ReXErr-v1: Clinically Meaningful Chest X-Ray Report Errors Derived from MIMIC-CXR 1.0.0
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| dicom_id | study_id | subject_id | original_report | error_report | errors_sampled |
|---|---|---|---|---|---|
| 02aa804e-bde0afdd-112c0b34-7bc16630-4e384014, 174413ec-4ec4c1f7-34ea26b7-c5f994f8-79ef1962 | 50414267 | 10000032 | Findings: There is no focal consolidation, pleural effusion or pneumothorax. Bilateral nodular opacities that most likely represent nipple shadows. The cardiomediastinal silhouette is normal. Clips project over the left lung, potentially within the breast. The imaged upper abdomen is unremarkable. Chronic deformity of the posterior left sixth and seventh ribs are noted. Impression: No acute cardiopulmonary process. | Findings: There is no focal consolidation, pleural effusion or pneumothorax. No nodular opacities. The cardiomediastinal silhouette is normal. No clips seen. The imaged upper abdomen is unremarkable. Chronic deformity of the posterior left sixth and seventh grabs are noted. Impression: No acute cardiopulmonary process. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 2a2277a9-b0ded155-c0de8eb9-c124d10e-82c5caab, e084de3b-be89b11e-20fe3f9f-9c8d8dfe-4cfd202c | 53189527 | 10000032 | Findings: The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Multiple clips are again seen projecting over the left breast. Remote left-sided rib fractures are also re- demonstrated. Impression: No acute cardiopulmonary abnormality. | Findings: The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Portable chest radiograph shows an NG tube coiled in the stomach. No pleural effusion or pneumothorax is present. Multiple clips are again seen projecting over the left breast. Multiple clips are again seen projecting over the left breast. Remote left-sided rib fractures are also re-demonstrated. Impression: No acute cardiopulmonary abnormality. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| ea030e7a-2e3b1346-bc518786-7a8fd698-f673b44c | 56699142 | 10000032 | Findings: The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Multiple surgical clips project over the left breast, and old left rib fractures are noted. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Multiple surgical clips project over the right breast, and old left rib fractures are noted. Small left pleural effusion is seen. Impression: Mild pleural effusion present. | ['Change name of device', 'Add contradiction', 'False prediction'] |
| 096052b7-d256dc40-453a102b-fa7d01c6-1b22c6b4, b79e55c3-735ce5ac-64412506-cdc9ea79-f1af521f | 57375967 | 10000764 | Findings: PA and lateral views of the chest provided. The lungs are adequately aerated. There is a focal consolidation at the left lung base adjacent to the lateral hemidiaphragm. There is mild vascular engorgement. There is bilateral apical pleural thickening. The cardiomediastinal silhouette is remarkable for aortic arch calcifications. The heart is top normal in size. Impression: Focal consolidation at the left lung base, possibly representing aspiration or pneumonia. Central vascular engorgement. | Findings: PA and lateral views of the chest provided. The lungs are adequately aeratd. There is a focal consolidation at the left lug base adjacent to the lateral hemidiaphragm. There is moderate vascular engorgement. There is bilateral apical pleural thickening. The cardiomediastinal silhouette is remarkable for aortic arch calcifications. The heart is top normal in size. A pacemaker is present. Impression: Focal consolidation at the left lung base, possibly representing aspiration or pneumonia. Central vascular engorgement. | ['Change severity', 'Add typo', 'Add medical device'] |
| 0c4eb1e1-b801903c-bcebe8a4-3da9cd3c-3b94a27c, 2a280266-c8bae121-54d75383-cac046f4-ca37aa16 | 50771383 | 10000898 | Findings: PA and lateral views of the chest provided. Lung volumes are somewhat low. 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. Impression: No acute intrathoracic process. | Findings: PA and lateral views of the chest provided. Lung volumes are somewhat low. No focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the left hemidiaphragm is seen. Impression: No acute intrathoracic process. | ['Change location', 'Change to homophone', 'False negation'] |
| 8959e402-2175d68d-edba5a6c-baab51c3-9359f700, 9e7a6aae-2580e589-6212d336-9813ebbd-a9239a34 | 54205396 | 10000898 | Findings: As compared to the prior examination dated ___, there has been no significant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. There is persistent thoracic kyphosis with mild wedging of a mid thoracic vertebral body. Impression: No evidence of acute cardiopulmonary process. | Findings: As compared to the prior examination dated ___, there has been a significant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. There is persistent thoracic kyphosis with moderate wedging of a mid thoracic vertebral body. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Impression: No evidence of acute cardiopulmonary process. | ['Change severity', 'Add repetitions', 'False negation'] |
| d0b71acc-b5a62046-bbb5f6b8-7b173b85-65cdf738 | 50578979 | 10000935 | Findings: Lung volumes remain low. There are innumerable bilateral scattered small pulmonary nodules which are better demonstrated on recent CT. Mild pulmonary vascular congestion is stable. The cardiomediastinal silhouette and hilar contours are unchanged. Small pleural effusion in the right middle fissure is new. There is no new focal opacity to suggest pneumonia. There is no pneumothorax. Impression: 1. Low lung volumes and mild pulmonary vascular congestion is unchanged. 2. New small right fissural pleural effusion. 3. No new focal opacities to suggest pneumonia. | Findings: Lung volumes rmain low. There are no pulmonary nodules. Mild pulmonary vascular congestion is stable. The cardiomediastinal silhouette and hilar contours are unchanged. Small pleural effusion in the left middle fissure is new. There is no new focal opacity to suggest pneumonia. There is no pneumothorax. Impression: 1. Low lung volumes and mild pulmonary vascular congestion are unchanged. 2. New small left fissural pleural effusion. 3. No new focal opacities to suggest pneumonia. | ['Change location', 'Add typo', 'False negation'] |
| 3be619d1-506a66cf-ff1ab8a1-2efb77bb-fe7d59fc, 9b314ad7-fbcb0422-6db62dfc-732858d0-a5527d8b | 51178377 | 10000935 | Findings: The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. There are a number of round nodular densities projecting over each upper lung, but more numerous and discretely visualized in the left upper lobe, similar to prior study. However, in addition, there is a more hazy widespread opacity projecting over the left mid upper lung which could be compatible with a coinciding pneumonia. Pulmonary nodules in the left upper lobe are also not completely characterized on this study. There is no pleural effusion or pneumothorax. Post-operative changes are similar along the right chest wall. Impression: Increasing left lung opacification which may reflect pneumonia superimposed on metastatic disease, although other etiologies such as lymphangitic pattern of metastatic spread could be considered. CT may be helpful to evaluate further if needed clinically. | Findings: The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. There are a number of round nodular densities projecting over each upper lung, but more numerous and discretely visualized in the right upper lobe, similar to prior study. However, in addition, there is a more hazy widespread opacity projecting over the left mid upper lung which could be compatible with coinciding pneumonia. Pulmonary nodules are not completely characterized on this study. There is no pleural effusion or pneumothorax. Post-operative changes are similar along the right chest wall. There is a more hazy widespread opacity projecting over the left mid upper lung which could be compatible with a coinciding pneumonia. Impression: No opacification is seen. CT may be helpful to evaluate further if needed clinically. | ['Change location', 'Add repetitions', 'False negation'] |
| c50494f1-90e2bff5-e9189550-1a4562fd-6ab5204c | 55697293 | 10000935 | Findings: Heart size is normal. Mediastinal contours are normal with mild aortic tortuosity. Post-surgical changes in the right hemithorax are stable including thickening of the pleura along the costal surface and blunting of the costophrenic sulcus. The right sixth rib surgical fracture is redemonstrated. There are no new lung nodules identified. Impression: Stable chest radiograph. | Findings: Heart size is normal. Mediastinal contours are normal with mild aortic tortuosity. Post-surgical changes in the left hemithorax are stable including thickening of the pleura along the costal surface and blunting of the costophrenic sulcus. The right sixth rib surgical fracture is redemonstrated. There are bilateral lung nodules identified. Impression: Airspace opacities likely representing pneumonia. | ['Change location', 'Add contradiction', 'False prediction'] |
| 8e3f2822-0c1d4b71-2a265bbf-5b96e531-ccf5fa30, ad13cf84-62c34a01-a01b9e87-2581a359-83bbc046 | 56164612 | 10000935 | Findings: Lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unremarkable. New nodular opacities are clustered within the left upper lobe, and to a lesser extent, within the right upper lobe. There is no pneumothorax or left-sided pleural effusion. Pulmonary vascularity is within normal limits. Postsurgical changes are noted in the right chest with partial resection of the right 6th rib, lateral right pleural thickening and chronic blunting of the costophrenic sulcus. Impression: New nodular opacities within both upper lobes, left greater than right. Findings are compatible with metastases, as was noted in the lung bases on the subsequent CT of the abdomen and pelvis performed later the same day. | Findings: Lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unremarkable. New nodular opacities are clustered within the right upper lobe, and to a lesser extent, within the left upper lobe. There is no pneumothorax or left-sided pleural effusion. An ICD is present in the right chest. Pulmonary vascularity is within normal limits. Postsurgical changes are noted in the right chest with partial resection of the right 6th rib, lateral right pleural thickening and chronic blunting of the costophrenic sulcus. Impression: No nodular opacities are present in the lung fields. Findings are compatible with metastases, as was noted in the lung bases on the subsequent CT of the abdomen and pelvis performed later the same day. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 88498b37-c21dc7ba-bc202800-b517a62d-f7ac5bcf | 58219844 | 10000935 | Findings: Lung volumes are low. This results in crowding of the bronchovascular structures. There may be mild pulmonary vascular congestion. The heart size is borderline enlarged. The mediastinal and hilar contours are relatively unremarkable. Innumerable nodules are demonstrated in both lungs, more pronounced in the left upper and lower lung fields compatible with metastatic disease. No new focal consolidation, pleural effusion or pneumothorax is seen, with chronic elevation of right hemidiaphragm again seen. The patient is status post right lower lobectomy. Rib deformities within the right hemithorax is compatible with prior postsurgical changes. Impression: Innumerable pulmonary metastases. Possible mild pulmonary vascular congestion. Low lung volumes. | Findings: Lung volumes are low. This results in crowding of the bronchovascular structures. There may be severe pulmonary vascular congestion. The heart size is severely enlarged. The mediastinal and hilar contours are relatively unremarkable. Innumerable nodules are demonstrated in both lungs, more pronounced in the left upper and lower lung fields compatible with metastatic disease. No new focal consolidation, pleural effusion or pneumothorax is seen, with chronic elevation of right hemidiaphragm again seen. The patient is status post right lower lobectomy. Rib deformities within the right hemithorax is compatible with prior postsurgical changes. The patient has an ET tube in place. Impression: Innumerable pulmonary metastases. There is no pulmonary vascular congestion. Low lung volumes. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 6ad03ed1-97ee17ee-9cf8b320-f7011003-cd93b42d, 6b360eca-17d2ae1a-19126084-78e9c85d-9800d216 | 50985099 | 10000980 | Impression: Compared to chest radiographs since ___, most recently one ___. Previous mild pulmonary edema and possible concurrent pneumonia has all cleared. Heart is top-normal size, improved, and pleural effusions have resolved. Right hilar vessels are still enlarged, perhaps due to pulmonary arterial hypertension. Lateral view shows atherosclerotic coronary calcification in the left circumflex. | Impression: Compared to chest radiographs since ___, most rently one ___. Mild pulmonary edema and definite concurrent pneumonia has all cleared. Heart is top-normal size, worsened, and pleural effusions have resolved. Right hilar vessels are still enlarged, with persistent bibasilar opacities noted. Lateral view shows atherosclerotic coronary calcification in the left circumflex artery is normal. | ['Change severity', 'Add typo', 'False prediction'] |
| 943486a3-b3fa9ff7-50f5a769-7a62fcbb-f39b6da4 | 51967283 | 10000980 | Impression: Right upper lobe pneumonia or mass. However, given right hilar fullness, a mass resulting in post-obstructive pneumonia is within the differential. Recommend chest CT with intravenous contrast for further assessment. Dr. ___ communicated the above results to Dr. ___ at 8:55 am on ___ by telephone. | Impression: Right upper lobe pneumonia or mass. However, given left hilar fullness, a mass resulting in post-obstructive pneumonia is within the differential. Recommend chest CT with intravenous contrast for farther assessment. Dr. ___ communicated the above results to Dr. ___ at 8:55 am on ___ by telephone. A central venous line is present in the right subclavian vein. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 96f9a77c-59b47dfb-0cac64db-6538421a-a6b135e2, cfb03587-782edf6c-1bf392e1-98196cd5-365d69e8 | 54577367 | 10000980 | Findings: Mild to moderate enlargement of the cardiac silhouette is unchanged. The aorta is calcified and diffusely tortuous. The mediastinal and hilar contours are otherwise similar in appearance. There is minimal upper zone vascular redistribution without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized. Impression: No radiographic evidence for pneumonia. | Findings: Mild to moderate enlargement of the cardiac silhouette is unchanged. The aorta is calcified and diffusely tortuous. The mediastinal and hilar contours are otherwise similar in appearance. There is minimal lower zone vascular redistribution without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized. The aorta is calcified and diffusely tortuous. A central venous line is present. Impression: No radiographic evidence for pneumonia. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 6ad819bb-bae74eb9-7b663e90-b8deabd7-57f8054a, 8ffec5b7-419a7a3f-2bd64dc8-da23ed1e-24e1a884 | 54935705 | 10000980 | Findings: There is mild pulmonary edema with superimposed region of more confluent consolidation in the left upper lung. There are possible small bilateral pleural effusions. Moderate cardiomegaly is again seen as well as tortuosity of the descending thoracic aorta. No acute osseous abnormalities. Impression: Mild pulmonary edema with superimposed left upper lung consolidation, potentially more confluent edema versus superimposed infection. | Findings: There is moderate pulmonary edema with superimposed region of more confluent consolidation in the left upper lung. There are possible small bilateral pleural effusions. Severe cardiomegaly is again seen as well as tortuosity of the descending thoracic aorta. No acute osseous abnormalities. No pulmonary edema. Impression: Mild pulmonary edema with superimposed left upper lung consolidation, potentially more confluent edema versus superimposed infection. | ['Change severity', 'Add repetitions', 'False negation'] |
| a75a1fbe-802065ad-717eb7c1-e2ce3552-646276a6, e2c78502-fe9ea663-7f57d466-3e6a9be2-e969cabb | 54980801 | 10000980 | Findings: The lungs are clear of consolidation, effusion, or edema. Cardiac silhouette is top normal. Descending thoracic aorta is tortuous with atherosclerotic calcification seen at the arch. No acute osseous abnormalities identified. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear of consolidation, effusion, or edema. Cardiac silhouette is top normal. A tube placement is noted. Descending thoracic aorta is tortuous with atherosclerotic calcification scene at the arch. No acute osseous abnormalities identified. Impression: No acute cardiopulmonary process. | ['Add medical device', 'Change to homophone', 'False negation'] |
| 5aa15ba6-55f5e96e-39cea686-7c3b28b2-b8c97a88, dd8af025-426084b7-b7c38b0c-436a70e0-3e650184 | 57861150 | 10000980 | Findings: Heart size remains mild to moderately enlarged. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unchanged. Previous pattern of mild pulmonary edema has essentially resolved. Mild atelectasis is seen in the lung bases without focal consolidation. Blunting of the costophrenic angles bilaterally suggests trace bilateral pleural effusions, not substantially changed in the interval. No pneumothorax is present. Impression: Interval resolution of previously seen mild pulmonary edema with trace bilateral pleural effusions. | Findings: Heart size remains severely enlarged. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unchaged. Previous pattern of mild pulmonary edema has essentially resolved. Mild atelectasis is seen in the lung bases without focal consolidation. Blunting of the costophrenic angles bilaterally suggests trace bilateral pleural effusions, not substantially changed in the interval. Lobulated mass visible in the right upper lobe. No pneumothorax is present. Impression: Interval resolution of previously seen mild pulmonary edema with moderate bilateral pleural effusions. | ['Change severity', 'Add typo', 'False prediction'] |
| 54affd39-8bf24209-232bac8a-df6c277a-398ee8a5 | 58206436 | 10000980 | Findings: In comparison to study performed on of ___ there is new mild pulmonary edema with small bilateral pleural effusions. Lung volumes have decreased with crowding of vasculature. No pneumothorax. Severe cardiomegaly is likely accentuated due to low lung volumes and patient positioning. Impression: 1. New mild pulmonary edema with persistent small bilateral pleural effusions. 2. Severe cardiomegaly is likely accentuated due to low lung volumes and patient positioning. | Findings: In comparison to study performed on of ___ there is new severe pulmonary edema with small bilateral pleural effusions. Lung volumes have decreased with crowding of vasculature. No pneumothorax. Mild cardiomegaly is likely accentuated due to low lung volumes and patient positioning. Impression: 1. No pulmonary edema. 2. Severe cardiomegaly is likely accentuated due to low lung volumes and patient positioning. | ['Change severity', 'Add contradiction', 'False negation'] |
| c7526473-7b7214ee-a5d58d12-29d1f67f-9f4edf00 | 58636672 | 10000980 | Impression: As compared to ___, the lung volumes have slightly decreased. Signs of mild overinflation and moderate pleural effusions persist. Moderate cardiomegaly. Elongation of the descending aorta. No pneumonia. | Impression: As compared to ___, the lung volumes have slightly decreased. Signs of mild overinflation and moderate pleural effusions persist. Severe cardiomegaly. Elongation of the descending aorta. No pneumonia is seen in the right upper lobe. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 57a3c797-7272b246-fa226777-e4c7d84c-91ec2e96, 925b9496-a956d7b2-05185e52-bb33313b-c06ee522 | 59988438 | 10000980 | Findings: PA and lateral views of the chest demonstrate low lung volumes. Tiny bilateral pleural effusions are new since ___. No signs of pneumonia or pulmonary vascular congestion. Heart is top normal in size though this is stable. Aorta is markedly tortuous, unchanged. Aortic arch calcifications are seen. There is no pneumothorax. No focal consolidation. Partially imaged upper abdomen is unremarkable. Impression: Tiny pleural effusions, new. Otherwise unremarkable. | Findings: PA and lateral views of the chest demonstrate low lung volumes. Tiny right pleural effusions are new since ___. No sings of pneumonia or pulmonary vascular congestion. Heart is top normal in size though this is stable. Aorta is markedly tortuous, unchanged. Aortic arch calcifications are seen. There is mild interstitial edema. No focal consolidation. Partially imaged upper abdomen is unremarkable. Impression: Tiny pleural effusions, new. Otherwise unremarkable. | ['Change location', 'Add typo', 'False prediction'] |
| 28fad2ac-d6001216-b4f72c5b-2d4d452e-17b6c9a5, 5cae71aa-99bb4662-41ef629e-7e89308c-5831ff9c | 58224503 | 10001038 | Findings: PA and lateral views of the chest provided. The lungs are well aerated. 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. Impression: No acute intrathoracic process. | Findings: PA and lateral views of the chest provided but duplicated for clarity. The lungs are well aerated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the left hemidiaphragm is seen. Impression: No acute intrathoracic process despite noted findings. | ['Change location', 'Add repetitions', 'False prediction'] |
| 07b9ddda-9a4a1e1a-4495463d-4c77d947-ed368713, 9d0b174f-274aad16-82ecf512-e149845d-79154325 | 53957785 | 10001122 | Findings: Heart size is top normal. Mediastinal and hilar contours are unremarkable, with atherosclerotic calcifications noted throughout the thoracic aorta. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. There is diffuse demineralization of the osseous structures with apparent ossification of the anterior longitudinal ligament. Impression: No acute cardiopulmonary abnormality. | Findings: Heart size is top normal. Mediastinal and hilar contours are unremarkable, with atherosclerotic calcifications noted throughout the lumbar aorta. The pulmnary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. No demineralization of the osseous structures is noted. Impression: No acute cardiopulmonary abnormality. | ['Change location', 'Add typo', 'False negation'] |
| 1fe73f8e-036bd24e-4578c891-33c1746e-864884a7, c0b72282-4bf7adde-cf59c475-8fd53494-bc16bc5c | 53186264 | 10001176 | Findings: The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Each hilum is mildly prominent, probably suggesting mild prominence of central pulmonary vessels, but there is no frank congestive heart failure. No focal opacification is seen aside from streaky left lower lung opacity suggesting minor atelectasis. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. Impression: Mild perihilar prominence, suspected to represent mildly prominent pulmonary vessels without definite pneumonia. Streaky left basilar opacification seen only on the frontal view is probably due to minor atelectasis or scarring. | Findings: The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Each hilum is mildly prominent, probably suggesting mild prominence of central pulmonary vessels, but there is no frank congestive heart failure. There is a small right pleural effusion. No focal opacification is seen aside from streaky left lower lung opacity suggesting minor atelectasis. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. Impression: Mild perihilar prominence, suspected to represent mildly prominent pulmonary vessels without definite pneumonia. Streaky left basilar opacification seen only on the frontal view is probably due to minor atelectasis or scarring. | ['Change location', 'Add repetitions', 'False prediction'] |
| 3b8b1b7d-054490d5-385641e7-ff43d2c8-9505f058, ed9c0dfc-ea25b576-0f8cc069-df4cdf14-0cd60eb7 | 54684191 | 10001176 | Impression: Mild pulmonary edema | Impression: Moderate pulmonary edemax | ['Change severity', 'Add typo', 'False negation'] |
| a917c883-720a5bbf-02c84fc6-98ad00ac-c562ff80, ab111843-fd3b8873-93d8943f-d7618a0c-e6674193 | 52067803 | 10001217 | Findings: There is mild left base atelectasis seen on the frontal view without clear correlate on the lateral view. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is slightly tortuous. The cardiac silhouette is not enlarged. There is no overt pulmonary edema. Impression: Mild left base atelectasis. Otherwise, no acute cardiopulmonary process. | Findings: There is moderate left base atelectasis seen on the frontal view without clear correlate on the lateral view. No definite focal consolidation is scene. There is no pleural effusion or pneumothorax. The aorta is slightly tortuous. The cardiac silhouette is not enlarged. There is no overt pulmonary edema. Presence of an NG tube with its tip in the stomach. Impression: Moderate left base atelectasis. Otherwise, no acute cardiopulmonary process. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 5e54fc9c-37c49834-9ac3b915-55811712-9d959d26 | 58913004 | 10001217 | Findings: As compared to the previous radiograph, there is evidence of an unchanged PICC line placed over the right upper extremity. The tip appears to project over the azygous vein, at the level of the upper SVC. No complications, notably no pneumothorax. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. | Findings: As compared to the previous radiograph, there is evidence of an unchanged chest tube placed over the right upper extremity. The tip appears to project over the azygous vein, at the level of the upper SVC. No complications, notably no pneumothorax. Boarderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Bibasilar opacities could reflect aspiration. | ['Change name of device', 'Change to homophone', 'False prediction'] |
| 0009a9fb-eb905e90-824cad7c-16d40468-007f0038 | 50225296 | 10001401 | Impression: No previous images. Nasogastric tube extends to the mid body of the stomach, be for coiling on itself so that the tip lies close to the esophagogastric junction. For more optimal positioning, the to would have to be pulled back almost 10 cm and then hopefully redirected toward the lower stomach. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. | Impression: No previous images. Nasogastric tube extends to the fundus of the stomach, be for coiling on itself so that the tip lies close to the esophagogastric junction. For more optimal positioning, the to would have to be pulled back almost 10 cm and then hopefully redirected toward the lower stomach. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. There is a small pneumothorax noted in the right lung apex. | ['Change position of device', 'Add typo', 'False prediction'] |
| 1af1b768-31250d78-0286cc9f-0950490e-f4103bcb, 8061113f-c019f3ae-fd1b7c54-33e8690d-be838099 | 51065211 | 10001401 | Findings: PA and lateral views of the chest provided. Lung volumes are low with mild bibasilar atelectasis. No convincing signs of pneumonia or edema. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. There is no free air below the right hemidiaphragm. Fluid level is noted within the stomach. Impression: Mild bibasilar atelectasis. No signs of free air below the right hemidiaphragm. | Findings: PA and lateral views of the chest provided. Lung volumes are low with moderate bibasilar atelectasis. No convincing signs of pneumonia or edema. No large effusion or pneumothorax is scene. The cardiomediastinal silhouette appears normal. There is no free air below the right hemidiaphragm. No fluid level is noted within the stomach. Impression: Mild bibasilar atelectasis. No signs of free air below the right hemidiaphragm. | ['Change severity', 'Change to homophone', 'False negation'] |
| d9db838d-4612fd1e-e45b40a9-3ea30033-26efd8e4 | 55350604 | 10001401 | Impression: Compared to chest radiographs ___ through ___. Heart size top-normal. Lungs grossly clear. No pleural abnormality or evidence of central lymph node enlargement. | Impression: Compared to chest radiographs ___ through ___. Heart size top-normal. Lungs grossly clear. No pleural abnormality or evidence of central lymph node enlargement. No pleural effusions or pneumothorax noted. | ['Add contradiction', 'Add repetitions', 'Add medical device'] |
| d69651ae-dc7bacca-a05efc02-1d5882cd-001c77c4 | 56534136 | 10001401 | Findings: The right costophrenic angle is not imaged. Otherwise, the lungs are clear. The heart size is upper limits of normal. Enteric tube courses below the level of the diaphragm. There is no pneumothorax. Impression: An enteric tube courses below the level of the diaphragm. | Findings: The right costophrenic angle is not imaged. Otherwise, the lungs are clear. The heart size is upper limuts of normal. Enteric tube courses below the level of the diaphragm. Bilateral pleural effusions are present. Impression: An endotracheal tube courses below the level of the diaphragm. | ['Change name of device', 'Add typo', 'False prediction'] |
| a83c7ff9-2d42639c-6ddebd0e-6b67809b-38210026 | 57492692 | 10001401 | Findings: NG tube is coiled in the stomach. Right PICC in lower SVC is unchanged in position. Cardiac size is normal. Mild bibasilar opacities consistent with atelectasis, unchanged compared to chest radiograph performed earlier in the same day. There is no pneumothorax or pleural effusion. Impression: NG tube in expected position with tip coiled in the stomach. No other interval change since chest radiograph performed earlier on the same day. | Findings: NG tube is coiled in the stomach. Right PICC in right atrium is unchanged in position. Cardiac size is normal. Mild bibasilar opacities consistent with atelectasis, unchanged compared to chest radiograph performed earlier in the same day. There is know pneumothorax or pleural effusion. A pacemaker is present with leads in the right ventricle. Impression: NG tube in expected position with tip coiled in the stomach. No other interval change since chest radiograph performed earlier on the same day. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 19e55bee-714bb193-0968d683-5bf655a5-7b5caba9, f56a3d51-284b2466-262661f1-2567a6ab-248f4ae3 | 58747570 | 10001401 | Findings: AP upright and lateral views of the chest provided. Mild basal atelectasis noted. Hilar congestion noted without frank edema. No large effusion or pneumothorax. Heart size is normal. Mediastinal contour is unchanged. Bony structures are intact. No free air below the right hemidiaphragm. Impression: Hilar congestion without frank edema. No convincing signs of pneumonia. | Findings: AP upright and lateral views of the intensitines provided. No basal atelectasis noted. Hilar congestion noted without firnk edema. No large effusion or pneumothorax. Heart size is normal. Mediastinal contour is unchanged. Bony structures are intact. No free air below the left hemidiaphragm. Impression: No hilar congestion. No convincing sihgns of pneumonia. | ['Change location', 'Add typo', 'False negation'] |
| 9fb2d581-65c0f51e-3ff2db55-6b21a902-c270ad96, edb88e4a-c04f1be7-aefcf3e0-8889542d-692ff7fd | 59664767 | 10001851 | Findings: Frontal and lateral views of the chest were obtained. There is mild basilar atelectasis without evidence of focal consolidation. No pleural effusion or pneumothorax is seen. There is minimal biapical pleural thickening. Cardiac silhouette is top normal with likely adjacent epicardial fat pad. The aorta is calcified and tortuous. Some degenerative changes are seen along the spine. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest were obtained. There is mild basilar atelectasis without evidence of focal consolidation. Small pleural effusions are noted. There is minimal biapical pleural thickening. Cardiac silhouette is mildly enlarged with likely adjacent epicardial fat pad. The aorta is calcified and tortuous. Several posterior rib fractures are seen along the spine. Impression: Possible pneumonia and pleural effusions present. | ['Change location', 'Add contradiction', 'False prediction'] |
| 3892f17f-8fa034e8-e9b81865-01c48bbb-b9452626, dcd906c2-e405c990-6e248dd6-d54558ee-fb0e4140 | 50279568 | 10001884 | Findings: The lungs are hyperinflated but clear without consolidation. Biapical scarring is again noted, worse on the right. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | Findings: The lungs are hyperinflated but clear without consolidation. Biapical scarring is again noted, worse on the left. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: Evidence of mild cardiopulmonary process. | ['Change location', 'Add contradiction', 'False negation'] |
| 469d0d94-3dad5068-efac76ef-a28cc502-68fe6275 | 50376803 | 10001884 | Impression: The endotracheal tube tip is 6 cm above the carina. Nasogastric tube tip is beyond the GE junction and off the edge of the film. A left central line is present in the tip is in the mid SVC. A pacemaker is noted on the right in the lead projects over the right ventricle. There is probable scarring in both lung apices. There are no new areas of consolidation. There is upper zone redistribution and cardiomegaly suggesting pulmonary venous hypertension. There is no pneumothorax. | Impression: The endotracheal tube tip is 6 inches above the carina. Nasogastric tube tip is beyod the GE junction and off the edge of the film. A left central line is present in the tip is in the mid SVC. A pacemaker is noted on the right in the lead projects over the right ventricle. There is probable scarring in both lung apices. There are no new areas of consolidation. There is upper zone redistribution and cardiomegaly suggesting pulmonary venous hypertension. A central venous line is also in place. There is no pneumothorax. | ['Change measurement', 'Add typo', 'Add medical device'] |
| 7b25b3ed-e780a527-319cb7b3-02d5d071-f1cddee9 | 50712381 | 10001884 | Impression: Compared to prior chest radiographs since ___, most recently ___ and ___. Mild pulmonary edema has not resolved. Moderate cardiomegaly is stable. Pleural effusion, small if any. No pneumothorax. Right transjugular temporary pacer lead tip projects over the floor of the right ventricle. ET tube in standard placement. Esophageal probe ends at the level of the carina. Transesophageal drainage tube passes into the stomach and out of view. | Impression: Compared to prior chest radiographs since ___, most recently ___ and ___. Mild pulmonary edema has not resolved. Moderate cardiomegaly is stable. Pleural effusion, small if any. No pneumothorax. Right transjugular temporary pacer lead tip projects over the mid SVC. ET tube in standard placement. Esophageal probe ends at the level of the stomach. Transesophageal drainage tube passes into the stomach and out of view. The lungs are clear of consolidation. | ['Change position of device', 'Add contradiction', 'False prediction'] |
| ebf48d65-7e780cd5-59118fba-50977097-3720cc7e | 50807032 | 10001884 | Findings: The lungs are hyper-expanded with associated flattening of the diaphragms. Unexplained mild rightward deviation of the trachea without tracheal narrowing at the level of the thoracic inlet, not markedly changed since ___. No change in the probable right apical bronchiectasis. The lungs are otherwise clear without focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette, hila, and pleura. Stable tortuous descending aorta. Impression: 1. No focal consolidation to suggest active infection. 2. Stable COPD. 3. Stable unexplained mild rightward deviation of the trachea. | Findings: The lungs are hyper-expanded with associated flattening of the diaphragms. Unexplained mild rightward deviation of the trachea without tracheal narrowing at the level of the thoracic inlet, not markedly changed since ___. No change in the probable left apical bronchiectasis. The lungs are otherwise clear without focal consolidation or pulmonary edema. A small left pleural effusion is present, while no pneumothorax is noted. Normal cardiomediastinal silhouette, hila, and pleura. Stable tortuous descending aorta. Impression: 1. No focal consolidation to suggest active infection. 2. Stable mild cardiomegaly. 3. Stable unexplained mild rightward deviation of the trachea. | ['Change location', 'Add typo', 'False prediction'] |
| 96bfb531-d6621042-58ea2067-b155e38f-f76e305b | 51181158 | 10001884 | Findings: Portable AP chest radiograph. The lungs are relatively well expanded without focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with tortuous aortic contour. Impression: No acute intrathoracic process. | Findings: Portable AP chest radiograph. The lungs are relatively well expanded without focal consolidation, pleural effusion, or pneumothorax is present. The heart is normal in size with toruous aortic contour. Impression: ICD is present in the left chest. No acute intrathoracic process. | ['False prediction', 'Add typo', 'Add medical device'] |
| d5f12914-f14ffd99-3ff2ee54-6f0cbd0c-4c411a2c | 51817555 | 10001884 | Findings: Relative increase in opacity over the lung bases bilaterally is felt due to overlying soft tissue rather than consolidation or pleural effusion. Lateral view may be helpful for confirmation. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen Impression: Relative increase in opacity over the lung bases bilaterally felt due to overlying soft tissue rather than consolidation. Lateral view may be helpful for confirmation. | Findings: Relative increase in opacity over the lung vases bilaterally is felt due to overlying soft tissue rather than consolidation or pleural effusion. Lateral view may be helpful for confirmation. No small pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremerkable. No overt pulmonary edema is seen. ET tube is in place with the tip at the carina. Impression: Relative increase in opacity over the lung bases bilaterally felt due to overlying soft tissue rather than consolidation. Lateral view may be helpful for confirmation. | ['Change severity', 'Add typo', 'Add medical device'] |
| 8df1bc0a-1f93728a-1f356bcc-5bfe1147-ab211251, ee31086f-cbf22f9d-9553d506-2bcd4167-0e1e17bf | 52060840 | 10001884 | Findings: No new focal consolidation is seen. Mild right apical pleural thickening is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Small calcification projecting over the upper chest seen on the lateral view is present since at least ___, and may relate to aortic calcification. Impression: No acute cardiopulmonary process. | Findings: No new focal consolidation is seen. Moderate right apical pleural thickening is seen. No pleural effusion or pneumothorax is seen. Left-sided pleural effusion is seen. The cardiac and mediastinal silhouettes are stable. Small calcification projecting over the upper chest seen on the lateral view is present since at least ___, and may relate to aortic calcification. A right IJ central venous catheter with its tip in the superior vena cava is seen. Impression: No acute cardiopulmonary process. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 1e583282-042438d1-4c0d5389-f3c06b76-e9a29eaa, 545a6de8-a04ace43-330b8a57-bd3c7ee2-3c35df44 | 53109065 | 10001884 | Findings: Mild basilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Impression: Mild basilar atelectasis without definite focal consolidation. | Findings: Moderate basilar atelectasis is seen without focal consolidation. No pleural effusion or pnumothorax is seen. The cardiac and mediastinal silhouettes are stable. An NG tube is noted in the esophagus. Impression: Mild basilar atelectasis without definite focal consolidation. | ['Change severity', 'Add typo', 'Add medical device'] |
| 9f5446a9-46ea84a3-6806d8b7-2c0f6d4d-38799159, bd7ebb15-8c5ad4a7-1b13ce66-7d02a4bf-f8f38c98 | 53268982 | 10001884 | Findings: Frontal and lateral radiographs of the chest show hyperinflated lungs with flattened diaphragm, consistent with emphysema. Asymmetric opacity in the right middle lobe is concerning for pneumonia. No pleural effusion or pneumothorax is seen. The cardiomediastinal contours are within normal limits aside from a tortuous aorta. Impression: Right middle lobe opacity concerning for pneumonia. | Findings: Frontal and lateral radiographs of the abdomen show hyperinflated lungs with flattened diaphragm, consistent with emphysema. No asymmetric opacity is concerning for pneumonia. No pleural effusion or pneumothorax is seen. The cardiomediastinal contours are within normal limits aside from a tortuous aorta.Right middle lobe opacity concerning for pneumonia. | ['Change location', 'Add repetitions', 'False negation'] |
| 52d6c812-26dfed36-97e26b11-1fa88177-e8b8b150, 6fb4d662-251b2c9f-bce3aed3-0e6b2a61-8a0a00e5 | 53880659 | 10001884 | Impression: There is hyperinflation. There is no pneumothorax, effusion, consolidation or CHF. There is probable osteopenia. | Impression: There is hyperinflation. There is a small pneumothorax, effusion, consolidation or CHF. There is probable ostopenia. | ['Add contradiction', 'Change to homophone', 'False negation'] |
| a6617202-f5a8661d-78eb1442-037bf3e4-3dd8967f, d750dd88-b22ae468-1adf0189-abe28ee0-a0ec53e9 | 53894864 | 10001884 | Findings: The lungs are clear without consolidation, effusion or edema. Biapical scarring, worse on the right is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without consolidation, effusion or edema. Biapical scarring, worse on the left is again noted. The cardiomediastinal silhouette is within normal limits. Mild pleural effusion is seen. Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'False prediction'] |
| 4ee6a7f9-915c4c58-7dd1082b-6d03b302-aef0b6d9, e321c955-4712586a-94ec15c6-07be7aa1-d875568d | 54000534 | 10001884 | Findings: Hyperexpanded lungs with flattened diaphragms are unchanged. Previously described right tracheal deviation is not seen on the current study. Unchanged bilateral apical bronchial thickening. The lungs are otherwise clear without focal consolidation, pneumothorax, or effusion. The cardiomediastinal and hilar silhouettes are normal. Stable descending tortuous aorta. Impression: No acute cardiopulmonary process, without consolidation or evidence of CHF. | Findings: Hyperexpanded lungs with flattened diaphragms are unchanged. Previously described right tracheal deviation is now observed on the current study. Unchanged bilateral apical bronchial thickening in the left base. The lungs are otherwise clear without focal consolidation, pneumothorax, or effusion. The cardiomediastinal and hilar silhouettes are normal. Stable descending tortuous aorta with new suspicious lesion. Impression: No acute cardiopulmonary process, with small left pleural effusion. | ['Change location', 'Add contradiction', 'False prediction'] |
| 3fc658da-23a5d1b2-68e913fd-bf919f75-b7113290, 82c84173-71ed7fac-3f8d7532-a4e5095e-6db87046 | 54369281 | 10001884 | Findings: Heart size is mildly enlarged. There is mild unfolding of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. There is mild bibasilar atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. Focus of air seen under the right hemidiaphragm, likely represents colonic interposition. Impression: No acute cardiopulmonary abnormality. | Findings: Heart size is severely enlarged. There is mild unfolding of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. There is mild bibasilar atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. Focus of heir seen under the right hemidiaphragm, likely represents colonic interposition. Impression: No acute cardiopulmonary abnormality. A central venous line is present. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 112a33d1-0217c1be-710ee746-aaacee7c-f7bf92e3, 7f23b996-22544258-fcf2fbc3-f8dbf8e7-b6c0e4c5 | 54579606 | 10001884 | Findings: PA and lateral views of the chest provided. Lungs are hyperinflated though clear. Cardiomediastinal silhouette is stable. Bony structures are intact. Impression: No acute intrathoracic process. | Findings: PA and lateral views of the left chest provided. Lings are hyperinflated though clear. Cardiomediastinal silhoette is stable. Bony structures are intact. Impression: No acute intrathoracic process. An NG tube is present in the stomach. | ['Change location', 'Add typo', 'Add medical device'] |
| 7561a64e-145a404e-f12d8f04-3b19c4e1-3de6e5a0, d1cdd125-53a6cbd6-601d5e41-ed49f604-9a580d96 | 54828594 | 10001884 | Findings: Mild to moderate enlargement of the cardiac silhouette is unchanged. The aorta remains tortuous. Mediastinal and hilar contours are otherwise similar. The pulmonary vasculature is not engorged. Lungs are hyperinflated. Apart from minimal atelectasis in the lung bases and biapical scarring in the lung apices, more pronounced on the right, the lungs are clear.No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Impression: No acute cardiopulmonary abnormality. | Findings: Mild to moderate enlargement of the cardiac silhouette is unchanged. The aorta appears normal. Mediastinal and hilar contours are otherwise similar. The pulmonary vasculature remains engorged. Lungs are hyperinflated. Apart from minimal atelectasis in the lung bases and biapical scarring in the lung apices, more pronounced on the right, the lungs are clear. Apart from minimal atelectasis in the lung bases and biapical scarring in the lung apices, more pronounced on the right, the lungs are clear. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Impression: No acute cardiopulmonary abnormality. | ['Change severity', 'Add repetitions', 'False negation'] |
