation. The lungs otherwise appear clear. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. No cardiomegaly. "," 1. Minimal bibasilar opacities, which likely indicate atelectasis, but cannot rule out consolidation. ""Physician to Physician Radiology Consult Line: (112) 040-8284"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 215554,CheXpert_Demo_Images\valid\patient58656\study1\view1_frontal.jpg,patient58656,"NARRATIVE: AP PORTABLE CHEST RADIOGRAPH: 04-27-14 CLINICAL DATA: An 84-year-old male with urinary obstruction and prostate cancer. COMPARISON: 4/27/14 IMPRESSION: 1. PERSISTENT LOW LUNG VOLUMES. 2. PERSISTENT AIR-SPACE OPACITY IN THE LEFT MIDLUNG ZONE, CONSISTENT WITH ATELECTASIS, WHICH APPEARS UNCHANGED. 3. THERE APPEARS TO BE A CATHETER LOOPED BACK AND PROJECTING OVER THE LEFT UPPER QUADRANT. THIS MAY REPRESENT A CATHETER WITHIN THE KIDNEY. 4. THERE IS NO DEFINITE FOCAL PULMONARY CONSOLIDATION. THERE IS NO INTERVAL CHANGE IN THE CARDIOPULMONARY STATUS. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Yaretzi Allison, Vincent on: 4/27/2014 ACCESSION NUMBER: 199 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PERSISTENT LOW LUNG VOLUMES. 2. PERSISTENT AIR-SPACE OPACITY IN THE LEFT MIDLUNG ZONE, CONSISTENT WITH ATELECTASIS, WHICH APPEARS UNCHANGED. 3. THERE APPEARS TO BE A CATHETER LOOPED BACK AND PROJECTING OVER THE LEFT UPPER QUADRANT. THIS MAY REPRESENT A CATHETER WITHIN THE KIDNEY. 4. THERE IS NO DEFINITE FOCAL PULMONARY CONSOLIDATION. THERE IS NO INTERVAL CHANGE IN THE CARDIOPULMONARY STATUS. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Yaretzi Allison, Vincent on: 4/27/2014 " 28734,CheXpert_Demo_Images\valid\patient07009\study1\view1_frontal.jpg,patient07009,"NARRATIVE: AP PORTABLE UPRIGHT CHEST: 3-23-2017, 0849 HOURS CLINICAL HISTORY: Mediastinoscopy. FINDINGS: Limited scarring, atelectasis and/or consolidation is noted in the lower lungs, right greater than left. No pneumothorax or pleural effusion is seen. Pulmonary vascularity is normal. Cardiac size is within normal limits for portable technique. There is mild elongation of the descending thoracic aorta. No acute osseous abnormality is seen. Surgical clip is noted medially in the left upper abdomen. IMPRESSION: LIMITED BIBASILAR PULMONARY SCARRING, ATELECTASIS AND/OR CONSOLIDATION. FOLLOW-UP PA AND LATERAL EXAMINATION WHEN CLINICALLY FEASIBLE WOULD BE HELPFUL IN FURTHER EVALUATION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: #eFzHCJJIbUdUy This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Limited scarring, atelectasis and/or consolidation is noted in the lower lungs, right greater than left. No pneumothorax or pleural effusion is seen. Pulmonary vascularity is normal. Cardiac size is within normal limits for portable technique. There is mild elongation of the descending thoracic aorta. No acute osseous abnormality is seen. Surgical clip is noted medially in the left upper abdomen. "," LIMITED BIBASILAR PULMONARY SCARRING, ATELECTASIS AND/OR CONSOLIDATION. FOLLOW-UP PA AND LATERAL EXAMINATION WHEN CLINICALLY FEASIBLE WOULD BE HELPFUL IN FURTHER EVALUATION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 204600,CheXpert_Demo_Images\valid\patient51838\study2\view1_frontal.jpg,patient51838,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 11-30-06 CLINICAL HISTORY: 27 years of age, Female, Eval lung fields. COMPARISON: 11/30/2006 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: 3/23/1997 4:35 AM Interval removal of one of the right-sided chest tubes, with 2 right-sided chest tubes remaining. Improved lung volumes. Bibasilar opacities and small bilateral pleural effusions. Subacute fractures of the bilateral sixth and seventh ribs. 3/23/1997 5:53 AM Interval removal of the remaining two chest tubes. IMPRESSION: 1. Serial radiographs demonstrates no pneumothorax following removal of three right-sided chest tubes. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: oxjhbxvytt This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," 3/23/1997 4:35 AM Interval removal of one of the right-sided chest tubes, with 2 right-sided chest tubes remaining. Improved lung volumes. Bibasilar opacities and small bilateral pleural effusions. Subacute fractures of the bilateral sixth and seventh ribs. 3/23/1997 5:53 AM Interval removal of the remaining two chest tubes. "," 1. Serial radiographs demonstrates no pneumothorax following removal of three right-sided chest tubes. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 50021,CheXpert_Demo_Images\valid\patient12176\study1\view1_frontal.jpg,patient12176,"NARRATIVE: Chest 2 Views, 12/19/16 HISTORY: 74 years Female, Chf COMPARISON: 12/19/2016 IMPRESSION: 1.PA AND LATERAL UPRIGHT VIEWS OF THE CHEST DEMONSTRATES STABLE CARDIOMEGALY WITH NO EVIDENCE OF PULMONARY EDEMA. STABLE MINIMAL BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE. 2.SCATTERED LINEAR ATELECTASIS OR SCAR WITHIN THE LEFT LOWER LUNG ZONE. 3.NO SIGNIFICANT CHANGE COMPARED TO PRIOR EXAM. SUMMARY: 2-ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: #dnnidrwoskmxn This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PA AND LATERAL UPRIGHT VIEWS OF THE CHEST DEMONSTRATES STABLE CARDIOMEGALY WITH NO EVIDENCE OF PULMONARY EDEMA. STABLE MINIMAL BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE. 2.SCATTERED LINEAR ATELECTASIS OR SCAR WITHIN THE LEFT LOWER LUNG ZONE. 3.NO SIGNIFICANT CHANGE COMPARED TO PRIOR EXAM. "," 2-ABNORMAL, PREVIOUSLY REPORTED " 118369,CheXpert_Demo_Images\valid\patient28390\study1\view1_frontal.jpg,patient28390,"NARRATIVE: Exam: Chest 1 View, June 9 2014 Clinical History: 84 years Female with Sp pic placemnt Comparison: None IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A LEFT UPPER EXTREMITY PICC LINE IN PLACE WITH THE TIP 2.3 CM BELOW THE CARINA. THE LUNGS ARE CLEAR WITH NO FOCAL ATELECTASIS OR CONSOLIDATION. NO PLEURAL EFFUSION DEMONSTRATED. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS DEFORMITY IN THE LEFT SEVENTH RIB LATERALLY, LIKELY POST TRAUMATIC. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: HAMCWATT This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A LEFT UPPER EXTREMITY PICC LINE IN PLACE WITH THE TIP 2.3 CM BELOW THE CARINA. THE LUNGS ARE CLEAR WITH NO FOCAL ATELECTASIS OR CONSOLIDATION. NO PLEURAL EFFUSION DEMONSTRATED. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS DEFORMITY IN THE LEFT SEVENTH RIB LATERALLY, LIKELY POST TRAUMATIC. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 121927,CheXpert_Demo_Images\valid\patient29223\study1\view1_frontal.jpg,patient29223,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 6/30/2013 CLINICAL HISTORY: 32 years of age, Male, Postop s/p sternotomy, thymectomy, right upper lobe wedge resection, SVC resection and reconstruction. COMPARISON: Chest radiograph 6/30/2013 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Mild interval improvement in right-sided pleural effusion. There is borderline cardiomegaly, which appears unchanged. There is redemonstration of sternotomy wires and mediastinal clips. Unchanged perihilar opacities on the right side may reflect postradiation change. Unchanged right greater than left basilar opacification likely represents atelectasis. No acute bony abnormalities are noted. IMPRESSION: 1. Interval improvement in small right pleural effusion. ""Physician to Physician Radiology Consult Line: (741) 182-7492"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1078 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Mild interval improvement in right-sided pleural effusion. There is borderline cardiomegaly, which appears unchanged. There is redemonstration of sternotomy wires and mediastinal clips. Unchanged perihilar opacities on the right side may reflect postradiation change. Unchanged right greater than left basilar opacification likely represents atelectasis. No acute bony abnormalities are noted. "," 1. Interval improvement in small right pleural effusion. ""Physician to Physician Radiology Consult Line: (741) 182-7492"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 204257,CheXpert_Demo_Images\valid\patient51634\study1\view1_frontal.jpg,patient51634,"NARRATIVE: SINGLE VIEW OF THE CHEST: 5/4/2014. COMPARISON: 5/4/2014. CLINICAL HISTORY: A 54-year-old female, line placement. IMPRESSION: 1. INTERVAL PLACEMENT OF A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER, WITH THE TIP IN THE PROXIMAL SVC. NO EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES, THOUGH LUNGS APPEAR OTHERWISE CLEAR. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 071872196 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER, WITH THE TIP IN THE PROXIMAL SVC. NO EVIDENCE OF PNEUMOTHORAX. 2. LOW LUNG VOLUMES, THOUGH LUNGS APPEAR OTHERWISE CLEAR. ","2-ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 67643,CheXpert_Demo_Images\valid\patient16259\study4\view1_frontal.jpg,patient16259,"NARRATIVE: Chest 1 View 3-6-05 CLINICAL HISTORY: 47 years-old Male. Respiratory distress, febrile neutropenia, fungemia COMPARISON: 03/06 IMPRESSION: 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE PREVIOUSLY IDENTIFIED RIGHT UPPER EXTREMITY PICC LINE COMPARED TO THE PRIOR EXAM. 2.THE BILATERAL LUNGS ARE CLEAR, WITH NO EVIDENCE OF FOCAL CONSOLIDATION. 3.STABLE REDEMONSTRATION OF LARGE CALCIFIED GALLSTONES. 4.STABLE CARDIOMEDIASTINAL SILHOUETTE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 36-26-8 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF THE PREVIOUSLY IDENTIFIED RIGHT UPPER EXTREMITY PICC LINE COMPARED TO THE PRIOR EXAM. 2.THE BILATERAL LUNGS ARE CLEAR, WITH NO EVIDENCE OF FOCAL CONSOLIDATION. 