diff --git "a/reader_study_final_with_annotationsv3.csv" "b/reader_study_final_with_annotationsv3.csv"
new file mode 100644--- /dev/null
+++ "b/reader_study_final_with_annotationsv3.csv"
@@ -0,0 +1,10193 @@
+annotator,type,ground_truth,prediction2,annotation2,prediction3,annotation3,prediction1,annotation1,images_path
+Julie,finding,The left lower lobe pneumonia has resolved. Median sternotomy wires and pacer are noted. Moderate cardiomegaly is unchanged.,"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.,"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.","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
+Julie,finding,Right upper extremity PICC has been placed with its tip at the cavoatrial junction. Otherwise stable exam.,"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: 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",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: 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",A single AP view of the chest demonstrates normal cardiac silhouette. The lung fields are clear. No evidence of pneumothorax. No osseous structures are normal. No significant pathology. The visualized bony thorax is unremarkable.,"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: 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/GRDNP9FAZ03ZFHIH/GRDN4LQHN2IIOALQ/studies/1.2.826.0.1.3680043.8.498.65277402625690553188112732036973905322/series/1.2.826.0.1.3680043.8.498.26332288829158535564766841556874561375/instances/1.2.826.0.1.3680043.8.498.27400332770134299222822737483284592625.png
+Julie,finding,Cardiomegaly with vascular congestion. Diffuse bilateral airspace disease likely reflects edema/CHF. No visible effusions or acute bony abnormality.,Chest x-ray technique performed with a portable device in one projection. findings show no pulmonary consolidations observed. no pleural effusion. cardiomedastinal silhouette without alterations.,"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): 1","Cardiomediastinal contours are within normal limits. Lungs are clear. There is no pneumothorax or pleural effusion. A small amount of subcutaneous emphysema is present in the right chest wall. No displaced rib fractures are evident on these lung-technique films. Note is made of pneumoperitoneum, consistent with history of recent abdominal surgery.","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: 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. Lungs are clear. No pleural effusion or pneumothorax. No acute 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: 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/GRDN9MXQKKNSG3ZG/GRDNGSNAX9XGZGXQ/studies/1.2.826.0.1.3680043.8.498.62154678660541913454158041717816314923/series/1.2.826.0.1.3680043.8.498.11263724613010950282062446607041063157/instances/1.2.826.0.1.3680043.8.498.48688133099615632232610606591803048927.png,ReXGradient-160K-512/deid_png/GRDN9MXQKKNSG3ZG/GRDNGSNAX9XGZGXQ/studies/1.2.826.0.1.3680043.8.498.62154678660541913454158041717816314923/series/1.2.826.0.1.3680043.8.498.62966865945896538280764369551514455454/instances/1.2.826.0.1.3680043.8.498.20112242478283288108070802031462974552.png"
+Julie,finding,Borderline cardiomegaly. Central vascular congestion without convincing pulmonary edema. Study is limited by poor inspiration. No segmental infiltrate.,The lungs are clear. The cardiac silhouette is not enlarged. No pleural effusions or pneumothorax are present. The pulmonary vasculature is normal. Mediastinal structures are unremarkable. The bony structures are intact. There are no focal parenchymal opacities that are concerning for an infectious process. There is no evidence of aspiration pneumonitis.,"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: 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","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: 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",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: 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: 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",ReXGradient-160K-512/deid_png/GRDN0IGVBEUVRLVZ/GRDN8EKK8WNLE6M2/studies/1.2.826.0.1.3680043.8.498.85386754707794609014489852561443872333/series/1.2.826.0.1.3680043.8.498.62884986965678323505169103435289640607/instances/1.2.826.0.1.3680043.8.498.90695285006748819027978291818420340414.png
+Julie,finding,"Compared to a chest x-ray from yesterday, no definite pneumothorax is seen. Left and right central venous catheters are unchanged.","TECHNICAL SPECIFICATIONS FOR THE RADIOGRAPHIC EXAMINATION ARE AS FOLLOWS: CARDIOPULMONARY RADIOGRAPHY ___ ___, ___ and ___ were performed in addition to ___. The patient was positioned in the supine position. The lung apices are not visualized on this study. Allowing for this, the lungs are essentially clear. The cardiac silhouette is normal in size. The mediastinal contours are normal. There is no evidence of pneumothorax or pleural effusion. The visualized portions of the bowel gas pattern are unremarkable.","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): 1",No pulmonary infiltrates or consolidations are observed.,"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): 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 single AP view of the chest demonstrates normal cardiac silhouette. The lung fields are clear. No evidence of hilar or mediastinal adenopathy is demonstrated. Skeletal structures are unremarkable.,"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/GRDNAW2T8WR7J0MF/GRDN4ZGX6FYFZEOZ/studies/1.2.826.0.1.3680043.8.498.29328497245011962872279115148632247303/series/1.2.826.0.1.3680043.8.498.50818112806730704925148543372124098923/instances/1.2.826.0.1.3680043.8.498.37804267967468056808231880105400548630.png
+Julie,finding,Low lung volumes. Patchy atelectasis or early infiltrates in both lung bases. No effusion. Heart size normal. Regional bones unremarkable.,"A chest radiograph is provided. The lungs and cardiomediastinal contours are unremarkable. There is no evidence of focal consolidation, pneumothorax, or mass. There are a few scattered calcified granulomas in the right lung.","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",there is a left - sided picc line with its tip at the cavoatrial junction. there is a right - sided picc line with its tip in the distal svc. there is a left - sided pleural effusion and left lower lobe volume loss. there is a small right - sided pleural effusion. there is a left - sided pleural effusion. there is a left lower lobe consolidation.,"Significant
+1. False prediction of finding: 6
+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): 1",Heart size is normal. No mediastinal widening. Lungs are clear. No evidence of a pneumothorax. No pleural effusion. No acute osseous abnormality of the thorax. No acute cardiopulmonary process is 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): 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/GRDN4PC4AJE826EQ/GRDNHTIQUXC5MV1M/studies/1.2.826.0.1.3680043.8.498.70891851362210730833181459264502611217/series/1.2.826.0.1.3680043.8.498.11307601187341743147003788553957840698/instances/1.2.826.0.1.3680043.8.498.48889298981323477506534692432505348007.png,ReXGradient-160K-512/deid_png/GRDN4PC4AJE826EQ/GRDNHTIQUXC5MV1M/studies/1.2.826.0.1.3680043.8.498.70891851362210730833181459264502611217/series/1.2.826.0.1.3680043.8.498.40039370240742184751578497421999130273/instances/1.2.826.0.1.3680043.8.498.65773007107559515592590955218955460272.png"
+Julie,finding,Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen.,Cardiomedastinal silhouette and lung parenchyma without findings of pathological significance.,"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","EDTHUSEREPORTON ___ ___, ___. FINDINGS: The lungs are well expanded and clear. There is no focal consolidation. There are no pleural effusions or pneumothorax. The heart is normal in size and position. The mediastinal structures are unremarkable. The bony thorax is grossly intact. The patient is status post right total shoulder arthroplasty, with removal of the original prosthesis and placement of a new glenohumeral and acromioclavicular joint replacement, as documented on the radiographs dated ___.","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: 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 for technique. Lungs are grossly clear. No pleural effusion or pneumothorax.,"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","ReXGradient-160K-512/deid_png/GRDNO9R9NNXJWJCX/GRDN33HL0H9FW46U/studies/1.2.826.0.1.3680043.8.498.21320967590184807632274261404700550363/series/1.2.826.0.1.3680043.8.498.13730511684693382827248554464831825314/instances/1.2.826.0.1.3680043.8.498.38699686079424558188299152521077755951.png,ReXGradient-160K-512/deid_png/GRDNO9R9NNXJWJCX/GRDN33HL0H9FW46U/studies/1.2.826.0.1.3680043.8.498.21320967590184807632274261404700550363/series/1.2.826.0.1.3680043.8.498.79153717029546639609573336907170163486/instances/1.2.826.0.1.3680043.8.498.98712561900464633355378145570133962676.png"
+Julie,finding,Film was obtained during a low inspiration. There is no air trapping appreciated. Central portal catheter remains in satisfactory position.,"TECHNISCALLOUTIONFINDINGS: The lungs are clear. No focal consolidations, effusions, or pneumothoraces 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: 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): 1","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",Heart size is normal. The lungs are clear. No opacities or pleural effusions. Bony thorax is unremarkable.,"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/GRDNSH2GH1HJH8B1/GRDNVBSWOJX8FYKK/studies/1.2.826.0.1.3680043.8.498.31631596226522163650781614330777772276/series/1.2.826.0.1.3680043.8.498.73631602505106124492933851304049036271/instances/1.2.826.0.1.3680043.8.498.25309047476358492384773345878252286988.png
+Julie,finding,Single view of the chest demonstrates a prominent cardiac silhouette. Tortuous aorta. Chronic interstitial changes. Scattered granuloma. Articular degenerative changes.,Cardiomedastinal silhouette and lung parenchyma without findings of relevance.,"Significant
+1. False prediction of finding: 5
+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",there is a left - sided picc line with its tip at the cavoatrial junction. there is a right - sided picc line with its tip in the distal svc. there is a left - sided pleural effusion and left lower lobe volume loss. there is a small right - sided pleural effusion. there is a left - sided pleural effusion. there is a left lower lobe consolidation.,"Significant
+1. False prediction of finding: 7
+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: 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. The lung fields are clear. No evidence of pneumothorax. No acute osseous abnormality.,"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: 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/GRDNEXP9FQRROIMW/GRDN835JI6XFSZQF/studies/1.2.826.0.1.3680043.8.498.38325669475118349457814272784396334583/series/1.2.826.0.1.3680043.8.498.73010553092919203312653140344496132851/instances/1.2.826.0.1.3680043.8.498.66717511055121693971829481573596727963.png
+Julie,finding,Minimal perivascular edema. Left lower lobe atelectasis / consolidation. Cardiomegaly. No pneumothorax. Catheter sheath is in the right jugular vein.,Reason for consultation: abdominal pain. Anteroposterior chest x-ray. No significant alterations are visualized. Evaluate with clinical data and physical examination that have not been provided.,"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: 2
+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","THATTHECOMPREHENSIVEIMAGINGSTUDYISUNREMARKABLEFORADDITIONALINFORMATION,THEPATIENTISUNCHANGEDINCOMPARISONTO___.THECHESTIMAGESWEREPERFORMEDWITHCONVENTIONALPHOTOFIXATIONTECHNIQUES.NOABNORMALCARDIOMEDIASTINFLAMMATIONORPULMONARYOPATHYISSEEN.ATHEARTSIZEISAPPROXIMATELY4CM.NODEFINITIVEDIAGNOSTICCRITERIAFORPNEUMONIAORINFILTRATEISRECOMMENDEDFORFURTHERASSESSMENTONSEPARATEPHOTOCURATEDCHEST X-RAYSFROM ___ AND ___.THEMOSTRECENTChest X-RAYFROM ___ SHOWSNOABORMALITY. THE PREVIOUS CHEST X RAY FROM ___ SHOWED NO CARDIOMEGALOVASCULARABNORMALITIES.","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): 7
+
+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. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute bony abnormality 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: 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/GRDN0CLQAUM2PWDC/GRDNTZ06EQVSD4AD/studies/1.2.826.0.1.3680043.8.498.12653821883332532779377148984798552495/series/1.2.826.0.1.3680043.8.498.81243121848746805920019621361122579616/instances/1.2.826.0.1.3680043.8.498.31010452669811594372702519260262714117.png
+Julie,finding,UVC terminates over the high right atrium. Orogastric tube is appropriately positioned. Bowel gas pattern is normal. Lung bases are clear.,The lungs are clear. The cardiac silhouette is not enlarged. No pleural effusions or pneumothorax are present. The pulmonary vasculature is normal. The chest findings are unchanged since the previous examination.,"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",DÜZÜRMÜ. The lungs are clear. The heart is normal in size and configuration. The mediastinum is not widened. There is no evidence of pneumothorax or pleural effusion. No focal parenchymal opacities are present.,"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): 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",PA AP chest demonstrates normal heart size. Lungs are clear. There is a mild dextrocurvature of the thoracic spine.,"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): 0
+
+Insignificant
+1. False prediction of finding: 2
+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",ReXGradient-160K-512/deid_png/GRDN4SZYTXK18ZTE/GRDNXJ9IBYKTA6ZJ/studies/1.2.826.0.1.3680043.8.498.41432772122085702344820063914742446917/series/1.2.826.0.1.3680043.8.498.31237460284934991919963506231562557994/instances/1.2.826.0.1.3680043.8.498.83442985880054869626823907747404816134.png
+Julie,finding,We do not demonstrate cortical discontinuity along the sternum to suggest a sternal fracture. No signs of pneumomediastinum on the lateral view.,the heart is mildly enlarged. there is a left retrocardiac opacity with obscuration of the left hemidiaphragm. there is a small left pleural effusion. there is no pneumothorax.,"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): 4","The cardiomediastinal and hilar contours are normal. The lungs are clear, without consolidation, pulmonary edema, pleural effusion or pneumothorax. No acute osseous abnormality is seen.","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","Heart size is normal. No mediastinal widening. There is some peribronchial cuffing and interstitial prominence bilaterally. No focal pneumonia or pneumothorax. No effusion, bilaterally. No acute osseous abnormality.","Significant
+1. False prediction of finding: 2
+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","ReXGradient-160K-512/deid_png/GRDN1CS7GGVCK9YF/GRDN4M90M0TVZM54/studies/1.2.826.0.1.3680043.8.498.16018502374708745399136774306855551534/series/1.2.826.0.1.3680043.8.498.29979476618035640212634303600960754183/instances/1.2.826.0.1.3680043.8.498.25807973761878945018296316273419333576.png,ReXGradient-160K-512/deid_png/GRDN1CS7GGVCK9YF/GRDN4M90M0TVZM54/studies/1.2.826.0.1.3680043.8.498.16018502374708745399136774306855551534/series/1.2.826.0.1.3680043.8.498.53845886754952437176939466725575551173/instances/1.2.826.0.1.3680043.8.498.69559577147334773882932760546226649402.png"
+Julie,finding,Mild cardiac enlargement. Aortic atherosclerosis identified. There is decreased aeration to the left lung base which may represent an infiltrate or atelectasis.,"A Chest radiograph is provided. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is normal. Mediastinal contours, and trachea are normal. No acute skeletal abnormalities are identified.","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): 1",Cardiomedastinal silhouette and lung parenchyma without findings of relevance.,"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 is normal. No mediastinal widening. Lungs are clear. No acute 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: 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/GRDNBOP2YGJPMNZ8/GRDNZSNDPFY9Y523/studies/1.2.826.0.1.3680043.8.498.56583995035047824498517297529184109404/series/1.2.826.0.1.3680043.8.498.80124440512215287745853699108831965209/instances/1.2.826.0.1.3680043.8.498.30115110303093210407560059613841490608.png,ReXGradient-160K-512/deid_png/GRDNBOP2YGJPMNZ8/GRDNZSNDPFY9Y523/studies/1.2.826.0.1.3680043.8.498.56583995035047824498517297529184109404/series/1.2.826.0.1.3680043.8.498.96028812588100422895138107528888427339/instances/1.2.826.0.1.3680043.8.498.95509351140074211992922693583301414844.png"
+Julie,finding,Persistent retrocardiac density. Left mid lung opacity is less apparent. No significant pleural effusion. No pneumothorax. Stable cardiomediastinal contours. Calcified hilar lymph nodes.,Reason for consultation: preoperative for maxillofacial surgery. Anteroposterior chest x-ray. No significant alterations are visualized.,"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","Portable AP chest radiograph demonstrates no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is mildly enlarged. The pulmonary vasculature is not engorged. Mediastinal contours are unremarkable. Bony structures are intact.","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: 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 is normal. There is a 1.5 cm right paratracheal density which could represent a calcified lymph node. This is not clearly seen on the previous examination. The remainder of the lung fields are clear.,"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: 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",ReXGradient-160K-512/deid_png/GRDNPYZIW6H8RH3Z/GRDNMAE78XCQ12VG/studies/1.2.826.0.1.3680043.8.498.56970906198001606849516512382410300809/series/1.2.826.0.1.3680043.8.498.65191081821756262250366000351488438719/instances/1.2.826.0.1.3680043.8.498.57165182422514865876553326969443144637.png
+Julie,finding,"Interval placement of NG tube. Endotracheal tube is stable. Bilateral airspace disease again noted, slightly increased since prior study. Mild cardiomegaly. Probable small bilateral effusions.","The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The heart size is normal. The mediastinum is not widened. The bony structures are unremarkable.","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: 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",there is a left - sided picc line with its tip at the cavoatrial junction. there is a right - sided picc line with its tip in the distal svc. there is a left - sided pacemaker with its leads in the right atrium and right ventricle. there is a left - sided pleural effusion and a small right - sided pleural effusion. there is a left retrocardiac opacity which may represent atelectasis or consolidation. there is no evidence of pulmonary edema.,"Significant
+1. False prediction of finding: 3
+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: 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. Lungs are clear. Right-sided PICC catheter overlies the right axilla.,"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: 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/GRDN7ZLUSD5UM0V8/GRDNNWF1Q13U49Z7/studies/1.2.826.0.1.3680043.8.498.32335550246053603261480088940494700099/series/1.2.826.0.1.3680043.8.498.40637918189649886729147716921114996322/instances/1.2.826.0.1.3680043.8.498.33389895436703299265032569100229007725.png
+Julie,finding,Right upper lobe pneumonia has essentially resolved. Minimal parenchymal density at that site. Right apical pleural thickening. Normal cardiomediastinal silhouette. Symmetrical hila. Bony thorax intact.,"EDTHUSEREPORT. Chest x-ray is provided for review. The lungs are well expanded and clear. There is no pneumothorax or focal consolidation. Cardiomediastinal silhouette and pleural surfaces are unremarkable. Pulmonary vascularity is within normal limits. The left hemidiaphragm is obscured by overlying soft tissue, and the left retrocardiac region is not well evaluated due to underpenetration. A followup study may be helpful in this regard if the patient's clinical status 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: 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): 1",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: 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): 4","Heart size, mediastinal and hilar contours are normal. Lungs are well expanded and clear, and there is no pleural effusion or pneumothorax.","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","ReXGradient-160K-512/deid_png/GRDNYSTUIQETSESA/GRDNKMODDZ2BY532/studies/1.2.826.0.1.3680043.8.498.82389364025122460182575120194825996689/series/1.2.826.0.1.3680043.8.498.29124437511323878194030925240810659269/instances/1.2.826.0.1.3680043.8.498.96885988538067654716278598854685628275.png,ReXGradient-160K-512/deid_png/GRDNYSTUIQETSESA/GRDNKMODDZ2BY532/studies/1.2.826.0.1.3680043.8.498.82389364025122460182575120194825996689/series/1.2.826.0.1.3680043.8.498.72898216031559443737066982869658661311/instances/1.2.826.0.1.3680043.8.498.58998651327485491846017862509480113219.png"
+Julie,finding,Cardiomediastinal silhouette is normal. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there is a persistent small - to - moderate left - sided pleural effusion with associated atelectasis. a small right - sided pleural effusion appears unchanged. there is no pneumothorax.,"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: 3
+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): 8","Cardiomediastinal contours are stable in appearance. Bilateral pleural effusions have decreased in size with only a minimal residual effusion remaining. There is no pneumothorax. The lungs are clear except for minimal bilateral atelectasis in the lower lobes. Multifocal areas of consolidation are present in the right upper lobe and left lower lobe. Considering the clinical history, these findings are most likely due to multifocal pneumonia. However, followup radiographs are recommended to ensure resolution and to exclude the possibility of bronchiectasis or carcinoma in the appropriate clinical setting. Dr. ___ has reviewed the outside chest x-ray of ___ from ___ and notes that it is technically inadequate for evaluation of the lung parenchyma due to the overlying breast tissue. On today's examination, the lung bases are well penetrated and evaluation is not degraded by overlying soft tissues.","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: 2
+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, 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: 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","ReXGradient-160K-512/deid_png/GRDN4NPKMURPRBQ1/GRDNZ0XVVCWD5R6J/studies/1.2.826.0.1.3680043.8.498.25236134789675339184080623351698233657/series/1.2.826.0.1.3680043.8.498.32303793145320041041833316439691893388/instances/1.2.826.0.1.3680043.8.498.23422929703919941310590090563222362639.png,ReXGradient-160K-512/deid_png/GRDN4NPKMURPRBQ1/GRDNZ0XVVCWD5R6J/studies/1.2.826.0.1.3680043.8.498.25236134789675339184080623351698233657/series/1.2.826.0.1.3680043.8.498.87724161888784605678920693782057041465/instances/1.2.826.0.1.3680043.8.498.19695168984228586498764277528738638507.png"
+Julie,finding,"Multi lead left-sided pacemaker in place. Unchanged heart size and mediastinal contours. Retrocardiac hiatal hernia. No consolidation, pleural effusion or pneumothorax. Chronic change about the right shoulder.",A slightly inspired x-ray plate in which no major alterations in the lung parenchyma are appreciated.,"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): 1
+
+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 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 or opacities. The bony thorax is normal without fracture or dislocation. The prostate is not enlarged.,"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: 2
+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",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: 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",ReXGradient-160K-512/deid_png/GRDNPFRWQYHM091A/GRDN51PA2ZE7D6VX/studies/1.2.826.0.1.3680043.8.498.69297041613555268841869338162907647099/series/1.2.826.0.1.3680043.8.498.84152027731101412284235744118045736695/instances/1.2.826.0.1.3680043.8.498.50620110312674731027522435855466511978.png
+Julie,finding,Heart: Normal. Lungs: Normal. Mediastinum: Normal. Pleural effusions: None. Bones: There is no suspicious lytic or sclerotic lesion throughout the visualized bony structures. Visualized upper abdomen: Normal.,"The lungs are clear. There is no focal consolidation, effusion, pneumothorax, or nodule. The heart size is normal. The cardiomediastinal contours are normal. There are no abnormal cardiac or mediastinal calcifications.","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",The lungs are clear without evidence of pneumonia or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiac silhouette is normal in size. The mediastinal contours are normal. The hila are normal in appearance. The bony thorax is grossly intact with no evidence of fracture or dislocation.,"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",Heart size is normal. No mediastinal widening. Lungs are clear. No evidence of a pneumothorax. No acute osseous abnormality of the thorax. No acute cardiopulmonary disease. No acute displaced fracture.,"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","ReXGradient-160K-512/deid_png/GRDNG4I7E03VTN72/GRDNN1JH7HPM6D24/studies/1.2.826.0.1.3680043.8.498.46954052944325475404791649271905079097/series/1.2.826.0.1.3680043.8.498.44466014534223934612020130081738668132/instances/1.2.826.0.1.3680043.8.498.28650211436163881401407660629307296804.png,ReXGradient-160K-512/deid_png/GRDNG4I7E03VTN72/GRDNN1JH7HPM6D24/studies/1.2.826.0.1.3680043.8.498.46954052944325475404791649271905079097/series/1.2.826.0.1.3680043.8.498.75917654263493318732026156668472055908/instances/1.2.826.0.1.3680043.8.498.10428804245052228432080728754692491055.png"
+Julie,finding,"Prior sternotomy for CABG. Cardiac silhouette mildly to moderately enlarged. Suboptimal inspiration. Ground-glass opacities throughout both lungs, RIGHT greater than LEFT, increased since the examination 4 days ago.",the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.,"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: 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 normal. Both lungs are clear. There are no pleural effusions or pneumothorax. Compared with ___ at 4:30 a.m., there is no relevant change.","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: 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): 1",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: 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: 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",ReXGradient-160K-512/deid_png/GRDN0FXV8KUVKKK8/GRDNJK428MSKGS80/studies/1.2.826.0.1.3680043.8.498.62249988644827245945045603928446827843/series/1.2.826.0.1.3680043.8.498.29284815775398619510540688768887066321/instances/1.2.826.0.1.3680043.8.498.98541467942435617581045515537276344400.png
+Julie,finding,"Examination is very limited due to body habitus. No useful information can be discerned from this examination. Recommend a chest x-ray in the department, when able, for better evaluation.","The lungs are well expanded and demonstrate a 1.5 cm nodule in the right upper lobe, just above the minor fissure. There is no evidence of hilar or mediastinal lymphadenopathy. No other nodules or masses are detected.","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","Examination findings: diffuse opacities in the upper, middle, and lower right fields and in the middle and lower left fields in relation to covid-19 involvement. no pleural effusion is observed. cardiomedastinal silhouette without alterations. conclusion: radiological findings are consistent with an infectious process in the context of a pandemic, with severe involvement of the lung parenchyma.","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): 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",Cardiomediastinal contours are within normal limits. Lungs are clear except for minimal linear atelectasis or scarring at the left lung base. 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: 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/GRDNQ3YV8C87OKLT/GRDNVRBBPCNU8DCN/studies/1.2.826.0.1.3680043.8.498.44453391981227591316709300226205207422/series/1.2.826.0.1.3680043.8.498.71463664177979682122187589768919296783/instances/1.2.826.0.1.3680043.8.498.34159342837188274678333884585095197295.png
