data/sample_mimic_test.json

{
  "metadata": {
    "generated_on": "2025-07-30T20:12:22.541434",
    "data_source": "csv",
    "total_items_in_database": 10650,
    "sample_size": 200,
    "unique_patients": 200,
    "selection_method": "random",
    "random_seed": 42
  },
  "sample_data": [
    {
      "id": "32c3a15a-a0d65dde-80907b94-2b888cd6-ed27d9a6",
      "image_path": [
        "p14/p14023965/s55143594/32c3a15a-a0d65dde-80907b94-2b888cd6-ed27d9a6.jpg"
      ],
      "report": "Unremarkable examination of the chest. The cardiomediastinal silhouette and pulmonary vasculature are normal.  The lungs are clear aside from bibasilar atelectasis.  There is no pleural effusion or pneumothorax."
    },
    {
      "id": "26c99569-7f969be9-7577fd2f-e231551c-79d48827",
      "image_path": [
        "p13/p13623186/s52068684/26c99569-7f969be9-7577fd2f-e231551c-79d48827.jpg"
      ],
      "report": "No radiographic evidence for pneumonia.  Mild upper lobe predominant emphysema. Heart size is normal.  Mediastinal and hilar contours are within normal limits.  Pulmonary vasculature is not engorged.  Lungs are hyperinflated with upper lobe predominant mild emphysema.  No focal consolidation.  Streaky atelectasis is noted in the right middle lobe.  No pleural effusion or pneumothorax is identified.  There are no acute osseous abnormalities."
    },
    {
      "id": "0e14e16a-380e8de6-47e2a020-afacec87-0b73b5b7",
      "image_path": [
        "p19/p19122858/s53891457/0e14e16a-380e8de6-47e2a020-afacec87-0b73b5b7.jpg"
      ],
      "report": "No acute cardiopulmonary process. PA and lateral images of the chest.   The lungs are well expanded and clear.  There is no pleural effusion or pneumothorax.  The cardiomediastinal silhouette is unremarkable."
    },
    {
      "id": "383ad619-52e67dc6-6541a64a-320e08b6-c69d5ab2",
      "image_path": [
        "p16/p16066107/s50915117/383ad619-52e67dc6-6541a64a-320e08b6-c69d5ab2.jpg"
      ],
      "report": "No focal consolidation concerning for pneumonia. The lungs are hyperinflated with flattened hemidiaphragms.  A linear scar at the left lung base is unchanged.  Lungs are otherwise clear without focal consolidation, effusion, or pneumothorax.  Biapical pleural and parenchymal scarring is unchanged.  Small hiatal hernia is unchanged.  Cardiomediastinal and hilar contours are unchanged since the prior study."
    },
    {
      "id": "e0a48942-f5ec19b4-d85161bc-735b3aac-d82ccfe9",
      "image_path": [
        "p19/p19926820/s54869172/e0a48942-f5ec19b4-d85161bc-735b3aac-d82ccfe9.jpg"
      ],
      "report": "No evidence of pleural effusion or pneumonia. There is no focal consolidation, effusion, or pneumothorax.  Cardiomegaly is mild and accompanied by pulmonary vascular congestion. The cardiomediastinal silhouette is otherwise normal. Imaged osseous structures are intact.  No free air below the right hemidiaphragm is seen."
    },
    {
      "id": "94590983-d48b0176-10998431-706cfc8a-90d8eb0a",
      "image_path": [
        "p10/p10664597/s51297292/94590983-d48b0176-10998431-706cfc8a-90d8eb0a.jpg"
      ],
      "report": "No acute cardiopulmonary process. Frontal and lateral views of the chest.  No prior.  The lungs are hyperinflated but clear of consolidation or effusion.  The cardiac silhouette is at upper limits of normal.  The aorta is tortuous.  The osseous and soft tissue structures are unremarkable.  Surgical clips in the right upper quadrant suggest prior cholecystectomy."
    },
    {
      "id": "d563a9e8-8e6226d2-39cab646-4168abd9-30a52d5b",
      "image_path": [
        "p19/p19824729/s58902771/d563a9e8-8e6226d2-39cab646-4168abd9-30a52d5b.jpg"
      ],
      "report": "No acute cardiopulmonary process. PA and lateral views of the chest.   There are low lung volumes.  There is a left-sided pacemaker which is unchanged in position.  No evidence of focal consolidation, pleural effusion or pneumothorax.  Again seen is an enlarged right paratracheal stripe which may represent patient's known enlarged thyroid.  Cardiomediastinal and hilar contours are normal.  There are unchanged aortic knob calcifications."
    },
    {
      "id": "93f8fc0a-4f8afa08-4154524c-5e175743-d7f482e6",
      "image_path": [
        "p12/p12476737/s55843862/93f8fc0a-4f8afa08-4154524c-5e175743-d7f482e6.jpg"
      ],
      "report": "No pneumonia Frontal and lateral radiographs of the chest demonstrate normal heart size.  Stable tortuosity of the aorta and elevation of the right hemidiaphragm.  Atelectasis or scarring is present at the right lung base, otherwise clear lungs.  No pleural effusion or pneumothorax.  Stable mediastinal and hilar silhouette.  Degenerative change of the bilateral shoulders and AC joints."
    },
    {
      "id": "f1b9387f-6abbc55f-e58e81c6-62aebe62-f030ef73",
      "image_path": [
        "p18/p18971051/s57901910/f1b9387f-6abbc55f-e58e81c6-62aebe62-f030ef73.jpg"
      ],
      "report": "COPD.  Moderate cardiomegaly .Bibasilar atelectasis.  No CHF or focal consolidation identified. Lungs are hyperinflated and diaphragms are flattened, consistent with COPD.  The heart is moderately enlarged.  Coronary artery calcification noted. Aortic calcification and mediastinal contours are similar to prior.  Bibasilar streaky opacities are consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax."
    },
    {
      "id": "20c33134-75cf85fe-08e7ea37-baac18b5-774e933f",
      "image_path": [
        "p19/p19031225/s58552882/20c33134-75cf85fe-08e7ea37-baac18b5-774e933f.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality.  No evidence of displaced rib fracture within the limitations of routine chest radiographs. The lungs are well-expanded and clear. There is no pleural effusion or pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal. No displaced rib fractures detected."
    },
    {
      "id": "b2e2dfc7-609b433f-3bd8cc02-86c1439d-ee0d961e",
      "image_path": [
        "p13/p13526596/s54097152/b2e2dfc7-609b433f-3bd8cc02-86c1439d-ee0d961e.jpg"
      ],
      "report": "Mild cardiomegaly and hilar congestion.  No overt signs of pneumonia. PA and lateral views of the chest provided.   Left chest wall dual lead pacer is again noted with leads extending the region the right atrium and right ventricle.  The heart is mildly enlarged.  No convincing signs of edema or pneumonia.  Mild hilar congestion is suspected.  Mediastinal contour is normal.  Bony structures are intact."
    },
    {
      "id": "b60de061-30accf3f-c0252e41-458feda9-60b1ba57",
      "image_path": [
        "p11/p11790669/s55395739/b60de061-30accf3f-c0252e41-458feda9-60b1ba57.jpg"
      ],
      "report": "Progression of the pneumonia at the left lung base. Progression of the left basal opacities compatible with pneumonia.  The left costodiaphragmatic sulcus is not included in the exam.  The right lung is unremarkable.  The mediastinal and cardiac contours are unchanged.  There are no pneumothorax and no pleural effusion."
    },
    {
      "id": "bd7f6a16-4c76822e-562b709c-098ed10e-73453483",
      "image_path": [
        "p14/p14546769/s55834391/bd7f6a16-4c76822e-562b709c-098ed10e-73453483.jpg"
      ],
      "report": "No acute intrathoracic process.  Specifically, no pneumothorax. PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax.  Slight blunting at the left lateral lung base likely represents mild pleural thickening.  The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.  No free air below the right hemidiaphragm is seen."
    },
    {
      "id": "d0ef8621-21004bd0-9f7bf59b-f0d36772-8e9e9c21",
      "image_path": [
        "p18/p18920564/s59654832/d0ef8621-21004bd0-9f7bf59b-f0d36772-8e9e9c21.jpg"
      ],
      "report": "No acute cardiopulmonary process. There is no focal consolidation, pleural effusion, or pneumothorax. There is no evidence of pulmonary vascular congestion.  Cardiac silhouette is mildly prominent but unchanged from prior exam.  Osseous structures are unremarkable."
    },
    {
      "id": "fb728a21-bcbc7027-2a6c4846-437225f8-5d0095db",
      "image_path": [
        "p17/p17463105/s54604919/fb728a21-bcbc7027-2a6c4846-437225f8-5d0095db.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear without focal consolidation.  No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable."
    },
    {
      "id": "55ace994-c8bfb32e-31586fbd-2c693150-5c1b96cc",
      "image_path": [
        "p12/p12016108/s57835079/55ace994-c8bfb32e-31586fbd-2c693150-5c1b96cc.jpg"
      ],
      "report": "No evidence of acute disease. Central venous catheters have been removed.  The heart is normal in size.  The aortic arch is partly calcified.  The mediastinal and hilar contours appear unchanged.  The lungs appear clear.  There are no definite pleural effusions or pneumothorax.  The bones are probably demineralized to some degree.  Slight degenerative changes appear similar along the thoracic spine."
    },
    {
      "id": "a485ddc7-a23b4bc2-750700d9-43e37056-becc7fda",
      "image_path": [
        "p10/p10388908/s59702885/a485ddc7-a23b4bc2-750700d9-43e37056-becc7fda.jpg"
      ],
      "report": "No acute cardiopulmonary process. The heart size is normal.  The mediastinal and hilar contours are unremarkable.  Pulmonary vascularity is normal.  Lungs are clear without focal consolidation.  No pneumothorax or pleural effusion is present.  There are no acute osseous abnormalities."
    },
    {
      "id": "ac577eda-de1affa0-5ac1a05a-ab6aa0e2-27ed457d",
      "image_path": [
        "p17/p17243592/s51437282/ac577eda-de1affa0-5ac1a05a-ab6aa0e2-27ed457d.jpg"
      ],
      "report": "Mild cardiomegaly and mild pulmonary edema.  Slight blunting of the right costophrenic angle could be due to a small pleural effusion versus chronic pleural thickening/scarring. Dual-lead left-sided AICD is again seen, unchanged in position, with leads extending to the expected positions of the right atrium, right ventricle, and coronary sinus.  The cardiac silhouette is mildly enlarged.  There is prominence of the central vasculature and perihilar haziness consistent with mild pulmonary edema.  There is persistent slight blunting of the right costophrenic angle, which could be due to pleural thickening/scarring versus trace pleural effusion."
    },
    {
      "id": "fe24c837-b9986f30-2ce004b3-7399e78c-8c5e506f",
      "image_path": [
        "p18/p18250241/s50406864/fe24c837-b9986f30-2ce004b3-7399e78c-8c5e506f.jpg"
      ],
      "report": "No acute intrathoracic process The lungs are well expanded and clear without pleural effusion or pneumothorax.  The heart is normal in size with normal cardiomediastinal contours."
    },
    {
      "id": "1cfd263b-e1c2b820-25d07952-cd52a2a6-aba4cb37",
      "image_path": [
        "p17/p17372760/s50950919/1cfd263b-e1c2b820-25d07952-cd52a2a6-aba4cb37.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality. Left PICC and right sided central venous catheter tips remain in unchanged positions. Cardiac, mediastinal and hilar contours are normal.  Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Numerous clips are noted in the left upper quadrant of the abdomen. Oral contrast material is seen within bowel loops within the upper abdomen with several scattered air-fluid levels."
    },
    {
      "id": "c40c757d-5011e762-3b7f2ec0-23fd12be-96d9fe50",
      "image_path": [
        "p11/p11104877/s52013365/c40c757d-5011e762-3b7f2ec0-23fd12be-96d9fe50.jpg"
      ],
      "report": "The final position of the Dobbhoff tube is in the stomach.  ET tube tip is 4 cm above the Carina. Low lung volumes and perihilar opacities are unchanged. "
    },
    {
      "id": "a3b4511e-e9b31477-2f3ce520-300bef17-b3b8e6f6",
      "image_path": [
        "p18/p18821140/s58883868/a3b4511e-e9b31477-2f3ce520-300bef17-b3b8e6f6.jpg"
      ],
      "report": "Combination of increasing left pleural effusion and collapse of the left lung is responsible for complete opacification of the left hemi thorax, with little mediastinal shift.  Moderate right pleural effusion persists despite the right pleural drainage catheter.  There is no pneumothorax.  Right subclavian venous infusion port ends in the lower SVC.  No pneumothorax. "
    },
    {
      "id": "6ebe77d0-299f37b1-8378fe9e-bdb3eabc-97b71958",
      "image_path": [
        "p10/p10329986/s58449223/6ebe77d0-299f37b1-8378fe9e-bdb3eabc-97b71958.jpg"
      ],
      "report": "The lungs are clear. There is no pneumothorax, effusion, consolidation or CHF. Degenerative changes are present in the spine. "
    },
    {
      "id": "8ff1e658-3c0b5280-0fc13cc4-83a2518b-7248e905",
      "image_path": [
        "p17/p17446891/s58961874/8ff1e658-3c0b5280-0fc13cc4-83a2518b-7248e905.jpg"
      ],
      "report": "No significant interval change from prior with continued moderate-sized left and trace right pleural effusions and left basilar opacity, likely reflecting compressive atelectasis, though infection is not excluded. The cardiac and mediastinal contours are stable.  The pulmonary vascularity is normal.  There is a persistent moderate-sized left pleural effusion with left basilar opacification, which may represent atelectasis.  Trace right pleural effusion is also visualized. and unchanged  There is no pneumothorax.  No acute osseous abnormalities are seen."
