RadEval
Collection
3 items
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Updated
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2
Dataset Viewer
annotator
string | type
string | ground_truth
string | prediction2
string | annotation2
string | prediction3
string | annotation3
string | prediction1
string | annotation1
string | images_path
string |
|---|---|---|---|---|---|---|---|---|---|
Julie
|
finding
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The left lower lobe pneumonia has resolved. Median sternotomy wires and pacer are noted. Moderate cardiomegaly is unchanged.
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As compared to the previous radiograph, the patient has received a left pectoral pacemaker. The course of the leads is unremarkable, one lead projects over the right atrium, the other one is located in the right ventricle. There is no evidence of complications, notably no pneumothorax. Unchanged appearance of the cardiac silhouette and of the lung parenchyma.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 2
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The patient is status post previous median sternotomy and aortic valve replacement. Heart is upper limits of normal in size and demonstrates left ventricular configuration. Aorta is diffusely calcified. Pulmonary vascularity is normal. Lungs are hyperexpanded with biapical hyperlucency and emphysematous changes. Patchy bibasilar opacities may reflect atelectasis, but aspiration and infectious pneumonia are additional considerations. Small pleural effusions are present bilaterally. Bones are diffusely demineralized, and note is made of mild compression deformity at the thoracolumbar junction, which is age indeterminate.
|
Significant
1. False prediction of finding: 7
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Mid-sternotomy cerclage. Bicameral pacemaker with electrodes in the right atrium and right ventricle. Radiological signs of COPD. No appreciable pulmonary parenchymal infiltrates or condensations.
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Significant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg,mimic-cxr-images-512/files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg
|
Julie
|
finding
|
Shallow inspiration. Bibasilar opacities, likely atelectasis. Tiny right pleural effusion. No pneumothorax. Borderline heart size, pulmonary vascularity, accentuated by shallow inspiration.
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1. left basilar opacity, likely atelectasis, with a small left pleural effusion. 2. mild pulmonary vascular congestion.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 2
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
1. low lung volumes with right basilar atelectasis and small right pleural effusion. 2. mild pulmonary vascular congestion.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. A band-like area of atelectasis is present in the left lower lobe, and there are additional patchy and linear foci of atelectasis at both lung bases. No pleural effusion or pneumothorax.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p13/p13312840/s57623556/222de94a-617f5cad-684d59ce-8ddd536c-aa8aa84a.jpg
|
Julie
|
finding
|
Cardiac silhouette remains enlarged and is accompanied by persistent pulmonary vascular congestion and interstitial edema. Patchy bibasilar atelectasis also appears similar compared to the prior study.
|
Lung volumes are low, accentuating the cardiac silhouette and bronchovascular structures. With this limitation in mind, there is likely mild pulmonary vascular congestion accompanied by minimal interstitial edema. No confluent areas of consolidation are evident to suggest the presence of pneumonia, but standard PA and lateral chest radiographs may be helpful for more complete evaluation of the lungs when the patient's condition permits.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Lung volumes are low, accentuating the cardiac silhouette and bronchovascular structures. Even allowing for this factor, cardiac silhouette is enlarged, and accompanied by pulmonary vascular congestion and interstitial edema. Patchy bibasilar atelectasis is present, and note is also made of a questionable small right pleural effusion.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 2
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged. Aorta is tortuous and calcified. Lung volumes are low, accentuating the bronchovascular structures. Patchy and linear opacities at the left lung base are suggestive of atelectasis. Aspiration or infectious pneumonia are also possible in the appropriate clinical setting. Followup radiographs may be helpful in this regard.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p10/p10975446/s58917552/34058be0-81c50b36-9b2c0874-23eca60a-7789a943.jpg
|
Julie
|
finding
|
Right PICC terminates at in mid SVC. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Cervical spine hardware is partially included.
|
the right picc line terminates in the low svc. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Right PICC terminates in the lower superior vena cava. Heart size, mediastinal and hilar contours are normal. Lungs are well expanded and clear. There are no pleural effusions or acute skeletal findings.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Right PICC line has been repositioned and the tip is now ending at lower SVC. Both lungs are well expanded without any lung opacities of concern. Heart size, mediastinal and hilar contours are normal. There is no pleural effusion.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p15/p15114531/s59942551/4e536fbd-1d3c1f99-c3494ba6-918a4177-3e3b72ff.jpg,mimic-cxr-images-512/files/p15/p15114531/s59942551/63613222-d2216c2e-d4ff5b88-43805695-99256e40.jpg
|
Julie
|
finding
|
There is a new endotracheal tube seen with tip approximately 6.7 cm from the carina. Otherwise, there has been no significant interval change of diffuse bilateral parenchymal opacities.
|
The lungs are clear. The cardiac silhouette is not enlarged. There is no pleural effusion or pneumothorax. Compared to the prior study, there is no significant interval change.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
1. endotracheal tube terminates 2. 5 cm above the carina. 2. mild pulmonary vascular congestion.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Endotracheal tube is in standard position, and cardiac silhouette is normal in size. Pulmonary vascular congestion is accompanied by bilateral perihilar haziness and peripheral interstitial opacities, which may reflect interstitial edema, but differential diagnosis includes atypical pneumonia and pulmonary hemorrhage in the appropriate clinical settings. Small pleural effusions are also noted.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p17/p17483408/s52798138/aaff472f-e41c0470-87efd349-ba763de2-55568bd8.jpg
|
Julie
|
finding
|
In comparison with study of ___, the Port-A-Cath has turned on itself so that it extends into the right jugular and then has its tip pointing downward. Lungs are clear.
|
In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
In comparison with the study of ___, there has been placement of a right subclavian PICC line that extends to the mid to lower portion of the SVC. No evidence of acute cardiopulmonary disease.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Right subclavian Port-A-Catheter terminates in the proximal superior vena cava, with no evidence of pneumothorax. Cardiomediastinal contours are normal. Lungs and pleural surfaces are clear.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 2
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p14/p14798972/s51217938/5c2bc160-a56ea402-02315775-00bb383c-8df68576.jpg,mimic-cxr-images-512/files/p14/p14798972/s51217938/e7e11d70-ad1261ad-0cd35368-cb80144c-969cfe02.jpg
|
Julie
|
finding
|
AP portable upright chest radiograph was provided. The lungs are hyperinflated with upper lobe lucency compatible with emphysema. No focal consolidation, effusion, or pneumothorax seen. Cardiomediastinal silhouette is normal. Bony structures are intact.
|
In comparison with the study of ___, there is little overall change. Again there is hyperexpansion of the lungs consistent with emphysema. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Of incidental note is an old healed fracture of the distal right clavicle.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 2
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
AP portable upright view of the chest. Overlying EKG leads are present. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size, mediastinal and hilar contours are normal. Lungs are markedly overexpanded with flattening of hemidiaphragms suggesting COPD. No focal areas of consolidation are present within the lungs, and there are no pleural effusions or pneumothoraces.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p11/p11052935/s58831403/2528f6e5-586bb3a0-e00e7283-5c594954-fe27b052.jpg
|
Julie
|
finding
|
Heart size is normal. Previously present pulmonary edema has nearly completely resolved with only minimal residual interstitial edema remaining. Pleural effusions have also decreased in size with small effusions remaining, left greater than right.
|
In comparison with the study of ___, there is little overall change. Again there is hyperexpansion of the lungs consistent with the clinical diagnosis of COPD. Cardiac silhouette is at the upper limits of normal in size or slightly enlarged. No definite vascular congestion or acute focal pneumonia. Blunting of the left costophrenic angle could reflect pleural thickening or small pleural effusion.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 2
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 2
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size, mediastinal and hilar contours are normal. Small bilateral pleural effusions are present, left greater than right, with adjacent basilar atelectasis. Lungs are otherwise clear except for biapical pleural and parenchymal scarring. Bones are diffusely demineralized, and note is made of mild compression deformities in the mid thoracic spine, likely of chronic etiology.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart is upper limits of normal in size. Pulmonary vascularity is normal. Lungs are clear except for minimal linear atelectasis at the left lung base. Small left pleural effusion is present. Bones are diffusely demineralized, and note is made of a mild compression deformity in the upper lumbar spine, present on a scout image from a CT of the chest dated _.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p16/p16772702/s55845276/9470e916-1ba08135-e208f625-63d7a64b-2a009f98.jpg
|
Julie
|
finding
|
Frontal and lateral chest radiographdemonstrates well expanded lungs. No CHF, focal infiltrate, pleural effusion or pneumothorax detected. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
|
Single portable chest radiograph was obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Chest x-ray. Lungs are clear. No pleural effusion or pneumothorax. Heart size, mediastinal contours, and hilar contours are within normal limits for age. No focal consolidations are present.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 1
|
Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. No acute skeletal findings.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p17/p17528941/s54238531/f9f2ec75-f28ac7f6-8e57221d-248fc115-82a9a1e0.jpg,mimic-cxr-images-512/files/p17/p17528941/s54238531/a105a3d9-7ee8bcfd-6682d246-26c97cb4-e6caa2d5.jpg
|
Julie
|
finding
|
Degree of cardiomegaly is similar. Atherosclerotic calcifications are again noted at the aortic arch. Engorged central pulmonary vessels are again seen without evidence of overt pulmonary edema. Retrocardiac region is likely obscured due to overlying soft tissues.