+Julie,finding,"Cardiomegaly. Left mastectomy and axillary node dissection. Clear lung fields. No effusion or pneumothorax. Right shoulder fracture, incompletely evaluated. Apparent overriding fracture fragments. Consider upper extremity radiographs for further evaluation.",Cardiomedastinal silhouette and lung parenchyma without findings of relevance.,"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","The lungs are well expanded. The cardiac silhouette is normal in size. The mediastinal contours are normal. The pulmonary vasculature is normal. There is no evidence of consolidation, pleural effusion, pneumothorax, or pneumomediastinum. No discrete pulmonary nodule, pulmonary mass, or area of pleural or parenchymal scarring is present. No acute skeletal abnormality is detected.","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",A single AP view of the chest demonstrates normal cardiac silhouette. The lung fields are clear. No evidence of hilar or mediastinal adenopathy is demonstrated. Skeletal structures are unremarkable.,"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: 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/GRDNSE7WDDKAZJHM/GRDN9S972WM5BSO7/studies/1.2.826.0.1.3680043.8.498.86930801981790543324810294934029953805/series/1.2.826.0.1.3680043.8.498.96306190900633834724797133331540164618/instances/1.2.826.0.1.3680043.8.498.55824149318938680426538216448002496787.png
+Julie,finding,There is some faint irregularity along the left hemidiaphragm potentially representing atelectasis or mild bronchopneumonia. Scarring or true pulmonary nodule are considered less likely. The heart and mediastinum appear unremarkable.,"the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a persistent small - to - moderate pleural effusion on the left, but decreased. there is no definite pleural effusion on the right. a small pleural effusion on the left appears unchanged. the lungs appear clear.","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: 2
+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): 6",Cardiomedastinal silhouette and hila within normal limits. pulmonary fields without consolidations or pleural effusion. bone and soft parts without notable 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: 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): 3",Heart size is normal. No mediastinal widening. Lungs are clear. No infiltrate. No evidence of pneumothorax. No pleural effusion. 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: 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/GRDN0R0P3V1ONG2E/GRDNXS21CSGX2GBM/studies/1.2.826.0.1.3680043.8.498.30354434835229218894238030692607965061/series/1.2.826.0.1.3680043.8.498.37621774524990057391622849816397309452/instances/1.2.826.0.1.3680043.8.498.26695365749129216332885378088313883168.png,ReXGradient-160K-512/deid_png/GRDN0R0P3V1ONG2E/GRDNXS21CSGX2GBM/studies/1.2.826.0.1.3680043.8.498.30354434835229218894238030692607965061/series/1.2.826.0.1.3680043.8.498.69239748840029918284522944531553922213/instances/1.2.826.0.1.3680043.8.498.31450574022572333616558657200544200090.png"
+Julie,finding,"Suboptimal inspiration accounts for crowded bronchovascular markings, especially in the bases, and accentuates the cardiac silhouette. Taking this into account, cardiac silhouette unremarkable for patient age. Lungs clear. Bronchovascular markings normal.",No significant bone alterations are observed in the rib cage.,"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: 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","THEREARETWOPATHOLOGICALLYUNCHANGEDChest X-ray ___ ___. The lungs and cardiomediastinal silhouette are unremarkable. There is no focal consolidation, pneumothorax, or pleural effusion. Note that the left hemidiaphragm is not well visualized due to overlying bowel, limiting assessment of the left lower lobe. The patient is status post aortic valve replacement, with expected postoperative mediastinal widening.","Significant
+1. False prediction of finding: 2
+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): 1
+
+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): 1",PA AP chest demonstrates normal heart size. Lungs are clear.,"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",ReXGradient-160K-512/deid_png/GRDNMC8R5S5PWY4W/GRDN2JG4MKKJZH76/studies/1.2.826.0.1.3680043.8.498.41200864146547205284186473147755732493/series/1.2.826.0.1.3680043.8.498.91192691915078385571680037140408320880/instances/1.2.826.0.1.3680043.8.498.85262834754805572002640223378986653992.png
+Julie,finding,"Line in right hemithorax no longer present, consistent with skin fold. CABG/aortic valvular prosthesis and epicardial pacing leads. No interval change in the lungs. Aortic atherosclerosis. Dense calcification right apex. Unchanged cardiomegaly.",The lungs are clear. The cardiac silhouette is not enlarged. There is no pleural effusion or pneumothorax.,"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",there is a left - sided picc line with its tip at the cavoatrial junction. there is a left - sided picc line with its tip in the distal svc. there is a small left pleural effusion. there is a linear opacity in the left lung base which may represent atelectasis or scarring. there is no focal infiltrate or pulmonary edema.,"Significant
+1. False prediction of finding: 4
+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): 4",PA chest demonstrates normal heart size. Lungs are clear.,"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: 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/GRDN9270INFNKWBK/GRDNS7E5WVPG7A5A/studies/1.2.826.0.1.3680043.8.498.66682091556766238668456623093951180995/series/1.2.826.0.1.3680043.8.498.79466810210964910127291698577267688624/instances/1.2.826.0.1.3680043.8.498.86094792484479948600194478068480931615.png
+Julie,finding,"Multiple pulmonary nodules consistent with metastatic disease, known. No convincing acute airspace opacity is superimposed. Normal heart size. Rightward tracheal deviation from large intrathoracic thyroid nodule. Right-sided port with tip at the SVC.","Cardiac silhouette is enlarged. Pulmonary vasculature is within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. Incidental note is made of degenerative changes in the thoracic spine and bilateral glenohumeral and acromioclavicular joints, consistent with osteoarthritis.","Significant
+1. False prediction of finding: 4
+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",There is a moderate-sized left pleural effusion. The left hemidiaphragm is obscured by dense consolidation at the left lung base. The right lung is clear. The heart is not enlarged. The azygos vein is slightly distended. Pulmonary vascularity is within normal limits. No pneumothorax is evident.,"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: 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. No significant vascular congestion or edema is noted. Lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormality.,"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: 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/GRDN1BS8UTV09ALV/GRDNZGKKEFPK8TCQ/studies/1.2.826.0.1.3680043.8.498.36805853151645356487180269932740247764/series/1.2.826.0.1.3680043.8.498.11265336415539033862974158643847012408/instances/1.2.826.0.1.3680043.8.498.15307173268322306909117625153858838828.png,ReXGradient-160K-512/deid_png/GRDN1BS8UTV09ALV/GRDNZGKKEFPK8TCQ/studies/1.2.826.0.1.3680043.8.498.36805853151645356487180269932740247764/series/1.2.826.0.1.3680043.8.498.61899549454862239513296754450031458111/instances/1.2.826.0.1.3680043.8.498.32253844053395235155163374330180362839.png,ReXGradient-160K-512/deid_png/GRDN1BS8UTV09ALV/GRDNZGKKEFPK8TCQ/studies/1.2.826.0.1.3680043.8.498.36805853151645356487180269932740247764/series/1.2.826.0.1.3680043.8.498.99087037040509926299548510707679299945/instances/1.2.826.0.1.3680043.8.498.36811566044817377623056901304397983344.png"
+Julie,finding,"I suspect there is a pneumothorax, 15-20%. Differentiation from a skin fold is difficult however, and we will obtain a follow-up expiratory film. Right basilar subsegmental atelectasis. Posterior right seventh and eighth rib fractures.",Cardiomedastinal silhouette and hila within normal limits. pulmonary fields without consolidations or pleural effusion. bone and soft parts without notable findings.,"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): 3","The lungs and cardiomediastinal structures are unremarkable. There is no pneumothorax, consolidation, pleural effusion or pneumoperitoneum. The aortic knob calcifications are again noted.","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","A single AP view of the chest demonstrates normal cardiac silhouette and clear lungs. The patient has undergone interval extubation. No focal infiltrate, pneumothorax, or pleural effusion. No acute osseous abnormality.","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: 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/GRDN1CYVOV8HNFEF/GRDNQUFX00SEZPW6/studies/1.2.826.0.1.3680043.8.498.49742676482454517167761398433929584799/series/1.2.826.0.1.3680043.8.498.71828545541801676958634615983513851914/instances/1.2.826.0.1.3680043.8.498.99068487989307450180238271320372293498.png
+Julie,finding,"Normal heart size, mediastinal contours, and pulmonary vascularity. Emphysematous changes with minimal peribronchial thickening. No pulmonary infiltrate, pleural effusion or pneumothorax. Question right nipple shadow. Prominent first costochondral junctions stable. Scattered endplate spur formation thoracic spine.",Chest radiographs are obtained with patient in the upright position. Heart size is within normal limits. Mediastinal and hilar contours are unremarkable. Lungs are clear with no evidence of consolidation. There is no pleural effusion or pneumothorax.,"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: 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",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: 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: 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",Heart is upper limits of normal in size. Aorta is tortuous. Lungs are clear. There is no pleural effusion or pneumothorax. Bones are unremarkable.,"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: 0
+7. Inarticulate report (grammar and readability issues): 0
+
+Insignificant
+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","ReXGradient-160K-512/deid_png/GRDN7FOEXV6KP0YV/GRDNATDZ14J2CC5P/studies/1.2.826.0.1.3680043.8.498.73399776798994812212264926897856962443/series/1.2.826.0.1.3680043.8.498.54843646610545724338835158440826615777/instances/1.2.826.0.1.3680043.8.498.48024288528982186884933056485228730169.png,ReXGradient-160K-512/deid_png/GRDN7FOEXV6KP0YV/GRDNATDZ14J2CC5P/studies/1.2.826.0.1.3680043.8.498.73399776798994812212264926897856962443/series/1.2.826.0.1.3680043.8.498.58442624315122285878620079509187033041/instances/1.2.826.0.1.3680043.8.498.41067956908137644178457711175312325136.png"
+Julie,finding,"Lungs are hyperexpanded. Architectural distortion and scarring noted both lungs, including right apex. Interstitial markings are diffusely coarsened with chronic features. Patchy/nodular ground-glass attenuation noted both lungs, similar to prior. No pleural effusion. Bones are diffusely demineralized.",Cardiomediastinal contours are stable to possibly minimally decreased in size. Pulmonary vascularity is within normal limits. The lungs are clear. There are no pleural effusions or pneumothoraces. Bones are grossly unremarkable. There is no evidence of pneumoperitoneum. A right-sided central venous catheter terminates at the level of the cavoatrial junction. A left subclavian line terminates in the left brachiocephalic vein. Aortic knob calcifications are noted.,"Significant
+1. False prediction of finding: 3
+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: 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 heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear.,"Significant
+1. False prediction of finding: 1
+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): 1",Heart size is normal. Lungs are clear. No acute pleural abnormality. No vascular congestion. No acute osseous changes.,"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","ReXGradient-160K-512/deid_png/GRDNLQXZRRI6BNFQ/GRDNZ37DSRS0M3Z3/studies/1.2.826.0.1.3680043.8.498.28254584795440477183159018826032014714/series/1.2.826.0.1.3680043.8.498.26966125158480904785285148245649634998/instances/1.2.826.0.1.3680043.8.498.11772703013200949679789552409940391865.png,ReXGradient-160K-512/deid_png/GRDNLQXZRRI6BNFQ/GRDNZ37DSRS0M3Z3/studies/1.2.826.0.1.3680043.8.498.28254584795440477183159018826032014714/series/1.2.826.0.1.3680043.8.498.76986823421793671712032594810453587497/instances/1.2.826.0.1.3680043.8.498.94727720558577513708077897246118241014.png"
+Julie,finding,"Removal of the oral gastric catheter. Normal cardiothymic silhouette. Clear lungs. UAC catheter tip at T7 in the descending thoracic aorta. UVC cath tip at T9, retracted to the IVC / RA junction. Nonspecific gaseous distention of the bowel.","INGFINDINGSReview of chest x-ray images from ___.Chest x-ray from ___ shows bilateral peribronchial cuffing and perihilar haziness, consistent with chronic bronchitis. There is no evidence of pneumonia, pneumothorax, or mediastinal widening. The heart size is normal. No acute skeletal abnormalities are identified.","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: 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",No pulmonary infiltrates or consolidations are observed.,"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: 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 is normal. Lung fields are clear. No acute infiltrates or effusions.,"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: 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",ReXGradient-160K-512/deid_png/GRDNNB9GNDXBHSV4/GRDNGN77GUOCDAB9/studies/1.2.826.0.1.3680043.8.498.16709231603626723239860061342193883205/series/1.2.826.0.1.3680043.8.498.32263133557666748123924547289005294483/instances/1.2.826.0.1.3680043.8.498.48532144589222357923950020751148634313.png
+Julie,finding,"Portable exam is performed at 9926 hours, showing repositioned umbilical venous catheter. Tip overlies the junction of the inferior vena cava with the right atrium. Cardiothymic silhouette is normal. Very minimal streaky perihilar densities are noted. Bowel gas pattern is nonobstructive.",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: 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","INGFINDINGS: NORMALVASCULAR PACKING OF THE RIGHT HEMITHORAX IS MILDLY ENLARGED COMPARED TO THE LEFT. THE CARDIOMEDIASTINAL ANATOMY IS UNREMARKABLE. THERE IS NO EVIDENCE OF PULMONARY NODULES, FOCAL CONSOLIDATION, OR PNEUMONIA. NOTABLELY, THERE IS A ROUND OPACITY MEASURING 1.5 CM IN THE ANTERIOR LEFT UPPER ABDOMEN, JUST TO THE RIGHT OF THE MIDDLE SCAPULA. THIS IS NOT DEFINITIVELY LOCALIZED ON THE CHEST X-RAY, BUT APPEARS TO BE LOCATED IN THE LEFT UPPER QUADRANT OF THE LEFT LUNG. THE CLINICAL CORRELATION OF THIS FINDING IS UNKNOWN. RECOMMENDATION: UPRIGHT AND LEFT LATERAL DECUBITUS VIEWS SHOULD BE OBTAINED WHEN POSSIBLE TO CONFIRM THE LOCATION OF THIS OPACITY AND TO RULE OUT PATHOLOGIC PROCESSES IN THE UPPER ABDOMEN.","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: 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): 5",Single AP view of the chest demonstrates normal cardiac silhouette. Lungs are clear. No focal infiltrate. The visualized osseous structures are unremarkable.,"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): 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/GRDN8WG9ZQ17P5GF/GRDN92SWG0NEBALX/studies/1.2.826.0.1.3680043.8.498.44999663880445021227330219239550530897/series/1.2.826.0.1.3680043.8.498.58187318494225661546394952880911017579/instances/1.2.826.0.1.3680043.8.498.38554809831731815360167924807031036752.png
+Julie,finding,"Decreased depth of inspiration. Otherwise, stable hyperexpansion of the lungs and diffuse prominence of the interstitial markings. Small amount of bibasilar scarring, without significant change. The aorta remains tortuous. Stable biapical pleural and parenchymal scarring. Diffuse osteopenia. Interval thoracolumbar vertebroplasty material.","The lungs are clear. The cardiac silhouette is within normal limits for age. There are no pleural effusions or pneumothorax. Compared to prior exam, there has been interval improvement in aeration of the lungs.","Significant
+1. False prediction of finding: 0
+2. Omission of finding: 9
+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: 1
+7. Inarticulate report (grammar and readability issues): 0","there is a left subclavian central venous catheter with the tip in the mid svc. there is no evidence of pneumothorax. there is a small left pleural effusion. there is a left retrocardiac opacity, which may represent atelectasis or consolidation. there is a linear opacity in the right mid lung zone, which may represent atelectasis or scarring. there is a stable moderate hiatal hernia.","Significant
+1. False prediction of finding: 5
+2. Omission of finding: 9
+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): 6",The heart size is normal. Lung fields are clear.,"Significant
+1. False prediction of finding: 0
+2. Omission of finding: 9
+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/GRDNKU8UYP4FOCBV/GRDN3GI5GPWO8XL2/studies/1.2.826.0.1.3680043.8.498.47846412223936781029724741716158551958/series/1.2.826.0.1.3680043.8.498.20875424496803226081505008944761830167/instances/1.2.826.0.1.3680043.8.498.15812150892335696719603088337174773959.png
+Julie,finding,"Spiculated density within the left upper lung presently measures 1.8 x 2 cm. This most likely represents a lung cancer. This was discussed with Tavion, Dr. Ronno?Kettu nurse. Coarse interstitial densities are redemonstrated without change. Mild cardiac enlargement. No appreciable adenopathy. Thoracic spine degenerative changes.","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: 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): 3","DON'T FORGET TO INCLUDE ALL OF YOUR FINDINGS IN THE REPORT EVEN IF THEY WERE PREVIOUSLY DESCRIBED OR REPORTED UNDER A DIFFERENT CODE. Moderate-to-severe pulmonary edema is again demonstrated with peribronchial cuffing, interstitial edema and Kerley B lines. Atelectasis of the left lower lobe is again noted. The patient's known right upper lobe nodule is not well visualized on this study. A new nodule has developed in the left perihilar region, measuring approximately 14 mm in craniocaudad dimension. This is new compared to the prior chest x-ray of ___, but may have been present on the chest CT of ___. A followup study is recommended to assess for resolution or further characterization of this nodule. The left hemidiaphragm is elevated, as before, and may be due to splenomegaly or subdiaphragmatic process. There is no significant shift of the mediastinum. No free air is seen beneath the diaphragm. The cardiac silhouette remains normal in size. No focal consolidation or pleural effusion is identified.","Significant
+1. False prediction of finding: 6
+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): 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 is upper limits of normal in size. Aorta is tortuous. Lungs are clear. Minimal scarring is present at the left lung apex. There are no pleural effusions or acute skeletal findings.,"Significant
+1. False prediction of finding: 1
+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: 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","ReXGradient-160K-512/deid_png/GRDNLQJG98XJGYH8/GRDN98V7MJWUZUH7/studies/1.2.826.0.1.3680043.8.498.62383280978917914722992918338915427912/series/1.2.826.0.1.3680043.8.498.37016631119676323773816713588373532876/instances/1.2.826.0.1.3680043.8.498.58989896195839529661122534900554052215.png,ReXGradient-160K-512/deid_png/GRDNLQJG98XJGYH8/GRDN98V7MJWUZUH7/studies/1.2.826.0.1.3680043.8.498.62383280978917914722992918338915427912/series/1.2.826.0.1.3680043.8.498.74017162126225994800006699661460560554/instances/1.2.826.0.1.3680043.8.498.57066923616160239870906299744301882669.png"
+Julie,finding,The LEFT lung is well expanded and clear. There is mild volume loss on the RIGHT. The film is taken in a somewhat lordotic manner. Densities seen in the RIGHT perihilar region on yesterday's study is much less conspicuous today. The permanent pacemaker is unchanged in appearance.,The lungs are clear. There is no effusion or pneumothorax. Compared with prior study there is improved aeration of the left lower lobe.,"Significant
+1. False prediction of finding: 0
+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: 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",there is a left - sided picc line with its tip at the cavoatrial junction. there is a left - sided subclavian line with its tip in the mid svc. there is a right - sided picc line with its tip near the cavoatrial junction. there is a left - sided pleural effusion and left lower lobe consolidation. there is a small right - sided pleural effusion. there is a left - sided chest tube. there is a small left apical pneumothorax.,"Significant
+1. False prediction of finding: 8
+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: 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): 8",Heart size is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. The visualized bony thorax is unremarkable.,"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: 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/GRDNE2LX47OCPMXU/GRDNBMOQT5DVO711/studies/1.2.826.0.1.3680043.8.498.80025307883487573134531494050768938009/series/1.2.826.0.1.3680043.8.498.53090932157490170662905676612930734168/instances/1.2.826.0.1.3680043.8.498.33054740246376047170515815702298882539.png,ReXGradient-160K-512/deid_png/GRDNE2LX47OCPMXU/GRDNBMOQT5DVO711/studies/1.2.826.0.1.3680043.8.498.80025307883487573134531494050768938009/series/1.2.826.0.1.3680043.8.498.53090932157490170662905676612930734168/instances/1.2.826.0.1.3680043.8.498.76901459396035066850838040453538794265.png"
+Julie,finding,"Since that time, an endotracheal tube has been placed whose tip is just at the thoracic inlet, approximately 9 cm above the carina. This could be advanced 3-4 cm. The interstitial and airspace opacities in both lungs are not significantly changed. These have worsened since previous examination 03/24/2005.","the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs show no lobar consolidation, although there is some linear atelectasis at the left base. a small left pleural effusion is present. there is no pneumothorax.","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: 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): 4","THATTHEIMAGESAREPERFORMEDON______AND______.THEIMAGINGSTUDIESAREREADINCOMBINATIONWITH______REPORTTHEREISNOEVIDENCEOFPULMONARYTUBERCULOSISORPNEUMONIA.OTHERNOTABLEFINDINGSINCLUSEXTENSIVEARTHERIALCALCIUMPHOSPHATEDEPOSITS,PROBABLECHOLESTASISINTHELEFTAXILLARYREGION,ANDMILDLYENLARGEDILATATIONOFTHELEFTAORTICABRANCHES.","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: 0
+7. Inarticulate report (grammar and readability issues): 7
+
+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 view of the chest demonstrates normal heart size. There is no evidence of infiltrate, mass nor CHF.","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",ReXGradient-160K-512/deid_png/GRDN60ZC44KHJZDW/GRDNHE3HIOZ2TPMV/studies/1.2.826.0.1.3680043.8.498.91482808039613025748772283053877300923/series/1.2.826.0.1.3680043.8.498.59738887308871876157317402323626859824/instances/1.2.826.0.1.3680043.8.498.47971230904206006742004800228956573153.png
+Julie,finding,"Feeding tube extends below the inferior margin of the today's chest radiograph. Low lung volumes are present, causing crowding of the pulmonary vasculature. Airway thickening may reflect bronchitis or reactive airways disease. No airspace opacity is identified to suggest bacterial pneumonia pattern. Cardiac and mediastinal contours appear unremarkable. No pleural effusion observed.",there is a left subclavian line with tip in the mid svc. there is no pneumothorax. there is a small left pleural effusion. there is a left retrocardiac opacity. there is mild pulmonary vascular redistribution.,"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: 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): 5",The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. The bony thorax is normal.,"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): 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",A single AP view of the chest demonstrates normal cardiac silhouette. The lung fields are clear. No evidence of hilar or mediastinal adenopathy is demonstrated. Skeletal structures are unremarkable.,"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): 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",ReXGradient-160K-512/deid_png/GRDNS21OL072W28R/GRDNP2UOJW7EF41K/studies/1.2.826.0.1.3680043.8.498.20696540450608626167310143112900858888/series/1.2.826.0.1.3680043.8.498.46648841300081204884731940890111687294/instances/1.2.826.0.1.3680043.8.498.20138577764161982765474357916948731967.png
+Julie,finding,"Portable AP semi upright view at 7926 hours. Extubated. Enteric feeding tube in place, tip not included. Increased mild veiling opacity at both lung bases. Stable cardiac size and mediastinal contours. Stable pulmonary vascularity without edema. No pneumothorax. No consolidation. Coronary artery stent again noted. Small volume barium at the splenic flexure (s/p modified barium swallow yesterday).","No significant bone alterations are observed. Evaluate according to clinical evolution and physical examination, consider completing the study with scintigraphy.","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: 1
+7. Inarticulate report (grammar and readability issues): 1
+
+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 heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.,"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: 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): 5",The heart size is normal. Lungs are clear.,"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: 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",ReXGradient-160K-512/deid_png/GRDNFKCQ7QF65ULN/GRDNFDRC3ZLDC9BZ/studies/1.2.826.0.1.3680043.8.498.39167746066692205863860307592541503050/series/1.2.826.0.1.3680043.8.498.10933175030220216948891865104319142714/instances/1.2.826.0.1.3680043.8.498.56160129631313899796849456150829864038.png
+Julie,finding,"Extensive pneumomediastinum. No underlying airspace opacity. Pleural line at the right apex is likely a less than 5% pneumothorax. Extrapleural gas could give a similar appearance given extensive tracking in the neck. Normal heart size and aortic contours. Critical Value/emergent results were called by telephone at the time of interpretation on 10/6/1990 at 08:80 pm to Dr. ALDIN ONAY MIDENCE, who verbally acknowledged these results.",The lungs are clear. The pulmonary vasculature is normal. There is no pleural effusion or pneumothorax. The cardiac silhouette is normal in size. The mediastinal contours are normal. The aortic knob is calcified. The trachea is midline. The carina is normally positioned. The left mainstem bronchus appears normal in caliber. The bronchial wall thickening is mild. The interstitial markings are mildly prominent. There are no focal lung consolidations. No lobar consolidation is present. No cavitary lesions are seen. No calcifications are noted. No discrete nodules are identified. No masses are present.,"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: 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","Cardiomedastinal silhouette and hilum data are within normal limits. pulmonary fields without consolidations or pleural effusion. bone and soft parts without notable findings. note in the current epidemiological context and given the low sensitivity of the simple chest x-ray for the detection of lung 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): 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): 4",Heart size is normal. There is a patchy area of increased density in the left retrocardiac region. Lungs are otherwise clear.,"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/GRDNFBRK9A1PZ5QK/GRDNKEXAESK81UDG/studies/1.2.826.0.1.3680043.8.498.60124528355377861383675311228254762882/series/1.2.826.0.1.3680043.8.498.56784666193674237608454826692581486614/instances/1.2.826.0.1.3680043.8.498.79525047725905805052126169357808703921.png,ReXGradient-160K-512/deid_png/GRDNFBRK9A1PZ5QK/GRDNKEXAESK81UDG/studies/1.2.826.0.1.3680043.8.498.60124528355377861383675311228254762882/series/1.2.826.0.1.3680043.8.498.56784666193674237608454826692581486614/instances/1.2.826.0.1.3680043.8.498.94638664949490894224214541060594760445.png"