3.STABLE REDEMONSTRATION OF LARGE CALCIFIED GALLSTONES. 4.STABLE CARDIOMEDIASTINAL SILHOUETTE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 75361,CheXpert_Demo_Images\valid\patient18098\study1\view1_frontal.jpg,patient18098,"NARRATIVE: Chest 1 View: 1-15-2017 HISTORY: 59 years Female, Intubated. COMPARISON: None. FINDINGS: Portable AP supine view of the chest demonstrates an endotracheal tube with distal tip at the superior aspect of the clavicles. A nasogastric tube is appreciated coursing below the left hemidiaphragm and coiling over the expected region of the stomach. Trace interstitial prominence consistent with mild pulmonary edema is present. The lungs otherwise appear clear. Expected appearance of the cardiomediastinal silhouette. IMPRESSION: 1.MILD PULMONARY EDEMA. LUNGS OTHERWISE CLEAR. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 319960905508 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Portable AP supine view of the chest demonstrates an endotracheal tube with distal tip at the superior aspect of the clavicles. A nasogastric tube is appreciated coursing below the left hemidiaphragm and coiling over the expected region of the stomach. Trace interstitial prominence consistent with mild pulmonary edema is present. The lungs otherwise appear clear. Expected appearance of the cardiomediastinal silhouette. "," 1.MILD PULMONARY EDEMA. LUNGS OTHERWISE CLEAR. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 35801,CheXpert_Demo_Images\valid\patient08783\study1\view2_lateral.jpg,patient08783,"NARRATIVE: TWO VIEWS OF THE CHEST: 7/4/2009 Worklete 2011 HOURS COMPARISON EXAM: Two views of the chest dated 7-4-2009. CLINICAL HISTORY: 68-year-old woman with history of chest pain and shortness of breath. IMPRESSION: 1. PA AND LATERAL CHEST RADIOGRAPHS DATED 7-4-2009 AT 2011 HOURS DEMONSTRATES MILD INTERSTITIAL PROMINENCE. THIS IS LIKELY CHRONIC IN NATURE AND NOT REPRESENTATIVE OF INTERSTITIAL PULMONARY EDEMA. 2. CERVICAL SPINAL FUSION HARDWARE REMAINS IN PLACE AND IS UNCHANGED. 3. NO ACUTE CARDIOPULMONARY DISEASE. 4. OVERALL, NO SIGNIFICANT INTERVAL CHANGE. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Charlotte, Barr on: 7-4-2009 ACCESSION NUMBER: 7195-1273-62 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PA AND LATERAL CHEST RADIOGRAPHS DATED 7-4-2009 AT 2011 HOURS DEMONSTRATES MILD INTERSTITIAL PROMINENCE. THIS IS LIKELY CHRONIC IN NATURE AND NOT REPRESENTATIVE OF INTERSTITIAL PULMONARY EDEMA. 2. CERVICAL SPINAL FUSION HARDWARE REMAINS IN PLACE AND IS UNCHANGED. 3. NO ACUTE CARDIOPULMONARY DISEASE. 4. OVERALL, NO SIGNIFICANT INTERVAL CHANGE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Charlotte, Barr on: 7-4-2009 " 56963,CheXpert_Demo_Images\valid\patient13801\study4\view2_lateral.jpg,patient13801,"NARRATIVE: Exam: Chest 2 Views, december 8 2017 Clinical History: 28 years Female with Febrile disease Comparison: None IMPRESSION: 1. NORMAL HEART SIZE AND PULMONARY VASCULARITY. 2. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, OR PNEUMOTHORAX. 3. THE VISUALIZED OSSEUS AND SOFT TISSUE STRUCTURES ARE UNREMARKABLE. 4. THERE HAS BEEN INTERVAL PLACEMENT OF A NEW RIGHT UPPER EXTREMITY PICC LINE, WITH THE TIP 8 CM ABOVE THE CARINA, WITHIN THE RIGHT ATRIUM. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: HW_00_CK_X6_09_44_3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NORMAL HEART SIZE AND PULMONARY VASCULARITY. 2. NO FOCAL CONSOLIDATION, PLEURAL EFFUSION, OR PNEUMOTHORAX. 3. THE VISUALIZED OSSEUS AND SOFT TISSUE STRUCTURES ARE UNREMARKABLE. 4. THERE HAS BEEN INTERVAL PLACEMENT OF A NEW RIGHT UPPER EXTREMITY PICC LINE, WITH THE TIP 8 CM ABOVE THE CARINA, WITHIN THE RIGHT ATRIUM. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 216637,CheXpert_Demo_Images\valid\patient59316\study1\view1_frontal.jpg,patient59316,"NARRATIVE: ONE VIEW CHEST, 5-21-02: COMPARISON: Comparison is made to a report from 5/21. CLINICAL HISTORY: Syncope, rule out infiltrate. FINDINGS: Re-demonstrated dual-lead pacer, one lead in region of right atrium, the second lead in the region of the right ventricle. The leads are intact. Costophrenic angles sharp. The cardiac silhouette is mildly enlarged. The aorta again appears tortuous and calcified. The retrocardiac region appears dense on this examination, which may reprsent overlap of structures and technical differences, although underlying consolidation cannot be excluded. Interstitial markings appear diffusely prominent. The bones again reveal multiple rib fractures posteriorly on the right. Severe degenerative changes are seen in bilateral shoulders. IMPRESSION: 1. LIMITED EXAMINATION DEMONSTRATING NO DEFINITE FOCAL OPACITIES TO SUGGEST PNEUMONIA. THE RETROCARDIAC REGION IS NOT WELL ASSESSED, AND CONSOLIDATION IN THIS REGION CANNOT BE EXCLUDED. WHEN PATIENT ABLE, AP AND LATERAL CHEST WOULD PROVIDE BETTER DETAIL. 2. DEGENERATIVE CHANGES OF THE BILATERAL SHOULDERS. 3. MILD CARDIOMEGALY, UNCHANGED. END OF IMPRESSION: SUMMARY: 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: Grant Leynah, MD on: 2002 may 21 ACCESSION NUMBER: 201UgbhCS This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Re-demonstrated dual-lead pacer, one lead in region of right atrium, the second lead in the region of the right ventricle. The leads are intact. Costophrenic angles sharp. The cardiac silhouette is mildly enlarged. The aorta again appears tortuous and calcified. The retrocardiac region appears dense on this examination, which may reprsent overlap of structures and technical differences, although underlying consolidation cannot be excluded. Interstitial markings appear diffusely prominent. The bones again reveal multiple rib fractures posteriorly on the right. Severe degenerative changes are seen in bilateral shoulders. "," 1. LIMITED EXAMINATION DEMONSTRATING NO DEFINITE FOCAL OPACITIES TO SUGGEST PNEUMONIA. THE RETROCARDIAC REGION IS NOT WELL ASSESSED, AND CONSOLIDATION IN THIS REGION CANNOT BE EXCLUDED. WHEN PATIENT ABLE, AP AND LATERAL CHEST WOULD PROVIDE BETTER DETAIL. 2. DEGENERATIVE CHANGES OF THE BILATERAL SHOULDERS. 3. MILD CARDIOMEGALY, UNCHANGED. "," 2 I have personally reviewed the images for this examination and agree with the report transcribed above. By: Grant Leynah, MD on: 2002 may 21 " 211483,CheXpert_Demo_Images\valid\patient56133\study1\view1_frontal.jpg,patient56133,"NARRATIVE: Chest 1 View: 6/17/2017 HISTORY: Female, 48 years old, r/o aspiration,. COMPARISON: 6/17/17 at 0958 hours. IMPRESSION: 1.THE LUNGS ARE CLEAR. CARDIAC SIZE AND PULMONARY VASCULATURE APPEARS NORMAL. NO PLEURAL EFFUSION. NO FOCAL CONSOLIDATION. 2.NASOGASTRIC TUBE COURSING THROUGH THE EXPECTED LOCATION OF THE ESOPHAGUS, INTO THE STOMACH. RIGHT UPPER EXTREMITY PICC, WITH ITS TIP IN THE SUBCLAVIAN VEIN. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6sc4rkhtw3s This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.THE LUNGS ARE CLEAR. CARDIAC SIZE AND PULMONARY VASCULATURE APPEARS NORMAL. NO PLEURAL EFFUSION. NO FOCAL CONSOLIDATION. 2.NASOGASTRIC TUBE COURSING THROUGH THE EXPECTED LOCATION OF THE ESOPHAGUS, INTO THE STOMACH. RIGHT UPPER EXTREMITY PICC, WITH ITS TIP IN THE SUBCLAVIAN VEIN. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 16920,CheXpert_Demo_Images\valid\patient04228\study3\view1_frontal.jpg,patient04228,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 10-13 CLINICAL HISTORY: 32 years of age, Male, status post right video-assisted thoracoscopy, mediastinal mass biopsy. COMPARISON: CT chest abdomen pelvis 2013 25th October PROCEDURE COMMENTS: Single view of the chest. FINDINGS: There is an apically directed right-sided chest tube. Mild prominence of the superior mediastinum corresponds to known mediastinal lymphadenopathy, better evaluated on recent CT chest abdomen and pelvis. No focal consolidation, pleural effusions, or pneumothorax. IMPRESSION: 1. New apically directed right-sided chest tube with no pneumothorax. 2. Mild superior mediastinal prominence corresponds to known lymphadenopathy. ""Physician to Physician Radiology Consult Line: (856) 091-1945"" Signed ACCESSION NUMBER: 24801250782 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is an apically directed right-sided chest tube. Mild prominence of the superior mediastinum corresponds to known mediastinal lymphadenopathy, better evaluated on recent CT chest abdomen and pelvis. No focal consolidation, pleural effusions, or pneumothorax. "," 1. New apically directed right-sided chest tube with no pneumothorax. 2. Mild superior mediastinal prominence corresponds to known lymphadenopathy. ""Physician to Physician Radiology Consult Line: (856) 091-1945"" Signed ", 222701,CheXpert_Demo_Images\valid\patient64060\study1\view1_frontal.jpg,patient64060,"NARRATIVE: CHEST: february 19 COMPARISON: 2/19/2010 at 3:00 p.m. IMPRESSION: 1. AP SEMI-UPRIGHT SINGLE VIEW OF THE CHEST. THE LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER IS AGAIN NOTED AND ITS TIP IS IN THE LEFT BRACHIOCEPHALIC VEIN. 2. THERE ARE LOW LUNG VOLUMES AND THERE IS BIBASILAR ATELECTASIS. THERE IS A SMALL LEFT PLEURAL EFFUSION, WHICH IS UNCHANGED WHEN COMPARED TO THE PRIOR STUDY. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Turner, George on: 2-19-2010 ACCESSION NUMBER: 97402960 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. AP SEMI-UPRIGHT SINGLE VIEW OF THE CHEST. THE LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER IS AGAIN NOTED AND ITS TIP IS IN THE LEFT BRACHIOCEPHALIC VEIN. 2. THERE ARE LOW LUNG VOLUMES AND THERE IS BIBASILAR ATELECTASIS. THERE IS A SMALL LEFT PLEURAL EFFUSION, WHICH IS UNCHANGED WHEN COMPARED TO THE PRIOR STUDY. "," 2 ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Turner, George on: 2-19-2010 " 52027,CheXpert_Demo_Images\valid\patient12698\study1\view1_frontal.jpg,patient12698,"NARRATIVE: CHEST: Two view 10/4/14 COMPARISON: Two view chest 10-4-2014 HISTORY: Amyloidosis, check for infiltrates. IMPRESSION: 1. RIGHT CENTRAL TUNNELED CATHETER UNCHANGED FROM PRIOR. 2. INTERVAL IMPROVEMENT IN RETROCARDIAC OPACITY POSSIBLY CONSISTENT WITH RESOLVING PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY 2: Abnormal; previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Hart, Diana on: 10-4-2014 ACCESSION NUMBER: 3004_6 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. RIGHT CENTRAL TUNNELED CATHETER UNCHANGED FROM PRIOR. 2. INTERVAL IMPROVEMENT IN RETROCARDIAC OPACITY POSSIBLY CONSISTENT WITH RESOLVING PLEURAL EFFUSION. "," 2: Abnormal; previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Hart, Diana on: 10-4-2014 " 189579,CheXpert_Demo_Images\valid\patient45414\study2\view1_frontal.jpg,patient45414,"NARRATIVE: CHEST ONE VIEW: 03/14 COMPARISON: 3/14/2006 IMPRESSION: 1. REDEMONSTRATION OF DIFFUSE RIGHT GREATER THAN LEFT BIBASILAR PATCHY OPACITY CONSISTENT WITH AIR SPACE DISEASE VERSUS ATELECTASIS. THIS HAS DECREASED SLIGHTLY COMPARED TO THE PRIOR CHEST X-RAY. 2. POSSIBLE SMALL LEFT PLEURAL EFFUSION. 3. LOW LUNG VOLUMES. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: BENTON, MADELYN on: 2006/03 ACCESSION NUMBER: 4333108 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDEMONSTRATION OF DIFFUSE RIGHT GREATER THAN LEFT BIBASILAR PATCHY OPACITY CONSISTENT WITH AIR SPACE DISEASE VERSUS ATELECTASIS. THIS HAS DECREASED SLIGHTLY COMPARED TO THE PRIOR CHEST X-RAY. 2. POSSIBLE SMALL LEFT PLEURAL EFFUSION. 3. LOW LUNG VOLUMES. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: BENTON, MADELYN on: 2006/03 " 135102,CheXpert_Demo_Images\valid\patient32468\study2\view1_frontal.jpg,patient32468,"NARRATIVE: EXAM: Chest 2 Views, 1-5-2004 CLINICAL HISTORY: Pmh of aspiration pna, now with some sob, chills starting this am COMPARISON: 1-5-2004 IMPRESSION: 1.FRONTAL CHEST X-RAYS AGAIN DEMONSTRATE A RIGHT BASE OPACITY WITH HYPEREXPANDED LUNG FIELDS AND A PROMINENT CARDIAC SILHOUETTE. 2.LUCENCY PROJECTING OVER THE LEFT LUNG APEX MAY REPRESENT A SMALL LEFT PNEUMOTHORAX VERSUS BULLOUS CHANGE VERSUS ARTIFACT RELATED TO PROJECTION. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 2863924980731 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL CHEST X-RAYS AGAIN DEMONSTRATE A RIGHT BASE OPACITY WITH HYPEREXPANDED LUNG FIELDS AND A PROMINENT CARDIAC SILHOUETTE. 2.LUCENCY PROJECTING OVER THE LEFT LUNG APEX MAY REPRESENT A SMALL LEFT PNEUMOTHORAX VERSUS BULLOUS CHANGE VERSUS ARTIFACT RELATED TO PROJECTION. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 208694,CheXpert_Demo_Images\valid\patient54389\study1\view1_frontal.jpg,patient54389,"NARRATIVE: AP PORTABLE CHEST RADIOGRAPH: 12/18/2019 COMPARISON: 12/18/19 HISTORY: A 78-year-old male with congestive heart failure and shortness of breath. IMPRESSION: 1. INTERVAL INCREASING BILATERAL PLEURAL EFFUSIONS AND INCREASED PULMONARY EDEMA. 2. BIBASILAR ATELECTASIS. 3. THE LUNG APICES ARE SOMEWHAT OBSCURED BY THE PATIENT'S CHIN. 4. NO OTHER INTERVAL CHANGE. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: DR. JULIANA ANGELO JANESKY on: 12-18-2019 ACCESSION NUMBER: 2231258 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL INCREASING BILATERAL PLEURAL EFFUSIONS AND INCREASED PULMONARY EDEMA. 2. BIBASILAR ATELECTASIS. 3. THE LUNG APICES ARE SOMEWHAT OBSCURED BY THE PATIENT'S CHIN. 4. NO OTHER INTERVAL CHANGE. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: DR. JULIANA ANGELO JANESKY on: 12-18-2019 " 222331,CheXpert_Demo_Images\valid\patient63731\study1\view1_frontal.jpg,patient63731,"NARRATIVE: CHEST SINGLE VIEW: April 2000 COMPARISON: 2000-4-25 IMPRESSION: 1. STERNOTOMY WIRES, RIGHT IJ LINE IN PLACE, UNCHANGED. 2. INTERVAL DECREASE OF PULMONARY EDEMA AND IMPROVED AERATION OF THE BILATERAL LUNG BASES. PERSISTENT LEFT LOWER LOBE ATELECTASIS AND LEFT EFFUSION. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 18E7W73747P This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STERNOTOMY WIRES, RIGHT IJ LINE IN PLACE, UNCHANGED. 2. INTERVAL DECREASE OF PULMONARY EDEMA AND IMPROVED AERATION OF THE BILATERAL LUNG BASES. PERSISTENT LEFT LOWER LOBE ATELECTASIS AND LEFT EFFUSION. "," 2 ABNORMAL, PREVIOUSLY REPORTED " 66410,CheXpert_Demo_Images\valid\patient15990\study1\view2_lateral.jpg,patient15990,"NARRATIVE: Exam: Chest 2 Views, 8/24/2021 Clinical History: 83 years Male with Pre-Admission Ancillary Studies Comparison: None IMPRESSION: 1.PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE EVIDENCE OF PRIOR MEDIAN STERNOTOMY, WITH FRACTURE OF THE SECOND STERNAL WIRE FROM THE BOTTOM. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS, WITH OSTIAL MARKERS AND MULTIPLE MEDIASTINAL CLIPS. 2.MINIMAL BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, SUGGESTING PLEURAL THICKENING OR A SMALL PLEURAL EFFUSION. THE LUNGS OTHERWISE APPEAR CLEAR. 3.MILD DEGENERATIVE CHANGES OF THE RIGHT ACROMIOCLAVICULAR JOINT AND LOWER THORACIC SPINE. VISUALIZED OSSEOUS STRUCTURES OTHERWISE UNREMARKABLE. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION ACCESSION NUMBER: LdkdrmB This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PA AND LATERAL CHEST RADIOGRAPHS DEMONSTRATE EVIDENCE OF PRIOR MEDIAN STERNOTOMY, WITH FRACTURE OF THE SECOND STERNAL WIRE FROM THE BOTTOM. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS, WITH OSTIAL MARKERS AND MULTIPLE MEDIASTINAL CLIPS. 2.MINIMAL BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, SUGGESTING PLEURAL THICKENING OR A SMALL PLEURAL EFFUSION. THE LUNGS OTHERWISE APPEAR CLEAR. 3.MILD DEGENERATIVE CHANGES OF THE RIGHT ACROMIOCLAVICULAR JOINT AND LOWER THORACIC SPINE. VISUALIZED OSSEOUS STRUCTURES OTHERWISE UNREMARKABLE. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION " 199265,CheXpert_Demo_Images\valid\patient49322\study2\view1_frontal.jpg,patient49322,"NARRATIVE: Exam: Chest 1 View, 11/14/2001 Clinical History: 51 years, Female, Chest and shoulder pain Comparison: November 14 IMPRESSION: 1.Increased atelectasis or consolidation in the right lung base 2.Otherwise, no significant interval change with an unremarkable cardiomediastinum, a clear left lung, and a TIPS shunt in the right upper quadrant. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 62949 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.Increased atelectasis or consolidation in the right lung base 2.Otherwise, no significant interval change with an unremarkable cardiomediastinum, a clear left lung, and a TIPS shunt in the right upper quadrant. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 42745,CheXpert_Demo_Images\valid\patient10478\study5\view1_frontal.jpg,patient10478,"NARRATIVE: TWO VIEWS CHEST: 08/21/12. COMPARISON: 8-21-2012 and 8-21-2012. FINDINGS: No significant interval change from prior examination, with stable right apical pleural parenchymal scarring, bilateral interstitial lung disease, and suggestion of biapical bullous disease. No new opacities are seen in the lungs. The posterior costophrenic angles demonstrate blunting, consistent with pleural thickening, unchanged from 8/21/12. Multilevel compression fractures of the thoracic spine are again seen, not significantly changed. There has been interval increase in lung volumes relative to the examination of 8-21-12. The cardiomediastinal silhouette is stable. IMPRESSION: 1. NO NEW FOCAL OPACITIES TO SUGGEST PNEUMONIA. 2. STABLE PULMONARY CHANGES, WITH RIGHT APICAL PLEURAL PARENCHYMAL SCAR AND BILATERAL INTERSTITIAL DISEASE. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Braun Ezekiel, MD on: 08/21 ACCESSION NUMBER: #70266 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," No significant interval change from prior examination, with stable right apical pleural parenchymal scarring, bilateral interstitial lung disease, and suggestion of biapical bullous disease. No new opacities are seen in the lungs. The posterior costophrenic angles demonstrate blunting, consistent with pleural thickening, unchanged from 8/21/12. Multilevel compression fractures of the thoracic spine are again seen, not significantly changed. There has been interval increase in lung volumes relative to the examination of 8-21-12. The cardiomediastinal silhouette is stable. "," 1. NO NEW FOCAL OPACITIES TO SUGGEST PNEUMONIA. 2. STABLE PULMONARY CHANGES, WITH RIGHT APICAL PLEURAL PARENCHYMAL SCAR AND BILATERAL INTERSTITIAL DISEASE. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Braun Ezekiel, MD on: 08/21 " 200036,CheXpert_Demo_Images\valid\patient49630\study3\view1_frontal.jpg,patient49630,"NARRATIVE: CHEST ONE VIEW: 4/11/10 COMPARISON: 4-11-2010 and 4/11/2010. IMPRESSION: 1. PORTABLE SEMIERECT CHEST RADIOGRAPH DEMONSTRATES TWO EXTERNAL PACEMAKER PADS IN PLACE. THIS LIMITS THE VISUALIZATION OF THE LEFT HEMITHORAX. 2. NO OBVIOUS FOCAL PULMONARY FINDINGS. NO EVIDENCE OF PULMONARY EDEMA. LOW LUNG VOLUMES. 3. STABLE CONFIGURATION OF THE CARDIOMEDIASTINAL SILHOUETTE. END OF IMPRESSION: SUMMARY: 2 ABNORMAL, PREVIOUSLY REPORTED ACCESSION NUMBER: 9623710530353 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. PORTABLE SEMIERECT CHEST RADIOGRAPH DEMONSTRATES TWO EXTERNAL PACEMAKER PADS IN PLACE. THIS LIMITS THE VISUALIZATION OF THE LEFT HEMITHORAX. 