    },
    {
      "id": "19c3b352-aac76cc1-eba3b41b-e96858fd-e390830b",
      "image_path": [
        "p18/p18544314/s51564384/19c3b352-aac76cc1-eba3b41b-e96858fd-e390830b.jpg"
      ],
      "report": "Unremarkable chest radiographic examination. The lungs are well expanded and clear.  Cardiomediastinal and hilar contours are unremarkable.  No pleural effusion or pneumothorax."
    },
    {
      "id": "6b3883b3-3042855d-28b862ae-4c842894-607f6e07",
      "image_path": [
        "p19/p19133405/s54730501/6b3883b3-3042855d-28b862ae-4c842894-607f6e07.jpg"
      ],
      "report": "No acute pulmonary process identified. A left chest wall port is again noted, and a tracheostomy is in stable position. Heart size is at the upper limits of normal.  The mediastinal contours are otherwise within normal limits . No CHF, focal consolidation, pleural effusion or pneumothorax.  Top-normal gas-filled colonic loops in the upper abdomen are again noted."
    },
    {
      "id": "91c35a9c-e71b64fe-c7e77ad6-3eb21c25-f59cf73c",
      "image_path": [
        "p16/p16453464/s57988110/91c35a9c-e71b64fe-c7e77ad6-3eb21c25-f59cf73c.jpg"
      ],
      "report": "No acute cardiopulmonary process. Calcific density projecting over the anterior right third rib may be osseous in nature or due to calcified granuloma.  The lungs are otherwise clear without focal consolidation, effusion, or pneumothorax.  The cardiomediastinal silhouette is within normal limits.  No acute osseous abnormalities."
    },
    {
      "id": "876205e8-df2122d0-c8663b10-b94017e4-eba0afec",
      "image_path": [
        "p12/p12958898/s58553098/876205e8-df2122d0-c8663b10-b94017e4-eba0afec.jpg"
      ],
      "report": "PICC line has been removed. There are low lung volumes with atelectasis at the lung bases.  No focal consolidation or pneumothoraces are seen. "
    },
    {
      "id": "220c6626-236d0d0a-a04389ce-bdb64d61-10fff8a9",
      "image_path": [
        "p10/p10655645/s55110145/220c6626-236d0d0a-a04389ce-bdb64d61-10fff8a9.jpg"
      ],
      "report": "No pneumonia.  Very minimal right basal atelectasis. Port-A-Cath ends at mid SVC.  Very minimal right lung base atelectasis is present.  There are no lung opacities concerning for pneumonia. There is no pleural effusion.  Heart size, mediastinal and hilar contours are normal."
    },
    {
      "id": "8d72b5c1-24faaf6c-efec705e-a06f7dab-8acebbc1",
      "image_path": [
        "p11/p11922236/s57289100/8d72b5c1-24faaf6c-efec705e-a06f7dab-8acebbc1.jpg"
      ],
      "report": "Stable cardiomegaly.  Otherwise unremarkable. AP upright and lateral views of the chest provided.  Evaluation is somewhat limited due to AP technique.  The heart remains mildly enlarged.  The lungs appear clear though the left lung base is somewhat limited in overall assessment.  No large effusion or pneumothorax.  Mediastinal contour is stable.  Bony structures are intact."
    },
    {
      "id": "ee570c50-f36de6e8-8e98fb2a-f9247fd1-7029ae3d",
      "image_path": [
        "p14/p14694065/s56486343/ee570c50-f36de6e8-8e98fb2a-f9247fd1-7029ae3d.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear without consolidation or edema.  There is no pleural effusion or pneumothorax.  The cardiomediastinal silhouette is normal."
    },
    {
      "id": "95b54e5d-bd250bce-082247f1-966c9cac-fb49646a",
      "image_path": [
        "p14/p14576790/s57813528/95b54e5d-bd250bce-082247f1-966c9cac-fb49646a.jpg"
      ],
      "report": "As above. PA and lateral views the chest provided.  Lungs are clear without focal consolidation, large effusion or pneumothorax.  No signs of congestion or edema.  Prominence of the left atrial appendage is noted and correlation with mitral disease is advised.  Mediastinal contour appears within normal limits.  Bony structures are intact.  No free air below the right hemidiaphragm."
    },
    {
      "id": "b51f6b6d-d7431178-e46aed92-89351015-d14607e5",
      "image_path": [
        "p12/p12329021/s56423754/b51f6b6d-d7431178-e46aed92-89351015-d14607e5.jpg"
      ],
      "report": " Lung volumes remain low, but are slightly greater than on the prior study.  The previously noted widening of the mediastinum is slightly less apparent.  Mild pulmonary vascular congestion is present as well as linear juxtahilar and basilar foci of atelectasis.  Small pleural effusions are evident bilaterally.  Previously reported lucency adjacent to the right cardiomediastinal contour has decreased in extent.  If warranted clinically, lateral decubitus radiograph could be considered to exclude a small anteromedial right pneumothorax."
    },
    {
      "id": "0f616526-ebbfb73f-08d08646-471e40e8-db28930b",
      "image_path": [
        "p19/p19865105/s56206754/0f616526-ebbfb73f-08d08646-471e40e8-db28930b.jpg"
      ],
      "report": "Interval improvement in pulmonary edema.  Interval increase in amount of right pleural effusion. There has been interval decrease in the amount of pulmonary edema and removal of right chest tube.  There has been interval increase in volume of the right pleural effusion with accompanying increase in right lower lobe atelectasis.  The left lung is unremarkable.  The aorta is tortuous and calcified.  There is moderate cardiomegaly with normal hilar and mediastinal contours.  The pleural surfaces are unremarkable."
    },
    {
      "id": "5dd2b763-ef4ac3d9-4f9915c5-47d54cec-082aa233",
      "image_path": [
        "p14/p14495639/s57701796/5dd2b763-ef4ac3d9-4f9915c5-47d54cec-082aa233.jpg"
      ],
      "report": "No previous images.  There are low relatively low lung volumes.  Substantial enlargement of the cardiac silhouette with pulmonary edema as well as what appeared to be bilateral calcified pleural plaques.  Given these extensive changes, it is impossible to exclude superimposed aspiration or pneumonia, especially in the absence of a lateral view. "
    },
    {
      "id": "a2f6f126-a1cf272a-a7638a43-03ecc1d6-38727112",
      "image_path": [
        "p19/p19827611/s53947913/a2f6f126-a1cf272a-a7638a43-03ecc1d6-38727112.jpg"
      ],
      "report": "No evidence of pneumonia. Frontal and lateral radiographs of the chest demonstrate clear lungs.  The cardiac and mediastinal contours are normal. Thyroid enlargement with impression on right aspect of trachea.  No pleural abnormality is detected."
    },
    {
      "id": "6b138f69-f728df28-a4169504-75a986bb-90fe27db",
      "image_path": [
        "p17/p17063025/s58827362/6b138f69-f728df28-a4169504-75a986bb-90fe27db.jpg"
      ],
      "report": "ET tube, NG tube are in unchanged position. The stomach appears to be distended.  Widespread parenchymal opacities vacation is unchanged. "
    },
    {
      "id": "4359b970-15186a7d-e2d0bc46-77edfe5b-b322d5ac",
      "image_path": [
        "p14/p14246614/s55772647/4359b970-15186a7d-e2d0bc46-77edfe5b-b322d5ac.jpg"
      ],
      "report": "1) Lines and tubes as described. 2) Left lower lobe collapse and/or consolidation. 3) Prominence of the vessels and of the left hilum, suggesting CHF, though likely accentuated by supine positioning. "
    },
    {
      "id": "19fb6db2-309d0024-80fdaf39-b0f124c4-d3e29f0e",
      "image_path": [
        "p13/p13263226/s59669043/19fb6db2-309d0024-80fdaf39-b0f124c4-d3e29f0e.jpg"
      ],
      "report": "No acute cardiopulmonary process. Heart size is normal.  Mediastinal and hilar contours are unremarkable.  The lungs are clear and the pulmonary vascularity is normal.  No pleural effusion or pneumothorax is seen.  There are no acute osseous abnormalities."
    },
    {
      "id": "ff2c6746-85664b95-70d5cb50-b1ad063f-8bd55595",
      "image_path": [
        "p10/p10650522/s50438413/ff2c6746-85664b95-70d5cb50-b1ad063f-8bd55595.jpg"
      ],
      "report": "No acute intrathoracic process. PA and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips.  The heart is top normal in size.  Lungs are clear.  No signs of pneumonia or CHF.  No pleural effusion or pneumothorax.  The bony structures are intact.  No free air below the right hemidiaphragm."
    },
    {
      "id": "405b12fa-7873d0d8-c09fd6f8-cb7e20ec-d85b9ce9",
      "image_path": [
        "p12/p12170095/s59443082/405b12fa-7873d0d8-c09fd6f8-cb7e20ec-d85b9ce9.jpg"
      ],
      "report": "No acute cardiopulmonary process. PA and lateral views of the chest.  The lungs are clear of focal consolidation, effusion or pneumothorax.  Left apical, left perihilar and right lower perihilar surgical chain sutures are noted.  Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures."
    },
    {
      "id": "bf729bc1-09627cc1-4607d85e-ff7fab29-3ec7b4b3",
      "image_path": [
        "p15/p15899780/s54725335/bf729bc1-09627cc1-4607d85e-ff7fab29-3ec7b4b3.jpg"
      ],
      "report": "No acute cardiopulmonary process. No focal consolidation is seen.  There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable."
    },
    {
      "id": "284068da-88bb44f8-371646a8-5968dc17-3d3e08c2",
      "image_path": [
        "p12/p12803706/s56792253/284068da-88bb44f8-371646a8-5968dc17-3d3e08c2.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear.  The cardiomediastinal silhouette is within normal limits.  No acute osseous abnormalities identified."
    },
    {
      "id": "e71356df-2013adc5-baf55881-956797de-18ec1cc7",
      "image_path": [
        "p19/p19485799/s59440246/e71356df-2013adc5-baf55881-956797de-18ec1cc7.jpg"
      ],
      "report": "No acute cardiopulmonary process. Mild enlargement of the cardiac silhouette is present.  Mediastinal and hilar contours are unremarkable.  Pulmonary vasculature is normal.  No pleural effusion or pneumothorax is seen.  Clips are noted within the upper abdomen.  There are no acute osseous abnormalities."
    },
    {
      "id": "602acee5-394d9380-bec73949-56bcac5a-e65b495b",
      "image_path": [
        "p18/p18094860/s59388039/602acee5-394d9380-bec73949-56bcac5a-e65b495b.jpg"
      ],
      "report": "Possible lingular consolidation, could be atelectasis. Frontal and lateral views of the chest shows slight obscuration of the left heart border.  There is no pleural effusion or pneumothorax.  The cardiac and mediastinal contours are normal.  The hilar structures are unremarkable."
    },
    {
      "id": "9bc67dea-016f126e-98112925-550b0eb9-21b62982",
      "image_path": [
        "p13/p13765779/s55129602/9bc67dea-016f126e-98112925-550b0eb9-21b62982.jpg"
      ],
      "report": "No pneumonia. 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."
    },
    {
      "id": "aa005bb4-0e80489f-806e3fef-31752cb9-59f45392",
      "image_path": [
        "p18/p18634192/s56709573/aa005bb4-0e80489f-806e3fef-31752cb9-59f45392.jpg"
      ],
      "report": "Heart size and mediastinum are overall unremarkable.  Left basal opacity is more conspicuous and concerning for potential aspiration or atelectasis.  There is resolution of pulmonary edema.  No appreciable pneumothorax demonstrated. "
    },
    {
      "id": "5668d376-f34dc001-4701221d-c7783c7c-0b73cf70",
      "image_path": [
        "p15/p15878234/s55192944/5668d376-f34dc001-4701221d-c7783c7c-0b73cf70.jpg"
      ],
      "report": "Left-sided dual chamber pacemaker is in unchanged position.  No pneumothorax. A left-sided dual chamber pacemaker is in unchanged position, with leads terminating in the right atrium and right ventricle. Pulmonary arteries are enlarged.  There is mild calcification of the aortic arch. Mild streaky opacities in the right upper lung are likely related to prior radiation changes. No new focal consolidation is identified. No pneumothorax or pulmonary edema present."
    },
    {
      "id": "e16385ed-52233231-25490ffa-d1dce483-552f75a5",
      "image_path": [
        "p15/p15343855/s59615668/e16385ed-52233231-25490ffa-d1dce483-552f75a5.jpg"
      ],
      "report": "No specific findings to suggest pulmonary sarcoidosis. Clear lungs. Mild to moderate dextro convex scoliosis of the lower thoracic spine. Lumbar fixation hardware is partially imaged.  There is a mild dextro convex scoliosis of the thoracic spine.  Heart size and mediastinal contours are normal.  The lungs are well inflated and clear.  There is no mediastinal or hilar lymphadenopathy.  Osseous structures are intact."