+Julie,findings,Single lead cardiac pacer with a residual small left pleural effusion.,"there is a left pectoral pacemaker with leads terminating in the right atrium and right ventricle. the heart is normal in size. the aorta is tortuous. there is no evidence of focal consolidation, pulmonary edema, pleural effusion, or pneumothorax.","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: 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): 4","In comparison with the study of ___, there is little change in the appearance of the heart and lungs. Again there is a dual-lead pacemaker in place with leads extending to the region of the right atrium and right ventricle. No evidence of acute pneumonia or vascular congestion.","Significant
+1. False prediction of finding: 0
+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: 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: 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 cardiomediastinal silhouette is normal. The lung parenchyma is clear. There are no pleural or significant bony abnormalities. Left chest wall pacemaker with 2 leads, one in the right atrium and one in right ventricle.","Significant
+1. False prediction of finding: 0
+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: 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",valid/patient64606/study1/view2_lateral.jpg
+Julie,findings,Medical devices are stable.   Tiny right apical pneumothorax is identified; right chest tube  remains in place.   Persistent left lower lobe consolidation with associated  moderate-sized left-sided pleural effusion.,"The patient is status post recent esophagectomy and pull-up procedure. Right-sided chest tube remains in place, with no visible pneumothorax. Nasogastric tube terminates within the neoesophagus. Cardiomediastinal contours are stable in the postoperative period. Worsening left lower lobe atelectasis and adjacent small-to-moderate left pleural effusion. Right lung and pleural surfaces are clear.","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: 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","Right-sided chest tube remains in place, with no visible pneumothorax. Cardiomediastinal contours are within normal limits for post-operative status of the patient. Persistent left retrocardiac atelectasis and small-to-moderate left pleural effusion.","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: 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","10/18/2010 at 15:20: Stable right internal jugular central venous catheter and weighted feeding tube. Interval placement of a left internal jugulardownward chest tube with decreased left pleural effusion. Persistent left basilar opacity, which may represent atelectasis or consolidation. No pneumothorax. 18 October 20 at stable position of lines and tubes. Persistently low lung volumes with left basal opacity, likely ateletasis or developing consolidations.","Significant
+1. False prediction of finding: 3
+2. Omission of finding: 1
+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: 1
+7. Inarticulate report (grammar and readability issues): 3
+
+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: 1
+6. Omission of a change from a previous study: 0
+7. Inarticulate report (grammar and readability issues): 0",valid/patient64645/study1/view1_frontal.jpg
+Julie,findings,Stable cholecystectomy clips. Interval placement of epidural catheter  and left chest tube after resection of left upper lung zone nodule.  No pneumothorax. No pleural effusions. Lung fields clear. Heart size  normal.,Interval placement of a left-sided chest tube with a small left apical pneumothorax. The cardiomediastinal silhouette is normal. The lung parenchyma is clear. There are no pleural or significant bony abnormalities. Surgical clips are seen in the right upper quadrant of the abdomen.,"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","Left-sided chest tube remains in place, with no visible pneumothorax. Cardiomediastinal contours are within normal limits for postoperative status of the patient. Postoperative volume loss is present in the left hemithorax with mild elevation of left hemidiaphragm and slight shift of mediastinal structures towards the left. Patchy and linear atelectasis is present at the left lung base, but there are no focal areas of consolidation to suggest the presence of pneumonia. Right lung and pleural surfaces are clear, and there is no evidence of acute skeletal abnormalities.","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: 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: 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",10/24/2002 at 15:59: Stable left chest tube. No pneumothorax. Stable small left pleural effusion. Staple line is seen in the left upper lung zone. 12:00 PM: No significant interval change.,"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: 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",valid/patient64637/study1/view1_frontal.jpg
+Julie,findings,Small right pleural effusion has diminished. Prior loculated small  pneumothorax at the right lung base has cleared. Post thoracotomy findings appear stable. The heart and vessels are  unremarkable. Right humerus hardware again noted.,The cardiomediastinal silhouette is normal. The lung parenchyma is clear. There are no pleural or significant bony abnormalities. Status post median sternotomy with sternal wires and mediastinal clips. Surgical clips are seen in the right upper quadrant of the abdomen.,"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: 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 pleural effusion. The rest of the study shows no significant alterations.,"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: 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: 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","The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.","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: 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",valid/patient64613/study1/view1_frontal.jpg
+Julie,findings,Single frontal view of the chest demonstrates interval increase in pulmonary edema with bilateral pleural effusions and bibasilar atelectasis versus consolidation. Cardiomediastinal silhouette is unchanged and significant for vascular calcification and cardiomegaly. Osseous structures are unchanged.,"Cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion and bilateral pleural effusions, moderate to large on the right and small to moderate on the left. Diffuse haziness in the imaged portion of the upper abdomen is suggestive of ascites. Bones are diffusely demineralized, and note is made of a compression deformity at the thoracolumbar junction, which has been more fully characterized on separately dictated lumbar spine radiograph of the same date.","Significant
+1. False prediction of finding: 3
+2. Omission of finding: 3
+3. Incorrect location/position of finding: 0
+4. Incorrect severity of finding: 3
+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 mildly enlarged. Upper zone vascular redistribution is present as well as bilateral perihilar haziness and bilateral pleural effusions, moderate on the right and small on the left.","Significant
+1. False prediction of finding: 2
+2. Omission of finding: 3
+3. Incorrect location/position of finding: 0
+4. Incorrect severity of finding: 3
+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","Single portable upright view of the chest demonstrates a large right pleural effusion with associated right basilar atelectasis. There is also a small left pleural fluid collection with left basilar opacity. The cardiac silhouette is enlarged. The pulmonary vasculature is indistinct, consistent with pulmonal edema. There are multiple calcified mediastinal lymph nodes. There appears to be a right hilar mass, which is likely secondary to the patient's known lung cancer. There has been interval placement of a left upper extremity PICC line, with the tip seen at the level of the carina.","Significant
+1. False prediction of finding: 2
+2. Omission of finding: 0
+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: 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",valid/patient64580/study1/view1_frontal.jpg
+Julie,findings,The transesophageal echo probe has been removed. A new enteric tube is present. There is otherwise unchanged positioning of supportive medical devices. Mild pulmonary edema and cardiomegaly. Left basilar opacity. No pneumothorax. No acute bony abnormalities are noted.,"The patient is status post recent median sternotomy and coronary artery bypass surgery. Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are stable in the postoperative period. Pulmonary vascular congestion is accompanied by mild interstitial edema. Patchy and linear atelectasis is present in both retrocardiac regions, and note is also made of a small left pleural effusion. No visible pneumothorax.","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: 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 cardiovascular surgery. Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are stable in the post-operative period. Mild pulmonary vascular congestion is present as well as improving atelectasis in the left retrocardiac region. Small left pleural effusion is present, but there is no visible pneumothorax on this semi-upright radiograph.","Significant
+1. False prediction of finding: 5
+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: 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","10/29/2003 at 18:21: Interval placement of a left internal jugular central venous catheter with the tip in the left brachiocephalic vein. Otherwise, stable medical support devices. Unchanged cardiomediastinal silhouette. Persistent left basilar opacity, which may represent atelectasis versus consolidation. No pneumothorax. 11/1/21 at 04:17: No significant interval change.","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: 3
+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",valid/patient64661/study1/view1_frontal.jpg
+Julie,findings,The trachea is midline. The cardiomediastinal silhouette is within normal limits. The diaphragmatic borders are well visualized. There is no evidence of pneumothorax. There is placement of a left-sided single lead pacemaker. The lungs are clear. New osseous volar soft tissue abnormalities.,"A 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. A left chest wall pacemaker is present with a single lead terminating in the expected location of the right ventricle.","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: 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 placement of a single-lead pacemaker, with lead terminating in the region of the right ventricle. Heart is upper limits of normal in size, and the aorta is mildly tortuous. Lungs are grossly clear, and there is no evidence of pleural effusion or pneumothorax.","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: 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",A left anterior chest wall dual lead pacemaker is in place with leads in the right atrium and right ventricle. No evidence of pneumothorax. The lungs are clear without focal air space consolidation. The cardiomediastinal silhouette is within normal limits. No pleural effusions. The osseous structures are unremarkable.,"Significant
+1. False prediction of finding: 0
+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",valid/patient64626/study1/view1_frontal.jpg
+Julie,findings,"Stable tubes and lines. Improving retrocardiac airspace opacity.  Although the diaphragm is more clearly seen now, there is still some  faint residual airspace opacity and perhaps a small left pleural  effusion. There is persistent air bronchograms at the right medial  lung base as well.",tracheostomy tube and left subclavian catheter are unchanged in position. interval placement of a feeding tube with the tip below the inferior margin of the radiograph. stable cardiomediastinal silhouette. no evidence of pneumothorax. stable appearance of bibasilar opacities and small left pleural effusion.,"Significant
+1. False prediction of finding: 3
+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: 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): 4","Tracheostomy tube and nasogastric tube are in standard position, and a right subclavian vascular catheter terminates in the lower superior vena cava. Cardiac silhouette is upper limits of normal in size and accompanied by pulmonary vascular congestion and minimal interstitial edema. More confluent opacities are present at both lung bases, left greater than right, and could reflect atelectasis, aspiration, or developing infectious pneumonia. Small pleural effusions are present bilaterally, but there is no visible pneumothorax.","Significant
+1. False prediction of finding: 5
+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: 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","AP semierect chest radiograph demonstrates a tracheostomy tube and right upper extremity PICC line in stable position. There is persistent opacification at the left base, with a small left pleural effusion. The right lung appears clear. Visualized osseous structures unremarkable.","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: 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",valid/patient64666/study1/view1_frontal.jpg
+Roger,findings,"Interval placement of left PICC line, which terminates at the  cavoatrial junction. Unchanged right IJ, NG/OG tube.   Suboptimal study due to persistent marked rotation of the patient.  Persistent left basilar opacity again seen elevation of the left  hemidiaphragm. Low lung volumes. No visualized in the thorax.","Left PICC terminates in the region of the left brachiocephalic vein, and a right PICC terminates in the lower superior vena cava. Feeding tube terminates in the region of the duodenum. Lung volumes are low, and there is marked elevation of the left hemidiaphragm. Bilateral pleural effusions are present, small to moderate on the right and small on the left. Adjacent bibasilar atelectasis is present.","Significant
+1. False prediction of finding: 4
+2. Omission of finding: 1
+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","As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. The right internal jugular vein catheter and the left PICC line are in unchanged position. Unchanged appearance of the lung parenchyma and the cardiac silhouette. No evidence of complications, notably no pneumothorax.","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: 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 a left arm PICC line with the tip 4.5 cm below the carina. Unchanged positioning of a right internal jugular central venous catheter. The cardiomediastinal silhouette is unchanged. Persistent left basilar airspace opacity and small left-sided pleural effusion.,"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",valid/patient64634/study1/view1_frontal.jpg
+Roger,findings,"Portable chest shows no change in the left subclavian  catheter with its tip just reaching the superior vena cava, an  electronic device over the left hemithorax with its leads terminating  in the left neck.  Heart and lungs are within normal limits. Otherwise, there is no change from the prior examination.","Left subclavian vascular catheter terminates in the lower superior vena cava, with no visible pneumothorax. Cardiomediastinal contours are normal. Lungs are clear except for minimal linear atelectasis at the left base.","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: 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","Left subclavian vascular catheter terminates in the region of the junction of the left brachiocephalic vein and superior vena cava, with no visible pneumothorax. Cardiomediastinal contours are normal. Lungs are clear except for linear atelectasis at the right base. Healed left rib fractures are incidentally noted.","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: 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",Single frontal view of the chest demonstrates a left anterior chest wall dual lead cardiac pacemaker. The cardiac silhouette is within normal limits. The lungs are clear bilaterally. The visualized bony structures are unremarkable.,"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",valid/patient64730/study1/view1_frontal.jpg
+Roger,findings,"The cardiopulmonary silhouette is markedly widened. Although the study is limited by rotation, pericardial effusion cannot be excluded. The lungs show low volume. There is increased prominence of pulmonary vessels bilaterally and increased opacities of both lung fields suggestive for pulmonary edema. No gross abnormalities are noted in the bone or soft tissue.","Cardiac silhouette is markedly enlarged, and accompanied by pulmonary vascular congestion and diffuse 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 allows.","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","Dr. ___ was paged to discuss the findings on ___ at 8:15 a.m. at the time of dictation of this report, findings had already been discussed with Dr. ___. Marked cardiomegaly is accompanied by pulmonary vascular congestion and moderate pulmonary 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 assessment of the lungs when the patient's condition permits.","Significant
+1. False prediction of finding: 0
+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): 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",The cardiac silhouette is enlarged. There is diffuse bilateral reticular opacities with indistinctness of the pulmonary vasculature. No pleural effusions. The bones and soft tissues are unremarkable.,"Significant
+1. False prediction of finding: 0
+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: 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",valid/patient64698/study1/view1_frontal.jpg
+Roger,findings,"Interval development of moderate bilateral pleural effusions.  The  heart size remains enlarged, and evaluation is partially obscured by  the mildly elevated left hemidiaphragm.  Pulmonary vasculature is  indistinct, and findings are compatible with mild pulmonary edema.  Bibasilar opacities likely also reflect compressive orifices from the  bilateral pleural effusions.  Fiducial markers projecting over the  left lung apex are redemonstrated, with underlying nodule compatible  with lesion treated pulmonary malignancy.",single frontal view of the chest obtained 3 - 20 - 2013 at 1555 hours demonstrates stable positioning of the left upper extremity picc. redemonstration of small bilateral pleural effusions and bibasilar opacities. stable cardiomediastinal silhouette. subsequent single frontal view of the chest obtained 3 - 20 - 2013 at 1707 hours demonstrates interval intubation with the tip of the endotracheal tube projecting approximately 2. 5 cm above the carina. interval development of a right pleural effusion with increased right basilar opacity. stable left pleural effusion. interval increase in pulmonary edema.,"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: 1
+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","Cardiomediastinal contours are within normal limits allowing for rotation related to a history of prior esophagectomy and gastric pull-through. Lung volumes are low, and patchy and linear opacities are present at the bases, most likely representing atelectasis. Aspiration and infectious 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: 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: 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",Single frontal view of the chest from 12/29/2017 at 1:26 p.m. demonstrates interval placement of a left upper extremity PICC line with its tip located 3.5 cm below the carina. There is no evidence of pneumothorax. There are persistent bibasilar opacities with bilateral pleural effusions. There has been interval increase in the left retrocardiac opacity which may represent atelectasis versus consolidation. There continues to be mild pulmonary edema. A second frontal chest x-ray from 29 december at 5:51 a.m,"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: 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",valid/patient64690/study1/view1_frontal.jpg
+Roger,findings,4/2/2018 at 2019: Endotracheal tube terminates 5.2 cm above the  carina. Left chest wall port terminates in the left brachiocephalic  vein. NG/OG tube tip is within the stomach. Cardiomediastinal  silhouette is normal in size. Lung volumes are low with bibasilar  opacities likely reflecting atelectasis or aspiration.  Pneumoperitoneum seen on prior CT not visualized in this study.    4-2-18 at 2125: Right IJ central venous catheter terminates 2.2 cm  below the level the carina. Persistent bibasilar opacities. No  pneumothorax.,"Tip of endotracheal tube terminates 4.5 cm above the carina, and a nasogastric tube terminates within the stomach. Cardiac silhouette is upper limits of normal in size, and accompanied by pulmonary vascular congestion and minimal interstitial edema. Worsening left retrocardiac opacity may reflect atelectasis, aspiration, or infectious pneumonia. Small left pleural effusion is present, but there is no visible pneumothorax. Dr. ___ was successfully paged to discuss this finding at 8:30 a.m. on ___ at the time of discovery.","Significant
+1. False prediction of finding: 1
+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: 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","Tip of endotracheal tube terminates 4.5 cm above the carina, and a nasogastric tube courses below the diaphragm. Left-sided chest tube is in place, with no visible pneumothorax. Cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion and minimal interstitial edema. Persistent left retrocardiac atelectasis and small left pleural effusion.","Significant
+1. False prediction of finding: 3
+2. Omission of finding: 1
+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
+
+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",Single frontal view of the chest from 12/20/21 at 1:42 p.m. demonstrates interval placement of a left-sided chest tube with no definite pneumothorax identified. There is a small amount of subcutaneous gas within the left chest wall. There are low lung volumes with bibasilar opacities which may represent atelectasis. There has been interval placements of a right internal jugular central venous catheter with its tip in the mid superior vena cava. There continues to be a small left pleural effusion. A second frontal chest x-ray from 2021/12 at 4:52 a.m,"Significant
+1. False prediction of finding: 3
+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: 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",valid/patient64693/study1/view1_frontal.jpg
+Roger,findings,"Very low lung volumes are demonstrated. The right hemidiaphragm is elevated. There is a left retrocardiac opacity likely representing atelectasis. However, cannot entirely exclude an infectious process. Would recommend a repeat chest x-ray with deep inspiration is concern for infection. The pulmonary vasculature is grossly unremarkable. There is an incidental finding of a azygous fissure and lobe. Several prominent bowel loops are noted within the abdomen. These are of unknown clinical significance. Correlate clinically. If concern for abdominal pathology, would recommend a dedicated abdominal series.","There is marked elevation of the right hemidiaphragm. There is no focal consolidation, effusion, or pneumothorax. The heart size is normal. The aorta is tortuous and calcified. Mediastinal structures are otherwise unremarkable. The imaged osseous structures are intact. No free air is seen under the diaphragms. Marked gaseous distention of the stomach is 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: 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","There is elevation of the right hemidiaphragm. The lung volumes are low bilaterally. The cardiomediastinal size and configuration are within normal limits. The pulmonary vascularity is mildly indistinct. No pleural effusion or pneumothorax is identified. The osseous structures reveal diffuse osteopenia and multilevel degenerative changes of the thoracic spine with anterior bridging osteophytes. Surgical clips are seen in the right upper quadrant of the abdomen, likely related to a cholecystectomy.","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: 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",The cardiomediastinal size and configuration are within normal limits. The lung volumes are low bilaterally. The pulmonary vascularity is within normal confines. The lungs are clear of focal air space disease. The demonstrated osseous anatomy is grossly unremarkable.,"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: 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: 0
+7. Inarticulate report (grammar and readability issues): 0",valid/patient64585/study1/view1_frontal.jpg
+Roger,findings,"There is a small 2-mm radiopaque density seen within the left peripheral upper lung zone. This appears calcified and most likely represents old granulomatous disease. However, the patient has a history of melanoma, and comparison with old studies, once they are available, is recommended if there is clinical concern for metastatic disease. The remainder of the lungs are clear without focal air-space consolidation. The cardiomediastinal silhouette appears unremarkable. There is an old healing defect at the left clavicle demonstrated. The remainder of the bones appear unremarkable. Axillary clips seen within the right axilla.",the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.,"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: 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","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: 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: 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",The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,"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: 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",valid/patient64615/study1/view2_lateral.jpg
+Roger,findings,"As compared to previous radiograph, the patient has been extubated. Otherwise, there is no relevant change. The bilateral massive parenchymal opacities are constant, constant moderate cardiomegaly.","In comparison with the earlier study of this date, there has been placement of a left subclavian catheter that extends to the right atrium. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and diffuse bilateral pulmonary opacifications most likely reflecting pulmonary edema. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.","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","Cardiac silhouette is enlarged. Pulmonary vascular congestion is accompanied by asymmetrically distributed perihilar and basilar predominant airspace opacities, affecting the left lung to a greater degree than the right. Small pleural effusions are also demonstrated.","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","As compared to the previous radiograph, there is no relevant change. Extensive bilateral parenchymal opacities, right more than left, with moderate cardiomegaly and signs of mild-to-moderate fluid overload. No larger pleural effusions. No pneumothorax.","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): 1",mimic-cxr-images-512/files/p10/p10439781/s53567394/5eae8395-ea7af71c-6d518498-6d193886-1c2d0853.jpg
+Roger,findings,"A portable supine frontal chest radiograph demonstrates a right internal jugular catheter, which now terminates in the low SVC. Lung volumes remain low, without definite focal consolidation, pleural effusion, or pneumothorax.","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 pulmonary vascularity is normal. Lungs are grossly clear, and there are no pleural effusions or pneumothoraces. Right internal jugular central venous catheter terminates in the lower superior vena cava.","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","Tip of right internal jugular central venous catheter terminates at the expected junction of the superior vena cava and right atrium, with no visible pneumothorax. Cardiomediastinal contours are within normal limits for technique. Lung volumes are low, with associated crowding of bronchovascular structures. No focal areas of consolidation are present within the lungs, and 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: 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","a left picc terminates in the right atrium. the lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the imaged upper abdomen is unremarkable.","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/p19/p19907884/s57885384/838d96da-8d9d8d8d-2aacafdf-9f280c96-573b74db.jpg