2. NO OBVIOUS FOCAL PULMONARY FINDINGS. NO EVIDENCE OF PULMONARY EDEMA. LOW LUNG VOLUMES. 3. STABLE CONFIGURATION OF THE CARDIOMEDIASTINAL SILHOUETTE. "," 2 ABNORMAL, PREVIOUSLY REPORTED " 65504,CheXpert_Demo_Images\valid\patient15770\study6\view1_frontal.jpg,patient15770,"NARRATIVE: CHEST, TWO VIEWS: 5-22-2004. COMPARISON: 5-22-04. CLINICAL DATA: Congestive heart failure, shortness of breath. FINDINGS: Redemonstration of marked cardiomegaly with coarse, reticular opacities bilaterally, not significantly changed since the prior study dated 5/22/2004. IMPRESSION: 1. STABLE APPEARANCE OF MARKED CARDIOMEGALY IN COARSE RETICULAR OPACITIES, LIKELY REPRESENTING CHRONIC LUNG DISEASE, THOUGH A COMPONENT OF SUPERIMPOSED PULMONARY EDEMA MAY ALSO BE PRESENT. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: MADDOX SAMANTHA SANCHEZ, DR on: 5-22-2004 ACCESSION NUMBER: F1VGTY This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Redemonstration of marked cardiomegaly with coarse, reticular opacities bilaterally, not significantly changed since the prior study dated 5/22/2004. "," 1. STABLE APPEARANCE OF MARKED CARDIOMEGALY IN COARSE RETICULAR OPACITIES, LIKELY REPRESENTING CHRONIC LUNG DISEASE, THOUGH A COMPONENT OF SUPERIMPOSED PULMONARY EDEMA MAY ALSO BE PRESENT. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: MADDOX SAMANTHA SANCHEZ, DR on: 5-22-2004 " 169898,CheXpert_Demo_Images\valid\patient39661\study3\view2_frontal.jpg,patient39661,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 3-6-2014 CLINICAL HISTORY: 32 years of age, Female, Critical Care follow up (ICU). COMPARISON: 3-6-14, 3/6/2014 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Low lung volumes are noted. The right hemithorax remains clear. Improved aeration of the left lung base with mild linear opacities remaining. Near complete resolution of the previously noted left-sided pleural effusion, now trace in volume. No pneumothorax. The cardiomediastinal silhouette is similar in configuration. Pulmonary vascularity is within normal limits. Dense opacification in the midline, posterior to the heart, most compatible with large amount of conglomerate varices, as noted on CT of March 6th 2014 IMPRESSION: 1. Improved aeration in the left lung base with mild linear opacities remaining. 2. Near complete resolution of the previously noted left-sided pleural effusion, now trace in volume. ""Physician to Physician Radiology Consult Line: (940) 651-5080"" ACCESSION NUMBER: 25-17 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Low lung volumes are noted. The right hemithorax remains clear. Improved aeration of the left lung base with mild linear opacities remaining. Near complete resolution of the previously noted left-sided pleural effusion, now trace in volume. No pneumothorax. The cardiomediastinal silhouette is similar in configuration. Pulmonary vascularity is within normal limits. Dense opacification in the midline, posterior to the heart, most compatible with large amount of conglomerate varices, as noted on CT of March 6th 2014 "," 1. Improved aeration in the left lung base with mild linear opacities remaining. 2. Near complete resolution of the previously noted left-sided pleural effusion, now trace in volume. ""Physician to Physician Radiology Consult Line: (940) 651-5080"" ", 216963,CheXpert_Demo_Images\valid\patient59523\study1\view1_frontal.jpg,patient59523,"NARRATIVE: Chest 1 View, 4/13/2020 HISTORY: 89 years Male, Upright RUQ pain GI bleed COMPARISON: CT of the chest dated 4-13-2020 TECHNIQUE: Upright AP view of the chest IMPRESSION: 1. NO FOCAL CONSOLIDATION, EFFUSION OR PNEUMOTHORAX. 2. MILDLY PROMINENT CARDIOMEDIASTINAL SILHOUETTE. 3. LEFT CHEST MEDIPORT WITH TIP OF THE CATHETER NEAR THE LEVEL OF THE CAVOATRIAL JUNCTION. 4. NO ACUTE OSSEOUS ABNORMALITY. SUMMARY: 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: HmJhVu This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO FOCAL CONSOLIDATION, EFFUSION OR PNEUMOTHORAX. 2. MILDLY PROMINENT CARDIOMEDIASTINAL SILHOUETTE. 3. LEFT CHEST MEDIPORT WITH TIP OF THE CATHETER NEAR THE LEVEL OF THE CAVOATRIAL JUNCTION. 4. NO ACUTE OSSEOUS ABNORMALITY. "," 1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 214014,CheXpert_Demo_Images\valid\patient57711\study3\view1_frontal.jpg,patient57711,"NARRATIVE: Chest 1 View 8-29-2006 CLINICAL HISTORY: Female, 87 years-old; Critical care follow-up(ICU). COMPARISON: 06, August 29 IMPRESSION: 1.SEMIUPRIGHT FRONTAL VIEW OF THE CHEST DEMONSTRATES A CONTINUED RETROCARDIAC OPACITY WITH A LEFT PLEURAL EFFUSION. 2.GROUNDGLASS OPACITY WITHIN THE RIGHT BASE PERSISTS. 3.THERE HAS BEEN INTERVAL IMPROVEMENT OF MILD PULMONARY EDEMA. SUMMARY 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 0488q2Z This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SEMIUPRIGHT FRONTAL VIEW OF THE CHEST DEMONSTRATES A CONTINUED RETROCARDIAC OPACITY WITH A LEFT PLEURAL EFFUSION. 2.GROUNDGLASS OPACITY WITHIN THE RIGHT BASE PERSISTS. 3.THERE HAS BEEN INTERVAL IMPROVEMENT OF MILD PULMONARY EDEMA. "," 2: ABNORMAL, PREVIOUSLY REPORTED. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 1486,CheXpert_Demo_Images\valid\patient00345\study1\view2_lateral.jpg,patient00345,"NARRATIVE: TWO VIEWS OF THE CHEST: 9/10/2006. CLINICAL HISTORY: 45-year-old male with shortness of breath. COMPARISON: 9-10-2006. IMPRESSION: 1. NO FOCAL AIR SPACE OPACITY, NO EDEMA, NO PNEUMOTHORAX OR PLEURAL EFFUSION. NO SIGNIFICANT CHANGE FROM PRIOR STUDY. END OF IMPRESSION: SUMMARY: 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: KAS ADAM, M.D. on: 9-10-06 ACCESSION NUMBER: 5-1-0-7-5-8-3-6-0-7 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO FOCAL AIR SPACE OPACITY, NO EDEMA, NO PNEUMOTHORAX OR PLEURAL EFFUSION. NO SIGNIFICANT CHANGE FROM PRIOR STUDY. "," 1 NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agree with the report transcribed above. By: KAS ADAM, M.D. on: 9-10-06 " 60298,CheXpert_Demo_Images\valid\patient14583\study2\view2_lateral.jpg,patient14583,"NARRATIVE: Chest 2 Views January 11th 2004 CLINICAL HISTORY: 58 years-old Female. Cough, eval pneumonia COMPARISON: 1/11/2004 IMPRESSION: 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE A MILD INTERVAL DECREASE IN LEFT BASE OPACITY COMPARED TO THE PRIOR EXAMINATION. 2.MILD LEFT BASE OPACITY REMAINS, WHICH MAY BE SECONDARY TO ATELECTASIS OR CONSOLIDATION. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: #1549588728y This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL VIEWS OF THE CHEST DEMONSTRATE A MILD INTERVAL DECREASE IN LEFT BASE OPACITY COMPARED TO THE PRIOR EXAMINATION. 2.MILD LEFT BASE OPACITY REMAINS, WHICH MAY BE SECONDARY TO ATELECTASIS OR CONSOLIDATION. 3.STABLE CARDIOMEDIASTINAL SILHOUETTE ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 27388,CheXpert_Demo_Images\valid\patient06694\study1\view2_lateral.jpg,patient06694,"NARRATIVE: TWO VIEWS OF THE CHEST: 5/4/2007 COMPARISON: None. CLINICAL HISTORY: 47-year-old with hepatitis C, pneumonia, and shortness of breath. FINDINGS: PA and lateral views of the chest demonstrate a left upper extremity PICC line in place with its tip at the cavoatrial junction. There are areas of right middle lobe and left lower lobe parenchymal opacification concerning for infection. There is also evidence for a left-sided pleural effusion. The cardiomediastinal silhouette is not enlarged. The pulmonary vasculature appears well delineated. The trachea is midline. Visualized osseous structures are unremarkable. IMPRESSION: RIGHT MIDDLE LOBE AND LEFT LOWER LOBE PARENCHYMAL OPACIFICATION CONCERNING FOR INFECTION. LEFT-SIDED PLEURAL EFFUSION. END OF IMPRESSION SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Carmen Mooney, MD on: 5-4-2007 ACCESSION NUMBER: #epq-nap-ifp-hxz This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," PA and lateral views of the chest demonstrate a left upper extremity PICC line in place with its tip at the cavoatrial junction. There are areas of right middle lobe and left lower lobe parenchymal opacification concerning for infection. There is also evidence for a left-sided pleural effusion. The cardiomediastinal silhouette is not enlarged. The pulmonary vasculature appears well delineated. The trachea is midline. Visualized osseous structures are unremarkable. "," RIGHT MIDDLE LOBE AND LEFT LOWER LOBE PARENCHYMAL OPACIFICATION CONCERNING FOR INFECTION. LEFT-SIDED PLEURAL EFFUSION. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Carmen Mooney, MD on: 5-4-2007 " 117180,CheXpert_Demo_Images\valid\patient28083\study1\view1_frontal.jpg,patient28083,"NARRATIVE: SINGLE VIEW OF THE CHEST: 12-9-11. COMPARISON: None. CLINICAL HISTORY: A 74-year-old male rule out infiltrate. IMPRESSION: 1. SINGLE VIEW OF THE CHEST DEMONSTRATES RETROCARDIAC OPACITY, MAY REPRESENT ATELECTASIS OR CONSOLIDATION. BILATERAL APICAL DENSITIES MAY REPRESENT CHRONIC SCARRING OR NEW CONSOLIDATION. RECOMMEND COMPARISON WITH PRIOR OUTSIDE FILMS IF AVAILABLE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 33514873946 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE VIEW OF THE CHEST DEMONSTRATES RETROCARDIAC OPACITY, MAY REPRESENT ATELECTASIS OR CONSOLIDATION. BILATERAL APICAL DENSITIES MAY REPRESENT CHRONIC SCARRING OR NEW CONSOLIDATION. RECOMMEND COMPARISON WITH PRIOR OUTSIDE FILMS IF AVAILABLE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 184752,CheXpert_Demo_Images\valid\patient43801\study1\view1_frontal.jpg,patient43801,"NARRATIVE: CHEST, ONE VIEW: 5-22-2018. COMPARISON: 5/22/2018. IMPRESSION: 1. THERE IS A VAGUE OPACITY AT THE RIGHT APEX THAT PROBABLY REPRESENTS PROMINENT COSTAL CARTILAGE CALCIFICATION IN THE ANTERIOR FIRST RIB. 2. AN OVOID OPACITY IS SEEN PERIPHERALLY IN THE RIGHT MID ZONE THAT MOST PROBABLY REPRESENTS CALLUS AROUND AN OLD RIGHT FOURTH ANTEROLATERAL RIB FRACTURE. 