| 02e759a5-72ab444e-581216c8-af8fea64-8b1a744b, 5b135035-4708084f-3bb6d230-9db72889-2aa90c14 | 55333410 | 10001884 | Findings: PA and lateral views the chest provided. Biapical pleural parenchymal scarring noted. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable with an unfolded thoracic aorta and top-normal heart size. Bony structures are intact. Impression: No acute findings. Top-normal heart size. | Findings: PA and lateral views of the left chest provided. Biapical pleural parenchymal scaring noted. There is a right lower lobe consolidation concerning for pneumonia. No effusion or pneumothorax. No signs of congestion or edmea. Cardiomediastinal silhouette is stable with an unfolded thoracic aorta and top-normal heart size. There is a small right pleural thickening. Bony structures are intact. Impression: No acute findings. Top-normal hear size. | ['Change location', 'Add typo', 'False prediction'] |
| 8d4eb7a8-0d3c4f7e-fed33834-ef1c6ffd-e01d0967 | 55893591 | 10001884 | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Again noted is a tortuous aorta. Impression: No evidence of pneumonia. No acute cardiopulmonary process. | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediaastinal silhouettes are unremarkable. No tortuous aorta is seen. Impression: No evidence of pneumonia. No acute cardiopulmonary process. There is a new small left pleural effusion. | ['False negation', 'Add typo', 'False prediction'] |
| f8d7008c-ed9b419b-7f0c85b0-acf404a4-5afe3f3d | 56308417 | 10001884 | Findings: The cardiomediastinal and hilar contours are within normal limits. The aorta is tortuous. There is bilateral apical bronchial thickening, as before. Lung volumes are lower on the current study. Focal opacity involving the right lower lobe could represent an area of atelectasis or infection. There is no effusion or pneumothorax. Impression: Subtle opacity in the right lower lobe could represent atelectasis or infection in the appropriate setting. | Findings: The cardiomediastinal and hilar contours are within normal limits. The aorta is tortuous. There is bilateral apical bronchial thickening, as before. Lung volumes are lower on the current study. Focal opacity involving the left lower lobe could represent an area of atelectasis or infection. There is a small pleural effusion present. Impression: Subtle opacity in the right lower lobe could represent atelectasis or infection in the appropriate setting. | ['Change location', 'Change to homophone', 'False prediction'] |
| 1d5dafe8-b4e14a97-e72964db-47f5e168-f3d50666, 79863f89-595bf19b-3c7b514a-42969d9b-eff42368 | 56349965 | 10001884 | Findings: With exception of mild bibasilar atelectasis, the lungs are normally expanded without focal opacity to suggest pneumonia. Heart size is mildly enlarged. The mediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax. The aorta is unfolded and tortuous. Impression: Mild bibasilar atelectasis. No evidence of pneumonia. | Findings: With exception of moderate bibasilar atelectasis, the lungs are normally expanded without focal opacity to suggest pneumonia. Heart size is mildly enlarged. The mediastinal and hialr contours are unchanged. There is no pleural effusion or pneumothorax. The aorta is unfolded and tortuous. Impression: No atelectasis. No evidence of pneumonia. | ['Change severity', 'Add typo', 'False negation'] |
| c1ad3e27-62d05ef8-95018fe3-b8bcfe4b-bbba0e1f | 56722923 | 10001884 | Impression: Compared to prior chest radiographs ___ through ___. Previous mild pulmonary edema has improved, moderate cardiomegaly and mediastinal vascular engorgement have not. ET tube, right transjugular temporary pacer lead are in standard placements and an esophageal drainage tube passes into the stomach and out of view. Pleural effusions are presumed but not substantial. No pneumothorax. | Impression: Compared to prior chest radiographs ___ through ___. Previous mild pulmonary edema has improved, moderate cardiomegaly and right mediastinal vascular engorgement have not. ET tube, right transjugular temporary pacer lead are in standard placements and an esophageal drainage tube passes into the stomach and out of vuew. Pleural effusions are presumed but not substantial. Persistent infiltrates in the right upper lung. No pneumothorax. | ['Change location', 'Add typo', 'False prediction'] |
| 9fd47edd-07087209-b901811e-3e9e5f50-f382f611 | 57156853 | 10001884 | Impression: In comparison to ___ chest radiograph, pulmonary vascular congestion and minimal interstitial edema are new. No other relevant change. | Impression: In comparison to ___ chest radiograph, pulmonary vascular congestion and moderate interstitial edema are new. There is a subtle bilateral pneumothorax. No other relevant change. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 7f885b34-699f595b-36446207-4f146366-55dfb63f, 9cd94646-ca29ae78-e02e6b81-eca7a7f0-1d039a3e | 57166219 | 10001884 | Findings: Again seen is biapical scarring. The lungs are otherwise clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | Findings: Again seen is biapical scarring. Mild hilar lymphadenopathy is also noted. The lungs are otherwise clear without focal cnosolidation, effusion, or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. A central venous line is in place. Impression: No acute cardiopulmonary process. | ['False prediction', 'Add typo', 'Add medical device'] |
| 1f413a3b-78c5a4aa-978ff5ff-f72a424c-b3a51b92, dc78e84c-6bf41805-cab3f4a8-0a76d337-bb2a1fc6 | 57839849 | 10001884 | Findings: The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Impression: No acute cardiopulmonary process. | Findings: The cardiomediastinal and hilar contours are noraml. The lungs are clear. No atelectasis. Impression: Know acute cardiopulmonary process. | ['Add typo', 'Change to homophone', 'False negation'] |
| 00dccb6d-d0c6f3d3-96277b9f-0ee6d7aa-08abfc1f, 702047a4-bc0d5902-5c6165ef-8edd29a4-23af9a3b | 58196907 | 10001884 | Findings: The lungs are grossly clear. There is no focal consolidation, large effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | Findings: The lungs are grossly clear. There is no focal consolidation, large effusion or edema. The cardiomediastinal silhouette is within normal limits. There are scattered osteosclerotic lesions in the ribs. Impression: Mild pulmonary edema. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 19a1ff65-39b30ed1-5638c787-652a1e79-24c39743, 7f4e7b8d-cacf5a8f-067353ea-f006ed1c-947dc749 | 58350684 | 10001884 | Findings: The cardiac silhouette is normal in size. The hilar and mediastinal contours are stable. There is mild bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Impression: No acute cardiopulmonary process. | Findings: The cardiac silhouette is normal in size. The hilar and mediastinal contours are stable. Right upper lobe atelectasis noted. There is no focal consolidation, effusion or pneumothorax. Impression: No acute cardiopulmonary process. | ['Change severity', 'Change to homophone', 'False prediction'] |
| dae10c54-dcb7bb1f-428bb377-af3b739e-9b16e579, e8f7736b-091930e2-a27c0c41-4ccd2003-d694a9fb | 58788638 | 10001884 | Impression: Bibasilar atelectasis. Otherwise, no acute intrathoracic process. | Impression: Bibasilar atelectasis. Otherwise, no acute intrathoracic process. No pneumothorax equipment is seen. | ['Add medical device', 'Add repetitions', 'False negation'] |
| 66ee3842-a927ac25-a5df697e-f1f36b1f-201b2172, f78ff0e8-0fe55fdf-edcb2147-badd473f-ed9138d2 | 59066712 | 10001884 | Impression: In comparison with the study of ___, the increased opacification at the right base has essentially cleared with better inspiration. Cardiac silhouette remains at the upper limits of normal in size and there is again tortuosity of the aorta without vascular congestion or pleural effusion. Biapical changes, especially on the right, are stable. | Impression: In comparison with the study of ___, the increased opacification at the right base has essentially cleared with better inspiration. Cardiac silhouette remains at the upper limits of normal in size and there is again tortuosity of the aorta without vascular congestion or pleural effusion. Biapical changes, especially on the left, are stable. There is a small left pleural effusion. | ['Change location', 'Add typo', 'False prediction'] |
| 0d5aa7bb-94ab68f3-9f0fa40e-4ad68eb7-2949d77c, 4a327635-ff0c1380-58766d70-6080047d-3f3d124f | 59212874 | 10001884 | Findings: Reticular opacities at the lung bases bilaterally likely represent mild atelectasis. There is mild biapical pleural-parenchymal scarring. No evidence of pneumonia, pleural effusion, or pneumothorax. Heart size and mediastinal contours are within normal limits. Impression: No acute cardiopulmonary process. | Findings: Reticular opacities at the lung bases bilaterally likely represent moderate atelectasis. There is mild biapical pleural-parenchymal scarring. No evidence of pneumonia, pleural effusion, or pneumothorax. Heart sighs and mediastinal contours are within normal limits. There is mild pulmonary vascular congestion. Impression: No acute cardiopulmonary process. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 9b1a8a51-2b8e4a04-1719059d-aa6bc888-7ace612b | 59305618 | 10001884 | Impression: In comparison to previous radiograph of 1 day earlier, support and monitoring devices are unchanged in position. Pulmonary vascular congestion has improved. Airspace opacity at the left lung base has worsened, and additional patchy opacities have developed at the right lung base. Findings could potentially be due to aspiration or evolving aspiration pneumonia in the appropriate clinical setting. Exam is otherwise remarkable for probable small bilateral pleural effusions. | Impression: In comparison to previous radiograph of 1 day earlier, support and monitoring devices are unchanged in position. Pulmonary vascular congestion has worsened. Airspace opacity at the left lung base has worsened, and additional patchy opacities have developed at the left lung base. Findings could potentially be due to aspiration or evolving aspiration pneumonia in the appropriate clinical setting. Exam is otherwise unremarkable with no evidence of pleural effusions. | ['Change location', 'Add contradiction', 'False negation'] |
| 547c0b6b-72739eeb-3c33bc3e-3aa73d13-a9a54bd5, c90a648c-500145f5-d2c26627-69dfbd9c-af5b506f | 59635781 | 10001884 | Findings: The lungs are hyperinflated but clear without confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Impression: No acute cardiopulmonary process. | Findings: The lungs are hyperinflated but clear without confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Central venous line is present. Impression: No acute cardiopulmonary processes. | ['Change to homophone', 'Add repetitions', 'Add medical device'] |
| 2d8a8525-19d0c810-045e1619-ef196132-cd4f1710, be59e7f0-b12bd9fa-a00c4231-48b235ec-4e07ce14 | 59984865 | 10001884 | Impression: Heart size is normal. This ascending aorta is unchanged. Lungs are essentially clear except for chronic interstitial changes bilaterally. The findings might be attributed to the provided history of COPD. If clinically warranted, correlation with cross-sectional imaging might be considered. No pleural effusion or pneumothorax is seen. | Impression: Heart size is normal. Status post placement of a pacemaker. | ['Add medical device', 'Add contradiction', 'False prediction'] |
| 0c27f551-2cc6bf3e-a2e2cabd-97973771-40f1e6ce, 0dc5667e-e216aafd-7a0d1623-69a1fbdf-d4c36abd | 52535468 | 10002013 | Findings: Frontal and lateral views of the chest. There is persistent blunting of left costophrenic angle laterally suggestive of underlying scarring or pleural thickening. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest. There is persistent blunting of left costophrenic angle laterally suggestive of underlying scarring or pleural thickening. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted. Cardiomediastinal silhouette is within normal limits. Impression: Small left-sided pleural effusion. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 9ca8f84e-92fac212-e60ac49d-01779362-caa16791 | 54573731 | 10002013 | Findings: Patient is status post median sternotomy and CABG. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected. Impression: No acute cardiopulmonary abnormality. | Findings: Patient is status post median sternotomy and CABG. Heart size is normal. Mediastinal and hilar contours are unchanged. There is a right-sided chest tube in place. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Heart size is normal. No acute osseous abnormality is detected. Impression: Mild pulmonary edema. | ['Add medical device', 'Add repetitions', 'False prediction'] |
| ab37274f-b4c1fc04-e2ff24b4-4a130ba3-cd167968, d52a0c5c-bb7104b0-b1d821a5-959984c3-33c04ccb | 55941092 | 10002013 | Findings: PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. There is no focal consolidation, effusion, or pneumothorax. Pleural thickening likely accounts for the left CP angle blunting, stable from prior. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Calcified gallstones are partially imaged in the upper abdomen. Impression: No acute intrathoracic process. If there is strong concern for rib fracture, a dedicated rib series may be performed. | Findings: PA and lateral views of the chest provied. Midline sternotomy wires and mediastinal clips not noted. There is no focal consolidation, effusion, or pneumohorax. Pleural thickening likely accounts for the left CP angle blunting, statble from prior. The cardiomediastinal silhouette is normal. Imagend osseous structures are intact. No free air below the right hemidiaphragm is seen. No gallstones are seen in the upper abdomen. Impression: No acute intrathoracic process. If there is strong concern for rib fracture, a dedicated rib series may be pormed. | ['Change position of device', 'Add typo', 'False negation'] |
| 75a4feeb-09da971a-8852f2d6-5eb13992-42d9a50c | 55969846 | 10002013 | Findings: In comparison with the study of earlier in this date, the left chest tube has been removed and there is no evidence of pneumothorax. Otherwise, little change. | Findings: In compairison with the study of earlier in this date, the left catheter has been removed and there is no evidence of pneumothorax. Otherwise, little change. Right-sided NG tube is appropriately positioned. | ['Change name of device', 'Add typo', 'Add medical device'] |
| 48edbd44-ca2376ca-059a9f55-3fc8abd1-e13e4b76 | 57741292 | 10002013 | Findings: In comparison with study of ___, the endotracheal tube and Swan-Ganz catheter have been removed. The left chest tube remains in place and there is no evidence of pneumothorax. Mild atelectatic changes are seen at the left base. | Findings: In comparison with study of ___, the endotracheal tube and Swan-Ganz catheter have been removed. The left chest tube remains in place and there is a small right pneumothorax. Mild atelectatic changes are scene at the left base and there is a right lower lobe consolidation. | ['Change position of device', 'Change to homophone', 'False prediction'] |
| 81bca127-0c416084-67f8033c-ecb26476-6d1ecf60 | 58054149 | 10002013 | Findings: A moderate left pleural effusion is new since ___. Associated left basilar opacity likely reflect compressive atelectasis. There is no pneumothorax. There are no new abnormal cardiac or mediastinal contour. Median sternotomy wires and mediastinal clips are in expected positions. Impression: New moderate left pleural effusion with adjacent atelectasis in the left lung base. | Findings: A moderate right pleural effusion is new since ___. Associated left basilar opacity likely reflect compressive atelectasis. There is no pneumothorax. There are no new abnormal cardiac or mediastinal contour. Median sternotomy wires and mediastinal clips are in expected positions. There is no pneumothorax. Impression: New moderate left pleural effusion with adjacent atelectasis in the left lung base. Pacemaker is present. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 051b7911-cb00aec9-0b309188-89803662-303ec278, 17ddfe00-28e1f5ac-45cd9f16-86b7ca24-2cee412f | 52823782 | 10002131 | Findings: Frontal and lateral chest radiographs demonstrate bilateral pleural effusions, which make evaluation of the cardiomediastinal silhouette difficulty. These effusions are large on the right and small on the left. There is no definite focal consolidation, although evaluation is limited secondary to these effusions. No pneumothorax is appreciated. The visualized upper abdomen is unremarkable. Impression: Bilateral pleural effusions, large on the right and small on the left. No definite focal consolidation identified, although evaluation is limited secondary to these effusions. | Findings: Frontal and lateral chest radiographs demonstrate bilateral pleural effusions, which make evaluation of the cardiomediastinal silhouette difficult. These effusions are moderate on the right and small on the left. There is no definite focal consolidation, although distribution is limited secondary to these effusions. No pneumothorax is comprehensive. The visualized upper abdomen is unremarkable with evidence of mild hepatomegaly. Impression: Bilateral pleural effusions, large on the right and small on the left. A small patchy opacity is seen in the left lower lobe consistent with atelectasis. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 3c659977-44aefeb8-cdc200a8-24ea059e-9dd6758c, b35977d7-58a64019-e2cf04d1-ec125bc4-42889e97 | 56373033 | 10002157 | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of pneumomediastinum is seen. There is no evidence of free air beneath the diaphragms. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of pneumomediastinum is seen. No evidence of free air beneath the diaphragms. The cardiac and mediastinal silhouettes are unremarkable. Impression: Cardiomegaly with mild left pleural effusion. | ['Add repetitions', 'Add contradiction', 'False negation'] |
| 2833b85f-3bb4273f-cffd3794-2bf2cd57-7ddb3f5f, 7fdad032-90608fe2-c1f5a700-bf95f6f9-e9b0dbc7 | 50520012 | 10002177 | Findings: The lungs are clear without focal consolidation,, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without focal consolidation,, or edima. The cartiomediastinal silhouette is within normal limits. No pacemaker is observed. No acute osseous abnormalities. Impression: No acute cardiopulmonary proses. | ['Change to homophone', 'Add typo', 'Add medical device'] |
| e8c44648-ff02beea-3d5ff638-dec79b01-7df71a69 | 50027225 | 10002428 | Findings: A single portable semi-erect chest radiograph was obtained. Small left and moderate layering right pleural effusions have increased in size since the preceding day's exam. The right middle lobe pnemonia seen on recent CT is not clearly differentiated, but the right heart border is obscured. Left basilar atelectasis is stable. No new focal consolidation or pneumothorax is present. Hila remain indistinct. A left-sided PICC line tip remains in the upper SVC. Impression: Interval increase inmoderate to large right and small left pleural effusions. Persistent right basilar pneumonia. | Findings: A single portable semi-erect chest radiograph was obtained. Large left and moderate layering right pleural effusions have increased in size since the preceding day's exam. The right middle lobe pnemonia seen on recent CT is not clearly differentiated, but the right heart border is obscured. Left basilar atelectasis is mildly stable. No new focal consolidation or pneumothorax is present. Hila remain indistinct. A left-sided PICC line tip remains in the upper SVC. A left-sided PICC line tip remains in the upper SVC. Impression: Interval increase inmoderate to large right and small left pleural effusions. Persistent right basilar pneumonia. A right-sided ICD is present. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 85b903ac-bfc4d6cd-491d2a72-18e7c16e-23d2cafa | 50444997 | 10002428 | Findings: In comparison with the study of ___, there is little change in the monitoring and support devices. Substantial bilateral pleural effusions, more prominent on the right with bibasilar atelectasis. Unusual configuration to the collection of opacification at the left base raises the possibility of some loculated fluid. There is again evidence of increased pulmonary venous pressure. Overlapping structures somewhat obscure visualization of the left upper zone and simulate the appearance of cavitary process. This area should be closely checked on subsequent radiographs. | Findings: In comparison with the study of ___, there is little change in the monitoring and support devices. No substantial pleural effusions. Unusual configuration to the collection of opacification at the right base raises the possibility of some loculated fluid. There is again evidence of increased pulmonary Venus pressure. Overlapping structures somewhat obscure visualization of the left lower zone and simulate the appearance of cavitary process. This area should be closely checked on subsequent radiographs. | ['Change location', 'Change to homophone', 'False negation'] |
| 40a4d537-de28a3ab-aa746c28-750aea7d-2965bcdb | 54020701 | 10002428 | Findings: Comparison is made to prior study from ___ at 4:05 a.m. There is a Dobbhoff tube whose distal tip is within the mid-to-distal esophagus. This could be advanced ___ to 20 cm for more optimal placement. Cardiac silhouette is within normal limits. There are bilateral pleural effusions, left side worse than right and a left retrocardiac opacity. No overt pulmonary edema is seen. | Findings: Comparison is made to prior study from ___ at eight a.m. There is a nasogastric tube whose distal tip is within the mid-to-distal esophagus. This could be advanced ___ to twenty cm for more optimal placement. Cardiac silhouette is within normal limits. A right-sided central venous line is noted with the tip in the superior vena cava. There are bilateral pleural effusions, left side worse than right and a left retrocardiac opacity. No overt pulmonary edema is seen. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| 852306b6-02fc04aa-82d30dbf-0c2dd18d-5c9ef054 | 54831516 | 10002428 | Findings: Comparison is made to previous study from ___. There is a Dobbhoff tube whose distal tip is in the body of the stomach. There are bilateral pleural effusions. There is a right-sided pleural-based catheter. There is no pneumothoraces or signs for overt pulmonary edema. Overall, these findings are stable since prior study from ___. | Findings: Comparison is made to previous study from ___. There is a Dobbhoff tube whose distal tip is in the antrum of the stomach. There are bilateral pleural effusions. A new central venous line is seen terminating in the superior vena cava. There is a right-sided pleural-based catheter. There is no pneumothoraces or signs for overt pulmonary edema. There is mild pulmonary edema noted. Overall, these findings are stable since prior study from ___. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| 3bea0373-0d10dd77-1cac5b90-651be924-d343b184 | 55758034 | 10002428 | Findings: A single portable semi-erect chest radiograph is obtained. There is no significant change in the middle and lower lobe pneumonia, better appreciated on recent CT. There is no increased pulmonary edema, new consolidation, or pneumothorax. Layering left pleural effusion has gotten slightly bigger. Cardiac and mediastinal contours are unchanged. Impression: No significant change in right middle and lower lobe pneumonia. Small increase in left pleural effusion. | Findings: A single portable semi-erect chest radiograph is obtained. There is no significant change in the middle and lower lobe pneumonia, better appreciated on recent CT. There is no increased pulmonary edema, new consolidation, or pneumothorax. Layering left pleural effusion has gotten significantly bigger. Cardiac and mediastinal contours are unchanged. A central venous line is well-positioned with the tip at the cavoatrial junction. Impression: No significant change in right middle and lower lobe pneumonia. Significant increase in left pleural effusion. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 06c9ad0d-eba8bb4c-7f1216e8-3164684d-4a4b228d, 88a20959-a7cf9de5-cd622251-e8ac8f65-d4214011 | 56100138 | 10002428 | Findings: Frontal and lateral views of the chest were performed. The lung volumes are low which results in vascular crowding. However, despite this, there appear to be bibasilar, right greater than left, nodular opacities and interstitial thickening. There is likely a small right pleural effusion. Heart size is normal. There is no pneumothorax. There are no suspicious osseous lesions. Multiple dilated loops of small bowel are present. Impression: 1. Bibasilar opacities would be consistent with pneumonia and/or aspiration in the right clinical setting. Likely some component of pulmonary edema given the interstitial thickening. 2. Multiple dilated loops of small bowel may represent ileus or obstruction. Dedicated abdominal radiograph may be performed for better characterization. | Findings: Frontal and lateral views of the chest were performed. The lung volumes are low witch results in vascular crowding. However, despite this, there appear to be bibasilar, right greater than left, nodular opacities and interstitial thickening. There is likely a small left pleural effusion. Heart size is normal. There is no pneumothorax. There are no suspicious osseous lesions. Multiple dilated loops of small bowel are present. A central venous line is noted in the right subclavian vein. | ['Change location', 'Change to homophone', 'Add medical device'] |
| d98d5096-a32483d3-669ed39b-bc81eafb-5e251563 | 56597576 | 10002428 | Findings: Comparison is made to previous study from ___. There is an endotracheal tube whose distal tip is 5.6 cm above the carina. There is a left-sided central line with distal lead tip in the distal SVC. There is a feeding tube and a nasogastric tube whose tips and side ports are below the GE junction. There are persistent bilateral pleural effusions and a left retrocardiac opacity. | Findings: Comparison is made to previous study from ___. There is an endotracheal tube whose distal tip is 5.6 mm above the carina. There is a left-sided central line with distal lead tip in the distal SVC. There is a feeding tube and a nasogastric tube whose tips and side ports are below the GE junction. There are persistent bilateral pleural effusions and no left retrocardiac opacity. Additionally, a small right apical pneumothorax is noted. | ['Change measurement', 'Add contradiction', 'False prediction'] |
| 471418ab-0bfd6700-6bb770d0-07f7f6a3-2ce2d9c2 | 56836542 | 10002428 | Findings: A bedside AP radiograph of the chest demonstrates interval improvement in mild pulmonary edema compared to the most recent study from ___. A moderate right pleural effusion is stable and a small left pleural effusion has also decreased in size. Aside from persistent bibasilar atelectasis, the lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. An endotracheal tube terminates no less than 4.6 cm above the carina. A left PICC terminates in the mid SVC. A Dobbhoff tube terminates in the stomach and a second enteric tube enters the stomach and courses inferiorly beyond the field of view. Impression: Compared to the most recent study, there is improvement in the mild pulmonary edema and decrease in the small left pleural effusion. Moderate right pleural effusion and bibasilar atelectasis are stable. | Findings: A bedside AP radiograp of the chest demonstrates interval improvement in mild pulmonary edema compared to the most recent study from ___. A moderate right pleural effusion is stable and a small left pleural effusion has also decreased in size. Aside from persistent bibasilar atelectasis, the lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. An endotracheal tube terminates no less than 4.6 inches above the carina. A left PICC terminates in the mid SVC. A Dobbhoff tube terminates in the stomach and a second enteric tube enters the stomach and courses inferiorly beyond the field of view. A central venous line is also noted in the field of view. Impression: Compared to the most recent study, there is improvement in the mild pulmonary edema and decrease in the small left pleural effusion. Moderate right pleural effusion and bibasilar atelectasis are stable. | ['Change measurement', 'Add typo', 'Add medical device'] |
| 217e6a56-b4a78227-a2acc34d-3b571d4a-27b9746a | 57064083 | 10002428 | Impression: AP chest compared to ___ and ___, 5:05 p.m.: The enteric tube has been advanced to the distal stomach and out of view. Feeding tube ends in the upper stomach. ET tube is in standard placement. Moderate right and smaller left pleural effusions are unchanged. Heart size is normal size. Aside from attendant basal atelectasis, lungs are clear. There is no pneumothorax. Right PIC line ends in the right axilla. | Impression: AP chest compared to ___ and ___, 5:05 p.m.: The enteric tube is in the distal stomach and out of view. Feeding tube ends in the upper stomach. ET tube is seen malpositioned. Moderate right and moderate left pleural effusions are unchanged. Heart size is increased. Aside from moderate basal atelectasis, lungs are hyperinflated. There is a small pneumothorax. Right PIC line ends in the mid SVC. | ['Change severity', 'Add contradiction', 'False prediction'] |
| bdf7f3f9-17832c70-9048e935-65663ff2-13f0814e, ecbc65c9-282c3a5e-fff14c1d-f595741d-f9ae7a23 | 57321224 | 10002428 | Findings: The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs are hyperinflated. There is no evidence for pleural effusion or pneumothorax. The lungs appear clear. Mildly exaggerated kyphotic curvature and suspected demineralization are noted. Impression: Hyperinflation. No evidence of acute disease. | Findings: The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs are hyperinflated. There is no evidence for pleural effusion or pneumothorax. The lungs appear clearer. Mildly exaggerated kyphotic curvature and suspected demineralization are noted. Additional line: A central venous line is noted in the SVC. Impression: Hyperinflation. Mild interstitial edema is suspected. | ['Add medical device', 'Change to homophone', 'False prediction'] |
| e325a8d1-1d6b0dca-404efabc-204c6bbd-599788f0 | 57506266 | 10002428 | Impression: 1. Endotracheal tube has been withdrawn, now lying approximately 5 cm from the carina. 2. Unchanged positioning of the orogastric tube with tip at the gastroesophageal junction and side port in the distal esophagus. This should be advanced for appropriate positioning. 3. Bilateral pleural effusions, moderate to large on the right and small on the left with bibasilar atelectasis. | Impression: 1. Endotracheal tube has been withdrawn, now lying approximately 5 inches from the carina. 2. Unchanged positioning of the orogastric tube with tip at the gastroesophageal junction and side port in the distal esophagus. This should be advanced for appropriate positioning. There is evidence of a small pneumothorax on the right side. 3. Bilateral pleural effusions, moderate to large on the right and small on the left with bibasilar atelectasis. | ['Change measurement', 'Change to homophone', 'False prediction'] |
| 3dc1b72b-7d6efa14-1f9db998-e46ff2db-2cb7375e | 57887188 | 10002428 | Findings: In comparison with the study of ___, the bibasilar opacification has somewhat decreased bilaterally. The time course suggests that much of this appearance may have reflected improved pulmonary edema. Nevertheless, there is continued engorgement of pulmonary vessels more prominent on the right, consistent with some persistent elevation of pulmonary venous pressure. Hazy opacification on the right suggests pleural fluid. In the appropriate clinical setting, supervening pneumonia would certainly have to be considered. Loss of the medial aspect of the left hemidiaphragm suggests some volume loss in the retrocardiac portion of the lower lobe. | Findings: In comparison with the study of ___, the bibasilar opacification has somewhat decreased unilaterally. The Time course suggests that much of this appearance may have reflected improved pulmonary edema. Nevertheless, there is continued engorgement of pulmonary vessels more prominent on the right, consistent with some persistent elevation of pulmonary venous pressure. Hazy opacification on the right suggests pleural fluid. New linear atelectasis noted in the left lower lobe. Loss of the medial aspect of the left hemidiaphragm suggests some volume loss in the retrocardiac portion of the lower lobe. | ['Change location', 'Change to homophone', 'False prediction'] |
| 0780573c-30edcc44-42f1084d-e77f7ebf-8a7dd236, c9c37c26-44932433-1df1066e-966dae54-3a0d372b | 57961288 | 10002428 | Findings: Distal tip of the Dobbhoff is now in the fundus of the stomach. This could be advanced an additional 5 cm for more optimal placement. There are unchanged bilateral pleural effusions, left greater than right. A pleural catheter is seen at the right base. There are no pneumothoraces identified. | Findings: Distal tip of the tracheostomy tube is now in the fundus of the stomach. This could be advanced an additional 5 cm for more optimal placement. There are unchanged bilateral pleural effusions, left greater than right. A pleural catheter is seen at the right base. No pleural effusions are identified. | ['Change name of device', 'Add repetitions', 'False negation'] |
| b5f871e6-fc68f8fa-7580a463-b7674531-c7033269 | 58601917 | 10002428 | Findings: As compared to the previous radiograph, the monitoring and support devices are constant. Constant extent and distribution of the known left pleural effusion with mild to moderate retrocardiac and basal atelectasis. On the right, the pleural drain is in unchanged position and there is no evidence of a larger pleural effusion. No pneumothorax. Unchanged size of the heart. | Findings: As compared to the previous radiograph, the monitoring and support devices are constat. Constant extent and distribution of the known left pleural effusion with no retrocardiac and basal atelectasis. On the right, the pleural drain is in the lower position and there is no evidence of a larger pleural effusion. No pneumothorax. Unchanged size of the heart. | ['Change position of device', 'Add typo', 'False negation'] |
| 12622d34-1a419a0d-6809a110-318f0fb1-eb8635e6, 456a6a78-f542bb65-0b3c1fd0-3098b44a-66a5a59b | 58658824 | 10002428 | Findings: PA and lateral chest radiographs again demonstrate severe hyperinflation and diffuse bronchiectasis. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Impression: No acute cardiopulmonary process. Findings were relayed to Dr. ___. | Findings: PA and lateral chest radiographs again demonstrate ***moderate*** hyperinflation and diffuse bronchiectasis. There is no focal consolidation, pleural effusion, or pneumothorax. ***PA and lateral chest radiographs again demonstrate severe hyperinflation and diffuse bronchiectasis.*** The cardiomediastinal silhouette is stable. Impression: No acute cardiopulmonary process. ***No diffuse bronchiectasis.*** Findings were relayed to Dr. ___. | ['Change severity', 'Add repetitions', 'False negation'] |
| 08ee3bce-a3ed7087-0af8769d-de0d3535-1318d234 | 58838312 | 10002428 | Findings: Single portable view of the chest is compared to previous exam from ___. Enteric tube is seen with tip off the inferior field of view. Left PICC is seen; however, tip is not clearly delineated. Persistent bibasilar effusions and a right pigtail catheter projecting over the lower chest. There is possible right apical pneumothorax. Superiorly, the lungs are clear of consolidation. Cardiac silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Impression: No significant interval change with bilateral pleural effusions with right pigtail catheter in the lower chest. Possible small right apical pneumothorax. | Findings: Single portable view of the chest is compared to previous exam from ___. Enteric tube is seen with tip off the inferior field of view. Left stent is seen; however, tip is not clearly delineated. Persistent bibasilar effusions and a left pigtail catheter projecting over the lower chest. There is possible right apical pneumothorax. Superiorly, the lungs our clear of consolidation. Cardiac silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 7254cc41-a1055fd0-f387a81f-1f60ec41-4ae4ac3e | 58851198 | 10002428 | Findings: A single portable chest radiograph is obtained. Endotracheal and enteric tubes have been removed. A right internal jugular catheter tip terminates in the right atrium. A right pleural drain remains in the right base. A tiny right effusion and small left effusion are visualized. Cardiac contours are unchanged. No consolidation, pneumothorax or nodules present. A left-sided PICC line tip terminates in the left brachiocephalic vein. Impression: Unchanged appearance of small bilateral pleural effusions status post extubation. | Findings: A single portable chest radiograph is obtained. Endotracheal and enteric tubes have been removed. A right internal jugular catheter tip terminates in the mid SVC. A right pleural drain remains in the right base. A tiny right effusion and small left effusion are visualized. Cardiac contours are unchanged. No consolidation, pneumothorax or nodules present. A left-sided PICC line tip terminates in the right atrium. A right-sided central venous line is also present. Impression: Unchanged appearance of small bilateral pleural effusions status post extubation. Findings show no effusions are present. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| cc0b5db2-cc391879-a10b0ccf-5e554f89-37f1cf99 | 59015983 | 10002428 | Impression: Bilateral pneumonia. Background likely COPD. | Impression: Bilateral pneumonia. Background likely COPD. Left-sided central venous line noted. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 2337617e-d39e1d86-bc30b1cf-fa45dcb5-b7ac1695 | 59098825 | 10002428 | Findings: Comparison is made to previous study from ___. There has been removal of the right IJ central venous line. There is again seen a large amount of loculated pleural fluid along the left chest, which has increased in size since the prior study. Pigtail catheter is seen within the right lower lobe. Cardiac silhouette is upper limits of normal. There is mild prominence of the pulmonary markings without overt pulmonary edema. | Findings: Comparison is made to previous study from ___. There has been removal of the right IJ central venous line. There is again seen a moderate amount of loculated pleural fluid along the left chest, which has increased in size since the prior study. Pigtail kcatheter is seen within the right lower lobe. Cardiac silhouette is upper limits of normal with small nodular opacities. There is severe prominence of the pulmonary markings without overt pulmonary edema. | ['Change severity', 'Add typo', 'False prediction'] |
| fa771fa1-d9571d07-bff8f655-327734a7-6e10b29d | 59258773 | 10002428 | Impression: AP chest compared to ___: Moderate to large right and moderate left pleural effusions have both increased in size. Upper lungs are clear. Heart is obscured by the effusions, but not substantially enlarged. No free subdiaphragmatic gas. Left PIC line ends in the left brachiocephalic vein. | Impression: AP chest compared to ___: Moderate to large left and moderate right pleural effusions have both increased in size. Upper luongs are clear. Heart is obscured by the effusions, but not substantially enlarged. No free subdiaphragmatic gas. Left PIC line ends in the left brachiocephalic vein. An NG tube is noted in the stomach. | ['Change location', 'Add typo', 'Add medical device'] |
| d999236f-95dcb8b7-a4d20a3f-be538f50-ce13a08e | 59414737 | 10002428 | Impression: Large right and moderate left pleural effusions as above. | Impression: Large right and severe left pleural effusions as above. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 51b5892c-e54ed6e6-59ff70db-fd0b8509-1792398e | 59659695 | 10002428 | Findings: Frontal supine view of the chest was obtained. The heart is of normal size with normal cardiomediastinal contours. The right hemithorax demontrates increased opacity, compatible with a moderate-to-large size layering pleural effusion. A small left pleural effusion is also present. No pneumothorax is seen. A right PICC line terminates in the axilla. Endotracheal tube terminates 1.8 cm above the carina. A Dobbhoff feeding tube and a gastric tube terminate below the diaphragm. The sidehole of the gastric tube is positioned in the distal esophagus. Impression: 1. Bilateral pleural effusion, right greater than left. Underlying consolidation cannot be completely excluded. 2. Endotracheal tube terminates 1.8 cm above the carina. Recommend repositioning. 3. NG tube terminates in stomach with sidehole in distal esophagus. 3. Right PICC terminates in the axilla. | Findings: Frontal supine view of the chest was obtained. The heart is of normal size with normal cardiomediastinal counters. There is increased opacity in the right upper lobe suggestive of pneumonia. A small left pleural effusion is also present. No pneumothorax is scene. A left PICC line terminates in the axilla. Endotracheal tube terminates 2.3 cm above the carina. A Dobbhoff feeding tube and a gastric tube terminate below the diaphragm. The sidehole of the gastric tube is positioned in the distal esophagus. Impression: 1. Bilateral pleural effusion, right greater than left. Underlying consolidation cannot be completely excluded. 2. Endotracheal tube terminates 2.3 cm above the carina. Recommend repositioning. 3. NG tube terminates in stomach with sidehole in distal esophagus. 3. Left PICC terminates in the axilla. | ['Change measurement', 'Change to homophone', 'False prediction'] |
| 4873aa08-977bfd31-fb492e64-6ef432d1-3f12cbe3, 590ae2db-d9330aec-1e81d571-d6bd3751-640cee9b | 53254222 | 10002430 | Findings: PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. Suture is again noted in the right lower lung with adjacent rib resection. There is mild scarring in the right lower lung as on prior. There is no focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. The heart remains moderately enlarged. The mediastinal contour is stable. Impression: Postsurgical changes in the right hemi thorax. Mild cardiomegaly unchanged. No edema or pneumonia. | Findings: PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal stents again noted. Suture is again noted in the right lower lung with adjacent rib resection. There is mild scarring in the right lower lung as on prior. There is no focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. The heart remains moderately enlarged. Suture is again noted in the right lower lung with adjacent rib resection. The mediastinal contour is stable. A right-sided central venous line is present. Impression: Postsurgical changes in the right hemi thorax. Mild cardiomegaly unchanged. No edema or pneumonia. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| d5fc1956-e9a3e73b-3bc726aa-db2717c4-5905815c, e2d17319-391b3819-173766c7-e2102487-3d438765 | 56345275 | 10002430 | Findings: PA and lateral views of the chest provided. Postsurgical changes at the peripheral right lung base are re- demonstrated in this patient status post right thoracotomy and right lower lobe resection with stable cardiomegaly in this patient status post previous coronary bypass surgery. As compared to ___, reticular opacities at both lung bases are are new. On the right, these are superimposed on preexisting pleural and parenchymal scarring related to the previous right lower lobe lung resection. Impression: Bibasilar reticular opacities are a nonspecific finding but could potentially be due to amiodarone lung toxicity. Consider high-resolution chest CT for confirmation and further characterization if warranted clinically. | Findings: PA and lateral views of the chest provided. Postsurgical changes at the peripheral left lung base are re-demonstrated in this patient status post thoracotomy and left lower lobe resection with stable cardiomegaly in this patient status post previous coronary bypass surgery. As compared to ___, reticular opacities at boht lung bases are new. On the right, these are superimposed on preexisting pleural and parenchymal scarring related to the previous right lower lobe lung resection. Mild pleural effusion is also noted. Impression: Bibasilar reticular opacities are a nonspecific finding but could potentially be due to amiodarone lung toxicity. Consider high-resolution chest CT for confirmation and further characterization if warranted clinically. Chronic interstitial process also suspected. | ['Change location', 'Add typo', 'False prediction'] |
| 0580e01f-2d3d20e1-50889949-d6d14236-0bc532e3, e45d57af-62690e1a-9bdf2d66-d10e02de-e9794fc4 | 50547046 | 10002557 | Findings: The heart is mildly enlarged with a left ventricular configuration. There is mild unfolding of the thoracic aorta. The cardiac, mediastinal and hilar contours appear stable. There is a small eventration of the right hemidiaphragm. The lungs appear clear. Mild degenerative changes are similar along the visualized thoracic spine. Right breast is absent. Impression: No evidence of acute cardiopulmonary disease. | Findings: The heart is severely enlarged with a left ventricular configuration. There is mild unfolding of the thoracic aorta. The cardiac, mediastinal and hilar contours appear stable. There is a small eventration of the right hemidiaphragm. The lungs appear clear. Mild degenerative changes are similar along the visualized thoracic spine. Right breast is absent. Impression: Cardiomegaly noted with severely enlarged heart. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 06e3e705-7d20dcc5-21be668e-587b1be1-158ba455, 4f31e99d-bb6102c0-c0f221dd-3b3fe72d-bd2db1ce | 52212843 | 10002559 | Findings: Mild thoracic scoliosis with subsequent asymmetry of the rib cage. The lung volumes are normal. Normal appearance of the cardiac silhouette. No pleural effusions, no pneumothorax. No lung parenchymal abnormalities such as pneumonia or pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. | Findings: Mild thoracic scoliosis with subsequent asymmetry of the rib cage. The lung volumes are normal. Normal appearance of the cardiac silhouette. No pleural effusions, no pneumothorax. No lung parenchymal abnormalities such as pneumonia or pulmonary effusion. Normal size of the cardiac silhouette. Bilateral mild bronchiolitis. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 25423a5e-8c27af51-c2c840f3-b498f42b-8ef8e461, d27de621-6e7125d4-26717db4-e7e27362-80d05698 | 59849480 | 10002559 | Findings: In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. | Findings: In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. Nasogastric tube is seen terminating in the stomach. No evidence of vascular congestion or pleural effusion. No pneumonia. Impression: Mild pneumonia noted. | ['False negation', 'Add contradiction', 'Add medical device'] |