|
There is no focal consolidation, pleural effusion or pneumothorax. The heart is enlarged. The aorta is tortuous and calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact. No free air is seen under the hemidiaphragms.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged and accompanied by pulmonary vascular congestion and minimal interstitial edema. Patchy bibasilar opacities may reflect atelectasis, aspiration, and less likely infectious pneumonia. Followup radiographs after treatment would be helpful to document resolution if warranted clinically.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is markedly enlarged with a somewhat globular configuration. This could reflect cardiomegaly and/or pericardial effusion. Pulmonary vascularity is within normal limits allowing for accentuation by low lung volumes and portable technique. Patchy and linear opacities at the bases probably represent atelectasis. Aspiration and early pneumonia are additional considerations, and followup radiographs may be helpful in this regard. Small pleural effusions are also noted.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p15/p15131736/s50740166/96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85.jpg
|
Julie
|
finding
|
As compared to a previous radiograph, the tube is still relatively high and could be advanced by 1 to 2 cm. Unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and mild cardiomegaly. The nasogastric tube shows normal course.
|
Endotracheal tube and nasogastric tube are in standard position, and cardiomediastinal contours are within normal limits for technique. Mild pulmonary vascular congestion is accompanied by minimal interstitial edema. Bilateral pleural effusions are present, small-to-moderate on the right and small on the left. Dense left retrocardiac opacity favors atelectasis, but coexisting infectious consolidation is possible in the appropriate clinical setting. Followup radiographs after diuresis may be helpful in this regard.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 4
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
In comparison with the study of ___, the monitoring and support devices remain in place. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be considered.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 3
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Interval placement of nasogastric tube, terminating within the stomach. Cardiac silhouette is mildly enlarged accompanied by pulmonary vascular congestion and mild edema. Small-to-moderate bilateral pleural effusions are present with adjacent basilar atelectasis.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p12/p12185775/s59700205/b9ff10af-33a535a6-4ffd1888-a0611f65-784a39da.jpg
|
Julie
|
finding
|
No previous images. There is mild hyperexpansion of the lungs, suggesting some underlying chronic pulmonary disease. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion. Of incidental note is an old healed rib fracture on the right.
|
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size, mediastinal and hilar contours are normal. Lungs are well expanded and clear. There are no pleural effusions or acute skeletal findings.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size, mediastinal and hilar contours are normal. Lungs are slightly overexpanded. With the exception of minimal symmetrical apical scarring, lungs are clear. No pleural effusion is evident on this single projection.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p11/p11906222/s53854854/567bcd19-6ab220b4-8f8eb57b-5f94b009-a4007fc7.jpg
|
Julie
|
finding
|
An extensive right hilar lung mass is associated with radiation fibrosis, better delineated on CT ___. An additional component of postobstructive pneumonia may be present. Retrocardiac opacity, left pleural effusion, and left plueral thickening are also new. No pneumothorax is present.
|
As compared to the previous radiograph, there is unchanged evidence of a right upper lobe opacity with air bronchograms, likely reflecting pneumonia. No new parenchymal opacities. Unchanged size of the cardiac silhouette. No pulmonary edema. No pleural effusions. At the time of dictation and observation, the referring physician, ___. ___, was paged for notification, 8:10 a.m., on the ___ and findings were discussed a few minutes later over the telephone.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 2
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 1
|
there is a small right pleural effusion. there is no pneumothorax. the heart is normal in size. the hilar and mediastinal contours are normal.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
PA and lateral chest radiographs were obtained. The lungs are well expanded. There is a right perihilar mass measuring 4.5 x 4.5 cm with associated right hilar lymphadenopathy. There is a small right pleural effusion. The left lung is clear. There is no pneumothorax. The heart size is normal.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 3
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p12/p12433541/s54729238/7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e.jpg,mimic-cxr-images-512/files/p12/p12433541/s54729238/809c4a11-d1261c4e-235a6150-dd8e8160-162f9980.jpg
|
Julie
|
finding
|
The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable allowing for differences in technique. There is fairly substantial retrocardiac opacification, although predominantly linear and streaky. Elsewhere, the lungs appear clear. There is no pleural effusion or pneumothorax.
|
Cardiomediastinal contours are within normal limits for technique. The lungs are clear. There are no pleural effusions or pneumothorax.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomediastinal contours are within normal limits without evidence of cardiac decompensation. Lungs are clear. There are no pleural effusions or pneumothorax.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size, mediastinal and hilar contours are within normal limits. Lungs are clear except for minimal linear atelectasis at the left lung base. Post-traumatic changes are present in the left upper extremity and there is a healed fracture of the proximal left humerus.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 2
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p17/p17055995/s51169502/17c32bbc-a11cc59d-e3beafe6-d339e5f3-fd85e41e.jpg,mimic-cxr-images-512/files/p17/p17055995/s51169502/fe3e3ba7-b7222cb7-bce60f53-58872f01-f8d40bcc.jpg
|
Julie
|
finding
|
Feeding tube tip in the distal stomach. Central line, endotracheal tube have been removed. Sternotomy, valve replacements. Small bilateral pleural effusions have worsened. Left basilar atelectasis or infiltrate, worsened. Right basilar atelectasis, worsened. Increased heart size, more prominent. Mildly prominent pulmonary vascularity.
|
In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends to the lower body of the stomach. Otherwise, little change.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 7
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 2
6. Omission of a change from a previous study: 2
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The patient is status post median sternotomy and mitral valve replacement. Cardiomediastinal contours are stable in appearance. Persistent bibasilar atelectasis and small pleural effusions. No new areas of consolidation in the lungs to suggest a new source of infection. Feeding tube terminates below the diaphragm.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 2
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 6
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Tip of nasogastric tube terminates within the stomach. Heart is mildly enlarged, and is accompanied by pulmonary vascular congestion and minimal interstitial edema. Small pleural effusions are present bilaterally. Linear areas of atelectasis are seen at both lung bases.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 6
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p18/p18224196/s59144799/6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba.jpg,mimic-cxr-images-512/files/p18/p18224196/s59144799/752ff05f-db827c7c-ed3d5da2-9e656319-b02ff663.jpg,mimic-cxr-images-512/files/p18/p18224196/s59144799/ba021d0f-a80b547a-f46e1b2b-5b0a8ce9-3507868f.jpg
|
Julie
|
finding
|
Indwelling support and monitoring devices are unchanged in position. Increased widening of right mediastinal contour is consistent with distention of the patient's neoesophagus in this patient status post recent esophagectomy procedure. Increasing moderate left pleural effusion is present with adjacent left retrocardiac atelectasis.
|
The lungs and cardiac silhouette are unremarkable. The patient is status post right lower lobe wedge resection. No post-operative pneumothorax or pleural effusion is evident.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
1. interval decrease in size of right pleural effusion. no pneumothorax. 2. stable small left pleural effusion. 3. stable right basilar atelectasis.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 3
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 2
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Tip of endotracheal tube terminates 4.5 cm above the carina, and nasogastric tube terminates within the stomach. Cardiomediastinal contours are within normal limits for technique. Mild pulmonary vascular congestion is present. Multifocal patchy and linear opacities are present in the right upper and both lower lobes, with slight worsening in the right upper lobe but improvement in the left lower lobe. These findings favor a multifocal atelectasis, but coexisting aspiration or pneumonia is possible in the appropriate clinical setting. Small left pleural effusion is also demonstrated.
|
Significant
1. False prediction of finding: 5
2. Omission of finding: 3
3. Incorrect location/position of finding: 2
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p14/p14798972/s53079362/0159eb74-f5b69f73-6e0faa67-ccf3e55c-474da4bb.jpg
|
Julie
|
finding
|
ONE PORTABLE SUPINE AP VIEW OF THE CHEST. Right internal jugular catheter ends near the cavoatrial junction. NG tube is seen in the stomach with last side port below the GE junction. The lung findings are unchanged compared to study done two hours prior.