+Roger,findings,"Persistent pulmonary opacities, vascular engorgement and septal lines refkect mild pulmonary edema. Small left pleural effusion cannot be excluded. Low lung volumes limit assessment of cardiomediastinal silhouette though the cardiac size appears mildly enlarged.","Lung volumes are low, accentuating the cardiac silhouette and bronchovascular structures. Allowing for this factor, heart is upper limits of normal in size. Aorta is tortuous and calcified. Pulmonary vascular congestion is accompanied by mild interstitial edema. No confluent areas of consolidation are evident, and there are no definite pleural effusions. Bones are diffusely demineralized, and note is made of a compression deformity at the thoracolumbar junction, incompletely characterized on this chest radiograph examination.","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: 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 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. Of incidental note is an impression on the right side of the lower cervical trachea, raising the possibility of a thyroid mass. This information was conveyed to Dr. ___.","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): 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","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: 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/p19/p19159236/s55511619/7e424a42-38f2b8c3-7cdac166-95452e5b-2ada132a.jpg
+Roger,findings,"Except for minimal bibasilar atelectasis, the lungs are clear. Mild cardiac congestionis stable. Cardiac contour is normal. The upper mediastinum appears widened due to the lordotic view. Chest CT in ___ only showed mediastinal fat in this region.","Heart size, mediastinal and hilar contours are normal. Patchy opacities are present at both lung bases, and could be due to patchy atelectasis, aspiration, or early pneumonia. Followup PA and lateral radiographs may be helpful for more complete evaluation when the patient's condition permits.","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. Patchy and linear opacities are present at the lung bases, left greater than right, and likely represent atelectasis. No focal areas of consolidation are present, and there are no pleural effusions or pneumothoraces. Bones are diffusely demineralized, and note is made of remote 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: 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: 2
+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. 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: 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: 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",mimic-cxr-images-512/files/p17/p17720924/s57474951/d958a1d3-977c9fd6-0296ff8d-bf5c5aa9-8894c621.jpg
+Roger,findings,"The patient is status post median sternotomy and coronary bypass surgery. Heart remains enlarged, and is accompanied by pulmonary vascular congestion. Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions. No new areas of consolidation within either lung.","The patient is status post recent median sternotomy and aortic valve replacement. Cardiomediastinal contours are stable in the postoperative period. Persistent elevation of right hemidiaphragm is accompanied by a small right pleural effusion and adjacent right basilar atelectasis. Mild pulmonary vascular congestion is present, but there is no evidence of pulmonary edema.","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: 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 are essentially unchanged. Continued enlargement of the cardiac silhouette with bilateral pleural effusions and compressive atelectasis at the bases. There may be mild elevation of pulmonary venous pressure.","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: 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 remain low. there is moderate cardiomegaly and mild fluid overload. no pleural effusions. no pneumonia. the right internal jugular vein catheter is in unchanged position.","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: 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/p12952223/s52774948/c383b852-eac5f445-af9853bb-aaadded6-9b28a98c.jpg
+Roger,findings,"Enteric tube tip is in the mid stomach, new since prior. Improved bilateral perihilar, bibasilar opacities. Sternotomy, valve replacement. Bilateral shoulder arthroplasties. Cardiac pacemaker. Right IJ central line tip near cavoatrial junction. Postoperative changes in the spine, with hardware in place. Degenerative changes spine.","Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are within normal limits for postoperative status of the patient. Mild pulmonary vascular congestion is accompanied by minimal interstitial edema. Patchy bibasilar opacities probably represent atelectasis. Small left pleural effusion is present, but there is no visible pneumothorax.","Significant
+1. False prediction of finding: 2
+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: 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 internal jugular central venous catheter terminates in the lower superior vena cava, with no visible pneumothorax. Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are stable allowing for lower lung volumes on the current exam. Mild pulmonary vascular congestion is present, but there is no overt pulmonary edema. Patchy and linear opacities at the lung bases probably represent atelectasis, and note is also made of a questionable small left pleural effusion.","Significant
+1. False prediction of finding: 1
+2. Omission of finding: 4
+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
+
+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 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. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits. the patient is status post bilateral shoulder arthroplasties.","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: 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/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg,mimic-cxr-images-512/files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg"
+Roger,findings,"AS COMPARED TO ___, A SWAN-GANZ CATHETER HAS BEEN REMOVED, AND A RIGHT INTERNAL JUGULAR CATHETER TERMINATES DEEP IN THE RIGHT ATRIUM. LUNG VOLUMES ARE LOWER COMPARED TO PRIOR STUDY. DIFFUSE ALVEOLAR PULMONARY EDEMA HAS PROBABLY SLIGHTLY WORSE IN THE INTERVAL, ALTHOUGH LOWER LUNG VOLUMES LIMIT COMPARISON.",1. LINES AND TUBES ARE UNCHANGED. 2. NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT LARGE LEFT PLEURAL EFFUSION AND ASSOCIATED COMPRESSIVE ATELECTASIS. THE RIGHT LUNG REMAINS CLEAR.,"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: 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",EDTHE REPORTING PHYSICIAN HAS ALREADY BEEN NOTIFIED OF THE FINDINGS CONCERNING THE PULMONARY EDEMA BY TELEPHONE CALL TO DR. ___ AT ___ ON ___ AT 8:30 AM.,"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: 2
+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 lung volumes have decreased. the pre - existing parenchymal opacities, however, are still clearly visible. the lung volumes remain low. there is no evidence of pleural effusions. borderline size of the cardiac silhouette. unchanged right internal jugular vein catheter.","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",mimic-cxr-images-512/files/p19/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg
+Roger,findings,NO FOCAL CONSOLIDATION IS SEEN. THERE IS MINOR BASILAR ATELECTASIS. NO PLEURAL EFFUSION OR PNEUMOTHORAX. THE CARDIAC AND MEDIASTINAL SILHOUETTES ARE STABLE. LINEAR RADIOPAQUE STRUCTURE PROJECTING OVER THE LEFT HEMIDIAPHRAGM MAY BE EXTERNAL TO THE PATIENT OR SURGICAL CLIPS. ADDITIONAL SURGICAL CLIPS ARE NOTED IN THE LEFT MID HEMITHORAX AND UPPER HEMITHORAX.,The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No pulmonary edema is seen,"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: 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","Cardiac silhouette is mildly enlarged. Pulmonary vascularity is within normal limits allowing for accentuation by apical lordotic and portable technique. Lungs are grossly clear. Minimal blunting of left lateral costophrenic sulcus is present, and could reflect pleural thickening or small pleural effusion.","Significant
+1. False prediction of finding: 2
+2. Omission of finding: 
+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: 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","the heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities are seen.","Significant
+1. False prediction of finding: 0
+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: 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","mimic-cxr-images-512/files/p14/p14794396/s54133231/2f40daa6-51dad1b2-e683d1c3-cdf10946-d37ae69f.jpg,mimic-cxr-images-512/files/p14/p14794396/s54133231/7b6d99b9-abd98664-19db4d28-6510c45f-df1bec18.jpg"
+Roger,findings,PA and lateral chest radiographs were obtained. Diffuse interstitial opacities have progressed since ___. The hila are indistinct. There is a new small left pleural effusion. Moderate cardiomegaly is similar. Aortic arch calcifications are similar. There is a stable convex left thoracic scoliosis. Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,"Cardiomegaly is accompanied by pulmonary vascular congestion and minimal interstitial edema. Small pleural effusions are present bilaterally. 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: 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: 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","Cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion and minimal interstitial edema. No confluent areas of consolidation are identified within the lungs, and there are no pleural effusions. Bones are diffusely demineralized, and multilevel degenerative changes are present in the thoracic spine.","Significant
+1. False prediction of finding: 0
+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: 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","the heart is mildly enlarged. the aorta is tortuous. there is mild pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen.","Significant
+1. False prediction of finding: 1
+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: 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","mimic-cxr-images-512/files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg,mimic-cxr-images-512/files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg"
+Roger,impression,"1.INCREASED PROMINENCE OF THE INTERSTITIAL MARKINGS, WHICH MAY  REFLECT EDEMA OR INFECTION.",1. no evidence of pneumonia. 2. stable cardiomegaly.,"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","1.FRONTAL AND LATERAL RADIOGRAPHS OF THE CHEST DEMONSTRATE A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE.","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",1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES LOW LUNG VOLUMES WITH INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA. 2. STABLE APPEARANCE OF MULTIPLE LEFT AXILLARY CLIPS.,"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: 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",valid/patient64589/study1/view2_lateral.jpg
+Roger,impression,1.  RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS  CONSOLIDATION.    2.  SMALL LEFT PLEURAL EFFUSION.,"1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES CARDIOMEGALY WITH NO SIGNIFICANT PULMONARY EDEMA. 2. SMALL BILATERAL PLEURAL EFFUSIONS AND RETROCARDIAC OPACITY, WHICH MAY REFLECT ATELECTASIS VERSUS INFECTION OR ASPIRATION.","Significant
+1. False prediction of finding: 2
+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","1. single frontal view of the chest demonstrates interval development of a left lower lobe opacity, which may represent atelectasis, consolidation, or aspiration. 2. the right lung remains clear. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.","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",1. SINGLE UPRIGHT AP VIEW OF THE CHEST DEMONSTRATES CARDIOMEGALY WITH NO EVIDENCE OF PULMONARY EDEMA. 2. SMALL LEFT PLEURAL EFFUSION WITH INTERVAL IMPROVED AERATION OF THE RETROCARDIAC AREA.,"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: 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",valid/patient64624/study1/view1_frontal.jpg
+Roger,impression,"1.  Residual mild pulmonary edema and left basilar opacity. ""Physician to Physician Radiology Consult Line: (898) 940-4661"" Signed","1. Interval postsurgical changes with placement of lines and support devices as described above. 2. Mild pulmonary edema. 3. Bibasilar opacities, left greater than right, which may represent atelectasis or consolidation. 4. Small left pleural effusion. I have personally reviewed the images for this examination and agreed with the report transcribed above.","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: 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","1. interval placement of a left ij approach swan - ganz catheter with tip in the right pulmonary artery. 2. interval placement of a left ij approach central venous catheter, which terminates at the confluence of the left subclavian and left brachiocephalic veins. 3. no pneumothorax. 4. mild pulmonary edema. i have personally reviewed the images for this examination and agreed with the report transcribed above.","Significant
+1. False prediction of finding: 2
+2. Omission of finding: 1
+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): 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","1. Interval placement of a right-sided pigtail pleural drain with decreased size of right pleural effusion. 2. Persistent left basilar opacity, which may represent atelectasis or consolidation. 3. Mild pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Significant
+1. False prediction of finding: 2
+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: 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",valid/patient64661/study1/view1_frontal.jpg
+Roger,impression,1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE PROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE NOT AVAILABLE.,1. 2. no evidence of pneumothorax. 3. stable small left pleural effusion. 4. stable cardiomediastinal silhouette. 5. no bony changes.,"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: 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. NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT LARGE RIGHT PLEURAL EFFUSION WITH ASSOCIATED COMPRESSIVE ATELECTASIS OF THE RIGHT LUNG. 2. REDEMONSTRATION OF DIFFUSE RETICULAR NODULAR OPACITIES THROUGHOUT BOTH LUNGS, RIGHT GREATER THAN LEFT, WHICH MAY REPRESENT LYMPHANGITIC CARCINOMATOSIS VERSUS METASTATIC DISEASE. RECOMMEND CLINICAL CORRELATION AND FURTHER EVALUATION WITH CROSS-SECTIONAL IMAGING AS INDICATED. 3. STABLE CALCIFIED GRANULOMA IN THE LEFT LOWER LOBE. 4. NO EVIDENCE OF PNEUMOTHORAX. 5. NO ACUTE OSSEOUS ABNORMALITY.","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: 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","1. 2. NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT RIGHT UPPER LOBE OPACITY, RIGHT PLEURAL EFFUSION, AND LEFT PLEUROPARENCHYMAL SCARRING.","Significant
+1. False prediction of finding: 2
+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: 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",valid/patient64583/study1/view1_frontal.jpg
+Roger,impression,1.INTERVAL REMOVAL OF LEFT IJ CATHETER.  REMAINDER OF SUPPORT  HARDWARE IS STABLE.   2.STABLE MILD CARDIOMEGALY AND INTERSTITIAL EDEMA.   3.STABLE LEFT COSTOPHRENIC ANGLE OPACITY.,"1. single frontal radiograph of the chest demonstrates stable appearance of left upper extremity picc line, median sternotomy wires, and lvad. 2. lungs demonstrate persistent left basilar opacity, likely reflecting atelectasis or consolidation. no pleural effusions. no pneumothorax. 3. visualized osseous structures and soft tissues unremarkable.","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: 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. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE SUPPORT EQUIPMENT AND STABLE POSTSURGICAL CHANGES WITHIN THE MEDIASTINUM. NO EVIDENCE OF PNEUMOTHORAX. 2. UNCHANGED APPEARANCE OF SMALL BILATERAL PLEURAL EFFUSIONS AND BIBASILAR OPACITIES, LEFT GREATER THAN RIGHT. 3. THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE IN CONFIGURATION, AND MILD PULMONARY EDEMA PERSISTS.","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","1. Interval placement of a left-sided chest tube with decreased size of a now small left pleural effusion. 2. Persistent left basilar opacity, likely reflecting atelectasis. 3. Mild pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.","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: 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",valid/patient64610/study1/view1_frontal.jpg
+Roger,impression,"Normal heart size and pulmonary vascularity.   No focal consolidation, pleural effusion, or pneumothorax.   Multilevel spine degenerative changes with flowing osteophytosis in a  pattern suggestive of DISH.","1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES CLEAR LUNGS WITHOUT FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, OR PNEUMOTHORAX. 2. THE CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE ARE WITHIN NORMAL LIMITS. 3. VISUALIZED OSSEOUS STRUCTURES ARE INTACT.","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: 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",1. no focal consolidation. no pleural effusion. no pneumothorax. 2. normal cardiomediastinal silhouette. 3. normal osseous and soft tissue structures.,"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: 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",1. No acute cardiopulmonary process. 2. No evidence of pneumonia.,"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",valid/patient64551/study1/view1_frontal.jpg
+Roger,impression,"1. REDEMONSTRATION OF RIGHT SUBCLAVIAN CENTRAL LINE, UNCHANGED. 2. MILD INTERSTITIAL PULMONARY EDEMA. 3. LOW LUNG VOLUMES 4. MILD CARDIOMEGALY. 5. LIMITED LATERAL VIEWS SECONDARY TO RESPIRATORY MOTION.","1. CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 2. LUNGS ARE CLEAR WITHOUT EDEMA, EFFUSION, OR FOCAL OPACITY. NO PNEUMOTHORAX. 3. NO GROSS OSSEOUS DEFORMITY.","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",1. no evidence of focal consolidation or other acute intrathoracic disease. 2. right subclavian central venous catheter with tip in the mid superior vena cava. no pneumothorax.,"Significant
+1. False prediction of finding: 0
+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: 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",1. LIMITED STUDY SECONDARY TO PATIENT POSITIONING. 2. NO DEFINITE FOCAL CONSOLIDATION. 3. REDEMONSTRATION OF MULTIPLE LEFT SIDED RIB FRACTURES.,"Significant
+1. False prediction of finding: 1
+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: 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",valid/patient64705/study1/view1_frontal.jpg
+Roger,impression,"1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES A STABLE LEFT  PLEURAL PIGTAIL DRAIN.   2.LOW LUNG VOLUMES, LEFT RETROCARDIAC OPACITY AND CALCIFIED BILATERAL  AXILLARY LYMPH NODES ARE AGAIN SEEN WITHOUT SIGNIFICANT INTERVAL  CHANGE.   3.NO DEFINITE PNEUMOTHORAX.",1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE RIGHT UPPER EXTREMITY PICC LINE AND LEFT PLEURAL PIGTAIL CATHETER. THERE IS A PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX. 3.STABLE REDEMONSTRATION OF LOW LUNG VOLUMES AND RETROCARDIAC OPACITY. 4.THE CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE ARE UNREMARKABLE. 5.SEVERE DEGENERATIVE CHANGES ARE AGAIN SEEN IN THE BILATERAL SHOULDERS.,"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: 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 placement of a left pleural pigtail catheter with a tiny left apical pneumothorax. 2. interval decrease in size of a left pleural effusion. 3. persistent left retrocardiac opacity, which may represent atelectasis or consolidation. i have personally reviewed the images for this examination and agreed with the report transcribed above.","Significant
+1. False prediction of finding: 2
+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",1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE RIGHT UPPER EXTREMITY PICC LINE AND LEFT PLEURAL PIGTAIL CATHETER. 2.THERE IS A PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX. 3.REDEMONSTRATION OF A DENSE RETROCARDIAC OPACITY AND SMA SMAL LEFT PERIHILAR OPACITIES.,"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: 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",valid/patient64691/study1/view1_frontal.jpg
+Roger,impression,1.  Increased interstitial markings can represent endobronchial  spread of infection versus a component of edema.   2.  No pneumothorax.     I have personally reviewed the images for this examination and agreed with the report transcribed above.,1. mild pulmonary edema. 2. mild cardiomegaly. 3. no focal consolidation. i have personally reviewed the images for this examination and agreed with the report transcribed above.,"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",1. Mild pulmonary edema with small bilateral pleural effusions. 2. Bibasilar opacities may reflect atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above.,"Significant
+1. False prediction of finding: 2
+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","1. Mild pulmonary edema. 2. Bibasilar opacities, which may represent atelectasis or consolidation. 3. Small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Significant
+1. False prediction of finding: 2
+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",valid/patient64642/study1/view1_frontal.jpg
+Roger,impression,1.AP CHEST RADIOGRAPH SHOWS UNREMARKABLE CORD MEDIASTINAL SILHOUETTE  AND BILATERAL LUNG FIELDS.   2.INTERVAL PLACEMENT OF THE LEFT-SIDED CENTRAL VENOUS CATHETER WITH  TIP AT THE ATRIAL CAVAL JUNCTION.  NO EVIDENCE OF PNEUMOTHORAX.   3.A RIGHT BREAST PROSTHESIS IN PLACE.,1. FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A LEFT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH DISTAL TIP IN THE MID SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. RIGHT BREAST IMPLANT. 3. LOW LUNG VOLUMES. NO FOCAL CONSOLIDATION. 4. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 5. VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE. 6. CHOLECYSTECTOMY CLIPS IN THE RIGHT UPPER QUADRANT.,"Significant
+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
+
+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","1. single frontal view of the chest demonstrates a left chest wall mediport with tip in the mid svc. 2. the cardiomediastinal silhouette is within normal limits. 3. there is a small right apical pneumothorax. 4. the lungs are otherwise clear without focal consolidation, effusion, or edema.","Significant
+1. False prediction of finding: 2
+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: 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",1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT CHESTRWALL PORT WITH THE TIP PROJECTING OVER THE CAVOATRIAL JUNCTION. 2.NO EVIDENCE OF PNEUMOTHORAX. 3.INTERVAL DEVELOPMENT OF A SMALL RIGHT PLEURAL EFFUSION. 4.STABLE CARDIOMEDIASTINAL SILHOUETTE.,"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: 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",valid/patient64553/study1/view1_frontal.jpg
+Roger,impression,"1.NEW LEFT SUBCLAVIAN LINE WITH THE TIP OVERLYING THE MID SUPERIOR  VENA CAVA. CONSIDER REPOSITIONING AS TIP APPEARS TO BE UP AGAINST  WALL OF SVC.   2.UNREMARKABLE CARDIOMEDIASTINUM.   3.LOWER LUNG VOLUMES. BIBASILAR OPACITIES, RIGHT GREATER THAN LEFT.  NO PNEUMOTHORAX.","1.SINGLE PORTABLE SEMIUPRIGHT AP VIEW OF THE CHEST DEMONSTRATES A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER WITH THE TIP IN THE PROXIMAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX IS IDENTIFIED. 2.LOW LUNG VOLUMES WITH BIBASILAR OPACITIES, LEFT GREATER THAN RIGHT, WHICH MAY REFLECT ATELECTASIS, INFECTION OR ASPIRATION. 3.SMALL BILATERAL PLEURAL EFFUSIONS. 4.MILD PROMINENCE OF THE CARDIOMEDIASTINAL SILHOUETTE.","Significant
+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
+
+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 placement of a left subclavian central venous catheter with the tip in the superior vena cava. no pneumothorax. 2. low lung volumes. 3. mild bibasilar opacities. 4. no pleural effusions.,"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: 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.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A LEFT SUBCLAVIAN CENTRAL VENOUS CATHETER WITH ITS TIP PROJECTING OVER THE EXPECTED REGION OF THE SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2.LOW LUNG VOLUMES WITH BIBASILAR OPACITIES, LIKELY REFLECTING ATELECTASIS. 3.ST","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: 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",valid/patient64671/study1/view1_frontal.jpg
+Roger,impression,1.UNCHANGED TEAR FEEDING TUBE WITH ITS TIP AT THE LIGAMENT OF TREITZ.   2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION.   3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR  OPACITIES WHICH LIKELY REFLECT ATELECTASIS.   4.MILD PULMONARY EDEMA.   5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE  SHOULDERS.,"1. PORTABLE SEMI-UPRIGHT CHEST RADIOGRAPH DEMONSTRATES: 2. STABLE POSITION OF LINES AND SUPPORT DEVICES 3. SMALL BILATERAL PLEURAL EFFUSIONS 4. BIBASILAR OPACITIES, ATELECTASIS VERSUS CONSOLIDATION 5. VISUALIZED BONES AND SOFT TISSUES ARE UNREMARKABLE. 6. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS.","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): 0
+
+Insignificant
+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",1. single frontal view of the chest demonstrates stable postsurgical changes within the mediastinum. 2. interval development of a small right pleural effusion. the lungs appear otherwise clear. 3. the cardiomediastinal silhouette is stable in configuration with redemonstration of a tortuous thoracic aorta.,"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: 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","1. SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH TIP IN THE MID SUPERIOR VENA CAVA. NO PNEUMOTHORAX. 2. LUNGS DEMONTRATE PERSISTENT BIBASILAR OPACITIES, RIGHT GREATER THAN LEFT. NO SIGNIFICANT PLEURAL","Significant
+1. False prediction of finding: 0
+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: 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",valid/patient64636/study1/view1_frontal.jpg
+Roger,impression,"1. INTERVAL INSERTION OF ENDOTRACHEAL TUBE, TIP OF WHICH IS AT THE CARINA. IT SHOULD BE WITHDRAWN 3CM. PERSISTENT RIGHT PLEURAL EFFUSION AND LEFT LOWER LUNG ZONE CONSOLIDATION, UNCHANGED FROM PRIOR. RESULTS OF STUDY WERE DISCUSSED WITH Amber, Mcumber OF THE EMERGENCY DEPARTMENT ON 8/8/2005 AT 1700 HOURS.",1. endotracheal tube tip is at the level of the t3 vertebral body. 2. there is a right pleural effusion with right lower lobe atelectasis versus consolidation. 3. there is mild pulmonary edema.,"Significant
+1. False prediction of finding: 2
+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",1. INTERVAL PLACEMENT OF AN ENDOTRACHEAL TUBE WITH THE TIP APPROXIMATELY 4 CM ABOVE THE CARINA. 2. REDEMONSTRATION OF RIGHT PLEURAL EFFUSION AND RIGHT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION. 3. MILD PULMONARY EDEMA. 4. CARDIOMEDIASTINAL SILHOUETTE WITHIN NORMAL LIMITS FOR SIZE AND UNCHANGED IN APPEARANCE. 5. STERNOTOMY WIRES AND MEDIASTINAL CLIPS CONSISTENT WITH HISTORY OF CORONARY ARTERY BYPASS GRAFT. 6. REGIONAL OSSEOUS SOFT TISSUE STRUCTURES ARE GROSSLY UNREMARKABLE. 7. NO EVIDENCE OF PNEUMOTHORAX.,"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: 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. ENDOTRACHEAL TUBE TIP IS AT THE LEVEL OF THE CLAVICLES. 2. THERE IS A RIGHT PLEURAL EFFUSION WITH ASSOCIATED RIGHT BASILAR ATELECTASIS. 3. THIS MAY REPRESENT PULMONARY EDEMA VERSUS INFECTION.,"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",valid/patient64603/study1/view1_frontal.jpg
+Roger,impression,"1.  Moderate alveolar pulmonary edema, with small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. 2.  Moderate cardiomegaly. There are no substantial differences between the preliminary results and the impressions in this final report. ""Physician to Physician Radiology Consult Line: (559) 745-1823"" Signed","1. Bibasilar parenchymal opacities consistent with atelectasis, infection, or aspiration. 2. Small bilateral pleural effusions. 3. Mild pulmonary edema. ""Physician to Physician Radiology Consult Line: (223) 260-8762"" I have personally reviewed the images for this examination and agreed with the report transcribed above.","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): 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","1. mild pulmonary edema with small bilateral pleural effusions. 2. bibasilar opacities, which may represent atelectasis or consolidation. i have personally reviewed the images for this examination and agreed with the report transcribed above.","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","1. Interval development of mild pulmonary edema. 2. Bibasilar opacities, which may represent atelectasis or consolidation. 3. Small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Significant
+1. False prediction of finding: 0