| 2630b0b8-2d5af3a6-1a02c2ca-952e9535-b44c35ee, 599b85f2-1459d013-e1a5ac24-9f73ad92-aaf0dc22 | 53368584 | 10002661 | Findings: PA and lateral views of the chest were obtained demonstrating clear well-expanded lungs. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. Impression: No acute intrathoracic process. | Findings: PA and lateral views of the chest were obtained demonstrating clear well-expanded lungs. There is minimal left apical consolidation. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. Impression: No acute intrathoracic process noted. Moderate left apical consolidation noted. | ['Change location', 'Add contradiction', 'False prediction'] |
| 84c6ecc4-fd81e31d-1e879d18-13024211-35de54ad, eb71d6af-79edf48e-4fecee5b-133fa0e2-614d733f | 55885481 | 10002930 | Findings: AP upright and lateral views the chest were provided. Mild left basal atelectasis. Lungs are otherwise clear. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. Impression: 1. Mild left basal atelectasis. Otherwise unremarkable. 2. No definite displaced rib fracture though if there is continued concern dedicated rib series may be performed to further assess. | Findings: AP upright and lateral views the chest were provided. Mild left basal atelectasis. Lungs are otherwise clear. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. Impression: 1. Moderate left basal atelectasis. Otherwise unremarkable. 2. No definite displaced rib fracture though if there is continued concern dedicated rib series may be performed to further assess. Mild left basal atelectasis. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 3f4a324f-7967a6b4-91edf0c8-94fbefd4-32402065, e0c97f3f-b7283b86-d58a0da8-8d623549-c695a335 | 50543252 | 10003019 | Findings: Allowing for differences in technique and projection, there has been little interval change in the appearance of the chest since the previous radiograph, with no new focal areas of consolidation to suggest the presence of pneumonia. Multifocal linear areas of scarring appear unchanged, previously attributed to sarcoidosis. Band-like opacity at periphery of left lung base has slightly worsened and is attributed to localize atelectasis. | Findings: Allowing for differences in technique and projection, there has been little interval change in the appearance of the pelvis since the previous radiograph, with no new focal areas of consolidation to suggest the presence of pneumonia. Multifocal linear areas of scarring appear unchanged, previously attributed to sarcoidosis. Band-like opacity at periphery of left lung base has slightly worsened and is attributed to localized atelectasis. There is a small right pleural effusion noted. | ['Change location', 'Add typo', 'False prediction'] |
| 12c55f31-e7040e5b-8b29b8fb-895e1662-73f91c8b | 51117233 | 10003019 | Findings: Single AP supine portable view of the chest was obtained. Chain sutures are seen overlying the right upper hemithorax. There has been interval removal of a previously seen right-sided port. The cardiac and mediastinal silhouettes are stable. No definite focal consolidation is seen. Rounded opacities projecting over the lower hemithorax bilaterally on the left and right appear possibly external to the patient and could represent nipple shadows. They most likely represent nipple shadows. No discrete pulmonary nodules seen that would correspond at the lung bases on recent prior PET-CT from ___. No pleural effusion or pneumothorax is seen. Impression: No acute cardiopulmonary process. | Findings: Single AP supine portable view of the chest was obtained. Chain sutures are seen overlying the left upper hemithorax. There has been interval removal of a previously seen right-sided port. The cardiac and mediastinal silhouettes are stable. No definite focal consolidation is seen. Rounded opacities projecting over the lower hemithorax bilaterally on the left and right appear possibly external to the patient and could represent nipple shadows. They most likely represent nipple shadows. There are suspicious pulmonary nodules seen that would correspond at the lung bases on recent prior PET-CT from ___. No pleural effusion or pneumothorax is seen. Impression: Developing acute cardiopulmonary process. | ['Change location', 'Add contradiction', 'False prediction'] |
| c584b5c4-b5b1dad6-a6f30167-c0411948-46379f73 | 53098685 | 10003019 | Findings: A left-sided PICC is unchanged in position. Cardiac and mediastinal contours are unchanged from the prior exam. There is no evidence of pulmonary edema. No effusions are identified. There is no pneumothorax. Surgical chain sutures are again seen in the right upper lobe consistent with prior surgery. Again, fullness to the right suprahilar region likely corresponds to a consolidative fibrotic area seen on recent chest CT dated ___. Impression: No evidence of pneumonia, edema or effusion. | Findings: An MRI machine is unchanged in position. Cardiac and mediastinal contours are unchanged from the prior exam. There is pulmonary edema noted throughout the lungs. No effusions are identified. There is no pneumothorax. Surgical chain sutures are again seen in the right upper lobe consistent with prior surgery. Again, fullness to the right suprahilar region likely corresponds to a consolidative fibrotic area seen on the recent chest CT dated ___. Impression: No evidence of pneumonia, edema or effusion. | ['Change name of device', 'Add contradiction', 'False negation'] |
| 0f5314bd-785b969d-9c2ad2e0-74f0dc6d-2512f690, ebde3a7d-5064cf3d-5876a0ac-f1aa4bfc-3f06a32f | 53934356 | 10003019 | Findings: Chain suture projects over the right upper hemithorax. There is persistent linear atelectasis in the left mid lung and worsening atelectasis at the left base. Opacity projecting just anterior to the spine at the lung base on the lateral radiograph is not appreciably changed since ___. There is no airspace opacity worrisome for pneumonia. The cardiomediastinal silhouette and hilar contours are stable. The heart is not enlarged. There is no pleural effusion or pneumothorax. Impression: Increase, mild atelectasis at the left base but no convincing evidence of pneumonia. | Findings: Chain suture projects over the left upper hemithorax. There is persistent linear atelectasis in the left mid lung and worsening atelectasis at the left base. Opacity projecting just anterior to the spine at the lung base on the lateral radiograph is not appreciably changed since ___. No atelectasis seen. The cardiomediastinal silhouette and hilar contours are stable. The heart is not enlarged. There is no pleural effusion or pneumothorax. There is no airspace opacity worrisome for pneumonia. Impression: Increase, mild atelectasis at the left base but no convincing evidence of pneumonia. | ['Change location', 'Add repetitions', 'False negation'] |
| c25b9023-9cd26369-dbe2b67b-c250ef52-b772137e | 55487822 | 10003019 | Impression: AP chest compared to ___: Multifocal pulmonary consolidation is clearing. Heart is normal size. Right paratracheal mediastinal fullness, due in part to adenopathy is longstanding. No pleural effusion. Heart size normal. Right jugular line ends in the region of the superior cavoatrial junction. | Impression: AP chest compared to ___: Multifocal pulmonary consolidation is clearing. Lungs are hyperinflated. Heart is normal size. Right paratracheal mediastinal fullness, due in part to adenopathy is longstanding. No pleural effusion. Heart size is now normal. Right jugular line ends in the region of the inferior cavoatrial junction. | ['Change location', 'Add typo', 'False prediction'] |
| 2cd42271-f25135f4-17a199ca-31015e49-c2eb87cb, 4c8eb2cf-18be9079-8feb8c2b-f691c164-d3ce8f97 | 55931751 | 10003019 | Findings: AP and lateral views of the chest. Right upper lung surgical chain sutures are again identified. Linear left mid lung opacity is seen, as well as a nodule in the left upper lung, which was not clearly present on PET-CT from ___. Left lung base nodular opacity is most likely a nipple shadow. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is stable. Multiple thoracic compression deformities are identified as seen on prior chest CT from ___. Impression: No definite acute cardiopulmonary process. Post-surgical changes on the right. Nodular opacity in the left upper lung, not clearly identified on prior exam, which should be followed on subsequent studies. No definite acute cardiopulmonary process. | Findings: AP and lateral views of the chets. Right upper lung surgical chain sutures are again identified. Linear right mid lung opacity is seen, as well as a nodule in the left upper lung, which was not clearly present on PET-CT from ___. Right lung base nodular opacity is most likely a nipple's shadow. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is stable. A pacemaker is seen in the chest. Multiple thoracic compression deformities are identified as seen on prior chest CT from ___. Impression: No defnite acute cardiopulmonary process. Post-surgical changes on the left. Nodular opacity in the left upper lung, not clearly identified on prior exam, which should be followed on subsequent studies. No definite acute cardiopulmonary process. | ['Change location', 'Add typo', 'Add medical device'] |
| 1d378a4d-1bad75e5-5e38a0d7-05a6f367-75993039, 32bd8fcd-5b37c860-010840d7-71d0e461-ebf379cf | 57194088 | 10003019 | Findings: PA and lateral views of the chest are provided. Suture material is again noted in the right mid lung. Scattered ill-defined opacities in this patient with history of sarcoid could represent air or superimposed infection. Overall pattern is similar to prior exam from ___. No large effusion or pneumothorax. Deformity of the lower thoracic spine on the lateral view is noted. Otherwise, the bony structures are intact. Impression: Scattered opacities in the lungs, as seen on prior chest radiographs, could represent pneumonia or sarcoidosis flair. Consider CT to further assess. | Findings: PA and lateral views of the chest are provided. Suture material is again noted in the left mid lung. Scattered ill-defined opacities in this patient with history of sarcoid could represent heir or superimposed infection. Overall pattern is similar to prior exam from ___. No large effusion or pneumothorax. Deformity of the lower lumbar spine on the lateral view is noted. Otherwise, the bony structures are intact. Impression: No opacities in the lungs, as seen on prior chest radiographs, could represent pneumonia or sarcoidosis flair. Consider CT to further assess. | ['Change location', 'Change to homophone', 'False negation'] |
| 325f2526-1ea870c1-06d8ff34-1b02764d-9e336cbc, 9f0a463b-dbbe3f8e-d5cf30af-9452e738-5465e7bf | 58505074 | 10003019 | Findings: Frontal and lateral views of the chest were obtained. Left basilar atelectasis is seen. There is left basilar and left mid lung atelectasis/scarring. Chain sutures are noted overlying the right upper-to-mid hemithorax. There is subtle focal patchy opacity projecting over the right lateral lower chest, which in the same location on the lateral view, appeared to be a linear opacity dating back to ___. Finding could represent atelectasis/scarring; however, on the current study, it appears more amorphous and a small focus of infection is not excluded. The cardiac and mediastinal silhouettes are stable. There is no pleural effusion or pneumothorax. There is persistent moderate compression of multiple vertebral bodies including at least two mid thoracic and at least two in the thoracolumbar region, similar to the prior chest x-ray. | Findings: Frontal and lateral views of the chest were obtained. Left basilar atelectasis is scene. There is left basilar and left mid lung atelectasis/scarring. Chain sutures are noted overlying the right upper-to-mid hemithorax. There is subtly focal patchy opacity projecting over the right lateral lower chest, which in the same location on the lateral view, appeared to be a linear opacity dating back to ___. Finding could represent atelectasis/scarring; however, on the current study, it appears more amorphous and a large focus of infection is not excluded. The cardiac and mediastinal silhouettes are stable. There is no pleural effusion or pneumothorax. There is persistent severe compression of multiple vertebral bodies including at least two mid thoracic and at least two in the thoracolumbar region, similar to the prior chest x-ray. There is a central venous line in place. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 4a25692b-e596ad27-5bc2eba3-e518093c-623f4d6a | 59339276 | 10003019 | Impression: 1. The left subclavian PICC line now has its tip in the distal SVC. Overall, cardiac and mediastinal contours are likely unchanged given differences in positioning. There is increased prominence of the pulmonary vasculature and indistinctness in the perihilar region consistent with interval appearance of mild interstitial and perihilar edema. No pleural effusions. No pneumothorax. Surgical chain sutures are again seen in the right upper lobe consistent with prior surgery. This is some fullness to the right suprahilar region which is unchanged and likely corresponds to a consolidative fibrotic area seen in the right upper lobe on a recent chest CT dated ___. | Impression: 1. The left subclavian PICC line now has its tip in the proximal SVC. Overall, cardiac and mediastinal contours are likely unchanged given differences in positioning. Their is increased prominence of the pulmonary vasculature and indistinctness in the perihilar region consistent with interval appearance of mild interstitial and perihilar edema. No pleural effusions. No pneumothorax. Surgical chain sutures are again seen in the right upper lobe consistent with prior surgery. This is some fullness to the right suprahilar region which is unchanged and likely corresponds to a consolidative fibrotic area seen in the right upper lobe on a recent chest CT dated ___. A pacemaker is noted with leads terminating in the right ventricle and right atrium. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| a664e3c4-97f37598-e008ddb5-674d8b24-8a49114f | 59730608 | 10003019 | Impression: As compared to the previous radiograph, the lung volumes have slightly decreased. There is minimal fluid overload in both the vascular and interstitial compartment. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pneumonia. | Impression: As compared to the previous radiograph, the lung volumes have significantly decreased. There is minimal fluid overload in both the vascular and interstitial compartment. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusions. Mild pneumonia is present. | ['Change severity', 'Add contradiction', 'False negation'] |
| 2e8d620b-9087dba8-7eb82882-f166fd11-c19b90de | 59829602 | 10003019 | Findings: Single frontal view of the chest was obtained. Free air is present underneath both hemidiaphragms. Lung volumes are low. The vascular pedicle is widened and there is slightly increased rightward shift of the trachea, which may be projectional. Multi focal ill-defined lung opacities are similar to prior and consistent with history of sarcoidosis although superimposed infection cannot be excluded. No pneumothorax or substantial pleural effusion. Chain sutures in the right mid lung are similar to prior. Impression: 1. Pneumoperitoneum. 2. Widening of the vascular pedicle may be related to low lung volumes and intravascular volume status. | Findings: Single frontal view of the chest was obtained. No free air is present. Lung volumes are low. The vascular pedicle is widened and there is slightly increased leftward shift of the trachea, which may be projectional. Multi focal ill-defined lung opacities are similar to prior and consistent with history of sarcoidosis although superimposed infection cannot be excluded. No pneumothorax or substantial pleural effusion. Chain sutures in the right mid lung are similar to prior. Chain sutures in the right mid lung are similar to prior. Impression: 1. No pneumoperitoneum. 2. Widening of the vascular pedicle may be related to low lung volumes and intravascular volume status. | ['Change location', 'Add repetitions', 'False negation'] |
| 21560cb5-ffe886be-2a234166-47975293-e3a97d3f, 6b13ea59-55cebae9-9033c624-632b5e8b-9ff3e4d2 | 58630288 | 10003052 | Findings: The lung volumes are low. The lungs are clear without pleural effusion or pneumothorax. The aorta is unfolded. The heart size is normal. Impression: Clear lungs. | Findings: The lung volumes are low. There are faint ground-glass opacities in the right lower lobe. The lungs are clear without pleural effusion or pneumothorax. The aorta is unfolded. No pericardial effusion. The heart size is normal. The lungs are clear without pleural effusion or pneumothorax. Impression: No pulmonary opacities. | ['False prediction', 'Add repetitions', 'False negation'] |
| 4622ca4f-75ff8064-94edcebc-fcdd6762-91c53065, e37f70fc-c7a4dbb1-6f0f1232-f95e1bae-0947861c | 52843603 | 10003255 | Findings: PA and lateral views of the chest are obtained. There is a mild pectus deformity noted on the lateral view. The lungs appear well expanded without focal consolidation, effusion, or pneumothorax. No definite signs of CHF. The heart size appears slightly prominent, but this could be due to the aforementioned pectus excavatum deformity. Imaged osseous structures are intact. Clips in the right upper quadrant noted. Impression: Pectus excavatum deformity likely accounting for top normal heart size. Otherwise, unremarkable. | Findings: PA and lateral views of the chest are obtained. There is a mild pectus deformity noted on the lateral view. The lungs appear well expanded without focal consolidation, effusion, or pneumothorax. No definite signs of COPD. A mild cardiomegaly is observed. The heart size appears slightly prominent, but this could be due to the aforementioned pectus excavatum deformity. Imaged osseous structures are intact. Axillary lymph node clips in the right upper quadrant noted. Clips in the right upper quadrant noted. Impression: Pectus excavatum deformity likely accounting for top normal heart size. Otherwise, unremarkable. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 69c64be9-ed77fb62-7fad1785-d91de463-0fbf5c4b, 9aac89e9-0b8579b9-da321e0e-657f1c25-91e0b12c | 50536653 | 10003299 | Findings: PA and lateral views of the chest. Moderate cardiomegaly is increased compared to ___. No focal consolidation or pneumothorax. There is slight blunting of the costophrenic angles which may indicate small pleural effusion or scarring. There is increased density at the perihilar regions which may indicate pulmonary vascular congestion. Impression: Moderate cardiomegaly and mild pulmonary vascular congestion but no edema. Possible tiny small pleural effusions. No focal consolidation. | Findings: PA and lateral views of the chest. Moderate cardiomegaly is increased compared to ___. No focal consolidation or pneumothorax. There is large blunting of the costophrenic angles which may indicate small pleural effusion or scarring. Diminished density at the perihilar regions which may indicate pulmonary vascular congestion. Impression: Severe cardiomegaly and mild pulmonary vascular congestion but no edema. No effusions present. No focal consolidation. | ['Change severity', 'Add contradiction', 'False negation'] |
| 487ed83c-57580ce3-00f5daaf-07ca2b1f-b9fbe54d, f5414268-e553a141-39841839-4f303c85-d94d1190 | 57344656 | 10003299 | Findings: The lung volumes are hyperinflated and the lungs are clear. There is no pneumothorax or focal airspace consolidation. The heart is mild to moderately enlarged but unchanged from at least ___. There is no evidence for pulmonary edema. Slight blunting of the costophrenic angles may reflect trace pleural effusions, unchanged. The mediastinal hilar structures are unremarkable. Impression: Unchanged, mild to moderate cardiomegaly without a superimposed acute intrathoracic process. | Findings: The lung volumes are hyperinflated and the lungs are clear. There is no pneumothorax or focal airspace consolidation. The heart is severely enlarged but unchanged from at least ___. No cardiomegaly is identified. Slight blunting of the costophrenic angles may reflect tray pleural effusions, unchanged. The mediastinal hilar structures are unremarkable. Impression: No cardiomegaly superimposed on an acute intrathoracic process. | ['Change severity', 'Change to homophone', 'False negation'] |
| c1981851-eee51654-80b71d01-2ee65952-4c70c720, ed7dc3ef-9ed80b39-d9ae643a-964c37dc-87f73a50 | 50100991 | 10003400 | Impression: Since a recent radiograph from earlier the same date, a right thoracentesis has been performed, with development of a right pneumothorax, with small apical and moderate basilar components. Right chest tube has also been inserted in the interval. Moderate left pleural effusion persists with adjacent slight improved aeration at the left lung base. No other relevant changes. | Impression: Since a recent radiiograph from earlier the same date, a right thoracentesis has been performed, with development of a right pneumothorax, with small apical and moderate basilar components. Right vascular stent has also been inserted in the interval. Moderate left pleural effusion persists with adjacent slight improved aeration at the left lung base. No other relevant changes. | ['Change name of device', 'Add typo', 'Add medical device'] |
| ff09036b-78ea1c52-9c0523c6-caea3000-ce5e237f | 50183258 | 10003400 | Impression: Large left pleural effusion has not changed over several days. Small to moderate residual right pleural effusion is also stable, despite the right thoracostomy tube. Tiny right apical pneumothorax is resolving. Moderate enlargement of the cardiac silhouette is stable, but pulmonary edema if present is mild. Persistent bibasilar atelectasis is substantial, left greater than right. Feeding tube is looped many times in the left upper quadrant, but it could be entirely in the stomach. Right subclavian central venous infusion catheter ends in the upper right atrium. Left PIC line ends in the mid SVC. | Impression: Large left pleinal effusion has not changed over several days. Small to moderate residual right pleural effusion is aslo stable, despite the right thoracostomy tube. Tiny right apical pneumothorax is resolving. Moderate englargement of the cardiac silhouette is stable, but pulmonary edema if present is mild. Persistent bibasilar atelectasis is substantial, left greater than right. Feeding tube is looped many times in the left upper quadrant, but it could be entirely in the duodenum. Right subclavian central venous infusion catheter ends in the lower right atrium. Left PIC line ends in the lower SVC. Pacemaker is visible over the left chest. | ['Change position of device', 'Add typo', 'Add medical device'] |
| fc09630f-022d31c2-408b148f-95c499df-e8a6b18e | 50805197 | 10003400 | Impression: Support lines and tubes are unchanged in position. Heart size is prominent but stable. There are bilateral pleural effusions which are stable in size. The previously mentioned right apical pneumothorax is not well seen. | Impression: Support lines and tubes are unchanged in position. Heart size is prominent but stalbe. There are bilateral pleural effusions which are stable in size. The previously mentioned left apical pneumothorax shows mild progression. | ['Change location', 'Add typo', 'False prediction'] |
| e730732b-c35b3296-bd65ed0a-92becc50-25be5475 | 51127691 | 10003400 | Impression: As compared to prior radiograph of 1 day earlier, a right chest tube remains in place, with persistent small right apical pneumothorax. Previously present moderate right basilar pneumothorax component is now a hydro pneumothorax. No other relevant changes since recent study. | Impression: As compared to prior radiograph of 1 day earlier, a right chest tube remains in place, with persistent small right apical pneumothorax. A left-sided dual-chamber pacemaker device is noted with unchanged position in the right ventricle. No other relevant changes since recent study. As compared to prior radiograph of 1 day earlier, a right chest tube remains in place, with persistent small right apical pneumothorax. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 01275cbe-a2f95d71-0374e495-68b16452-ebdcb789 | 51345654 | 10003400 | Impression: As compared to previous radiograph of ___, large right pleural effusion and small left pleural effusion are probably similar when consideration is given to positional differences between the studies. Cardiomegaly is accompanied by pulmonary vascular congestion and worsening edema. No other relevant changes. | Impression: As compared to previous radiograph of ___, large rigth pleural effusion and small left pleural effusion are probably similar when consideration is given to positional differences between the studies. Cardiomegaly is accompanied by mild pulmonary vascular congestion and worsening edema. No other relevant changes. | ['Change severity', 'Add typo', 'False negation'] |
| 67eafcfb-841cb6fa-38d704c7-29fc44fc-bb89535e | 51777274 | 10003400 | Findings: Within the interim, the previously seen enteric tube has been removed. A new enteric tube with a weighted tip projects over the stomach. A right central venous catheter is unchanged in position. A right ureteral stent is incompletely imaged. The remainder of the study is not optimized for assessment of the chest and abdomen. Impression: Dobhoff tube terminates within the stomach. | Findings: Within the interim, the previously seen enteric tube has been removed. A new enteric tube with a weighted tip projects over the stomach. A right central venous catheter is now projecting over the right atrium. A right ureteral stent is incompletely imaged. The remainder of the study is not optimized for assessment of the chest and abdomen. The remainder of the study is not optimized for assessment of the chest and abdomen. Impression: Dobhoff tube terminates within the left lower lobe. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| 756dfe88-62a0c1fe-a870730a-6fdd89b1-6a736464 | 52181745 | 10003400 | Impression: As compared to the previous radiograph, there is unchanged coiling of the PICC line in the brachiocephalic vein. Correct position of the left internal jugular introduction sheet and of the right internal jugular vein catheter. No pneumothorax. Unchanged moderate bilateral pleural effusions, low lung volumes, moderate cardiomegaly and signs of mild pulmonary edema. | Impression: As compared to the previous radiograph, there is unchanged coiling of the PICC line in the brachiocephalic vein. Corrct position of the left internal jugular introduction sheet and of the right internal jugular vein catheter. No pneumothorax. No pleural effusions, low lung volumes, moderate cardiomegaly and signs of mild pulmonary edema. | ['Change location', 'Add typo', 'False negation'] |
| 5a907c47-9d944216-c8477dd2-95d08914-13239bec | 52207536 | 10003400 | Impression: As compared to ___, the patient has received a new nasogastric tube. The tube is located in the middle parts of the stomach. The previous overinflation of the stomach is no longer present. The lung volumes remain low. Moderate cardiomegaly. Moderate bilateral areas of atelectasis and mild to moderate right pleural effusion. | Impression: As compared to ___, the patient has received a new nasogastric tube. The tube is directed into the proximal duodenum. The previous overinflation of the stomach is no longer present. The lung volumes remain low. The lung volumes remain low. Moderate cardiomegaly. Moderate bilateral areas of atelectasis and mild to moderate right pleural effusion with left-sided pneumothorax. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| 2f6a5fc9-40af95f8-d8762332-f56005ea-b5f85cc2, 614f2c90-32ad908d-5824fecd-8c8c1dd7-7057d31a | 52437868 | 10003400 | Impression: 3 radiographs are provided. On the film 3, the tip of the Dobbhoff catheter projects over the proximal parts of the stomach. The course of the device is unremarkable. No complications. Unchanged appearance of the lung parenchyma, the pleura and the heart. | Impression: 3 radiographs are provided. On the film 3, the tip of the Dobbhoff catheter projects oer the distal parts of the stomach. The course of the device is unremarkable. No complications. Pacemaker noted in the left chest cavity. Unchanged appearance of the lung parenchyma, the pleura and the heart. | ['Change position of device', 'Add typo', 'Add medical device'] |
| 3373e04d-44222d3e-2a706a8e-f5a037de-a41a60f6, 7a6f7a0e-452b83e5-d8388f3b-c424f2e2-83d372bd | 52822559 | 10003400 | Findings: Compared with the prior radiograph there is mild worsening of pulmonary vascular congestion. No focal parenchymal opacities are identified. Moderate cardiomegaly is grossly stable, as are the mediastinal and hilar contours. There is no pleural effusion or pneumothorax. Right-sided Port-A-Cath catheter ends in the right atrium. Impression: Slight worsening of mild pulmonary vascular congestion in the setting of stable moderate cardiomegaly. No evidence of pneumonia. | Findings: Compared with the prior radiograph there is moderate worsening of pulmonary vascular congestion. No focal parenchymal opacities are identified. Moderate cardiomegaly is grossly stable, as are the mediastinal and hilar contours. There is no pleural effusion or pneumothorax. Right-sided Port-A-Cath catheter inns in the right atrium. Impression: Slight worsening of mild pulmonary vascular congestion in the setting of stable moderate cardiomegaly. No evidence of pneumonia. Hyperinflation of the lungs is seen. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 828dd9de-ee245eb4-e8513715-9218b1f9-081a1742 | 52941169 | 10003400 | Impression: ET tube tip is 4.7 cm above the carinal. NG tube tip is 2 proximal, at the gastroesophageal junction and should be advanced. Right internal jugular line tip is in the right atrium. The cardiomediastinal silhouette is substantially increased potentially due to very low lung volumes with bibasal consolidations. Nodular opacity in the right lower lobe is not well seen on the previous examination, might represent summation of shadows and should be reassessed on subsequent imaging. The findings might in fact represent a combination of low lung volumes and mild pulmonary edema. | Impression: ET tube tip is 2.3 cm above the carina. NG tube tip is 2 proximal, at the gastroesophageal junction and should be advanced. Right internal jugular line tip is in the right atrium. The cardiomediastinal silhouette is substantially increased potentially due to very low lung volumes with bibasal consolidations. Nodular opacity in the right lower lobe is not well seen on the previous examination and is noted to be considerably larger, might represent summation of shadows and should be reassessed on subsequent imaging. The findings might in fact represent a combination of low lung volumes and mild pulmonary edema. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is substantially increased potentially due to very low lung volumes with bibasal consolidations. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| 19b74f79-7ad317b1-887496c3-2645db29-48245a51 | 53341253 | 10003400 | Impression: Comparison to ___. No relevant change. Monitoring and support devices are constant. Constant position of the right chest tube. Millimetric right pneumothorax. Moderate unchanged left pleural effusion with subsequent areas of basilar atelectasis. Moderate cardiomegaly persists. | Impression: Comparison to ___. No relavant change. Monitoring and support devices are constant. Constant position of the right chezt tube. No pneumothorax. Moderate unchanged left pleural effusion with subsequent areas of basilar atelectasis. No cardiomegaly. | ['Change position of device', 'Add typo', 'False negation'] |
| 781cba72-5bec94f8-f81af7f6-9d86b38c-2ed9428d | 53352321 | 10003400 | Impression: Large bilateral pleural effusions have increased. Pleural fluid obscures most of both lungs the left, but substantial atelectasis is of portable. Heart is at least moderately enlarged. Dilated mediastinal veins suggests elevated central venous pressure or volume or both. Right jugular line ends in the right atrium. Nasogastric drainage tube ends in the upper stomach. No pneumothorax. | Impression: Large bilateral pleural effusions have increased. Pleural fluid obscures most of both lungs the left, but substantial atelectasis is of portal. Heart is at least moderately enlarged. Dilated mediastinal veins suggest elevated central venous pressure or volume or both. Right jugular line ends in the SVC. Nasogastric drainage tube ends in the mid stomach. No pneumothorax. Incidentally noted is the presence of a right-sided pacemaker. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 2c814e99-aa096010-bd722059-5a35bd69-a902e44e, ca78b970-de04e32f-7121b2a6-319057d6-77013e43 | 53661694 | 10003400 | Findings: Right-sided Port-A-Cath tip terminates in the proximal right atrium, unchanged. Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are essentially clear with minimal subsegmental atelectasis in the left lung base. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Impression: No acute cardiopulmonary abnormality. | Findings: Right-sided central venous catheter tip terminates in the proximal right atrium, unchanged. Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Lungs are essentially clear with minimal subsegmental atelectasis in the left lung base. Impression: No acute cardiopulmonary abnormality. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 3b191b31-281da65a-f45c123b-56184341-737ae783 | 54050001 | 10003400 | Findings: In comparison the chest radiograph obtained 1 day prior, there has been substantial interval increase in large, right greater than left, bilateral pleural effusions. Inflated lung parenchyma appears grossly clear, but is incompletely evaluated due to the substantial pleural effusions. With the chin flexed, the ET tube is 1 cm above the carina. A Dobhoff tube is unchanged in position, terminating in the mid stomach. A right-sided port is unchanged in position. Impression: Substantially increased, large, bilateral pleural effusions. | Findings: In comparison the chest radiograph obtained 1 day prior, there has been substantial interval increase in large, right greater than left, bilateral pleural efusions. Inflated lung parenchyma appears grossly clear, but is incompletely evaluated due to the substantial pleural effusions. With the chin flexed, the ET tube is 1 inch above the carina. A Dobhoff tube is unchanged in position, terminating in the mid stomach. A right-sided port is unchanged in position. Impression: Substantially increased, large, bilateral pleural effusions. There is also the presence of an ICD. | ['Change measurement', 'Add typo', 'Add medical device'] |
| 581a33ce-5bd61881-2963542f-46481b71-4f98753d | 54341551 | 10003400 | Impression: The nasogastric tube is coiled in the stomach, with the tip near the fundus. Left upper extremity PICC ends in the distal SVC. Right subclavian central venous line ends in the right atrium, unchanged. | Impression: The nasogastric tube is coiled in the stomach, with the tip near the fundus. Right upper extremity PICC ends in the distal SVC. Right subclavian central venous line ends in the right atrium, unchanged. The lungs are clear of focal consolidation, pleural effusion, and pneumothorax. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| df9394ad-02389c41-a06dc228-9ddc338e-305ab921 | 55177950 | 10003400 | Findings: In comparison to the chest radiograph obtained 4 days prior, there has been interval placement of an ET tube, which terminates 3 cm above the carina. Moderate right pleural effusion is probably unchanged, taking into account changes in patient positioning. Increased, small left pleural effusion. Substantial bibasilar atelectasis. Moderate cardiomegaly with mild, unchanged pulmonary edema. An enteric tube terminates in the expected location the gastric body. A right-sided port/central venous catheter terminates in the right atrium. Impression: ET tube is appropriately positioned. Moderate right and increased, small left pleural effusion. Mild, unchanged pulmonary edema. | Findings: In comparison to the chest radiograph obtained 4 days prior, there has been interval placement of an ET tube, which terminates 3 mm above the carina. Moderate right pleural effusion is probably unchanged, taking into account changes in patient positioning. Increased, small left pleural effusion. Substantial bibasilar atelectasis. Moderate cardiomegaly with mild, unchanged pulmonary edema. An enteric tube terminates in the expected location the gastric body. A right-sided port/central venous catheter terminates in the right atrium. Increased, small left pleural effusion. Impression: ET tube is appropriately positioned. There is evidence of right lower lobe consolidation. Mild, unchanged pulmonary edema. | ['Change measurement', 'Add repetitions', 'False prediction'] |
| d74edd6a-7b3a85fe-733bde07-d46f005c-3124091c | 55549081 | 10003400 | Impression: Dobbhoff tube tip is in the stomach. Right central venous line tip is at the level of the right atrium. No change in large bilateral pleural effusions and vascular congestion demonstrated. Left PICC line tip is at the level of lower SVC. | Impression: Dobbhoff tube tip is in the stomach. Right central venous line tip is at the level of mid SVC. No change in large bilateral pleural effusions and vascular congestion demonstrated. Left PICC line tip is at the level of lower SVC. Growing effusions occupy the right pleural space. Left PICC line tip is at the level of lower SVC. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| 7eea27b8-a4127ebb-b814b969-61d6fe59-2a1bd17e | 56185120 | 10003400 | Impression: Comparison to ___. All monitoring and support says, including the right-sided chest tube, are in unchanged position. The right lung apex continues to be hyperlucent but a pleural line indicative for pneumothorax is no longer visualized. Unchanged extent of the pre-existing moderate left pleural effusion, with subsequent left predominant atelectasis. Unchanged moderate cardiomegaly. | Impression: Comparison to ___. All monitoring and support says, including the right-sided vascular stent, are in unchanged position. The right lung apex continues to be hyperlucent but a pleural line indicative for pneumothorax is no longer visualized. The right lung apex continues to be hyperlucent but a pleural line indicative for pneumothorax is no longer visualized. Unchanged extent of the pre-existing moderate left pleural effusion, with subsequent left predominant atelectasis. Unchanged moderate cardiomegaly. Diffuse bilateral interstitial markings are seen indicating early heart failure. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| dcdc4bd9-4301b111-2a65a814-ee8e7bc5-7f0b9a5a | 56466802 | 10003400 | Findings: Right-sided Port-A-Cath tip terminates in the proximal right atrium. Moderate enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Partially imaged is a pigtail catheter overlying the right upper quadrant of the abdomen. No acute osseous abnormalities are detected. Impression: No acute cardiopulmonary abnormality. | Findings: Left-sided Port-A-Cath tip terminates in the proximal right atrium. Moderatee enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Partially imaged is a pigtail catheter overlying the right upper quadrant of the abdomen. No acute osseous abnormalities are detected. An endotracheal tube is noted in place. | ['Change location', 'Add typo', 'Add medical device'] |
| ac2ffb82-9d47c79b-8b57d37e-265a1ffc-aa74a8aa | 56915166 | 10003400 | Impression: Support lines and tubes are unchanged in position. There is unchanged cardiomegaly. There are bilateral effusions, left greater than right. There is a persistent left retrocardiac opacity. There is a persistent small right apical pneumothorax, unchanged. | Impression: Support lines and tubes are unchanged in position. There is unchanged mild cardiomegaly. There are bilateral effusions, left greater than right. There is a persistent left retrocardiac opacity. There is a persistent small right apical pneumothorax, decreased from prior. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 71884ebf-2fa1b333-d288ddba-2a9d832b-c9f4f79b | 57147097 | 10003400 | Findings: A chest tube in similar position. Interval decrease in the right-sided pleural effusion which is now small. There is still fluid along the minor fissure and right lower lobe opacification. Moderate to large left pleural effusion and significant opacification of the left lung is unchanged. Feeding tube has been removed. Nasogastric tube is coiled in the stomach region. . Impression: Interval decrease in the right-sided. Stable appearance of the left lung. | Findings: A chest tube in similar position. Interval decrease in the rite-sided pleural effusion which is now small. There is still fluid along the minor fissure and right lower lobe opacification. Moderate to large left pleural effusion and significant opacification of the left lung is unchanged. Feeding tube has been removed. Nasogastric tube is coiled in the esophagus. ICD is noted in the right thoracic cavity. . Impression: Interval decrease in the right-sided. Stable appearance of the left long. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 9f35bf94-77c36356-bfb8e0cf-398b6e0f-eea5cf93 | 57607776 | 10003400 | Impression: Port-A-Cath catheter tip is at the level of the right ventricular outflow tract. The double tube has been removed. There is substantial distension of the stomach that might potentially benefit from the NG tube insertion. What appears to be a E ureteral stent is partially imaged. Bilateral pleural effusions, right more than left are present. Vascular congestion is noted, borderline with mild interstitial pulmonary edema. | Impression: A PICC line tip is at the level of the right ventricular outflow tract. The double tube has been removed. There is substantial distension of the stonach that might potentially benefit from the NG tube insertion. What appears to be a E ureteral stent is partially imaged. Bilateral pleural effusions, rihgt more than left are present. Vascular congestion is noted with prominent air bronchograms suggesting larger consolidation. | ['Change name of device', 'Add typo', 'False prediction'] |
| 11b6ac54-65f50afa-38228a29-8a18a28e-c51e103a | 58534470 | 10003400 | Impression: Nasogastric tube ends in the region of the GE junction, and should be advanced prior to use. Left upper extremity PICC has been repositioned, and ends in the distal SVC. Right subclavian central venous line ends in the right atrium, unchanged. Have compared to the previous study there is no change in mild interstitial pulmonary edema and large bilateral pleural effusions and bibasal consolidations. | Impression: Nasogastric tube ends in the region of the GE junction, and should be advanced prior to use. Left upper extremity PICC has been repositioned, and ends in the mid SVC. Right subclavian central venous line ends in the right afro, unchanged. Have compared to the previous study there is no change in mild interstitial pulmonary edema and large bilateral pleural effusions and bibasal consolidations. A pacemaker is present and in appropriate location. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 76d89c24-6ce3add5-caa6f160-1a250075-4a608ab7 | 58633368 | 10003400 | Impression: ET tube tip is 4.3 cm above the carinal. Double tube tip is in the stomach. Right Port-A-Cath tip is at the proximal right atrium, unchanged There is no change in large bilateral pleural effusions and perihilar opacities. No appreciable pneumothorax. | Impression: ET tube tip is 4.3 inches above the carinal. Double tube top is in the stomach. Right Port-A-Cath tip is at the proximal right atrium, uncahnged. There is no change in large bilateral pleural effusions and perihilar opacities. No appreciable pneumothorax. Additionally, a central venous line is present. | ['Change measurement', 'Add typo', 'Add medical device'] |
| 4057348e-68278864-98cc1e88-41ae8009-264cb3bf | 58820563 | 10003400 | Impression: Comparison to ___, 11:35. In the interval, the pre-existing effusion on the left has moderately increased. On the right, a new chest tube continues to drain the pre-existing right pleural effusion. There is no evidence for the presence of a pneumothorax. Moderate cardiomegaly. Unchanged monitoring and support devices. | Impression: Comparison to ___, 11:35. In the interval, the pre-existing effusion on the left has slightly decreased. On the right, a new chest tube terminates in the right main bronchus. There is no evidence for the presence of a pneumothorax. Moderate cardiomegaly. Unchanged monitoring and support devices. There is a pacemaker in situ. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| 78b25180-ff33317d-92a10132-dffdc0b1-e7234a43, d6ebc682-facfed63-c0196231-465b4ba9-9be3e3a8 | 58983613 | 10003400 | Findings: A Port-A-Cath again terminates in the right atrium. The cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly and mild unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Impression: No evidence of acute cardiopulmonary disease. | Findings: A vascular stent again terminates in the right atrium. The cardiac, mediastinal and hilar counters appear stable including mild cardiomegaly and mild unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Impression: No evidence of acute cardiopulmonary decease. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 60b87cf4-16cae318-9e395a6c-8627d25c-9a39a71a, fa5222a4-1f6d7ddb-ae9e88e7-57ce49dd-f9f33381 | 59336915 | 10003400 | Impression: Moderate, unchanged cardiomegaly. No edema. | Impression: Mild, unchanged cardiomegaly. No eduma.ET tube is present. | ['Change severity', 'Add typo', 'Add medical device'] |