    },
    {
      "id": "371ececc-aacb3331-7ef8e067-e5c97195-64aac890",
      "image_path": [
        "p17/p17826428/s57481973/371ececc-aacb3331-7ef8e067-e5c97195-64aac890.jpg"
      ],
      "report": "Left lower lobe patchy opacity, likely atelectasis but developing pneumonia is not excluded. Recommend dedicated PA and lateral views for improved evaluation. A patchy opacity in the left lower lobe may reflect atelectasis. The right lung appears clear. A PICC terminates in the upper SVC. Cardiac size remains normal. No pleural effusion, pneumothorax, or pulmonary edema. Scoliosis again noted."
    },
    {
      "id": "268d4d0c-e557f832-762e68de-4e4d9374-3b222293",
      "image_path": [
        "p19/p19290303/s59707399/268d4d0c-e557f832-762e68de-4e4d9374-3b222293.jpg"
      ],
      "report": " Since prior, there has been interval placement of an endotracheal tube with tip seen approximately 7 cm from the carina.  Otherwise, there has been no change."
    },
    {
      "id": "388b0800-26068bd7-dd952e06-17cd5e33-891f06f3",
      "image_path": [
        "p18/p18730486/s56226674/388b0800-26068bd7-dd952e06-17cd5e33-891f06f3.jpg"
      ],
      "report": "4 cm rounded opacity right upper chest, may represent pleural or lung mass, infiltrate.  Small pleural effusions.  Minimal retrocardiac atelectasis or infiltrate. 4 cm rounded opacity right upper chest, may represent pleural or lung mass, infiltrate.  There are small bilateral pleural effusions, more prominent on the right.  Minimal left costophrenic angle atelectasis or infiltrate.  No pneumothorax.  Normal heart size, pulmonary vascularity.  Minimal retrocardiac atelectasis or infiltrate."
    },
    {
      "id": "b64a7f08-a368fb2e-a796af4d-2500aad7-a9a3851d",
      "image_path": [
        "p10/p10338515/s51080146/b64a7f08-a368fb2e-a796af4d-2500aad7-a9a3851d.jpg"
      ],
      "report": "Low lung volumes.  Mild cardiomegaly and pulmonary vascular congestion.  Possible small right pleural effusion. Lung volumes are low causing crowding of the central bronchovascular structures.  The heart is mildly enlarged, and there is mild pulmonary vascular congestion.  There is possible fluid along the right minor fissure, and no focal consolidation or pneumothorax is seen."
    },
    {
      "id": "0477db89-fad21be9-85e2e262-f4af09b6-95e9d580",
      "image_path": [
        "p14/p14865169/s55459896/0477db89-fad21be9-85e2e262-f4af09b6-95e9d580.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear without consolidation or edema.  Prior pleural effusions have resolved.  Cardiac silhouette is mildly enlarged, stable.  No acute osseous abnormalities.  Median sternotomy wires and mediastinal clips are noted."
    },
    {
      "id": "c00492c2-2d646c91-b6c9c5a3-29d782bb-a1709db0",
      "image_path": [
        "p14/p14439892/s59285986/c00492c2-2d646c91-b6c9c5a3-29d782bb-a1709db0.jpg"
      ],
      "report": "Feeding tube with the wire stylet in place ends in the mid stomach.  Lungs clear.  Heart size normal.  No pleural abnormality. "
    },
    {
      "id": "38a13158-88db56a3-6235c2b5-ba17092a-fbecb615",
      "image_path": [
        "p12/p12232105/s59975880/38a13158-88db56a3-6235c2b5-ba17092a-fbecb615.jpg"
      ],
      "report": " The patient is status post median sternotomy and aortic valvular surgery.  Indwelling support and monitoring devices remain in standard position.  Persistent widening of right mediastinal contour, similar in appearance to previous postoperative radiographs.  Improving aeration in the right upper lobe with residual mild atelectasis remaining.  Small pleural effusions and basilar atelectasis are unchanged.  Linear lucency along right mediastinal border could reflect a medial pneumothorax, and less likely pneumomediastinum.  This is unchanged since previous postoperative radiographs, with a right chest tube in place."
    },
    {
      "id": "ba85e830-cff4f13f-adbd91e2-cba414f6-cdbe3d29",
      "image_path": [
        "p14/p14775225/s58116126/ba85e830-cff4f13f-adbd91e2-cba414f6-cdbe3d29.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality. 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."
    },
    {
      "id": "3f82056f-e2f562d7-a5f20f2b-a3658888-35f1c09c",
      "image_path": [
        "p18/p18427812/s50818443/3f82056f-e2f562d7-a5f20f2b-a3658888-35f1c09c.jpg"
      ],
      "report": "No acute cardiopulmonary process. PA and lateral chest radiographs were provided.  There is no focal consolidation, pleural effusion or pneumothorax.  The cardiac silhouette is top normal.  The bones are intact. Calcifactions of the aorta and thoracic branch vessels are noted."
    },
    {
      "id": "6780770c-551f452a-1d4220c3-da7e6929-8aa84a9e",
      "image_path": [
        "p10/p10520715/s51651426/6780770c-551f452a-1d4220c3-da7e6929-8aa84a9e.jpg"
      ],
      "report": "Heart is mildly enlarged.  Lungs are grossly clear.  Lungs are clear of consolidation.  Mild interstitial or micronodular abnormality would be difficult to detect on conventional radiographs.  There is no pleural effusion or evidence of central lymph node enlargement. "
    },
    {
      "id": "eff7f8f7-ea576cc1-910d7888-0f00431b-9fb1c281",
      "image_path": [
        "p11/p11148895/s58013940/eff7f8f7-ea576cc1-910d7888-0f00431b-9fb1c281.jpg"
      ],
      "report": "Stable elevation of the right hemidiaphragm. Otherwise, normal chest radiograph. Frontal and lateral views of the chest demonstrate a stably elevated right hemidiaphragm.  Linear atelectasis in the right midlung zone is unchanged. Lung volumes are low, but there are focal consolidations to suggest pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is unchanged."
    },
    {
      "id": "3748a572-0846f224-8f115a7e-d73f7971-2215fc1e",
      "image_path": [
        "p10/p10121978/s55439111/3748a572-0846f224-8f115a7e-d73f7971-2215fc1e.jpg"
      ],
      "report": "No evidence of acute disease. The heart is normal in size.  The mediastinal and hilar contours appear within normal limits.  The lungs are clear.  There are no pleural effusions or pneumothorax."
    },
    {
      "id": "08a4e69c-899d64cd-bbc5037e-074464f9-f365a94e",
      "image_path": [
        "p19/p19274731/s52276774/08a4e69c-899d64cd-bbc5037e-074464f9-f365a94e.jpg"
      ],
      "report": "No acute cardiopulmonary process or evidence of a fracture. The lungs are clear without consolidation or edema.  There is no pleural effusion or pneumothorax.  The cardiomediastinal silhouette is normal. There is no free intraperitoneal air below the hemidiaphragms.  The osseous structures are unremarkable without evidence of a fracture."
    },
    {
      "id": "e76522d8-e59235bc-396fa179-3af5f581-9273ec97",
      "image_path": [
        "p17/p17502683/s51844846/e76522d8-e59235bc-396fa179-3af5f581-9273ec97.jpg"
      ],
      "report": "No acute findings in the chest. PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax.  The cardiomediastinal silhouette is normal.  Bony structures appear intact.  No free air below the right hemidiaphragm."
    },
    {
      "id": "d1640bf5-b2ca765e-00f6382b-ca44f798-100cf24b",
      "image_path": [
        "p13/p13806563/s55109677/d1640bf5-b2ca765e-00f6382b-ca44f798-100cf24b.jpg"
      ],
      "report": "Interval placement of right chest tube with re-expansion of the right lung and resolution of the pneumothorax. There has been interval placement of a right chest tube, with resolution of the right pneumothorax and re-expansion of the right lung. Overall, lung volumes are lower, with increasing atelectasis. Moderate cardiomegaly is stable with stable preexisting left parenchymal opacities."
    },
    {
      "id": "fdcebc9a-70806561-160cd571-6bb8e8bf-3ad8b15d",
      "image_path": [
        "p14/p14995538/s53597759/fdcebc9a-70806561-160cd571-6bb8e8bf-3ad8b15d.jpg"
      ],
      "report": "Moderate right and small left pleural effusion are larger, and mediastinal veins are more distended, all suggesting cardiac decompensation conceivably due to volume overload.  ET tube, left PIC line, and a transesophageal drainage tube are in standard placements.  No pneumothorax.  Vascular clips and possible radionuclide therapy seeds indicate prior surgery and/or brachytherapy in the thyroid bed . "
    },
    {
      "id": "9b175a2f-68448a4e-3d9d3e89-2b4cc145-c207535e",
      "image_path": [
        "p13/p13799448/s55083258/9b175a2f-68448a4e-3d9d3e89-2b4cc145-c207535e.jpg"
      ],
      "report": "No acute cardiopulmonary process. Upright AP view of the chest. There is minimal bibasilar atelectasis.  There is no evidence of pneumonia, pneumothorax or pulmonary edema. Cardiac silhouette is normal in size.  Tortuosity of the aorta deviates the trachea slightly."
    },
    {
      "id": "7cd97073-eaed7f6d-84bb2783-df973211-c35d5769",
      "image_path": [
        "p10/p10622931/s54994042/7cd97073-eaed7f6d-84bb2783-df973211-c35d5769.jpg"
      ],
      "report": "Lung volumes are low, with elevation of the right hemidiaphragm. Lung volumes are low, with elevation of the right hemidiaphragm.  Apparent deviation of the trachea to the right is likely due to patient positioning.  There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal where seen. Imaged osseous structures are intact.  No free air below the right hemidiaphragm is seen."
    },
    {
      "id": "51fa0a5d-7257acbd-ecb38389-6ed21b0b-deaff28e",
      "image_path": [
        "p14/p14160285/s59383732/51fa0a5d-7257acbd-ecb38389-6ed21b0b-deaff28e.jpg"
      ],
      "report": "Normal chest radiograph. PA and lateral views of the chest provided.  Lung volumes are low.   There is no focal consolidation, effusion, or pneumothorax.  Cardiomegaly is unchanged.  Imaged osseous structures are intact.  No free air below the right hemidiaphragm is seen."
    },
    {
      "id": "47016314-62f3e41c-fdaaa2e2-a8c64914-3f1a3fe6",
      "image_path": [
        "p12/p12162956/s57774461/47016314-62f3e41c-fdaaa2e2-a8c64914-3f1a3fe6.jpg"
      ],
      "report": "No acute cardiopulmonary process. Left dual-lumen Port-A-Cath is seen with catheter tip over the mid to lower SVC.  Ventriculostomy catheter projects over the right chest wall.  Surgical chain sutures seen projecting over the left lower lung.  The lungs are clear without consolidation, effusion, or edema.  The cardiomediastinal silhouette is within normal limits.  No acute osseous abnormalities"
    },
    {
      "id": "72c41363-54b842bf-80708f06-e7c58cd0-92012590",
      "image_path": [
        "p19/p19025237/s57727295/72c41363-54b842bf-80708f06-e7c58cd0-92012590.jpg"
      ],
      "report": "No evidence of acute disease. The heart is at the upper limits of normal size.  The mediastinal and hilar contours are unremarkable.  There are no pleural effusions or pneumothorax.  The osseous structures are unremarkable."
    },
    {
      "id": "d2c5c145-55176eb0-bb2515f6-92c1edea-40a4ede3",
      "image_path": [
        "p18/p18902344/s59001921/d2c5c145-55176eb0-bb2515f6-92c1edea-40a4ede3.jpg"
      ],
      "report": " New left internal jugular vascular catheter terminates in the left brachiocephalic vein, with no visible pneumothorax.  Improved aeration in the right lower lobe since the recent radiograph.  Peripheral area of consolidation in right upper lobe is seen to better detail on recent CT C-spine study and could reflect pneumonia in the appropriate clinical setting."
    },
    {
      "id": "3aab18c8-fbdb91ac-8b4ef81c-8468b53d-6d85cfa3",
      "image_path": [
        "p10/p10080695/s57985622/3aab18c8-fbdb91ac-8b4ef81c-8468b53d-6d85cfa3.jpg"
      ],
      "report": "Bibasilar opacities which could reflect atelectasis, aspiration or developing infectious pneumonia in the appropriate clinical setting. Low lung volumes accentuate the cardiac silhouette and bronchovascular structures, limiting assessment of the patient's cardiovascular status. Streaky peribronchiolar bibasilar opacities are associated with apparent bibasilar bronchial wall thickening. No definite pleural effusion. ICD remains in place, with leads in the right ventricle. Mild elevation of left hemidiaphragm is again demonstrated."
    },
    {
      "id": "236464b4-80a22368-f56fedcd-4f96b156-a2fd3db8",
      "image_path": [
        "p18/p18806770/s50052228/236464b4-80a22368-f56fedcd-4f96b156-a2fd3db8.jpg"
      ],
      "report": "No acute cardiopulmonary process.  Moderate cardiomegaly. Moderate cardiomegaly is again noted.  The lungs are clear and without a focal consolidations, effusions, or pneumothoraces.  No acute fractures are identified."
    },
    {
      "id": "a2ca15cb-deb64123-9e4f34d7-0533c286-ea5c2dfa",
      "image_path": [
        "p11/p11276090/s52961561/a2ca15cb-deb64123-9e4f34d7-0533c286-ea5c2dfa.jpg"
      ],
      "report": "No acute findings.  Probable underlying emphysema. PA and lateral views of the chest provided.   Coarsened interstitial markings may reflect underlying emphysema.  No convincing evidence for pneumonia edema effusion or pneumothorax.  Heart and mediastinal contours are stable.  Bony structures are intact."