+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: 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): 1",valid/patient64650/study1/view1_frontal.jpg
+Roger,impression,"1.  PA AND LATERAL UPRIGHT VIEWS OF THE CHEST DEMONSTRATE STABLE  POSITIONING OF A TUNNELED RIGHT INTERNAL JUGULAR CENTRAL VENOUS  CATHETER.      2.  INTERVAL DEVELOPMENT OF A DIFFUSE RETICULAR PATTERN AT THE  LUNGS, AS WELL AS SMALL BILATERAL PLEURAL EFFUSIONS.  THIS FINDING  MAY REFLECT INTERVAL DEVELOPMENT OF MILD INTERSTITIAL PULMONARY  EDEMA.  HOWEVER, ATYPICAL INFECTION MAY HAVE A SIMILAR APPEARANCE.   RECOMMEND CLINICAL CORRELATION.","1. mild pulmonary edema. 2. bibasilar opacities, left greater than right, which may represent atelectasis or consolidation. "" physician to physician radiology consult line : ( 616 ) 985 - 3791 "" signed","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): 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",1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF A RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER WITH THE TIP IN THE DISTAL SUPERIOR VENA CAVA. NO EVIDENCE OF PNEUMOTHORAX. 2. THE LUNGS APPEAR CLEAR WITHOUT FOCAL CONSOLIDATION OR PLEURAL EFFUSIONS. 3. THE CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE ARE UNREMARKABLE. 4. VISUALIZED OSSEOUS STRUCTURES ARE INTACT.,"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: 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. No acute cardiopulmonary process. 2. Stable appearance of the chest.,"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",valid/patient64560/study1/view1_frontal.jpg
+Roger,impression,"1.  Low lung volumes. Increasing right basilar opacity which may  represent atelectasis and the presence of low lung volumes though  infection or aspiration would be difficult to exclude. Additional  persistent dense left retrocardiac opacity with evidence of air  bronchograms suggesting consolidation, including pneumonia in the  appropriate clinical setting, though there is some improved aeration  in the left midlung zone.    2.  Decreased left pleural effusion.","1. interval increase in left greater than right basilar opacities, which may represent atelectasis versus consolidation. 2. small left pleural effusion. i have personally reviewed the images for this examination and agreed with the report transcribed above.","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: 0
+7. Inarticulate report (grammar and readability issues): 1
+
+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","1. 2. Persistent bibasilar opacities, left greater than right, which may represent atelectasis, aspiration, or consolidation. 3. Small bilateral pleural effusions. ""Physician to Physician Radiology Consult Line: (616) 985-3791"" I have personally reviewed the images for this examination and agreed with the report transcribed above.","Significant
+1. False prediction of finding: 1
+2. Omission of finding: 0
+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): 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","1. Interval increase in left pleural effusion, now moderate in size. 2. Persistent small right pleural. 3. Bibasilar opacities, which may represent atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above.","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: 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",valid/patient64683/study1/view1_frontal.jpg
+Roger,impression,"1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES PERSISTENT RIGHT  PLEURAL EFFUSION THAT IS PROBABLY UNCHANGED IN COMPARISON TO THE  PRIOR STUDY GIVEN DIFFERENCES IN TECHNIQUE. THERE IS ALSO ADJACENT  ATELECTASIS AND/OR CONSOLIDATION. THE REMAINDER OF THE LUNGS IS  CLEAR.  2. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED.  NO ACUTE OSSEOUS  ABNORMALITY.   3. THREE VIEWS OF THE ABDOMEN DEMONSTRATE AN UNREMARKABLE BOWEL GAS  PATTERN.    4. THERE IS A SUGGESTION OF SLIGHT BLUNTING OF THE LEFT COSTOPHRENIC  SULCUS, NOT APPRECIATED AS WELL ON THE CHEST X-RAY WHICH MAY  REPRESENT PLEURAL THICKENING OR EFFUSION.    5. FOCAL CALCIFICATION SEEN OVERLYING THE SACRUM IS CONSISTENT WITH  CALCIFIED FIBROID SEEN IN THIS LOCATION ON PATIENT'S CT PULMONARY  EMBOLISM STUDY FROM 1-16-2006. A CALCIFIED INJECTION GRANULOMA IS ALSO  SEEN OVERLYING THE LEFT ILIAC CREST, ALSO SEEN ON THE CT PE STUDY.    6. THERE IS A COMPRESSION FRACTURE OF L1 VERTEBRAL BODY WHICH IS  LIKELY DEGENERATIVE  IN NATURE, GIVEN THE LACK OF SURROUNDING SOFT  TISSUE DENSITY ON THE CT PULMONARY EMBOLISM STUDY.",1. interval development of a moderate right pleural effusion. 2. no evidence of focal consolidation. 3. cardiomediastinal silhouette is stable. 4. no bony abnormality.,"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","In comparison with the study of ___, there has been a thoracentesis with removal of a substantial amount of pleural fluid from the right hemithorax. No evidence of post procedure pneumothorax or pneumomediastinum. The left lung is clear and there is no evidence of vascular congestion or acute focal pneumonia.","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",1. Small right pleural effusion. 2. No evidence of pneumonia.,"Significant
+1. False prediction of finding: 0
+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: 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",valid/patient64577/study1/view1_frontal.jpg
+Roger,impression,No acute intrathoracic process.,1. single frontal view of the chest demonstrates stable positioning of the support equipment. 2. interval improved aeration of the right lung base with persistent small right pleural effusion. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.,"Significant
+1. False prediction of finding: 2
+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: 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, exaggerating mild cardiomegaly. There is no pulmonary edema or appreciable pleural effusion. No pneumothorax or mediastinal widening.","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: 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",No acute cardiopulmonary process.,"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",ReXGradient-160K-512/deid_png/GRDNCGJXU3EWZX94/GRDN38R23YDOXMDC/studies/1.2.826.0.1.3680043.8.498.24165346630978228434674138068447883940/series/1.2.826.0.1.3680043.8.498.16776524039927770674709709079087454845/instances/1.2.826.0.1.3680043.8.498.50264807632604205476449715563978065075.png
+Roger,impression,"Persistent, unchanged pulmonary edema.",1. interval improvement in pulmonary edema. 2. persistent small bilateral pleural effusions.,"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","In comparison with the study of ___, the patient has taken a better inspiration. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Blunting of the left costophrenic angle is again seen. No definite acute focal pneumonia, though this would be difficult to unequivocally exclude in the appropriate clinical setting, especially in the absence of a lateral view. Right IJ catheter again extends to the mid to lower portion of the SVC.","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: 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",1. Right internal jugular central venous catheter tip in the mid SVC. No pneumothorax. 2. Mild pulmonary vascular congestion. 3. Small left pleural effusion.,"Significant
+1. False prediction of finding: 2
+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/p16/p16508811/s53845981/0762369f-af8531f3-09fc45b2-f00d90c9-88e6ff7d.jpg,mimic-cxr-images-512/files/p16/p16508811/s53845981/888290a6-cb15d01c-e8f7eea0-2b69aa11-d34b333b.jpg"
+Roger,impression,Resolving b/l upper lobe pneumonia.,1. no acute cardiopulmonary process. 2. chronic interstitial lung 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: 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","In comparison with the study of ___, the patient has taken a better inspiration. The cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. There is some asymmetry of opacification in the right upper zone. In the appropriate clinical setting, this could possibly represent an area of developing consolidation.","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",1. No acute cardiopulmonary process. 2. No evidence of pneumonia.,"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: 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/p10933609/s52935265/9587ec7a-e6b7082f-0b22b670-b924b608-674375e2.jpg,mimic-cxr-images-512/files/p10/p10933609/s52935265/fa29a6c8-729bdd50-764451b7-b92da9bc-daf265ee.jpg"
+Roger,impression,Pulmonary edema superimposed on known lung fibrosis.,"In comparison with the study of ___, there is little overall change. Again there is hyperexpansion of the lungs consistent with chronic pulmonary disease. Cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the aorta. No evidence of acute focal pneumonia or appreciable vascular congestion. Port-A-Cath extends to the mid to lower portion of the SVC.","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: 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",low lung volumes with possible mild pulmonary vascular congestion.,"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",1. Left Port-A-Cath terminates in the mid SVC. 2. Mild pulmonary edema. 3. Stable mild cardiomegaly.,"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: 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/p10/p10439781/s55811525/3ea6406a-214fd5a4-1e6e4b0e-195445b8-1ea913b3.jpg,mimic-cxr-images-512/files/p10/p10439781/s55811525/8213973a-4ae791c1-ff080394-69e53e74-8e6d3813.jpg"
+Roger,impression,Bibasilar atelectasis with decrease in left pleural effusion; no pneumothorax.,ap chest compared to ___ : previous mild pulmonary edema has cleared. small right pleural effusion is new. heart size is normal. right jugular line ends in the mid svc. no pneumothorax.,"Significant
+1. False prediction of finding: 3
+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","As compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. The right internal jugular vein catheter is in unchanged position. The lung volumes have increased, likely reflecting improved ventilation. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No pneumonia, no 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: 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. Right internal jugular central venous catheter tip in the mid SVC. No pneumothorax. 2. Mild bibasilar atelectasis.,"Significant
+1. False prediction of finding: 1
+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: 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/p12433421/s53311302/241b6402-15f482d1-da524f5e-92653c29-84172d3d.jpg
+Roger,impression,Malposition right internal jugular central venous catheter coursing cephalad within the neck.,1. mild pulmonary edema. 2. no evidence of pneumonia.,"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",1. Right internal jugular central venous catheter tip in the mid SVC. No pneumothorax. 2. Mild pulmonary vascular congestion and bibasilar atelectasis. 3. Stable moderate cardiomegaly.,"Significant
+1. False prediction of finding: 3
+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",1. Right internal jugular central venous catheter tip in the mid SVC. No pneumothorax. 2. Mild pulmonary edema. 3. Malignancy is better assessed on the recent CT.,"Significant
+1. False prediction of finding: 2
+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",mimic-cxr-images-512/files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg
+Roger,impression,Further postoperative improvement. Followup at somewhat greater time interval may show final resolution.,"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 clear and there is no evidence of vascular congestion or acute focal pneumonia.","Significant
+1. False prediction of finding: 2
+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",1. interval decrease in size of right pleural effusion. 2. no pneumothorax.,"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: 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",1. Interval decrease in size of right pleural effusion. 2. No pneumothorax.,"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: 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/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg,mimic-cxr-images-512/files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg"
+Roger,impression,Hyperinflated lungs without evidence of pneumonia or CHF. Slight mediastinal prominence likely reflects patient's slight leftward rotation.,"In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is at the upper limits of normal or mildly enlarged and there is tortuosity of the descending aorta. No acute pneumonia, vascular congestion, or pleural effusion. Of incidental note is an azygos fissure, of no clinical significance.","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: 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: 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",no acute cardiopulmonary process.,"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",No acute cardiopulmonary process.,"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/p15/p15612622/s59063233/48a254ba-4d6ccab1-b254dcf7-a7f305bc-9aae746b.jpg,mimic-cxr-images-512/files/p15/p15612622/s59063233/64445cbc-ad80926d-3cf56f35-73f41b87-cdaaf288.jpg"
+Roger,findings,"AP single view of the chest has been obtained with patient in sitting semi-erect position. There exists extensive thickening and calcified scar formations in both apical areas. No evidence of pneumothorax is present. In comparison with the next preceding chest examination of ___, no significant interval change can be identified. The left-sided hilar mass is present as before.","As compared to the previous radiograph, the lung volumes have decreased. As a consequence, there is increased crowding of the vascular and bronchial structures at the lung bases. However, no new parenchymal opacities have occurred in the interval. The size of the cardiac silhouette is unchanged. No pleural effusions. No pneumothorax. Unchanged appearance of the hilar and mediastinal structures.","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","Heart is upper limits of normal in size. Mild pulmonary vascular congestion is present without overt evidence of pulmonary edema. Left hemidiaphragm is mildly elevated, and accompanied by nonspecific patchy and linear areas of atelectasis at the left lung base. Note is also made of a small left pleural effusion.","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: 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","lung volumes are low. heart size is mildly enlarged. the aorta is tortuous and calcified. there is crowding of the bronchovascular structures, but no overt pulmonary edema is demonstrated. patchy opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.","Significant
+1. False prediction of finding: 5
+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",mimic-cxr-images-512/files/p19/p19389041/s56852226/6211c262-9d3215ef-c9ecc9be-dab821ad-94ac069f.jpg
+Roger,findings,"Frontal and lateral views of the chest. On the current exam, there is no evidence of confluent consolidation. Linear opacities at the left lung base most suggestive of scarring. Icreased interstitial markings are seen compatible chronic underlying lung disease, not significantly changed since ___. Trace bilateral effusions. Cardiac silhouette is enlarged and also notable for a prosthetic aortic valve. No acute osseous abnormality detected.","In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. Opacification at the left base is consistent with atelectasis and effusion. In the appropriate clinical setting, supervening pneumonia would have to be considered. No definite vascular congestion at this time.","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: 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",The patient is status post previous median sternotomy and coronary artery bypass surgery. Cardiac silhouette is mildly enlarged. Aorta is tortuous and calcified. Pulmonary vascularity is normal. Linear areas of atelectasis are present in the mid and lower lungs. Small bilateral pleural effusions are also noted. There are no acute osseous abnormalities.,"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: 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",the patient is status post median sternotomy and cabg. the heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged. there is mild pulmonary vascular congestion. linear opacities in the lung bases are compatible with areas of subsegmental atelectasis. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.,"Significant
+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
+
+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/p13606683/s58568223/a3a06d4a-738a23e2-049e6887-d1e5cc2f-c1573666.jpg,mimic-cxr-images-512/files/p13/p13606683/s58568223/78706a51-93862124-f2e96aba-f5e1ca54-2ecbd486.jpg"
+Roger,findings,"In the region of the lingular mass, there is a persistent opacity measuring approximately 6.2 x 5.0 cm and decreased in comparison to the postbiopsy opacity noted in ___ but greater than expected for postoperative hemorrhage at this time and thus raising suspicion for a possible infectious process. Otherwise, the right lung is clear. Mediastinal and cardiac silhouettes appears normal. Osseous structures are grossly unremarkable.","Heart size, mediastinal and hilar contours are within normal limits. A poorly defined mass measuring about 5.5 cm in diameter is present in the left mid lung region, and lungs are otherwise clear. No pleural effusion. Left clavicular fracture is noted.","Significant
+1. False prediction of finding: 0
+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: 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",There is a focal area of consolidation in the left lower lobe consistent with pneumonia. The right lung is clear. The heart is normal in size. The aorta is mildly tortuous. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact. Surgical clips are noted in the right upper quadrant of the abdomen consistent with prior cholecystectomy.,"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: 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",there is a large left lower lobe consolidation consistent with pneumonia. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. the imaged upper abdomen is unremarkable. the bones are intact.,"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/p16/p16435402/s56116675/d439d39d-cacf925c-2737a0f6-204add42-44e8cd99.jpg,mimic-cxr-images-512/files/p16/p16435402/s56116675/cbe3bc41-e94a672f-5fdd94a6-aa2446b0-e821a444.jpg"
+Roger,findings,"In comparison with study of ___, the PICC extends only to the left brachiocephalic vein before its junction with the superior vena cava. Continued low lung volumes may account for some of the prominence of the transverse diameter of the heart. Bibasilar opacification most likely reflects atelectatic changes. Possibility of supervening pneumonia would have to be considered in the appropriate clinical setting. The pulmonary vascular congestion is less prominent than on the prior study.","Tracheostomy tube is in standard position, and a left PICC terminates in the mid superior vena cava. Cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion and minimal interstitial edema. More confluent opacities at the lung bases could reflect dependent edema, aspiration, or atelectasis. Small pleural effusions are present, left greater than right, but there is no visible pneumothorax. Dr. ___ was successfully paged to discuss these findings at 8:30 a.m. on ___ at the time of discovery.","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: 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","Tracheostomy tube is in standard position, and cardiomediastinal contours are within normal limits for technique. Pulmonary vascular congestion is accompanied by mild-to-moderate pulmonary edema. More confluent opacities in the right infrahilar and left retrocardiac regions may reflect dependent edema and atelectasis, but aspiration and infectious pneumonia are also possible in the appropriate clinical setting. Small pleural effusions are present bilaterally.","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: 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 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: 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: 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",mimic-cxr-images-512/files/p10/p10268877/s55785509/2b68ac0e-611f3a5f-ddd4047f-97ef55a1-538b75df.jpg
+Roger,findings,"The heart is normal in size. The aorta is tortuous. Allowing for differences in technique, mediastinal and hilar contours are unremarkable. There is volume loss in the right hemithorax with scarring at the right apex that is presumably post-surgical. Mild chronic-appearing compression deformities are poorly visualized along the upper thoracic spine; although unlikely to represent acute fractures, there may be some increase in the degree of attenuated body heights at one or more levels since the prior CT from several years ago.","The patient is rotated to the right. The lungs are hyperinflated, consistent with emphysema. There is no focal consolidation, pleural effusion or pneumothorax. The aorta is tortuous and calcified. The heart size is normal. The bones are diffusely demineralized. The patient is status post right-sided rib resection.","Significant
+1. False prediction of finding: 2
+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: 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: 0
+7. Inarticulate report (grammar and readability issues): 0","PA and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms and increased retrosternal airspace, compatible with COPD. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Multiple right rib deformities are compatible with chronic fractures. There is a right mid clavicular shaft fracture as well as a right distal clavicular fracture, likely chronic.","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: 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","the patient is rotated to the right. the lungs are hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax. the heart is normal in size. there is no pulmonary edema.","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: 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/p16/p16622813/s53002522/901ff9da-8c7918cf-2c1642f7-2db14f83-c386dfe5.jpg,mimic-cxr-images-512/files/p16/p16622813/s53002522/f54d71e9-cb078a0e-41326b2e-d8a5e132-77b9f33a.jpg"
+Roger,findings,"When compared to prior, there has been no significant interval change. Lungs are grossly clear. There is no large effusion or edema. Cardiomediastinal silhouette is within normal limits. Rightward deviation of the trachea at the thoracic inlet is compatible with known underlying left-sided thyroid enlargement. Surgical clips seen projecting over the thoracic inlet. Left chest wall dual lumen central venous catheter is now seen. Multiple vascular stents project over the left upper extremity and mediastinum. Severe degenerative changes noted at the shoulders bilaterally. Old healed right posterior rib fractures are also noted.","AP portable upright view of the chest. Left chest wall dialysis catheter is seen with its tip in the region of the right atrium. The heart is mildly enlarged. 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: 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: 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","There is streaky density at the lung bases consistent with subsegmental atelectasis or scarring. The lungs are otherwise clear. The heart is at the upper limit of normal in size. The aorta is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact. A dialysis catheter is present, terminating in the right atrium.","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: 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",left - sided dual lumen central venous catheter tip terminates in the proximal right atrium. heart size is normal. the aorta is tortuous and diffusely calcified. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. mild degenerative changes are seen in the thoracic spine.,"Significant
+1. False prediction of finding: 2
+2. Omission of finding: 2
+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: 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","mimic-cxr-images-512/files/p14/p14236258/s59438963/099dc924-692466a3-cd889469-1d9dee6c-3a61f779.jpg,mimic-cxr-images-512/files/p14/p14236258/s59438963/6196e104-b79ccd0c-14251271-51dad87b-ef6297d4.jpg,mimic-cxr-images-512/files/p14/p14236258/s59438963/d2ae1900-b7a31dd8-3a7ff502-08e62dd6-51dfb0e5.jpg"
+Roger,findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar chest examination ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.","In comparison with the study of ___, there is little overall change. Again there is hyperexpansion of the lungs with flattening of the hemidiaphragms consistent with chronic pulmonary disease. Cardiac silhouette is within normal limits and there is no evidence of acute focal pneumonia or vascular congestion. Blunting of the left costophrenic angle could reflect pleural thickening or small effusion.","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: 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 patient is status post previous median sternotomy and aortic valve replacement. Heart size is normal. Aorta is tortuous and calcified. Lungs are hyperinflated with biapical bulla, flattened hemidiaphragms, and increased AP diameter, consistent with COPD. No focal areas of consolidation are present within the lungs, and there are no pleural effusions. 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: 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",the patient is status post median sternotomy and coronary artery bypass surgery. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.,"Significant
+1. False prediction of finding: 1
+2. Omission of finding: 9
+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: 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","mimic-cxr-images-512/files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg,mimic-cxr-images-512/files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg"
+Roger,findings,Midline trachea. Normal heart size and mediastinal contours. Sharp costophrenic angles. No pneumothorax. Clear lungs.,"there is a left subclavian central venous catheter with the tip in the mid svc. there is no evidence of pneumothorax. there is a small left pleural effusion. there is a left retrocardiac opacity, which may represent atelectasis or pneumonia. there is no evidence of pulmonary edema. the cardiomediastinal silhouette is unremarkable.","Significant
+1. False prediction of finding: 3
+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","Cardiomediastinal contours are within normal limits for technique. Lungs are clear. There are no focal consolidations, pleural effusions or pneumothorax.","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",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: 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","ReXGradient-160K-512/deid_png/GRDNDHIOWELTAWKO/GRDNMVZV2FMCNKH5/studies/1.2.826.0.1.3680043.8.498.45394508368819635396029875813526682557/series/1.2.826.0.1.3680043.8.498.92859158488324791031811615288923580897/instances/1.2.826.0.1.3680043.8.498.11546367684662246995023154986568374877.png,ReXGradient-160K-512/deid_png/GRDNDHIOWELTAWKO/GRDNMVZV2FMCNKH5/studies/1.2.826.0.1.3680043.8.498.45394508368819635396029875813526682557/series/1.2.826.0.1.3680043.8.498.95495011139742695642956482604143189157/instances/1.2.826.0.1.3680043.8.498.37624588637912821550226739088095926040.png"
+Roger,findings,"A right upper extremity PICC has been placed. The tip is at the SVC/right atrial junction. Otherwise, stable.",PA chest demonstrates normal heart size. Lungs are clear. No pleural effusion or pneumothorax. 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: 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",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: 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 heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a persistent small - to - moderate left - sided pleural effusion with associated atelectasis. the left - sided pleural effusion appears unchanged. there is no pneumothorax.,"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: 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",ReXGradient-160K-512/deid_png/GRDNS6VC0VEZIO3Y/GRDNNV7M4AT0O6DR/studies/1.2.826.0.1.3680043.8.498.58576084947390659203853315953789681897/series/1.2.826.0.1.3680043.8.498.62523237360445428860988590233320347116/instances/1.2.826.0.1.3680043.8.498.63400879264851361680949049439202675674.png