|
A right internal jugular central venous catheter terminates in the lower superior vena cava, with no visible pneumothorax. Other indwelling devices are in standard position, and cardiomediastinal contours are stable. Pulmonary vascular congestion is accompanied by mild interstitial edema. Worsening patchy and linear opacities at both lung bases probably represent atelectasis, but coexisting aspiration and infectious pneumonia are possible in the appropriate clinical setting. Small left pleural effusion is also demonstrated.
|
Significant
1. False prediction of finding: 6
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 2
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. The right internal jugular vein catheter is in unchanged position. Unchanged low lung volumes with moderate cardiomegaly and retrocardiac atelectasis. Mild fluid overload but no overt pulmonary edema. No larger pleural effusions. No evidence of pneumonia.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 4
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Tip of endotracheal tube terminates 3.5 cm above the carina, and nasogastric tube terminates within the stomach. Cardiomediastinal contours are within normal limits for technique. Mild pulmonary vascular congestion is present as well as patchy and linear bibasilar opacities, most likely due to atelectasis. Small left pleural effusion is also demonstrated.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p16/p16409152/s51031461/20106d63-2c479e81-0d61595c-25ef9723-cba07432.jpg
|
Julie
|
finding
|
Interval placement of a left chest wall biventricular pacemaker/AICD is noted. Calcification of the aortic arch Recommend PA and lateral radiographs to evaluate for lead positioning. Cardiac silhouette is enlarged Lungs are clear No pneumothorax. This preliminary report was reviewed with Dr. ___, ___ radiologist.
|
A single AP view of the chest demonstrates normal cardiac silhouette. Lungs are clear. No evidence of pneumothorax. No osseous abnormality.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Interval placement of left chest tube with re-expansion of the left lung. No pneumothorax. Left rib fractures are better assessed on the dedicated rib films from the same day.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged. Aorta is tortuous. Pulmonary vascularity is within normal limits allowing for accentuation by apical lordotic and portable technique. No focal areas of consolidation are present within the lungs, and there are no pleural effusions. Permanent pacemaker is in place, with single lead terminating in the right ventricle.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p16/p16346354/s52144904/e0ffdf00-50f31921-d4eb21c6-2f9c26c8-fa5a40e8.jpg
|
Julie
|
finding
|
Increased interstitial markings seen throughout the lungs, not significantly changed since prior. There is no focal consolidation nor effusion. There is moderate cardiac enlargement and tortuosity of the descending thoracic aorta. Compression deformity of several upper lumbar vertebral bodies are again noted. No acute osseous abnormalities.
|
the patient is status post median sternotomy and cabg. moderate enlargement of cardiac silhouette is unchanged. the aorta remains tortuous. mild pulmonary edema is demonstrated. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 2
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The patient is status post previous median sternotomy and coronary artery bypass surgery. Cardiac silhouette is enlarged and accompanied by pulmonary vascular congestion and minimal interstitial edema. A more confluent opacity is present in the left retrocardiac region, and could reflect either atelectasis or pneumonia. Short-term followup radiographs may be helpful in this regard. Diffuse demineralization of the osseous structures is present as well as multilevel degenerative changes in the thoracic spine.
|
Significant
1. False prediction of finding: 5
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
AP and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. There is no pneumothorax. The cardiac silhouette is enlarged. Median sternotomy wires and mediastinal clips are noted. Atherosclerotic calcifications are noted at the aortic arch. There is a compression deformity in the lower thoracic spine with acute kyphosis.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p16/p16957952/s58025986/ac61125d-0a43dbdc-3c290b21-1ded59a4-0131570a.jpg,mimic-cxr-images-512/files/p16/p16957952/s58025986/3c57e0f8-a76eb992-7795da42-1cebda11-839fc6ef.jpg
|
Julie
|
finding
|
Re- demonstrated is enlargement of the cardiomediastinal silhouette. There is elevation of the right hemidiaphragm. Evaluation of the left lung base is less than optimal due to underpenetration from overlying body habitus although no definite focal consolidation is seen. Pulmonary edema persists. No large pleural effusion seen.
|
Cardiac silhouette is markedly enlarged and accompanied by pulmonary vascular congestion and mild interstitial edema. Small pleural effusions are present bilaterally, left greater than right. Diffuse haziness of imaged portion of upper abdomen is suggestive of ascites. Followup radiographs after diuresis may be helpful to exclude the possibility of free intraperitoneal air, particularly in the setting of acute abdominal symptoms.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 2
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be considered.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is markedly enlarged with a somewhat globular configuration. This likely reflects known pericardial effusion. Left retrocardiac region is not optimally evaluated in the setting of enlarged cardiac silhouette and superimposed soft tissues of the chest wall, but no definite areas of consolidation are present in this region. Considering clinical history of left lower lobe opacity on outside chest radiographs, dedicated PA and lateral radiographs may be helpful for more complete evaluation of the left lower lobe when the patient's condition permits.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p15/p15131736/s52718973/de92b434-5ef9d4ce-61d1d2b2-1b3efd95-949c6123.jpg
|
Julie
|
finding
|
Single erect portable view of the chest demonstrates low lung volumes, which accentuate the vasculature. Given the low lung volumes, it's difficult to discern the heart size, but it is likely normal. No pleural effusion, edema, pneumothorax or evidence of pneumonia. There is no evidence of free air.
|
A single AP view of the chest demonstrates normal cardiac silhouette and clear lungs. No pleural effusion or pneumothorax. No evidence of pulmonary edema.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There is no evidence of pulmonary tuberculosis.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomediastinal contours are within normal limits allowing for low lung volumes. Lungs are grossly clear. Left costophrenic sulcus is not well demonstrated, and the possibility of a small left pleural effusion should be considered.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p14/p14319319/s52648594/5a8e85f1-3465c903-60688e99-7f50f8b3-a8794171.jpg
|
Julie
|
finding
|
As compared to the previous radiograph, there is no relevant change. Unchanged appearance of the left postoperative lung with decrease in size of the hemithorax. Unchanged opacities at the right lung base, potentially caused by atelectasis or, possibly, aspiration. Short-term further radiographic followup should be performed. No larger pleural effusions.
|
In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be considered. Tracheostomy tube remains in place.
|
Significant
1. False prediction of finding: 5
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
In comparison with the study of ___, there is little overall change in the appearance of the heart and lungs. Again there is evidence of volume loss in the left hemithorax with shift of the mediastinum to the left, consistent with prior left upper lobe resection. Tracheostomy tube remains in place. There is some increased opacification at the right base, which could reflect atelectasis, though in the appropriate clinical setting, supervening pneumonia would have to be considered. No definite vascular congestion or pleural effusion.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomegaly is accompanied by enlargement of the central pulmonary arteries, in keeping with the history of pulmonary arterial hypertension. Worsening opacity in the right lower lobe is accompanied by volume loss with posterior displacement of the right major fissure. This is likely due to atelectasis with or without a coexisting infectious pneumonia. Small pleural effusions are also demonstrated.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p10/p10885696/s52654095/eee70ea1-a4bb5ad0-eb92e7e6-ac788ab6-922f880b.jpg
|
Julie
|
finding
|
Since the chest radiographs obtained 3 days prior, there has been a significant increase in left lung atelectasis with leftward mediastinal shift. Patient positioning does not account for all apparent mediastinal shift. Unable to assess for concomitant left pleural effusions or consolidation. The right lung is fully expanded and clear.
|
in comparison with the study of ___, there is little overall change. again there is a moderate right pleural effusion with compressive atelectasis at the base. the left lung is essentially clear.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomediastinal silhouette is unchanged. The pulmonary vasculature is normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Complete opacification of the left hemithorax is noted with ipsilateral deviation of the mediastinal structures. Findings are likely related to atelectasis secondary to a left-sided pleural effusion. The right lung is grossly clear.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p11/p11135350/s53277637/f3a27e2d-1d0d73bc-b7394f0c-7ed82c79-189ddee5.jpg
|
Julie
|
finding
|
The patient has received a new nasogastric tube. The tube is coiled in the oropharynx and does not reach the esophagus. The stomach is moderately distended and filled with gas. Known left carotid stent. The pre-existing signs indicative of interstitial lung edema have decreased. No evidence of complications, notably no pneumothorax.