| 80c12354-2327c69b-c6a88d0a-c1c5aa86-c45e4c46, ee04cb69-1bd5f856-a4a78c6f-4f00534f-8af142e1 | 59172281 | 10003412 | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged hardware in the lumbar spine. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The lungs have multiple areas of consolidation. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged hardware in the lumbar spine. The lungs are clear without focal consolidation. Impression: No acute alveolar process. No acute cardiopulmonary process. | ['Add repetitions', 'Add contradiction', 'False prediction'] |
| 4c028244-47499ecc-3fab489b-15ec1e76-47055a4d, 6aeadf6d-56fb29f1-81351e24-cedb543d-4c8fa419 | 51371378 | 10003637 | Impression: In comparison with the study of scratch then no previous images. Low lung volumes accentuate the enlargement of the cardiac silhouette. Indistinctness of engorged pulmonary vessels most likely reflects elevation of pulmonary venous pressure. No definite acute focal pneumonia, though the retrocardiac area is difficult to assess in the absence of a lateral view. | Impression: In comparizon with the study of scratch then no previous images. Low lung volumes accentuate the enlargement of the cardiac silhouette. Indistinctness of engorged pulmonary vessels most likely reflects elevation of pulmonary arterial pressure. Bibasilar atelectasis is noted. No definite acute focal pneumonia, though the right retrocardiac area is difficult to assess in the absence of a lateral view. | ['Change location', 'Add typo', 'False prediction'] |
| 519a3958-182826e9-f754780d-7b562169-e2421aec | 51461467 | 10003637 | Findings: Patient is status post median sternotomy and CABG. Left-sided AICD is noted with single lead terminating in the right ventricle. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormalities are detected. Impression: No acute cardiopulmonary abnormality. | Findings: Patient is status post median sternotomy and CABG. Left-sided central venous catheter is noted with single lead terminating in the right ventricle. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormalities are detected. Heart size is normal. Impression: No acute cardiopulmonary abnormality. | ['Change name of device', 'Add repetitions', 'False negation'] |
| f6119cd4-a5ef793e-db8543a2-f8d4a0e1-8c8aeb54 | 57024735 | 10003637 | Impression: In comparison with study of ___, there has been placement of a single lead pacer that extends to the apex of the right ventricle. No evidence of post procedure pneumothorax. Cardiac silhouette is at the upper limits of normal or mildly enlarged. No evidence of appreciable vascular congestion, pleural effusion, or acute focal pneumonia. | Impression: In comparison with study of ___, there has been placement of a single lead ICD that extends to the apex of the right ventricle and there has been placement of a single lead ICD that extends to the apex of the right ventricle. No evidence of post procedure pneumothorax. Cardiac silhouette is at the upper limits of normal or mildly enlarged. No evidence of appreciable vascular congestion, pleural effusion, or chronic airspace disease. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 257a7a23-49f3bbbc-df58f0ff-bdf22667-688e51ba, dc29d33e-bcf77ecf-c4fca6b6-8ea2ed29-d71aee14 | 53245562 | 10003956 | Findings: PA and lateral views of the chest provided. No lobar consolidation, effusion or pneumothorax. No convincing signs of pneumonia. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm. Impression: No definite signs of pneumonia. | Findings: PA and lateral views of the chest provided. Some lobar consolidation is noted in the left lower lobe. No lobar consolidation, effusion or pneumothorax. No convincing signs of pneumonia. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm. No free air below the right hemidiaphragm. Impression: No definite signs of pneumonia. Pneumothorax is suspected on the left side. | ['Change location', 'Add repetitions', 'False prediction'] |
| 3813b9b6-88d998b4-941e767b-601ba7c1-98f61102 | 52379321 | 10004235 | Findings: An ET tube is seen with distal tip projecting 6 cm above the carina, in appropriate position. An enteric tube is seen coursing inferiorly, with distal tip projecting over the expected position of stomach fundus. There are low lung volumes. A widened mediastinum may reflect low lung volumes and supine positioning. Pulmonary vascular engorgement and diffuse airspace opacities likely relates to pulmonary vascular congestion and mild pulmonary edema in the setting of volume resuscitation. Linear opacities in the bilateral lower lungs likely represents bibasilar atelectasis. There is no pneumothorax or pleural effusion. Impression: 1. Widened mediastinum may reflect low lung volumes and supine positioning, however mediastinal great vessel injury cannot be excluded. If concern exists, recommend chest CTA. 2. Pulmonary vascular congestion and probable mild pulmonary edema. 3. Bibasilar atelectasis. 4. ET tube with tip 6 cm above carina. Enteric tube with tip projecting over stomach fundus. | Findings: An ET tube is seen with distal tip projecting 6 mm above the carina, in appropriate position. An enteric tube is sen coursing inferiorly, with distal tip projecting over the expected position of stomach fundus. No lung volumes. A widened mediastinum may reflect low lung volumes and supine positioning. Pulmonary vascular engorgement and diffuse airspace opacities likely relates to pulmonary vascular congestion. Linear opacities in the bilateral lower lungs likely represents bibasilar atelectasis. There is no pneumothorax or pleural effusion. Impression: 1. Widened mediastinum may reflect low lung volumes and supine positioning, however mediastinal great vessel injury cannot be excluded. If cncern exists, recommend chest CTA. 2. Pulmonary vascular congestion. 3. Bibasilar atelectasis. 4. ET tube with tip 6 inches above carina. Enteric tube with tip projecting over stomach fundus. | ['Change measurement', 'Add typo', 'False negation'] |
| 5b05c3da-4f8f9c06-7b8c4faf-4c12d978-6cb22b83 | 52604377 | 10004235 | Impression: In comparison with the earlier study of this day, there has been placement of a left IJ catheter extends to the mid to lower portion of the SVC. Right IJ catheter extends to the upper portion of the SVC. No evidence of pneumothorax or other change. | Impression: In comparison with the earlier study of this day, there has been placement of a left IJ catheter extends to the mid to lower portion of the SVC. Right IJ catheter extends to the mid SVC. No evidence of pneumothorax or other change. No evidence of pneumothorax. | ['Change position of device', 'Add repetitions', 'False negation'] |
| d71a4931-5c0832b8-ae60fd56-1e3658d3-a392959a | 52962553 | 10004235 | Findings: Lines and tubes are grossly unchanged. The NG to cannot be traced through the lower most mediastinum due to underpenetration. The cardiomediastinal silhouette is unchanged. Extensive interstitial and alveolar opacity use in both lungs appear more confluent . Small effusions would be difficult to exclude. No pneumothorax detected. Impression: Progression of bilateral opacities, now more confluent, particularly on the left. suggesting progression of alveolar edema. In the appropriate clinical setting, underlying infectious infiltrate would be difficult to exclude. | Findings: Lines and tubes are grossly unchanged. The NG to cannot be traced through the uppermost mediastinum due to underpenetration. The cardiomediastinal silhouette is unchanged. Extensive interstitial and alveolar opacity in both lungs appear less confluent. Small effusions are detected. No pneumothorax detected. Impression: Progression of bilateral opacities, now more confluent, particularly on the left, suggesting lack of progression of alveolar edema. In the appropriate clinical setting, underlying infectious infiltrate cannot be excluded. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 074987b9-26c19a32-5d80ebab-28a2fb1c-6191b91f, 2af702f0-3c2b86f3-82e2112b-7f449f3d-dde1c122 | 54234360 | 10004235 | Impression: As compared to ___ radiograph, cardiomediastinal contours are stable. Worsening bibasilar opacities favor atelectasis over infectious pneumonia. Probable very small pleural effusions bilaterally. | Impression: As compared to ___ radiograph, cardiomediastinal contours are stable. Mild bibasilar opacities favor atelectasis over infectious pneumonia. Probable very small pleural effusions bilaterally. Probable very small pleural effusions bilaterally. | ['Change severity', 'Add repetitions', 'False negation'] |
| 606ea60e-f3c5c58e-68fd84ca-db4e599b-127aa53e | 57318275 | 10004235 | Findings: The endotracheal tube is positioned high, approximately 7 cm from the carina. An enteric tube courses below the diaphragm with the tip out of the field of view. The lung volumes are low. Bibasilar atelectasis is unchanged. Since the prior exam, there has been a slight interval worsening of the vascular congestion and mild pulmonary edema. There is no opacity to suggest pneumonia. No pleural effusion or pneumothorax is identified. Widening of the mediastinal contours is unchanged, and likely due to mediastinal fat, as seen on the prior CT. The heart appears slightly larger. Impression: 1. Slight interval worsening of vascular congestion and mild pulmonary edema. Additionally, the heart appears slightly larger. 2. High position of the endotracheal tube, 7 cm from the carina. Advance 2-3 cm for more secure placement. | Findings: The endotracheal tube is positioned high, approximately 7 cm from the carina. An enteric tube course below the diaphragm with the tip out of the field of view. The lung volumes are low. Bibasilar atelectasis is unchanged. Since the prior exam, there has been a marked interval worsening of the vascular congestion and mild pulmonary edema. There is no opacity to suggest pneumonia. A small pleural effusion is identified. Widening of the mediastinal contours is unchanged, and likely due to mediastinal fat, as seen on the prior CT. The heart appears severely larger. Impression: 1. Slight interval worsening of vascular congestion and moderate pulmonary edema. Additionally, the heart appears slightly larger. 2. High position of the endotracheal tube, 7 cm from the carina. Advance 2-3 cm for more secure placement. | ['Change severity', 'Change to homophone', 'False prediction'] |
| f9c51c13-4a226906-c3daea10-5b1e4027-ae2ed354 | 57921415 | 10004235 | Impression: In comparison with the study of ___, the monitoring and support devices are essentially unchanged. The patient has taken a somewhat better inspiration. Nevertheless, there is enlargement of the cardiac silhouette with bibasilar opacifications. | Impression: In comparison with the study of ___, the monitoring and support devices are essentially unchanged. The patient has taken a somewhat better inspiration. Nevertheless, there is a normal-sized cardiac silhouette with bibasilar opacifications. | ['Add contradiction', 'Add typo', 'False negation'] |
| c24939ff-cf96a7e2-dcc4a608-a9f63b02-2b64eca1 | 58604118 | 10004235 | Findings: Compared to the prior study, the right IJ line may have been exchanged. The tip overlies the proximal SVC. The ET tube, left IJ line and NG type tube appear unchanged. No pneumothorax is detected. There is some new subtle confluent opacity in the right perihilar region. Otherwise, I doubt significant interval change. Prominent cardiomediastinal silhouette is unchanged. Upper zone redistribution and diffuse vascular blurring is similar to the prior film, allowing for technique. Increased retrocardiac density with air bronchograms is also unchanged. No gross effusion. Impression: Subtle new confluent opacity in the right perihilar region,? related to subtle progression of CHF findings. Otherwise, I doubt significant interval change. Attention to this area on followup films is requested. | Findings: Compared to the prior study, the right IJ line may have been exchanged. The tip overlies the proximal SVC. The ET tube, left IJ line and NG type tube appear unchanged. No pneumothorax is detected. There is some new subtle confluent opacity in the right perihilar region. No pulmonary opacity. Prominent cardiomediastinal silhouette is unchanged. Upper zone redistribution and diffuse vascular blurring is similar to the prior film, allowing for technique. Increased retrocardiac density with air bronchograms is also unchanged. No gross effusion. Impression: Subtle new confluent opacity in the right perihilar region,? related to subtle progression of CHF findings. Otherwise, I doubt significant interval change. Attention to this area on followup films is requested. | ['Change severity', 'Add repetitions', 'False negation'] |
| 125cdd3f-57f5c50a-e59e5476-64c27621-f211c385 | 59895508 | 10004235 | Impression: As compared to ___ radiograph, the patient has been extubated. Cardiomediastinal contours are stable, and pulmonary vascular congestion persists. Interval improved aeration in the left mid and lower lung but slight worsening of right juxta hilar and basilar opacities. | Impression: As compared to ___ radiograph, the patient has been extubated. Mild pleural effusion is seen in the left hemithorax. Cardiomediastinal contours are stable, and pulmonary vascular congestion persists. Interval improved aeration in the right mid and lower lung but slight worsening of right juxta hilar and basilar opacities. No new osseous abnormalities identified. | ['Change location', 'Change to homophone', 'False prediction'] |
| 8159799c-7615c0ba-9676dd65-8b0cd6ed-96872c8f, b9a08a39-c53ad784-99673387-d9140a2f-cbc1dbde | 57662923 | 10004322 | Findings: Subtle streaky opacity in the left lower lobe may reflect atelectasis, though infection cannot be entirely excluded. There is no pleural effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal. Impression: Streaky left lobe opacity may reflect atelectasis, though infection cannot be entirely excluded. Recommend correlation with physical exam and laboratory data. | Findings: Subtle streaky opacity in the left upper lobe may reflect atelectasis, though infection cannot be entirely excluded. There is no pleural effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar counters are normal. Heart size is normal. A pacemaker is present. | ['Change location', 'Change to homophone', 'Add medical device'] |
| ad41d9ed-37ff140e-afe872af-224a8477-f98ac392 | 55439624 | 10004457 | Findings: As compared to the previous radiograph, all monitoring and support devices have been removed. Bilateral pleural effusions of mild-to-moderate extent persist. Their extent is better visualized on the lateral than on the frontal image. No pneumothorax. Normal post-operative alignment of the sternal wires. Normal size of the cardiac silhouette. Mild retrocardiac atelectasis. No pneumothorax. | Findings: As compared to the previous radiograph, all monitoring and support edvices have been removed. Unilateral pleural effusions of mild-to-moderate extent persist. Their extent is better visualized on the left than on the frontal image. No pneumothorax. Normal post-operative alignment of the sternal wires. Normal siz of the cardiac silhouette. Mild retrocardiac atelectasis. An ET tube is present. No pneumothorax. | ['Change location', 'Add typo', 'Add medical device'] |
| 53a0e91c-79580b39-f184232b-f105311f-eb2e51d2, a631cd7c-8da83d3e-b01eff09-adbbd532-d35221b8 | 59238247 | 10004720 | Findings: Scoliosis of the thoracic spine and consequent asymmetry in the rib spaces. The compression fracture in the thoracic vertebral body is stable. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. , no pulmonary edema. No pleural effusions. No pneumonia Impression: Chronic scoliosis and stable compression fracture of a thoracic vertebra. Otherwise normal chest radiograph. No evidence pneumonia. | Findings: Scoliosis of the thoracic spine and consequent asymmetry in the rib spces. The compression fracture in the thoracic vertebral body is stable. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pulmonary edema. No pleural effusions. There is a left lower lobe infiltrate. Impression: Chronic scoliosis and stable compression fracture of a thoracic vertebra. Otherwise normal chest radiograph. No evidence of pneumonia. | ['Add typo', 'Add repetitions', 'False prediction'] |
| 2134c2ee-d0accf09-60867899-ebfd91cb-740492f2, d3374daa-668dfc88-b06827c7-07a5aa23-8527ce6f | 56644724 | 10004749 | Findings: The lung volumes are normal. No pleural effusions. No parenchymal abnormalities. Normal size of the cardiac silhouette. | Findings: The lung volumes are nomral. No pleural effusions. No parenchymal abnormalities. Normal size of the cardiac silhouette. There is an increase in pleural effusion. | ['Add typo', 'Add contradiction', 'False negation'] |
| 0cecd663-8e3c9dd3-36e76b0f-04f27d4d-cd872a54, b01a2f02-4bab6c03-9b0df7ab-561a30be-1285a049 | 50691028 | 10005001 | Findings: 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. Impression: No acute cardiopulmonary abnormality. | Findings: Heart size is normal. The mediastinal and hilar contours are normal. The pujmonary vasculature is normal. Lungs are hyperinflated. No pleural effusion or pneumothorax is seen. There are multifocal airspace opacities in the right lung. Impression: No acute cardiopulmonary abnormality. Mild cardiomegaly noted. | ['Add contradiction', 'Add typo', 'False prediction'] |
| cdd1bd42-770fcd05-16836b10-98a10e4a-f7b45ac2 | 53950795 | 10005024 | Findings: Numerous nodular opacities compatible the patient's metastatic disease are again appreciated. In addition, there is worsening pulmonary edema as well as a worsening right lower lobe infiltrate which could represent pneumonia in the correct clinical setting. A right pleural effusion is also increased in size. Impression: Worsening combination of pleural effusion, pulmonary edema and possibly pneumonia particularly in the right lower lobe. | Findings: Numerous nodular opacities compatible with the patient's metastatic disease are again appreciated. In addition, there is worsening pulmonary edema as well as a worsening right upper lobe infiltrate which could represent pneumonia in the correct clinical setting. A right pleural effusion is also increased in size. Impression: No pleural effusion, pulmonary edema or pneumonia are noted. | ['Change location', 'Add contradiction', 'False negation'] |
| 28100fe4-a1120f36-8cf2f843-ffbc3edd-9e337f7a | 59581256 | 10005024 | Impression: There is no clear radiographic change over the past 11 days. Bilateral pleural effusions moderate on the right small on the left and callus pulmonary nodules are unchanged. Extent of central adenopathy is better revealed by the chest CT scan. Confluent opacification at the base of the right lung is probably atelectasis, pleural mild pneumonia is difficult to exclude. In all other locations there no findings that would raise the possibility of pneumonia. | Impression: There is no clear radiographic change over the past 11 days. Bilateral pleural effusions moderate on the right and callus pulmonary nodules are unchanged. Extent of central adenopathy is better revealed by the chest CT scan. Confluent opacification at the base of the right lung is probably atelectasis, pleural mild pneumonia is difficult to exclude. In all other locations there no findings that would raise the possibility of pneumonia. | ['Change severity', 'Add typo', 'False negation'] |
| be0031db-71027bcc-0fb3a0fa-71fddcaf-8b8a89b7 | 50611575 | 10005329 | Impression: Normal chest radiograph. | Impression: No male chest radiograph. | ['False prediction', 'Change to homophone', 'False negation'] |
| 5f4d8dbd-5b3fabc2-57368426-c8a47b2a-25c294da | 54510564 | 10005368 | Findings: The lungs are clear without infiltrate. The cardiac and mediastinal silhouettes are normal. There is minimal right CP angle blunting compatible with either a tiny effusion or is small amount of pleural thickening the bony thorax appears normal Impression: Blunting of the right CP angle otherwise normal chest. | Findings: The lungs are clear without infiltrate. The cardiac and mediastinal silhouettes are normal. No right CP angle blunting. The bony thorax apears normal Impression: No significant abnormalities in the right CP angle otherwise normal chest. | ['Change severity', 'Add typo', 'False negation'] |
| 220537f0-2e10b49c-84818e74-b832aa0a-7055102a | 56689183 | 10005368 | Findings: Semi-upright portable view of the chest demonstrates small right apical pneumothorax, which has decreased in size since study obtained four hours prior. No appreciable left pneumothorax. Subcutaneous gas of the chest wall is unchanged. Low lung volumes. No focal consolidation or pleural effusion. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. Trace amount of free air is seen under the right hemidiaphragm. Impression: In comparison to study obtained four hours prior, there is interval decrease in right apical pneumothorax, now small. | Findings: Semi-upright portable view of the chest demonstrates small right apical pneumothorax, which has decreased in size since study obtained four hours prior. No appreciable bilateral pneumothorax. Subcutaneous gas of the abdominal wall is unchanged. Low lung volumes. There is a focal consolidation in the right middle lobe, but no pleural effusion. Hilar and mediastinal silhouettes are unchanged. Hart size is normal. Trace amount of free air is seen under the left hemidiaphragm. Impression: In comparison to study obtained four hours prior, there is interval decrease in right apical pneumothorax, now small. There is also a slight widening of the mediastinum seen. | ['Change location', 'Change to homophone', 'False prediction'] |
| ec9280da-2f8b1181-d3d259a5-ba262147-675f5d0d | 57426090 | 10005368 | Findings: Minimal right subdiaphragmatic air. Right apical pneumothorax with a diameter of approximately 13 mm. No convincing evidence of a left pneumothorax. However, the left lung apex is equally hyperlucent. Bilateral cervical soft tissue air collections. No evidence of tension. Normal size of the cardiac silhouette. | Findings: Minimal right subdiaphragmatic air. Right apical pneumothorax with a diameter of approximately 13 inches. No convincing evidence of a left pneumothorax. However, the left lung apex is equally hyperlucnet. Bilateral cervical soft tissue air collections. No evidence of tension. Normal size of the cardiac silhouette. Trace pleural effusion bilaterally. | ['Change measurement', 'Add typo', 'False prediction'] |
| 5f683bbb-2313fd5d-86cbea5c-705ffd10-69cb9156, e0108e6d-74af437b-1b374d6f-9f8e4ff4-c2d4170f | 53170451 | 10005749 | Impression: PA and lateral chest reviewed in the absence of prior chest imaging: Moderate bilateral pleural effusions layer dependently. Cardiac silhouette has a peculiar shape, and a larger than expected component to the right of midline. Whether this is due to cardiomegaly or pericardial effusion is indeterminate. There is no particular distention of either pulmonary or mediastinal vasculature to suggest one or the other. Bibasilar atelectasis is relatively mild, and there is no pulmonary edema. Aortic contour is normal. Dr. ___ was paged. | Impression: PA and lateral chest reviewed in the absence of prior chest imaging: Mild bilateral pleural effusions layer dependently. Cardiac silhouette has a peculiar shape, and a larger than expected component to the right of midline. Whether this is due to cardiomegaly or pericardial effusion is indeterminate. There is no particular distention of either pulmonary or mediastinal vasculature to suggest won or the other. No atelectasis is noted, and there is no pulmonary edema. Aortic contour is normal. Dr. ___ was paged. | ['Change severity', 'Change to homophone', 'False negation'] |
| 6c4e7b61-c870af38-2e4c1516-d6881840-7a65250e | 54040624 | 10005749 | Findings: The tip of the right subclavian PICC line is in the mid portion of the SVC. When compared to the study of ___, there is continued enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure. The right heart border is now sharply seen, as is the hemidiaphragm, consistent with substantial decrease in pleural effusion. However, this could represent a more erect position of the patient rather than significant fluid decrease. There is opacification at the left base consistent with a small effusion on this side. | Findings: The tip of the right subclavian catheter is in the mid portion of the SVC. When compared to the study of ___, there is continued enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure. The right heart border is now sharply seen, as is the hemidiaphragm, consistent with substantial decrease in pleural effusion. The right heart border is now sharply seen, as is the hemidiaphragm, consistent with substantial decrease in pleural effusion. However, this could represent a more erect position of the patient rather than significant fluid decrease. There is opacification at the left base consistent with a small effusion on this side. Right-sided AICD device noted with leads terminating in the right atrium and right ventricle. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 2288b20e-56691344-f1f5825a-d8f8976c-662478fc, f0cc7528-a372f2c6-c052cb5b-e6c0943d-60606558 | 54060141 | 10005749 | Findings: Lung volumes are normal. Small to moderate bilateral pleural effusions are unchanged since yesterday. Left retrocardiac opacity likely reflects atelectasis. There is no new worrisome pulmonary opacity. Mild cardiomegaly is unchanged. As before the main pulmonary artery is enlarged. There is no pneumothorax. Impression: 1. Stable small to moderate bilateral pleural effusions. 2. Stable mild cardiomegaly and pulmonary artery enlargement. | Findings: Lung volumes are normal. Large to moderate bilateral pleural effusions are unchanged since yesterday. Left retrocardiac opacity likely reflects atelectasis. There is no new worrisome pulmonary opacity. Mild cardiomegaly is unchanged. As before the main pulmonary artery is enlarged. There is no pneumothorax. There is questionable early consolidation in the right lower lobe. Impression: 1. Stable small to moderate bilateral pleural effusions. 2. Stable mild cardiomegaly and pulmonary artery enlargement. 2. Stable mild cardiomegaly and pulmonary artery enlargement. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 354c564a-052b21e0-6d1cf937-a943b022-cb3edeb1, deaec8ac-d2929f28-2b1287f9-7292e301-4a97c6c4 | 57249718 | 10005749 | Findings: No significant interval change. Bilateral small pleural effusions and adjacent atelectasis are overall unchanged. The heart is top-normal in size, unchanged. The pulmonary artery is enlarged, suggesting pulmonary hypertension. No demand, focal consolidation to suggest pneumonia, or pneumothorax. Impression: 1. Stable bilateral small pleural effusions and atelectasis. 2. Enlarged pulmonary artery, suggesting pulmonary hypertension. | Findings: No significant interval change. Bilateral small pleural effusions and adjacent atelectasis are overall unchanged. The heart is top-normal in size, unchanged. The pulmonary artery is enlarged, suggesting pulmonary hypertension. No focal consolidation to suggest pneumonia is seen in the left lung, or pneumothorax is noted in the right lung. There is also evidence of left basilar atelectasis. Impression: 1. Stable bilateral small pleural effusions and atelectasis. 2. Enlarged pulmonary artery, suggesting pulmonary hypertension. 3. No evidence of left basilar atelectasis. | ['Change location', 'Add contradiction', 'False prediction'] |
| c0fabcc0-d992f499-b7a8fa49-58bc6411-cb804475 | 59735352 | 10005749 | Impression: In comparison with the study of ___, there is an increase in bilateral pleural effusions, more prominent on the left, with underlying compressive atelectasis. Cardiac silhouette is unchanged and there is no evidence of vascular congestion or acute focal | Impression: In comparison with the study of ___, there is a decrease in bilateral pleural effusions, more prominent on the right, with underlying compressive atelectasis. Cardiac silhouette is unchanged and there is no evidence of vascular congestion or acute focal pneumonia. | ['Change location', 'Change to homophone', 'False prediction'] |
| fd95fcb1-d91fbd94-9b980db7-616ee57b-cb02e6ae | 58425702 | 10005858 | Impression: No acute disease. | Impression: Left-sided pleural effusion noted. | ['False negation', 'Change to homophone', 'False prediction'] |
| 58537982-8482dc10-7074e321-ac84bf39-3d641dfe, d29705ac-c3f4205b-e2e3f178-a7d5d59b-0987a892 | 58867217 | 10005858 | Findings: The patient is rotated to the left. No definite focal consolidation is seen. There is persistent mild elevation of the right hemidiaphragm. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Impression: Persistent mild elevation of the right hemidiaphragm. Otherwise, no acute cardiopulmonary process. | Findings: The patient is rotted to the left. No definite focal consolidation is seen. There is persistent severe elevation of the right hemidiaphragm. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Impression: Persistent mild elevation of the right hemidiaphragm. Minimal pericardial effusion. Otherwise, no acute cardiopulmonary process. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 6039e5db-d35aed7c-106102aa-126d200e-a262c646 | 55665483 | 10005866 | Findings: Compared with the prior study, a right-sided pleural effusion, with right basilar atelectasis is new. However, pulmonary edema has improved. The prior retrocardiac consolidation has also resolved, suggesting clearing of a mucous plug. Mild cardiomegaly is unchanged. No pneumothorax. Interval removal of the NG tube. Impression: Improved pulmonary edema, with improvement of a prior retrocardiac consolidation, suggesting clearing of a prior mucous plug. | Findings: Compared with the prior study, a right-sided pleural effusion, with right basilar atelectasis is new. The cardiac and mediastinal silhouettes are stable. The prior retrocardiac consolidation has also resolved, suggesting clearing of a mucous plug. Mild cardiomegaly is unchanged. No pneumothorax. The NG tube is in the mid-esophagus. Mild bibasilar infiltrates are present. Impression: Improved pulmonary edema, with improvement of a prior retrocardiac consolidation, suggesting clearing of a prior mucous plug. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| 5d612499-b20019dc-d3324174-33b669e4-95ced958 | 56175428 | 10005866 | Findings: Endotracheal tube tip is slightly low lying, terminating approximately 2.3 cm from the carina. Two enteric tube tips terminate within the stomach. Heart size is borderline enlarged. Mediastinal and hilar contours are similar. There is mild upper zone vascular redistribution, which suggests mild pulmonary vascular congestion. Additionally, there is a persistent small right pleural effusion with adjacent right basilar opacity, which may reflect atelectasis. Left lung is grossly clear, however, the left costophrenic angle is excluded from the field of view. No large pneumothorax is seen. There are no acute osseous abnormalities. Impression: 1. Endotracheal tube tip slightly low lying, terminating approximately 2.3 cm from the carina. 2. 2 enteric tube tips within the stomach. 3. Persistent small right pleural effusion with patchy right basilar opacity, potentially atelectasis. 4. Mild pulmonary vascular congestion. 5. No large pneumothorax identified on this supine limited exam. | Findings: Endotracheal tube tip is slightly low lying, terminating approximately 2.3 mm from the carina. Two enteric tube tips terminate within the stomach. Heart size is borderline enlarged. Mediastinal and hilar contours are similar. There is no upper zone vascular redistribution, which suggests mild pulmonary vascular congestion. Additionally, there is persistent small right pleural effusion with adjacent right basilar opacity, which may reflect atelectasis. Left lung is grossly clear, however, the left costophrenic angle is excluded from the field of view. No large pneumothorax is seen. There are no acute osseous abnormalities. ICD is in place. Impression: 1. Endotracheal tube tip slightly low lying, terminating approximately 2.3 cm from the carina. 2. 2 enteric tube tips within the stomach. 3. Persistent small right pleural effusion with patchy right basilar opacity, potentially atelectasis. 4. Mild pulmonary vascular congestion. 5. No large pneumothorax identified on this supine limited exam. | ['Change measurement', 'Add contradiction', 'Add medical device'] |
| 5053834b-b1bea04f-680aec42-45abe415-c2d097ba | 57648366 | 10005866 | Impression: No comparison. Borderline size of the cardiac silhouette. No pleural effusions. Mild fluid overload but no overt pulmonary edema. Minimal increase in radiodensity at the bases of the right medial lung. The change should be radiographically monitored within 24 hr to exclude developing pneumonia. | Impression: No comparison. Severely enlarged cardiac silhouette. No pleural effusions. Mild fluid overload but no overt pulmonary edema. No increase in radiodensity at the bases of the right medial lung. The change should be radiographically monitored within 24 hr to exclude developing pneumonia. | ['Change severity', 'Change to homophone', 'False negation'] |
| 4a985010-1425fdc1-f649f309-8b269e24-6d85c760 | 59391422 | 10005866 | Impression: Comparison to ___. In the interval, the patient has been extubated and 1 of the 2 feeding tubes has been removed. Stable size of the cardiac silhouette. Mild fluid overload. Minimal right pleural effusion. New left lower lobe retrocardiac atelectasis. No pneumothorax. | Impression: Comparison to ___. In the interval, the patient has been extubated and won of the to feeding tubes has been removed. Stable size of the cardiac silhouette. No fluid overload. Minimal left pleural effusion. New right lower lobe retrocardiac atelectasis. No pneumothorax. | ['Change location', 'Change to homophone', 'False negation'] |
| 369f3133-d4e334fd-faff1d81-84f5ebd7-6124309c, 7dc2a3a2-36441843-57a19575-082a406f-fcc1dbe3 | 51026004 | 10006023 | Findings: PA and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected. Lack of fusion of the posterior elements of C7 and T1, congenital, is incidentally noted. Impression: No acute cardiopulmonary process. | Findings: PA and ateral views of the chest. No lungs are clear. There heart silhouette is normal. No acute osseous abnormality detected. Lack of fusion of the posterior elements of T7 and T1, congenital, is incidentally noted. Impression: No acute cardiopulmonary process. | ['Change location', 'Add typo', 'False negation'] |
| 14afc73f-777de566-c8ff4345-ac179f43-9eb831de, a58750b1-755095ee-6e35bfd7-c3dae2e3-c7da498e | 50208870 | 10006431 | Impression: In comparison with the study of ___, there is little interval change. The cardiac silhouette remains within normal limits with no evidence of vascular congestion or acute focal pneumonia. There is blunting of the left costophrenic angle on the lateral view, suggesting small interval pleurally fusion. The right Port-A-Cath again extends to the lower SVC. | Impression: In comparison with the study of ___, there is little interval change. The cardiac silhouette remains within normal limits with no evidence of vascular congestion or acute focal pneumonia. There is blunting of the left costophrenic angle on the lateral view, suggesting moderate interval pleurally fusion. The right Port-A-Cath again extends to the lower SVC. An ET tube is present. | ['Change severity', 'Add typo', 'Add medical device'] |
| e5ee6ec1-64be5333-6d6db7f5-ca1179ab-a5378291, f8d6407e-70cf4b5b-e12632cb-d67fe3af-bbd07662 | 54868252 | 10006431 | Findings: Left-sided Port-A-Cath tip terminates in the low SVC. Heart size is mildly enlarged, but decreased in size compared to the previous exam. The mediastinal and hilar contours are unchanged with tortuosity of thoracic aorta again noted. Also again noted is indentation upon the right aspect of the trachea at the thoracic inlet due to the presence of a large thyroid goiter, as seen on prior CT. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. A common bile duct stent is incompletely assessed. Impression: No acute cardiopulmonary abnormality including no evidence for pneumonia. | Findings: Left-sided dual-chamber pacemaker tip terminates in the low SVC. Heart size is mildly enlarged, but decreased in size compared to the previous exam. The mediastinal and hilar contours are unchanged with tortuosity of thoracic aorta again noted. Also again noted is indentation upon the right aspect of the trachea at the thoracic inlet due to the presence of a large thyroid goiter, as seen on prior CT. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. A common bile duct stent is incompletely assessed. The pulmonary vasculature is normal. Impression: No acute cardiopulmonary abnormality including no evidence for pneumonia. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 0d985d10-36a2a165-ddc49c96-8b8466c9-df947f57, 34b92ae1-b8abce89-56505198-0f75c88f-a295b647 | 57608640 | 10006457 | Findings: Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Mild atherosclerotic calcifications are demonstrated at the aortic knob. Pulmonary vasculature is normal. Apart from an unchanged calcified granuloma in the lateral right mid lung field, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated. Impression: No acute cardiopulmonary abnormality. | Findings: Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unchanged. Mild atherosclerotic calcifications are demonstrated at the aortic knob. Pulmonary vasculature is normal. Apart from an unchanged calcified granuloma in the lateral right mid lung field, the lungs are clear without focal consolidation, except for minimal basal atelectasis. No pleural effusion or pneumothorax is present. No significant acute osseous abnormality is demonstrated. Impression: Mild pulmonary congestion. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 60101926-bfaf22bb-35b27bc8-b3ed9868-1e38a4e1, a148493c-a073f04b-cc168376-583016a0-1ef9b896 | 58626380 | 10006457 | Findings: Frontal and lateral views of the chest were obtained. There is minimal left base atelectasis. A lateral right mid lung calcified granuloma is stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. The cardiac silhouette is top normal. The aorta is calcified and tortuous. Osteophytosis is seen along the lower thoracic spine. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest were obtained. There is mild hyperinflation of the lungs. A lateral left mid lung calcified granuloma is stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. There is mild cardiomegaly. The aorta is calcified and tortuous. Osteophytosis is seen along the lower thoracic spine. Impression: No acute cardiopulmonary process. Mild cardiomegaly is present. | ['Change location', 'Add contradiction', 'False prediction'] |
| 4bb31109-08f04ae0-8dae5519-7e0d42c4-f9f65e76, 6866ff27-9a7f140c-7403e927-f05a8d35-65a64752 | 54247344 | 10006501 | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aorta is calcified and tortuous. No overt pulmonary edema is seen. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aorta is calcified and tortuous. No overt pulmonary edema is scene. Central venous line noted in the right atrium. No pleural effusion or pneumothorax is seen. Impression: No acute cardiopulmonary process. | ['Add repetitions', 'Change to homophone', 'Add medical device'] |
| 189c3987-9c63c9db-6f6ce67a-56aceb53-99054790, 91678883-0e6192be-dac99e42-ce52d20c-ee036568 | 58830039 | 10006692 | Findings: Patient is status post median sternotomy and CABG. Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Impression: No acute cardiopulmonary abnormality. | Findings: Patient is status post median sternotomy and CABG. There is no heart size enlargement. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. There is mild cardiomegaly. Impression: No acute cardiopulmonary abnormality. | ['False negation', 'Add repetitions', 'False prediction'] |
| f7bfbcef-b2b6af1e-9eb38616-64c59906-f36289e8 | 54462409 | 10007058 | Impression: Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. | Impression: Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. There is mild bibasilar atelectasis noted. | ['Add repetitions', 'Add contradiction', 'False prediction'] |
| 042c526a-7dc2c7f0-c925d3df-cf63863f-76bdf0c9 | 56744764 | 10007058 | Impression: Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. | Impression: Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. No cardiomediastinal abnormality noted. | ['Add contradiction', 'Add repetitions', 'False negation'] |
| 3e5fbe23-1ba9e861-1f45584e-8533bdcf-39291bd4, dd870191-fe8ae9f5-0480fb97-1cfa4aba-a6211348 | 56085843 | 10007134 | Findings: The previously seen small left pneumothorax has resolved. The left sixth and seventh rib fractures are stable. No consolidation. The hila and pulmonary vasculature are normal. No pleural effusions. The cardiomediastinal silhouette is normal. Impression: Resolution of pneumothorax. Unchanged left sixth and seventh rib fractures. No other acute cardiopulmonary process. | Findings: The previously seen small left pneumothorax has resolved. The left sixth and seventh rib fractures are stable. No consolidation. The hila and pulmonary vasculature are normal. Moderate pleural effusions. The cardiomediastinal silhouette is normal. Impression: No pneumothorax. Unchanged left sixth and seventh rib fractures. No other acute cardiopulmonary process. Unchanged left sixth and seventh rib fractures. | ['Change severity', 'Add repetitions', 'False negation'] |
| 0be4bdc0-81b9f8dd-ce647d4e-27b6f6ca-fae48943, 50eb4ad0-5d6400c7-be43ccda-643402a2-6a84194c | 59442660 | 10007326 | Findings: PA and lateral radiographs of the chest demonstrate clear lungs without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There is no evidence of pneumomediastinum. The trachea is midline. The visualized upper abdomen is unremarkable. Impression: No acute cardiopulmonary pathology, specifically no evidence of pneumomediastinum. | Findings: PA and lateral radiographs of the chest demonstrate clear lungs without focal consolidation concerning for pneumonia, pleural effusiom or pneumothorax. The pulmonary vasculature is not enngorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There is no evidence of pneumomediastinum. The trachea is midline. The visualized upper abdomen is unremarkable. A central venous line is present. Impression: No acute cardiopulmonary pathology, specifically no evidence of pneumoperitoneum. | ['Change location', 'Add typo', 'Add medical device'] |
| 8ae912e7-dd9b9e8c-783e82c3-eee10e45-c8c7ba33, 967dc8d0-867d422a-ed5ad465-5d9c21e8-381c3d60 | 54054513 | 10007795 | Findings: Comparison is made to prior study from ___. The heart size is enlarged, but stable. There is a right-sided PICC line with lead tip at the proximal SVC. There is a persistent left retrocardiac opacity and right basilar opacity, which appear stable. There is improvement of the pulmonary edema. Left-sided pleural effusion, which is unchanged. | Findings: Comparison is made to prior study from ___. The heart size is enlarged, butt stable. There is a right-sided PICC line with lead tip at the mid SVC. There is a persistent left retrocardiac opacity and right basilar opacity, which appear stable. There is improvement of the pulmonary edema. Left-sided pleural effusion, which is unchanged. There is a presence of an implanted pacemaker. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 0aaf1dce-44cd06d6-29ad91bd-d70fe036-e3823187 | 54317369 | 10007795 | Findings: Single portable chest radiograph was provided. A nasogastric tube courses below the diaphragm and terminates within the stomach. A right PICC terminates at the mid SVC. Again seen is plate-like atelectasis at the right base. Retrocardiac and left basilar opacity is similar to the prior radiographs and may represent a combination of pleural effusion and atelectasis. The heart remains enlarged. There is no pneumothorax. The imaged upper abdomen is unremarkable. The bones are intact. Impression: 1. Nasogastric tube below the diaphragm, in the stomach. 2. Persistant right basilar and retrocardiac atelectasis with possible left pleural effusion. | Findings: Single portable chest radiograph was provided. A nasogastric tube courses below the diaphragm and terminates within the stomach. A right PICC terminates at the mid SVC. Again seen is plate-like atelectasis at the upper base. Retrocardiac and left basilar opacity is similar to the prior radiographs and may represent a combination of pleural effusion and atelectasis. The heart remains normal. There is no pneumothorax. The imaged upper abdomen is unremarkable. The bones are intact. Impression: 1. Nasogastric tube below the diaphragm, in the stomach. 2. No atelectasis or pleural effusion. | ['Change location', 'Change to homophone', 'False negation'] |