+Roger,findings,Poor inspiration. Borderline enlarged cardiac silhouette. Prominent pulmonary vasculature. Mildly prominent interstitial markings. Minimal bibasilar atelectasis. Unremarkable bones.,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: 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: 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","The lungs are clear. There is no evidence of focal consolidation, pleural effusion, pneumothorax, mass, or lymphadenopathy. There are no pleural or parenchymal calcifications. The heart size is normal. The cardiomediastinal silhouette is unremarkable. The trachea is midline and normal in caliber. No acute skeletal abnormalities are seen.","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: 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",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: 0
+7. Inarticulate report (grammar and readability issues): 0
+
+Insignificant
+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",ReXGradient-160K-512/deid_png/GRDN8677QSL6173O/GRDNP7GK4F6CVCHB/studies/1.2.826.0.1.3680043.8.498.49555124042554958265839100751254865254/series/1.2.826.0.1.3680043.8.498.13254124264730134913741007636378878629/instances/1.2.826.0.1.3680043.8.498.74785290471773690300239739183370807787.png
+Roger,findings,Cardiomediastinal silhouette unremarkable for age. Lungs clear. Normal lung volumes. Bronchovascular markings normal. No pleural effusions. Visualized bony thorax intact.,EDTHATTHEIMAGESAREPERFORMEDON ___ AND ___.THECHEST X-RAYSTUDIESHOWNORMALCARDIOMEDIASTINALAND PLEURAL SURFACES WITHOUT FOCAL CONSOLIDATION OR PNEUMOTHORAX.NOTHING IS SEEN TO CAUSE OBSTRUCTION OF THE TRACHEAL LUMEN OR CAUSE MEDIASTINAL ELEVATION. THERE IS NO EVIDENCE OF PULMONARY EDEMA OR FIBROTHORAX.,"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): 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","No significant bone alterations are observed in the rib cage. If there is suspicion of fracture, it is recommended to complete with x-rays focused on the area of pain or the area where the clinical symptoms are located.","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): 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 linear area of increased radiodensity in the left retrocardiac region consistent with an area of subsegmental atelectasis. Lungs are otherwise clear.,"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","ReXGradient-160K-512/deid_png/GRDNJIXJY5RJFU6A/GRDNZ5KX259MP261/studies/1.2.826.0.1.3680043.8.498.40481110865172905250467034774072883258/series/1.2.826.0.1.3680043.8.498.68853357634078723315038716329354356581/instances/1.2.826.0.1.3680043.8.498.28242953925325362523160283360434457582.png,ReXGradient-160K-512/deid_png/GRDNJIXJY5RJFU6A/GRDNZ5KX259MP261/studies/1.2.826.0.1.3680043.8.498.40481110865172905250467034774072883258/series/1.2.826.0.1.3680043.8.498.93901199715909645781720075749337565830/instances/1.2.826.0.1.3680043.8.498.73809769100331711967080366250939705500.png"
+Roger,findings,There is cardiomegaly. Patchy bilateral airspace opacities are again noted. No significant change since prior study. Right central line unchanged.,"The lungs are clear to slightly increased interstitial markings. The heart size is normal. No cardiomegaly is identified. The aorta is unremarkable. No pulmonary vascular congestion or edema is seen. No pleural effusions or areas of pleural thickening are identified. No masses, lesions, or nodules are detected.","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: 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 within normal limits. the mediastinal and hilar contours are normal. the lungs show no consolidation or pulmonary edema. there is a small left pleural effusion. there is no pneumothorax.,"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: 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 single portable AP view of the chest is provided. The lungs are clear. No pneumothorax or pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.,"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: 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",ReXGradient-160K-512/deid_png/GRDN58F62HEFNNAR/GRDNMPD4KKB18XMM/studies/1.2.826.0.1.3680043.8.498.70845017318917910876941668657400133988/series/1.2.826.0.1.3680043.8.498.25801868240967459162943634303319789306/instances/1.2.826.0.1.3680043.8.498.95462115286128959898115154040465986132.png
+Roger,findings,"Multiple EKG leads overlie the chest, but there appears to be no evidence for active cardiopulmonary disease. Periosseous structures intact in one view.",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: 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","The chest radiograph is provided by an outside facility. The patient is imaged in the upright position. The lungs are well expanded. Reticulonodular opacities are seen in the right upper lobe, which may represent an infectious or inflammatory process. There is no evidence of mass lesion. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is unremarkable. No acute skeletal abnormalities are detected.","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: 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 chest demonstrates normal heart size. Lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormality.,"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",ReXGradient-160K-512/deid_png/GRDNGC33ZBW0YI0V/GRDNAZRLIZEYWR1C/studies/1.2.826.0.1.3680043.8.498.92054601396238658559563527812549338278/series/1.2.826.0.1.3680043.8.498.77737745562030458178776231180254716648/instances/1.2.826.0.1.3680043.8.498.66871761244239446724019487423929501111.png
+Roger,findings,Bibasilar airspace disease shows mild progression. This could represent pneumonia. Continued followup until clearing suggested. Prior median sternotomy. Negative for heart failure or effusion.,"I\nThe lungs are clear. There is no pneumothorax or focal consolidation. There are no pleural effusions. The heart size is 3.5 cm. The aortic knob is unremarkable. The mediastinal contours are normal. The right hilum is normal in size and contour. The left hilum appears slightly prominent, measuring 1.8 cm in craniocaudad dimension and 2.0 cm in transverse dimension. This is slightly larger than normal, but not significantly so.","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: 0
+7. Inarticulate report (grammar and readability issues): 1
+
+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","No acute focal consolidation, pleural effusion or pneumothorax. There is mild prominence of the pulmonary vasculature which may reflect mild congestive heart failure. No interstitial or alveolar opacities are seen to suggest an acute infectious process. The cardiac silhouette is not enlarged and there is no radiographic evidence of pericardial effusion. The bony thorax is grossly intact. There are no suspicious lytic or sclerotic osseous lesions. No free air is seen within the abdomen. The visualized portions of both kidneys are grossly unremarkable. No renal calcifications are seen. No intra-abdominal lymphadenopathy or hepatic nodularity is detected. No splenomegaly is seen. The stomach is not distended. The bowel gas pattern is nonspecific. No pneumoperitoneum or subdiaphragmatic free air. No air-filled dilated loops of small or large bowel are seen in the visualized portion of the upper abd","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): 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. No mediastinal widening. Lungs are clear. No acute osseous abnormality.,"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","ReXGradient-160K-512/deid_png/GRDN9NTTPLRTIPX6/GRDNT4VKRZTYTMOC/studies/1.2.826.0.1.3680043.8.498.39581387798335566208142853638714862259/series/1.2.826.0.1.3680043.8.498.32484128815648090543824196996374389858/instances/1.2.826.0.1.3680043.8.498.96503163499162718395517702648371035472.png,ReXGradient-160K-512/deid_png/GRDN9NTTPLRTIPX6/GRDNT4VKRZTYTMOC/studies/1.2.826.0.1.3680043.8.498.39581387798335566208142853638714862259/series/1.2.826.0.1.3680043.8.498.49103611106470564858033223536823497139/instances/1.2.826.0.1.3680043.8.498.99410969711055526132728393216051676763.png"
+Roger,findings,"Fluoroscopy was provided for an OR procedure. Examination was performed by Dr. LINE, EVELIN. Please correlate with the procedural report. Fluoroscopy time 1 minute 17 seconds.",The lungs are clear without evidence of pneumonia or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The bony thorax is intact.,"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","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: 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",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: 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",ReXGradient-160K-512/deid_png/GRDNUY5QGRAMSHNV/GRDNYO4RJLOKMWUV/studies/1.2.826.0.1.3680043.8.498.41137195311730554777716448864134222323/series/1.2.826.0.1.3680043.8.498.51908155151474984307962743591099666245/instances/1.2.826.0.1.3680043.8.498.36363952020598161975392765074145894548.png
+Roger,findings,Normal heart size considering portable AP upright radiograph. Calcified tortuous aorta. Mild vascular congestion. No definite consolidation or edema. Subsegmental atelectasis LEFT base. Worsening aeration from priors.,"The lungs are clear to some degree. There is no focal consolidation, pneumothorax, or pleural effusion. The heart size is normal. The mediastinum is not widened. The bony structures are grossly normal.","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: 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 without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. The mediastinal silhouettes are normal in contour and caliber. The pulmonary vasculature is normal without engorgement. The bony thorax is grossly intact without lytic or sclerotic lesions. There is no free air.","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: 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",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: 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",ReXGradient-160K-512/deid_png/GRDNWZM5SCIJ08LW/GRDNPTEO60O468A1/studies/1.2.826.0.1.3680043.8.498.88368926264516128100957901800494201732/series/1.2.826.0.1.3680043.8.498.37313069610227428347934334606993661520/instances/1.2.826.0.1.3680043.8.498.35989166192137494002553076066842105196.png
+Roger,findings,"Left pneumothorax is no larger and may be slightly smaller than seen yesterday, approximately 20%. Pulmonary scarring and pleural plaques on both sides appear the same. No new process.",the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.,"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): 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 and lung parenchyma without findings of pathological significance.,"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): 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. There is a mild degree of hyperinflation. No acute infiltrates are identified.,"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: 3
+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/GRDNA9EDC42U2MZR/GRDN3B2OMVGFHTWD/studies/1.2.826.0.1.3680043.8.498.92614031567834307758133713395772767535/series/1.2.826.0.1.3680043.8.498.54577403337940981999972767724626743033/instances/1.2.826.0.1.3680043.8.498.43793799082732086133313624958449806830.png,ReXGradient-160K-512/deid_png/GRDNA9EDC42U2MZR/GRDN3B2OMVGFHTWD/studies/1.2.826.0.1.3680043.8.498.92614031567834307758133713395772767535/series/1.2.826.0.1.3680043.8.498.92362979266849016659483120185977682197/instances/1.2.826.0.1.3680043.8.498.26955801881270847247781340894067881329.png"
+Roger,findings,The patient is being evaluated for possible ingested foreign body. A RIGHT-side down decubitus film is submitted. I do not see evidence of air trapping on the RIGHT. No discrete infiltrate is seen.,"The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. The mediastinal silhouettes are within normal limits for the patient's age. The pulmonary vasculature is normal. There are no areas of focal consolidation. Compared to the prior study from ___, there is no significant change.","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",The chest x-ray is available for review. The patient is positioned upright for this radiograph. The lungs are well expanded. The heart is of normal size. The aorta is slightly tortuous. The trachea is midline. No compression fractures are identified. No rib fractures are seen. There is no evidence of pneumothorax or pneumomediastinum. No free air is seen beneath the right hemidiaphragm. No subdiaphragmatic intra-abdominal air is detected. There are no acute skeletal abnormalities appreciated.,"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): 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",The heart size is normal. Lung fields are clear.,"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",ReXGradient-160K-512/deid_png/GRDNK2U4B5F5J9IJ/GRDNS9S6MKP54R9K/studies/1.2.826.0.1.3680043.8.498.83156928842544601735151996909299350838/series/1.2.826.0.1.3680043.8.498.42836059955746928026827768829796790955/instances/1.2.826.0.1.3680043.8.498.12694469993354193936734198930874839089.png
+Roger,findings,"COPD/emphysema. Chronic bronchitic type markings. Suspicion for small nodular densities in the left upper lobe, particularly one density measuring approximately 5 x 7 mm. Accentuated thoracic kyphosis and degenerative spondylotic changes. Diffuse osteopenia.",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: 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): 1
+
+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 and free of consolidation. There is no pleural effusion. The cardiac silhouette is within normal limits. The vascular anatomy is normal. There are no focal stenoses or occlusions. The aorta is normal in contour and caliber. The pulmonary arteries are normal in size and contour. The mediastinal contours and soft tissues are normal. The osseous structures are normal without any lesions or lytic or sclerotic areas. The visualized portion of the upper abdomen is unremarkable without any masses, lesions, or free intraperitoneal fluid. The bilateral acromioclavicular and glenohumeral joints appear normal in alignment and without any degenerative changes or joint space narrowing. The humeral heads are centered in the glenoid fossa, and there is no high-riding or subluxed humeral head. The rotator cuff tendons are intact. The biceps tendon is intact without any tendon rupture or dislocation. The subscapularis and supraspinatus","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): 1
+
+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: 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","ReXGradient-160K-512/deid_png/GRDNLQJG98XJGYH8/GRDNHVIWA3CC7O54/studies/1.2.826.0.1.3680043.8.498.93897684979083095498009466962883312424/series/1.2.826.0.1.3680043.8.498.56700646594605071572823816948015503696/instances/1.2.826.0.1.3680043.8.498.69674618423844540230102409762556356432.png,ReXGradient-160K-512/deid_png/GRDNLQJG98XJGYH8/GRDNHVIWA3CC7O54/studies/1.2.826.0.1.3680043.8.498.93897684979083095498009466962883312424/series/1.2.826.0.1.3680043.8.498.78910594764209351986232456565642558002/instances/1.2.826.0.1.3680043.8.498.72963010418286910289590800642065705498.png"
+Roger,findings,"Moderate cardiomegaly is noted with increased prominence of diffuse interstitial markings, patchy airspace opacities, and trace effusions. Lumbar fusion hardware partly visualized. Bilateral glenohumeral joint degenerative change, with high-riding bilateral humeral heads again noted which may signify rotator cuff tendinopathy.","THEREARENOABNORMALITIES. THERE IS NO EVIDENCE OF PNEUMOTHORAX. THE CARDIOMEGALY AND MEDIASTINAL ADENOPATHY ARE UNCHANGED SINCE THE PRIOR STUDY. THE PULMONARY EDEMA HAS RESOLVED. THERE ARE NO NEW FOCAL CONSOLIDATIONS OR OPACITIES IN THE LUNGS. THE HEART SIZE IS SLIGHTLY SMALLER THAN PRIOR. THE PATIENT IS STATUS POST CHEMOTHERAPY, AS INDICATED ON PRIOR REPORT, AND CHEST X-RAY IS BEING OBTAINED FOR MONITORING OF TREATMENT EFFECTS AND TO EVALUATE FOR POTENTIAL SECONDARY INFECTION OR PROGRESSION DUE TO THERAPY RELATED SYMPTOMS SUCH AS FIBROSING ALVEOLITIS OR OTHER CHEST TUBING.","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: 1
+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: 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 cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There are no focal consolidations in the lung parenchyma. The findings are compared with the previous examination from ___, which is available electronically. On that examination, bilateral basal parenchymal opacities were seen, which have regressed on today's examination. No new pulmonary abnormalities have occurred in the interval. The most recent chest examination is from ___. At that time, the patient had an acute exacerbation of COPD and was treated with antibiotics and corticosteroids. A followup chest x-ray was performed on ___ and showed regression of the opacifications. The patient was discharged from the hospital on ___. The patient has not been readmitted to the hospital since then. No other relevant findings. No evidence of pneumonia or other acute infectious process.","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): 1
+
+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",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: 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: 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","ReXGradient-160K-512/deid_png/GRDNLPCOR5OS9FWO/GRDNYZZ3CJXDOFFQ/studies/1.2.826.0.1.3680043.8.498.31588399127474243031669487725899147258/series/1.2.826.0.1.3680043.8.498.17260805953361860115523531403730113182/instances/1.2.826.0.1.3680043.8.498.66915927834668960953943156143205753586.png,ReXGradient-160K-512/deid_png/GRDNLPCOR5OS9FWO/GRDNYZZ3CJXDOFFQ/studies/1.2.826.0.1.3680043.8.498.31588399127474243031669487725899147258/series/1.2.826.0.1.3680043.8.498.21477745804485253968131626993162884774/instances/1.2.826.0.1.3680043.8.498.49434231559897832219648720637104366695.png,ReXGradient-160K-512/deid_png/GRDNLPCOR5OS9FWO/GRDNYZZ3CJXDOFFQ/studies/1.2.826.0.1.3680043.8.498.31588399127474243031669487725899147258/series/1.2.826.0.1.3680043.8.498.97023207004308827657549310666191701089/instances/1.2.826.0.1.3680043.8.498.91436270659884302853142048838314670159.png"
+Roger,findings,"Endotracheal tube terminates 11 mm above the carina. Volume loss in the right hemithorax. Retrocardiac opacity, possibly reflecting a hiatal hernia, although poorly evaluated. Lucency beneath the diaphragm favors a distended gastric bubble. Right shoulder dislocation with deformity, likely chronic. Chronic left clavicle fracture.",there is a left - sided picc line with its tip at the cavoatrial junction. there is a left - sided subclavian line with its tip in the mid svc. there is a right - sided picc line with its tip near the cavoatrial junction. there is a left - sided pleural effusion and left lower lobe consolidation. there is a small right - sided pleural effusion. there is a left - sided pleural effusion. there is a left - sided pleural effusion. there is a left - sided chest tube present. there is a left - sided chest tube present.,"Significant
+1. False prediction of finding: 8
+2. Omission of finding: 3
+3. Incorrect location/position of finding: 4
+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 normal. There is no pleural effusion or pneumothorax. Compared to prior study, there is improved aeration of the lungs.","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: 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",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: 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: 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",ReXGradient-160K-512/deid_png/GRDN5B1FSZIY44UV/GRDNBBFRXPKQ8OZL/studies/1.2.826.0.1.3680043.8.498.15033993432730595258104012411292739149/series/1.2.826.0.1.3680043.8.498.31398950734830179192775660396381286592/instances/1.2.826.0.1.3680043.8.498.45643441885977212149382679624019989361.png
+Roger,findings,"Low lung volumes are present, with seven posterior ribs projecting over aerated lung bilaterally. Compensating for the low lung volumes, cardiothymic silhouette is within normal limits. Airway thickening is noted, compatible with viral process or reactive airways disease. No airspace opacity characteristic of bacterial pneumonia is identified.",there is a left - sided pleural effusion with associated atelectasis. there is also a small right - sided pleural effusion. there is no evidence of a pneumothorax. the cardiomediastinal silhouette is unremarkable. there is a left - sided central venous catheter with the tip in the mid svc.,"Significant
+1. False prediction of finding: 4
+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: 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",No significant bone alterations are observed in the sternal region.,"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): 1
+
+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 normal. Lungs are grossly clear. No pleural effusion or pneumothorax.,"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): 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/GRDNIDTTTQIUBUV5/GRDN418JWV2B9L1K/studies/1.2.826.0.1.3680043.8.498.43494773240527059999340610351109314448/series/1.2.826.0.1.3680043.8.498.22664066387450674512723532608842611099/instances/1.2.826.0.1.3680043.8.498.17331157596254625123459894865775061414.png,ReXGradient-160K-512/deid_png/GRDNIDTTTQIUBUV5/GRDN418JWV2B9L1K/studies/1.2.826.0.1.3680043.8.498.43494773240527059999340610351109314448/series/1.2.826.0.1.3680043.8.498.62465409455884062752582798432700696786/instances/1.2.826.0.1.3680043.8.498.83146332056195584246469037878717247372.png"
+Roger,findings,"The study is somewhat hampered due to patient motion artifact, suboptimal patient positioning and poor inspiratory effort, however, there is suggestion of bilateral perihilar, peribronchial thickening with associated minimal streaky ill-defined infrahilar/basilar airspace opacities. Heart: Normal. Mediastinum: Normal. Pleural effusions: None. Bones: There is no suspicious lytic or sclerotic lesions throughout the visualized bony structures. Visualized upper abdomen: Normal.",No pulmonary infiltrates or consolidations are observed. Radiological signs of COPD (Chronic Obstructive Pulmonary Disease) are present.,"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",The lungs are clear. The cardiac silhouette is not enlarged. No pleural effusions or pneumothorax are seen. The pulmonary vasculature is normal. The findings are unchanged compared to the previous examination from ___.,"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",PA AP chest demonstrates normal heart size. Lungs are clear.,"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): 0
+
+Insignificant
+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: 0
+7. Inarticulate report (grammar and readability issues): 1",ReXGradient-160K-512/deid_png/GRDNBTV91IZFWNHX/GRDNH986AO5ENJ8U/studies/1.2.826.0.1.3680043.8.498.60312932238327570879636990558814114479/series/1.2.826.0.1.3680043.8.498.29393345359665587130985673954322483305/instances/1.2.826.0.1.3680043.8.498.38090098701207126124125381125707811153.png
+Roger,impression,Further improvement of previously identified multifocal pneumonic infiltrates. As there persist a few remnants further followup is recommended to ascertain stability.,"In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Specifically, no hilar or mediastinal adenopathy or prominence of interstitial markings to radiographically suggest sarcoidosis. If there is serious clinical concern for this diagnosis, CT would be the next imaging procedure.","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): 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","1. no evidence of pneumonia. 2. mild bronchial wall thickening, which could reflect bronchitis.","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",No acute cardiopulmonary process.,"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: 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/p16662264/s54504950/d3b0d36d-5201ca16-3476454c-0e031e78-004217a2.jpg,mimic-cxr-images-512/files/p16/p16662264/s54504950/823fd649-1a827456-8a52f457-41419696-3c50b072.jpg"
+Roger,impression,"1. Small ilateral pleural effusions with bibasilar atelectasis. No focal consolidations. 2. Fractured and misaligned median sternotomy wires are stable, indicating chronic sternal nonunion.","moderate right and small left pleural effusions, increased compared to the prior study. mild pulmonary vascular congestion.","Significant
+1. False prediction of finding: 1
+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","In comparison with the study of ___, there is little overall change. Again there is enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the right. Central catheter remains in place.","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: 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 placement of a right-sided Port-A-Cath with the tip in the mid SVC. 2. Stable moderate right pleural effusion. 3. Stably enlarged cardiac silhouette.,"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","mimic-cxr-images-512/files/p12/p12189285/s59956784/a4398b56-ec603dc8-a33c3c3b-d4969bf3-6ae3e7b1.jpg,mimic-cxr-images-512/files/p12/p12189285/s59956784/02e0109a-820d6579-26cf0f89-4e81bca1-65cc007f.jpg"
+Roger,impression,"Moderate to severe congestive failure with bilateral moderate-sized pleural effusions, increased. As these findings could mask an underlying infectious process, if clinical concern persists repeat imaging after diuresis is recommended.",moderate pulmonary edema with moderate bilateral pleural effusions.,"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","Moderate pulmonary edema with bilateral pleural effusions, moderate on the left and small on the right. Bibasilar airspace opacities may reflect compressive atelectasis but infection or aspiration cannot be excluded.","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","1. Moderate pulmonary edema with bilateral pleural effusions, left greater than right. 2. Left lower lobe atelectasis. 3. Modified sternal wires, with wires 4 and 5 fractured.","Significant
+1. False prediction of finding: 3
+2. Omission of finding: 0
+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: 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/p15259244/s54756918/641cc7ad-8d3dc0c6-ee97f6e1-7bf62c19-d12ac7bd.jpg
+Roger,impression,"NO RELEVANT CHANGE AS COMPARED TO THE PREVIOUS IMAGE. STERNOTOMY WIRES AND PACEMAKER IN UNCHANGED CORRECT POSITION. MILD ELONGATION OF THE DESCENDING AORTA. STATUS POST VALVULAR REPLACEMENT. MILD CARDIOMEGALY. NO PNEUMONIA, NO PULMONARY EDEMA.",no acute cardiopulmonary process.,"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: 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 ___, the patient has taken a better inspiration. Continued enlargement of the cardiac silhouette without appreciable vascular congestion. This discordance raises the possibility of cardiomyopathy or even pericardial effusion. Dual-channel pacer device remains in place with leads in the right atrium and apex of the right ventricle. No evidence of acute focal pneumonia. Blunting of the left costophrenic angle is again seen.","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): 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",No acute cardiopulmonary process.,"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: 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",mimic-cxr-images-512/files/p16/p16043637/s59044123/c055e51a-f8fe191f-bc7f8dd3-78c1727e-d50f9a14.jpg
+Roger,impression,"1) Interval placement of the ET tube, tip in satisfactory position above the carina. Otherwise, overall similar. 2) Radiopacity over stomach - ? residual contrast. Clinical correlation requested. 3) LLL collpase consolidation. 4) Bilateral effusions. 5) Probable CHF.","In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Retrocardiac opacification with obscuration of the hemidiaphragm is consistent with substantial volume loss in the left lower lobe and probable small pleural effusion. Less prominent changes are seen at the right base.","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","1. endotracheal tube has its tip approximately 3 cm above the carina. right subclavian central line has its tip in the distal svc. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. there are layering bilateral effusions with patchy bibasilar airspace disease, left greater than right, which may reflect compressive atelectasis, although pneumonia cannot be entirely excluded. no evidence of pulmonary edema. no pneumothorax is seen. status post median sternotomy with stable postoperative cardiac and mediastinal contours.","Significant
+1. False prediction of finding: 5
+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
+
+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 4.5 cm above the carina. 2. Persistent left lower lobe collapse. 3. Small bilateral pleural effusions.,"Significant