|
Right internal jugular vascular catheter terminates in the lower superior vena cava. Heart is upper limits of normal in size. Pulmonary vascular congestion is accompanied by minimal interstitial edema. No focal areas of consolidation are present within the lungs, and there are no pleural effusions or pneumothoraces. Bones are diffusely demineralized, and note is made of a compression deformity in the upper lumbar spine, which has been more fully evaluated by CT of the abdomen and pelvis performed earlier the same day.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
as compared to the previous radiograph, there is no relevant change. the lung volumes are normal. there is no evidence of pneumonia or other acute lung disease. no pleural effusions. no pulmonary edema. borderline size of the cardiac silhouette. unchanged course and position of the right hemodialysis catheter.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 5
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged. Pulmonary vascular congestion is accompanied by minimal interstitial edema. Patchy and linear opacities at the bases probably represent atelectasis, but short-term followup radiographs may be helpful to exclude aspiration or an early focus of pneumonia. Small pleural effusions are also noted.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p18/p18855147/s52178503/f79f9dd9-f65e43a2-492aec2c-5859d568-299fa79d.jpg
|
Julie
|
finding
|
Compared to ___ at 04:27, the overall appearance is similar. Enteric type tube extends beneath the diaphragm, off the film. Left subclavian PICC line tip overlies distal SVC. Inspiratory volumes are low, with left lower lobe collapse and/or consolidation and faint hazy opacity at the lung bases. Mild upper zone redistribution present.
|
There has been no change in the appearance of the lung parenchyma since the prior study of one day earlier. No new or worsening areas of consolidation are evident.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 6
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged. Lung volumes are low. No focal areas of consolidation are present within the lungs, and there are no definite pleural effusion or pneumothorax.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 5
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Tip of nasogastric tube terminates within the stomach. Left PICC terminates in the region of the junction of the left brachiocephalic vein and superior vena cava. Cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion and bilateral perihilar haziness suggesting pulmonary edema. Small-to-moderate left pleural effusion is also demonstrated.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 2
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p10/p10522265/s55807323/88d07416-c595d584-b0eec579-babde77f-c3ce90be.jpg
|
Julie
|
finding
|
Heart size is normal. Lung fields are clear. The superior mediastinum appears slightly widened, but this may be projectional. Patient is mildly rotated. Followup films in four to six weeks' time are recommended to keep this area under observation. Because of varying degrees of rotation, comparison to the previous examination of ___ is difficult.
|
In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size, mediastinal and hilar contours are normal. Lungs are clear, and there are no pleural effusions or acute skeletal findings.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. No acute skeletal findings.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p11/p11924226/s56990167/dc00203a-4168ce8c-d79d47d2-eef8780b-d3fe037a.jpg,mimic-cxr-images-512/files/p11/p11924226/s56990167/09b68550-5c8889be-2f1a65a6-c6dbba79-e5ba44b7.jpg
|
Julie
|
finding
|
Pulmonary vascular cephalization is chronic. Moderate loculated right pleural effusion going into the fissure is stable. 22 mm opacity projects at the left lung base unchanged since ___, but could not be clearly seen before that. Mild-to-moderate cardiomegaly is unchanged. The patient is status post fusion with posterior screws at T6 through T9 levels.
|
Heart size is normal. No pulmonary infiltrates, pleural effusions, or pneumothorax seen. There is a 1.4 cm density projected over the left lung base. This is not confirmed on the lateral view.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged. Mild pulmonary vascular congestion is present as well as small bilateral pleural effusions. Patchy and linear opacities at the bases probably reflect atelectasis.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 2
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomegaly is accompanied by pulmonary vascular congestion and mild interstitial edema. More confluent opacities are present at the lung bases, and may reflect dependent edema, but underlying infectious consolidation is also possible in the appropriate clinical setting. Small bilateral pleural effusions are also demonstrated.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 3
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p11/p11842519/s54806621/0fe43549-21617d5c-89c5f44b-affffc13-9409fa39.jpg,mimic-cxr-images-512/files/p11/p11842519/s54806621/66423af7-ad57034e-b950291f-d84abf0a-902afb34.jpg
|
Julie
|
finding
|
A right-sided tunneled dialysis catheter terminates in the right atrium. The cardiac silhouette is enlarged. There is redemonstration of peribronchial cuffing and increased interstitial markings, likely secondary to pulmonary edema. Increased bilateral lung opacities refelct growing nodules. There is a new region of consolidation above the minor fissure which could refelct an early infectious process.
|
In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be considered. Hemodialysis catheter remains in place.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 4
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged and accompanied by pulmonary vascular congestion and diffuse interstitial edema. Additionally, a more confluent opacity is present in the right infrahilar region, and could reflect asymmetrical edema or a superimposed process such as infection or aspiration. Followup radiographs after diuresis may be helpful in this regard. Small pleural effusions are also noted bilaterally. Bones are diffusely demineralized, and note is made of a compression deformity at the thoracolumbar junction, which is age indeterminate.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged. Aorta is tortuous. Pulmonary vascularity is within normal limits allowing for accentuation by low lung volumes. Interstitial edema is present as well as a more confluent area of opacity in the right infrahilar region. Small pleural effusions are present bilaterally.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p17/p17340686/s56598807/9b4f1964-734c3d45-d58e0850-71a0baee-535ae2c8.jpg,mimic-cxr-images-512/files/p17/p17340686/s56598807/194f6925-e9306f2d-eba4d0b5-0187742f-fb7e0343.jpg
|
Julie
|
finding
|
In comparison with the study of ___, there is continued pulmonary vascular congestion. Increased opacification at the bases, especially on the right, could merely reflect atelectasis in a patient with low lung volumes. However, the possibility of superimposed aspiration would have to be considered in the appropriate clinical setting. Monitoring and support devices remain in place.
|
Lung volumes are low, accentuating the cardiac silhouette and bronchovascular structures. Allowing for this factor, cardiomediastinal contours are stable in appearance. Pulmonary vascular congestion is accompanied by mild-to-moderate pulmonary edema. Bibasilar areas of atelectasis are present, left greater than right. Small pleural effusions are present bilaterally, but there is no visible pneumothorax. Nasogastric tube and right internal jugular central venous catheter are unchanged in position.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
as compared to the previous radiograph, there is no relevant change. the monitoring and support devices are in constant position. the lung volumes have minimally decreased, potentially reflecting a lesser inspiratory effort. there is unchanged evidence of mild - to - moderate pulmonary edema. no larger pleural effusions. no newly appeared focal parenchymal opacities.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Interval placement of endotracheal tube with tip terminating 3.5 cm above the carina. This could be withdrawn several centimeters for standard positioning. Tip of nasogastric tube terminates within the stomach. Cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion and mild perihilar edema. Additional patchy opacities at the bases could reflect patchy atelectasis, aspiration, or a developing pneumonia. Small right pleural effusion is also demonstrated.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 0
3. Incorrect location/position of finding: 3
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p19/p19623993/s54806202/34395a9b-ad2db3ef-2c80999f-d0c5077b-42fb9957.jpg
|
Julie
|
finding
|
Lungs: The lungs are well inflated. There is no consolidation. Pleura: Her hemidiaphragm is elevated as it was in the past. This is likely due to hepatic enlargement or diaphragmatic paresis. Heart: The heart is not enlarged. Mediastinum and hila: There is no mediastinal mass. Osseous structures: The osseous structures are normal for age. Other findings: None
|
The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The mediastinum is not widened. The heart is not enlarged. No acute osseous abnormalities are identified.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The lungs are clear. There is no focal consolidation, pneumothorax, or pleural effusion. Heart size is normal. Mediastinal structures are normal.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Mild elevation of right hemidiaphragm is noted.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p18/p18088902/s56895618/68ad0229-fbf719ec-6407d47e-398368ac-1c4ffe02.jpg,mimic-cxr-images-512/files/p18/p18088902/s56895618/2b1a2dcd-992835fd-c9e705f3-e74f11b1-05d75de9.jpg
|
Julie
|
finding
|
Sternotomy with valve prosthesis. Endotracheal tube tip is 4 cm above carina. Right IJ central line tip is near cavoatrial junction. Cardiac pacemaker. There is worsening of left basilar opacity. Left costophrenic angle is not fully seen. No pneumothorax. Shallow inspiration accentuates heart size, pulmonary vascularity. Pulmonary vascularity has mildly improved. Improved right basilar, perihilar opacities. Right shoulder arthroplasty.