    },
    {
      "id": "115b0623-e749d335-6562b7f4-d1f01240-ad99af6b",
      "image_path": [
        "p18/p18268243/s59293592/115b0623-e749d335-6562b7f4-d1f01240-ad99af6b.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear without focal consolidation.  No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable."
    },
    {
      "id": "6dff36e5-19335189-61c3ff66-c02f3df4-086e9309",
      "image_path": [
        "p16/p16517380/s53184753/6dff36e5-19335189-61c3ff66-c02f3df4-086e9309.jpg"
      ],
      "report": "No acute intrathoracic process. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Views of the upper abdomen are unremarkable. No acute osseous abnormality."
    },
    {
      "id": "4ef9121d-30feaa34-46502cc5-663b8295-ff6296f6",
      "image_path": [
        "p16/p16531388/s58511392/4ef9121d-30feaa34-46502cc5-663b8295-ff6296f6.jpg"
      ],
      "report": "No definite acute cardiopulmonary process.  Possible opacity projecting over the posterior mid-thoracic spine could reflect super-imposed shadows.  Repeat lateral radiograph is recommended. PA and lateral views of the chest demonstrate persistent linear atelectasis at the lung bases.  Otherwise, no focal consolidation, pneumothorax or pulmonary edema is present, however on the lateral radiograph there is possible opacity projecting over the posterior mid-thoracic spine which could reflect super-imposed shadows.  The cardiomediastinal silhouette is stable in appearance.  The patient is status post median sternotomy.  No pleural effusion is identified."
    },
    {
      "id": "97d35c74-b913c6f4-35949e99-0b187601-dd370076",
      "image_path": [
        "p16/p16388657/s51817040/97d35c74-b913c6f4-35949e99-0b187601-dd370076.jpg"
      ],
      "report": "There is linear atelectasis in both lung bases.  There is some patchy atelectasis within the left lower lobe.  There is no pneumothorax or CHF. "
    },
    {
      "id": "caf35430-155551d0-6b545423-b9ed7dd8-2a1393c9",
      "image_path": [
        "p18/p18913382/s57906932/caf35430-155551d0-6b545423-b9ed7dd8-2a1393c9.jpg"
      ],
      "report": "Continued interval improvement of the right lower lobe region of consolidation without new consolidation. Frontal and lateral views of the chest.  The lungs are hyperinflated.  The right lower lobe consolidation is less conspicuous on today's exam, but still present.  There is no new region of consolidation nor effusion.  The cardiomediastinal silhouette is enlarged but stable.  Atherosclerotic calcifications again noted at the aortic arch.  Left chest wall dual-lead pacing device is again noted.  Lower thoracic dextroscoliosis is again seen.  Degenerative changes noted at the shoulders bilaterally."
    },
    {
      "id": "d32c79b8-133ad031-e34b0ae5-f1aff7e4-2e292a69",
      "image_path": [
        "p18/p18049473/s56761760/d32c79b8-133ad031-e34b0ae5-f1aff7e4-2e292a69.jpg"
      ],
      "report": "Interval improvement in aeration of the right lung, persistent confluent opacity in the left mid lung suspicious for infection. There are persistent bilateral airspace opacities, more confluent in the left mid lung.  Aeration of the right lung appears to improved somewhat.  Small left pleural effusion.  No pneumothorax seen."
    },
    {
      "id": "1f3ac4ab-09f6cc23-0267bd4b-a68c6bd0-2b0b98b4",
      "image_path": [
        "p16/p16820602/s55801153/1f3ac4ab-09f6cc23-0267bd4b-a68c6bd0-2b0b98b4.jpg"
      ],
      "report": "No concerning opacity in the left apex. Frontal and lateral views of the chest were obtained.  The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.  Heart size is normal.  Mediastinal silhouette and hilar contours are normal.  The nodular opacity seen on the prior shoulder radiograph is likely due to hypertrophy and sclerosis at the left 1st rib costochondral junction.  Gynecomastia is again noted."
    },
    {
      "id": "c530ede1-bd932609-85f10b18-cb1ca718-315cd0c4",
      "image_path": [
        "p16/p16019243/s54136725/c530ede1-bd932609-85f10b18-cb1ca718-315cd0c4.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are well inflated and clear.  The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.  There is no pleural effusion or pneumothorax.  Osseous structures are grossly intact."
    },
    {
      "id": "36fb7b1e-8f72c8f1-7ec258d7-12af5f5f-bb9aa02d",
      "image_path": [
        "p19/p19910173/s58011013/36fb7b1e-8f72c8f1-7ec258d7-12af5f5f-bb9aa02d.jpg"
      ],
      "report": "Blunting of left costophrenic angle could suggest a small pleural effusion or pleural thickening.  No radiographic evidence for pneumonia or congestive heart failure. There is moderate enlargement of cardiac silhouette.  The aorta is tortuous.  The pulmonary vascularity is not engorged.  There is eventration of left hemidiaphragm.  There is blunting of the left costophrenic angle on the frontal view suggestive of a small effusion or pleural thickening.  No focal consolidation or pneumothorax is present.  There are multiple old bilateral rib fractures.  Multilevel degenerative changes are present within the thoracic spine."
    },
    {
      "id": "7add735d-68204a28-3c833b2f-90d5f57f-3055ca58",
      "image_path": [
        "p19/p19001598/s50830008/7add735d-68204a28-3c833b2f-90d5f57f-3055ca58.jpg"
      ],
      "report": "No acute intrathoracic process. PA and lateral views of the chest provided.   Midline sternotomy wires and left chest wall pacer device appear unchanged.  The pacer leads extending to the region of the right atrium and right ventricle.  The lungs are clear.  There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged. Imaged osseous structures are intact.  No free air below the right hemidiaphragm is seen."
    },
    {
      "id": "7577fcf9-68110792-49d7c796-327ba13d-8bd8c6cb",
      "image_path": [
        "p16/p16438939/s55981336/7577fcf9-68110792-49d7c796-327ba13d-8bd8c6cb.jpg"
      ],
      "report": "right transjugular central venous Port-A-Cath ends in the upper to mid SVC, as before. Lung volumes are lower and small right pleural effusion may have developed. There is no focal pulmonary abnormality. Heart size is normal. "
    },
    {
      "id": "efa394d1-628c5770-bae96d4e-87054555-acab6701",
      "image_path": [
        "p16/p16052230/s50626661/efa394d1-628c5770-bae96d4e-87054555-acab6701.jpg"
      ],
      "report": "The moderate right pleural effusion has decreased substantially. No pneumothorax or left pleural effusion. No appreciable atelectasis.  Lungs grossly clear.  Heart size normal.  Feeding tube passes the second portion of the duodenum windows out of view. "
    },
    {
      "id": "44dcf5e5-c1778862-5fc72ac3-6504f9e9-8e95697e",
      "image_path": [
        "p17/p17919549/s55841937/44dcf5e5-c1778862-5fc72ac3-6504f9e9-8e95697e.jpg"
      ],
      "report": "No acute cardiopulmonary process.  Stable mild prominence of the hila may relate to underlying lymph nodes in this patient with history of sarcoidosis. Slight prominence of the hilar with subtle lobulated contour could be due to underlying lymph nodes in this patient with history of sarcoidosis.  No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.  The cardiac and mediastinal silhouette are unremarkable."
    },
    {
      "id": "d3e6c8b9-85f51c49-cde29a8b-fdab8a02-b56ed648",
      "image_path": [
        "p19/p19623970/s52293187/d3e6c8b9-85f51c49-cde29a8b-fdab8a02-b56ed648.jpg"
      ],
      "report": "Heart size is normal. Mediastinum is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Overall no evidence of acute process to explain patient's symptoms demonstrated. "
    },
    {
      "id": "7362a2ea-92267c30-dd50f784-3c007ab6-925c57d5",
      "image_path": [
        "p13/p13764732/s52464620/7362a2ea-92267c30-dd50f784-3c007ab6-925c57d5.jpg"
      ],
      "report": "No acute cardiopulmonary process. Low lung volumes. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal."
    },
    {
      "id": "ea196b13-134f026a-b22148da-a81b0d36-c4fd11f3",
      "image_path": [
        "p12/p12110838/s53949128/ea196b13-134f026a-b22148da-a81b0d36-c4fd11f3.jpg"
      ],
      "report": " Endotracheal tube is 1 cm above the carina and should be repositioned.  Nasogastric tube is in the stomach.  The right internal jugular vein catheter ends in the right atrium.  The left PICC ends in the distal SVC. Low lung volumes with left more than right pleural effusions and mild pulmonary edema."
    },
    {
      "id": "d6420295-84f8d068-59e04d2d-c70d7b18-41e2599d",
      "image_path": [
        "p11/p11104877/s50976893/d6420295-84f8d068-59e04d2d-c70d7b18-41e2599d.jpg"
      ],
      "report": "Mild pulmonary edema has increased.  Moderate cardiomegaly and mediastinal venous engorgement are stable.  Pleural effusion is small if any.  No pneumothorax. "
    },
    {
      "id": "e352f72e-69248df7-5d30294c-fe471186-1b05e908",
      "image_path": [
        "p17/p17465057/s54409529/e352f72e-69248df7-5d30294c-fe471186-1b05e908.jpg"
      ],
      "report": "Opacity seen overlying the spine may represent pneumonia in the appropriate clinical setting.  It is difficult to localize, as it is not conspicuous on the frontal view, but may be in the right lower lung as seen on previous radiographs. On the lateral view, an opacification overlies the lower thoracic spine, but is difficult to localize on the frontal projection.  Linear opacity near the left lung base likely represents atelectasis.  There is a tiny right pleural effusion.  Again noted is slight prominence of the central pulmonary arteries, which is unchanged from prior.  The heart size is normal.  Old right rib fractures are again noted."
    },
    {
      "id": "f2e7595f-e37d10d1-5845652b-cef84d28-d9dbe53a",
      "image_path": [
        "p11/p11207178/s58110574/f2e7595f-e37d10d1-5845652b-cef84d28-d9dbe53a.jpg"
      ],
      "report": "No acute cardiopulmonary process. There is no focal consolidation, pleural effusion, or pneumothorax. Hazy appearance of the lower lung zones is due to soft tissue density.  Cardiomediastinal silhouette is unremarkable.  Osseous structures are intact."
    },
    {
      "id": "dd0b51a8-8846f5dd-45a3eb45-3d3c979f-478dc2b3",
      "image_path": [
        "p14/p14013598/s50262327/dd0b51a8-8846f5dd-45a3eb45-3d3c979f-478dc2b3.jpg"
      ],
      "report": "No evidence of acute cardiopulmonary process. The lungs are clear.  No pleural effusion, pulmonary edema, or pneumothorax is present.  The cardiomediastinal and pleural surface contours are normal."
    },
    {
      "id": "9e6ae956-98f5ed5d-36afa5f1-ca62517a-37bba74a",
      "image_path": [
        "p14/p14860633/s52800467/9e6ae956-98f5ed5d-36afa5f1-ca62517a-37bba74a.jpg"
      ],
      "report": "Possible mild left base atelectasis without definite focal consolidation seen. The lungs are clear without focal consolidation.  No pleural effusion or pneumothorax is seen.  The cardiac silhouette is top-normal.  The mediastinal and hilar contours are stable.  There may be minimal left base atelectasis."
    },
    {
      "id": "36ee2c47-d2f779a1-b456821e-921ef202-7e2d8f41",
      "image_path": [
        "p13/p13422599/s57922856/36ee2c47-d2f779a1-b456821e-921ef202-7e2d8f41.jpg"
      ],
      "report": "No evidence of acute disease. The cardiac, mediastinal and hilar contours appear stable.  There is no pleural effusion or pneumothorax.  The lungs appear clear.  Bony structures are unremarkable.  No radiodense is foreign body is visualized."
    },
    {
      "id": "a34885bd-2c8273c7-cd12cb85-874a229e-d1508f1f",
      "image_path": [
        "p17/p17105544/s59295629/a34885bd-2c8273c7-cd12cb85-874a229e-d1508f1f.jpg"
      ],
      "report": "No evidence of acute disease. An upper mediastinal mass corresponds to a known thyroid goiter.  The mediastinal and hilar contours appear unchanged.  The heart is normal in size.  There are no pleural effusions or pneumothorax.  Opacities in the lower lungs clear with better inspiration on a second view, most consistent with dependent changes and atelectasis."
    },
    {
      "id": "02db55e4-deb5a631-6a58fd5d-390fe4c5-a1f482f0",
      "image_path": [
        "p19/p19600784/s53769613/02db55e4-deb5a631-6a58fd5d-390fe4c5-a1f482f0.jpg"
      ],
      "report": "Left lower lobar pneumonia.  Additional smaller focus in the right midlung as well. There is diffuse airspace opacification seen involving the majority of the left lower lobe, most notable at the left base.  There is also small focal region of consolidation in the mid right lung.  The left lung apex and remaining right lung are clear.  There is no pleural effusion, pneumothorax, or pulmonary edema.  The cardiomediastinal silhouette is within normal limits."
    },
    {
      "id": "45291b8a-878a0aaf-ca2eb0cc-344ab4fb-39035efb",
      "image_path": [
        "p18/p18179663/s58666852/45291b8a-878a0aaf-ca2eb0cc-344ab4fb-39035efb.jpg"
      ],
      "report": "No acute cardiopulmonary process. PA and lateral chest radiographs were obtained.  The lungs are well expanded and clear.  There is no focal consolidation, effusion or pneumothorax.  Cardiac and mediastinal contours are normal."