+1. False prediction of finding: 0
+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: 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/p13/p13135946/s58519194/a012623c-3d2f7d18-ccd7f833-c984c099-56fbef61.jpg
+Roger,impression,"PA and lateral chest, ___: Previous right pleural thickening is improving, following tracheobronchoplasty via right thoracotomy. Posterior rib osteotomy, unchanged in relative position. Normal postoperative cardiomediastinal silhouette, including borderline cardiomegaly predating surgery. Lungs grossly clear. Lateral view shows prior cementoplasty, vertebral bodies thoracolumbar spine.","In comparison with the study of ___, the patient has taken a better inspiration. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion or acute focal pneumonia. Blunting of the right costophrenic angle is again seen, consistent with pleural thickening and possible small effusion.","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: 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",no acute cardiopulmonary process.,"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: 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. No evidence of pneumonia. 2. Stable right upper lobe scarring.,"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: 2
+7. Inarticulate report (grammar and readability issues): 0
+
+Insignificant
+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","mimic-cxr-images-512/files/p11/p11474065/s57723670/965cab94-dee35b99-bf9616fc-1707a75d-e2368901.jpg,mimic-cxr-images-512/files/p11/p11474065/s57723670/44e39617-0b754c0a-b33e2351-0b5e42aa-f45409ab.jpg"
+Roger,impression,1. Low ET tube. This could be pulled back 2 cm for more optimal placement. 2. Nasogastric tube tip is not well seen due to technique but is at least to the level of GE junction. Recommend repeat CXR or abdominal films for further evaluation of the distal tip. 3. Unchanged persistent pulmonary edema. 4. Stable cardiomegaly.,ap chest compared to ___ : mild pulmonary edema has improved. moderate cardiomegaly and mediastinal vascular engorgement are stable. et tube and left subclavian line are in standard placements. nasogastric tube passes into the stomach and out of view. no pneumothorax or appreciable pleural effusion.,"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: 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 compared to ___: Mild pulmonary edema has worsened. Moderate cardiomegaly and mediastinal vascular engorgement are stable. Pleural effusions are presumed, but not substantial. No pneumothorax. ET tube and left subclavian line are in standard placements and an upper enteric drainage tube passes into the stomach and out of view.","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: 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. ET tube tip 2.5 cm above the carina. 2,"Significant
+1. False prediction of finding: 0
+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: 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","mimic-cxr-images-512/files/p14/p14841168/s51131705/4f8a1691-89998d68-1647d35a-65f86204-16385ae8.jpg,mimic-cxr-images-512/files/p14/p14841168/s51131705/7ab14399-04914a4f-ecbeb632-86169815-b8874a50.jpg"
+Roger,impression,"HEART SIZE IS ENLARGED, UNCHANGED. POST STERNOTOMY WIRES ARE STABLE. PACEMAKER DEFIBRILLATOR LEADS TERMINATE IN RIGHT ATRIUM AND RIGHT VENTRICLE, THE PACEMAKER IS LEFT-SIDED. MEDIASTINUM IS STABLE. BILATERAL INTERSTITIAL CHANGES AT THE NEED AND LOWER LUNGS APPEAR TO BE SLIGHTLY IMPROVED. NO PNEUMOTHORAX OR APPRECIABLE PLEURAL EFFUSION IS SEEN. PREVIOUSLY DEMONSTRATED MULTIFOCAL CONSOLIDATIONS HAVE SUBSTANTIALLY IMPROVED AND THE CURRENTLY SEEN CHANGES MIGHT POTENTIALLY REPRESENT THE SEQUELA OR PREVIOUS ALVEOLAR CONSOLIDATIONS.",1. mild pulmonary edema. 2. stable moderate cardiomegaly.,"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): 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 compared to ___ through ___: Moderate cardiomegaly and pulmonary vascular congestion have worsened since ___, but there is no edema or appreciable pleural effusion. Transvenous right atrial and right ventricular pacer leads follow their expected courses from the right axillary pacemaker. No pneumothorax or mediastinal widening. Dr. ___ ___ I discussed the findings and their clinical significance over the telephone at the time of dictation.","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): 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",1. Right-sided pacemaker with leads in the right atrium and right ventricle. No pneumothorax. 2. Mild pulmonary edema. 3. Small bilateral pleural effusions. 4. Bibasilar opacities may reflect atelectasis or consolidation. I have personally reviewed the images for this examination and agreed with the report transcribed above.,"Significant
+1. False prediction of finding: 2
+2. Omission of finding: 3
+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: 4
+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/p12475198/s57980670/c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8.jpg,mimic-cxr-images-512/files/p12/p12475198/s57980670/7872b2d7-eb63bb18-ed6cf009-39cf263d-a2965d5b.jpg"
+Roger,impression,"AP chest compared to ___ through ___: Right hemidiaphragm has always been elevated relative to the left but the differential has been much greater since ___ than it was previously and greater today than on ___. This could be due to varying degrees of atelectasis at the right lung base or a phrenic nerve palsy captured at different stages in the respiratory cycle. There could also be a space-occupying process in the right upper abdominal quadrant such as exacerbation of hepatomegaly or a growing liver mass. Heart is normal size and mediastinum is not shifted at all to the right. I would recommend evaluation of peridiaphragmatic pathology, either fluid or mass. Left lung is clear and there is no left pleural effusion. Healed fractures of the posterolateral and anterolateral portions of left middle ribs, the latter more recent and not completely healed are new since the end of ___, but with enough bony callus to indicate they did not occur in the past several weeks. No pneumothorax. Findings were discussed with the house officer caring for this patient at the time of dictation.",AP chest reviewed in the absence of prior chest radiographs: Elevation of the right hemidiaphragm is chronic. There is no appreciable right pleural effusion. Left lung is clear. Cardiomediastinal and hilar silhouettes are normal. Left PIC line ends in the mid SVC. No pneumothorax.,"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: 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","ap chest compared to ___ : new opacification at the base of the right lung is most likely atelectasis, but pneumonia cannot be excluded. lungs are otherwise clear. heart size normal. no pleural effusion.","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: 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","1. No acute cardiopulmonary process. 2. Elevation of the right hemidiaphragm, of unknown chronicity.","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: 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",mimic-cxr-images-512/files/p19/p19565653/s52631051/35ebe520-b4297eea-cf802191-670576d1-51ca727d.jpg
+Roger,impression,No acute findings.,1. single frontal view of the chest demonstrates stable positioning of the support equipment. 2. interval increase in retrocardiac opacity which may represent atelectasis versus consolidation. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.,"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: 3
+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: Normal heart, lungs, hila, mediastinum and pleural surfaces. No pneumothorax or appreciable pleural effusion.","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",1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A LARGE LEFT PNEUMOTHORAX WITH COLLAPSE OF THE LEFT LUNG. NO EVIDENCE OF MEDIASTINAL SHIFT. 2. THE RIGHT LUNGS ARE CLEAR. 3. THESE FINDINGS WERE DISCUSSED WITH THE EMERGENCY DEPARTMENT AT 11:30 A.M.,"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: 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",ReXGradient-160K-512/deid_png/GRDNIZRXSA5DDXKF/GRDNH8YO1V4DKN2V/studies/1.2.826.0.1.3680043.8.498.61709493427034680667769918074106317961/series/1.2.826.0.1.3680043.8.498.44797988609539690916865466696605211554/instances/1.2.826.0.1.3680043.8.498.52039128264938274454530980797250667143.png
+Roger,impression,Normal chest radiograph.,"1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION, EFFUSION, OR EDEMA. 3.VISUALIZED OSSEOUS STRUCTURES ARE UNREMARKABLE.","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",1. single frontal view of the chest demonstrates stable positioning of the support equipment. 2. interval improved aeration of the right lung base with persistent small right pleural effusion. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.,"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: 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. single frontal view of the chest demonstrates stable positioning of the support equipment. 2. interval increase in retrocardiac opacity which may represent atelectasis versus consolidation. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.,"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: 3
+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/GRDNH99AU4H3SECT/GRDNHO8F3ZB5E4U6/studies/1.2.826.0.1.3680043.8.498.90773370142642219510670154570088667859/series/1.2.826.0.1.3680043.8.498.11740238667975282189559846475666349692/instances/1.2.826.0.1.3680043.8.498.98191988059209844085545751864585649834.png,ReXGradient-160K-512/deid_png/GRDNH99AU4H3SECT/GRDNHO8F3ZB5E4U6/studies/1.2.826.0.1.3680043.8.498.90773370142642219510670154570088667859/series/1.2.826.0.1.3680043.8.498.75634074822499520681179706919507512982/instances/1.2.826.0.1.3680043.8.498.35996908460674665268024750223346119647.png"
+Roger,impression,Mild left base atelectasis.,"1.SINGLE FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES A NORMAL CARDIOMEDIASTINAL SILHOUETTE. 2.LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION. NO PNEUMOTHORAX, NO PLEURAL EFFUSIONS. 3.VISUALIZED OSSEOUS STRUCTURES AND SOFT TISSUES UNREMARKABLE.","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",large right pleural effusion with associated atelectasis.,"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",1. no evidence of pneumonia. 2. mild pulmonary edema.,"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",ReXGradient-160K-512/deid_png/GRDNQOBX1DI2JBND/GRDNIR9HRK96W6GP/studies/1.2.826.0.1.3680043.8.498.55191401306810645645534969663812353643/series/1.2.826.0.1.3680043.8.498.66767143441875907205357454353699378196/instances/1.2.826.0.1.3680043.8.498.27069795410732704377388526770942255413.png
+Roger,impression,Negative low volume chest.,"1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSION, PNEUMOTHORAX, OR PULMONARY EDEMA. 2.UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. 3.VISUALIZED SOFT TISSUES AND OSSEOUS STRUCTURES ARE WITHIN NORMAL LIMITS.","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: 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",low lung volumes with bibasilar atelectasis.,"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",1. no evidence of pneumonia. 2. mild pulmonary edema.,"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",ReXGradient-160K-512/deid_png/GRDNJ472Q3THYJN9/GRDNS1W70XJQYI5O/studies/1.2.826.0.1.3680043.8.498.43074406029785789545148904906406865178/series/1.2.826.0.1.3680043.8.498.16255019795554057128911432045409527299/instances/1.2.826.0.1.3680043.8.498.15675440529789279223269690687867864844.png
+Roger,impression,Improvement in interstitial edema.,"No previous images. The cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Specifically, no evidence of hilar or mediastinal adenopathy or prominence of interstitial markings to radiographically suggest sarcoidosis.","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: 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",1. No acute cardiopulmonary process. 2. No free intraperitoneal air.,"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: 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",1. no evidence of pneumonia. 2. mild pulmonary edema.,"Significant
+1. False prediction of finding: 0
+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: 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","ReXGradient-160K-512/deid_png/GRDN6P4O1SLUE73K/GRDNXGJB4W7VXWL7/studies/1.2.826.0.1.3680043.8.498.41267160221589515020723420000976378989/series/1.2.826.0.1.3680043.8.498.14658685102374145563101301964248318820/instances/1.2.826.0.1.3680043.8.498.28142220761748243903984365640749629668.png,ReXGradient-160K-512/deid_png/GRDN6P4O1SLUE73K/GRDNXGJB4W7VXWL7/studies/1.2.826.0.1.3680043.8.498.41267160221589515020723420000976378989/series/1.2.826.0.1.3680043.8.498.71406204271549926374082776251018582414/instances/1.2.826.0.1.3680043.8.498.23857292074404173947870828553737025138.png"
+Roger,impression,Left lower lobe infiltrate identified.,"1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES CLEAR LUNGS WITHOUT FOCAL CONSOLIDATION, PLEURAL EFFUSIONS, OR PNEUMOTHORAX. 2. THE CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE ARE WITHIN NORMAL LIMITS. 3. VISUALIZED OSSEOUS STRUCTURES ARE INTACT.","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. There is a mild degree of peribronchial cuffing present. No focal infiltrates are identified.,"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",1. no evidence of pneumonia. 2. mild pulmonary edema.,"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","ReXGradient-160K-512/deid_png/GRDNKBS30TC300QU/GRDNNI4X388B8SDB/studies/1.2.826.0.1.3680043.8.498.10443416179020768152359416762679311908/series/1.2.826.0.1.3680043.8.498.44955721043533263938352905307252979699/instances/1.2.826.0.1.3680043.8.498.98533256466223387216913373429242679297.png,ReXGradient-160K-512/deid_png/GRDNKBS30TC300QU/GRDNNI4X388B8SDB/studies/1.2.826.0.1.3680043.8.498.10443416179020768152359416762679311908/series/1.2.826.0.1.3680043.8.498.50538948336787710761297702999939625390/instances/1.2.826.0.1.3680043.8.498.44225399466184486806670318073704974886.png"
+Roger,impression,Bilateral infiltrates with slight interval worsening.,"In comparison with the study of ___, there is little change in the appearance of the heart and lungs and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. The tip of the right subclavian PICC line again is in the region of the cavoatrial junction.","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",no significant interval change.,"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: 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. single frontal view of the chest demonstrates stable positioning of the support equipment. 2. interval increase in retrocardiac opacity which may represent atelectasis versus consolidation. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.,"Significant
+1. False prediction of finding: 2
+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: 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",ReXGradient-160K-512/deid_png/GRDN3XX22UN4PW1T/GRDNIXXGHUNATBA3/studies/1.2.826.0.1.3680043.8.498.90344980058794074776566232208464820085/series/1.2.826.0.1.3680043.8.498.39521692298096973798941251390420623755/instances/1.2.826.0.1.3680043.8.498.14083250465233657090870510756005990210.png
+Roger,impression,Chronic changes stable from the prior exam.,AP chest compared to ___: Lungs are low in volume but clear. Heart size is normal. There is no appreciable pleural effusion or evidence of central lymph node enlargement. Right PIC line ends in the mid SVC. No pneumothorax.,"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",Left perihilar infiltrate appears to be new since the prior study. Right hemithorax remains 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: 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. single frontal view of the chest demonstrates stable positioning of the support equipment. 2. interval improved aeration of the right lung base with persistent small right pleural effusion. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.,"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: 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: 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/GRDNIGNZQ993ONU1/GRDN91R0LD1WXXF5/studies/1.2.826.0.1.3680043.8.498.94315038450167338731892478237111582297/series/1.2.826.0.1.3680043.8.498.51332220888494509109198713379693110142/instances/1.2.826.0.1.3680043.8.498.53846917579296091133959856625672819547.png
+Roger,impression,1. Bibasilar atelectasis right greater than left. 2. Emphysema.,"1. No acute cardiopulmonary process. 2. No evidence of free air beneath the diaphragms. 3. No displaced rib fracture identified. If there is continued clinical concern, a dedicated rib series with a skin marker at the site of the patient's pain is recommended.","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): 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","1. mild pulmonary edema. 2. bibasilar opacities, likely atelectasis. 3. small right pleural effusion.","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: 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. no evidence of pneumonia. 2. mild pulmonary edema.,"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/GRDNRZEO195KL8ZT/GRDN9RIDWEY5Y7R9/studies/1.2.826.0.1.3680043.8.498.60813168295341573535847308006527674629/series/1.2.826.0.1.3680043.8.498.51567156352873443598177857171898056060/instances/1.2.826.0.1.3680043.8.498.11820850552024614068920216378039884034.png,ReXGradient-160K-512/deid_png/GRDNRZEO195KL8ZT/GRDN9RIDWEY5Y7R9/studies/1.2.826.0.1.3680043.8.498.60813168295341573535847308006527674629/series/1.2.826.0.1.3680043.8.498.55680935922433089264603095897538291728/instances/1.2.826.0.1.3680043.8.498.57517460566332958543905589463556244271.png"
+Roger,impression,Poor inspiration without findings of segmental consolidation. Please see above.,"No previous images. The cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.","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: 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","1. moderate left pleural effusion with underlying atelectasis, underlying consolidation not excluded. 2. right basilar atelectasis.","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",1. single frontal view of the chest demonstrates stable positioning of the support equipment. 2. interval increase in retrocardiac opacity which may represent atelectasis versus consolidation. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.,"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: 3
+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/GRDN8SH9JA7WCC5A/GRDN9E03VTIE6MMF/studies/1.2.826.0.1.3680043.8.498.25265493597255191881898413881593108824/series/1.2.826.0.1.3680043.8.498.78398772097805633990720048455876277743/instances/1.2.826.0.1.3680043.8.498.61774297172132016751016768884277953192.png
+Roger,impression,"Cardiac enlargement and thoracic aortic aneurysm, unchanged. COPD. Small bilateral pleural effusions.","1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES NO EVIDENCE OF FOCAL CONSOLIDATION, PLEURAL EFFUSION, PNEUMOTHORAX, OR PULMONARY EDEMA. 2.UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE. 3.VISUALIZED OSSEOUS STRUCTURES ARE WITHIN NORMAL LIMITS.","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","1. new left upper lobe opacity, concerning for pneumonia. 2. stable bilateral pleural effusions.","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: 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. no evidence of pneumonia. 2. mild pulmonary edema.,"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: 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","ReXGradient-160K-512/deid_png/GRDNA6O5TY52ZDG3/GRDN7K8JRQSJO0ED/studies/1.2.826.0.1.3680043.8.498.36970923682401240670711729977082500624/series/1.2.826.0.1.3680043.8.498.78118648594541447132398385468349106265/instances/1.2.826.0.1.3680043.8.498.22356887001539108975246266183928934421.png,ReXGradient-160K-512/deid_png/GRDNA6O5TY52ZDG3/GRDN7K8JRQSJO0ED/studies/1.2.826.0.1.3680043.8.498.36970923682401240670711729977082500624/series/1.2.826.0.1.3680043.8.498.82624262000987817013644826602185565633/instances/1.2.826.0.1.3680043.8.498.18924457746753373093936583748304676776.png"
+Roger,impression,"RIGHT PICC distal tip projects at cavoatrial junction though, assessment somewhat limited by body habitus.","AP chest reviewed in the absence of prior chest radiographs: Normal heart, lungs, hila, mediastinum and pleural surfaces. No pneumothorax or appreciable 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: 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",there is a left - sided picc line with its tip at the cavoatrial junction. there is a small left pleural effusion. there is a persistent left retrocardiac opacity. there is no pneumothorax.,"Significant
+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
+
+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. no evidence of pneumonia. 2. mild 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: 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/GRDNBNE7C05MYEIQ/GRDN44IWYZ9HK9O6/studies/1.2.826.0.1.3680043.8.498.28767496415323060544644787832288037160/series/1.2.826.0.1.3680043.8.498.71163188287983979217024148140761898171/instances/1.2.826.0.1.3680043.8.498.60912446404180064593141156030844067016.png
+Roger,impression,Airway thickening may reflect bronchitis or reactive airways disease. No airspace opacity is identified to suggest bacterial pneumonia pattern.,No acute cardiopulmonary process.,"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. There is mild perihilar bronchial wall thickening. No focal consolidation or pleural effusion is identified. No acute osseous abnormality is identified.,"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",1. single frontal view of the chest demonstrates stable positioning of the support equipment. 2. interval improved aeration of the right lung base with persistent small right pleural effusion. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.,"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: 3
+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",ReXGradient-160K-512/deid_png/GRDNS21OL072W28R/GRDNP2UOJW7EF41K/studies/1.2.826.0.1.3680043.8.498.20696540450608626167310143112900858888/series/1.2.826.0.1.3680043.8.498.46648841300081204884731940890111687294/instances/1.2.826.0.1.3680043.8.498.20138577764161982765474357916948731967.png
+Roger,impression,"Previously noted air bronchograms within medial lung bases are not well delineated on present examination. Overall, no well-defined focal consolidation.","In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Of incidental note is an azygos fissure, of no clinical significance.","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",Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax.,"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",1. no significant interval change. 2. stable mild pulmonary edema. 3. stable retrocardiac opacity.,"Significant
+1. False prediction of finding: 2
+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: 3
+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",ReXGradient-160K-512/deid_png/GRDNZI9BQU7XWZFR/GRDNLUI97OWECEVC/studies/1.2.826.0.1.3680043.8.498.32718320874460737934252125698556586620/series/1.2.826.0.1.3680043.8.498.98217137956597968316089938461491719634/instances/1.2.826.0.1.3680043.8.498.38831380829195670952926181307995790821.png
+Roger,impression,"Endotracheal tube terminates 11 mm above the carina. Retrocardiac opacity, possibly reflecting a hiatal hernia, poorly evaluated. Consider dedicated PA/lateral chest radiographs when clinically able. Additional ancillary findings as noted above.",1. No acute cardiopulmonary process. 2. No evidence of free air beneath the diaphragms.,"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): 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 with patchy bibasilar airspace opacities, possibly reflecting atelectasis though infection or aspiration cannot be excluded.","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",1. no evidence of pneumonia. 2. mild pulmonary edema.,"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/GRDN5B1FSZIY44UV/GRDNBBFRXPKQ8OZL/studies/1.2.826.0.1.3680043.8.498.15033993432730595258104012411292739149/series/1.2.826.0.1.3680043.8.498.31398950734830179192775660396381286592/instances/1.2.826.0.1.3680043.8.498.45643441885977212149382679624019989361.png
+Roger,impression,"1. The endotracheal tube appears satisfactorily positioned. 2. Additional tubing which resembles a nasogastric tube extends 5 cm to the left of midline distally. This could be in a large hiatal hernia. I am skeptical that it is in the tracheobronchial tree. Position of this tube could be ascertained with chest CT if clinically warranted. 3. There is some retrocardiac density which could be from pneumonia, atelectasis, or a hiatal hernia. 4. Low lung volumes are present, causing crowding of the pulmonary vasculature. 5. Poor definition of the AP window, possibly due to low lung volumes but nonspecific. Similarly, there is right paratracheal mediastinal prominence which could be from adenopathy but may be incidental. 6. Multiple chronic appearing displaced rib discontinuities in the upper right thorax laterally.","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. Of incidental note is an azygos fissure, of no clinical significance.","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: 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 heart is not enlarged. There is no pleural effusion or pneumothorax. Compared to the prior study, there is no significant change in the appearance of the lungs.","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: 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",1. single frontal view of the chest demonstrates stable positioning of the support equipment. 2. interval increase in retrocardiac opacity which may represent atelectasis versus consolidation. 3. the cardiomediastinal silhouette is stable in configuration with mild cardiomegaly.,"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: 3
+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/GRDN60ARYJ6JCOXK/GRDNT6R7LP7ZW4W9/studies/1.2.826.0.1.3680043.8.498.84988202395084649892821973214521777715/series/1.2.826.0.1.3680043.8.498.83730254624873937233789011775132955502/instances/1.2.826.0.1.3680043.8.498.67540289350178319007524907711618500316.png
+Roger,findings,Lateral view somewhat limited due to overlying motion artifact. The lungs are low in volume. There is no focal airspace consolidation to suggest pneumonia. A 1.2-cm calcified granuloma just below the medial aspect of the right hemidiaphragm is unchanged from prior study. No pleural effusions or pulmonary edema. There is no pneumothorax. The inferior sternotomy wire is fractured but unchanged. Surgical clips and vascular markers in the thorax are related to prior CABG surgery.,"In comparison with the study of ___, there is little overall change. Again there are low lung volumes which accentuate the transverse diameter of the heart. However, no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Surgical clips are again seen in the region of the cardioesophageal junction. Of incidental note is an old healed fracture of the distal right clavicle.","Significant
+1. False prediction of finding: 2
+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","The patient is status post median sternotomy and coronary artery bypass surgery. Cardiomediastinal contours are within normal limits and without change. Lung volumes are low, but there are no focal areas of consolidation within the lungs. There are no pleural effusions or pneumothoraces. Surgical clips are present in the mediastinum and right upper quadrant of the abdomen.","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: 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. Heart is upper limits of normal in size. Aorta is tortuous. Lungs are clear except for linear scar versus atelectasis at the left lung base. There are no pleural effusions or acute skeletal findings.,"Significant:
+1. False prediction of finding: 2
+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: 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","mimic-cxr-images-512/files/p10/p10046166/s50051329/abea5eb9-b7c32823-3a14c5ca-77868030-69c83139.jpg,mimic-cxr-images-512/files/p10/p10046166/s50051329/427446c1-881f5cce-85191ce1-91a58ba9-0a57d3f5.jpg"