|
the endotracheal tube terminates 3. 2 cm above the carina. a right internal jugular central venous catheter terminates in the low svc. a left pectoral pacemaker is present with the leads terminating in the right atrium and right ventricle. the patient is status post median sternotomy and cabg. the cardiac silhouette is enlarged but stable. there is a retrocardiac opacity which may reflect atelectasis or infection. there is no large pleural effusion or pneumothorax.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 2
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 3
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Tip of endotracheal tube terminates 6.5 cm above the carina, and a right internal jugular central venous catheter terminates in the region of the junction of the superior vena cava and right atrium. Cardiomediastinal contours are within normal limits for postoperative status of the patient. Mild pulmonary vascular congestion is accompanied by minimal interstitial edema. Persistent left retrocardiac atelectasis as well as a small left pleural effusion. No visible pneumothorax on this semi-upright radiograph.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 5
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Tip of endotracheal tube terminates 5 cm above the carina, and a nasogastric tube terminates within the stomach. Cardiomediastinal contours are within normal limits for technique. Permanent pacemaker is present with leads in the right atrium and right ventricle. Bibasilar atelectasis is present, worse on the left than the right, and note is made of a small left pleural effusion.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 2
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p19/p19075045/s58071016/e043f870-1670fd0c-cf68f196-4f351347-4a665c39.jpg
|
Julie
|
finding
|
The Cardiac size is normal. New density in the retrosternal clear space suggests the presence of an anterior mediastinal lesion, of note in prior CT there were enlarge lymph nodes in this location. The pulmonary vasculature is normal. The lungs are clear. There is no pleural effusion or pneumothorax. Basilar atelectasis is noted. Several wedge shaped compression fractures are long standing
|
There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. The aorta is mildly tortuous. Mediastinal contours are otherwise within normal limits.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. No acute osseous abnormality is detected.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size, mediastinal and hilar contours are normal. Lungs are well expanded and clear. There are no pleural effusions or concerning skeletal findings.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p15/p15659181/s53130454/5508a85f-2f9f244d-d22cda11-0527ab51-a15d5058.jpg,mimic-cxr-images-512/files/p15/p15659181/s53130454/878ffc5b-fbc8c37b-45a5b548-6883c9d4-5fa06364.jpg,mimic-cxr-images-512/files/p15/p15659181/s53130454/0bfd31e5-76a7abb7-f9651ef5-a73bef92-57c65fd2.jpg
|
Julie
|
finding
|
Lung volumes are low, however the lungs are grossly clear. There is a large hiatal hernia. The heart and mediastinum are within normal limits. There is generalized osteopenia and multilevel spinal degenerative changes. Subtle sclerotic lesions in multiple thoracic vertebral bodies likely correspond to known sclerotic metastases. No radiographic evidence of obvious progression or complications. Thoracolumbar spine kyphosis is worsened since ___.
|
Heart size is normal. The lungs are grossly clear. There is no visible pneumothorax. There is a questionable small left pleural fluid. No significant skeletal abnormalities are identified.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 5
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The lungs are clear. The cardiac silhouette is unremarkable. The hilar and mediastinal contours are normal. No pneumothorax is seen. No pleural effusion is seen. No acute bony abnormality is seen.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 5
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Large hiatal hernia. Pulmonary parenchyma without major alterations.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 5
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p11/p11529986/s59409243/2c13c94d-a6893cf5-5cd6d737-fe3cfe58-c9ba37c1.jpg,mimic-cxr-images-512/files/p11/p11529986/s59409243/ded2ded1-1fe6cca7-0b90912a-e5ecd92b-3eaab81c.jpg,mimic-cxr-images-512/files/p11/p11529986/s59409243/f08ccf15-c89bcee2-de085991-51e9aa5f-64704b8b.jpg
|
Julie
|
finding
|
PA and lateral views of the chest show interval clearing in bilateral airspace consolidation with no increased size in spiculated common nodular pleural thickening at the right lung apex compared to ___. Marker of on Ill volume loss in the left hemithorax related to the patient's surgery for Pancoast tumor is a chronic finding and occludes upper rib resections. Bones are demineralized.
|
A single portable AP view of the chest is provided. The lungs are clear. No pleural effusion or pneumothorax. The cardiac silhouette is normal in size. The osseous structures are intact.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding:
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
the patient is rotated. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Marked radiological signs of COPD with air trapping. Bilateral apical pleuroparenchymal changes. No pulmonary infiltrates are appreciated.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 3
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p19/p19358609/s51748246/d25bbe23-d111ed9c-d5ff0630-42378992-62fb128c.jpg,mimic-cxr-images-512/files/p19/p19358609/s51748246/eca38af0-486cb1f9-a049b2a7-9013ebc3-46eb8b84.jpg
|
Julie
|
finding
|
AP single view of the chest has been obtained with patient in semi-upright position. High positioned diaphragms indicate poor inspirational effort and obscure major portion of heart silhouette and result in crowded appearance of pulmonary vasculature. There is, however, no evidence of any pulmonary vascular congestion, acute infiltrate, or pneumothorax. The lateral pleural sinuses are free. No pneumothorax is observed in the apical area.
|
A normal cardiomediastinal silhouette is seen. The aorta is normal in caliber. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is present.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
A Chest x-ray: The cardiac silhouette is unremarkable. The mediastinal contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 1
|
Cardiomediastinal contours are within normal limits allowing for low lung volumes. Lungs are grossly clear. Left costophrenic sulcus is not well demonstrated, and the possibility of a small left pleural effusion should be considered.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p12/p12508865/s55747240/421ffb60-9a41bff9-c842e6e6-a31adcbc-d8e5ad64.jpg
|
Julie
|
finding
|
The three chest tubes are now on waterseal. The appearance of the right hemithorax, including the clips and soft tissue collection of air is unchanged as compared to the previous examination. There is increased gas filling of colon interposed between the chest wall and the liver. No current evidence of pneumothorax. Unchanged normal appearance of the cardiac silhouette and of the left lung. No other changes.
|
In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends at least to the lower body of the stomach where it crosses the lower margin of the image. The right chest tube remains in place and there is no evidence of pneumothorax. Extensive subcutaneous gas is again seen along the right lateral chest wall and extending into the neck. Opacification at the right base is consistent with some combination of pleural fluid, atelectasis, and possible supervening pneumonia. The left lung is essentially clear.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 1
3. Incorrect location/position of finding: 2
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Two chest tubes remain in place in the right hemithorax, with a persistent moderate right apical pneumothorax. Extensive subcutaneous emphysema is again demonstrated, and note is made of marked elevation of right hemidiaphragm. Cardiomediastinal contours are stable in appearance. Worsening bibasilar atelectasis is present, as well as a persistent small left pleural effusion.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Right chest tube in place with a small right apical pneumothorax. Subcutaneous emphysema is also present in the right chest wall. Low lung volumes with patchy and linear atelectasis at the lung bases. Moderate gastric distention in the imaged upper abdomen.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg
|
Julie
|
finding
|
Cardiomediastinal and hilar contours are stable demonstrating mild cardiomegaly. Mitral annular calcifications are noted. Bibasilar opacities, left greater than right are demonstrated and may represent infection or atelectasis. Lower lung volumes on the current exam results in crowding of the bronchovascular markings. The aorta is tortuous and calcified. There is no pneumothorax. There is no pleural effusion. There is marked degenerative change involving the glenohumeral joints bilaterally.
|
Heart size, mediastinal and hilar contours are normal. Lungs are clear except for focal linear atelectasis at the left base. There are no pleural effusions or acute skeletal findings.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 5
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomediastinal contours are within normal limits for technique. Lungs are clear except for linear atelectasis at the left lung base. There are no pleural effusions or acute skeletal findings.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 5
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged. Aorta is tortuous. Lung volumes are low, accentuating the bronchovascular structures. Patchy and linear opacities at the bases probably represent atelectasis, but differential diagnosis includes aspiration and infectious pneumonia. Small pleural effusions are also noted. Bones are diffusely demineralized, and note is made of scoliosis and degenerative changes in the spine.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p10/p10986871/s53302173/171a4674-65e7ed96-c63bae1f-faa3fd7d-07ac9309.jpg,mimic-cxr-images-512/files/p10/p10986871/s53302173/4d5310fd-468856e6-1b902127-c506ed84-8b93870d.jpg,mimic-cxr-images-512/files/p10/p10986871/s53302173/d60c19c5-2a87cd59-e5c184dd-a81d581c-09f5cb99.jpg
|
Julie
|
finding
|
The cardiac, mediastinal, and hilar contours appear stable including enlargement of the heart and main pulmonary artery contour. The lung volumes are low. There are somewhat increased patchy densities at both lung bases which are not specific but which can probably be explained by atelectasis; particularly on the left, also perhaps coinciding small pleural effusion. There is similar mild interstitial abnormality, although vasculature appears more distinct, suggesting improvement.