    },
    {
      "id": "eb727f5e-7d011e0d-a6f91940-76ad3caf-92519b31",
      "image_path": [
        "p15/p15235108/s55838807/eb727f5e-7d011e0d-a6f91940-76ad3caf-92519b31.jpg"
      ],
      "report": "No acute cardiopulmonary process. Lung volumes are low, accounting for bronchovascular crowding. No focal opacities concerning for pneumonia are identified.  Cardiomediastinal and hilar contours are unremarkable.  There is no pleural effusion or pneumothorax."
    },
    {
      "id": "d828c94c-efad1232-917af62b-6fa43b3d-048908d3",
      "image_path": [
        "p12/p12661332/s55769808/d828c94c-efad1232-917af62b-6fa43b3d-048908d3.jpg"
      ],
      "report": "No definite acute cardiopulmonary process based on this limited exam as detailed above. AP and lateral views of the chest.  Exam is somewhat limited due to poor inspiratory effort and patient body habitus.  The lungs are clear of large confluent consolidation or effusion.  There is no definite pulmonary vascular congestion; however, there is crowding of the bronchovascular markings which could be due to poor inspiratory effort.  Cardiomediastinal silhouette is within normal limits.  Median sternotomy wires are identified."
    },
    {
      "id": "e090af90-e34817ee-f917cff7-97920163-4231e180",
      "image_path": [
        "p10/p10597987/s57556246/e090af90-e34817ee-f917cff7-97920163-4231e180.jpg"
      ],
      "report": "Findings compatible with mild interstitial edema and pulmonary vascular congestion in the setting of cardiomegaly. The lungs are well expanded.  There is minimal increase in interstitial markings with associated vascular cephalization and bilateral hilar engorgement, right worse than left.  No focal opacities are noted.  The heart is enlarged.  Atherosclerotic calcifications of the aortic knob are present.  There is no pleural effusion or pneumothorax."
    },
    {
      "id": "6088c8b1-5d19f2e3-023f8956-f070c722-93e84468",
      "image_path": [
        "p11/p11656883/s52048396/6088c8b1-5d19f2e3-023f8956-f070c722-93e84468.jpg"
      ],
      "report": "No acute cardiopulmonary process. Frontal and lateral views of the chest were obtained.  Right basilar and left mid lung minor linear atelectasis is seen.  There is no focal consolidation.  No pleural effusion or pneumothorax is seen.  The cardiac silhouette is stable, top normal to mildly enlarged.  Mediastinal and hilar contours are also stable and unremarkable."
    },
    {
      "id": "0b2a0a25-b776b2df-d4cbd602-a916ad75-b78598f3",
      "image_path": [
        "p16/p16673231/s51735275/0b2a0a25-b776b2df-d4cbd602-a916ad75-b78598f3.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.  The aorta is tortuous."
    },
    {
      "id": "2592443b-8c32e6f9-52ad3bcc-d5c8dddf-336d4476",
      "image_path": [
        "p18/p18952261/s54886484/2592443b-8c32e6f9-52ad3bcc-d5c8dddf-336d4476.jpg"
      ],
      "report": "No evidence of pneumonia. There has been interval removal of right internal jugular dialysis catheter.  A left chest Port-A-Cath appears unchanged terminating in the mid SVC.  No pneumothorax.  The lungs are well-expanded and clear.  No pleural effusion.  Mediastinal contours and cardiac borders are normal."
    },
    {
      "id": "0c637395-500fdf01-cc23748f-8732cf1a-ed3df057",
      "image_path": [
        "p18/p18784957/s54726484/0c637395-500fdf01-cc23748f-8732cf1a-ed3df057.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear without focal consolidation.  No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable."
    },
    {
      "id": "2d1641a8-0d02497b-b6bb5269-2d9f0ee6-5e8901eb",
      "image_path": [
        "p14/p14031505/s53867471/2d1641a8-0d02497b-b6bb5269-2d9f0ee6-5e8901eb.jpg"
      ],
      "report": "No pneumonia or pneumothorax. PA and lateral views of chest were provided for review.  The heart size is normal.  The mediastinal and hilar contours are unremarkable.  There is no pleural effusion or pneumothorax.  There is no focal consolidation concerning for pneumonia."
    },
    {
      "id": "e1418c0a-d0126cab-1b058cdb-414f0125-a8b6afed",
      "image_path": [
        "p17/p17253209/s50212795/e1418c0a-d0126cab-1b058cdb-414f0125-a8b6afed.jpg"
      ],
      "report": "No acute findings in the chest. PA and lateral views of the chest were provided.  The lungs are hyperinflated, though there is no focal consolidation, effusion, or pneumothorax.  There is a nipple shadow, likely accounting for the nodular opacity in the right lower lung.  No pleural effusion or pneumothorax.  Cardiomediastinal silhouette is normal.  Minimal biapical pleural parenchymal scarring is noted.  The bony structures are intact."
    },
    {
      "id": "ce688415-19ccf033-1058c57a-f50fa0e6-e54ff9c8",
      "image_path": [
        "p14/p14219343/s51441125/ce688415-19ccf033-1058c57a-f50fa0e6-e54ff9c8.jpg"
      ],
      "report": "Mild pulmonary edema with bilateral pleural effusions and basilar atelectasis. There has been mild interval progression. AP portable upright view of the chest.   Left chest wall pacer device is unchanged with leads extending to the region the right atrium and right ventricle.  Bilateral pleural effusions persist with bibasilar atelectasis.  Hilar congestion and mild pulmonary edema is again noted, slightly progressed in the interval.  Heart size is difficult to assess.  Mediastinal contour is stable.  Bony structures appear grossly intact."
    },
    {
      "id": "f972c245-02bea3de-9508dc87-6cd4afe5-834d245e",
      "image_path": [
        "p12/p12388593/s57023629/f972c245-02bea3de-9508dc87-6cd4afe5-834d245e.jpg"
      ],
      "report": "No acute intrathoracic process. The lungs are low in volume but clear.  The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.  No pleural effusion or pneumothorax is present."
    },
    {
      "id": "a0b818f6-a196dac0-9441bb5a-56f2d67b-24dffd3c",
      "image_path": [
        "p17/p17879667/s55357486/a0b818f6-a196dac0-9441bb5a-56f2d67b-24dffd3c.jpg"
      ],
      "report": "No acute cardiopulmonary process. Frontal and lateral views of the chest.  The lungs are clear without focal opacity, pleural effusion or pneumothorax.  The heart size is normal.  The mediastinal and hilar contours are normal.  There is no free air beneath the hemidiaphragms.  No acute osseous abnormality."
    },
    {
      "id": "cb1362e2-22b75ff5-4d93bb9d-7b43ce58-b033fe2d",
      "image_path": [
        "p16/p16814111/s53662001/cb1362e2-22b75ff5-4d93bb9d-7b43ce58-b033fe2d.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear without consolidation or edema.  Mild prominence of the pulmonary vasculature, could represent chronic vascular congestion.  There is no pleural effusion or pneumothorax.  Mediastinal contours are normal.  The heart size is at the upper limits of normal.  A left pectoral pacemaker is in place with the leads in the right atrium and right ventricle."
    },
    {
      "id": "0187870c-77ef2e50-aad03b9c-430166d0-61726d94",
      "image_path": [
        "p12/p12578953/s54252184/0187870c-77ef2e50-aad03b9c-430166d0-61726d94.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality.  Diffuse distention of colonic loops of bowel in the upper abdomen. 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.  Diffusely distended loops of colon are noted within the upper abdomen."
    },
    {
      "id": "f41013dc-7701b50b-16d39cc1-d4ff950b-14b8241b",
      "image_path": [
        "p11/p11137490/s55292437/f41013dc-7701b50b-16d39cc1-d4ff950b-14b8241b.jpg"
      ],
      "report": "Resolving right lower lobe pneumonia. Chronic obstructive airways disease. Lungs are overinflated, with diffuse hyperlucency, flattening of the diaphragms, and widening of the retrosternal clear space.  Streaky opacities in the right lower lobe are improved from prior examination. No pleural effusions or pneumothorax.  Heart size is normal.  Multilevel degenerative changes in the thoracic spine."
    },
    {
      "id": "2f0f58b5-df55fd4d-578b6a70-9116b219-152300e6",
      "image_path": [
        "p16/p16216649/s50507707/2f0f58b5-df55fd4d-578b6a70-9116b219-152300e6.jpg"
      ],
      "report": "Right central venous line tip is at the level of superior to mid SVC. Cardiomediastinal silhouette is stable. There is progression of left retrocardiac consolidation as well as right basal opacity.  Right pleural calcifications are unchanged.  ET tube tip is 7 cm above the carinal. "
    },
    {
      "id": "36306672-de6d4ff0-db3554f4-0e2f3e1d-2151dabb",
      "image_path": [
        "p13/p13056974/s52649468/36306672-de6d4ff0-db3554f4-0e2f3e1d-2151dabb.jpg"
      ],
      "report": "PA and lateral chest reviewed in the absence of prior chest imaging:  Normal heart, lungs, hila, mediastinum and pleural surfaces.  No radiographic evidence of pneumonia currently. "
    },
    {
      "id": "8beae2b9-eb73ad17-d6cd0e65-0fec9abb-97968dd9",
      "image_path": [
        "p16/p16051420/s50349440/8beae2b9-eb73ad17-d6cd0e65-0fec9abb-97968dd9.jpg"
      ],
      "report": "Normal chest. Chronicity and clinical significance of mild generalized interstitial pulmonary abnormality is not known; it can be seen with chronic asthma.  Cardiomediastinal and hilar contours are normal.  There are no pleural effusions or pneumothorax."
    },
    {
      "id": "9cba3d11-4ea3258f-7c1f92ff-c2d2552f-2cf54190",
      "image_path": [
        "p10/p10926869/s50133496/9cba3d11-4ea3258f-7c1f92ff-c2d2552f-2cf54190.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality. 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.  Clips from prior thyroidectomy are seen within the neck."
    },
    {
      "id": "395be1ce-3c5c0a0a-66e1f44d-20785f12-199578d2",
      "image_path": [
        "p16/p16325904/s51030906/395be1ce-3c5c0a0a-66e1f44d-20785f12-199578d2.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality. 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."
    },
    {
      "id": "ae82d322-4374b750-c902ed40-019aff95-8c83cb11",
      "image_path": [
        "p14/p14346648/s59612968/ae82d322-4374b750-c902ed40-019aff95-8c83cb11.jpg"
      ],
      "report": "No acute intrathoracic process identified.  No displaced rib fracture is identified. Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours.  Lungs are clear.  No pleural effusion or pneumothorax identified.  No displaced rib fracture is evident."
    },
    {
      "id": "9b72859c-c14ddaa5-e8192c7d-81190469-c77d4cb8",
      "image_path": [
        "p11/p11643987/s54129066/9b72859c-c14ddaa5-e8192c7d-81190469-c77d4cb8.jpg"
      ],
      "report": "No acute intrathoracic process. Frontal AP and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax.  Cardiomediastinal silhouette is normal.  No signs of congestion or edema.  Bony structures are intact.  No free air below the right hemidiaphragm."
    },
    {
      "id": "073c9285-bc81e695-f7f22c8d-ef12981c-07cb8f98",
      "image_path": [
        "p14/p14169818/s54630477/073c9285-bc81e695-f7f22c8d-ef12981c-07cb8f98.jpg"
      ],
      "report": "Mildly overinflated lungs. No focal pneumonia or pneumothorax. The lungs mildly overinflated.  No focal consolidation, edema, effusion, or pneumothorax.  The heart is normal in size.  The mediastinum is not widened."
    },
    {
      "id": "427eea71-befaa0d2-7d5c5449-ab3671fe-622720c1",
      "image_path": [
        "p17/p17462601/s55485566/427eea71-befaa0d2-7d5c5449-ab3671fe-622720c1.jpg"
      ],
      "report": "No radiographic evidence of pneumonia. There is no consolidation, pleural effusion, or pneumothorax.  Cardiomediastinal and hilar silhouettes are normal size."
    },
    {
      "id": "dae271fb-6370ac4c-aaddbd5f-d0487389-d94f10e4",
      "image_path": [
        "p19/p19216027/s52760217/dae271fb-6370ac4c-aaddbd5f-d0487389-d94f10e4.jpg"
      ],
      "report": "No previous images.  Each the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.  Apical calcification bilaterally is consistent with old tuberculous disease. "
    },
    {
      "id": "634d1298-4fae014c-740162b3-f0e1576e-cc21a67b",
      "image_path": [
        "p15/p15885972/s51147987/634d1298-4fae014c-740162b3-f0e1576e-cc21a67b.jpg"
      ],
      "report": "Right infrahilar fullness as well as retrocardiac and left lower lobe opacities, possibly reflecting new consolidations. Low bilateral lung volumes.  Right infrahilar fullness as well as a retrocardiac and left lower lobe opacities are present, possibly reflecting new consolidations.  No pneumothorax identified.  The size the cardiomediastinal silhouette is within normal limits."