3. MILD LEFT BASAL ATELECTASIS. 4. OTHERWISE, CARDIOMEDIASTINAL SILHOUETTE UNREMARKABLE AND LUNG ZONES CLEAR. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr. Ball Genevieve on: 5/22/2018 ACCESSION NUMBER: 26806109801 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE IS A VAGUE OPACITY AT THE RIGHT APEX THAT PROBABLY REPRESENTS PROMINENT COSTAL CARTILAGE CALCIFICATION IN THE ANTERIOR FIRST RIB. 2. AN OVOID OPACITY IS SEEN PERIPHERALLY IN THE RIGHT MID ZONE THAT MOST PROBABLY REPRESENTS CALLUS AROUND AN OLD RIGHT FOURTH ANTEROLATERAL RIB FRACTURE. 3. MILD LEFT BASAL ATELECTASIS. 4. OTHERWISE, CARDIOMEDIASTINAL SILHOUETTE UNREMARKABLE AND LUNG ZONES CLEAR. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Dr. Ball Genevieve on: 5/22/2018 " 9364,CheXpert_Demo_Images\valid\patient02325\study1\view2_lateral.jpg,patient02325,"NARRATIVE: TWO VIEWS OF THE CHEST: 4-29-2017. COMPARISON: 4-29-2017. IMPRESSION: 1. REDEMONSTRATED UPPER THORACIC SPINE HARDWARE AND METALLIC DENSITY OVER RIGHT LUNG APEX. INTERVAL REMOVAL SURGICAL SKIN STAPLES AND SURGICAL DRAIN. 2. INTERVAL IMPROVEMENT IN PULMONARY EDEMA AND MARKED DECREASE IN BILATERAL PLEURAL EFFUSIONS. IMPROVED AERATION OF THE RIGHT LOWER LOBE. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT, ARE SEEN. 3. STABLE CARDIOMEDIASTINAL SILHOUETTE. 4. REDEMONSTRATED OLD GRANULOMA IN THE LEFT LUNG APEX. 5. NO BONY CHANGES. END OF IMPRESSION: SUMMARY 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: KELLEY, MD on: 4-29-2017 ACCESSION NUMBER: 19468209457 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDEMONSTRATED UPPER THORACIC SPINE HARDWARE AND METALLIC DENSITY OVER RIGHT LUNG APEX. INTERVAL REMOVAL SURGICAL SKIN STAPLES AND SURGICAL DRAIN. 2. INTERVAL IMPROVEMENT IN PULMONARY EDEMA AND MARKED DECREASE IN BILATERAL PLEURAL EFFUSIONS. IMPROVED AERATION OF THE RIGHT LOWER LOBE. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT, ARE SEEN. 3. STABLE CARDIOMEDIASTINAL SILHOUETTE. 4. REDEMONSTRATED OLD GRANULOMA IN THE LEFT LUNG APEX. 5. NO BONY CHANGES. "," 2: Abnormal, previously reported. I have personally reviewed the images for this examination and agree with the report transcribed above. By: KELLEY, MD on: 4-29-2017 " 13244,CheXpert_Demo_Images\valid\patient03299\study1\view1_frontal.jpg,patient03299,"NARRATIVE: Exam: Chest 1 View, 7-12-2000 Clinical History: 33 years Female with Trauma 93 - Comparison: None IMPRESSION: 1.A SINGLE SUPINE PORTABLE VIEW OF THE CHEST DEMONSTRATES NORMAL HEART SIZE. PULMONARY VASCULARITY IS WITHIN NORMAL LIMITS. 2.LUNGS ARE CLEAR WITHOUT FOCAL OPACITY OR EFFUSION. NO PNEUMOTHORAX. 3.VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. NO EVIDENCE OF DISPLACED RIB FRACTURES. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4954T21 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.A SINGLE SUPINE PORTABLE VIEW OF THE CHEST DEMONSTRATES NORMAL HEART SIZE. PULMONARY VASCULARITY IS WITHIN NORMAL LIMITS. 2.LUNGS ARE CLEAR WITHOUT FOCAL OPACITY OR EFFUSION. NO PNEUMOTHORAX. 3.VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. NO EVIDENCE OF DISPLACED RIB FRACTURES. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 113391,CheXpert_Demo_Images\valid\patient27217\study1\view1_frontal.jpg,patient27217,"NARRATIVE: Chest 2 Views 4-26-20 CLINICAL HISTORY: 27 years-old Male. Cough, ?fever COMPARISON: 4/26/20 IMPRESSION: 1. NO FOCAL CONSOLIDATION. NO PLEURAL EFFUSION. NO PNEUMOTHORAX. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 3. NORMAL OSSEOUS AND SOFT TISSUE STRUCTURES. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 871448 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. NO FOCAL CONSOLIDATION. NO PLEURAL EFFUSION. NO PNEUMOTHORAX. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 3. NORMAL OSSEOUS AND SOFT TISSUE STRUCTURES. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 166438,CheXpert_Demo_Images\valid\patient38852\study5\view1_frontal.jpg,patient38852,"NARRATIVE: CHEST SINGLE VIEW PORTABLE: 9/22/2006 CLINICAL HISTORY: Aortic stenosis. Coronary artery disease. Check PICC line placement. COMPARISON: 9-22-2006 IMPRESSION: 1. INTERVAL PLACEMENT OF RIGHT UPPER EXTREMITY PICC LINE WITH THE TIP AT THE CAVOATRIAL JUNCTION. FEEDING TUBE SEEN WITHIN THE STOMACH, TIP NOT VISUALIZED. INTACT MIDLINE STERNOTOMY WIRES. 2. LOW LUNG VOLUMES WITH PATCHY INDISTINCT AIR SPACE OPACITY AT THE RIGHT BASE WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION, AS CLINICALLY CORRELATED. 3. BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE WITH RIGHT PLEURAL EFFUSION. 4. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS FOR SIZE AND UNCHANGED. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: Kropidlowski, Daleyza on: 9-22-2006 ACCESSION NUMBER: 169079 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF RIGHT UPPER EXTREMITY PICC LINE WITH THE TIP AT THE CAVOATRIAL JUNCTION. FEEDING TUBE SEEN WITHIN THE STOMACH, TIP NOT VISUALIZED. INTACT MIDLINE STERNOTOMY WIRES. 2. LOW LUNG VOLUMES WITH PATCHY INDISTINCT AIR SPACE OPACITY AT THE RIGHT BASE WHICH MAY REPRESENT ATELECTASIS VERSUS CONSOLIDATION, AS CLINICALLY CORRELATED. 3. BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE WITH RIGHT PLEURAL EFFUSION. 4. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS FOR SIZE AND UNCHANGED. ", 199727,CheXpert_Demo_Images\valid\patient49500\study1\view1_frontal.jpg,patient49500,"NARRATIVE: SINGLE VIEW OF THE CHEST: 1/13/2006 AT 0349 HOURS. COMPARISON: 1-13-2006 at 1227 hours. CLINICAL DATA: A 77-year-old male with history of prior heart surgery. IMPRESSION: 1. A SINGLE PORTABLE UPRIGHT AP CHEST RADIOGRAPH DATED 1-13 AT 0349 HOURS DEMONSTRATES INTERVAL REMOVAL OF THE NASOGASTRIC AND ENDOTRACHEAL TUBES. ALL OTHER LINES AND SUPPORT DEVICES REMAIN UNCHANGED. 2. PERSISTENT ELEVATION OF THE LEFT HEMIDIAPHRAGM WITH LEFT RETROCARDIAC ATELECTASIS AND A SMALL LEFT PLEURAL EFFUSION. 3. NODULAR OPACITY IN THE RIGHT MID-LUNG APPEARS UNCHANGED. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 5851643010 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. A SINGLE PORTABLE UPRIGHT AP CHEST RADIOGRAPH DATED 1-13 AT 0349 HOURS DEMONSTRATES INTERVAL REMOVAL OF THE NASOGASTRIC AND ENDOTRACHEAL TUBES. ALL OTHER LINES AND SUPPORT DEVICES REMAIN UNCHANGED. 2. PERSISTENT ELEVATION OF THE LEFT HEMIDIAPHRAGM WITH LEFT RETROCARDIAC ATELECTASIS AND A SMALL LEFT PLEURAL EFFUSION. 3. NODULAR OPACITY IN THE RIGHT MID-LUNG APPEARS UNCHANGED. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 203205,CheXpert_Demo_Images\valid\patient51111\study1\view1_frontal.jpg,patient51111,"NARRATIVE: PORTABLE VIEW OF THE CHEST: 5/3/2003. COMPARISON: May 03. CLINICAL HISTORY: 75-year-old man with lumbar stenosis, now with chest pain. IMPRESSION: 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES BORDERLINE CARDIOMEGALY WITH MILD INTERSTITIAL PULMONARY EDEMA. 2. SMALL LEFT PLEURAL EFFUSION. END OF IMPRESSION: SUMMARY 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: bender brianna, rn. on: 5/3/2003 __________________________________ ACCESSION NUMBER: 6738596 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES BORDERLINE CARDIOMEGALY WITH MILD INTERSTITIAL PULMONARY EDEMA. 2. SMALL LEFT PLEURAL EFFUSION. "," 4: Possible significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: bender brianna, rn. on: 5/3/2003 __________________________________ " 33775,CheXpert_Demo_Images\valid\patient08250\study2\view1_frontal.jpg,patient08250,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 3-1-2001 CLINICAL HISTORY: 94 year old of age, Female, Interval change. COMPARISON: Chest x-ray 3/1/2001 at 1449 hours chest x-ray of 3-1-2001 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Heart size remains within normal limits. There is dense calcifications of the mitral annulus. A prosthetic valve is present in the aortic position. Mild prominence of the pulmonary vascular markings, which is increased in comparison to more distant chest x-ray of 3/1/2001 is suggestive of mild pulmonary edema, and unchanged from the previous day. No significant pleural effusion. Mild left basilar airspace opacity suggestive of atelectasis. Multilevel degenerative changes affect the spine, with prominent osteophytosis. Heavy atherosclerotic calcifications are present within the aorta. Chronic posttraumatic deformity of the proximal left humerus is redemonstrated. No acute osseous abnormalities. IMPRESSION: 1. No significant interval change. Redemonstration of mild reticular prominence suggestive of mild pulmonary edema, although atypical viral infection can have a similar appearance, and correlation for clinical symptoms of infection is recommended. 2. No significant change in mild left basilar opacity suggestive of atelectasis. 