|
Cardiomediastinal contours are within normal limits for technique. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No acute pulmonary abnormality is identified.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 6
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomediastinal contours are within normal limits for technique. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 6
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged. Pulmonary vascularity is within normal limits allowing for accentuation by low lung volumes and portable technique. Patchy and linear bibasilar opacities are present, and most likely represent atelectasis. Aspiration and infectious pneumonia are also possible in the appropriate clinical setting, a short-term followup radiographs may be helpful in this regard if warranted clinically. Small left pleural effusion is also demonstrated.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p18/p18057037/s53912941/e7159328-08569709-798aa964-ee7f2027-c51daa27.jpg
|
Julie
|
finding
|
This radiograph was obtained for purposes of assessing a Dobbhoff tube placement. The tube is identified to the level of the distal stomach, but the radiograph does not include the lower abdomen, and the tip cannot be visualized for this reason. Additional abdominal radiograph may be helpful for this purpose if warranted clinically. Exam is otherwise remarkable for moderate partially layering pleural effusions bilaterally, with adjacent lower lobe atelectasis and/or consolidation.
|
as compared to the previous radiograph, the patient has received a dobbhoff catheter. the catheter is malpositioned in the right bronchial system and needs to be repositioned. at the time of dictation and observation, 8 : 38 a. m., on ___, the referring physician, ___. ___, was paged for notification. the other monitoring and support devices are constant. constant appearance of the cardiac silhouette. unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and moderate cardiomegaly.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 4
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 1
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube projects over the middle parts of the stomach, the sidehole is at the level of the gastroesophageal junction. There is no evidence of complications, notably no pneumothorax. The appearance of the lung parenchyma and of the cardiac silhouette is unchanged.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is mildly enlarged. Pulmonary vascularity is within normal limits allowing for accentuation by apical lordotic and portable technique. Moderate bilateral pleural effusions are present with adjacent bibasilar atelectasis and/or consolidation. Feeding tube terminates in the proximal stomach.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg
|
Julie
|
finding
|
Frontal and lateral radiographs of the chest demonstrate persistent massive left-sided pleural effusion, occupying at least two-thirds of the left hemithorax. Minimal aeration of the left upper lobe. Slight interval increase in rightward shift of the mediastinum. Trace pleural effusion at the right base. Again seen are diffuse bilateral pulmonary nodules which are unchanged from the prior study. A single-chamber pacemaker is present with the tip terminating in the right ventricle. No pneumothorax.
|
there is a large left pleural effusion, which has increased in size since the prior study. the right lung is clear. there is no pneumothorax. the heart size is normal.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The lungs are clear. The cardiac silhouette is within normal limits for technique. There is no pleural effusion or pneumothorax. Compared to the prior study, there is no significant change.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 5
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Significant left pleural effusion. Cardiomegaly. Pacemaker.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 3
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p16/p16033763/s58499222/81549ff4-37400bfe-77ebb7f7-9bf5005b-2a9a6381.jpg,mimic-cxr-images-512/files/p16/p16033763/s58499222/41adeb33-4676a27f-e0c2991f-34148ef9-f7e53c97.jpg
|
Julie
|
finding
|
Peripheral fibrosis and mild architectural distortion in the right lower lobe. No focal consolidation. Pulmonary edema has resolved. Bilateral pleural thickening. Right atrial and ventricular pacemaker leads, the latter coursing in the mid RV. Median sternotomy wires and mediastinal clips. Moderate-to-severe cardiomegaly is unchanged. Aorta is tortuous and unfolded. Multilevel degenerative changes in the thoracic spine. Interval fracture of the right humeral surgical neck, with an overriding fracture fragment. This appears subacute, with partially corticated margins.
|
frontal and lateral views of the chest were obtained. the patient is status post median sternotomy and cabg. dual - lead left - sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. the cardiac silhouette remains enlarged. the aorta is calcified and tortuous. there is mild pulmonary vascular congestion. blunting of the posterior costophrenic angles on the lateral view may be due to trace pleural effusions. no pneumothorax is seen.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 5
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The patient is status post previous median sternotomy and coronary artery bypass surgery. Permanent pacemaker remains in place, with leads in the right atrium and right ventricle. Mild cardiomegaly is accompanied by upper zone vascular re-distribution and minimal interstitial edema. Patchy and linear opacities at the lung bases may reflect patchy atelectasis and/or scarring. Small pleural effusions are present bilaterally, but there is no evidence of pneumothorax. Bones are diffusely demineralized, and note is made of mild compression deformities in the mid thoracic spine, of indeterminate age.
|
Significant
1. False prediction of finding: 6
2. Omission of finding: 5
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 2
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
PA and lateral views of the chest are provided. There is a left chest wall pacer device with dual leads extending into the expected location of the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are noted. The heart is mildly enlarged. There is no overt pulmonary edema, though mild congestion is likely present. There is no focal consolidation, effusion, or pneumothorax. Mediastinal contour is normal. Bony structures are intact.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 5
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 2
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p12/p12110863/s59358922/fba838cc-fa4eb8b6-b3e8de64-e89c00ab-1bb9216a.jpg,mimic-cxr-images-512/files/p12/p12110863/s59358922/1e63fbae-cd836c8c-60c8d534-08ef62b9-a33e82f2.jpg
|
Julie
|
finding
|
As compared to recent radiograph from a few hr earlier, the patient has reportedly undergone a tracheobronchial stent placement. Extensive pneumomediastinum is new, and accompanied by subcutaneous emphysema in the supraclavicular, cervical and chest wall regions. Small bilateral pneumothoraces are also demonstrated. Cardiac silhouette demonstrates left ventricular configuration is accompanied by pulmonary vascular congestion. Asymmetrically distributed heterogeneous opacities in the right mid and lower lobe could reflect asymmetrical edema, aspiration, or hemorrhage in the post procedural setting.
|
In comparison with the study of ___, there is little overall change. Again there is extensive subcutaneous emphysema along the right lateral chest wall and extending into the neck. No definite pneumothorax is appreciated. Cardiac silhouette is at the upper limits of normal in size. There is some indistinctness of engorged pulmonary vessels consistent with elevated pulmonary venous pressure. Bibasilar atelectatic changes are seen. In the appropriate clinical setting, supervening pneumonia would have to be considered.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomediastinal contours are stable in appearance. Widespread interstitial and alveolar opacities have progressed in the interval, and may reflect a combination of pulmonary edema and multifocal infection. Subcutaneous emphysema is again demonstrated in the chest wall and both supraclavicular regions. Small right apical pneumothorax is similar to the prior study.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 4
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 2
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Extensive subcutaneous emphysema is present throughout the chest and lower neck, and also in the pectoral regions bilaterally. The lungs demonstrate bibasilar atelectasis and a small left pleural effusion. Cardiomediastinal contours are within normal limits for technique.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 5
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p11/p11474065/s52522246/dd86cc8c-ae1e2c39-3bc3e62b-b15de0ae-652648de.jpg
|
Julie
|
finding
|
There is no focal consolidation or effusion. There is a dominant nodule in the left perihilar region measuring approximately 2.3 cm. Additional smaller nodules project over the bilateral lung apices. Given history of prior malignancy, underlying metastases would be of concern. Nonurgent chest CT is suggested to further evaluate. Cardiomediastinal silhouette is within normal limits. Left chest wall dual lead pacing device is seen as well as median sternotomy wires. Chronic deformity of the proximal left humerus suggests prior fracture.
|
The patient is status post median sternotomy and coronary artery bypass surgery. A dual-lead pacemaker/ICD device is in place, with leads terminating in the right atrium and right ventricle, respectively. The heart is normal in size. The aorta is mildly tortuous. Lung volumes are low, accentuating the bronchovascular structures. Allowing for this factor, there are no focal areas of consolidation within the lungs. There are no pleural effusions or pneumothoraces. Mild elevation of the left hemidiaphragm is noted. Bones are diffusely demineralized, and degenerative changes are present throughout the thoracic spine.