    },
    {
      "id": "e1d700eb-3d1bcf2b-165ab5f4-0247b044-b14aa056",
      "image_path": [
        "p16/p16089469/s59516507/e1d700eb-3d1bcf2b-165ab5f4-0247b044-b14aa056.jpg"
      ],
      "report": "Right chest tube remains in place with its tip at the apex.  There is persistent elevation of the right hemidiaphragm with patchy opacity at the right base which either reflects loculated pleural fluid within the horizontal fissure or could represent an evolving pneumonia.  Clinical correlation is advised.  The left lung remains grossly clear.  No pneumothorax is seen.  No evidence of pulmonary edema.  Overall cardiac and mediastinal contours are stable. "
    },
    {
      "id": "321c127e-f6322d05-926db434-5c69189e-ae494b38",
      "image_path": [
        "p18/p18055599/s51717617/321c127e-f6322d05-926db434-5c69189e-ae494b38.jpg"
      ],
      "report": "No acute cardiopulmonary process. This is a subtle linear opacity at the right base, which appears stable from the prior exams, and most likely represents atelectasis.  No focal airspace opacities identified.  There is no pulmonary edema, pleural effusion, or pneumothorax.  The hila remain prominent, although unchanged from the prior exam.  The mediastinal contours are normal.  The heart size is normal."
    },
    {
      "id": "f1dd4300-08bb9754-c7c8d843-a759870b-99dcc082",
      "image_path": [
        "p19/p19223560/s59812085/f1dd4300-08bb9754-c7c8d843-a759870b-99dcc082.jpg"
      ],
      "report": "Expected shift of fluid from the pericardial space to the left pleural space, now with moderate left pleural effusion and associated atelectasis.  Resolution of pneumothorax. There has been expected interval decrease in size of cardiac silhouette with shift of pericardial fluid to the left pleural space now with a moderate left pleural effusion and associated basilar atelectasis.  The left lung apex and the right lung are clear.  There is no pneumothorax."
    },
    {
      "id": "01e50158-81929ce0-57e8d52f-1c5b2aaf-ab6f21cc",
      "image_path": [
        "p14/p14919634/s58677332/01e50158-81929ce0-57e8d52f-1c5b2aaf-ab6f21cc.jpg"
      ],
      "report": "Radiolucency in the left apex suggests the presence of pneumothorax, minimally increased from prior.  New consolidation in the right lower lobe is consistent with aspiration.  ET tube is in standard position.  Right apical chest tube is in unchanged position.  Collapsed left lung is unchanged.  Left bronchial stent is in place. "
    },
    {
      "id": "98f5655f-ce552a18-27cd7795-8a7baca8-89d28101",
      "image_path": [
        "p18/p18748892/s54667763/98f5655f-ce552a18-27cd7795-8a7baca8-89d28101.jpg"
      ],
      "report": "No acute cardiopulmonary process. Frontal and lateral views of the chest were obtained.  No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.  The cardiac and mediastinal silhouettes are stable and unremarkable."
    },
    {
      "id": "670e3dc4-abf0bb40-316ba206-cdce8b3a-45e134c3",
      "image_path": [
        "p16/p16442798/s54060616/670e3dc4-abf0bb40-316ba206-cdce8b3a-45e134c3.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality. Threaded screws are noted in the right humeral head.  The cardiomediastinal silhouette is unremarkable.  Lung volumes are low.  There is platelike atelectasis at the lung bases, bilaterally.  There is no focal consolidation."
    },
    {
      "id": "4c7bdc24-b852c219-000378f4-913bab38-650d3875",
      "image_path": [
        "p11/p11345335/s50643940/4c7bdc24-b852c219-000378f4-913bab38-650d3875.jpg"
      ],
      "report": "Bibasilar atelectasis, worse on the left. Increased opacity in the left lower lobe could reflect early pneumonia. Clinical correlation recommended and short interval follow up recommended to document resolution. The cardiomediastinal and hilar contours are within normal limits.  There is bibasilar atelectasis, most prominent at the left lung base.  Increased opacity in the left lower lobe could reflect early pneumonia. There are probable small bilateral pleural effusions.  No pneumothorax is identified."
    },
    {
      "id": "d10f7773-cfee63e7-0626fce3-9d95eebc-bb69e664",
      "image_path": [
        "p18/p18449855/s52209425/d10f7773-cfee63e7-0626fce3-9d95eebc-bb69e664.jpg"
      ],
      "report": "No acute cardiothoracic process. The lungs are clear, the cardiomediastinal silhouette and hila are normal.  There is no pleural effusion and no pneumothorax.  Anterior osteophytes are seen at the thoracic spine."
    },
    {
      "id": "31090045-27bdf65e-a66ecdbe-c1a3eff0-41dea32d",
      "image_path": [
        "p10/p10305417/s54244448/31090045-27bdf65e-a66ecdbe-c1a3eff0-41dea32d.jpg"
      ],
      "report": "No acute cardiopulmonary process. Frontal and lateral views of the chest were obtained.  The lungs are clear without focal consolidation.  No pleural effusion or pneumothorax is seen.  The cardiac and mediastinal silhouettes are unremarkable.  No displaced fracture is identified."
    },
    {
      "id": "375cbbed-4df9130d-dd45f9f1-5e85c710-74e89172",
      "image_path": [
        "p17/p17555033/s55064921/375cbbed-4df9130d-dd45f9f1-5e85c710-74e89172.jpg"
      ],
      "report": "No acute intrathoracic process. PA and lateral views of the chest were provided demonstrating clear lungs without focal consolidation, effusion, or pneumothorax.  Heart and mediastinal contours are normal.  Bony structures are intact.  No free air below the right hemidiaphragm."
    },
    {
      "id": "11e57f93-da100aa0-d2138cf4-6b1a2082-b8e3d046",
      "image_path": [
        "p15/p15510106/s51018871/11e57f93-da100aa0-d2138cf4-6b1a2082-b8e3d046.jpg"
      ],
      "report": "No acute cardiopulmonary process. PA and lateral images of the chest.    The lungs are well expanded and clear.  There is no effusion or pneumothorax.  The cardiomediastinal silhouette is unremarkable."
    },
    {
      "id": "2d39e8bc-7ca04ffc-9b5e726d-041d45d2-1593e512",
      "image_path": [
        "p18/p18454110/s57411041/2d39e8bc-7ca04ffc-9b5e726d-041d45d2-1593e512.jpg"
      ],
      "report": " Cardiomegaly is accompanied by pulmonary vascular engorgement and worsening interstitial edema.  Bibasilar opacities are again demonstrated, minimally improved on the right and slightly worse on the left.  Circumferential right pleural opacity is unchanged and probably represents a combination of loculated pleural fluid and pleural thickening."
    },
    {
      "id": "2198bbdb-3dba73b8-d3b9691a-20671d72-5602154f",
      "image_path": [
        "p13/p13503683/s59210157/2198bbdb-3dba73b8-d3b9691a-20671d72-5602154f.jpg"
      ],
      "report": "Mild lung hyperinflation without focal consolidation. Frontal and lateral views of the chest.  Heart size and cardiomediastinal contours are normal.  There is mild lung hyperinflation.  No focal consolidation, pleural effusion, or pneumothorax."
    },
    {
      "id": "60fccb4d-54c0ca3c-7fc5d296-a8b11095-fdbb8e07",
      "image_path": [
        "p16/p16842605/s53598704/60fccb4d-54c0ca3c-7fc5d296-a8b11095-fdbb8e07.jpg"
      ],
      "report": "Large hiatal hernia.  Otherwise unremarkable. AP upright and lateral views of the chest provided.  There are midline sternotomy wires, prosthetic cardiac valve and dual-lead pacer unchanged.  There is a large retrocardiac opacity which is compatible with known large hiatal hernia.  The lungs are clear without focal consolidation, effusion or pneumothorax.  The cardiomediastinal silhouette is stable.  Bony structures are intact."
    },
    {
      "id": "6690b669-4bb055b3-5108eb09-c5e1e01e-b43c21de",
      "image_path": [
        "p10/p10877812/s58949603/6690b669-4bb055b3-5108eb09-c5e1e01e-b43c21de.jpg"
      ],
      "report": "No evidence of acute cardiopulmonary process. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The mediastinum is unremarkable, confirmed by a subsequent CTA chest examination. The heart size is top-normal."
    },
    {
      "id": "54429a65-ca38bcaa-3f1f6717-abf7676b-62f500c7",
      "image_path": [
        "p12/p12981575/s52018210/54429a65-ca38bcaa-3f1f6717-abf7676b-62f500c7.jpg"
      ],
      "report": "Normal heart, lungs, hila, mediastinum, and pleural surfaces.  No evidence of intrathoracic malignancy or infection, including tuberculosis, or cardiac decompensation. "
    },
    {
      "id": "e20d14c0-d0842890-5bafdb78-4c538115-7c332269",
      "image_path": [
        "p18/p18093343/s52836839/e20d14c0-d0842890-5bafdb78-4c538115-7c332269.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear without focal consolidation, effusion, or pneumothorax.  The cardiomediastinal silhouette is stable.  No displaced fractures identified.  Hypertrophic changes noted in the spine."
    },
    {
      "id": "e9cf8a2f-105c63e5-6ab2a6c5-fc83d32f-55fa7b73",
      "image_path": [
        "p10/p10405729/s58832991/e9cf8a2f-105c63e5-6ab2a6c5-fc83d32f-55fa7b73.jpg"
      ],
      "report": "No acute intrathoracic process. PA and lateral views of the chest provided.  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."
    },
    {
      "id": "c0abc59d-2c800fdc-2395769b-9be90d0d-ea9eeae1",
      "image_path": [
        "p17/p17071231/s53870597/c0abc59d-2c800fdc-2395769b-9be90d0d-ea9eeae1.jpg"
      ],
      "report": "2 frontal chest radiographs show successive advancement of the transesophageal feeding tube from the lower esophagus to the upper stomach, stylet still in place.  Lungs clear.  Heart size normal.  No pleural abnormality.  Contour of the lower esophagus is widened in and irregular, due to esophageal varices. "
    },
    {
      "id": "f241843f-37bc49f2-9b099ea9-501f0bbc-6e92a124",
      "image_path": [
        "p15/p15021190/s58551406/f241843f-37bc49f2-9b099ea9-501f0bbc-6e92a124.jpg"
      ],
      "report": "No acute cardiopulmonary process or evidence pneumonia.  Hyperinflated lungs bilaterally. Lungs are hyperinflated bilaterally The lungs are clear without focal consolidation.  No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable."
    },
    {
      "id": "0bb9536c-d1dc92d5-9bda083c-e1add297-402c5037",
      "image_path": [
        "p12/p12106911/s58999172/0bb9536c-d1dc92d5-9bda083c-e1add297-402c5037.jpg"
      ],
      "report": "Status post right pneumonectomy.  Patchy opacity in the left lung base may reflect pneumonia in the correct clinical setting. Patient is status post right total pneumonectomy with expected postoperative changes including rightward shift of mediastinal structures.  Right-sided Port-A-Cath tip appears to terminate in the low SVC.  Heart size is difficult to assess given the prior pneumonectomy, but the cardiac and mediastinal contours appear unchanged.  Patchy opacities are demonstrated within the left lung base.  No left-sided pleural effusion or pneumothorax is present.  Small hiatal hernia is again visualized.  No acute osseous abnormalities are detected."
    },
    {
      "id": "93a1759a-f26ea0b5-46ad9d98-824d00eb-98e35910",
      "image_path": [
        "p14/p14776423/s54100145/93a1759a-f26ea0b5-46ad9d98-824d00eb-98e35910.jpg"
      ],
      "report": "Right lower lobe pneumonia. There is an ill-defined opacity in the right mid lung field, correlating to the right lower lobe of the lateral view.  This is compatible with a right lower lobe pneumonia. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits."
    },
    {
      "id": "fae550f6-109cf7e0-8864ee9a-d08215e3-0f7d2ccb",
      "image_path": [
        "p10/p10658307/s52152434/fae550f6-109cf7e0-8864ee9a-d08215e3-0f7d2ccb.jpg"
      ],
      "report": "Near complete resolution of  left pleural effusion and basal atelectasis or consolidation No evidence of pneumonia. Lung volumes are slightly low.  Opacification previously seen in the left lower lung with silhouetting of the left hemidiaphragm has near completely resolved, with minimal residual atelectasis.  No pleural effusion.  No edema, focal consolidation to suggest pneumonia, or pneumothorax.  The cardiomediastinal silhouette is within normal limits.  Alignment of the thoracic spine is unchanged."
    },
    {
      "id": "035e0505-13702bcf-be02bee7-9afee1fa-02cc19f5",
      "image_path": [
        "p13/p13170723/s56762588/035e0505-13702bcf-be02bee7-9afee1fa-02cc19f5.jpg"
      ],
      "report": "Interval removal of multiple support lines. New small right pleural effusion. No pneumothorax. The heart is mildly enlarged.  There is continued central pulmonary vascular congestion, but no overt edema.  The patient has been extubated, and multiple lines, including a Swan-Ganz catheter, a left thoracostomy tube, mediastinal drains, and orogastric tube have been removed.  There is a new small right pleural effusion.  The lung volumes are low.  There is no pneumothorax."
    },
    {
      "id": "99209a49-5d66ea7b-64e77ee9-3fe4b772-6f496c2c",
      "image_path": [
        "p15/p15204251/s56589787/99209a49-5d66ea7b-64e77ee9-3fe4b772-6f496c2c.jpg"
      ],
      "report": "No evidence of pneumonia. PA and lateral views of the chest provided.   Increased opacities projecting over the lower lungs, less conspicuous on lateral view, possibly secondary to underpenetration in the setting of dense breast tissue. Allowing for this limitation, no definite signs of pneumonia or CHF. Lungs are somewhat hyperinflated. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal."