3. Heavy mitral annulus calcifications. ACCESSION NUMBER: 63R3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Heart size remains within normal limits. There is dense calcifications of the mitral annulus. A prosthetic valve is present in the aortic position. Mild prominence of the pulmonary vascular markings, which is increased in comparison to more distant chest x-ray of 3/1/2001 is suggestive of mild pulmonary edema, and unchanged from the previous day. No significant pleural effusion. Mild left basilar airspace opacity suggestive of atelectasis. Multilevel degenerative changes affect the spine, with prominent osteophytosis. Heavy atherosclerotic calcifications are present within the aorta. Chronic posttraumatic deformity of the proximal left humerus is redemonstrated. No acute osseous abnormalities. "," 1. No significant interval change. Redemonstration of mild reticular prominence suggestive of mild pulmonary edema, although atypical viral infection can have a similar appearance, and correlation for clinical symptoms of infection is recommended. 2. No significant change in mild left basilar opacity suggestive of atelectasis. 3. Heavy mitral annulus calcifications. ", 50188,CheXpert_Demo_Images\valid\patient12221\study1\view1_frontal.jpg,patient12221,"NARRATIVE: CHEST: 5-27-04. COMPARISON: None. CLINICAL HISTORY: A 21-year-old man with ET tube placement and central line placement. IMPRESSION: 1. SINGLE SUPINE AP VIEW OF THE CHEST DEMONSTRATES AN ENDOTRACHEAL TUBE WITH DISTAL TIP APPROXIMATELY 7 CM PROXIMAL TO THE CARINA. A NASOGASTRIC TUBE IS PRESENT, WITH DISTAL TIP NOT CLEARLY SEEN, BUT FOLLOWED AT LEAST TO THE DISTAL ESOPHAGUS. THERE IS A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, WITH DISTAL TIP ALSO NOT CLEARLY SEEN BUT AT LEAST IN THE PROXIMAL SUPERIOR VENA CAVA. 2. NO EVIDENCE OF PNEUMOTHORAX. 3. SLIGHTLY LOW LUNG VOLUMES WITH BIBASILAR OPACITIES. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 15445640791 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE SUPINE AP VIEW OF THE CHEST DEMONSTRATES AN ENDOTRACHEAL TUBE WITH DISTAL TIP APPROXIMATELY 7 CM PROXIMAL TO THE CARINA. A NASOGASTRIC TUBE IS PRESENT, WITH DISTAL TIP NOT CLEARLY SEEN, BUT FOLLOWED AT LEAST TO THE DISTAL ESOPHAGUS. THERE IS A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER, WITH DISTAL TIP ALSO NOT CLEARLY SEEN BUT AT LEAST IN THE PROXIMAL SUPERIOR VENA CAVA. 2. NO EVIDENCE OF PNEUMOTHORAX. 3. SLIGHTLY LOW LUNG VOLUMES WITH BIBASILAR OPACITIES. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 214835,CheXpert_Demo_Images\valid\patient58217\study1\view1_frontal.jpg,patient58217,"NARRATIVE: SINGLE VIEW OF THE CHEST: 5/30/2008 COMPARISON: 5/30/2008. HISTORY: A 28-year-old female status post line placement. IMPRESSION: 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH THE TIP PROJECTING OVER THE MID SUPERIOR VENA CAVA. INTERVAL INTUBATION WITH THE TIP OF THE ENDOTRACHEAL TUBE PROJECTING 3.5 CM ABOVE THE CARINA. 2. NO PNEUMOTHORAX. CLEAR LUNGS. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH THE TIP PROJECTING OVER THE MID SUPERIOR VENA CAVA. INTERVAL INTUBATION WITH THE TIP OF THE ENDOTRACHEAL TUBE PROJECTING 3.5 CM ABOVE THE CARINA. 2. NO PNEUMOTHORAX. CLEAR LUNGS. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 5505,CheXpert_Demo_Images\valid\patient01371\study1\view1_frontal.jpg,patient01371,"NARRATIVE: CHEST: SEPTEMBER 2015 1952 hours COMPARISON: None. CLINICAL HISTORY: 61 -year-old female with chest pain. IMPRESSION: 1. LUNG VOLUMES ARE LOW. CEPHALIZATION SUGGESTS MILD PULMONARY EDEMA. LEFT LOWER LOBE RETROCARDIAC ATELECTASIS IS PRESENT. END OF IMPRESSION: SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Chaney, Katelyn on: 9-27-15 ACCESSION NUMBER: 03 81 70 2 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. LUNG VOLUMES ARE LOW. CEPHALIZATION SUGGESTS MILD PULMONARY EDEMA. LEFT LOWER LOBE RETROCARDIAC ATELECTASIS IS PRESENT. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Chaney, Katelyn on: 9-27-15 " 123703,CheXpert_Demo_Images\valid\patient29648\study1\view2_lateral.jpg,patient29648,"NARRATIVE: EXAM: Chest 2 Views, 2-26. HISTORY: 40 years Male, Cough / SOB. COMPARISON: NONE. IMPRESSION: 1.FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE AN ENLARGED CARDIOMEDIASTINAL SILHOUETTE. INDISTINCT VASCULATURE MAY REPRESENT MILD PULMONARY EDEMA. 2.NO FOCAL CONSOLIDATION. 3. MULTIPLE ABANDONED HARDWARE LINES AGAIN SEEN SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: LKVG2HS6 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE AN ENLARGED CARDIOMEDIASTINAL SILHOUETTE. INDISTINCT VASCULATURE MAY REPRESENT MILD PULMONARY EDEMA. 2.NO FOCAL CONSOLIDATION. 3. MULTIPLE ABANDONED HARDWARE LINES AGAIN SEEN ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 38527,CheXpert_Demo_Images\valid\patient09455\study1\view1_frontal.jpg,patient09455,"NARRATIVE: Chest 1 View: 8/1/2018 HISTORY: 77 years Male, Acs. COMPARISON: None IMPRESSION: 1.PORTABLE SUPINE FRONTAL CHEST RADIOGRAPH DEMONSTRATES A NORMAL APPEARANCE OF THE CARDIOMEDIASTINAL SILHOUETTE. 2.THERE IS MILD PULMONARY HEMATOMA BUT NO PLEURAL EFFUSION OR PNEUMOTHORAX. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7-0-1-5-4-5-0-6-5-3-0 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PORTABLE SUPINE FRONTAL CHEST RADIOGRAPH DEMONSTRATES A NORMAL APPEARANCE OF THE CARDIOMEDIASTINAL SILHOUETTE. 2.THERE IS MILD PULMONARY HEMATOMA BUT NO PLEURAL EFFUSION OR PNEUMOTHORAX. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 139109,CheXpert_Demo_Images\valid\patient33447\study1\view1_frontal.jpg,patient33447,"NARRATIVE: CHEST RADIOGRAPH: 09/16 PELVIS RADIOGRAPH: 06 16th September COMPARISON: None. CLINICAL HISTORY: Trauma. IMPRESSION: 1. SINGLE PORTABLE SUPINE CHEST RADIOGRAPH TAKEN ON TRAUMA BOARD IS LIMITED. THERE ARE NO LARGE FOCAL PULMONARY CONSOLIDATIONS, PNEUMOTHORAX, OR EFFUSION. CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS APPARENT WIDENING OF THE SUPERIOR MEDIASTINUM WHICH MAY BE ATTRIBUTED TO PORTABLE SUPINE TECHNIQUE. HOWEVER, RECOMMEND CLINICAL CORRELATION FOR MECHANISM OF INJURY AND REPEAT FILM OR CT IF CLINICALLY INDICATED TO EVALUATE FOR VASCULAR INJURY. A MINIMALLY DISPLACED LEFT SEVENTH RIB FRACTURE IS NOTED. 2. SINGLE FRONTAL VIEW OF THE PELVIS TAKEN ON TRAUMA BOARD DEMONSTRATES NO GROSSLY DISPLACED FRACTURE. THERE IS SOMEWHAT LIMITED EVALUATION OF THE SACRUM, WITH SUBTLE IRREGULARITY OF THE RIGHT SACRAL ALA, WHICH COULD REPRESENT ARTIFACT OF POSITIONING. RECOMMEND CLINICAL CORRELATION FOR PAIN. 3. FINDINGS WERE DISCUSSED WITH Violet, Monroe IN THE EMERGENCY ROOM 9/16/2006 AT 1145 HOURS. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION ACCESSION NUMBER: 868760760 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE PORTABLE SUPINE CHEST RADIOGRAPH TAKEN ON TRAUMA BOARD IS LIMITED. THERE ARE NO LARGE FOCAL PULMONARY CONSOLIDATIONS, PNEUMOTHORAX, OR EFFUSION. CARDIAC SILHOUETTE IS WITHIN NORMAL LIMITS. THERE IS APPARENT WIDENING OF THE SUPERIOR MEDIASTINUM WHICH MAY BE ATTRIBUTED TO PORTABLE SUPINE TECHNIQUE. HOWEVER, RECOMMEND CLINICAL CORRELATION FOR MECHANISM OF INJURY AND REPEAT FILM OR CT IF CLINICALLY INDICATED TO EVALUATE FOR VASCULAR INJURY. A MINIMALLY DISPLACED LEFT SEVENTH RIB FRACTURE IS NOTED. 2. SINGLE FRONTAL VIEW OF THE PELVIS TAKEN ON TRAUMA BOARD DEMONSTRATES NO GROSSLY DISPLACED FRACTURE. THERE IS SOMEWHAT LIMITED EVALUATION OF THE SACRUM, WITH SUBTLE IRREGULARITY OF THE RIGHT SACRAL ALA, WHICH COULD REPRESENT ARTIFACT OF POSITIONING. RECOMMEND CLINICAL CORRELATION FOR PAIN. 3. FINDINGS WERE DISCUSSED WITH Violet, Monroe IN THE EMERGENCY ROOM 9/16/2006 AT 1145 HOURS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION " 53209,CheXpert_Demo_Images\valid\patient12972\study1\view1_frontal.jpg,patient12972,"NARRATIVE: COMPARISON: None. CLINICAL HISTORY: HCC. Pulmonary edema. IMPRESSION: 1. CARDIOMEGALY. 2. VERTICAL RECTANGULAR OPACITIES SEEN IN THE LEFT PARAVERTEBRAL REGION PROBABLY REPRESENTING OBJECT EXTERNAL TO PATIENT'S BODY. PLEASE CORRELATE CLINICALLY. 3. NO EVIDENCE OF PULMONARY EDEMA, FRANK INFILTRATES, OR PLEURAL EFFUSIONS. END OF IMPRESSION SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Singh Chance, Dr. on: 7/10/2020 ACCESSION NUMBER: F17M This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. CARDIOMEGALY. 2. VERTICAL RECTANGULAR OPACITIES SEEN IN THE LEFT PARAVERTEBRAL REGION PROBABLY REPRESENTING OBJECT EXTERNAL TO PATIENT'S BODY. PLEASE CORRELATE CLINICALLY. 3. NO EVIDENCE OF PULMONARY EDEMA, FRANK INFILTRATES, OR PLEURAL EFFUSIONS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Singh Chance, Dr. on: 7/10/2020 " 208488,CheXpert_Demo_Images\valid\patient54266\study1\view1_frontal.jpg,patient54266,"NARRATIVE: CHEST, ONE VIEW: 6-11-2012 See Impression. COMPARISON: There are no prior films for comparison. IMPRESSION: AP PORTABLE CHEST SHOWS SOMEWHAT LOW LUNG VOLUMES, BUT NO FOCAL CONSOLIDATION, EDEMA, OR EFFUSIONS. HEART SIZE IS UPPER LIMITS OF NORMAL FOR AN AP PROJECTION. END OF IMPRESSION. SUMMARY: 1 NO SIGNIFICANT ABNORMALITY ACCESSION NUMBER: #QR5AXO This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," AP PORTABLE CHEST SHOWS SOMEWHAT LOW LUNG VOLUMES, BUT NO FOCAL CONSOLIDATION, EDEMA, OR EFFUSIONS. HEART SIZE IS UPPER LIMITS OF NORMAL FOR AN AP PROJECTION. "," 1 NO SIGNIFICANT ABNORMALITY " 196652,CheXpert_Demo_Images\valid\patient48203\study1\view1_frontal.jpg,patient48203,"NARRATIVE: Chest 1 View: 12-21-2006 HISTORY: 65 years Male, evaluate pulmonary edema. COMPARISON: 12/21/06. IMPRESSION: 1.PORTABLE AP SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES A RIGHT UPPER EXTREMITY PICC THAT APPEARS UNCHANGED FROM THE PRIOR EXAM. 2.MINIMAL IMPROVEMENT IN THE PREVIOUSLY SEEN PULMONARY EDEMA. CARDIOMEGALY, LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS AND A LEFT LUNG BASE OPACITY APPEARS STABLE. SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7791230615 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.PORTABLE AP SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES A RIGHT UPPER EXTREMITY PICC THAT APPEARS UNCHANGED FROM THE PRIOR EXAM. 2.MINIMAL IMPROVEMENT IN THE PREVIOUSLY SEEN PULMONARY EDEMA. CARDIOMEGALY, LEFT GREATER THAN RIGHT PLEURAL EFFUSIONS AND A LEFT LUNG BASE OPACITY APPEARS STABLE. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agreed with the report transcribed above. " 97481,CheXpert_Demo_Images\valid\patient23500\study2\view1_frontal.jpg,patient23500,"NARRATIVE: EXAM: Chest 1 View, 1/9/2004 CLINICAL HISTORY: Shortness of breath COMPARISON: 1/9/2004 IMPRESSION: 1.SINGLE FRONTAL CHEST XRAY DEMONSTRATES SEVERE DEXTROSCOLIOSIS WITH LIMITS EVALUATION OF THE THORAX. REDEMONSTRATION OF POSTERIOR SPINAL HARDWARE WITH POSSIBLE DISCONTINUITIES AT THE LEVEL OF THE MID THORAX, UNCHANGED FROM PRIOR. REDEMONSTRATION OF SURGICAL CLIPS PROJECTING OVER THE RIGHT HILUM AND RIGHT LUNG APEX. 2.PERSISTENT GROUNDGLASS OPACITIES IN BOTH LUNGS OBSCURES VISUALIZATION OF THE VESSELS. CENTRILOBULAR NODULARITY MAY BE REPRESENT OF PULMONARY EDEMA. TO ASSESS INTERSTITIAL LUNG DISEASE, CONSIDER FOR THE EVALUATION WITH CT CHEST.. SUMMARY:4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 496937 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.SINGLE FRONTAL CHEST XRAY DEMONSTRATES SEVERE DEXTROSCOLIOSIS WITH LIMITS EVALUATION OF THE THORAX. REDEMONSTRATION OF POSTERIOR SPINAL HARDWARE WITH POSSIBLE DISCONTINUITIES AT THE LEVEL OF THE MID THORAX, UNCHANGED FROM PRIOR. REDEMONSTRATION OF SURGICAL CLIPS PROJECTING OVER THE RIGHT HILUM AND RIGHT LUNG APEX. 2.PERSISTENT GROUNDGLASS OPACITIES IN BOTH LUNGS OBSCURES VISUALIZATION OF THE VESSELS. CENTRILOBULAR NODULARITY MAY BE REPRESENT OF PULMONARY EDEMA. TO ASSESS INTERSTITIAL LUNG DISEASE, CONSIDER FOR THE EVALUATION WITH CT CHEST.. ","4-POSSIBLY SIGNIFICANT FINDING, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 76967,CheXpert_Demo_Images\valid\patient18504\study1\view1_frontal.jpg,patient18504,"NARRATIVE: SINGLE VIEW OF THE CHEST: 9/13/2018 CLINICAL HISTORY: A 39-year-old female status post central line placement intraoperatively. COMPARISON: None. IMPRESSION: 1. THERE IS A LEFT SUBCLAVIAN LINE WITH THE TIP IN THE SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. SLIGHT RETROCARDIAC OPACITY. THE LUNGS ARE OTHERWISE CLEAR. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 4-2-8-3-7-4-5-6-1-4 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE IS A LEFT SUBCLAVIAN LINE WITH THE TIP IN THE SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. SLIGHT RETROCARDIAC OPACITY. THE LUNGS ARE OTHERWISE CLEAR. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 199768,CheXpert_Demo_Images\valid\patient49522\study1\view1_frontal.jpg,patient49522,"NARRATIVE: SINGLE PORTABLE VIEW OF THE CHEST: 3-2-2011 COMPARISON: Comparison is made to the examination of 3/2/2011. FINDINGS/IMPRESSION: 1.IN COMPARISON TO THE PREVIOUS EXAMINATION, THERE CONTINUES TO BE DIFFUSE INCREASE IN INTERSTITIAL AND AIR SPACE OPACITIES INVOLVING THE BILATERAL LOWER AS WELL AS THE BILATERAL MID LUNG FIELDS. 2. INTERVAL INCREASE IN AIR SPACE OPACITY INVOLVING THE LEFT PERIPHERAL MID LUNG ZONE AS WELL AS INCREASED INTERSTITIAL MARKINGS WITHIN THE BILATERAL UPPER LUNGS. THIS MAY REPRESENT INTERVAL DEVELOPMENT OF SUPERIMPOSED PULMONARY EDEMA; HOWEVER, AN INFECTIOUS PROCESS CANNOT BE RULED OUT. END OF IMPRESSION: SUMMARY 4: Possible Significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Rebekah, Dr. on: 03/2011 __________________________________ ACCESSION NUMBER: 6184498 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",/," 1.IN COMPARISON TO THE PREVIOUS EXAMINATION, THERE CONTINUES TO BE DIFFUSE INCREASE IN INTERSTITIAL AND AIR SPACE OPACITIES INVOLVING THE BILATERAL LOWER AS WELL AS THE BILATERAL MID LUNG FIELDS. 2. INTERVAL INCREASE IN AIR SPACE OPACITY INVOLVING THE LEFT PERIPHERAL MID LUNG ZONE AS WELL AS INCREASED INTERSTITIAL MARKINGS WITHIN THE BILATERAL UPPER LUNGS. THIS MAY REPRESENT INTERVAL DEVELOPMENT OF SUPERIMPOSED PULMONARY EDEMA; HOWEVER, AN INFECTIOUS PROCESS CANNOT BE RULED OUT. "," 4: Possible Significant abnormality/change, may need action. I have personally reviewed the images for this examination and agree with the report transcribed above. By: Rebekah, Dr. on: 03/2011 __________________________________ " 84685,CheXpert_Demo_Images\valid\patient20369\study5\view1_frontal.jpg,patient20369,"NARRATIVE: CHEST: 8-29-2014. CLINICAL HISTORY: A 79-year-old-male with chest tube on clamp trial. COMPARISON: Chest x-ray 8-29-2014. IMPRESSION: 1. STABLE RIGHT-SIDED CHEST TUBE WITH LARGE RIGHT-SIDED PNEUMOTHORAX, WITH SIGNIFICANT INCREASE IN BASILAR COMPONENT. 2. INTERVAL INCREASE IN SUBCUTANEOUS EMPHYSEMA. 3. STABLE LEFT LUNG ZONE OPACITY AND CARDIOMEGALY. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 7266310295 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. STABLE RIGHT-SIDED CHEST TUBE WITH LARGE RIGHT-SIDED PNEUMOTHORAX, WITH SIGNIFICANT INCREASE IN BASILAR COMPONENT. 2. INTERVAL INCREASE IN SUBCUTANEOUS EMPHYSEMA. 3. STABLE LEFT LUNG ZONE OPACITY AND CARDIOMEGALY. "," 4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. " 53531,CheXpert_Demo_Images\valid\patient13036\study1\view2_lateral.jpg,patient13036,"NARRATIVE: TWO VIEWS OF THE CHEST: 11-25-2006. COMPARISON: 06-11. CLINICAL HISTORY: A 61-year-old male, rule out pneumonia. IMPRESSION: 1. FRONTAL AND LATERAL VIEWS OF THE CHEST ARE TAKEN WITH LOW LUNG VOLUMES. THERE IS AN AREA OF ILL-DEFINED OPACITY WITHIN THE LEFT LOWER LOBE WHICH IS CONCERNING FOR EARLY CONSOLIDATION. 2. NO PLEURAL EFFUSION. 3. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4. OLD LEFT HUMERAL FRACTURE. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: pXzerePE This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. FRONTAL AND LATERAL VIEWS OF THE CHEST ARE TAKEN WITH LOW LUNG VOLUMES. THERE IS AN AREA OF ILL-DEFINED OPACITY WITHIN THE LEFT LOWER LOBE WHICH IS CONCERNING FOR EARLY CONSOLIDATION. 2. NO PLEURAL EFFUSION. 3. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 4. OLD LEFT HUMERAL FRACTURE. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 157741,CheXpert_Demo_Images\valid\patient36970\study2\view1_frontal.jpg,patient36970,"NARRATIVE: CHEST: COMPARISON: 2018, MAY 24 IMPRESSION: 1. INTERVAL PLACEMENT LEFT PICC LINE, WHICH TERMINATES APPROXIMATELY 33 MM. ABOVE THE CAVOATRIAL JUNCTION. 2. PERSISTENT BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT. RIGHT EFFUSION MAY NOW HAVE A LOCULATED VERSUS SUBPULMONIC COMPONENT. ASSOCIATED BIBASILAR ATELECTASIS AND/OR COMPONENTS OF CONSOLIDATION. MINIMAL PULMONARY EDEMA. STATUS POST- LUMBAR SPINE INSTRUMENT ROD AND SCREW FIXATION. END OF IMPRESSION: ACCESSION NUMBER: 67 57 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. INTERVAL PLACEMENT LEFT PICC LINE, WHICH TERMINATES APPROXIMATELY 33 MM. ABOVE THE CAVOATRIAL JUNCTION. 2. PERSISTENT BILATERAL PLEURAL EFFUSIONS, RIGHT GREATER THAN LEFT. RIGHT EFFUSION MAY NOW HAVE A LOCULATED VERSUS SUBPULMONIC COMPONENT. ASSOCIATED BIBASILAR ATELECTASIS AND/OR COMPONENTS OF CONSOLIDATION. MINIMAL PULMONARY EDEMA. STATUS POST- LUMBAR SPINE INSTRUMENT ROD AND SCREW FIXATION. ", 15653,CheXpert_Demo_Images\valid\patient03921\study3\view1_frontal.jpg,patient03921,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 4/5/2004 CLINICAL HISTORY: 59 years of age, Female, Per BMT Protocol. COMPARISON: 4-5-04 PROCEDURE COMMENTS: Two views of the chest. FINDINGS: Right central venous catheter terminates near cavoatrial junction. Right IJ CVC has been removed. Cardiomediastinal silhouette is normal. No focal parenchymal opacities. Pulmonary vasculature is normal. Right pleural effusion has resolved.Trace left pleural effusion remains. No pneumothorax. IMPRESSION: 1. Trace left pleural effusion. ""Physician to Physician Radiology Consult Line: (126) 711-2611"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: X830G995434 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Right central venous catheter terminates near cavoatrial junction. Right IJ CVC has been removed. Cardiomediastinal silhouette is normal. No focal parenchymal opacities. Pulmonary vasculature is normal. Right pleural effusion has resolved.Trace left pleural effusion remains. No pneumothorax. "," 1. Trace left pleural effusion. ""Physician to Physician Radiology Consult Line: (126) 711-2611"" I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 188491,CheXpert_Demo_Images\valid\patient45039\study1\view1_frontal.jpg,patient45039,"NARRATIVE: SINGLE VIEW OF THE CHEST: 9/17/10 drugstars 1428 HOURS CLINICAL HISTORY: A 72-year-old male, intubated. COMPARISON: 9/17/2010 IMPRESSION: 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL INTUBATION WITH THE TIP OF THE ENDOTRACHEAL TUBE PROJECTING 5 MM ABOVE THE CARINA. A RIGHT IJ SHEATH WITH CATHETER TERMINATES IN THE MID SVC. A MEDIASTINAL DRAIN IS NOW PRESENT, AND MEDIAN STERNOTOMY WIRES ARE EVIDENT. NO EVIDENCE OF PNEUMOTHORAX. 2. INTERVAL DEVELOPMENT OF LEFT LOWER LOBE ATELECTASIS AND SMALL LEFT PLEURAL EFFUSION. SUMMARY:4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 935_017_615_3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL INTUBATION WITH THE TIP OF THE ENDOTRACHEAL TUBE PROJECTING 5 MM ABOVE THE CARINA. A RIGHT IJ SHEATH WITH CATHETER TERMINATES IN THE MID SVC. A MEDIASTINAL DRAIN IS NOW PRESENT, AND MEDIAN STERNOTOMY WIRES ARE EVIDENT. NO EVIDENCE OF PNEUMOTHORAX. 