+Roger,findings,"Frontal and lateral radiographs of the chest redemonstrate a round calcified pulmonary nodule in the posterior right lung base, unchanged from multiple priors and consistent with prior granulomatous disease. A known enlarged right hilar lymph node seen on CT of ___ likely accounts for the increased opacity at the right hilum. A known right mediastinal lymph node conglomerate accounts for the fullness at the right paratracheal region. No pleural effusion, pneumothorax or focal consolidation is present. The patient is status post median sternotomy and CABG with wires intact. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged from the preceding radiograph.","The patient is status post previous median sternotomy and coronary artery bypass surgery. Heart size, mediastinal and hilar contours are normal. Lungs are clear except for linear areas of atelectasis or scarring in the left lower lobe. There are no pleural effusions or acute skeletal findings.","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: 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 silhouette is normal. the lung parenchyma is clear. there are no pleural or significant bony abnormalities.,"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","The patient is status post previous median sternotomy and coronary artery bypass surgery. Heart size, mediastinal and hilar contours are normal. A calcified granuloma is present in the right middle lobe, and additional calcified lymph nodes are present in the right hilum, consistent with prior granulomatous disease. Lungs are otherwise clear, and there are no pleural effusions or acute skeletal findings.","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): 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/p10/p10046166/s53492798/18f0fd6d-f513afc9-e4aa8de2-bc5ac0d6-ea3daaff.jpg,mimic-cxr-images-512/files/p10/p10046166/s53492798/7d5ef12b-34d86e32-207566d6-d5ed6f02-cd868f2c.jpg,mimic-cxr-images-512/files/p10/p10046166/s53492798/eab11c59-32a5b9b8-b8d335fa-ce06c5fa-5bde0499.jpg"
+Roger,findings,"Frontal and lateral views of the chest were obtained. Rounded calcified nodule in the region of the posterior right lung base is seen and represents calcified granuloma on CTs dating back to ___, likely secondary to prior granulomatous disease. Previously seen pretracheal lymph node conglomerate and right hilar lymph nodes are better seen/evaluated on CT. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable with possible slight decrease in right paratracheal prominence.",The patient is status post median sternotomy and CABG. Heart size is normal. Aorta is mildly tortuous and calcified. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormality is identified.,"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: 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 patient is status post median sternotomy and cabg. the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. the lungs are clear. no 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: 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 clear except for a calcified granuloma in the right lower lobe. 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: 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/p10046166/s57379357/e5ba5704-ce2f09d3-e28fe2a2-8a9aca96-86f4966a.jpg,mimic-cxr-images-512/files/p10/p10046166/s57379357/6e511483-c7e1601c-76890b2f-b0c6b55d-e53bcbf6.jpg"
+Roger,findings,"In comparison with the study of ___, there is no evidence of pneumothorax. Continued low lung volumes with substantial mass in the right paratracheal region.",the patient is status post median sternotomy and coronary artery bypass surgery. heart size is normal. the aorta is tortuous. the lungs are clear except for minimal patchy atelectasis at the left base. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.,"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: 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 patient is status post median sternotomy and coronary artery bypass surgery. Cardiomediastinal contours are within normal limits for post-operative status of the patient. Lungs are clear except for linear atelectasis at the left base. No pleural effusion or pneumothorax.,"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: 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 patient is status post previous median sternotomy. Heart is upper limits of normal in size, and pulmonary vascularity is normal. Lungs are clear except for minor atelectasis at the lung bases. No pleural effusion or pneumothorax is evident.","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: 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/p10/p10046166/s57977208/e2856783-ffa5ec26-043b0303-21aeddc6-b11b2876.jpg
+Roger,findings,"The ET tube is 3.5 cm above the carina. The NG tube tip is off the film, at least in the stomach. Right IJ Cordis tip is in the proximal SVC. The heart size is moderately enlarged. There is ill-defined vasculature and alveolar infiltrate, right greater than left. This is markedly increased compared to the film from two hours prior and likely represents fluid overload.","Endotracheal tube and nasogastric tube are in standard position. Cardiac silhouette is enlarged and accompanied by pulmonary vascular engorgement and widespread bilateral alveolar opacities, right greater than left. Observed findings may be due to severe pulomonary edema, but co-existing pneumonia in the right lung is also possible in the appropriate clinical setting. Followup radiographs after diuresis may be helpful in this regard. Bilateral pleural effusions are also demonstrated, but there is no visible pneumothorax.","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: 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","the endotracheal tube terminates 3. 8 cm above the carina. an enteric tube courses below the diaphragm and out of view on this image. there are diffuse bilateral airspace opacities, right greater than left, consistent with severe pulmonary edema. the heart is mildly enlarged. there is no pneumothorax.","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: 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 endotracheal tube terminates 4.3 cm above the carina, and a nasogastric tube terminates within the stomach. Cardiac silhouette is enlarged, and accompanied by pulmonary vascular engorgement, perihilar haziness and asymmetrically distributed alveolar opacities, worse on the left than the right. Observed findings most likely represent asymmetrical pulmonary edema, but followup radiographs after diuresis would be helpful to ensure resolution and to exclude other co-existing process.","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: 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: 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/p10268877/s50042142/4c3c1335-0fce9b11-027c582b-a0ed8d89-ca614d90.jpg
+Roger,findings,Left PICC tip is seen terminating in the region of the distal left brachiocephalic vein. Tracheostomy tube is in unchanged standard position. The heart is moderately enlarged. Marked calcification of the aortic knob is again present. Mild pulmonary vascular congestion is similar. Bibasilar streaky airspace opacities are minimally improved. Previously noted left pleural effusion appears to have resolved. No pneumothorax is identified. Percutaneous gastrostomy tube is seen in the left upper quadrant.,"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 and there is a left subclavian catheter that extends to the mid-to-lower portion of the SVC.","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: 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","Tracheostomy tube is in standard position, and a left PICC terminates in the mid superior vena cava. Heart is upper limits of normal in size, and accompanied by pulmonary vascular congestion and mild interstitial edema. More confluent opacities in the right infrahilar region and left retrocardiac region may reflect dependent edema, aspiration, or infectious pneumonia. Followup radiographs after diuresis may be helpful in this regard. Small pleural effusions are present, but there is no visible pneumothorax. Dr. ___ has been successfully paged to discuss these findings at 8:30 a.m. on ___ at the time of discovery.","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): 1
+
+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","Tracheostomy tube is in standard position. Left PICC terminates in the region of the cavoatrial junction. Cardiac silhouette is enlarged, and accompanied by pulmonary vascular congestion and mild edema. Additional patchy opacities at the lung bases may reflect patchy atelectasis, aspiration, or additional site of infection. Small pleural effusions are also demonstrated.","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: 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",mimic-cxr-images-512/files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg
+Roger,findings,Single AP portable view of the chest. No prior. The lungs are clear of large confluent consolidation. Cardiac silhouette enlarged but could be accentuated by positioning and relatively low inspiratory effort. Calcifications noted at the aortic arch. Degenerative changes noted at the glenohumeral joints bilaterally. Osseous and soft tissue structures otherwise unremarkable.,"Cardiac silhouette is enlarged and accompanied by pulmonary vascular congestion and 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 lung bases when the patient's condition allows.","Significant
+1. False prediction of finding: 2
+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: 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",the heart is moderately enlarged. the aortic arch is calcified. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear.,"Significant
+1. False prediction of finding: 0
+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: 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. This is accompanied by pulmonary vascular congestion and minimal interstitial edema. Additional patchy and linear opacities at the bases probably represent atelectasis, but coexisting aspiration or early pneumonia is possible in the appropriate clinical setting. Short-term followup radiographs may be helpful in this regard.","Significant:
+1. False prediction of finding: 3
+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: 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",mimic-cxr-images-512/files/p10/p10268877/s51513702/053e0fdd-17dbee89-17885e49-08249a30-7f829c9c.jpg
+Roger,findings,"As compared to the previous radiograph, there is marked improvement in extent and severity of the pre-existing parenchymal opacities. Unchanged borderline size of the cardiac silhouette. No pleural effusions. The nasogastric tube has been removed. Endotracheal tube and the right internal jugular vein introduction sheath are in constant position.","as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects 2. 5 cm above the carina. the tube could be advanced by 1 - 2 cm. the patient also has a nasogastric tube. the course of the tube is unremarkable, the tip of the tube is not included on the image. the lung volumes have slightly decreased. there is moderate cardiomegaly with retrocardiac atelectasis but no evidence of pneumonia or pulmonary edema. no pneumothorax.","Significant
+1. False prediction of finding: 2
+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: 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","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. The left PICC line is unchanged. Unchanged appearance of the cardiac silhouette and of the lung parenchyma.","Significant
+1. False prediction of finding: 3
+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","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. Stable enlargement of cardiac silhouette accompanied by pulmonary vascular congestion and mild interstitial edema. Persistent left retrocardiac opacity is likely due to atelectasis.","Significant:
+1. False prediction of finding: 4
+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: 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/p10268877/s51715880/1b966ed7-06a3bfa3-fee1b692-81c9a0b7-7678b5ec.jpg
+Roger,findings,"Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for positional differences. Left retrocardiac atelectasis has improved, but an area of confluent increased opacity in the right infrahilar region is new. The latter may reflect atelectasis, aspiration, or developing infection.","Tracheostomy tube and PICC are in standard position. Cardiomediastinal contours are within normal limits for technique. Mild pulmonary vascular congestion is accompanied by minimal interstitial edema. More confluent opacities are present at both lung bases, and could reflect dependent edema, aspiration, or infectious pneumonia. Followup radiographs after diuresis may be helpful in this regard. Small bilateral pleural effusions are present, but there is no visible pneumothorax.","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): 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, there is no relevant change. the monitoring and support devices are constant. low lung volumes with moderate cardiomegaly and retrocardiac atelectasis. no new parenchymal opacities. no pneumothorax.","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: 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 endotracheal tube with tip terminating 4 cm above the carina. This could be withdrawn several centimeters for standard positioning. Exam is otherwise remarkable for worsening patchy and linear opacities at both lung bases, most likely due to atelectasis. Small left pleural effusion is also demonstrated.","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: 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",mimic-cxr-images-512/files/p10/p10268877/s52199665/f1b12ac7-37699f77-a605ccbb-0eee65fd-e2f0351d.jpg
+Roger,findings,"A hazy opacity is present in the right lung which may represent aspiration, pleural effusion or hemorrhage. Retrocardiac opacity at the left base is unchanged. Moderate cardiomegaly is stable. Slight prominence of the pulmonary vasculature with cephalization and enlarged pulmonary arteries are consistent with mild pulmonary edema. Tracheostomy tube is in place. There are no displaced rib fractures.","as compared to the previous radiograph, there is no relevant change. the monitoring and support devices are constant. constant extensive bilateral parenchymal opacities, right more than left, with retrocardiac atelectasis. moderate cardiomegaly. no pneumothorax.","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","Tracheostomy tube is in standard position, and cardiomegaly is accompanied by pulmonary vascular congestion and worsening asymmetrical perihilar opacities, now involving the right lung to a greater degree than the left. Moderate left and small-to-moderate right pleural effusions are present, as well as a persistent left retrocardiac atelectasis and/or consolidation.","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","Tracheostomy tube is in standard position. Cardiac silhouette is enlarged accompanied by pulmonary vascular congestion and moderate pulmonary edema. Additional patchy opacities in the right mid and lower lung could reflect patchy atelectasis, aspiration, or developing pneumonia. Moderate right and small left pleural effusions are also demonstrated.","Significant:
+1. False prediction of finding: 2
+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: 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/p10268877/s53452091/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.jpg
+Roger,impression,"1. Status post median sternotomy for CABG with stable cardiac enlargement and calcification of the aorta consistent with atherosclerosis. Relatively lower lung volumes with no focal airspace consolidation appreciated. Crowding of the pulmonary vasculature with possible minimal perihilar edema, but no overt pulmonary edema. No pleural effusions or pneumothoraces.","In comparison with the study of ___, there is little overall change. Again there is substantial enlargement of the cardiac silhouette in a patient with intact midline sternal wires. No evidence of vascular congestion or acute focal pneumonia. Blunting of the right costophrenic angle is again seen.","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: 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: 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",Cardiomediastinal contours are stable in appearance. Widespread bilateral pulmonary opacities persist. No new areas of consolidation are identified. There are no pleural effusions or pneumothoraces.,"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: 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",no acute cardiopulmonary process.,"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: 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/p10/p10183775/s52835225/7f6d7289-9941e757-2663be13-0dde50f8-5d2670aa.jpg
+Roger,impression,1. Left PICC tip appears to terminate in the distal left brachiocephalic vein. 2. Mild pulmonary vascular congestion. 3. Interval improvement in aeration of the lung bases with residual streaky opacity likely reflective of atelectasis. Interval resolution of the left pleural effusion.,"AP chest compared to ___: Tracheostomy tube in standard placement. No pneumothorax, mediastinal widening or pleural effusion. Severe cardiomegaly is chronic. Pulmonary vascular congestion has worsened since ___, but there is no pulmonary edema. Pleural effusions are small, if any. Left PIC line ends at the origin of the SVC.","Significant
+1. False prediction of finding: 3
+2. Omission of finding: 1
+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: 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. Mild pulmonary vascular congestion is present without overt edema. Lungs are clear. No pleural effusion or pneumothorax.,"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",1. left picc tip in the mid svc. 2. low lung volumes with bibasilar atelectasis.,"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: 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/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg
+Roger,impression,1. Decreased left basilar consolidation with mild pulmonary edema. 2. Possible pulmonary arterial hypertension.,1. Endotracheal tube in standard position. 2. Left internal jugular central venous catheter tip in the mid SVC. No pneumothorax. 3. Patchy bibasilar airspace opacities may reflect atelectasis but infection or aspiration cannot be excluded in the correct clinical setting. 4. Small bilateral pleural effusions. 5. Mild pulmonary vascular congestion.,"Significant
+1. False prediction of finding: 3
+2. Omission of finding: 1
+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
+
+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. no evidence of focal consolidation. 2. small bilateral pleural effusions.,"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): 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 has its tip approximately 4 cm above the carina. left internal jugular central line has its tip in the proximal svc. interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified. 2. interval improvement in lung volumes with residual patchy opacity at the right base likely reflecting atelectasis. no evidence of pulmonary edema. no pneumothorax. overall, cardiac and mediastinal contours are stable.","Significant:
+1. False prediction of finding: 3
+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: 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/p10268877/s53021891/046bbbe6-823f11ab-c43a868b-b3342241-8cf3254b.jpg
+Roger,impression,AP chest compared to ___: ET tube in standard placement. Nasogastric tube passes into the stomach and out of view. No pneumothorax. Leftward mediastinal shift suggests a new opacification at the base of the left lung is atelectasis. The right lung is clear. Left jugular line ends at the origin of the SVC.,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Continued enlargement of the cardiac silhouette without appreciable vascular congestion. This discordance raises the possibility of cardiomyopathy or even pericardial effusion. Retrocardiac opacification is consistent with volume loss in the left lower lobe. No evidence of acute focal pneumonia.","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: 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",1. interval placement of a right - sided chest tube with decrease in the right pleural effusion. 2. persistent large right pleural effusion with right lung atelectasis. 3. mild pulmonary edema.,"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: 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 compared to ___ : left lower lobe remains densely consolidated, and there is at least a small left pleural effusion. moderate cardiomegaly and pulmonary vascular congestion are stable. et tube is in standard placement. left internal jugular line ends in the mid svc and a nasogastric tube passes into the stomach and out of view. no pneumothorax.","Significant:
+1. False prediction of finding: 3
+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: 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/p10/p10268877/s53368667/aebc8b32-83f9db36-e7859808-602b3b39-66bb2765.jpg
+Roger,impression,1. Hazy opacity in the right lung which may represent aspiration versus pleural effusion or hemorrhage. 2. Mild pulmonary edema. 3. No displaced rib fractures.,"In comparison with the study of ___, the monitoring and support devices are unchanged. 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, it would be difficult to unequivocally exclude superimposed pneumonia, especially in the absence of a lateral view.","Significant
+1. False prediction of finding: 5
+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","Both lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal contours are normal. No pleural or parenchymal opacities are present.","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): 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. new right perihilar opacity concerning for pneumonia. 2. mild pulmonary edema. 3. stable moderate cardiomegaly.,"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/p10/p10268877/s53452091/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.jpg
+Roger,impression,1. Mild chronic congestive heart failure with stable trace pulmonary edema at the right lung base. 2. Stable bibasilar atelectasis.,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Retrocardiac opacification with poor definition of the left hemidiaphragm is consistent with volume loss in the left lower lobe and probable small pleural effusion.","Significant
+1. False prediction of finding: 5
+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",1. mild pulmonary edema. 2. small bilateral pleural effusions.,"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","ap chest compared to ___ : previous mild pulmonary edema has improved, but there is still substantial consolidation in the left lower lobe, which could be pneumonia. moderate cardiomegaly is stable. pleural effusions are presumed, but not large. et tube and left internal jugular line are in standard placements and a nasogastric tube passes into the stomach and out of view. no pneumothorax.","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: 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/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg
+Roger,impression,"No significant interval change since prior. Pulmonary vascular congestion. Bibasilar opacities potentially due to atelectasis; however, infection is not excluded.","1. Tracheostomy tube remains in satisfactory position. Left subclavian PICC line has its tip in the distal SVC near the cavoatrial junction. Overall, cardiac and mediastinal contours are stable. There are layering bilateral effusions with bibasilar airspace opacities likely reflecting partial lower lobe atelectasis, although pneumonia cannot be excluded. There has been interval appearance of mild perihilar and interstitial edema. No pneumothorax is appreciated.","Significant
+1. False prediction of finding: 4
+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
+
+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. mild pulmonary edema with small bilateral pleural effusions. 2. bibasilar opacities may represent atelectasis, however pneumonia cannot be excluded.","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",1. new right lower lobe opacity concerning for pneumonia. 2. mild pulmonary edema. 3. stable small bilateral pleural effusions.,"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: 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",mimic-cxr-images-512/files/p10/p10268877/s54137212/e279d10a-22b3d14a-0527c87a-bbd31c9b-de232422.jpg
+Roger,impression,1. Unchanged bibasilar opacities are consistent with atelectasis or consolidation and pneumonia should be considered in the appropriate clinical context. 2. Improved pulmonary edema.,"In comparison with the study of ___, the monitoring and support devices are unchanged. 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, it would be difficult to exclude superimposed pneumonia, especially in the absence of a lateral view.","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: 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: 1
+6. Omission of a change from a previous study: 0
+7. Inarticulate report (grammar and readability issues): 0",The lungs are clear without infiltrate or consolidation. There is no pneumothorax or pleural effusion. Compared to the prior study there is improved aeration of the lungs.,"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): 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. moderate pulmonary edema. 2. small bilateral pleural effusions. 3. retrocardiac opacity may represent atelectasis, however, pneumonia cannot be excluded.","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/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg
+Roger,impression,"Mild residual retrocardiac opacification remains, pneumonia vs. atelectasis.","As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately 4 cm above the carinal. The patient has also received the nasogastric tube. The course of the tube is unremarkable, the tip is not visualized on the image. The right PICC line is in unchanged position. The lung volumes have decreased. There is mild fluid overload but no overt pulmonary edema. Moderate retrocardiac atelectasis. No larger pleural effusions. No pneumothorax.","Significant
+1. False prediction of finding: 4
+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: 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","1. worsening bilateral upper lobe opacities, concerning for worsening pneumonia. 2. stable bilateral pleural effusions.","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: 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 has its tip approximately 2 cm above the carina. a right subclavian picc line has its tip in the right atrium. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. lung volumes remain low with patchy opacities at both bases most likely reflecting atelectasis, although pneumonia cannot be entirely excluded. no evidence of pulmonary edema. no pneumothorax. overall, cardiac and mediastinal contours are likely stable given differences in positioning.","Significant:
+1. False prediction of finding: 3
+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: 1
+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",mimic-cxr-images-512/files/p10/p10268877/s57976739/d6010cbd-efa41b72-2fbc0daf-8fa1dc40-bdd4fe35.jpg
+Roger,impression,"Limited study with hazy opacity in the right upper and mid lungs which may be infectious in etiology, atelectasis or artifact.","1. Endotracheal tube in standard position. 2. Low lung volumes with mild pulmonary vascular congestion and bibasilar atelectasis. 3. Enteric tube courses below the level of the diaphragm, inferior aspect not included on the image.","Significant
+1. False prediction of finding: 5
+2. Omission of finding: 1
+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
+
+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 within normal limits. the mediastinal and hilar contours are normal. the lungs demonstrate a small left pleural effusion and adjacent atelectasis. there is no pneumothorax.,"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: 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. tracheostomy tube remains in place. there is a left subclavian picc line with its tip in the proximal svc. lung volumes remain low with patchy opacity at both bases, left greater than right, which may reflect atelectasis, although pneumonia cannot be entirely excluded. no evidence of pulmonary edema. no pneumothorax. overall, cardiac and mediastinal contours are likely stable given differences in positioning and inspiration.","Significant:
+1. False prediction of finding: 3
+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: 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/p10/p10268877/s59301985/f2ea048e-52ada468-199a5a64-06f14cb3-76e57312.jpg