    },
    {
      "id": "e00acd2c-53ceb93e-e453c948-aae9278e-3e1ac01d",
      "image_path": [
        "p14/p14776296/s53574142/e00acd2c-53ceb93e-e453c948-aae9278e-3e1ac01d.jpg"
      ],
      "report": " The lung volumes are normal.  There is no evidence of pleural effusions.  The hilar and mediastinal contours are unremarkable.  No evidence of lymphadenopathy.  Normal size of the cardiac silhouette.  No pneumonia or pulmonary edema."
    },
    {
      "id": "3631f24e-f157709b-f8ebd372-907954d3-11a7a4b8",
      "image_path": [
        "p12/p12679321/s58451988/3631f24e-f157709b-f8ebd372-907954d3-11a7a4b8.jpg"
      ],
      "report": "PICC line positioned appropriately.  Persistent basal atelectasis and pleural effusions. AP upright and lateral views of the chest provided.  Left upper extremity PICC line is again seen with its tip in the upper SVC.  A feeding tube projects over the upper abdomen.  T bibasilar effusions and atelectasis again noted.  There has been no significant change from prior.  Cardiomediastinal silhouette is unchanged as well.  Bony structures are intact."
    },
    {
      "id": "0a162024-8b0caa3d-aaed79cb-aadf21d3-0520f3dc",
      "image_path": [
        "p14/p14231575/s58628410/0a162024-8b0caa3d-aaed79cb-aadf21d3-0520f3dc.jpg"
      ],
      "report": "No evidence of pneumonia. Lungs are clear without focal consolidation, effusion, or pneumothorax.  There is mild unfolding and tortuosity of the thoracic aorta.  Otherwise, mediastinal and hilar contours are normal.  Heart size is normal."
    },
    {
      "id": "c4c6283a-48c18909-dbe63f00-4eace611-bc8fce03",
      "image_path": [
        "p18/p18784631/s50822744/c4c6283a-48c18909-dbe63f00-4eace611-bc8fce03.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified."
    },
    {
      "id": "2ffdda40-436df8eb-6f4bf348-8c498623-9529f9fa",
      "image_path": [
        "p10/p10146904/s57831256/2ffdda40-436df8eb-6f4bf348-8c498623-9529f9fa.jpg"
      ],
      "report": "Mild left base atelectasis without definite focal consolidation. There is mild left base atelectasis without definite focal consolidation.  No pleural effusion or pneumothorax is seen.  The cardiac and mediastinal silhouettes are stable.  Partially imaged right humeral prosthesis is again seen."
    },
    {
      "id": "87cedf66-e6f411f6-171422a1-11dc0961-6bee0f09",
      "image_path": [
        "p18/p18446072/s58548955/87cedf66-e6f411f6-171422a1-11dc0961-6bee0f09.jpg"
      ],
      "report": "Small bilateral pleural effusions with bibasilar atelectasis. Heart size is normal. Mediastinal and hilar contours are unremarkable with minimal atherosclerotic calcification noted at the aortic knob.  Pulmonary vasculature is not engorged. Streaky opacities are seen in the lung bases, potentially reflective of atelectasis. Small bilateral pleural effusions are noted.  No pneumothorax is present. Multiple remote right-sided rib fractures are present. Soft tissue calcifications adjacent to the superolateral aspects of both femoral heads may reflect calcific tendinopathy."
    },
    {
      "id": "224b42c8-aa6dfc00-ab0a1058-10b8f754-a9ae27c7",
      "image_path": [
        "p13/p13788174/s59803138/224b42c8-aa6dfc00-ab0a1058-10b8f754-a9ae27c7.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are well expanded.  Linear opacities in the left lower lobe are unchanged from prior and likely represent scarring.  No other focal opacities are noted. Cardiomediastinal and hilar contours are unremarkable.  There is no pleural effusion or pneumothorax."
    },
    {
      "id": "9429de1f-71732dd0-4cd20a91-eb046b7f-49ec8f0f",
      "image_path": [
        "p13/p13369196/s59127169/9429de1f-71732dd0-4cd20a91-eb046b7f-49ec8f0f.jpg"
      ],
      "report": "Linear densities in the right mid to lower lung likely represents atelectasis versus scarring. Previously noted right upper lobe pneumonia has resolved. PA and lateral views of the chest provided.  Residual linear densities in the right infrahilar and right lung base likely represent residual areas of scarring/ atelectasis. The lungs are otherwise clear. The previously noted consolidation in the right upper lobe is resolved. A calcified nodular structure projects over the left apex. No large effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm."
    },
    {
      "id": "beab94b1-9cb4c32a-3bd1bba6-0263af75-800e5648",
      "image_path": [
        "p10/p10338515/s54316986/beab94b1-9cb4c32a-3bd1bba6-0263af75-800e5648.jpg"
      ],
      "report": "Right internal jugular central venous line terminates in the proximal SVC without procedural complications seen.  Stable appearance of the chest with low lung volumes, cardiomegaly and pulmonary edema. Evaluation is limited by motion.  There has been interval placement of a right internal jugular central venous line which terminates in the proximal SVC.  Lung volumes continue be low with mild pulmonary edema and cardiomegaly seen."
    },
    {
      "id": "47f23063-0cf3967c-1cf94461-11f537d0-314bc7cf",
      "image_path": [
        "p11/p11083755/s58923763/47f23063-0cf3967c-1cf94461-11f537d0-314bc7cf.jpg"
      ],
      "report": "No acute intrathoracic process. PA and lateral views of the chest provided.   Lungs appear hyperinflated.  There is no focal consolidation, effusion, or pneumothorax.  Biapical pleural parenchymal scarring is noted, right greater than left.  Faint linear scarring in the periphery of the left mid lung noted.  The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.  Pectus excavatum deformity of the sternum noted.  No free air below the right hemidiaphragm is seen."
    },
    {
      "id": "66cb1815-2be2ae5a-b35e1762-b1b8fede-57939164",
      "image_path": [
        "p12/p12953093/s55822508/66cb1815-2be2ae5a-b35e1762-b1b8fede-57939164.jpg"
      ],
      "report": "Severe emphysema with no definite signs of pneumonia or CHF. AP upright and lateral views of the chest were obtained.  Multiple surgical clips are noted along the right lung apex.  Clip is also noted in the anterior right mid lung.  Lungs are hyperinflated compatible with known severe emphysema.  There is no definite sign of pneumonia or overt CHF.  The heart size appears stable and the mediastinal contour is unremarkable.  The bony structures are intact."
    },
    {
      "id": "b7a4a3a0-26961f2d-28a8b72e-0e85f22b-7a89e1ef",
      "image_path": [
        "p10/p10950677/s52087215/b7a4a3a0-26961f2d-28a8b72e-0e85f22b-7a89e1ef.jpg"
      ],
      "report": "No acute intrathoracic process. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with cardiomediastinal contours."
    },
    {
      "id": "63335cc7-15fcf0aa-4e2e8198-0aad446c-c8e52858",
      "image_path": [
        "p19/p19207802/s56967773/63335cc7-15fcf0aa-4e2e8198-0aad446c-c8e52858.jpg"
      ],
      "report": "No significant interval change from prior. As on prior, there is a large left-sided mediastinal mass. Small left pleural effusion is unchanged. There is no pneumothorax. The right lung remains clear. No acute osseous abnormalities identified."
    },
    {
      "id": "8b4b23ab-fbb61e23-9a9dc23a-d5c5e07c-ce4638fb",
      "image_path": [
        "p14/p14937849/s50035030/8b4b23ab-fbb61e23-9a9dc23a-d5c5e07c-ce4638fb.jpg"
      ],
      "report": "Low lung volumes limits assessment of lung bases.  If there is persistent clinical concern for pneumonia at the  consider repeat lateral with better inspiration. Lung volume is low.  Mild bibasilar opacities are consistent with atelectasis. There is no pneumothorax or pleural effusion.  Mildly enlarged cardiomediastinal silhouette is similar to before."
    },
    {
      "id": "608b3dca-82824573-e0c5a89c-a1afc9c7-dc4248f5",
      "image_path": [
        "p13/p13732944/s51476601/608b3dca-82824573-e0c5a89c-a1afc9c7-dc4248f5.jpg"
      ],
      "report": "No evidence of acute cardiopulmonary disease. The cardiac, mediastinal and hilar contours appear stable.  The aortic is again moderately tortuous.  There is no pleural effusion or pneumothorax.  Calcified granuloma in the left mid lung appears unchanged.  The lungs appear otherwise clear."
    },
    {
      "id": "830a5b88-1424ae5b-e3bacc9d-25255380-57129f87",
      "image_path": [
        "p18/p18325012/s59342841/830a5b88-1424ae5b-e3bacc9d-25255380-57129f87.jpg"
      ],
      "report": "Mild bibasilar atelectasis.  No focal consolidation to suggest pneumonia. Heart size is normal.  The mediastinal and hilar contours are unremarkable.  Pulmonary vasculature is not engorged.  Minimal atelectasis is noted in the lung bases.  No focal consolidation, pleural effusion or pneumothorax is present.  Marked degenerative changes of the left glenohumeral joint are present.  Left-sided VP shunt catheter is incompletely assessed."
    },
    {
      "id": "ddc7d1ad-a39e6b65-e9106d4c-42b3df99-83b000db",
      "image_path": [
        "p15/p15358977/s50640731/ddc7d1ad-a39e6b65-e9106d4c-42b3df99-83b000db.jpg"
      ],
      "report": "Findings concerning for right lower lobe pneumonia. Follow up radiographs after treatment are recommended to ensure resolution of this finding. Heart size is normal. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are within normal limits. Patchy opacity is noted within the right lower lobe concerning for pneumonia.  No pleural effusion or pneumothorax is seen. Minimal atelectasis is seen in the left lung base. Calcific density is noted projecting over the left mid lung field, of unclear etiology."
    },
    {
      "id": "aa616ea5-cd79de41-14f45031-b14dfdbb-8a87e2e0",
      "image_path": [
        "p14/p14351746/s54278870/aa616ea5-cd79de41-14f45031-b14dfdbb-8a87e2e0.jpg"
      ],
      "report": "No acute intrathoracic process. Low lung volumes are present.  There is bibasilar atelectasis.  No focal consolidations are seen.  There is no evidence of pneumothorax or pleural effusions.  The heart is normal in size.  There is no pneumoperitoneum.  Visualized osseous structures are grossly intact."
    },
    {
      "id": "59dba30f-e2624fa7-02bf8a9e-2830f3d9-c7933932",
      "image_path": [
        "p12/p12288370/s59269933/59dba30f-e2624fa7-02bf8a9e-2830f3d9-c7933932.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality. Cardiac silhouette size is normal.  Mediastinal and hilar contours are unremarkable.  Pulmonary vasculature is normal.  Lungs are clear.  No pleural effusion or pneumothorax is present.  No acute osseous abnormalities detected. Clips are noted in the right upper quadrant of the abdomen.  Several rounded radiopaque densities overlie the epigastric region, likely ingested pills."
    },
    {
      "id": "dade6216-1602c47f-9d910e97-0444509b-9c3061d6",
      "image_path": [
        "p18/p18402946/s50359429/dade6216-1602c47f-9d910e97-0444509b-9c3061d6.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear.  The cardiomediastinal and hilar contours are normal.  No pleural effusions or pneumothorax.  Mild compression deformity of a mid thoracic vertebra."
    },
    {
      "id": "be088bd5-c0d45254-2cd80286-acd0d6d0-aab1f081",
      "image_path": [
        "p17/p17164728/s55126286/be088bd5-c0d45254-2cd80286-acd0d6d0-aab1f081.jpg"
      ],
      "report": "Normal chest radiograph. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.  No pneumonia, no pulmonary edema. No pleural effusions."
    },
    {
      "id": "7621ba9a-aa8f532e-4755987a-02e27fba-8b45edeb",
      "image_path": [
        "p14/p14093782/s58303572/7621ba9a-aa8f532e-4755987a-02e27fba-8b45edeb.jpg"
      ],
      "report": "No pneumothorax.  Small pleural effusions. Small pleural effusion increased since the prior.  No pneumothorax. Minimal subsegmental atelectasis in the right upper lobe.  Moderate cardiomegaly.  Prior median sternotomy, AVR and dual lead pacer in the right atrium and right ventricle."
    },
    {
      "id": "365a6136-bfd5f5a1-0f64f4a5-e21dd1c5-7b8c0429",
      "image_path": [
        "p17/p17951619/s52629104/365a6136-bfd5f5a1-0f64f4a5-e21dd1c5-7b8c0429.jpg"
      ],
      "report": "Lungs clear.  Heart size is normal. Normal mediastinal and hilar contours. No pleural abnormality. Infusion port catheter ends close to the superior cavoatrial junction. "
    },
    {
      "id": "cefaf19d-547ced74-c05f31be-e1f4d014-695cca1c",
      "image_path": [
        "p15/p15128282/s55791617/cefaf19d-547ced74-c05f31be-e1f4d014-695cca1c.jpg"
      ],
      "report": "Air-filled neo-esophagus.  No evidence of pneumomediastinum. A single portable chest radiograph was obtained.  Air distends the patient's gastric pull-through.  There is an air-fluid level at the inferior aspect of the neoesophagus.  The lungs are well expanded and clear.  The cardiac and mediastinal contours are normal.  There is no evidence of pneumomediastinum.  A left chest Port-A-Cath tip terminates in the mid SVC."