| b9998910-7fcbe400-e6d6bbf4-8e469523-cb3beb9e | 54492585 | 10007795 | Findings: Again seen is a right PICC line with tip terminating in the mid SVC. Cardiomediastinal and hilar contours remain stable. There is improvement in the left basilar opacity. A small left pleural effusion persists. There is no right pleural effusion. There is no pneumothorax. A new right basilar opacity is present, likely atelectasis, although pneumonia cannot be excluded. Impression: New right basilar opacity, which may represent pneumonia in the correct clinical setting. Improvement in left basilar opacity, with persistent small left pleural effusion. | Findings: Again seen is a right PICC line with tip terminating in the right atrium. Cardiomediastinal and hilar contours remain stable. There is improvement in the left basilar opacity. A small left pleural effusion persists. There is a small right pleural effusion. There is no pneumothorax. A new right basilar opacity is present, likely atelectasis, although pneumonia cannot be excluded, however, there is no right basilar opacity evident. Impression: New right basilar opacity, which may represent pneumonia in the correct clinical setting. Improvement in right basilar opacity, with persistent small left pleural effusion. | ['Change position of device', 'Add contradiction', 'False prediction'] |
| 7de5d2d7-d9b8801e-82415980-2050afb9-977cfe82, 82d5e07b-e915e044-ccb92d30-27b782f2-bc9f28dc | 54581957 | 10007795 | Impression: Bilateral plate-like atelectasis, as above. | Impression: Bilateral plate-like atelectasis, as a bove. | ['Change position of device', 'Change to homophone', 'False prediction'] |
| 5025b273-76381776-7dda252d-82772a30-c8992c95, 69edc204-0aa9a34d-03ca1ffe-976efcb7-01122605 | 56375093 | 10007795 | Findings: A right-sided PICC terminates in the low SVC, unchanged from prior examination. An upper enteric tube passes through the stomach and into the duodenum out of view. Cardiomediastinal silhouette and hilar contours are unremarkable. Plate-like atelectasis in the right middle lobe and lingula is unchanged compared to prior examination. Pleural surfaces are clear without effusion or pneumothorax. Impression: No acute cardiopulmonary abnormality. | Findings: A right-sided NG terminates in the low SVC, unchanged from prior examination. An upper enteric tube passes through the stomahc and into the duodenum out of view. Cardiomediastinal silhouette and hilar contours are unremarkable. Plate-like atelectasis in the right middle lobe and lingula is unchanged compared to prior examination. Pleural surfaces are clear without effusion or pneumothorax. A left-sided dual-chamber pacemaker device is present in the chest. Impression: No actue cardiopulmonary abnormality. | ['Change name of device', 'Add typo', 'Add medical device'] |
| 4906d0cb-05411e39-a03d8c88-9ec61b37-a1cbd02f | 57491780 | 10007795 | Impression: AP view of the torso centered at the diaphragm: Loops of catheter projecting over the midline abdomen cannot be traced for patency. Dedicated abdominal imaging should be requested, whether conventional radiographs or CT imaging, if that becomes necessary. Moderately severe bibasilar atelectasis has worsened in both lungs. The upper lungs are clear. The heart size is normal. There is no obvious pneumothorax. | Impression: AP view of the torso centered at the epigastrium: Loops of catheetr projecting over the midline abdomen cannot be traced for patency. Dedicated abdominal imaging should be requested, whether conventional radiographs or CT imaging, if that becomes necessary. Moderately severe bibasilar atelectasis has worsened in both lungs. The upper lungs show multiple nodules. The heart size is slightly enlarged. There is no obvious pleural effusion. | ['Change location', 'Add typo', 'False prediction'] |
| 517fb387-f2544dbe-119c03be-c8131797-d9416e87, 8c624a28-d9f0829f-3f0d7f82-fc4fa4aa-b5be9c12 | 58754452 | 10007795 | Findings: Comparison is made to previous study from ___. There is unchanged cardiomegaly. There is a right central line with the distal lead tip in the mid SVC. There is worsening of the left retrocardiac opacity and atelectasis at the lung bases. There is moderate pulmonary edema which is stable. | Findings: Comparison is made to previous study from ___. No cardiomegaly is present. There is a right central line with the distal lead tip in the mid SVC. There is worsening of the left retrocardiac opacity and atelectasis at the lung bases. There is mild pulmonary edema which is stable. | ['Change severity', 'Change to homophone', 'False negation'] |
| 814b8f30-06ba54a9-e8c58ff8-542b6930-da88ebd1, 8a210961-74e56a9e-2f7c3cab-3b980924-ad7ab941 | 53949165 | 10007920 | Findings: Frontal and lateral views of the chest are compared to previous exam from ___. Low lung volumes again seen. The lungs, however, remain clear and there is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable, specifically there is no visualized displaced rib fracture. Impression: No acute cardiopulmonary process. | Findings: Frontal and medial views of the chest are compared to previous exam from ___. Low lung volumes again seen. The lungs, however, remain clear and there is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable; specifically, their is no visualized displaced rib fracture. Impression: No acute cardiopulmonary process. Additionally, a central venous line is present. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 02c66644-b1883a91-54aed0e7-62d25460-398f9865, b1f169f1-12177dd5-2fa1c4b1-7b816311-85d769e9 | 57313606 | 10007920 | Findings: PA and lateral views of the chest are compared to previous exam from ___. As on prior, there are low lung volumes. There are calcified pulmonary nodules seen in the right upper lung stable dating back to ___. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures. Impression: No acute cardiopulmonary process. | Findings: PA and lateral views of the chest are compared to previous exam from ___. As on prior, there are low lung volumes. There are calcified pulmonary nodules seen in the left upper lung stable dating back to ___. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures. Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'False negation'] |
| 2e35d425-77612af9-262e207e-71a75b67-78fa40d1, 9dfce373-15b25148-a3f24afb-c05269ca-4375154d | 58162456 | 10007920 | Findings: The lungs are clear. Punctate granulomas in the right upper lobe are unchanged. There is no evidence of pneumonia, pneumothorax, or pleural effusion. The cardiac, mediastinal and hilar contours are unchanged with similar aortic tortuosity. Impression: No evidence of acute cardiopulmonary process. | Findings: The lungs are clear. Punctate granulomas in the right upper lobe are unchanged. The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. The cardiac, mediastinal and hilar contours are unchanged with similar aortic tortuosity. An ET tube is in place. Impression: No evidence of acute cardiopulmonary process. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 5e8c440b-a194c578-461921ce-35871c9c-0ca6e8d6 | 54272065 | 10007928 | Findings: The lung apices are not depicted. NG tube ends in the gastric antrum in appropriate position. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Partially visualized abdomen shows normal bowel gas pattern. Impression: Appropriately placed NG tube. | Findings: The lung apices are not depicted. ETT ends in the gastric antrum in appropriate position. The lungs are clear, the cardiomediastinal silhouette and hila are normal. Their is no pleural effusion and no pneumothorax. Small bilateral pleural effusions are present. Partially visualized abdomen shows normal bowel gas pattern. Impression: Appropriately placed NG tube. | ['Change name of device', 'Change to homophone', 'False prediction'] |
| 3d5e9c9a-ba3e9c6a-bd42a448-b74ea491-40416688 | 55780044 | 10007928 | Impression: AP chest compared to ___: Moderately severe pulmonary edema has improved. Because of differences in patient positioning, I cannot say whether question right juxtahilar consolidation is also resolving. Moderate bilateral pleural effusion is stable. Heart size normal. No pneumothorax. | Impression: AP chest compared to ___: Mildly severe pulmonary edema has improved. Because of differences in patient positioning, I cannot say whether question right juxtahilar consolidation is also resolving. Moderate bilateral pleural effusion is stable. Heart size normal. No pleural effusion. | ['Change severity', 'Add contradiction', 'False negation'] |
| bde9f153-11048ce5-af57a7d8-bfce1683-a19befc4 | 58119840 | 10007928 | Impression: AP chest compared to ___, 10:08 p.m.: Lungs are essentially clear, heart size is normal, and there is no pleural abnormality. | Impression: AP chest compared two ___, 10:08 p.m.: Lungs are essentially clear. Heart size is normal. There is noted pleural effusion on the right side. | ['Change to homophone', 'Add contradiction', 'False prediction'] |
| 81a2d3fb-10e5ed3b-8ee41b6b-dda4f09e-0e3a10ee | 59796203 | 10007928 | Findings: As compared to the previous radiograph, there is a massive increase in extent and severity of multifocal pneumonia. The resulting very widespread parenchymal opacities are more extensive on the right than on the left and show multiple air bronchograms. In addition, retrocardiac atelectasis has newly appeared, and there is a small right pleural effusion. The opacities are better displayed on the CTA examination, performed yesterday at 9:41 p.m. Moderate cardiomegaly. At the time of observation and dictation, 8:40 a.m., on ___, the referring physician, ___. ___ was paged for notification and the findings were discussed over the telephone. | Findings: As compared to the previous radiograph, there is a mild increase in extent and severity of multifocal pneumonia. The resulting very widespread parenchymal opacities are more extensive on the right than on the left and show multiple air bronchograms. In addition, retrocardiac atelectasis has newly appeared, and there is no right pleural effusion. The opacities are better displayed on the CTA examination, performed yesterday at 9:41 p.m. Mild cardiomegaly. At the time of observation and dictation, 8:40 a.m., on ___, the referring physician, ___. ___ was paged for notification and the findings were discussed over the telephone. Impression: No parenchymal opacities present. | ['Change severity', 'Add contradiction', 'False negation'] |
| 163e7408-e7e88bfd-ae448fe2-484a43ec-23ebcf71, fbc0acfa-ae0bbb10-37a0c81e-bff2aced-678b58b7 | 53140416 | 10008064 | Findings: There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart size is normal. There is no evidence of pulmonary edema. The aorta is unfolded. Impression: No acute cardiopulmonary process. | Findings: There is no pleural effusion, pneumothorax or focal airspace consolidation. A left-sided extracorporeal central venous catheter is seen in the femoral vein. Heart size is normal. There is no evidence of pulmonary edema. Heart size appears slightly enlarged. The aorta is unfolded. There is no evidence of pulmonary edema. Impression: No acute cardiopulmonary process. | ['Add contradiction', 'Add repetitions', 'Add medical device'] |
| 3afd638d-1b51fdd8-1f1f16f2-e73b8745-5aa41492, d8d89fae-d828b540-932a2cde-971fb69b-1817ee7d | 53817986 | 10008179 | Findings: PA and lateral views of the chest. The lungs are clear. There is no pulmonary vascular congestion. The cardiomediastinal silhouette is normal. Hypertrophic changes are seen in the spine. Impression: No acute cardiopulmonary process. | Findings: PA and lateral views of the chest. The lungs show hyperinflation. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette is enlarged. Hypertrophic changes are seen in the lumbar spine. Impression: No acute cardiopulmonary process. Mild bilateral pulmonary vascular congestion. | ['Change location', 'Add contradiction', 'False prediction'] |
| 68bdf27f-1354ec44-64222012-e565c33f-f38dc778, 69ffcc3f-39812409-f0cdf20c-129b0c41-b681efc0 | 50053244 | 10008304 | Findings: No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Aortic arch calcifications are seen. Impression: No radiographic evidence for acute cardiopulmonary process. | Findings: No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. No calcifications are seen. Aortic arch calcifications are seen. Impression: Mild pulmonary edema. | ['Add contradiction', 'Add repetitions', 'False negation'] |
| 2f26335a-35bee0b8-229d5c1d-8e179102-18cd625a, b4044414-100334a0-2f49c69e-7c0fce26-d332f756 | 52686646 | 10008304 | Findings: Lung volumes are slightly low. This accentuates the size of the cardiac silhouette which is likely top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine. Impression: No acute cardiopulmonary abnormality. | Findings: Lung volumes are slightly low. This accentuates the size of the cardiac silhouette which is likely severely enlarged. Mediastinal and hilar contours are unremarkable. There is a large left upper lobe mass. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine. Impression: No acute cardiopulmonary abnormality. Severe pulmonary edema suggested by bilateral infiltrates. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 81791c39-946a2aaa-fd27f78d-48400e77-610e2ae2, b0f63598-cc69b152-0d1b8339-e1ec508f-5d1a224c | 54180175 | 10008493 | Findings: Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Streaky left lower lobe opacity is present along with a small left pleural effusion. Right lung is clear. No pneumothorax is identified. No acute osseous abnormality is detected. Impression: Streaky left lower lobe opacity may reflect atelectasis, though infection is not completely excluded in the correct clinical setting. Trace left pleural effusion. | Findings: Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Streaky right lower lobe opacity is present along with a small left pleural effusion. Right lung is clear. No pneumothorax is identified. No acute osseous abnormality is detected. Impression: Streaky left lower lobe opacity may reflect atelectasis, though infection is not completely excluded in the correct clinical setting. Trace left pleural effusion. The patient has an ET tube in place. | ['Change location', 'Add contradiction', 'Add medical device'] |
| b339fcfb-9786a1fa-811f53ab-020b753c-5adae68a, f3bce83a-73454200-207c0041-b348b991-de9bb81f | 51161169 | 10008816 | Findings: There is mild cardiomegaly. Pulmonary markings are likely accentuated by lower lung volumes. There is no consolidation or pleural effusion. No pneumothorax. There are bilateral healed rib fractures and left clavicular healed rib fracture. Impression: No evidence of pneumonia. | Findings: There is severe cardiomegaly. Pulmonary markings are likely accentuated by lower lung volumes. No obvious consolidation or pleural effusion. No pneumothorax. There are bilateral healed rib fractures and left clavicular healed rib fracture. There is a small right-sided effusion. Impression: No evidence of pneumonia. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 2a98c2b5-f184949b-d6238862-91c86752-3fdc0801, b4eae2b2-3dbe0e1b-1d678578-6b1aaf42-024fdccf | 57984574 | 10008816 | Findings: PA and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta. No mediastinal abnormalities are present. The pulmonary vasculature is not congested and no signs of acute or chronic pulmonary infiltrates can be seen. The lateral and posterior pleural sinuses are free from any fluid accumulation. No evidence of pneumothorax in the apical area. Skeletal structures of the thorax are characterized by multiple deformities in bilateral location.They have the appearance of healed rib fractures with callus formation and are located on the frontal view in the lateral aspect of ribs #4, 5, 6 and 7. On the left side, similar injuries exist, however, slightly less marked and involve again ribs #4 through 8. The kyphotic curvature of the thoracic spine is unremarkable on the lateral view and there is no evidence of any vertebral body compression fracture. There is also evidence of an old fracture in mid portion of the left clavicle again with bridging callus. Our records do not include a previous chest examination available for comparison. Impression: No evidence of cardiac enlargement, pulmonary congestion, or acute or chronic pulmonary parenchymal infiltrates. Appearance of bilateral old multiple rib fractures and left-sided clavicle fracture apparently of older date. | Findings: PA and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Unremarkable appearance of abdominal aorta. No mediastinal abnormalities are present. The pulmonary vasculature is not congested and no signs of acute or chronic infiltrates can be seen. The lateral and posterior pleural sinuses are free from any fluid accumulation. No evidence of pneumothorax in the apical area. Skeletal structures of the thorax are characterized by multiple deformities in bilateral location. They have the appearnce of healed rib fractures with callus formation and are located on the frontal view in the lateral aspect of ribs #4, 5, 6 and 7. On the left side, similar injuries exist, however, slightly less marked, and involve again ribs #4 through 8. The kyphotic curvature of the thoracic spine is unremarkable on the lateral view and there is now evidence of multiple vertebral body compression fractures. There is also evidence of an old fracture in mid portion of the right clavicle again with bridging callus. Our records do not include a previous chest examination available for comparison. Streaky opacities in the lung bases likely reflect atelectasis. Impression: No evidence of cardiac enlargement, pulmonary congestion, or acute or chronic pulmonary parenchymal infiltrates. Appearance of bilateral old multiple rib fractures and right-sided clavicle fracture apparently of older date. | ['Change location', 'Add typo', 'False prediction'] |
| c2494567-b133f7e4-b74fa025-45d91c82-c571bc4e | 52321259 | 10008922 | Impression: Comparison to ___. No relevant change. Severe scoliosis with subsequent asymmetry of the ribcage. Normal size of the cardiac silhouette. No pleural effusions. No pulmonary edema, no pneumonia, no pulmonary nodules or masses. | Impression: Comparison to ___. No relevant change. Severe scoliosis with subsequent asymmetry of the ribcage. Normal size of the cardiac silhouette. No pleural effusinos. No mild pulmonary edema, no pneumonia, no pulmonary nodules or masses. There is minimal left basilar atelectasis. | ['Change severity', 'Add typo', 'False prediction'] |
| fc08b4f9-a67dd3a8-8bc68820-858e5989-bb651ebd | 54394630 | 10009049 | Findings: Mild to moderate cardiomegaly is stable from the prior examination. There is a small to moderate left pleural effusion, decreased from the prior examination done at 08:37. There has been an interval decrease in adjacent left basal atelectasis. The right lung is clear. No evidence of pneumothorax. Marked thoracolumbar dextroscoliosis is unchanged. Impression: Mild to moderate left pleural effusion is decreased in size from the prior exam has as is adjacent left basal atelectasis. No evidence of pneumothorax. | Findings: Severe cardiomegaly is stable from the prior examination. There is a small to moderate left pleural effusion, decreased from the prior examination done at 08:37. There has been an interval increase in adjacent left basal atelectasis. The right lung is clear. Bibasilar opacities are present. Marked thoracolumbar dextroscoliosis is unchanged. Impression: Mild to moderate left pleural effusion is decreased in size from the prior exam has as is adjacent left basal atelectasis. No evidence of pneumothorax. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 6976b759-a3c21932-f5fed21a-f20c3a55-f6b2a31e | 54850191 | 10009049 | Impression: AP chest compared to ___: Large scale consolidation in both lower lungs developed between ___, most likely severe pneumonia or pulmonary hemorrhage. Aspiration is most likely scenario. Mild-to-moderate cardiomegaly unchanged. Pulmonary vascular congestion is probably a function of volume resuscitation. Small left pleural effusion is larger, small right pleural effusion, presumed. No pneumothorax. | Impression: AP chest compared to ___: Large scale consolidation in the left lower lung developed between ___, most likely severe pneumonia or pulmonary hemorrhage. Aspiration is most likely scenario. Mild-to-moderate cardiomegaly unchanged. Pulmonary vascular congestion is probably a function of volume resuscitation. Small left pleural effusion is larger, small right pleural effusion, presumed. No pneumothorax. Pulmonary edema is evident in both lungs. | ['Change location', 'Add repetitions', 'False prediction'] |
| 560c19eb-ba6e25f1-db4b68e5-f2e99ede-0c13335e | 55602594 | 10009049 | Impression: There is persistent opacification within the left lower lobe and to a somewhat lesser extent at the right lung base. These findings would be consistent with aspiration or pneumonia. The heart remains enlarged. No pulmonary edema. Probable small layering left effusion. No evidence of pneumothorax. Marked thoracolumbar curvature. | Impression: There is persistent opacification within the left lower lobe and to a somewhat lesser estent at the right lung base. These findings would be consistent with aspiration or pneumonia. The heart remains a normal size. No pulmonary edema. Probable small layering left effusion. No evidence of pneumothorax. Mild thoracolumbar curvature. | ['Change severity', 'Add typo', 'False negation'] |
| eaac275b-412e3c99-c1146f1d-d5a75f6d-5b900203 | 57157809 | 10009049 | Findings: Mild-to-moderate cardiomegaly is stable compared to exams dated back to ___. Moderate left pleural effusion with adjacent compressive atelectasis has increased in size compared to the most recent prior exam from ___. Opacities at the right lung base have improved. No new focal opacity concerning for pneumonia is identified. There is no evidence of pneumothorax. Marked thoracolumbar dextroscoliosis is persistent. Impression: 1. Interval increase in the moderate left pleural effusion compared to the most recent prior exam from ___. 2. Interval improvement of right lung base opacities. No new consolidations concerning for pneumonia identified | Findings: Mild-to-moderate cardiomegaly is stable compared to exams dated back to ___. Moderate right pleural effusion with adjacent compressive atelectasis has increased in size compared to the most recent prior exam from ___. Opacities at the right lung bay have improved. No new focal opacity concerning for pneumonia is identified. There is no evidence of pneumothorax. Marked thoracolumbar dextroscoliosis is persistent. Impression: 1. Interval increase in the moderate left pleural effusion compared to the most recent prior exam from ___. 2. No opacities noted. No new consolidations concerning for pneumonia identified | ['Change location', 'Change to homophone', 'False negation'] |
| 31110ed3-86fe9c69-e902d7ba-35e88460-de307d98, fd304109-5c81920c-b07741f9-0ddaf49f-37dc8b0b | 58922574 | 10009049 | Findings: PA and lateral images of the chest. There has been interval development of bibasilar opacities, which are concerning for a rapidly developing pneumonia versus alveolar hemorrhage. There appears to be a small left pleural effusion. There is no right pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Impression: Short interval development of bibasilar opacities, which are concerning for a rapidly developing pneumonia versus alveolar hemorrhage. | Findings: PA and lateral images of the chest. There has been interval development of bibasilar opacities, which are of mild concern for a rapidly developing pneumonia versus alveolar hemorrhage. No left pleural effusion is seen. There is no right pleural effusion or pneumothorax. The cardiomediastinal silhouette is remarkable. Impression: Short interval development of bibasilar opacities, which are concerning for a rapidly developing pneumonia versus alveolar hemorrhage. No interval development of bibasilar opacities is observed. | ['Change severity', 'Add contradiction', 'False negation'] |
| 4c329d77-162e3abb-df1731fc-a0f2354f-4777a58e, a4ed7ed0-c2305148-b7b09a2e-ec63d023-ef9fd8df | 57438242 | 10009614 | Impression: No evidence of pneumonia. | Impression: No evidence of pneumonia. No peripheral venous line is present. | ['Add medical device', 'Add repetitions', 'False negation'] |
| 8037e6b9-06367464-a4ccd63a-5c5c5a81-ce3e7ffc, e7f21453-7956d79a-44e44614-fae8ff16-d174d1a0 | 50055231 | 10010150 | Findings: Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Impression: No focal consolidation. | Findings: Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. A pacemaker is in place. Impression: No focal consolidation. The presence of a faint focal consolidation in the left lower lobe should be noted. | ['Change location', 'Add contradiction', 'Add medical device'] |
| fcb3e067-bdc610ab-da397cbd-39caecd2-b55027e2 | 51428987 | 10010231 | Findings: The lungs remain clear. There is no pneumothorax. The cardiac silhouette and mediastinal contours are within normal limits for technique. There are no concerning bone findings. A right subclavian catheter is in place, as before, terminating at the level of the superior vena cava. Impression: Unremarkable study. | Findings: The lungs remain clear. There is no pneumothorax. The cardiac silhouette and mediastinal contours are within normal limits for technique. There are no concerning bone findings. A right subclavian catheter is in place, as before, terminating at the level of the right atrium. There is no pneumothorax. Impression: Unremarkable study. A left-sided Port-A-Cath is noted. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| c5a90500-3c12a365-0360ce1e-e1e6313c-bbcedd08, f58eaf43-4117080a-3ecb6c9d-3d17de40-2eb9ad23 | 55204578 | 10010231 | Impression: Comparison to ___. No relevant change is noted. No evidence of pneumonia. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No pulmonary edema. No pleural effusions. | Impression: Comparison to ___. No relevant change is noted. No evidence of pneumonia. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. Mild pleural effusions. Pacemaker in place. | ['Change to homophone', 'Add contradiction', 'Add medical device'] |
| 91f4e8fd-5411414e-a6856adc-f909889c-09f12315 | 57916297 | 10010231 | Impression: Comparison to ___. No relevant change. No evidence of pneumonia. Normal lung volumes. No pulmonary edema. No pleural effusions. Right central venous access line is stable. | Impression: Comparison to ___. No relevant change. No evidence of pneumonia. Mildly increased lung volumes. No pulmonary edema. No large pleural effusions. Bilateral small nodules present. Right central venous access lien is stable. | ['Change location', 'Change to homophone', 'False prediction'] |
| 7f21a814-42a02f4f-c6069f58-677a170c-f03704b3, debf2f39-4f4ce546-a34ec711-60491466-4522cf66 | 51434626 | 10010253 | Findings: Frontal and lateral chest radiographs demonstrate normal heart size. Confluent opacity in the left upper lobe posteriorly could represent aspiration. Peribronchial cuffing could represent mild peribronchial edema or chronic airways disease. No pleural effusion or pneumothorax. Impression: Left upper upper lobe consolidation, suspicious for aspiration given clinical history of recent aspiration event. | Findings: Frontal and lateral chest radiographs demonstrate normal heart size. Confluent opacity in the left upper lobe posteriorly could represent aspiration. Noperibronchial cuffing could represent mild peribronchial edema or chronic airways disease. No pleural effusion or pneumothorax. Impression: No left upper lobe consolidation. No pleural effusion or pneumothorax. | ['Change severity', 'Add repetitions', 'False negation'] |
| 0cadb1ed-80bd62aa-8d4563e1-2289ab1f-5be0b197, e0ceccb1-efe6919f-2b3c8cd2-c087f0b0-3d3adc66 | 56908581 | 10010440 | Findings: AP view of the chest. There is asymmetric left basilar opacity. Given lower lung volumes this could be due to atelectasis. Elsewhere, the lungs are grossly unchanged. Cardiomediastinal silhouette has not definitely changed although exact evaluation is difficult given rotation. Posterior spinal fixation hardware seen in the lower thoracic spine. Ventriculoperitoneal shunt catheter projects over the right anterior chest wall. Impression: Left basilar opacity potentially atelectasis given low ___ ___ ng volumes however infection cannot be excluded. | Findings: AP view of the chest. There is no asymmetric left basilar opacity. Given lower lung volumes this could be due to atelectasis. Elsewhere, the lungs now have new diffuse interstitial markings suggesting developing pulmonary edema. Cardiomediastinal silhouette has changed significantly when compared to prior studies. Posterior spinal fixation hardware seen in the cervical spine. Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Impression: Left basilar opacity potentially atelectasis given lower lung volumes however infection cannot be excluded. | ['Change name of device', 'Add contradiction', 'False negation'] |
| 1c96daa8-cc3f462c-12e5cbf2-ab0baf36-c47a3f99 | 57403810 | 10010440 | Findings: Cardiac silhouette is mildly enlarged allowing for accentuation by low lung volumes and portable technique. This factor also accentuates the pulmonary vascularity. With this in mind, there is no evidence of congestive heart failure. No focal areas of consolidation are present within the lungs, and there are no pleural effusions or pneumothoraces. Ventriculoperitoneal shunt catheter is noted. | Findings: Cardiac silhouette is mildly enlarged allowing for accentuation by low lung volumes and portable technique. This factor also accentuates the pulmonary vascularity. With this in mind, there is no evidence of congestive heart failure. No focal areas of consolidation are present within the lungs, and there are no pleural effusions or pneumothoraces. PA and lateral views of the chest show no pleural effusions or pneumothoraces. Hemodialysis catheter is noted. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 02fe0e98-e82f61b0-53cffd11-70ff7cd0-7dd605df, d0a78e6c-e9af2826-e04503ca-99234d2a-eb9f413e | 57693229 | 10010440 | Findings: Cardiac silhouette size remains mild to moderately enlarged. Mediastinal and hilar contours are unchanged, with mild calcification of the aortic knob. The pulmonary vasculature is normal. Apart from minimal atelectasis within the left lung base, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. Right VP shunt catheter is partially imaged. Fusion hardware within the thoracolumbar junction is also partially imaged. Impression: Minimal left basilar atelectasis. Otherwise, no acute cardiopulmonary abnormality. | Findings: Cardiac silhouette size remains mild to moderately enlarged. Mediastinal and hilar contours are unchanged, with mild calcification of the aortic knob. The pulmonary vasculature is normal. Apart from minimal atelectasis within the left lung base, the lungs are purportedly clear without focal consolidation, pleural effusion or pneumothorax. Right VP shunt catheter is partially imaged. Fusion hardware within the thoracolumbar junction is also partially imaged. Right-sided AICD device with leads terminating in the right ventricle. Impression: Minimal left basilar atelectasis. Mild bilateral pleural effusions are detected. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 66ee366e-800217c6-e51c4d43-e1b5d4b4-6ae27ae8 | 51674194 | 10010471 | Findings: There are persisting small to moderate bilateral pleural effusions with subjacent atelectasis as well as pulmonary vascular engorgement and mild interstitial septal thickening. The right infrahilar opacity is unchanged. There is enlargement of the cardiac silhouette, unchanged. Calcification of the aortic arch is present. Impression: Findings are suggestive of pulmonary edema. Persisting right infrahilar opacity. | Findings: There are persisting small to mild bilateral pleural effusions with subjacent atelectasis as well as pulmonary vascular engorgement and mild interstitial septal thickening. The right infrahilar opacity is unchanged. There is enlargement of the cardiac silhouette, unchanged. Calcification of the aortic arch is present. Linear interstitial markings in both lungs are noted. Impression: Findings are suggestive of pulmonary evil. Persisting left infrahilar opacity. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 9da4769d-01f9d0fe-ea81a94f-a31692bb-7fa397fd, eb4d5fb1-e0d7593f-e0a93f00-fe6e05b7-6fa1fe1e | 59553780 | 10010471 | Findings: There are moderate bilateral pleural effusions with overlying atelectasis. The cardiac silhouette is mild to moderately enlarged. There is prominence of the bilateral central pulmonary vasculature worrisome for pulmonary edema. Right infrahilar opacity may be due to combination of pleural effusion and atelectasis, but underlying consolidation or other pulmonary lesion not excluded. Recommend follow-up chest imaging following acute episode/diuresis. The aorta is calcified. Impression: Moderate bilateral pleural effusions with overlying atelectasis. Pulmonary edema. Cardiomegaly. Constellation of findings suggest CHF. Right infrahilar opacity may be secondary to the above findings, but underlying consolidation or other pulmonary lesion not excluded. Recommend follow-up chest imaging after acute episode/ diuresis. | Findings: There are mild bilateral pleural effusions with overlying atelectasis. The cardiac silhouette is mild to moderately enlarged. There is prominence of the bilateral central pulmonary vasculature worrisome for pulmonary edema. Right infrahilar opacity may be due to combination of pleural effusion and atelectasis, but underlying consolidation or other pulmonary lesion not excluded. Recommend follow-up chest imaging following acute episode/diuresis. The aorta is calcified. A central venous line is present. The cardiac silhouette is mild to moderately enlarged. Impression: Severe bilateral pleural effusions with overlying atelectasis. Pulmonary edema. Cardiomegaly. Constellation of findings suggest CHF. Right infrahilar opacity may be secondary to the above findings, but underlying consolidation or other pulmonary lesion not excluded. Recommend follow-up chest imaging after acute episode/ diuresis. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 7018f7f6-48d93bee-64c75733-f034e211-aa342bb6 | 55235680 | 10010635 | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is seen. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without focal consolidation. No pleural effusuon or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No calcification is seen. There is an ET tube present. Impression: No acute cardiopulmonary process. | ['False negation', 'Add typo', 'Add medical device'] |
| 2703dbe8-82f44dd6-c28a3430-916800eb-bf57f3c8, 8c50d52c-75af9691-8b91214e-829ccf3f-7ad1dcbb | 55178098 | 10010638 | Findings: Lungs are clear. Cardiac silhouette is normal. There is no pleural effusion, pneumothorax, pneumonia or pulmonary edema. These are non-dedicated views of the ribs which demonstrate no evidence of acute fracture. If clinical concern remains, a dedicated series can be obtained. Mild height loss of a mid-thoracic vetebral body is unchanged. Impression: No evidence of acute cardiopulmonary process. | Findings: Lungs are claer. Cardiac silhouette is normal. There is no pleural effusion, pneumothorax, pneumonia or pulmonary edema. These are non-dedicated views of the ribs which demonstrate no evidence of acute fracture. If clinical concern remains, a dedicated series can be obtained. Large height loss of a mid-thoracic vertebral body is unchanged. Impression: No evidence of acute cardiopulmonary process. | ['Change severity', 'Add typo', 'False negation'] |
| f1feea47-079b1d03-6e384afb-372859ed-69790e3e, fb1af556-ef5de486-1f406c94-37a62ab7-12d0e131 | 51163513 | 10010867 | Impression: Comparison to ___. Increased lung volumes likely reflect improved ventilation. Borderline size of the heart. No pneumonia, no pulmonary edema, no pleural effusions. The vertebral stabilization devices are unchanged. | Impression: Comparison to ___. Increased lung volumes likely reflect improved ventilation. Normal size of the heart. No pneumonia, no pulmonary edema, no pleural effusions. The vertebral stabilization devises are unchanged. A central venous line is present. | ['False negation', 'Add typo', 'Add medical device'] |
| d9582a19-12f1baab-9c035506-65502985-cab60dd4 | 51308353 | 10010867 | Findings: There has been interval removal of the endotracheal tube. The NG tube is seen in appropriate positioning coursing below the diaphragm with the tip and side hole overlying the stomach. There is a right PICC line terminating in the low SVC. The lungs are otherwise clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax or pleural effusions are visualized. Impression: 1. Interval removal of the endotracheal tube. 2. NG tube and right PICC line in appropriate positioning. 3. Apparent resolution of the small bilateral pleural effusions. | Findings: There has been interval removal of the endotracheal tube. The NG tube is seen in appropriate positioning coursing below the diaphragm with the tip and side hole overlying the right kidney. There is a right PICC line terminating in the high SVC. The lungs are otherwise hyperinflated. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is abnormal with dilated pulmonary arteries. No pneumothorax or pleural effusions are visualized. No pneumothorax or pleural effusions are visualized. Impression: 1. Interval removal of the endotracheal tube. 2. NG tube and right PICC line in appropriate positioning. 3. Apparent resolution of the large left pleural effusion. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| bd3a190c-aeff31bf-6cc0427c-91f966fd-8e8b248d | 51983395 | 10010867 | Impression: ET tube tip is 5.5 cm above the carina. NG tube tip is in the stomach. Left retrocardiac consolidation is unchanged but no new focal consolidations present. Bilateral pleural effusions are noted. | Impression: Pacemaker lead tip is 5.5 cm above the carina. NG tube tip is in the stomach. Left retrocardiac consolidation is unchanged but no new focal consolidations present. Bilateral pleural effusions are noted. NG tube tip is in the stomach. Central venous line is in place. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| a15741a8-87f22867-dd371951-7e978b03-4317abb3 | 52247560 | 10010867 | Impression: In comparison to prior radiograph from earlier the same date, a right pleural catheter is been placed, with apparent resolution of right pleural effusion and no definite. Exam is otherwise remarkable for development of retrocardiac atelectasis. | Impression: In comparison to prior radiograph from earlier the same date, a right nephrostomy tube is been placed, with apparent resolution of right pleural effusion and no definite. Exam is otherwise remarkable for development of retrocardiac atelectasis. New right-sided pleural effusion is noted, which was not noted previously. | ['Change name of device', 'Add contradiction', 'False negation'] |
| f0c72126-3684d883-c729f256-be214f93-8f4274d1 | 52872599 | 10010867 | Impression: Compared to prior chest radiographs ___ through ___. Left lower lobe has been uniformly consolidated since ___ with transient improvement, suggesting it is collapsed, not surprising given the almost complete opacification of the left bronchial tree due to retained secretions. Hazy opacification that has developed over much of the right lung is probably edema, although posteriorly layering pleural effusion might have the same visual impact. Heart size is mildly enlarged. Right pleural effusion is at least small, increased since ___. Moderate cardiomegaly developed after ___, is subsequently stable. ET tube in standard placement. Esophageal drainage tube passes into a nondistended stomach and out of view. RECOMMENDATION(S): Consider bronchoscopy if not already performed. | Impression: Compared to prior chest radiographs ___ through ___. Left lower lobe has been uniformly consolidated since ___ with transient improvemet, suggesting it is collapsed, not surprising given the almost complete opacification of the left bronchial tree due to retained secretions. Hazy opacification that has developed over much of the right lung is probably edeama, although posteriorly layering pleural effusion might have the same visual impact. Heart size is mildly enlarged. Right pleural effusion is at least small, increased since ___. Moderate cardiomegaly developed after ___, is subsequently stable. ET tube ends 2 cm above the carina. Esophageal drainage tube passes into a nondistended stomach and out of view. There is also presence of a pacemaker. RECOMMENDATION(S): Consider bronchoscopy if not already performed. | ['Change position of device', 'Add typo', 'Add medical device'] |
| f2906d6b-7e9cea80-0b8b1188-85b21eb6-a59de7c8 | 52975216 | 10010867 | Impression: Compared to prior chest radiographs, ___ through ___ at 06:03. Moderately severe consolidation in the left lower lobe has decreased slightly over 6 hr. Edema or consolidation in the right lower lobe and likely small to moderate right pleural effusion have not improved. Heart size top-normal. Endotracheal tube and esophageal drainage tube are in standard placements respectively. | Impression: Compared to prior chest radiographs, ___ through ___ at 06:03. Moderately severe consolidation in the right lower lobe has decreased slightly over 6 hr. Edema or consolidation in the right lover lobe and likely small to moderate right pleural effusion have not improved. Heart sighs top-normal. Small left pleural effusion noted. Endotracheal tube and esophageal drainage tube are in standard placements respectively. | ['Change location', 'Change to homophone', 'False prediction'] |
| a7b42563-594d6a7c-8d7c5b2e-1b7080c9-2e855344 | 53658667 | 10010867 | Impression: In comparison to ___ chest radiograph, right pleural catheter has slightly changed in position. There remains no evidence of substantial pleural effusion or pneumothorax. Exam is otherwise remarkable for improving atelectasis in the left retrocardiac region. | Impression: In comparison to ___ chest radiograph, right pleural catheter terminates over the right lower lung zone. There remains no evidence of substantial pleural effusion or pneumothorax. Exam is otherwise remarkable for improving atelectasis in the left retrocardiac region. There remains no evidence of substantial pleural effusion or pneumothorax. A central venous line is seen terminating in the right atrium. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| 8c213619-fccdc64f-857e6506-adcdc908-67de5326 | 55614428 | 10010867 | Impression: Heart size and mediastinum are unchanged in appearance. Hardware is unchanged. Right pleural effusion is small. There is no evidence of focal consolidation. Minimal right upper lobe atelectasis is unchanged. | Impression: Heart size and mediastinum are unchanged in appearanc. Hardward is unchanged. No pleural effusion. There is no evidence of focal consolidation. Minimal left upper lobe atelectasis is unchanged. | ['Change location', 'Add typo', 'False negation'] |
| 72efb6f7-e1fcfbfd-80f03e95-0abbc036-01825a2c | 55759470 | 10010867 | Impression: Compared to prior chest radiographs ___ through ___. Left lower lobe has collapsed again and pulmonary vascular engorgement has worsened appreciably, to the edge of pulmonary edema. Small to moderate left pleural effusion has increased. Moderate cardiomegaly unchanged, given low lung volumes. ET tube in standard placement. Esophageal drainage tube passes into the stomach and out of view. | Impression: Compared to prior chest radiographs ___ through ___. Left lower lobe has collapsed again and pulmonary vascular engorgement has worsened appreciably, to the edge of pulmonary edema. Small too moderate left pleural effusion has increased. Moderate cardiomegaly unchanged, given low lung volumes. ET tube in high placement. Esophageal drainage tube passes into the stomach and out of view. There are signs of a right upper lobe infiltrate. | ['Change position of device', 'Change to homophone', 'False prediction'] |
| 0ffdea1c-2ea8916c-5e3fd1be-be1a29f8-f10379ec, 3307d999-c13b2bee-4b1388a7-8cafdb7e-c00b72d2 | 56416280 | 10010867 | Findings: A pigtail catheter overlies the lower right chest new compared with ___ No pneumothorax is detected. Minimal blunting of the right costophrenic angle without gross effusion. Inspiratory volumes are low and the patient is supine. Hazy opacity in the right perihilar region is non-specific but compatible with atelectasis. Mild increased retrocardiac density is also non-specific but compatible with atelectasis. Extreme left costophrenic angle is excluded from the film, but no gross left-sided effusion is detected. The cardiomediastinal silhouette is grossly unchanged. Spinal fixation hardware is seen both in the lower cervical and throughout much of the thoracic spine. Impression: Interval placement of right-sided pigtail catheter. No gross effusion. No pneumothorax detected. Bilateral opacities are non-specific, but compatible with atelectasis. | Findings: A pigtail catheter overlies the upper left chest new compared with ___. No pneumothorax is detected. Minimal blunting of the right costophrenic angle without gross effusion. Inspiratory volumes are low and the patient is supine. Hazy opacity in the right perihilar region is non-specific but compatible with atelectasis. Mild increased retrocardiac density is also non-specific but compatible with atelectasis. Extreme left costophrenic angle is excluded from the film, but know gross left-sided effusion is detected. The cardiomediastinal silhouette is grossly unchanged. Spinal fixation hardware is scene both in the lower cervical and throughout much of the thoracic spine. Impression: Interval placement of right-sided pigtail catheter. No gross effusion. No pneumothorax detected. No opacities. | ['Change position of device', 'Change to homophone', 'False negation'] |