|
Significant
1. False prediction of finding: 5
2. Omission of finding: 3
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The patient is status post median sternotomy and aortic valve replacement. ICD pacing device is present with leads in the right atrium and right ventricle. The heart is normal in size. The aorta is mildly tortuous. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 3
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
PA and lateral views of the chest. Left chest wall pacemaker is seen with leads in the right atrium and right ventricle. Sternotomy wires are seen. Low lung volumes are seen. No definite focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 2
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p17/p17163861/s56902932/4e2deb58-2087d69f-a4c1a7c8-776af924-1bd0202d.jpg,mimic-cxr-images-512/files/p17/p17163861/s56902932/cafde7cd-b6e7a873-406f5371-358aca60-ed02bdc3.jpg
|
Julie
|
finding
|
As compared to the previous radiograph, the right PICC line has been pulled back. The line projects over the axillary vein. The newly placed Dobbhoff tube is curled in the pharynx. Both devices need to be repositioned. Borderline size of the cardiac silhouette. Partial left lower lobe atelectasis. Mild fluid overload. No evidence of complications, notably no pneumothorax. At the time of dictation, 4:47 p.m., on ___, the referring physician, ___. ___, was paged for notification. Findings were discussed over the telephone.
|
In comparison with the study of ___, the patient has taken a somewhat better inspiration. Cardiac silhouette is at the upper limits of normal in size. There is some indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. Bibasilar opacifications are consistent with pleural effusions and compressive atelectasis, more prominent on the right. In the appropriate clinical setting, supervening pneumonia would have to be considered. Of incidental note is an apparent fracture of the distal right clavicle.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 2
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Lung volumes are low, accentuating the cardiac silhouette and bronchovascular structures. With this limitation in mind, heart is upper limits of normal in size and accompanied by mild pulmonary vascular congestion. Bibasilar areas of atelectasis are present, left greater than right, and note is made of a small left pleural effusion.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 2
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is upper limits of normal in size. Mild pulmonary vascular congestion is present. Small-to-moderate bilateral pleural effusions are present with adjacent basilar atelectasis.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 2
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg
|
Julie
|
finding
|
Endotracheal tube ends approximately 4.8 cm above the carina and is appropriate in position. Intraaortic balloon pump lies approximately 2.6 cm from the apex of the aortic arch. The patient is status post median sternotomy with intact sternal sutures. Gastric tube courses below the diaphragm into the stomach; however, its distal end is beyond the field of view. Asymmetric, mild, right pulmonary edema has improved over last 24 hours. Normal heart size. The mediastinal and hilar contours are unchanged. There is no pleural effusion.
|
Tip of endotracheal tube terminates 4.5 cm above the carina, and a nasogastric tube courses below the diaphragm. Cardiomediastinal contours are within normal limits for postoperative status of the patient. Mild pulmonary vascular congestion is accompanied by minimal interstitial edema. No confluent areas of consolidation are evident within the lungs, and there are no definite pleural effusions or pneumothoraces.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 2
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 4 cm above the carina. There is no evidence of complications, notably no pneumothorax. The patient has also received a nasogastric tube. The course of the tube is unremarkable, the tip projects over the middle parts of the stomach. Status post CABG. The sternal wires are in correct alignment. No pleural effusions. No pulmonary edema. No pneumonia.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 2
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Tip of endotracheal tube terminates 6.2 cm above the carina, and a nasogastric tube courses below the diaphragm, but tip is not visualized on this portable radiograph. Cardiac silhouette is upper limits of normal in size allowing for portable technique and patient rotation. Lungs are grossly clear except for minimal patchy and linear opacities at the bases, which favor atelectasis.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p17/p17288844/s51904170/cf6229c4-0dbb5dd3-64610954-17ed414a-c7d2837d.jpg
|
Julie
|
finding
|
AP single view of the chest is obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Cardiac enlargement and right-sided Port-A-Cath system via internal jugular approach as before. There is now marked congestive pulmonary vascular pattern with distended vessels and perivascular haze. Centrally located parenchymal densities are indicative of pulmonary edema. In comparison with the previous study, a sizeable left-sided pleural effusion has developed reaching up to the hilar level. The right-sided lateral pleural sinus, however, remains free.
|
the heart size is normal. the hilar and mediastinal contours are normal. there is mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
the patient is rotated. the cardiomediastinal silhouette is unchanged. there is no pneumothorax. there is a small left pleural effusion. there is no focal lung consolidation.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiac silhouette is enlarged. Pulmonary vascular congestion is accompanied by asymmetrical perihilar and basilar opacities, left greater than right. Moderate left pleural effusion is also demonstrated. Small right pleural effusion is present as well as a possible small basilar pneumothorax.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 2
3. Incorrect location/position of finding: 2
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg
|
Julie
|
finding
|
PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Mediastinal and cardiac structures are unchanged. Thus, no evidence of cardiac enlargement. The pulmonary vasculature is not congested. Right-sided status post decortication procedure as before. Unchanged moderate degree of diaphragmatic elevation. The previously described two pleural drainage chest tubes remain in position. Comparison shows that both tubes have been withdrawn by up to 2 cm, but basically, the position is unaltered. No pneumothorax has developed. No remaining pneumothorax is seen in the apical areas.
|
Two chest tubes remain in place in the right hemithorax, with no visible pneumothorax. Post-operative volume loss and pleural thickening are again demonstrated on the right. The left lung is grossly clear, and cardiomediastinal contours are stable in appearance. Multiple healed left rib fractures are incidentally noted.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
In comparison with the study of ___, there is little overall change. Right chest tube remains in place and there is no convincing evidence of pneumothorax. Elevation of the right hemidiaphragm is again seen with atelectatic changes at the right base. The left lung is essentially clear. Multiple healed rib fractures are again seen on the left.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Right-sided chest tube is present with a small right apical pneumothorax. There is a loculated hydropneumothorax present at the right lung base. Subcutaneous emphysema is present in the right chest wall. There is a small amount of fluid and/or thickening in the right oblique fissure. There is a small amount of atelectasis at the right lung base. The left lung is clear.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 2
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p13/p13352405/s53273158/384b766e-a666fc50-5510a97f-c615a43c-1bfebe33.jpg,mimic-cxr-images-512/files/p13/p13352405/s53273158/1955b279-efe705ba-68f22a50-df04507e-dfed9525.jpg
|
Julie
|
finding
|
An ICD is in place. 1 lead overlies right atrium AND AN other overlies the right ventricle. The third lead courses posteriorly and lies in the expected location of the coronary sinus. There is a small effusion at the right costophrenic angle. There is probable atelectasis with a small curvilinear sliver of air in between. This is less likely to represent a RIGHT LUNG BASE pneumothorax, as there is no corresponding abnormality on the lateral view. Left costophrenic sulcus is clear. No overt CHF or focal infiltrate identified. No apical pneumothorax detected. Background hyperinflation likely present, similar to prior
|
severe cardiomegaly is unchanged. the aorta is tortuous and calcified. there is mild pulmonary vascular congestion. there is no pneumothorax. small bilateral pleural effusions are present.
|
Significant
1. False prediction of finding: 4
2. Omission of finding: 3
3. Incorrect location/position of finding: 1
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The lungs are clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. The pulmonary vasculature is normal. There are no focal consolidations.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomegaly. Aortic elongation. Single-chamber pacemaker with electrode in the right ventricle. Pinching of the right costophrenic sinus.
|
Significant
1. False prediction of finding: 3
2. Omission of finding: 3
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 1
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 1
|
mimic-cxr-images-512/files/p16/p16346354/s59889283/0b54a128-2cfacc36-cc674a81-fd5c16c5-78bc9882.jpg,mimic-cxr-images-512/files/p16/p16346354/s59889283/81352ea3-46dd9764-71a8e980-798f84b0-45f4f3e5.jpg,mimic-cxr-images-512/files/p16/p16346354/s59889283/948bd46d-61f1d63e-56f946d2-b4c37349-5d0518ae.jpg
|
Julie
|
finding
|
A VP shunt is seen coursing through the right hemithorax into the right abdomen. Tracheostomy tube is noted. Though this study is not intended for evaluation of the airway, the trachea does not appear much larger than the tracheostomy tube. A Dobbhoff feeding tube is seen coursing into the proximal duodenum. IVC filter projects over the right border of the L2 and L3 vertebral bodies. Large mass in the right upper lung causes rightward tracheal deviation but is better assessed on the prior chest CT. Marked elevation of the right hemidiaphragm is again noted, with resultant right basal atelectasis. There is no pleural effusion or pneumothorax. Mild cardiomegaly is noted.