    },
    {
      "id": "7168a0c6-6f53c06b-0a6db538-ee577f9c-e5514d67",
      "image_path": [
        "p16/p16149767/s51940441/7168a0c6-6f53c06b-0a6db538-ee577f9c-e5514d67.jpg"
      ],
      "report": "Mild interstitial pulmonary edema.  No focal consolidation.  COPD There is mild interstitial edema.  The lungs are hyperinflated consistent with COPD.  There is no focal consolidation, pleural effusion, or pneumothorax.  The cardiomediastinal silhouette is within normal limits."
    },
    {
      "id": "3b825e5c-972cf73b-c9e78f42-2ffb6f80-40fb7b5e",
      "image_path": [
        "p11/p11483127/s51499238/3b825e5c-972cf73b-c9e78f42-2ffb6f80-40fb7b5e.jpg"
      ],
      "report": "No acute intrathoracic process. No focal consolidation is present.  The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.  There is no pleural effusion or pneumothorax."
    },
    {
      "id": "cc172c6a-5d6966e4-0431f251-efb59fad-c867459f",
      "image_path": [
        "p19/p19249052/s54946441/cc172c6a-5d6966e4-0431f251-efb59fad-c867459f.jpg"
      ],
      "report": "Possible retrocardiac opacification, although without correlate on the lateral view, perhaps an artifact.  If there is persistent concern for an evolving pulmonary process, repeat radiographs showing the entirety of the lung bases could be considered in short-term follow-up. The patient is status post sternotomy and repair of ascending aorta.  There is similar marked enlargement of both the left atrial appendage and main pulmonary artery, accounting for enlarged lobular left upper cardiac borders.  The lower part of the chest is partly excluded, making it difficult to exclude very small effusions but there is some degree of retrocardiac opacification suggested on the frontal view only."
    },
    {
      "id": "9cea606d-2b78a374-4cef4b60-83d6939c-98298513",
      "image_path": [
        "p12/p12051380/s51437298/9cea606d-2b78a374-4cef4b60-83d6939c-98298513.jpg"
      ],
      "report": "Heart size and mediastinum are stable.  2 chest tubes are present on the right, the upper 1 demonstrates to have its side-hole outside of the ribcage with substantial and growing subcutaneous air.  Right basal opacity and pleural effusion are unchanged.  There is no pneumothorax. "
    },
    {
      "id": "0dd07c5b-bcadc4e8-c49a7700-6e8193e0-e5dfec33",
      "image_path": [
        "p12/p12629893/s54216639/0dd07c5b-bcadc4e8-c49a7700-6e8193e0-e5dfec33.jpg"
      ],
      "report": "Stable appearance of the chest. The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appears unchanged. There is an unchanged moderate pleural effusion on the right with associated right basilar atelectasis.  A small pleural effusion on the left side also appears unchanged.  Multifocal areas of reticulation are also similar to the prior study.  Metallic stents project over the right upper quadrant."
    },
    {
      "id": "85736334-18ffcd7c-03bad148-7a82fcdf-57e5c1ad",
      "image_path": [
        "p10/p10734233/s50199467/85736334-18ffcd7c-03bad148-7a82fcdf-57e5c1ad.jpg"
      ],
      "report": "No signs of pneumonia. PA and lateral views of the chest were provided.  The lungs are clear and well inflated  No focal consolidation, effusion, or pneumothorax.  Heart and mediastinal contours appear normal.  Bony structures are intact.  No free air below the right hemidiaphragm."
    },
    {
      "id": "8dedf214-4bff8eb3-afdf4622-ef871c9c-a7942b60",
      "image_path": [
        "p13/p13053160/s53320285/8dedf214-4bff8eb3-afdf4622-ef871c9c-a7942b60.jpg"
      ],
      "report": "PICC line with the tip in the mid SVC.  Otherwise, normal chest radiograph. Frontal image of the chest demonstrates a left PICC line with the tip in the mid SVC.  Cardiomediastinal silhouette is unremarkable.  The lungs are clear.  There is no pneumothorax or pleural effusion.  Visualized osseous structures are unremarkable."
    },
    {
      "id": "b9ddd3b0-95ebfa0f-b349fe5f-8e0d776c-bf59a883",
      "image_path": [
        "p11/p11981221/s55082277/b9ddd3b0-95ebfa0f-b349fe5f-8e0d776c-bf59a883.jpg"
      ],
      "report": "No evidence of pneumonia/aspiration. There are no lung opacities concerning for infection.  Mildly enlarged heart, mediastinal and hilar contours are stable.  Minimal to moderate atherosclerotic calcification is present in aortic arch."
    },
    {
      "id": "5e4c8ab7-81725ab7-22c43eb7-83b2f5af-c17e1d69",
      "image_path": [
        "p15/p15043588/s50130308/5e4c8ab7-81725ab7-22c43eb7-83b2f5af-c17e1d69.jpg"
      ],
      "report": "No acute cardiopulmonary process. PA and lateral views of the chest demonstrate the lungs are well expanded and clear.  The cardiomediastinal silhouette is unremarkable.  There is no pleural effusion, pulmonary edema or focal consolidation."
    },
    {
      "id": "4553cd9a-235faae7-58444cf4-a440627c-4d3be1f5",
      "image_path": [
        "p14/p14410936/s54371889/4553cd9a-235faae7-58444cf4-a440627c-4d3be1f5.jpg"
      ],
      "report": "Mildly enlarged heart. Otherwise normal. PA and lateral views of the chest provided.  There is no focal consolidation, effusion, or pneumothorax.  Heart size is mildly enlarged.  Mediastinal and hilar configuration is normal.  Imaged osseous structures are intact.  No free air below the right hemidiaphragm is seen."
    },
    {
      "id": "49e9f424-cd9daceb-1ea5c5ad-e3e41781-7188fcdf",
      "image_path": [
        "p13/p13507926/s55635929/49e9f424-cd9daceb-1ea5c5ad-e3e41781-7188fcdf.jpg"
      ],
      "report": "Feeding tube with the wire stylet in place ends in the mid stomach.  Lungs clear.  Heart size normal.  No pneumothorax or pleural effusion. "
    },
    {
      "id": "bcab42f4-23887534-62f4ee07-e8b75a40-5d40ca36",
      "image_path": [
        "p10/p10854695/s50209909/bcab42f4-23887534-62f4ee07-e8b75a40-5d40ca36.jpg"
      ],
      "report": "Little interval change from the prior study, with the basal and left apical masses.  No definitive acute interval change. "
    },
    {
      "id": "69ce03c6-74039349-39a8d33b-1695543c-7ed6984c",
      "image_path": [
        "p17/p17583585/s50005685/69ce03c6-74039349-39a8d33b-1695543c-7ed6984c.jpg"
      ],
      "report": "Airspace consolidation in the left lung concerning for pneumonia. Moderate right pleural effusion with compressive lower lobe atelectasis. Airspace consolidation is patchy throughout the left lung concerning for pneumonia.  Opacification of the left mid to lower lung is likely secondary to a moderate pleural effusion and associated atelectasis in the right lower lung.  The right apex remains well aerated.  Heart size cannot be assessed.  Bony structures are intact though there is severe degenerative disease at both shoulders partially imaged."
    },
    {
      "id": "1041869e-a007a1e5-422573a7-2f4bcefa-3ce98346",
      "image_path": [
        "p10/p10724345/s58902125/1041869e-a007a1e5-422573a7-2f4bcefa-3ce98346.jpg"
      ],
      "report": "Right PICC line tip is at the level of mid SVC.  Cardiomegaly is severe, unchanged.  Vascular congestion is mild.  Right pleural effusion and left pleural effusion the moderate.  There is no pneumothorax. "
    },
    {
      "id": "8adb50f7-07f8f0f2-6bb316de-9f000d94-8370210f",
      "image_path": [
        "p17/p17076921/s56765555/8adb50f7-07f8f0f2-6bb316de-9f000d94-8370210f.jpg"
      ],
      "report": "No pneumonia. Both lungs are well expanded without any opacities concerning for pneumonia.  There is no pleural abnormality.  Heart size, mediastinal and hilar contours are normal."
    },
    {
      "id": "c11ba0f4-f8380e2e-f38db466-f6a019ff-08bff0a9",
      "image_path": [
        "p14/p14770419/s50245749/c11ba0f4-f8380e2e-f38db466-f6a019ff-08bff0a9.jpg"
      ],
      "report": "No acute cardiopulmonary process. Frontal and lateral views of the chest were obtained.  The cardiomediastinal silhouettes are stable.  No focal consolidation, pleural effusion or evidence of pneumothorax is seen.  Surgical clips are noted in the upper abdomen.  No displaced fracture is identified."
    },
    {
      "id": "0b9b9fc4-dde31f7d-c5ab156d-6d844ae1-87a154c8",
      "image_path": [
        "p10/p10481236/s56108661/0b9b9fc4-dde31f7d-c5ab156d-6d844ae1-87a154c8.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality. 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."
    },
    {
      "id": "60e448ab-19fdabbc-87936d1f-3a9326a1-717e56aa",
      "image_path": [
        "p16/p16578063/s55058160/60e448ab-19fdabbc-87936d1f-3a9326a1-717e56aa.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality. The cardiac silhouette size is normal.  The aorta is mildly tortuous and demonstrates minimal aortic knob calcification, unchanged.  The mediastinal and hilar contours are stable.  Lungs are clear without focal consolidation.  No pleural effusion or pneumothorax is present.  The pulmonary vascularity is not engorged.  The lungs are hyperinflated with flattening of the diaphragms.  There are multilevel degenerative changes in the thoracic spine."
    },
    {
      "id": "7517fa47-c600308c-9a34b338-d8d3187d-52d08e49",
      "image_path": [
        "p17/p17250375/s54129063/7517fa47-c600308c-9a34b338-d8d3187d-52d08e49.jpg"
      ],
      "report": "Interval worsening. Stable retrocardiac consolidation likely atelectasis, since prior.  Worsened right basilar, lingular opacities, may represent atelectasis, consider pneumonitis, aspiration in the appropriate clinical setting.  Stable heart size.  Mild interstitial prominence in the lower lungs, more prominent, may represent edema.  Small pleural effusions."
    },
    {
      "id": "4283b9c3-f1f67c66-845948a4-cacf9a5e-3e1789ed",
      "image_path": [
        "p12/p12773009/s59199393/4283b9c3-f1f67c66-845948a4-cacf9a5e-3e1789ed.jpg"
      ],
      "report": "Interval increase in size of the left pleural effusion, now moderate in extent. Moderate left pleural effusion with overlying atelectasis.  The right lung is clear.  No pneumothorax identified.  The size and appearance of the cardiac silhouette is unchanged."
    },
    {
      "id": "5b289446-1ba7edbb-27d3979b-f010d9ec-431a5588",
      "image_path": [
        "p13/p13798952/s51830382/5b289446-1ba7edbb-27d3979b-f010d9ec-431a5588.jpg"
      ],
      "report": "No acute cardiopulmonary process. The lungs are clear without focal consolidation.  No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.    Mild scoliosis."
    },
    {
      "id": "66064517-0f5c9765-62e216ed-f9238fb2-d23d193c",
      "image_path": [
        "p14/p14856789/s56002899/66064517-0f5c9765-62e216ed-f9238fb2-d23d193c.jpg"
      ],
      "report": "Previous left lower lung pneumonia has substantially improved. Previous large left basilar consolidation has markedly improved.  A residual opacity in the left lower lobe is best seen on the lateral radiograph.  Mediastinal contours including left ventricular enlargement and pacemaker leads are stable.  The right lungs clear.  There is no large pleural effusion or pneumothorax."
    },
    {
      "id": "fcc3f218-1f012e77-ef9f02fe-3c190468-e191a6f9",
      "image_path": [
        "p10/p10454038/s50465727/fcc3f218-1f012e77-ef9f02fe-3c190468-e191a6f9.jpg"
      ],
      "report": "No acute cardiopulmonary abnormality.  No radiopaque foreign body identified. 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.  No radiopaque foreign body is demonstrated."
    },
    {
      "id": "cada5e0a-3b133c26-8e5333de-c40829fa-19cfb74a",
      "image_path": [
        "p10/p10993554/s51053854/cada5e0a-3b133c26-8e5333de-c40829fa-19cfb74a.jpg"
      ],
      "report": "No active disease. The heart and great vessels are normal.  The lungs are clear of an active process and well expanded.  There is no pleural effusion or pneumothorax."
    },
    {
      "id": "f2075359-95abe553-4b4ad26d-9cf78234-a25cd6a7",
      "image_path": [
        "p14/p14214357/s59910235/f2075359-95abe553-4b4ad26d-9cf78234-a25cd6a7.jpg"
      ],
      "report": "Right subclavian line tip is at the level of lower SVC. Tracheostomy is in place. Bilateral pleural effusions and bibasal consolidations appear to be minimally progressed and there is potentially interval increase in left pleural fluid, loculated along the fissure. "
    },
    {
      "id": "8e1eaa29-d0d7e990-dc833bff-509a8910-55e1947f",
      "image_path": [
        "p14/p14538785/s50857443/8e1eaa29-d0d7e990-dc833bff-509a8910-55e1947f.jpg"
      ],
      "report": "Interval placement of a left-sided chest tube with a short radiolucent segment of the tube outside the thoracic cavity.  This radiolucent segment may correlate with a side hole on the chest tube.  Recommend correlation with physical examination. A right PICC is in unchanged position.  There has been interval placement of a left-sided chest tube.  Of note, a short radiolucent segment of the chest tube (which may correlate with a side hole) appears to be outside the thoracic cavity.  As before, the right lung is grossly unremarkable and there is near opacification of the left hemi thorax."
    }
  ],
  "patient_ids": [
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