| df7a605a-7716e57d-3ad62776-b196cb45-88fa7c30 | 56754952 | 10010867 | Impression: ET tube tip is 5.3 cm above the carinal. NG tube tip is in the stomach. Right pigtail catheter is in place. There is interval increase in right pleural effusion. There is also progression of vascular enlargement and left retrocardiac consolidation. . | Impression: ET tube tip is 5.3 cm above the carinal. NG tube tip is in the belly. Right pacemaker is in place. There is no pleural effusion. There is also progression of vascular enlargement and left retrocardiac consolidation. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 2c813ec6-82da7fce-18086e90-d34f7c7d-f504a346 | 57260480 | 10010867 | Impression: In comparison to prior radiograph of 1 day earlier, a left retrocardiac opacity has nearly resolved. Layering right pleural effusion has apparently decreased in size as well as a small left pleural effusion. No other relevant change. | Impression: In comparison to prior radiograph of 1 day earlier, a left retrocardiac opacity has nearly resolved. Bilateral pleural effusion is noted. Layering right pleural effusion has apparently decreased in size as well as a small left pleural effusion. No other change of significance detected. | ['Change location', 'Change to homophone', 'False prediction'] |
| 99205814-ed4c10f0-0d45707a-31a24f59-fcf29949 | 57317515 | 10010867 | Impression: In comparison with the study of ___, the patient has taken a better inspiration. Right chest tube is in unchanged position and there it is no evidence of pneumothorax. Cardiac silhouette is at the upper limits of normal in size and is no vascular congestion. There has been development of increased retrocardiac opacification with silhouetting of the hemidiaphragm, consistent with volume loss in the left lower lobe, most likely related to a mucous plug. | Impression: In comparison with the study of ___, the patient has taken a bette inspiration. Right chest tube is in unchanged position and there is no evidence of pneumothorax. Cardiac silhouette is at the upper limitis of normal in size and is no vascular congestion. There has been development of increased retrocardiac opacification with silhouetting of the hemidiaphragm, consistent with volume loss in the left lower lobe, most likely related to a mucous plug. There is also an endotracheal tube terminating within the trachea. | ['Change position of device', 'Add typo', 'Add medical device'] |
| e4a3fe20-cf6c133d-7cb2e0e0-04ecbee2-d8911acc | 57662143 | 10010867 | Impression: Comparison to ___. The right chest tube was removed. There is no evidence for the presence of an right pneumothorax. Stable appearance of the left hemi thorax and of the heart. | Impression: Comparison to ___. The right chest tube was removed. No evidence for the presence of a left pneumothorax. Stable appearance of the rigth hemi thorax and of the heart. | ['Change location', 'Add typo', 'False negation'] |
| 9dc810dd-ce899718-d7aea998-a767f206-80648f57 | 57907439 | 10010867 | Impression: Compared to prior chest radiographs, ___ through ___. Mild left lower lobe atelectasis has improved. Previous mild pulmonary edema has resolved. Heart size normal. Small pleural effusion is likely but unchanged. No pneumothorax. ET tube is at the thoracic inlet no less than 6 cm from the carina and could be advanced 2 cm for more secure seating. Esophageal drainage tube passes into the stomach and out | Impression: Compared to prior chest radiographs, ___ through ___. Mild left lower lobe atelectasis has improved. Previous mild pulmonary edema has resolved. Heart size normal. No pleural effusion is present. No pneumothorax. ET tube is at the thoracic inlet no less than 6 inches from the carina and could be advanced 2 cm for more secure seating. Esophageal drainage tube passes into the stomach and outMild left lower lobe atelectasis has improved. | ['Change measurement', 'Add repetitions', 'False negation'] |
| a23b6045-dde09115-2688e89b-de86fc47-0940b1c4 | 58830152 | 10010867 | Impression: ET tube tip is 4.5 cm above the carinal. NG tube tip is in the stomach. Right PICC line is at the level of lower SVC. Cardiomediastinal silhouette is unchanged but there is interval progression of left lung consolidation and right widening out that might be concerning for a combination of pulmonary edema and pneumonia. Air ___ would be another possibility. No appreciable increase in pleural effusion or development of pneumothorax is seen. | Impression: ET tube tip is 1 cm above the carnal. NG tube tip is in the stomacn. Right PICC line is at the level of mid SVC. Cardiomediastinal silhouette is unchanged but there is interval progression of left lung consolidation and right widening out that might be concerning for a combination of pulmonary edema and pneumonia. Air ___ would be another possibility. No appreciable increase in pleural effusion or development of pneumothorax is seen. Additionally, a new pacemaker is identified with leads in the right atrium and right ventricle. | ['Change position of device', 'Add typo', 'Add medical device'] |
| e76ce9a9-18c1c712-5579d781-c698b68a-60d51c8f | 59036254 | 10010867 | Impression: Comparison ___. The right chest tube is in unchanged position. No evidence of pneumothorax. Decrease of the pre-existing right pleural effusion. Signs of mild central fluid overload persist. Borderline size of the heart. No pneumonia, no atelectasis. | Impression: Comparison ___. The left chest tube is in unchanged position. No evidence of pneumothorax. Decrease of the pre-existing right pleural effusion. Signs of mild central fluid overload persist. Borderline size of the heart. No pneumonia, no atelectasis. A central venous line is noted. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 48ccf9d9-8c0c8c78-60104109-9fe3ae07-bbd8005d | 59155163 | 10010867 | Impression: Comparison to ___, 20:36. No relevant change is noted. The monitoring and support devices, including the right chest tube and the endotracheal tube are in stable correct position. Moderate cardiomegaly persists. No pneumothorax. Unchanged right pleural effusion and left retrocardiac atelectasis P | Impression: Comparison to ___, 20:36. No new developments are noted. The monitoring and support devices, including the right chest tube and the gastric tube are in stable correct position. Severe cardiomegaly persists. No pneumothorax. Right pleural effusion has resolved and left retrocardiac atelectasis remains unchanged. A PICC line is noted terminating in the right atrium. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 4be87f73-8f448f2f-64401502-29277092-a7f06434 | 59325322 | 10010867 | Findings: The patient is leaning to the left. Again seen is the pigtail catheter overlying the right lung base. Minimal blunting of the right costophrenic angle could represent a small right pleural effusion, but is not significantly changed. No large effusion or evidence of pneumothorax is identified. Hazy opacities are again seen in the right perihilar region and left base, non-specific, but compatible with atelectasis. No gross left effusion. Fixation hardware of the thoracic spine and partially imaged hardware of the lower cervical spine again noted. Cardiomediastinal silhouette is probably not significantly changed. Impression: Possible minimal fluid at the right costophrenic angle, grossly unchanged. Otherwise, I doubt significant interval change. | Findings: The patient is leaning to the wrong. Again seen is the pigtail catheter overlying the left lung base. Minimal blunting of the right costophrenic angle could represent a small right pleural effusion, but is knot significantly changed. No large effusion or evidence of pneumothorax is identified. No opacities are seen. No gross left effusion. Fixation hardware of the thoracic spine and partially imaged hardware of the lower cervical spine again noted. Cardiomediastinal silhouette is probably knot significantly changed. Impression: No fluid is seen. Otherwise, I doubt significant interval change. | ['Change location', 'Change to homophone', 'False negation'] |
| 74e52a7a-583d0986-b9133b24-1646c775-e0dc5148 | 59851295 | 10010867 | Impression: Compared to prior chest radiographs ___ through ___. Mild interstitial abnormality, is probably edema. Left lower lobe remains substantially atelectatic. Borderline cardiac enlargement unchanged. Left pleural effusion is presumed, but not substantial. No pneumothorax. Right pigtail pleural drain still ET tube in standard placement. Esophageal drainage tube ends in the midportion of the nondistended stomach. | Impression: Compared to prior chest radiographs ___. Mild interstitial abnormality, is probably edema. Left lower lobe remains substantially atelectatic. Borderline cardiac enlargement unchanged. Left pleural effusion is presumed, but not substantial. No pneumothorax. Right PICC line still ET tube in standard placement. Esophageal drainage tube ends in the midportion of the nondistended stomach. There is a small right-sided pneumothorax. | ['Change name of device', 'Change to homophone', 'False prediction'] |
| 3af7b4bb-2c019e52-64814e5c-dff7267c-da9a9950, d838d7a8-b3d12976-3d230395-f9ac9d71-47708a7a | 52827646 | 10010920 | Findings: The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Impression: No evidence of acute cardiopulmonary process. | Findings: The lungs are well inflated and clera. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. No pneumothorax is seen. A rightward central venous line is present. Impression: No evidence of acute cardiopulmonary process. | ['False negation', 'Add typo', 'Add medical device'] |
| 19d28fe8-22dbeecd-8227162f-64c27990-89e1a038, 3d7725e8-58524c57-38652597-9a9d9561-4ec5d196 | 54061694 | 10010961 | Findings: AP and lateral views of the chest were obtained. The right costophrenic angle is not fully included on the image. There is minor left basilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal with left ventricular configuration. The aortic knob is calcified. The aorta is slightly tortuous. No overt pulmonary edema is seen. Impression: Right costophrenic angle not fully included on the image. Top normal cardiac silhouette without pleural effusion or pulmonary edema. No focal consolidation. | Findings: AP and lateral viewz of the chest were obtained. The left costophrenic angle is not fully included on the image. There is minor right basilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal with right ventricular configuration. The aortic knob is clacified. The aorta is slightly tortuous. No overt pulmonary edema is seen. Impression: Right costophrenic angle not fully included on the image. Top normal cardiac silhouette without plueral effusion or pulmonary edema. No focal consolidation. A central venous line is present. | ['Change location', 'Add typo', 'Add medical device'] |
| 9f44d81b-6d7f1534-92adadeb-db986efb-8c6b3675, d7b10f5a-72aa05e9-d96092f5-a7f114b7-eb9d4676 | 56036651 | 10011126 | Findings: Frontal and lateral views of the chest. The heart size and cardiomediastinal contours are normal. Small biapical scarring is unchanged. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest. A pacemaker is present. The heart size and cardiomediastinal contours are normal. Moderate biapical scarring is unchanged. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Impression: No acute cardiopulmonary process. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 0ed8459b-595d789c-5c8ce379-f33136d7-aab26cc6, 71a6d405-c261ab5b-03707dd7-1b373bba-fc37742f | 58239923 | 10011126 | Findings: PA and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Impression: No acute cardiopulmonary process. | Findings: PA and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. Impression : 1. Cardiomegaly. 2. Mild pleural effusion. | ['Change location', 'Add contradiction', 'False negation'] |
| 5bcf64df-01f865fe-70be0a1a-0cfec373-bac7a515, ee32ce8d-37dd14ce-14633625-1da574f1-0c0688b3 | 52630873 | 10011169 | Findings: Frontal and lateral views of the chest are obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the abdomen are obtained. The lungs are clear with out focal consolidation. No pleural effusion, pneumothorax, or mass is seen. Cardiac and mediastinal silhouettes are unremarkable. There is no overt pulmonary edema. Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'False prediction'] |
| 8d08262c-9aaa2f91-db1d156f-b9379856-fa48fc5c | 51117454 | 10011365 | Findings: 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 with a scoliosis unchanged. . No free air below the right hemidiaphragm is seen. Impression: No acute intrathoracic process. | Findings: 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 with a spondylolisthesis unchanged. No free air below the right hemidiaphragm is seen. Small unilateral pleural effusion detected. Impression: No acute intrathoracic process. | ['Change location', 'Add contradiction', 'False negation'] |
| 888557ac-5bbba51e-dce5b075-8e281e2d-348e55bf | 51830718 | 10011365 | Findings: Endotracheal tube is seen with tip in the right mainstem bronchus. Hazy right basilar opacity may be due to atelectasis. Left lung is grossly clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Thoracolumbar S-shaped scoliosis is noted. Impression: Right mainstem intubation. | Findings: Endotrachel tube is seen with tip in the right mainstem bronchus. Minimal left basilar opacity may be due to atelectasis. Left lung is grossly clear. The cardiomediastinal silhouette is within normal limits. Retrocardiac mass is observed. Thoracolumbar S-shaped scoliosis is noted. Impression: Right mainstem intubation. | ['Change location', 'Add typo', 'False prediction'] |
| f6fccc21-ded29731-2a7419a6-961566fe-710630d3 | 53459647 | 10011365 | Impression: Diffuse bilateral multifocal consolidations have improved. Reflects improved component of pulmonary edema superimposed of multifocal pneumonia. Cardiac size is top-normal. ET tube is in standard position. There is no pneumothorax or enlarging pleural effusions. There is severe S-shaped scoliosis. | Impression: Diffuse left multifocal consolidations have improved. Reflects improved component of pulmonary edema superimposed of multifocal pneumonia. Cardiac size is top-normal. ET tube is in standard position. There is no pneumothorax or enlarging pleural effusions. There is severe S-shaped scoliosis. | ['Change location', 'Change to homophone', 'False negation'] |
| afea1d4e-5402c28c-2aeb480f-c9d93494-7e04879d | 53869555 | 10011365 | Findings: Enteric tube tip is in the proximal stomach, new since prior. More prominent right basilar opacity and adjacent right pleural effusion. Otherwise stable. Impression: Enteric tube tip in the proximal stomach. | Findings: Enteric tube tip is in the proximal duodenum, new since prior. No basilar opacity or pleural effusion. Otherwise stable. Impression: Enteric tube tip in the proximal stomach. Impression: Enteric tube tip in the proximal stomach. | ['Change name of device', 'Add repetitions', 'False negation'] |
| b08b18a9-635a6e56-979cf9d6-314a48d8-0f833747 | 54847293 | 10011365 | Findings: Endotracheal tube tip is now 2.5 cm above carina, has been pulled back since prior. Significant interval worsening of bilateral perihilar, lower lung opacities, with bronchovascular distribution, consider worsening pneumonia, aspiration or edema. Elevated right hemidiaphragm stable. Borderline heart size. Thoracolumbar curve. Impression: Significant interval worsening, consider worsening pneumonia, aspiration or edema. | Findings: Endotracheal tube tip is now 2.5 mm above carina, has been pulled back since prior. Significant interval worsening of bilateral perihilar, lower lung opacities, with bronchovascular distribution, consider worsening pneumonia, aspiration or edema. Elevated right hemidiaphragm stable. Borderline hart size. Thoracolumbar curve. Presence of a central venous line is noted. Impression: Significant interval worsening, consider worsening pneumonia, aspiration or edema. | ['Change measurement', 'Change to homophone', 'Add medical device'] |
| ff295ca5-9f888b5c-1dde8d2a-b13b9ece-cfac44b3 | 56594284 | 10011365 | Impression: In comparison with the study of ___, there is again persistent elevation of the right hemidiaphragmatic contour. Cardiac silhouette is within normal limits and there is scoliosis of the thoracic spine convex to the right. No vascular congestion or acute focal pneumonia. | Impression: In comparison with the study of ___, there is again persistent elevation of the left hemidiaphragmatic contour. Cardiac sillohette is within normal limits and there is scoliosis of the thoracic spine convex to the right. No vascular congestion or acute focal pneumonia. There is the presence of a pacemaker. | ['Change location', 'Add typo', 'Add medical device'] |
| 51bc9e7d-d334996c-ee780be8-2eec27cd-e81ccaa5, ace95f88-41f65c01-c499144c-38d69c74-49d2eb24 | 59058078 | 10011365 | Impression: In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. There is continued elevation of the right hemidiaphragmatic contour, but no evidence of acute pneumonia, vascular congestion, or pleural effusion. Scoliosis of the thoracic spine convex to the right | Impression: In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. There is continued elevation of the left hemidiaphragmatic contour, but no evidence of acute pneumonia, vascular congestion, or pleural effusion. Scoliosis of the thoracic spine convex to the right. There is no evidence of acute cardiopulmonary disease. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 114ef768-d50cb60b-21fee5b3-c0a0fb68-b95fa738 | 59373787 | 10011365 | Findings: Compared to chest radiographs from ___, there is increased vascular congestion with new mild interstitial edema. Lung volumes have decreased. Bibasilar opacities have worsened. Small right pleural effusion persists. No appreciable effusion on the left. Heart is top-normal in size, increased. Endotracheal tube is in standard placement. Right PICC line terminates at the cavoatrial junction. Enteric tube descends below the diaphragm and terminates in the proximal stomach. Prominent right convex scoliosis of the upper thoracic spine and left convex scoliosis of the lower thoracic spine. Impression: 1. Increased central vascular congestion with new mild pulmonary edema. 2. Worsening bibasilar opacities, concerning for worsening atelectasis, though aspiration should be considered in the proper clinical context. 3. Increased small right pleural effusion. 4. Increased heart size, now top-normal. | Findings: Compared to chest radiographs from ___, there is increased vascular congestion with new mild interstitial edema. Lung volumes have decreased. Bibasilar opacities have worsened. Small right pleural effusion persists. Large left pleural effusion is noted. Heart is top-normal in size, increased. Feeding tube is in standard placement. Right PICC line terminates at the cavoatrial junction. Enteric tube descends below the diaphragm and terminates in the proximal stomach. Prominent right convex scoliosis of the upper thoracic spine and left convex scoliosis of the lower thoracic spine. Impression: 1. Increased central vascular congestion with new mild pulmonary edema. 2. Worsening bibasilar opacities, concerning for worsening atelectasis, though aspiration should be considered in the proper clinical context. 3. Increased small right pleural effusion. 4. Increased heart size, now top-normal. 5. Interval placement of a central venous catheter with tip in the right atrium. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 0a692f49-11d9b103-8ef758b4-62bfbd78-06c6d350, e85b9360-95d1d342-578db7cb-e9b931c1-bbca6457 | 59571128 | 10011365 | Findings: Mild cardiomegaly with a left ventricular predominance is re- demonstrated. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Elevation the right hemidiaphragm is again noted with associated right basilar atelectasis. Retrocardiac patchy opacity may reflect atelectasis though infection is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is detected. S-shaped rotary scoliosis of the thoracolumbar spine is again noted. Impression: Retrocardiac opacity, potentially atelectasis, though infection cannot be excluded in the correct clinical setting. Persistent elevation of the right hemidiaphragm with right basilar atelectasis. | Findings: Moderate cardiomegaly with a left ventricular predominance is re- demonstrated. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Elevation the write hemidiaphragm is again noted with associated right basilar atelectasis. Retrocardiac patchy opacity may reflect atelectasis though infection is not excluded. No pleural effusion or mild pneumothorax is detected. S-shaped rotary scoliosis of the thoracolumbar spine is again noted, with linear opacities seen in the right upper lobe. Impressions: Retrocardiac opacity, potentially atelectasis, and heart failure, though infection cannot be excluded in the correct clinical setting. Persistent elevation of the right hemidiaphragm with right basilar atelectasis. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 7213fc7b-3b34b75d-c5df376c-3edad930-36f96643, 92e67c1b-1b7c3fc0-0b7c8325-c5eaf0f7-30257c8b | 59469147 | 10011466 | Findings: The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified. Vertebral body height is maintained. Impression: 1. No acute cardiopulmonary process. 2. No evidence of a fracture. | Findings: The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. No fracture is identified. The cardiomediastinal silhouette is normal. Vertebral boody height is maintained. Impression: 1. No acute cardiopulmonary process. 2. No evidence of a fracture. Vertebral body height is maintained. | ['Add repetitions', 'Add typo', 'False negation'] |
| 87b02b44-6335e667-bfe5607e-1c5e14d4-5188a00b, fa8bf189-527dd56c-8c5cddc1-38fa627a-cece8065 | 50435883 | 10011607 | Findings: Cardiac silhouette size is mildly enlarged. The aorta remains mildly tortuous but unchanged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is detected. Mild loss of height of a mid thoracic vertebral body is unchanged. Impression: No acute cardiopulmonary abnormality. | Findings: Cardiac silhouette size is severely enlarged. The aorta remains mildly tortuous butt unchanged. Mediastinal and hilar contours are within normal limits. A pacemaker is present. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is detected. Moderate loss of height of a mid thoracic vertebral body is unchanged. Impression: No acute cardiopulmonary abnormality. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| a6ac937d-e20e19bc-c222e39c-cfdd23a2-47f72454, d950b2d8-f8271be0-3aee2b32-893624ad-3a17eca3 | 52421847 | 10011607 | Impression: The heart size is top normal. The hilar and mediastinal contours are unchanged since ___. There is no pneumothorax, focal consolidation, or pleural effusion. | ### Modified Report | ['False negation', 'Add contradiction', 'False prediction'] |
| 0c1ab7b4-d242dc55-c6e14495-e1eeb821-0d818ca3, 14d204f6-9273d7ee-27d7ecc9-1e5e9a79-cd40605e | 53604298 | 10011607 | Findings: PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears normal and stable. There is a compression deformity involving a mid thoracic vertebral body, which appears new from the prior chest radiograph of ___. No free air below the right hemidiaphragm. There are tiny surgical clips in the left base of neck, likely indicating prior thyroid surgery. Impression: No acute intrathoracic process. Interval development of a mid thoracic spine compression fracture. | Findings: PA and oblique views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears normal and stabe. There is a compression deformity involving the lower thoracic vertebral body, which appears new from the prior chest radiograph of ___. Pleural effusion observed below the right hemidiaphragm. There are tiny surgical clips in the right base of neck, likely indicating prior thyroid surgery. Impression: A moderate-sized pulmonary nodule is seen. Interval development of a mid thoracic spine compression fracture. | ['Change location', 'Add typo', 'False prediction'] |
| 3ecc67ac-829f6144-eac9f22d-129806bd-61a9a150, ee61bcf2-8bbaf78d-0990a4ee-db801ca3-6d003f6b | 53989086 | 10011607 | Findings: The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified. Surgical clips along the left upper paratracheal station are unchanged from prior exam. Compression deformity of a mid thoracic vertebral body is unchanged. Impression: No evidence of acute cardiopulmonary process. | Findings: The lungs are well expanded and clesr. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified. Surgical clips along the right upper paratracheal station are unchanged from prior exam. Compression deformity of a mid lumbar vertebral body is unchanged. A central venous line is present. Impression: No evidence of acute cardiopulmonary process. | ['Change location', 'Add typo', 'Add medical device'] |
| df0d0976-bf24d001-ac5b288f-6acf03aa-4124ca32 | 54471901 | 10011607 | Impression: Heart size is top-normal, comparable to the size on conventional radiographs ___. Lungs are clear. Slight it interval increase in caliber of mediastinal veins is not accompanied by pulmonary vascular engorgement, edema, or pleural effusion. Lungs are clear. No pneumothorax. Vascular clips denote prior neck surgery in the region of the left thyroid lobe. | Impression: Heart size is top-normal, comparable to the size on conventional radiographs ___. Lungs are clear. Slight interval increase in caliber of mediastinal veins is accompanied by pulmonary vascular engorgement, edema, or pleural effusion. Lungs are clear. There is a small pneumothorax noted on the right side. Vascular clips denote prior neck surgery in the region of the left thyroid lobe. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| 5bdabba9-388f6646-ac06b5f5-f68b2fd2-3630de21, ad0f405d-43502246-89ea5db3-b41c5ae9-48a92ffc | 55814288 | 10011607 | Findings: AP and lateral chest radiographs were obtained. The exam is limited by significant soft tissue attenuation and AP lordotic positioning. Despite these limitations, the lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Mild cardiomegaly and aortic tortuosity are unchanged since ___. However, the upper mediastinum appears wider than on prior exams, possibly due to AP technique. Impression: Apparent upper mediastinal widening is likely secondary to AP technique. A repeat PA radiograph should be obtained. Recommendation discussed with Dr ___ at 9:10 on ___. | Findings: AP and laterral chest radiographs were obtained. The exam is limited by minimal soft tissue attenuation and AP lordotic positioning. Despite these limitations, the lungs are well expanded. There is no focal consolidation, effusion, pneumothorax. Severe cardiomegaly and aortic tortuosity are unchanged since ___. However, the upper mediastinum appears normal on prior exams. Impression: Apparent upper mediastinal widening is secondary to AP technique. A repeat PA radiograph should be obtained. Recommendation discussed with Dr ___ at 9:10 on ___. | ['Change severity', 'Add typo', 'False negation'] |
| 8936681b-1a9442c4-38cb73d1-b4402a97-46e8a8e7, f14e253a-e6ae13f3-39868786-af4fd240-11d3593a | 55850863 | 10011607 | Findings: PA and lateral views of the chest demonstrate the lungs are well expanded. Two adjacent nodular opacities project along the upper aspect of the left ventricle on the lateral view. The cardiomediastinal silhouette is otherwise unremarkable. There is no evidence of pleural effusion or focal pneumonia. Azygous vein distension is present, with no evidence of left heart failure. No pneumothorax is identified. Impression: Two adjacent nodular opacities along the upper aspect of the left ventricle seen on the lateral view, for which further evaluation is recommended with routine oblique radiographs. | Findings: PA and lateral views of the chest demonstrate the lungs are well expanded. Too adjacent nodular opacities project along the upper aspect of the right ventricle on the lateral view. The cardiomediastinal silhouette is otherwise unremarkable. There is no evidence of pleural effusion or focal pneumonia. Azygous vein distension is present, with no evidence of left heart failure. No pneumothorax is identified. Impression: No nodular opacities seen on the lateral view, for which further evaluation is not recommended. | ['Change location', 'Change to homophone', 'False negation'] |
| 4bce2766-88d7c6bc-bab4885d-85e84c5d-28f1f09d, de50bf6a-0da4074b-d3061383-1fd11f64-dc9cf24a | 56807530 | 10011607 | Findings: PA and lateral views of the chest provided. Lung volumes are low limiting assessment. The lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged with an unfolded thoracic aorta and top-normal heart size. No convincing signs of edema. Bony structures are intact. Impression: No acute findings. | Findings: PA and lateral views of the chest provided. Lung volumes are somewhat low limiting assessment. The lungs are clear without focal consolidation, small effusion or pneumothorax. Cardiomediastinal silhouette is unchanged with an unfolded thoracic aorta and top-normal heart size. No convincing signs of moderate edema. Bony structures show a fracture in the left rib. Impression: Right-side pleural effusion and no pulmonary edema. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 9a77f902-cae3c24f-2bc28c24-4ddc5427-5d30dbfd, ea45c630-64404faf-3655fe4b-e75e968b-9e9f6dd1 | 58253009 | 10011607 | Findings: PA and lateral views of the chest are compared to previous exam from ___. The lungs are clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is stable, noting mildly tortuous aorta. Osseous and soft tissue structures are unchanged, noting surgical clips within the neck on the left. Impression: No acute cardiopulmonary process. | Findings: PA and lateral views of the chest are compared to previous exam from ___. There is aortic dissection. Costophrenic angles are sharp. The cardiomediastinal silhouette is stable, noting mildly tortuous aorta. Osseous and soft tissue structures are unchanged, noting surgical clips within the neck on the left. Impression: Moderate cardiopulmonary process. | ['Change name of device', 'Add contradiction', 'False prediction'] |
| 54ab5735-2f4a35f3-be1eefbf-0392fe4f-dc8ff91b, 6e036cab-e8fb641b-7252b19a-ee6adfb8-94765c59 | 59358789 | 10011607 | Findings: The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top-normal in size. No acute fracture is seen. Surgical clips are noted left neck. Impression: No acute cardiopulmonary process. No acute fracture detected. If concern for rib fractures persists, dedicated rib radiographs can be obtained. | Findings: The lungs are well expanded and clear. A small pleural effusion is noted. The cardiomediastinal silhouette is top-normal in size. No acute fracture is seen. No clips seen. Impression: No acute cardiopulmonary process. Mild pleural effusion detected. If concern for rib fractures persists, dedicated rib radiographs can be obtained. | ['Change name of device', 'Add contradiction', 'False negation'] |
| acbb68f1-435036fa-cadb7e0b-f690b888-5901ae2a, bfe04726-d516f32a-42a6303d-71c1feea-7fa16277 | 50539024 | 10011668 | Findings: No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiomegaly is stable. Compared to most recent prior exam, there has been interval improvement in pulmonary edema. Sternal wires are again noted with fracture at the inferior most wire. Impression: Stable cardiomegaly with interval decrease in pulmonary edema. | Findings: No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiomegaly is stable. Compared to most recent prior exam, there has been interval improvement in pulmonary edema. Sternal wires are again noted with fracture at the superior most wire. Sternal wires are again noted with fracture at the superior most wire. Impression: Stable cardiomegaly with no pulmonary edema. | ['Change location', 'Add repetitions', 'False negation'] |
| 4b6ddfbd-15a57f39-e6327790-2f90f5fe-1293fece, f39109b2-6d124d2c-a6b095f9-d291aa4e-91f61711 | 54026364 | 10011668 | Findings: The patient is status post median sternotomy. Fracture iodine inferior most sternal wire is again seen. The cardiomediastinal silhouette is stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no pulmonary edema. Impression: No significant interval change. | Findings: The patient is status post median sternotomy. Fracture iodine inferior most sternal wire is again seen. The cardiomediastinal silhouette is stable. Scattered opacities, pleural effusion, and evidence of pneumothorax are noted. There is no pulmonary edema. Impression: Mild interval change. | ['Change severity', 'Add contradiction', 'False negation'] |
| d110191d-11ed1652-b1e795b9-3ee0f7c6-446f22ea | 56511682 | 10011668 | Impression: Status post median sternotomy with overall stable postoperative cardiac and mediastinal contours. Lungs remain well inflated without evidence of focal airspace consolidation, pleural effusions, pneumothorax, or pulmonary edema. | Impression: Status post median sternotomy with overall stable postoperative cardiac and mediastinal contours. Lungs remain well inflated without evidence of focal airspace consolidation, pleural effusions, pneumothorax, or pulmonary edema. Lungs remain well inflated without evidence of focal airspace consolidation, pleural effusions, pneumothorax, or pulmonary edema. There is cardiomegaly. Early bibasilar atelectasis is noted. | ['Add repetitions', 'Add contradiction', 'False prediction'] |
| 1c7902bc-91d5555a-2cdf3f63-bd75ed65-3a088268, fe8a578c-4f1abd31-439d846b-24169eeb-fad0b3a3 | 57069032 | 10011668 | Findings: The patient is status post CABG with unchanged appearance of a fractured inferior median sternotomy wire. The heart is mildly enlarged. Lung volumes are low, with minimal central pulmonary vascular congestion and atelectasis at the lung bases. There is no appreciable lobar consolidation, pleural effusion, or pneumothorax. Impression: Mild cardiomegaly with minimal central pulmonary vascular congestion. | Findings: The patient is status post CABG with unchanged appearance of a fractured inferior median sternotomy wire. The heart is severely enlarged. Lung volumes are low, with minimal central pulmonary vascular congestion and atelectasis at the lung bases. Minimal right-sided pleural effusion is present. Impression: Moderate cardiomegaly with minimal central pulmonary vascular congestion. | ['Change severity', 'Add typo', 'False prediction'] |
| 1a3523e4-ad21e0a2-44778871-d6b31843-d2d71dc2, 53b86975-e4fe3f2e-0ea55a4b-e1e24a2e-a4419374 | 57317530 | 10011668 | Findings: Allowing for differences in technique the heart and mediastinal contours are unchanged with continued prominence of the right heart border likely due to left atrial enlargement. Lungs are somewhat low lung in volume as before without focal consolidation, pleural effusion or pneumothorax. Impression: No radiographic findings of acute cardiopulmonary process. Please note that a normal chest radiograph does not exclude a dissection, and if, based on clinical condition, aortic dissection is suspected then CTA of the Chest can be obtained for assessment. Findings were discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone. | Findings: Allowing for differences in technique the heart and mediastinal contours are unchanged with continued prominence of the left heart border likely due to left atrial enlargement. Lungs are somewhat low lung in volume as before without focal consolidation, pleural effusion or pneumothorax. Lungs are somewhat low lung in volume as before without focal consolidation, pleural effusion or pneumothorax. Impression: No radiographic findings of acute cardiopulmonary process. There is a small left-sided pleural effusion. Please note that a normal chest radiograph does not exclude a dissection, and if, based on clinical condition, aortic dissection is suspected then CTA of the Chest can be obtained for assessment. Findings were discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone. | ['Change location', 'Add repetitions', 'False prediction'] |
| 57dbb610-aad7676f-da4741ea-db34ef0e-773492f3 | 50109051 | 10011938 | Findings: Mild bibasilar atelectasis is noted without definite focal consolidation. No large pleural effusion or evidence of pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. Slight prominence of the hila suggest pulmonary vascular engorgement without overt pulmonary edema. Impression: Slight prominence of the hila suggest pulmonary vascular engorgement without overt pulmonary edema. Basilar atelectasis without definite focal consolidation. | Findings: Moderate bibasilar atelectasis is noted without definite focal consolidation. No large pleural effusion or evidence of pneumothorax is sem. There is a mass in the left lower lung. The cardiac silhouette is top-normal to mildy enlarged. Mediastinal contours are unremarkable. Slight prominence of the hila suggest pulmonary vascular engorgement without overt pulmonary edema. Impression: Slight prominence of the hila suggests pulmonary vascular enorgement without overt pulmonary edema. Basilar atelectasis without definite focul consolidation. | ['Change severity', 'Add typo', 'False prediction'] |
| bf724128-9131f33a-6fd065d5-19041750-9e7f8707 | 51895247 | 10011938 | Impression: In comparison with the study of ___, the cardiac silhouette remains at the upper limits of normal or slightly enlarged. Again there is evidence of elevated pulmonary venous pressure, similar to the previous study, with bilateral pleural effusions and compressive atelectasis at the bases. | Impression: In comparison with the study of ___, the cardiac silhouette remains at the upper limits of normal or slightly enlarged. Again there is evidence of elevated pulmonary venous pressure, similar to the previous study, with bilateral pleural effusions and compressive atelectasis of the apices. An ET tube is noted in the trachea. In comparison with the study of ___, the cardiac silhouette remains at the upper limits of normal or slightly enlarged. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 4ae5ec0f-02852a0a-7ab10411-5499af96-1b2d7241 | 51900145 | 10011938 | Impression: Heart size is enlarged but unchanged. There is again seen mild prominence of the pulmonary interstitial markings suggestive of pulmonary edema, stable. Subsegmental atelectasis at the lung bases is also seen. There is no definite consolidation. No pneumothoraces are seen. | Impression: Heart size is increased but unchanged. There is again seen severe prominence of the pulmonary interstitial markings suggestive of pulmonary edema, stable. Subsegmental atelectasis at the lung bases is also seen. There is no definite consolidation. No pneumothoraces are seen. An ICD is in place. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 7cbd9f85-35a959ac-a816d468-e6fa8243-e0efb084 | 54202121 | 10011938 | Impression: Heart size is enlarged but stable. There is unchanged prominence of the pulmonary interstitial markings consistent with mild pulmonary edema. No focal consolidation or pneumothoraces are seen. | Impression: Heart size is severely enlarged but stable. There is unchanged prominence of the pulmonary interstitial markings consistent with moderate pulmonary edema. No focal consolidation or pneumothoraces are seen. There is a left-sided central venous line, advanced to the level of the right atrium. Mild pulmonary edema and large pulmonary edema are both noted. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 301c8e2c-f61cdbfb-239351ac-7b1552cb-09d8c6da, de2c6694-9d5aa084-65ec7dd4-5d4c643c-08236601 | 54231050 | 10011938 | Findings: There is no focal consolidation, effusion, or pneumothorax. There is mild-to-moderate bibasilar atelectasis, slightly improved since ___. There is mild interstitial reticulation is likely chronic. Septal thickening in the left upper lobe appears similar to prior. The lungs are hyperinflated The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Impression: No evidence of acute abnormalities. COPD. Peripheral lower lobe predominant reticulation is likely chronic. | Findings: There is no focal consolidation, effusion, or pneumothorax. There is mild-to-moderate bibasilar atelectasis, slightly improved snice ___. There is moderate interstitial reticulation is likely chronic. Septal thickening in the left upper lobe appears similar to prior. The lungs are hyperinfliated. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A central venous line is in place. No free air below the right hemidiaphragm is seen. Impression: No evidence of acute abnormalities. COPD. Peripheral lower lobe predominant reticulation is likely chronic. | ['Change severity', 'Add typo', 'Add medical device'] |
| 381c8a8a-337eac0c-42eeac3c-287c2bf5-96a834bb, 92c1436e-5d91bc69-e7cf3906-54722a3d-b16b3629 | 55823081 | 10011938 | Findings: There is mild cardiomegaly with increased pulmonary interstitial markings and pulmonary vascular congestion, consistent with interstitial pulmonary edema. There are bilateral mid and lower lung areas of streaky atelectasis. There is no focal consolidation, pneumothorax, or pleural effusions. Impression: Findings consistent with interstitial pulmonary edema. | Findings: There is mild cardiomegaly with increased pulmonary interstitial markings and pulmonary vascular congestion, consistent with interstitial pulmonary edema. There are bilateral mid and upper lung areas of streaky atelectasis. There is no focal consolidation, pneumothorax, or pleural effusions. Impression: Findings consistent with interstitial pulmonary edema. Findings: There is mild cardiomegaly with increased pulmonary interstitial markings and pulmonary vascular congestion, consistent with interstitial pulmonary edema. | ['Change location', 'Add repetitions', 'False negation'] |
| c6eed867-d6efb38a-438501f9-9d2506e9-a0c958f8, d438cc89-f4307b26-fee30ad7-7973056f-5879ff90 | 56362279 | 10011938 | Findings: Lines and Tubes: None Lungs: The lungs are well inflated and demonstrate increased interstitial markings and haziness in bilateral mid and lower zones. Surgical sutures project over the left apex. Pleura: There is no pleural effusion or pneumothorax Mediastinum: There is cardiomegaly and unfolding of the thoracic aorta. Bony thorax: Unremarkable. Impression: Increased interstitial markings and haziness in bilateral mid and lower zones likely a combination of interstitial process with underlying pulmonary edema. There is no lobar consolidation. | Findings: Lines and Tubes: None Lungs: The lungs are well inflated and demonstrate increased interstitial markings and haziness in bilateral mid and upper zones. Surgical sutures project over the left apex. Pleura: There is no pleural effusion or pneumothorax The lungs are well inflated and demonstrate increased interstitial markings and haziness in bilateral mid and lower zones. Mediastinum: There is cardiomegaly and unfolding of the thoracic aorta. A small hiatal hernia is noted. Bony thorax: Unremarkable. Impression: Increased interstitial markings and haziness in bilateral lower and mid zones likely a combination of interstitial process with underlying pulmonary edema. There is no lobar consolidation. | ['Change location', 'Add repetitions', 'False prediction'] |
| df31ba06-23d73cc9-f2e5fd10-d7acaf92-6a27cab5 | 50349409 | 10012261 | Impression: AP chest compared to ___: Atelectasis in the left mid lung is new. Lungs are otherwise clear. No pleural effusion. Normal cardiomediastinal and hilar silhouettes. | Impression: AP chest compared to ___: Atelectasis in the right mid lung is new. Lungs are otherwise clear. No pleural effusion. Normal cardiomediastinal and heller silhouettes. No atelectasis. | ['Change location', 'Change to homophone', 'False negation'] |
| a0ac37c4-f0a4679f-6f7dc61e-60125bdc-9f25a5e5 | 50448244 | 10012261 | Findings: Portable semi-erect chest radiograph ___ at 04:10 is submitted. Impression: Endotracheal tube, feeding tube, and right internal jugular central line are unchanged in position. Overall cardiac and mediastinal contours are likely stable. There is persistent volume loss in the left lower lung and the right lung remains hyperexpanded. Overall, however, there is some improved aeration at the left base. No pulmonary edema. No pneumothorax. | Findings: Portable semi-erect chest radiograph ___ at 04:10 is submitted. Impression: Endotracheal tube, feeding tube, and left internal jugular central line are unchanged in position. Overall cardiac and mediastinal contours are likely stable. There is persistent volume loss in the left lower lung and the right lung remains hyperexpanded. Overall, however, there is decreased aeration at the left base. No pulmonary edema. A small pneumothorax is seen on the right side. | ['Change location', 'Add contradiction', 'False prediction'] |
| a1eb6b4b-68232b04-d45e09d2-9feb80b4-66ae1d1f | 51684817 | 10012261 | Impression: In comparison with the study of ___, the Dobhoff tube has been advanced so that the opaque tip is probably at or just distal to the esophagogastric junction. For optimal position, it should be pushed forward about 5-10 cm. Continued opacification at the left base, worrisome for pneumonia. | Impression: In comparison with the study of ___, the Dobhoff tube has been advanced so that the opaque tip is probably at or just distal to the esophagogastric junction. For optimal position, it should be pushed forward about 5-10 cm. For optimal position, it should be pushed forward about 5-10 cm. No pneumonia. | ['Change measurement', 'Add repetitions', 'False negation'] |