|
Cardiomediastinal contours are stable in appearance when compared to the prior examination. Lungs are clear. There is no pleural effusion or pneumothorax.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 7
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
AP chest reviewed in the absence of prior chest radiographs: Lungs are low in volume but clear. Heart size is normal. No pleural effusion or pneumothorax. No free subdiaphragmatic gas.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 7
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Tip of nasogastric tube terminates within the stomach. Cardiomediastinal contours are within normal limits for technique. Lungs are grossly clear except for minimal linear atelectasis at the left base. Moderate elevation of right hemidiaphragm is present with adjacent right basilar atelectasis. Questionable small right pleural effusion, but no visible pneumothorax.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 7
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p15/p15902493/s52849859/386d944b-f1474a69-668285cb-f25d2ef9-56c1ebea.jpg
|
Julie
|
finding
|
PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable AP single view chest examination of ___. The patient is now examined in standing upright position. There is status post sternotomy and significant cardiac enlargement as before. Within the cardiac shadow, metallic portions of three different valve prostheses can be identified. One is a circular metallic ring in the position of the aortic valve, the second one a similar oval-shaped ring formation in the mitral valve position, and the third one an open circle rather typical for a tricuspid valve annuloplasty. Correlating the position of these valves to the outer contours of the heart, one can state that there is remaining marked enlargement of the left atrium, but the increased distance between the tricuspid valvuloplasty and the anterior heart border speaks much in favor of a right ventricular enlargement as well as an enlarged right atrium. Prominence of the ascending aortic contour is moderate. The pulmonary vasculature is presently not congested, and on previous portable examination identified edema pattern as well as evidence of right-sided pleural effusion has normalized. No new parenchymal abnormalities are seen, and no pneumothorax is identified in the apical area. Again observed is a fractured second rib in the left apical area, apparently the result of previous sternotomy and intrathoracic cardiac intervention. When comparison is extended to the next preceding PA and lateral chest examination of ___, the patient is in better condition now as the cardiac enlargement has regressed and the pleural effusion has been absorbed completely.
|
Single portable view of the chest is compared to previous exam from ___. The lungs are clear of confluent consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted. Osseous and soft tissue structures are unremarkable.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 6
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 3
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The patient is status post median sternotomy and mitral valve replacement. Heart is upper limits of normal in size, and the aorta is diffusely tortuous. Lungs are clear except for minimal linear scar or atelectasis at the left base. No pleural effusion or acute skeletal finding.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 3
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The patient is status post previous median sternotomy and aortic valve replacement. Heart is upper limits of normal in size, and the aorta is diffusely tortuous. Lungs are clear except for minimal linear scar or atelectasis at the bases. Bones are diffusely demineralized, and note is made of a mild compression deformity in the lower thoracic spine.
|
Significant
1. False prediction of finding: 2
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 2
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 3
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
mimic-cxr-images-512/files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg,mimic-cxr-images-512/files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg
|
Julie
|
finding
|
AICD in good position. Negative for heart failure. Lungs are clear. Underlying COPD.
|
Cardiomedastinal silhouette and hilum are within normal limits. lung fields without consolidations or pleural effusion. bony and soft tissues without notable findings. note in the current epidemiological context and given the low sensitivity of the simple chest x-ray for the detection of pulmonary infiltrates by coronavirus covid 19 in the early days of infection and/or if mild symptoms, if your suspicion is such, we recommend radiological follow-up.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 1
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
ING___FINDINGS___TIME______CLINICAL______IMAGING______RECOMMENDATIONS___\nThe lungs are clear. There is no focal consolidation, pneumothorax, or pleural effusion. The heart size is normal. The aortic knob is normal in contour and caliber. No acute skeletal abnormalities are identified.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 1
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size is normal. There is a mild degree of hyperinflation. No acute infiltrates or effusions are seen.
|
Significant
1. False prediction of finding: 1
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
ReXGradient-160K-512/deid_png/GRDNFZ1ZDITO2WCI/GRDNTX3SY1PXM8XI/studies/1.2.826.0.1.3680043.8.498.76689842437679289314976227266450131511/series/1.2.826.0.1.3680043.8.498.11331090070502646835751521155956857651/instances/1.2.826.0.1.3680043.8.498.53284620802823573022898068993205032045.png,ReXGradient-160K-512/deid_png/GRDNFZ1ZDITO2WCI/GRDNTX3SY1PXM8XI/studies/1.2.826.0.1.3680043.8.498.76689842437679289314976227266450131511/series/1.2.826.0.1.3680043.8.498.54317867575836111473103759416864853252/instances/1.2.826.0.1.3680043.8.498.42255633930062699143562009218220354039.png
|
Julie
|
finding
|
Stable enlarged cardiac silhouette. No effusion, infiltrate, pneumothorax. There is mild interstitial edema pattern.
|
The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is normal in size. The mediastinal silhouettes are normal. The pulmonary vasculature is normal. There are no focal consolidations, masses, lesions, or opacities. Compared with prior radiograph from ___, there is no significant change.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 1
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The chest radiograph is provided. The patient is status post right lower lobe wedge resection. The post-operative appearance of the right hemithorax is noted. There is no evidence of pneumothorax, pleural effusion, or pneumomediastinum.There is a small amount of pleural fluid in the right costophrenic sulcus, which is not unexpected in the post-operative setting. The cardiomediastinal silhouette is unremarkable. There are no suspicious pulmonary nodules, masses, or lesions. The pulmonary vasculature is prominent, but no pulmonary edema is seen. The trachea is midline. The diaphragms are not well visualized due to overlying soft tissue, but the bowel gas pattern is non-obstructive. No acute skeletal abnormalities are seen.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 4
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
A single AP view of the chest demonstrates normal cardiac silhouette. Lungs are clear. No consolidation. No effusion. No pneumothorax. No pulmonary vascular congestion. No acute cardiopulmonary disease.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 2
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 1
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
ReXGradient-160K-512/deid_png/GRDNWS2UHWHCCAIL/GRDNHP8Y2W6USDX9/studies/1.2.826.0.1.3680043.8.498.34610815787715854848657313843760065455/series/1.2.826.0.1.3680043.8.498.30394242650701480514845388918407909734/instances/1.2.826.0.1.3680043.8.498.45566864169116372246088299820673095613.png
|
Julie
|
finding
|
Normal sized heart. Clear lungs. Mild diffuse peribronchial thickening with improvement. Unremarkable bones. Cholecystectomy clips.
|
the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomedastinal silhouette within normal limits. Pulmonary parenchyma without infiltrates of pathological significance. Costophrenic sinuses are clear. No significant alterations are appreciated in the bone planes included in the study.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Heart size is normal. No mediastinal widening. Lungs are clear. No acute osseous abnormality.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
ReXGradient-160K-512/deid_png/GRDN3JKBWP6XCTI9/GRDNJPOKOA3QWK4U/studies/1.2.826.0.1.3680043.8.498.70074051667318733111748251538705280488/series/1.2.826.0.1.3680043.8.498.19305936116049410045072256735205089243/instances/1.2.826.0.1.3680043.8.498.96534640056807060264059212418343508992.png,ReXGradient-160K-512/deid_png/GRDN3JKBWP6XCTI9/GRDNJPOKOA3QWK4U/studies/1.2.826.0.1.3680043.8.498.70074051667318733111748251538705280488/series/1.2.826.0.1.3680043.8.498.63146202806915046607869348169602976437/instances/1.2.826.0.1.3680043.8.498.89507157776373143623229609675742903176.png
|
Julie
|
finding
|
Transcutaneous pacer leads overlie the chest. The heart, hila, mediastinum, lungs, and pleura are otherwise unremarkable.
|
Chest x-ray images ___ ___ for a total of six exposures. The initial four exposures were obtained with the patient in a supine position, and the last two were obtained after the patient had been repositioned and was standing. The heart and mediastinal contours are within normal limits. The lungs are clear. No pleural effusion or pneumothorax is present.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 1
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
Cardiomedastinal silhouette and lung parenchyma without findings of pathological significance.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
The heart size is normal. Lung fields are clear.
|
Significant
1. False prediction of finding: 0
2. Omission of finding: 1
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
Insignificant
1. False prediction of finding: 0
2. Omission of finding: 0
3. Incorrect location/position of finding: 0
4. Incorrect severity of finding: 0
5. Mention of comparison that is not present in the reference: 0
6. Omission of a change from a previous study: 0
7. Inarticulate report (grammar and readability issues): 0
|
ReXGradient-160K-512/deid_png/GRDNQ8X3FDDJ08O3/GRDNZPA87T9A0KYJ/studies/1.2.826.0.1.3680043.8.498.80274432217982915289146023540538000881/series/1.2.826.0.1.3680043.8.498.98135517989504443807655610768960719474/instances/1.2.826.0.1.3680043.8.498.87865199528581825000544879740065845754.png
|
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