2. INTERVAL DEVELOPMENT OF LEFT LOWER LOBE ATELECTASIS AND SMALL LEFT PLEURAL EFFUSION. ","4-POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agreed with the report transcribed above. " 212721,CheXpert_Demo_Images\valid\patient56911\study1\view1_frontal.jpg,patient56911,"NARRATIVE: PORTABLE CHEST, ONE VIEW: 1/29/04 AT 0505 HOURS. CLINICAL HISTORY: Obstructive jaundice. COMPARISON: 1/29/2004. IMPRESSION: 1. REDEMONSTRATION OF CATHETER, RIGHT UPPER QUADRANT DRAIN, AND NASOGASTRIC TUBE, TIP NOT VISUALIZED. 2. PERSISTENT LOW LUNG VOLUMES WITH INTERVAL INCREASED RIGHT PLEURAL EFFUSION. 3. PERSISTENT BIBASILAR DENSITIES, MOST LIKELY REPRESENT ATELECTASIS. 4. CARDIOMEDIASTINAL SILHOUETTE, UNCHANGED IN APPEARANCE. END OF IMPRESSION: I have personally reviewed the images for this examination and agree with the report transcribed above. By: OMAR, JOYCE on: 01-29-04 ACCESSION NUMBER: 562 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. REDEMONSTRATION OF CATHETER, RIGHT UPPER QUADRANT DRAIN, AND NASOGASTRIC TUBE, TIP NOT VISUALIZED. 2. PERSISTENT LOW LUNG VOLUMES WITH INTERVAL INCREASED RIGHT PLEURAL EFFUSION. 3. PERSISTENT BIBASILAR DENSITIES, MOST LIKELY REPRESENT ATELECTASIS. 4. CARDIOMEDIASTINAL SILHOUETTE, UNCHANGED IN APPEARANCE. ", 218802,CheXpert_Demo_Images\valid\patient60606\study1\view2_lateral.jpg,patient60606,"NARRATIVE: TWO VIEWS OF THE CHEST: 5/4/2001. COMPARISON: No priors. CLINICAL HISTORY: A 73-year-old male with postop fever. IMPRESSION: 1. TWO VIEWS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE WITH NO EVIDENCE OF CONSOLIDATION, EFFUSION, OR PNEUMOTHORAX. A POSSIBLE GRANULOMA IS SEEN IN THE RIGHT LUNG BASE. PULMONARY VASCULARITY IS WITHIN NORMAL LIMITS. 2. NO ACUTE OSSEOUS ABNORMALITY. SUMMARY:1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: njBx This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. TWO VIEWS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE WITH NO EVIDENCE OF CONSOLIDATION, EFFUSION, OR PNEUMOTHORAX. A POSSIBLE GRANULOMA IS SEEN IN THE RIGHT LUNG BASE. PULMONARY VASCULARITY IS WITHIN NORMAL LIMITS. 2. NO ACUTE OSSEOUS ABNORMALITY. ","1-NO SIGNIFICANT ABNORMALITY I have personally reviewed the images for this examination and agreed with the report transcribed above. " 104359,CheXpert_Demo_Images\valid\patient25081\study1\view1_frontal.jpg,patient25081,"NARRATIVE: CHEST, SINGLE VIEW: 7/31/2005 COMPARISON: 7-31-05 at 1:34 hours. IMPRESSION: 1. THERE IS A DOUBLE LUMEN ENDOTRACHEAL TUBE WITH THE TIP ABOVE THE CARINA IN PLACE. 2. AN NG TUBE IS LOOPED IN THE DISTAL ESOPHAGUS WITH THE TIP IN THE MID ESOPHAGUS. 3. RIGHT IJ LINE, RIGHT IJ SHEATH WITH A SWAN-GANZ CATHETER WITH THE TIP IN THE OUTFLOW TRACT OF THE RIGHT VENTRICLE OR PROXIMAL MAIN PULMONARY ARTERY. TWO RIGHT CHEST TUBES. 4. STATUS POST INTERVAL RIGHT LUNG TRANSPLANT. THE RIGHT TRANSPLANT LUNG IS WELL AERATED AND EXPANDED. THERE IS NO DEFINITE PNEUMOTHORAX SEEN. 5. THE LEFT LUNG IS SMALL AND REDEMONSTRATES ADVANCED CHANGES CONSISTENT WITH PULMONARY FIBROSIS. END OF IMPRESSION: SUMMARY 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. ACCESSION NUMBER: 934501741 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. THERE IS A DOUBLE LUMEN ENDOTRACHEAL TUBE WITH THE TIP ABOVE THE CARINA IN PLACE. 2. AN NG TUBE IS LOOPED IN THE DISTAL ESOPHAGUS WITH THE TIP IN THE MID ESOPHAGUS. 3. RIGHT IJ LINE, RIGHT IJ SHEATH WITH A SWAN-GANZ CATHETER WITH THE TIP IN THE OUTFLOW TRACT OF THE RIGHT VENTRICLE OR PROXIMAL MAIN PULMONARY ARTERY. TWO RIGHT CHEST TUBES. 4. STATUS POST INTERVAL RIGHT LUNG TRANSPLANT. THE RIGHT TRANSPLANT LUNG IS WELL AERATED AND EXPANDED. THERE IS NO DEFINITE PNEUMOTHORAX SEEN. 5. THE LEFT LUNG IS SMALL AND REDEMONSTRATES ADVANCED CHANGES CONSISTENT WITH PULMONARY FIBROSIS. "," 4: POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION. " 182716,CheXpert_Demo_Images\valid\patient43152\study1\view1_frontal.jpg,patient43152,"NARRATIVE: PORTABLE CHEST, 10/22/2003 COMPARISON: There are no prior films available for comparison. CLINICAL HISTORY: Evaluate for chest pain. FINDINGS: There is bibasilar atelectasis. No focal consolidation. The cardiomediastinal silhouette appears grossly within normal limits. The study is somewhat limited by motion. IMPRESSION: 1. BIBASILAR ATELECTASIS. NO FOCAL CONSOLIDATION. 2. THE CARDIOMEDIASTINAL SILHOUETTE APPEARS GROSSLY WITHIN NORMAL LIMITS. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: ARIAH MORAN, APNP on: 10/22/2003 ACCESSION NUMBER: 56637 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," There is bibasilar atelectasis. No focal consolidation. The cardiomediastinal silhouette appears grossly within normal limits. The study is somewhat limited by motion. "," 1. BIBASILAR ATELECTASIS. NO FOCAL CONSOLIDATION. 2. THE CARDIOMEDIASTINAL SILHOUETTE APPEARS GROSSLY WITHIN NORMAL LIMITS. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: ARIAH MORAN, APNP on: 10/22/2003 " 207318,CheXpert_Demo_Images\valid\patient53542\study1\view1_frontal.jpg,patient53542,"NARRATIVE: AP PORTABLE SEMI-UPRIGHT IMAGE OF THE CHEST: 12/20/2018 AT 1949 HOURS. COMPARISON: Image of the chest obtained 12/20/2018. IMPRESSION: 1. EXAMINATION IS LIMITED DUE TO POOR ROTATION AND POSITIONING OF THE PATIENT. INTERVAL REMOVAL OF A LEFT SIDED PICC LINE WITH NO EVIDENCE OF PNEUMOTHORAX. MILD PULMONARY EDEMA. STABLE CARDIOMEDIASTINAL SILHOUETTE. NO EVIDENCE FOR EFFUSION. END OF IMPRESSION: SUMMARY:2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Holly, M.D. on: 12/20/2018 ACCESSION NUMBER: 285514520 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. EXAMINATION IS LIMITED DUE TO POOR ROTATION AND POSITIONING OF THE PATIENT. INTERVAL REMOVAL OF A LEFT SIDED PICC LINE WITH NO EVIDENCE OF PNEUMOTHORAX. MILD PULMONARY EDEMA. STABLE CARDIOMEDIASTINAL SILHOUETTE. NO EVIDENCE FOR EFFUSION. ","2-ABNORMAL, PREVIOUSLY REPORTED I have personally reviewed the images for this examination and agree with the report transcribed above. By: Holly, M.D. on: 12/20/2018 " 151522,CheXpert_Demo_Images\valid\patient35811\study5\view1_frontal.jpg,patient35811,"NARRATIVE: CHEST ONE VIEW: 6/20/13. COMPARISON: 6/20/2013. IMPRESSION: 1. SIGNIFICANT INCREASE IN SIZE OF THE RIGHT PLEURAL EFFUSION AND POSSIBLE MILD PULMONARY EDEMA. 2. LINES AND TUBES UNCHANGED. 3. Hendrix William, MD WAS INFORMED OF THIS FINDING AT 10:40 A.M. ON 6/20/13. END OF IMPRESSION: SUMMARY: 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Pace Sara, Dr. on: JUNE 2013 ACCESSION NUMBER: #754133K061 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1. SIGNIFICANT INCREASE IN SIZE OF THE RIGHT PLEURAL EFFUSION AND POSSIBLE MILD PULMONARY EDEMA. 2. LINES AND TUBES UNCHANGED. 3. Hendrix William, MD WAS INFORMED OF THIS FINDING AT 10:40 A.M. ON 6/20/13. "," 4 POSSIBLE SIGNIFICANT FINDINGS, MAY NEED ACTION I have personally reviewed the images for this examination and agree with the report transcribed above. By: Pace Sara, Dr. on: JUNE 2013 " 152871,CheXpert_Demo_Images\valid\patient36061\study2\view1_frontal.jpg,patient36061,"NARRATIVE: RADIOGRAPHIC EXAMINATION OF THE CHEST: 5/16/2013 CLINICAL HISTORY: 79 years of age, Female, Chest tube. COMPARISON: 5/16/2013 PROCEDURE COMMENTS: Single view of the chest. FINDINGS: Similar appearance of the 2 left chest wall AICD pacer, prosthetic aortic valve, CABG clips, sternotomy wires and lumbar fusion hardware. Tiny left apical pneumothorax. Persistent left lower lung opacity, which may represent atelectasis or consolidation. Likely small left pleural effusion again seen.. IMPRESSION: 1. Tiny left apical pneumothorax with persistent left pleural effusion and left lower lung opacity which may represent atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: AABIDZDDCTPA This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient."," Similar appearance of the 2 left chest wall AICD pacer, prosthetic aortic valve, CABG clips, sternotomy wires and lumbar fusion hardware. Tiny left apical pneumothorax. Persistent left lower lung opacity, which may represent atelectasis or consolidation. Likely small left pleural effusion again seen.. "," 1. Tiny left apical pneumothorax with persistent left pleural effusion and left lower lung opacity which may represent atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above. ", 115034,CheXpert_Demo_Images\valid\patient27618\study1\view1_frontal.jpg,patient27618,"NARRATIVE: Chest 1 View, 4-4-01 HISTORY: 53 years Female, Fall COMPARISON: None IMPRESSION: 1.POSTERIOR RIGHT FIRST RIB FRACTURE, WITH ASSOCIATED RIGHT APICAL PLEURAL FLUID. NO PNEUMOTHORAX NOTED. 2.ASIDE FROM THE RIGHT APICAL FLUID, LUNGS ARE CLEAR. 3.CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. 4.KNOWN T9 AND T11 COMPRESSION FRACTURES NOT WELL VISUALIZED ON THIS FILM. SUMMARY: 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. ACCESSION NUMBER: 1668 3132 3 This report has been anonymized. All dates are offset from the actual dates by a fixed interval associated with the patient.",," 1.POSTERIOR RIGHT FIRST RIB FRACTURE, WITH ASSOCIATED RIGHT APICAL PLEURAL FLUID. NO PNEUMOTHORAX NOTED. 2.ASIDE FROM THE RIGHT APICAL FLUID, LUNGS ARE CLEAR. 3.CARDIOMEDIASTINAL SILHOUETTE IS NORMAL. 4.KNOWN T9 AND T11 COMPRESSION FRACTURES NOT WELL VISUALIZED ON THIS FILM. "," 4-POSSIBLE SIGNIFICANT FINDING, MAY NEED ACTION. I have personally reviewed the images for this examination and agreed with the report transcribed above. "