| 3ce0b228-85b2df0e-4c27c8b2-d5450336-0c09e9cc | 52477504 | 10012261 | Findings: The patient is rotated. The tip of the Dobhoff tube projects over the expected region of the stomach, slightly advanced compared to the prior exam. Focal opacity with air bronchograms in the left lower lung has increased since ___ but is overall similar to ___, suggesting aspiration. The lungs remain hyperinflated. The right lung is clear. The linear lucencies projecting over the left lateral hemithorax appears to be a skin full. No pleural effusion, pneumothorax, or edema. The heart is normal in size. Mediastinal contours are unchanged. Slight elevation of the left hemidiaphragm may reflect a combination of atelectasis and gaseous distension of bowel in the left upper quadrant, unchanged. Anterior cervical fixation hardware is unchanged. Impression: 1. Dobhoff tube tip lies within the body of the stomach, slightly advanced from the prior exam. 2. Left lower lobe aspiration. | Findings: The patient is rotated. The tip of the endotracheal tube projects over the expected region of the stomach, slightly advanced compared to the prior exam. Focal opacity with air bronchograms in the left lower lung has increased since ___ but is overall ssimilar to ___, suggesting aspiration. The lungs remain hyperinflated. The right lung is clear. The linear lucencies projecting over the left lateral hemithorax appears to be a skin full. No pleural effusion, pneumothorax, or edema. The heart is normal in size. Mediastinal contours are unchanged. Bilateral nodular opacities most likely representing nipple shadows are present. Slight elevation of the left hemidiaphragm may reflect a combination of atelectasis and gaseous distension of bowel in the left upper quadrant, unchanged. Anterior cervical fixation hardware is unchanged. Impression: 1. Endotracheal tube tip lies within the body of the stomach, slightly advanced from the prior exam. 2. Left lower lobe aspiration. | ['Change name of device', 'Add typo', 'False prediction'] |
| 9af1bc12-a2f79746-3bc4e986-f903d0c5-72d58c21 | 52687681 | 10012261 | Impression: In comparison with the study of ___, there has been some clearing of the left lower lobe pneumonia with a small residual. The right lung is clear. | Impression: In comparison with the study of ___, there has been some clearing of the left lower lobe pneumonia with a large residual. The rigth lung is clear. No pneumonia. | ['Change severity', 'Add typo', 'False negation'] |
| 4a629500-9c3281ca-90bab490-9b6ac9c1-e5e6a580 | 53728467 | 10012261 | Findings: A tracheostomy tube is seen projecting over the superior mediastinum. Interval development of right lower lobe opacities concerning for pneumonia. Residual opacity in the left lung base is slightly decreased from prior though may represent persistent pneumonia or aspiration. No large effusion is seen. Cardiomediastinal silhouette is stable. Right IJ central venous catheter is been removed. Impression: Interval development of right lower lobe consolidation concerning for pneumonia. Persistent though decreased opacity in the left lung base may represent residual pneumonia/aspiration. | Findings: A tracheostomy tube is seen projecting over the mid trachea. No right lower lobe opacities are seen. Residual opacity in the left lung base is slightly decreased from prior though may represent persistent pneumonia or aspiration. No large effusion is seen. Cardiomediastinal silhouette is stable. Right IJ central venous catheter projects over the right atrium. Impression: Interval development of right lower lobe consolidation concerning for pneumonia. Interval decrease of opacity in the left lung base with no evidence of pneumonia/aspiration. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 45526938-962f1720-e07b690f-cd297d62-a64457c4 | 54843782 | 10012261 | Findings: As compared to chest radiograph from 1 day prior, Left lower lobe opacities have marginally increased can reflect aspiration. Dense retrocardiac opacity persists related to known collapse has improved since ___. Lungs are otherwise hyperinflated but clear. Heart size is normal. No pleural abnormality. Tip of the ET tube at the thoracic inlet is 8 cm from the carina. Feeding tube is in the body of the stomach. Right jugular line ends in the mid SVC. Impression: Slight increase in multifocal left lower lobe opacities compared to 1 day prior. | Findings: As compared to chest radiograph from 1 day prior, Left lower lobe opacities have marginally increased can reflect aspiration. Dense retrocardiac opacity persists related to known collapse has improved since ___. Lungs are otherwise hyperinflated but clear. Heart size is normal. No pleural abnormality. Tip of the ET tube at the thoracic inlet is 8 inches from the carina (error). Feeding tube is in the body of the stomach. Right jugular line ends in the mid SVC. Small nodule in the left upper lobe (error). Impression: Slight increase in multifocal left lower lobe opacities compared to 1 day prior. Small nodule in the left upper lobe can be observed (error). | ['Change measurement', 'Add repetitions', 'False prediction'] |
| 46896816-0db540a8-1baab092-f24ccb95-90982ab2, fa1e6938-ecd8e15e-1c5499dd-7aab07c4-db00eba5 | 55038624 | 10012261 | Impression: Left lower lobe has collapsed again. Right lung is clear. Small left pleural effusion is presumed. Heart size normal unchanged. Feeding tube ends in the upper stomach. | Impression: Left lower lobe has collapsed again. Right lung is clear. Small left pleural effusion is presumed. Heart size normal unchanged. Feeding tube ends in the middle stomach. Right lung is clear. Presence of a central venous line. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| 99ceec11-48147b25-5801e694-59b0d7cd-6875d156, b45ab9ac-c7e36584-97ceb47d-a30c6ad7-6d74d74d | 55299155 | 10012261 | Impression: In comparison with the study of ___, there again are atelectatic or fibrotic streaks bilaterally, especially on the left. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion. | Impression: In comparison with the study of ___, there again are atelectatic or fibrotic streaks bilaterally, especially on the right. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion. Impression: In comparison with the study of ___, there again are atelectatic or fibrotic streaks bilaterally, especially on the right. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion. | ['Change location', 'Add repetitions', 'False negation'] |
| 212f55c9-9f286757-fb085dd2-c7e1c269-bd8c5436 | 55316892 | 10012261 | Impression: Compared to chest radiographs since ___, most recently ___. Tracheostomy tube midline. Lung volumes lower today than in ___ or more recently compared to ___ ___, is explained by persistent bibasilar atelectasis, more severe on the right. Pattern of recurrent lobar collapse suggests difficulties with bronchopulmonary toilet. Upper lungs clear. Heart size top-normal. No pulmonary edema. No appreciable pleural abnormality. | Impression: Compared to chest radiographs since ___, most recently ___. Tracheostomy tube terminates in the left mainstem bronchus. Lung volumes lower today than in ___ or more recently compared to ___ ___. Lung volumes lower today than in ___ or more recently compared to ___ ___, is explained by persistent bibasilar atelectasis, more severe on the right. Pattern of recurrent lobar collapse suggests difficulties with bronchopulmonary toilet. Upper lungs clear. Heart size top-normal. No pulmonary edema. There is a presence of a nasogastric (NG) tube. No appreciable pleural abnormality. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| 4213995d-c489f4a4-b27d496c-7b7a26d2-9f73f253 | 55346787 | 10012261 | Impression: Moderately severe atelectasis in the left lower lobe has improved since ___. Lungs are otherwise hyperinflated but clear. Heart size is normal. No pleural abnormality. Tip of the ET tube at the thoracic inlet is 8 cm from the carina and could be advanced for more more secure positioning and possibly better ventilation. Feeding tube passes into the stomach and out of view. Right jugular line ends in the mid SVC. | Impression: Moderately severe atelectasis in the left lower lobe has improved since ___. Lungs are otherwise hyperinflated but clear. Lungs are otherwise hyperinflated but clear. Heart size is normal. No pleural abnormality. Tip of the ET tube at the thoracic inlet is 8 inches from the carina and could be advanced for more secure positioning and possibly better ventilation. Feeding tube passes into the stomach and out of view. Right jugular line ends in the mid SVC. Pacemaker noted with leads terminating in the right ventricle. | ['Change measurement', 'Add repetitions', 'Add medical device'] |
| c48dc8db-35b347c7-deafe540-9d161fdd-7d88173a | 55883299 | 10012261 | Findings: New right lower lobe consolidation is consistent with pneumonia. There is upper lobe oligemia; however, the CT of ___ did not show the edema. There is no pleural effusion or pneumothorax. Impression: Right lower lobe pneumonia. A followup chest x-ray is suggested in four to six weeks after treatment. The results have been discussed directly with Dr. ___ at 1:15 p.m. | Findings: New left lower lobe consolidation is consistent with pneumonia. Their is upper lobe oligemia; however, the CT of ___ did not show the edema. There is no pleural effusion or pneumothorax. Impression: No pneumonia. A followup chest x-ray is suggested in four to six weeks after treatment. The results have been discussed directly with Dr. ___ at 1:15 p.m. | ['Change location', 'Change to homophone', 'False negation'] |
| edeabd5b-139705f9-7fdef9a3-c6bdb0ed-000cef8f | 56872341 | 10012261 | Findings: There is persistence of the right medial opacity, concerning for pneumonia. Minimal opacity seen the left lung base are likely due to atelectasis. Tracheostomy tube is in stable position. The heart size is unchanged. There is no pneumothorax or pulmonary edema. There is a prominent line which has vessels continuing beyond it, compatible with skin fold. Impression: Persistence of the right medial opacity since ___ is concerning for pneumonia. | Findings: There is persistence of the right medial opacity, concerning for pneumonia. Moderate opacity seen the left lung base is likely due to atelectasis. Tracheostomy tube is in stable position. The heart size is unchanged. Small right-sided pneumothorax and mild pulmonary edema. There is a prominent line which has vessels continuing beyond it, compatible with a central venous line. Impression: Persistence of the right medial opacity since ___ is concerning for pneumonia. No significant radiographic abnormalities noted. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 3d41d0fb-e3da9f63-0918d00a-5e0c6805-a99018cd | 56984106 | 10012261 | Findings: Portable semi-erect chest radiograph ___ at 3:12 is submitted. Impression: The endotracheal tube has its tip 5.5-6 cm above the carina. The right internal jugular central line has its tip in the distal SVC. A feeding tube is seen coursing below the diaphragm with the tip projecting over the expected location of the stomach. Once again, the left lower lobe has collapsed and there is hyperexpansion of the right lung. There may be a small layering left effusion. No pulmonary edema or pneumothorax. Residual oral contrast is again seen within the splenic flexure. | Findings: Portable semi-erect chest radiograph ___ at 3:12 is submitted. Impression: The endotracheal tube has its tip 5.5-6 inches above the carina. The right internal jugular central line has its tip in the distal SVC. A feeding tube is seen coursing below the diaphragm with the tip projecting over the expected location of the stomach. Both lower lobes appear normal, and there is hyperexpansion of the right lung. No left effusion is observed. No pulmonary edema or pneumothorax. Residual oral contrast is again seen within the splenic flexure. | ['Change measurement', 'Add contradiction', 'False negation'] |
| 3f7ae4cd-fbef5129-7622a877-b047f63a-a5b931c7, 556c54e7-a3d1577c-c28b2c90-06485c38-125fc7b7 | 57578434 | 10012261 | Impression: In comparison with the study of ___, the areas of opacification in the left mid and lower zone are again seen. The left hemidiaphragmatic contour is not sharply seen, suggesting that some of this may represent layering pleural effusion in addition to areas of recurrent aspiration. Continued hyperexpansion of the lungs with the right side essentially within normal limits and no vascular congestion. Monitoring and support devices appear unchanged. | Impression: In comparison with the study of ___, the areas of opacification in the right mid and lower zone are again seen. No areas of opacification suggesting that some of this may represent layering pleural effusion in addition to areas of recurrent aspiration. Continued hyperexpansion of the lungs with the right side essentially within normal limits and know vascular congestion. Monitoring and support devices appear unchanged. | ['Change location', 'Change to homophone', 'False negation'] |
| 2f5e274a-749f1c06-1c8be147-4fabf575-e333e808 | 58270659 | 10012261 | Findings: A left lower lobe pneumonia seen better on most recent chest CT is severe. There is atelectasis at the left lung base. Previously seen streaky opacities at the right lung base likely atelectasis have improved. Cardiac, mediastinal, and hilar silhouettes are unremarkable. There is no pneumothorax or pleural effusion. Impression: Left lower lobe pneumonia better seen on chest CT from ___. | Findings: A left lower lobe pneumonia seen better on most recent chest CT is mild. There is atelectasis at the left lung base. Previously seen streaky opacities at the right lung base likely atelectasis have improved. Cardiac, mediastinal, and hilar silhouettes are unremarkable. There is a left-sided pneumothorax. A left-sided pleural effusion is also present. Impression: Left lower lobe pneumonia better seen on chest CT from ___. A right IJ central venous catheter is in place. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 041929be-2f4aae30-82846957-72721286-436035a5, 15e32c24-1bcfa3ba-ed412ff8-7e31b65b-c9a17bdd | 50854114 | 10012292 | Findings: In comparison with the study of ___, there has been effective clearing of the right upper lobe pneumonia. Areas are suggestive of opacification elsewhere in the lungs have also appeared to clear. Continued prominence of the cardiac silhouette with tortuosity of the aorta. | Findings: In comparison with the study of ___, there has been effective clearing of the left upper lobe pneumonia. Areas are suggestive of opacification elsewhere in the lungs have also apreared to clear. Continued prominence of the cardiac silhouette with tortuosity of the aorta. A central venous line is present in the chest. | ['Change location', 'Add typo', 'Add medical device'] |
| 1fb53d30-20a85527-b71db2ae-28913b09-44ef76be | 51979091 | 10012292 | Findings: Bilateral moderate pleural effusion with compressive atelectasis is unchanged. There is no new lung consolidation. Pulmonary edema is mild to moderate. There is no pneumothorax. Surgical clip in left lower neck is stable. Impression: There is no significant change since prior exam. There is no new lung consolidation. Bilateral moderate pleural effusion with atelectasis is stable. It is impossible to exclude a superimposed infection or aspiration. | Findings: Bilateral mild pleural effusion with compressive atelectasis is unchanged. There is no new lnug consolidation. Pulmonary edema is mild. There is no pneumothorax. No surgical clip seen. Impression: There is no significant change since prior exam. There is no new lung consolidation. Bilateral moderate pleural effusion with atelectasis is stable. It is impossible to exclude a superimposed infection or aspiration. | ['Change severity', 'Add typo', 'False negation'] |
| ca16ea39-8c22bfd8-f6bc2bc3-ce92406f-d5bd9438 | 52412975 | 10012292 | Findings: PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Marked cardiac enlargement as before. Thoracic aorta moderately widened and elongated but unchanged. The pulmonary vasculature is not congested. However, the irregular peripheral vascular distribution and coinciding low positioned diaphragms indicate advanced COPD. New acute parenchymal densities have re-developed and occupy again the lateral portion of the right upper lobe as well as a cluster of confluenting infiltrates in the right lower lobe area.The location of these new infiltrates is similar to what was present on earlier chest examinations. | Findings: PA and lateral chest views were obtained with patient in upright psotion. Analysis is performed in direct comparison with the next preceding similar study of ___. Moderate cardiac enlargement as before. Thoracic aorta moderately widened and elongated but unchanged. The pulmonary vasculature is not congested. However, the irregular peripheral vascular distribution and coinciding low positioned diaphargms indicate advanced COPD. New acute parenchymal densities have re-developed and occupy again the lateral portion of the left upper lobe as well as a cluster of confluenting infiltrates in the right lower lobe area. A pacemaker is present. The location of these new infiltrates is similar to what was present on earlier chest examinations. | ['Change location', 'Add typo', 'Add medical device'] |
| 3888964a-3139c2d4-1f2c95ca-43f5f768-00fcca5b | 52500232 | 10012292 | Findings: In comparison with the study of ___, there is little change. Again there is diffuse bilateral pulmonary opacifications consistent with substantial vascular congestion. The possibility of supervening pneumonia would have to be considered in the appropriate clinical setting. Bilateral pleural effusions with substantial volume loss in the left lower lobe. | Findings: In comparison with the study of ___, there is little change. Again there is diffuse bilateral pulmonary opacifications consistent with substantial vascular congestion. The possibility of supervening pneumonia would have to be considered in the appropriate clinical setting. Bilateral pleural effusions with substantial volume loss in the right lower lobe. Bilateral pleural effusions are not evident in this study.Results show a centrally placed pacemaker. | ['Change location', 'Add contradiction', 'Add medical device'] |
| e1cb08b8-ad3fcb2e-f23a3675-b9f0db2e-f96e379e | 53627836 | 10012292 | Findings: Single portable view of the chest is compared to previous exam from ___. There are new bibasilar opacities identified compatible with infection, given distribution, aspiration is also possible. Previously identified right upper lung opacity has essentially resolved, although is partially obscured by overlying lead. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged. Surgical clips are seen at the thoracic inlet on the left. Impression: Bibasilar opacities compatible with pneumonia in the proper clinical setting. Alternatively these could be related to aspiration given distribution. Clinical correlation is suggested. Repeat exam after treatment is recommended to document resolution. | Findings: Single portable view of the chest is compared to previous exam from ___. There are new bibasilar opacities identified compatible with infection, given distribution, aspiration is also possible. Cardiac silhouette is enlarged but stable in configuration. Previously identified right upper lung opacity has essentially resolved, although is partially obscured by overlying lead. Osseous and soft tissue structures are unchanged. Surgical clips are seen at the thoracic inlet on the right. Impression: Bibasilar opacities with bilateral pleural effusion in the proper clinical setting. Alternatively these could be related to aspiration given distribution. Clinical correlation is suggested. Repeat exam after treatment is recommended to document resolution. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| 87b8911c-4a55ede1-04373513-448c369c-acb2b224 | 54533628 | 10012292 | Impression: Worsening failure, possible aspiration in the left mid zone. | Impression: Worsening heart failure, possible aspiration in the right mid zone. | ['Change location', 'Add repetitions', 'False negation'] |
| 3a13fd66-e3d03334-55491a06-e0748dbc-eaf053a6 | 57676120 | 10012292 | Findings: Single portable upright radiograph is provided. There is prominence of interstitial pulmonary vasculature and cephalization of vessels consistent with pulmonary edema. Previously seen consolidation at the right base has largely resolved; left basilar opacity has also improved. Again seen is moderate cardiomegaly, unchanged from prior exam. A left PICC terminates in the mid SVC. There is no pneumothorax, or pleural effusion. Osseous structures are intact. Impression: 1. Findings suggesting mild pulmonary edema. 2. Improved but persistent lower lung opacities. 3. Left PICC in mid-SVC. | Findings: Single portable upright radiograph is provided. There is prominence of interstitial pulmonary vasculature and cephalization of vessels consistent with moderate pulmonary edema. Previously seen consolidation at the right base has largely resolved; left basilar opacity has also improved. Again seen is severe cardiomegaly, unchanged from prior exam. A left PICC line terminates in the mid SVC. There is no pneumothorax, or pleural effusion. Osseous structures are in tact. The patient has a central venous line. Impression: 1. Findings suggesting moderate pulmonary edema. 2. Improved but persistent lower lung opacities. 3. Left PICC line in mid-SVC. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 89ac924c-30a77f83-69f8cf89-1a34b99a-ff0ecbb3 | 59162519 | 10012292 | Impression: Some improvement in failure. Bibasilar opacifications still present. | Impression: Some improvementn in failure. Bibasilar opacifications still present. Mild bibasilar atelectasis noted. Impression: Complete resolution of bibasilar opacifications. | ['Add typo', 'Add contradiction', 'False prediction'] |
| 6a8f19a4-2030fcda-b0f13ba9-b050a6a1-aa07e72a, 7ff22806-8d18e0c8-5d2e1bcc-638b22a0-70654bb1 | 52832573 | 10012438 | Findings: Heart size is normal. The aorta is tortuous as before. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Impression: No acute cardiopulmonary abnormality. | Findings: Heart size is normal. The aorta is tortuous as befor. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No aorta abnormalities found. No pleural effusion is seen. Lungs show mild consolidation in the right middle lobe. Impression: No acute cardiopulmonary abnormality. Lungs appear normal with no consolidations. | ['Add contradiction', 'Add typo', 'False negation'] |
| 2dcbd4f6-0c675c19-00dff07e-f670060a-aa64d1a8, 8106217e-c41ab813-c6002d3f-ed4ee98b-7b165bae | 55812956 | 10012498 | Findings: There is focal consolidation in the left lower lobe. Elsewhere, the lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: Left lower lobe consolidation compatible with pneumonia. | Findings: There is focal consolidation in the right lower lobe. Elsewhere, the lungz are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No consolidation compatible with pneumonia. | ['Change location', 'Add typo', 'False negation'] |
| 168f4fbc-2eb5eb0a-a2f8bb08-68f0f5f8-ba4dbc24, 3eddd584-a363b87f-e99c7cfa-3c796dea-dfa277cc | 56578283 | 10012569 | Findings: The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. The osseous structures are within normal limits. Impression: No acute cardiopulmonary abnormality. | Findings: The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. There is a large osteolytic lesion in the right posterior rib. The osseous structures are within normal limits. The heart size is normal. Impression: No acute cardiopulmonary abnormality. | ['Add repetitions', 'Add typo', 'False prediction'] |
| 1aede5fb-cf634f3a-6b6b3660-80b623ab-4c72bdcc | 51169270 | 10012768 | Findings: Heart is upper limits of normal in size. Mediastinal hilar contours are normal. Lungs are clear except for linear bibasilar atelectasis and or scarring. Skeletal structures have been more fully assessed by recent skeletal survey of 1 day earlier. Impression: Linear bibasilar atelectasis or scar. No evidence | Findings: Heart is upper limits of normal in size. Mediastinal hilar contours are abnormal. Lungs are clear except for linear bibasilar atelectasis and or scarring. Skeletal structures have been more fully assessed by recent skeletal survey of 1 day earlier. Impression: Linear bibasilar atelectasis or scar. No bibasilar atelectasis or scar. | ['Change location', 'Add contradiction', 'False negation'] |
| 5630ebbd-7e38ba89-0b1fbc6f-a56f5dee-e60f09d3 | 55247703 | 10012768 | Findings: Portable upright chest radiograph ___ at 10:08 is submitted. Impression: Right subclavian central line unchanged in position. Lung volumes remain slightly diminished with streaky patchy opacities in the bases suggestive of atelectasis or scarring. No developing airspace consolidation is seen to suggest pneumonia. No pulmonary edema. Old right-sided rib fracture. Stable cardiac and mediastinal contours. | Findings: Portable upright chest radiograph ___ at 10:08 is surbmitted. Impression: Left subclavian central line unchanged in position. Lung volumes remain slightly diminished with streaky patchy opacities in the bases suggestive of atelectasis or scarring. No developing airspace consolidation is seen to suggest pneumonia. No pulmonary edema. Old right-sided rib fracture. Stable cardiac and mediastinal contours. An endotrachial tube is present. | ['Change location', 'Add typo', 'Add medical device'] |
| 6e49ab6e-321fee4e-20c6780b-554d4570-0d8a5012, b8cf4fc4-4b227580-cf8d7209-2b5ed946-2d54873c | 58861095 | 10012768 | Impression: Compared to chest radiographs ___ and chest CT ___. Lungs are fully expanded and clear. Very small right subpulmonic pleural effusion may still be present. Normal cardiomediastinal and hilar silhouettes and pleural surfaces. Assessment of the chest cage, including at least one mid thoracic vertebral compression fracture and extensive myelomatous infiltration, as seen on the chest CT ___, would require repeat CT scanning. | Impression: The lungs are moderately hyperinflated. Lungs are fully expanded and clear. Very small right subpulmonic pleural effusion may still be present. Normal cardiomediastinal and hilar silhouettes and pleural surfaces. Assessment of the chest cage, including at least one mid thoracic vertebral compression fracture and extensive myelomatous infiltration, as seen on the chest CT ___, would require repeat CT scanning. Cardiac contour appears enlarged compared to the previous study. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 4736face-6f5f0e13-4b8bac9f-49661d81-a988229c, 683930ea-a24d96eb-f0ef3736-3906153d-0ac7d866 | 50200959 | 10012853 | Findings: Since ___, moderate pulmonary congestion and mild interstitial edema is increased, moderate right pleural effusion is new, and moderate left basilar opacities are seen, likely representing atelectasis. Moderate cardiomegaly is increased. No pneumothorax. Large goiter displacing the trachea to the right and moderately narrowing at at the thoracic inlet is chronic. Impression: 1. Moderate pulmonary congestion and mild interstitial edema is increased, moderate right pleural effusion is new, and moderate left basilar atelectasis is increased since ___, consistent with acute CHF exacerbation. Large goiter, unchanged. | Findings: Since ___, moderate pulmonary congestion and mild interstitial edema is increased, large right pleural effusion is new, and moderate left basilar opacities are seen, likely representing atelectasis. Moderate cardiomegaly is increased. No pneumothorax. Large goiter displacing the trachea to the right and moderately narrowing at at the thoracic inlet is chronic. Impression: 1. Mild pulmonary congestion and mild interstitial edema is increased, moderate right pleural effusion is new, and moderate left basilar opacities are seen, likely representing atelectasis. No goiter. | ['Change severity', 'Add contradiction', 'False negation'] |
| f6a37fec-15ac1f40-bf0526fc-39db0719-2b908d7a | 53243235 | 10012853 | Findings: A single portable AP semi-upright view of the chest was obtained. Heart is mildly enlarged. Calcifications are present in the aortic arch. Deviation of the trachea to the right is probably due to an enlarged thyroid. There are diffuse bilateral opacities with perihilar distribution and more prominent in the lower zone, consistent with moderate-to-severe pulmonary edema. Moderate bilateral pleural effusions are also present. The degree of pulmonary edema limits assessment for focal consolidation. There is no pneumothorax. Impression: Moderate-to-severe pulmonary edema and moderate bilateral pleural effusions. | Findings: A single portable AP semi-upright view of the chest was obtained. Heart is severely enlarged. Calcifications are present in the aortic arch. No deviation of the trachea to the right. There are diffuse bilateral opacities with perihilar distribution and more prominent in the lower zone, consistent with severe pulmonary edema. Mild bilateral pleural effusions are also present. The degree of pulmonary edema limits assessment for focal consolidation. There is no pneumothorax. Impression: Severe pulmonary edema and moderate bilateral pleural effusions. | ['Change severity', 'Change to homophone', 'False negation'] |
| aac02704-c647b84c-58d5df12-c9857852-e1536bba | 58181999 | 10012853 | Findings: There is volume loss/ alveolar infiltrates in the lower lungs but overall the appearance is much improved compared to the study from 2 days ago. There small bilateral pleural effusions that are smaller compared to prior. There continues to be pulmonary vascular redistribution and moderate to severe cardiomegaly Impression: Improvement in fluid status both pulmonary edema persist. | Findings: There is volume loss/ alveolar infiltrates in the lower lungs but overall the appearance is much improved compared to the study from 2 days ago. There are multiple nodular opacities in the middle lung zones. There small bilateral pleural effusions that are larger compared to prior. There continues to be persistent bibasilar atelectasis and moderate to severe cardiomegaly. There are multiple clips projected over the left breast. Impression: Multiple hyperinflated areaswith fluid status both pulmonary edema persist. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 7dcc1738-1674a7a7-42bb1860-d1551597-33f6de53, da11ee9c-deaeb30c-7017c575-d04ac857-bf990bc1 | 58569460 | 10012853 | Findings: The lungs are hyperinflated, with flattening of the diaphragms.Bibasilar atelectasis is seen without focal consolidation. There is mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable Impression: Hyperinflated lungs. Mild pulmonary vascular congestion. No focal consolidation. | Findings: The lungs are hyperinflated, with flattening of the diaprhagms.Bibasilar atelectasis is seen without focal consolidation. There is moderate pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable Impression: No hyperinflation of lungs. Moderate pulmonary vascular congestion. No focal consolidation. | ['Change severity', 'Add typo', 'False negation'] |
| b20c9570-de77944a-b8604ba0-73305a7b-d608a72b, f27ba7cd-44486c2e-29f3e890-f2b9f94e-84110448 | 59648767 | 10013094 | Impression: No acute intrathoracic process. | Impression: There is an acute intrathoracic process with signs of pleural effusion and atelectasis. No lines, leads, or tubes are present. | ['False negation', 'Add contradiction', 'Add medical device'] |
| 38a5ffc8-93297f03-3f0a14e4-aa8ca225-7e968b5b, 44be828c-2e552004-a57126b0-fb159c1f-47f3a1a2 | 51191158 | 10013324 | Findings: Minimal cortical step-off within the lower sternum is suspicious for a minimally displaced sternal fracture. Heart size is mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear and patchy opacities are seen in both lung bases, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Impression: 1. Minimal cortical step-off involving the lower sternum is suspicious for a minimally displaced sternal fracture. 2. Bibasilar atelectasis. | Findings: Moderate cortical step-off within the lower sternum is suspicious for a minimally displaced sternal fracture. Heart size is severely enlarged. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear and patchy opacities are seen in both lung bases, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Impression: 1. Moderate cortical step-off involving the lower sternum is suspicious for a minimally displaced sternal fracture. 2. Bibasilar atelectasis. No atelectasis. | ['Change severity', 'Add repetitions', 'False negation'] |
| 5e3801a7-85206735-b5014a64-364bca8d-df4ffc55 | 52553082 | 10013569 | Impression: 1. A left-sided pacemaker remains in place. A right subclavian PICC line is unchanged. The right internal jugular Swan-Ganz catheter continues to be in the right pulmonary artery with the tip somewhat distal and a pullback of 3-4 cm has been previously conveyed to the house staff on ___ by Dr. ___ ___, but the position remains unchanged. The heart remains stably enlarged. There has been some interval improvement in but there is persistent mild pulmonary edema. No pneumothorax is seen. No focal airspace consolidation is seen to suggest pneumonia. There is likely a layering right effusion with patchy streaky right basilar opacities likely reflectiing compressive atelectasis. | Impression: 1. A left-sided pacemaker remains in place. A right subclavian PICC line is unchanged. The right internal jugular Swan-Ganz catheter continues to be in the right pulmonary artery with the tip somewhat distal and a pullback of 3-4 inches has been previously conveyed to the house staff on ___ by Dr. ___ ___, but the position remains unchanged. The heart remains stably enlarged. There has been some interval improvement in but there is persistent mild pulmonary edema. No pneumothorax is scene. No focal airspace consolidation is seen to suggest pneumonia. There is likely a layering right effusion with patchy streaky right basilar opacities likely reflecting compressive atelectasis. A new ET tube is present. | ['Change measurement', 'Change to homophone', 'Add medical device'] |
| 2bf1576a-cb1775c8-7235d1b9-91495ebc-f93e4a0a | 53407104 | 10013569 | Findings: Single AP upright portable view of the chest was obtained. There has been interval placement of a left-sided pacer device with a lead seen extending to the expected location of the right ventricle and the coronary sinus. There may also be a lead extending to the right ventricle, although this is not well seen on the current study. Right lower hemithorax opacity is seen which may be due to underlying subpulmonic effusion with overlying atelectasis, although underlying consolidation is not excluded. Findings may also be due to elevation of the right hemidiaphragm. If patient able, suggest dedicated PA and lateral views for better evaluation. There is prominence and indistinctness of the hila. The cardiac silhouette remains enlarged. Patient is status post median sternotomy. Impression: Enlarged cardiac silhouette and engorged pulmonary hila with pulmonary vascular congestion may be due to CHF. Right lower hemithorax opacity could be due to pleural effusions with overlying atelectasis and/or consolidation, elevation of the right hemidiaphragm. If patient able, dedicated PA and lateral views would be helpful for further evaluation. | Findings: Single AP upright portable view of the chest was obtained. There has been interval placement of a left-sided ICD device with a lead seen extending to the expected location of the right ventricle and the coronary sinus. There may also be a lead extending to the right ventricle, although this is not well seen on the current study. Right lower hemithorax opacity is seen which may be due to underlying subpulmonic effusion with overlying atelectasis, although underlying consolidation is not excluded. Findings may also be due to elevation of the right hemidiaphragm. If patient able, suggest dedicated PA and lateral views for better evaluation. There is prominence and indistinctness of the hila. The cardiac silhouette remains enlarged. An ET tube is seen terminating 4 cm above the carina. Patient is status post median sternotomy. Impression: Enlarged cardiac silhouette and engorged pulmonary hila with pulmonary vascular congestion may be due to CHF. Right lower hemithorax opacity could be due to pleural effusions with overlying atelectasis and/or consolidation, elevation of the right hemidiaphragm. If patient able, dedicated PA and lateral views would be helpful for further evaluation. If patient able, dedicated PA and lateral views would be helpful for further evaluation. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 99f17f78-e629010c-b8cc1364-de71de9c-8d3a9b61 | 56120093 | 10013569 | Impression: AP chest compared to 5:52 a.m. Right pleural effusion, minimal if any. No pneumothorax. Substantial right basal atelectasis persists, moderate cardiomegaly and pulmonary vascular engorgement unchanged. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads unchanged in respective positions. | Impression: AP chest compared to 5:52 a.m. Rigth pleural effusion, minimal if any. No pneumothorax. Substantial right basal atelectasis persists, moderate cardiomegaly and pulmonary vascular engorgement unchanged. Transvenous right atrial and left ventricular pacer and left ventricular pacer defibrillator leads unchanged in respective positions. Left-sided central venous line is noted within the brachiocephalic vein. | ['Change name of device', 'Add typo', 'Add medical device'] |
| 7930aea9-d0108eda-0487f13b-5d2680c4-bd93f369 | 56197670 | 10013569 | Findings: As compared to the previous radiograph, the Swan___ catheter, introduced over the right internal jugular vein, is unchanged in position. The tip is located too much distally and should be pulled back by approximately 4 cm. The course of the catheter is unremarkable. Unchanged appearance of the heart and the lung parenchyma, without substantial interval changes. No pneumothorax. | Findings: As compared to the previous radiograph, the Swan___ catheter, introduced over the right internal jugular vein, is unchanged in position. The tip is located too much distally and should be pulled back by approximately 4 inches. The coarse of the catheter is unremarkable. Unchanged appearance of the heart and the lung parenchyma, without substantial interval changes. No pneumothorax. There is a small right-sided pleural effusion. | ['Change measurement', 'Change to homophone', 'False prediction'] |
| 63af38ce-8915b633-19f3a00b-3d6fde60-675b3525 | 57151026 | 10013569 | Findings: Portable AP chest radiograph demonstrates a large right-sided pleural effusion with associated basilar atelectasis. Concurrent consolidation cannot be excluded. There is otherwise little change from ___. Left pectoral pacemaker leads are in stable position. There is no pneumothorax. There is no pulmonary edema. Evaluation of the heart size is limited due to low lung volumes and AP projection. Impression: Enlarging right pleural effusion without pulmonary edema. Recommend obtaining PA and lateral chest radiograph. | Findings: Portable AP chest radiograph shows no right-sided pleural effusion with associated basilar atelectasis. Concurrent consolidation cannot be excluded. There is otherwise little change from ___. Left pectoral pacemaker leads end in the right atrium. There is no pneumothorax. There is no pulmonary edema. Evaluation of the heart size is limited due to low lung volumes and AP projection. There is no right pleural effusion with associated basilar atelectasis. Impression: Enlarging right pleural effusion without pulmonary edema. Recommend obtaining PA and lateral chest radiograph. | ['Change position of device', 'Add repetitions', 'False negation'] |
| f1057fa6-32b37b7c-913c3d01-dcd710bc-b269dde8 | 57874790 | 10013569 | Findings: As compared to previous radiograph, the right pleural effusion has decreased in extent and is now minimal. On the left, the blunting of the costophrenic sinus is unchanged. In the interval, the Swan-Ganz catheter has been removed and the patient has received a new PICC line. The tip of the line is difficult to visualize because of overlay with the pacemaker wires. However, it appears to project over the upper aspects of the right atrium and could be pulled back by 2 to 3 cm. Unchanged position of the left pectoral pacemaker, unchanged course of the pacemaker wires. | Findings: As compared to previous radiograph, the right pleural effusion has increased in extent and is now minimal. On the left, the blunting of the costophrenic sinus is unchanged. In the interval, the PICC line has been removed and the patient has received a new central venous line. The tip of the line is difficult to visualize because of overlay with the pacemaker wires. However, it appears to project over the upper aspects of the right atrium and could be pulled back by 2 to 3 cm. Unchanged position of the left pectoral pacemaker, unchanged course of the pacemaker wires. An NG tube is seen projecting over the stomach. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 09935761-397dab6f-8bd0d901-65c6e1fb-24e1b12f, 6df72680-402bfe0a-d7959e94-13871f9b-52196258 | 51129178 | 10013643 | Findings: The lungs are well inflated and clear. Elevation of the medial segment of the right hemidiaphragm, most likely an eventration, is longstanding. No diaphragmatic abnormalities on the left are noted. The cardiomediastinal silhouette is normal except for a tortuous but normal caliber aorta, unchanged for more than ___ years. No pleural abnormalities are noted. The distal right clavicle has been resected. There are extensive degenerative changes of the acromioclavicular and glenohumeral joint on the left. No pneumothorax or pneumoperitoneum is present. Impression: Extensive degenerative disease, left AC and glenohumeral joints. Otherwise, no cardiothoracic, pleural, or obvious chest wall abnormality. | Findings: The lungs are well infalted and clear. Elevation of the medial segment of the left hemidiaphragm, most likely an eventration, is longstanding. No diaphragmatic abnormalities on the left are noted. The cardiomediastinal silhouette is normal except for a tortuous but normal caliber aorta, unchanged for more than ___ years. No pleural abnormalities are noted. Small nodule in the right lower lobe. The distal right clavicle has been resected. There are extensive degenerative changes of the acromioclavicular and glenohumeral joint on the left. No pneumothorax or pneumoperitoneum is present. Impression: Extensive degenerative disease, left AC and glenohumeral joints. Otherwise, no cardiothoracic, pleural, or obvious chest wall abnormality. | ['Change location', 'Add typo', 'False prediction'] |
| a0126df2-58268cc9-bcdc1ea9-6b5529ae-ce35828a | 52222477 | 10013643 | Impression: As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 3 cm above the carinal. There is no evidence of complications. The external pacemaker is in correct position. The nasogastric tube shows a normal course, the tip projects over the pre-pyloric regions. Status post aortic valve replacement. No pulmonary edema. No pneumothorax. No pleural effusions. | Impression: As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 1 cm above the carinal. There is no evidence of complications. The external pacemaker is in correct position. The nasogastric tube shows a normal course, the tip projects over the pre-pyloric regions. Bibasilar patchy opacities could reflect aspiration, atelectasis or infection. Status post aortic valve replacement. No pulmonary edema. No pleural effusions. No pulmonary edema. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| 73964bcc-47f6b470-10259d49-a7db9a27-cb5eb7b1 | 52512677 | 10013643 | Findings: Interval removal of the ETT, NGT, and temporary pacemaker. Interval placement of a left-sided two-lead intracardiac device, with one lead terminating in the right atrium and the other in the right ventricle. The aortic valve prosthesis appears unchanged. Bilateral low lung volumes and moderate bibasilar atelectasis. No pneumothorax, focal consolidation, pulmonary edema, or pleural effusion. Stable post-operative appearance of the cardiomediastinal silhouette. Stable scoliosis. Unchanged position of the right catheter sheath with the tip in the approximate upper SVC. Impression: 1. Pacemaker leads in the right atrium and right ventricle. 2. No pneumothorax. | Findings: Interval removal of the ETT, NGT, and temporary pacemaker. Interval placement of a left-sided two-lead cochlear implant, with one lead terminating in the right atrium and the other in the right ventricle. The aortic valve prosthesis appears unchanged. Bilateral low lung volumes and moderate bibasilar atelectasis. No pneumothorax, focal consolidation, pulmonary edema, or pleural effusion. Stable post-operative appearance of the cardiomediastinal silhouette. Stable scoliosis. Unchanged position of the right catheter sheath with the tip in the approximate upper SVC. No atelectasis. Impression: 1. Pacemaker leads in the right atrium and right ventricle. 2. No pneumothorax. Pacemaker leads in the right atrium and right ventricle. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 132b4365-6a11841b-b621665f-dcade135-cfe878bb | 53230061 | 10013643 | Impression: In comparison with previous studies, there has been placement of a right IJ pacer that extends to the region of the apex of the right ventricle. Endotracheal tube remains in place and there is no significant change in the appearance of heart and lungs. Specifically, no evidence of post-procedure pneumothorax. | Impression: In comparison with previous studies, there has been placement of a right IJ pacer that extends to the region of the apex of the right ventricle. Endotracheal tube remains in place and there is no significant change in the appearance of hart and lungs. There is moderate pulmonary edema. Specifically, no evidence of post-procedure pneumothorax. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 0a0b922e-53190a13-ce059608-650bd6fe-bc33cd06, 6e58e826-fc08e4ee-a9ff0245-34c6f4cd-cd0aedc8 | 53841005 | 10013643 | Findings: Assessment is limited due to anteroposterior projection and positioning. Allowing for these limitations: Compared with the previous exam there appears to be worsening cardiomegaly, which now is moderate to severe allowing for limitations of this AP view. Minimal interstitial edema is present. There is also a new right middle lobe opacity the, confirmed in the lateral view. No other focal opacities are identified. Bilateral pleural effusions, left worse than right is present. There is no evidence of pneumothorax. Left-sided two-lead pacemaker is reidentified, with one lead terminating in the right atrium and the other in the right ventricle. The aortic valve prosthesis appears unchanged. Severe degenerative changes of the AC joints is again seen. Impression: 1. In the setting of worsening cardiomegaly compared with ___, there is minimal interstitial pulmonary edema and bilateral pleural effusions, left worse than right. 2. Right middle lobe consolidation may represent pneumoniae given clinical presentation. 3. Unchanged location of the pacemaker leads. | Findings: Assessment is limited due to anteroposterior projection and positioning. Allowing for these limitations: Compared with the previous exam there appears to be worsening cardiomegaly, which now is moderate to severe allowing for limitations of this AP view. Minimal interstitial edemaa is present. There is also a new right middle lobe opacity, confirmed in the lateral view. Small pneumothorax in the right apex. Bilateral pleural effusions, left worse than right is present. There is no evidence of pneumothorax. Left-sided two-lead ICD is reidentified, with one lead terminating in the right atrium and the other in the right ventricle. The aortic valve prosthesis appears unchanged. Severe degenerative changes of the AC joints is again seen. Impression: 1. In the setting of worsening cardiomegaly compared with __, there is minimal interstitial pulmonary edema and bilateral pleural effusions, left worse than right. 2. Right middle lobe consolidation may represent pneumonia given clinical presentation. 3. Orthopedic hardware in the proximal humerus on the right. | ['Change name of device', 'Add typo', 'False prediction'] |
| 691c93f1-584388ff-deffb3ba-bd48fe77-9f1ffd06 | 55641691 | 10013643 | Impression: In comparison with the study of ___, there has been an aortic valve replacement. Endotracheal tube tip lies approximately 4.5 cm above the carina. Right IJ catheter extends to the upper SVC. There is some indistinctness of engorged pulmonary vessels consistent with elevated pulmonary venous pressure, as well as retrocardiac atelectasis and possible small left effusion. | Impression: In comparison with the study of ___, there has bean an aortic valve replacement. Endotracheal tube tip lies approximately 4.5 mm above the carina. Right IJ catheter extends to the upper SVC. There is some indistinctness of engorged pulmonary vessels consistent with elevated pulmonary venous pressure, as well as retrocardiac atelectasis and possible small left effusion. There is also evidence of mild cardiomegaly. | ['Change measurement', 'Change to homophone', 'False prediction'] |
| ba5350ef-90715c9e-dbed884b-70df7792-5df16d03 | 58230749 | 10013643 | Impression: As compared to the previous radiograph, no relevant change is seen. The endotracheal tube and the external pacemaker are in constant position. Lung volumes remain low. Borderline size of the cardiac silhouette. Status post aortic valve replacement. No pulmonary edema. No larger pleural effusions. | Impression: As compared to the previous radiograph, no relevant change is seen. The endotracheal tube and the external defibrillator are in constant position. Lung volumes remain low. Borderline size of the cardiac silhouette. Status post aortic valve replacement. No pulmonary edema. Moderate pulmonary edema is noted. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 7d3d7074-431e6b99-d396d1dd-1724eeac-fb16946c, e8b05d45-d370fd48-169c82f6-bd62e3b2-cddb088a | 58785837 | 10013643 | Findings: SINCE ___, PREVIOUS MILD PULMONARY EDEMA HAS RESOLVED. No new focal consolidation. There is blunting of the left and right costophrenic angles representing small bilateral pleural effusions. ALLOWING FOR DIFFERENCES IN PROJECTION, MILD TO MODERATE CARDIOMEGALY IS UNCHANGED. . There is no evidence of pneumothorax. Left-sided 2 lead pacer read demonstrated with leads terminating in the right atrium and right ventricle. Aortic valve prosthesis is unchanged. Impression: 1. PREVIOUS MILD PULMONARY EDEMA RESOLVED. 2. Small bilateral pleural effusions | Findings: SINCE ___, PREVIOUS MILD PULMONARY EDEMA HAS RESOLVED. No new focal consolidation. There is blunting of the right and right costophrenic angles representing small bilateral pleural effusions. ALLOWING FOR DIFFERENCES IN PROJECTION, MILD TO MODERATE CARDIOMEGALY IS UNCHANGED. There is no evidence of pneumothorax. Left-sided 2 lead pacer read demonstrated with leads terminating in the right atrium and right ventricle. Aortic valve prosthesis is unchanged. Left-sided 2 lead pacer read demonstrated with leads terminating in the right atrium and right ventricle.. Impression: 1. PREVIOUS MILD PULMONARY EDEMA RESOLVED. 2. Small bilateral pleural effusions. An ET tube is seen with the tip approximately 5 cm above the carina. | ['Change location', 'Add repetitions', 'Add medical device'] |
| cfeccc9f-802f8256-13ad1ca2-69a1b051-809fd266, d89c4f38-078a6709-fca2f1bc-ea89f717-cad0569a | 50073683 | 10013653 | Findings: Pleural effusions are small, and have decreased slightly over the interval. Increased interstitial markings in the bilateral lungs is in keeping with the patient's history of interstitial lung disease and fibrosis. Persistent asymmetrical elevation of left hemidiaphragm with associated atelectasis at the left lower lobe is unchanged. The heart remains enlarged. The patient is status post median sternotomy. Impression: Interval decrease in size of small bilateral pleural effusions. | Findings: Pleural effusions are moderate, and have decreased slightly over the interval. Increased interstitial markings in the bilateral lungs is in keeping with the patient's history of interstitial lung disease and fibrosis. There is a right apical mass. Persistent asymmetrical elevation of left hemidiaphragm with associated atelectasis at the left lower lobe is unchanged. The heart remains moderately enlarged. The patient is status post median sternotomy. Persistent asymmetrical elevation of left hemidiaphragm with associated atelectasis at the left lower lobe is unchanged. Impression: Interval decrease in size of moderate bilateral pleural effusions. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 572682ef-b11cab98-a41159bc-7a162ed9-92c01bd7 | 50370108 | 10013653 | Impression: There has been worsening of the areas of consolidation and interstitial prominence throughout both lung fields. There are more confluent areas of consolidation in the perihilar regions and in the left base. No pneumothoraces are identified. Findings may relate to multifocal pneumonia as previously suspected; however superimposed pulmonary edema could also be present. | Impression: There has been worsening of the areas of consolidation and interstitial prominence throughout both lung fields. There are more confluent areas of consolidation in the perihilar regions and in the right base. No pneumothoraces are identified. Findings may relate to multifocal pneumonia as previously suspected; however superimposed pulmonary edema is not likely present. | ['Change location', 'Add contradiction', 'False negation'] |
| 098a5502-b7e1be9a-14869998-9a86a538-596f0d42 | 51083432 | 10013653 | Impression: In comparison with the study of ___, there is a pigtail catheter at the left base with clearing of the of fusion. No evidence of pneumothorax. Little change in the severe chronic pulmonary disease bilaterally. | Impression: In comparison with the study of ___, there is a pigtail catheter at the mid Left thorax, with clearing of the fusion. No evidence of pneumothorax. There is a significant change in the severe chronic pulmonary disease bilaterally. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 3b9f9742-adbf9136-b41b8572-ed58df70-c59d06da, 71c76321-f2334470-f7929c28-fe08ba3f-eee3fe6a | 53212555 | 10013653 | Findings: The left pleural effusion is overall similar to the chest CT on ___ and chest radiograph on ___. Small right pleural effusion is overall unchanged. Unchanged elevation of the left hemidiaphragm for suggesting volume loss. Stable appearance of the widened mediastinum. Increased diffuse interstitial markings compatible with severe interstitial lung disease is better appreciated on the recent CT. . Impression: Overall no change in the bilateral pleural effusions compared to ___. | Findings: The left pleural effusion is overall similar to the chest CT on ___ and chest radiograph on ___. Small right pleural effusion is overall unchanged. Moderate elevation of the left hemidiaphragm for suggesting volume loss. Stable appearance of the widened mediastinum. Increased diffuse interstitial markings compatible with severe interstitial lung disease is better appreciated on the recent CT. Unchanged elevation of the left hemidiaphragm for suggesting volume loss. Multiple nodular opacities present in the right lung field. Impression: Overall no change in the bilateral pleural effusions compared to ___. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 995f40eb-fb14c010-41ec955c-2204df10-171abef8 | 53383585 | 10013653 | Findings: The previously seen multifocal bibasilar airspace opacities have almost completely resolved with only slight scarring seen at the bases. There are new ill-defined bilateral linear opacities seen in the upper lobes, which given their slight retractile behavior are likely related to radiation fibrosis. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Median sternotomy wires and mediastinal clips are noted. Impression: 1. Interval resolution of multifocal airspace opacities. 2. New bilateral linear apical opacities, likely related to radiation treatment. | Findings: The previously seen multifocal bibasilar airspace opacities have mostly resolved with only slight scarring seen at the bases. There are new well-defined bilateral linear opacities seen in the upper lobes, which given their slight retractile behavior are likely related to radiation fibrosis. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. A left-sided Port-A-Cath terminates in the mid SVC. Impression: 1. New appearance of multifocal airspace opacities. 2. New bilateral linear apical opacities, likely related to inhalation injury. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| f609890e-31371248-02feb81e-65785e4d-07810677 | 53718217 | 10013653 | Impression: Severe pulmonary fibrosis has been worsening since ___ responsible for progressively lower lung volumes. Further has been some improvement in generalized interstitial abnormality during the course of the day, probably a reflection of diuresis and improvement in a component of pulmonary edema. Left pigtail pleural drainage catheter is still in place. There is no appreciable pleural effusion or evidence of pneumothorax on either side of the chest. Mild cardiomegaly is chronic. | Impression: Severe pulmonary fibrosis has been worsening since ___ responsible for progressively lower lung volumes. Further has been some improvement in generalized interstitial abnormality during the course of the day, probably a reflection of diuresis and improvement in a component of pulmonary edema. Left Swan-Ganz catheter is still in place. There is no appreciable pleural effusion or evidence of pneumothorax on either side of the chest. No cardiomegaly. | ['Change name of device', 'Add typo', 'False negation'] |
| b28d3fe8-09b15844-5442e33f-8e172f8e-8973f48e, bccdbe68-9a8babe8-781ca308-9580cd9a-906ed4ba | 54266127 | 10013653 | Findings: As compared to the prior exam dated ___, there has been interval development of multifocal airspace opacities at the right lung base, left lung base, and within the retrocardiac space. There is persistent increased interstitial markings and evidence of upper lobe predominant emphysema. Probable small bilateral pleural effusions are noted. There is no evidence of pneumothorax. The patient is status post CABG with intact sternotomy wires noted. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities are detected. Impression: Interval development of multiple bilateral airspace opacities, compatible with multifocal pneumonia. | Findings: As compared to the prior exam dated ___, there has been interval development of multifocal airspace opacities at the left lung base, left lung base, and within the retrocardiac space. No interstitial markings or upper lobe predominant emphysema are evident. Probable small bilateral pleural effusions are noted. Status post CABG with intact sternotomy wires noted. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities are detected. Impression: Interval development of multiple bilateral airspace opacities, compatible with multifocal pneumonia. No airspace opacities indicative of pneumonia are seen. | ['Change location', 'Add contradiction', 'False negation'] |
| 7895d331-029165ef-27fa5910-6a7477be-63043df5 | 55563991 | 10013653 | Findings: There is a new focal opacity at the left lung base with elevation of the left hemidiaphragm. Diffuse prominence of lung vasculature within upper zone predominance and prominence of interstitial markings likely represents pulmonary edema. There are small bilateral pleural effusions. No pneumothorax. The cardiac silhouette is difficult to assess due to parenchymal abnormalities. Median sternotomy wires are noted. Impression: 1. New left lower zone opacity with elevation of the left hemidiaphragm likely atelectasis and/or pneumonia in the right clinical setting. 2. Cardiomegaly, bilateral small pleural effusions and diffuse interstitial lung marking prominence as well as prominence of upper lobe vessels compatible with pulmonary edema. | Findings: There is a new focal opacity at the left lung base with elevation of the left hemidiaphragm. Diffuse prominence of lung vasculature within upper zone predominance and prominence of interstitial markings moderately represents pulmonary edema. There are large bilateral pleural effusions. No pneumothoracks. The cardiac silhouette is difficult to assess due to parenchymal abnormalities. Median sternotomy wires are noted. A pacemaker is in place. Impression: 1. New left lower zone opacity with elevation of the left hemidiaphragm likely atelectasis and/or pneumonia in the right clinical setting. 2. Cardiomegaly, bilateral large pleural effusions and diffuse interstitial lung marking prominence as well as prominence of upper lobe vessels mildly compatible with pulmonary edema. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 2e2d115f-3e4c1523-78727335-8f2927f5-81defaaf, 55122e33-3f2cb072-2450e7b7-6a9de698-a9897142 | 56172765 | 10013653 | Impression: Cardiomegaly is substantial, minimally progressed since the prior study. There is interstitial progression as compared to the previous imaging that might potentially represent progression of the known interstitial lung disease but most likely superimposed interstitial pulmonary edema is a diagnosis. No pneumothorax. | Impression: Cardiomegaly is substantial, minimally progressed since the prior study. There is interstitial progression as compared to the previous imaging that might potentially represent progression of the known interstitial lung disease but most likely superimposed interstitial pulmonary edema is a diagnosis. No pneumothorax. There is interstitial progression as compared to the previous imaging that might potentially represent progression of the known interstitial lung disease but most likely superimposed interstitial pulmonary edema is a diagnosis. No cardiomegaly. No pneumothorax. | ['Add repetitions', 'Add contradiction', 'False negation'] |
| 8f130e6e-a470d319-8955dde7-1d6dfbc2-f05059e4, f42171e2-844bc58f-a808b42f-41e1b6f0-f5c1d8dd | 56765058 | 10013653 | Findings: The patient is status post median sternotomy and CABG. Heart size is normal. The aorta remains tortuous and demonstrates mild atherosclerotic calcifications diffusely. The lungs are hyperinflated with mild emphysematous changes again noted towards the apices. Increased interstitial markings along the periphery and lung bases is relatively similar compared to the previous exam, compatible with chronic changes. No new focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Impression: No acute cardiopulmonary abnormality including no evidence of pneumonia. Chronic interstitial changes at the lung bases. Emphysema. | Findings: The patient is status post median sternotomy and CABG. Heart size is significantly enlarged. The aorta remains tortuous and demonstrates moderate atherosclerotic calcifications diffusely. The lungs are hyperinflated with mild emphysematous changes again noted towards the apices. Increased interstitial markings along the periphery and lung bases is substantially greater compared to the previous exam, compatible with chronic changes. No new focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Central venous line is seen in place. Impression: No acute cardiopulmonary abnormality including no evidence of pneumonia. Chronic interstitial changes at the lung bases. Emphysema. Chronic interstitial changes at the lung bases. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 85b221a1-3e9cb4b5-d4d5f80d-1ab566aa-52f4c7a4 | 57456069 | 10013653 | Findings: Lung volumes are relatively low. There is a status post CABG with sternal wires in situ. Normal size of the cardiac silhouette, tortuosity of the thoracic aorta. Areas of mild atelectasis are seen at both lung bases. No evidence of pneumonia and no pulmonary edema. No pneumothorax. | Findings: Lung volumes are relatively low. There is a stutus post CABG with sternal wires in situ. Normal size of the cardiac silhouette, tortuosity of the thoracic aorta. Areas of moderate atelectasis are seen at both lung bases. A nasogastric tube is visualized. No pneumothorax. | ['Change severity', 'Add typo', 'Add medical device'] |
| c6daad95-a50e15b0-ca7fe56b-0ce83258-00845429, d7bd6cb8-193ccc1a-87958dc8-327cc6e8-5f79440d | 58257691 | 10013653 | Impression: Lung volumes are lower, interstitial abnormality more pronounced, and small left pleural effusion has recurred. Overall findings suggest a component of cardiac decompensation in addition to extensive pulmonary fibrosis. I cannot be sure that the left pleural drainage catheter is still internal. | Impression: Lung volumes are lower, interstitial abnormality more pronounced, and no pleural effusion is noted. Overall findings suggest a component of cardiac decompensation in addition to extensive pulmonary fobrosis. I cannot be sure that the rigth pleural drainage catheter is still internal. | ['Change location', 'Add typo', 'False negation'] |
| 1a43b75f-b7d2afc6-a6892036-2cebebb4-2da44329, f0f7f7ac-bf9ac13d-6fe9fc08-dbc59928-c5a5cc34 | 59887647 | 10013653 | Impression: There is again seen airspace opacities bilaterally with improved aeration at the right upper lobe. Moreover, there are bullous and emphysematous changes throughout both lung fields, better assessed on the prior CT scan. There is elevation of the left hemidiaphragm. Left-sided pleural effusion is again seen. There has been mild improvement of the pulmonary edema. | Impression: There is again seen airspace opacities bilaterally with improved aeration at the right lower lobe. Moreover, there are bullous and emphysematous changes throughout both lung fields, better assessed on the prior CT scan. There is elevation of the left hemidiaphragm. Left-sided pleural effusion is again seen. There has been mild improvement of the pulmonary edema. There has been mild improvement of the pulmonary edema. | ['Change location', 'Add repetitions', 'False negation'] |
| 2ceab03a-3e1ef789-8463fbde-2ad68e6b-5eae2760, bfcce123-63728dce-85f7c65f-aacabc5e-df5174a7 | 56834987 | 10013866 | Findings: The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A tortuous aorta is incidentally noted. Impression: Unremarkable chest radiographic examination. | Findings: The lungs are well expadned and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A tortuous aorta is incidentally noted. The lungs demonstrate diffuse interstitial abnormalities. Impression: Bilateral infiltrates are present. | ['Add typo', 'Add contradiction', 'False prediction'] |
| e9b79874-e6612023-982f9db3-8d56781c-1784c036 | 51417320 | 10014078 | Impression: Essentially unchanged compared with ___ at 9:19 a.m. | Impression: Unchanged from previous studies. Small right pleural effusion noted. | ['False prediction', 'Add contradiction', 'False negation'] |
| 46af629c-e45c5e85-4b140d2e-cbbfc695-271ded45 | 58004016 | 10014078 | Impression: 1. Lines and tubes in satisfactory position. 2. Diffuse patchy opacity throughout much of the left lung, question aspiration versus pneumonic infiltrate. 3. Focal opacity over right lung, not fully characterized. Further assessment with PA, lateral and shallow oblique chest x-rays when the patient is stable could help to further characterize this. | Impression: 1. Lines and tubes in satisfactory position. Pacemaker device is seen in the upper chest area. 2. Diffuse patchy opacity throughout much of the right lung, question aspiration versus pneumonic infiltrate. 3. Focal opacity over right lung, not fully characterized. Further assessment with PA, lateral, and shallow oblique chest x-rays when the patience is stable could help too further characterize this. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 06f3e9ab-fb49c257-883f8675-6de62ff3-11cab0ca, 245f041e-333aa386-bd46db24-39e77bf7-12b6662c | 50151008 | 10014309 | Findings: Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is demonstrated. Clips are noted within the right breast about a 7 mm nodular opacity, which appears to correlate with post treatment changes on the prior mammogram. Mild degenerative changes are seen within the thoracic spine. Impression: No acute cardiopulmonary abnormality. | Findings: Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and there is some patchy consolidation noted in the lungs. No pleural effusion or pneumothorax is demonstrated. Clips are noted within the right breast about a 7 mm nodular opacity, which appears to correlate with new findings on the prior mammogram. Mild degenerative changes are seen within the thoracic spine. Impression: Mild pleural effusion noted. | ['Change position of device', 'Add contradiction', 'False prediction'] |
| 055f0229-d5b5c76d-673f43dd-28d89058-d4986d7b, 74195742-ab3a5634-3256dccc-df27d229-0b8ff390 | 55291283 | 10014354 | Findings: There is no focal consolidation, pleural effusion, or pneumothorax. The heart is again top-normal in size. A left pectoral pacemaker is seen with transvenous leads in the right atrium and right ventricle. Impression: No acute cardiopulmonary process. | Findings: There is no focal consolidation, pleural effusion, or pneumothorax. The hart is again top-normal in size. A left pectoral pacemaker is seen with transvenous leads in the superior vena cava. A right central venous line is in place. Impression: No acute cardiopulmonary process. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 3767d323-01574cd7-d96b5c0f-2d672f8a-f64802cc, 45b62623-5627bf2a-fa1bbff1-8885cc37-e4135b9e | 56187971 | 10014354 | Findings: There is no focal consolidation, pleural effusion or pneumothorax. Heart is top-normal in size. No acute osseous abnormalities identified. Right atrial pacer lead is unremarkable in position. Appearance of the right ventricular lead has improved in appearance compared to ___, where a sharp bent was noted. Impression: No acute cardiopulmonary process. | Findings: There is no focal consolidation, pleural effusion or pneumothorax. Heart is top-normal in size. No acute osseous abnormalities identified. Left atrial pacer lead is unremarkable in position. Appearance of the right ventricular lead has improved in appearance compared to ___, where a sharp bent was noted. The aorta is mildly tortuous within the mediastinum. Impression: No acute cardiopulmonary process. | ['Change location', 'Add repetitions', 'False prediction'] |
| 0ecede0c-b53d631e-36fed14a-665ef680-6c4883bb | 59818531 | 10014354 | Impression: There no prior chest radiographs available for review. Study is read in conjunction with most recent chest CT ___. Heart is top-normal size. Transvenous right atrial right ventricular pacer leads are continuous from the left pectoral generator. The ventricular lead is sharply bent and its integrity should be documented. Lungs are clear. There is no pulmonary edema or pleural effusion. RECOMMENDATION(S): Assess the integrity of the angulated right ventricular pacer lead. | Impression: There no prior chest radiographs available for revue. Study is read in conjunction with most recent chest CT ___. Heart is top-normal size. Transvenous right atrial right ventricular AICD leads are continuous from the left pectoral generator. The ventricular lead is sharply bent and its integrity should be documented. Lungs are their. There is no pulmonary edema or pleural effusion. RECOMMENDATION(S): Assess the integrity of the angulated right ventricular AICD lead. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 210cd491-95e4b2af-6f85efca-814f5268-4ad0d2bb, 39e3d8cb-dccd8d78-6631be49-61da4b22-d7b04f03 | 55557761 | 10014378 | Findings: The cardiac size is mildly enlarged. There is mild tortuosity of the descending aorta and atherosclerotic calcifications at the arch. The lungs are well-expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Impression: No acute cardiopulmonary process. | Findings: The cardiac size is severely enlarged. There is mild tortuosity of the descending aorta and atherosclerotic calcifications at the arch. There is a large nodular density in the right lower lung field. There is no focal consolidation, pleural effusion or pneumothorax. The cardiac size is severely enlarged. Impression: No acute cardiopulmonary process. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 08be5af2-5d8180b5-57622dcf-d8b3228b-21d2ace1, d949453a-3c4b9de0-a4bcb39e-bb5352e4-03e192c9 | 59161733 | 10014532 | Findings: Lung volumes are low. The cardiac silhouette is unremarkable. The pulmonary vasculature is normal. There is no pleural effusion or pneumothorax. No focal consolidation is identified. Impression: No acute intrathoracic abnormality. Specifically, no evidence of edema. | Findings: Lung volumes are low. The cardiac silhouette is unremarkable. The pulmonary vasculature is normal. There is no pleural effusion or pneumothorax. The pulmonary vasculature is normal. No focal consolidation is identified. Impression: No acute intrathoracic abnormality. Specifically, no evidence of edema. Mild pulmonary edema is present. A right IJ central venous catheter is seen. | ['Add repetitions', 'Add contradiction', 'Add medical device'] |
| 62f2e63c-be6ca8db-4e01884d-0a900441-200db314 | 59603171 | 10014577 | Findings: The lung volumes are low. Normal size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta. No evidence of acute lung disease, in particular no evidence of pneumonia or pulmonary edema. No pneumothorax, no pleural effusions. | Findings: Low lung volumes. Normal size of the cardiac sillhouette. Moderate tortuosity of the thoracic aorta. No evidence of pneumonia or pulmonary edema. No pneumothorax, no pleural effusions. | ['Change severity', 'Change to homophone', 'False negation'] |
| ed61d1c2-9eab1c32-8701a83c-7897b8ab-b170a387 | 50713146 | 10014610 | Findings: The heart is moderately enlarged. There is mild pulmonary vascular redistribution. There is no focal infiltrate or effusion. Impression: no infiltrate | Findings: The heart is mildly enlarged. There is moderate pulmonary vascular redistribution. There is no focal infiltrate or effusion. A central venous line is present. Impression: no infiltrate | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 132eb6c0-b77ade64-2b09da3f-67d8ed73-52383c08, 52fc3f2b-69a2b240-317815c6-e2fbaad8-5b949071 | 52971110 | 10014610 | Findings: Patient is status post median sternotomy. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are slightly less prominent compared to the prior study, likely due to differences in technique.. Impression: No acute cardiopulmonary process. No focal consolidation to suggest pneumonia. | Findings: Patient is status post median sternotomy. No focal consolidetion is seen. No pleural effusion or pneumothorax is scene. The cardiac and mediastinal silhouettes are slightly less prominent compared to the prior study, likely due to differences in technique.. Impression: No acute cardiopulmonary process. No focal consolidation to suggest new-monya. | ['Add typo', 'Change to homophone', 'False negation'] |
| d3d79734-c2b0bbdc-d8d360ef-999a60c1-5a94dd32 | 54251554 | 10014610 | Impression: ET tube tip is 4 cm above the carinal. NG tube tip is most likely in the stomach. Heart size and mediastinum are stable. Lungs are overall clear. There is no pleural effusion. There is no pneumothorax. | Impression: ET tube tip is 4 cm above the carinal. AICD device is present with leads terminating in right atrium and right ventricle. Heart size and mediastinum are stable. Lungs show mild patchy infiltrates bilaterally. There is no pleural effusion. Left-sided pneumothorax is noted. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| cb2294f4-8f8fff2e-782e9bd6-3afdd517-1e5a77ee | 54258223 | 10014610 | Impression: Widening mediastinum has improved. Vascular congestion has improved. Retrocardiac atelectasis have minimally increased. There is no pneumothorax. No other interval change from prior study. | Impression: Widening mediastinum has improved. Vascular congestion has improoved. No atelectasis. There is no pneumothorax. No other interval change from prior study. Central venous line is present. | ['False negation', 'Add typo', 'Add medical device'] |
| fb53f857-751d8e72-5fc5b53e-cc88ee73-614882e6 | 54331589 | 10014610 | Impression: Comparison to ___. No relevant change is noted. The bilateral chest tubes are in stable position. Stable position of the mediastinal drains. There is no evidence for the presence of a pneumothorax. No larger pleural effusions. Moderate postoperative cardiomegaly. The alignment of the sternal wires is unremarkable. Mild to moderate pulmonary edema is present. | Impression: Comparison to ___. Mo relevant change is noted. Bilateral pleural effusions are observed. The bilateral chest tubes are in stable position. Unstable position of the mediastinal drains. There is no evidence for the presence of a pneumothorax. No larger plural effusions. Mild postoperative cardiomegaly. The alignment of the sternal wires is unremarkable. Severe pulmonary edema is present. | ['Change severity', 'Add typo', 'False prediction'] |
| 3dcea4ce-30048ba7-e301c54e-11562724-2a1216dd | 54475753 | 10014610 | Impression: In comparison with the study of ___, the mediastinal drain is been removed. Bilateral chest tubes remain in place and there is no evidence of pneumothorax. Vertical lucency in the upper mid line is consistent with the recent sternal splitting procedure. | Impression: In comparison with the study of ___, the mediastinal drain is repositioned to the right upper quadrant. Bilateral chest tubes remain in place and there is a small left-sided pneumothorax. Vertical lucency in the upper mid line is consistent with the recent sternal splitting procedure. A right IJ central venous catheter tip is in the right atrium. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| 623a0bd5-44210a6f-b6e1ea18-6799abc7-af35ccda | 54899084 | 10014610 | Impression: Lines and tubes are in standard position. Severe cardiomegaly is a stable. Widened mediastinum has improved. Aeration of the left lung has improved. Left pleural effusion has decreased. There is no pneumothorax. Sternal wires are aligned | Impression: Lines and tubes are in standard position. Severe cardiomegaly is a stable. Widened mediastinum have improved. Aeration of the right lung has improved. Left pleural effusion decreased. There is no pneumothorax. Sternal wires are aligned. Presence of an NG tube noted. | ['Change location', 'Change to homophone', 'Add medical device'] |
| c03fcb79-7bff6a68-3c5b4ba2-8e01b159-7fa02bcd | 55477990 | 10014610 | Impression: Severe cardiomegaly is unchanged. Left chest tube has been discontinued with no interval development of pneumothorax. Mild sternal lucencies unchanged. Sternal wires are unchanged. There is no pulmonary edema, pleural effusion or pneumothorax. | Impression: Severe cardiomegaly is unchanged. Left chest catheter has been discontinued with no interval development of pneumothorax. Mild sternal lucencies unchanged. Sternal wires are on changed. There is no pulmonary edema, pleural effusion or pneumothorax. Right-sided pacemaker device is noted with leads in the right ventricle. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| 4329f2ed-7b3a43a7-c2d6a58a-1901d664-0845b8ee | 55636823 | 10014610 | Impression: In comparison with the study of earlier in this date, the right chest tube has been removed. No evidence of pneumothorax. Remainder the study is essentially unchanged. | Impression: In comparison with the study of earlier in this date, the right catheter has been removed. No evidence of pneumonia. Remainder the study is essentially unchanged. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 6696c358-170d3e32-5db8a27b-32fa98ac-a2449503 | 55886777 | 10014610 | Impression: There has been markedly interval increase in mediastinal widening due to bleeding. Small left effusion has increased. Retrocardiac opacities have increased. Lines and tubes in standard position No other interval change from prior study. | Impression: There has been markedly interval increase in mediastinal widening due to bleeding. Small right effusion has increased. Retrocardiac opacities have increased. Lines and tubes in standard position No other interval change from prior study. A pacemaker is present. | ['Change location', 'Change to homophone', 'Add medical device'] |
| c144a384-a470a022-265c63b6-6291a75b-c0019923 | 57344954 | 10014610 | Impression: Comparison to ___. All monitoring and support devices, with the exception of the mediastinal drains and the bilateral chest tubes have been removed. No pneumothorax. No larger pleural effusions. Stable moderate postoperative cardiomegaly. No evidence of mediastinal widening. | Impression: Comparison to ___. All monitoring and support devices, with the exception of the mediastinal drains and the right chest tubes have been removed. No pneumothorax. No larger pleural effusions. Left basilar atelectasis. Stable moderate postoperative cardiomediastinum. No evidence of mediastinal widening. | ['Change location', 'Change to homophone', 'False prediction'] |
| 1d98d602-198862a9-171a934b-78810d03-9ac0f6b1, 46ed4405-6196b1fe-eb39e642-8be65f09-43b513b2 | 59565048 | 10014610 | Findings: No focal consolidation, pleural effusion or pneumothorax. The size of the cardiac silhouette is within normal limits. Unchanged tortuosity of the thoracic aorta. Status post prior median sternotomy. Impression: No radiographic evidence of acute cardiopulmonary disease. | Findings: No focal consolidation, pleural effusion or pneumtothorax. The size of the cardiac silhouette is within normal limits. Unchanged tortuosity of the thoracic aorta. Status post prior median sternotomy. A pacemarker is present. Impression: Mild pleural effusion identified. No radiographic evidence of acute cardiopulmonary disease. | ['Add contradiction', 'Add typo', 'Add medical device'] |
| 57f1b6eb-de895902-f3d36eb2-a01a8f5d-05e2a93a | 51377970 | 10014729 | Findings: Portable AP chest radiograph. Surgical clips are now present over the left lateral aspect of the thorax from wound debridement and thoracotomy. Surgical drain is present in the soft tissues of the chest wall. A left pleural drain is now seen with decreased effusion relative to yesterday's CT. Pulmonary vascular congestion within the left lung likely represents a component of reexpansion pulmonary edema. The effusion layerings superior to the aortic know, also better seen on prior CT. There is no pneumothorax. The heart size is normal. The right lung is clear. Impression: Small residual pleural effusion with a left pleural pigtail drain in place. No pneumothorax. | Findings: Portable AP chest radiograph. Surgical clips are now present over the left lateral aspect of the thorax from wound debridement and thoracotomy. Surgical drain is present in the soft tissues of the chest wall. A left pleural drain is now scene with decreased effusion relative to yesterday's CT. Pulmonary vascular congestion within the left lung likely represents a component of reexpansion pulmonary edema. The effusion layerings superior to the aortic knob, also better seen on prior CT. There is no pneumothorax. The heart size is normal. The right lung is clear. Impression: Small residual pleural effusion with a left pleural central venous line in place. No pneumothorax. A right-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| 0f768188-ace0476b-e815f596-4bcca8f6-f6614985 | 52149569 | 10014729 | Findings: Endotracheal tube terminates 2.5 cm above the carina, Swan-Ganz catheter terminates in the region of the right ventricular outflow tract, and nasogastric tube terminates in the stomach. Left-sided chest tubes are in place with a small left apical pneumothorax. A localized area of increased opacity is present in the left supraaortic region at the site of recent surgical repair of a known aneurysm. Attention to this region on short-term follow up radiographs is recommended. Mild interstitial edema involves the left lung to a greater degree than the right, and note is also made of atelectasis in the left retrocardiac region as well as subcutaneous emphysema in the left chest wall. | Findings: Endotracheal tube terminates 2.5 cm above the carina, central venous catheter terminates in the region of the right ventricular outflow tract, and nasogastric tube terminates in the stomach. Left-sided chest tubes are in place with a small left apical pneumothorax. A localized area of increased opacity is present in the left supraaortic region at the site of recent surgical repair of a known aneurysm. Attention to this region on short-term follow up radiographs is recommended. Mild interstitial edema involves the left lung to a greater degree than the right, and note is also made of atelectasis in the left retrocardiac region as well as subcutaneous emphysema in the left chest wall. Mild interstitial edema involves the left lung to a greater degree than the right, and note is also made of atelectasis in the left retrocardiac region as well as subcutaneous emphysema in the left chest wall. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 5f090a4b-dc8a796d-726db5a0-62f19c9f-58cccd6f | 52359357 | 10014729 | Findings: Comparison is made to previous study from ___. There is again seen a right-sided PICC line and left-sided chest tubes which are unchanged in position. There remains a small left apical pneumothorax. There is again seen some consolidation at the left lung base with prominence of the pulmonary vascular markings throughout the left lung. The right lung appears relatively clear. No pneumothorax on the right side is seen. There has been improved aeration of the atelectasis at the right lung base. | Findings: Comparison is made to previous study from ___. There is again seen a right-sided PICC line terminating in the right atrium and left-sided chest tubes which are unchanged in position. There remains a small left apical pneumothorax. Their is again seen some consolidation at the left lung base with prominence of the pulmonary vascular markings throughout the left lung. The right lung appears relatively clear. Diffuse pleural effusion is noted on the right side. There has been improved aeration of the atelectasis at the right lung base. | ['Change position of device', 'Change to homophone', 'False prediction'] |
| 78d48ef1-73b73217-5c083bd6-4064d6f7-709f476c | 53646444 | 10014729 | Findings: There has been interval replacement of small left chest tube with a more standard size left chest tube. There is a moderate left pneumothorax. There is a decreased amount of pleural effusion on the left. There is hazy increased opacity in the left lung, some of which is due to underlying effusion, but some of which is due to volume loss/infiltrate. Right-sided PICC line tip is in the cavoatrial junction. There is some volume loss in the right lower lung. There is minimal mediastinal shift to the right. Skin ___ are again visualized overlying the left chest wall. | Findings: There has been interval replacement of small left ET tube with a more standard size left chest tube. There is a moderate left pneumothorax. There is a decreased amount of plural effusion on the left. There is hazy increased opacity in the left lung, some of which is due to underlying effusion, but some of which is due to volume loss/infiltrate. Right-sided PICC line tip is in the cavoatrial junction. There is some volume loss in the right lower lung. There is minimal mediastinal shift to the right. Skin staples are again visualized overlying the left chest wall. There is also a left-sided ICD device in place. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| f9644565-25de35b9-4c714d09-a1b398fc-35222480 | 54116558 | 10014729 | Findings: Portable single frontal chest radiograph was obtained with patient in semi upright position. There has been interval removal of the chest tube, ET tube, Swan-Ganz catheter, and NG tube. The left apical area is now filled with fluid. There are new bilateral pleural effusions with associated bibasilar atelectasis. Stable opacity is present in the left supra-aortic region at the site of recent surgery. The heart size is normal. Impression: 1. New bilateral pleural effusions with associated bibasilar atelectasis. 2. Fluid in the left apical region after chest tube removal. | Findings: Portable single frontal chest radiograph was obtained with patient in semi upright position. There has been interval removal of the chest tube, ET tube, Swan-Ganz catheter, and arterial line. The left apical area is now filled with fluid. There are new bilateral pleural effusions with associated bibasilar atelectasis. Stable opacity is present in the left supra-aortic region at the site of recent surgery. The heart size is normal. A right-sided central venous line is noted ending in the mid SVC. The heart size is normal. Impression: 1. New bilateral pleural effusions with associated bibasilar atelectasis. 2. Fluid in the left apical region after chest tube removal. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| e2363278-1f80329d-9bf694c4-990c6956-65fe135a | 54258430 | 10014729 | Findings: As compared to the previous radiograph from ___, 11:14, the pigtail catheter on the left has been slightly pulled back, causing uncoiling of the pigtail tip. The more cranially located catheter is in unchanged position and shows an unchanged course. The tip of the left PICC line projecting over the axillary vein is constant in appearance. The pleural fluid on the left is unchanged in extent and severity. Unchanged appearance of the right lung and of the right heart border. | Findings: As compared to the previous radiograph from ___, 11:14, right pigtail catheter on the left has been slightly pulled back, causing uncoiling of the pigtail tip. The more cranially located catheter is in unchanged position and shows an unchanged course. The tip of the left pick line projecting over the axillary vein is constant in appearance. The pleural fluid on the left is unchanged in extent and severity. Unchanged appearance of the right lung and small pneumothorax noted at the left apex. | ['Change position of device', 'Change to homophone', 'False prediction'] |
| 66006600-2519e936-75085a4b-ce5c3543-0e7a8187 | 56982861 | 10014729 | Findings: As compared to the previous radiograph, the malpositioned left PICC line has been pulled back. The tip of the line now projects over the axilla. Two chest tubes on the left are in situ. There also is a series of surgical clips projecting over the left chest wall. The extent of a basally and laterally distributed pleural effusion is constant. There is unchanged evidence of relatively extensive left basal atelectasis. The left hemithorax is unchanged in appearence. The right lung continues to be normal. | Findings: As compared to the previous radiograph, the malpositioned left PICC line has been pushed forward. The tip of the line now projects over the axilla. Two chest tubes on the left are in situ. There also is a series of surgical clips projecting over the left chest wall. The extent of a basally and laterally distributed pleural effusion is constant. There is unchanged evidence of relatively extensive left basal atelectasis. The left hemithorax is unchanged in appearence. There is no atelectasis. The right lung continues to be normal. | ['Change position of device', 'Add repetitions', 'False negation'] |
| cce9dcbc-88296698-f8ab8fbc-3e7f9201-1adf291c | 54784650 | 10014756 | Findings: The cardiac, mediastinal and hilar contours are normal. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. No free air is demonstrated under the diaphragms. Impression: No acute cardiopulmonary abnormality. No free air under the diaphragms. | Findings: The cardiac, mediastinal and hilar contours are normal. Lung volumes are low. There is an ET tube seen with the tip in the mid-trachea. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. No free heir is demonstrated under the diaphragms. Impression: No acute cardiopulmonary abnormality. Lung volumes are within normal limits. No free air under the diaphragms. | ['Add contradiction', 'Change to homophone', 'Add medical device'] |
| 24b43905-846c62aa-11443b5a-a30b32cf-552d42ba, fcc2d164-0cb820bf-eae71870-3db8e96b-01b8ae5e | 51940916 | 10014762 | Findings: The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. Impression: Normal chest. | Findings: The lungs are well expanded and cleer. The cardiomediastinal silhouette is unremarkable. They’re is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. A central venous line is in place. Impression: Normal chest. | ['Add typo', 'Change to homophone', 'Add medical device'] |
| bec41e32-8cad63de-9effa03d-73199f7e-8cc2ae3e | 55749084 | 10014765 | Findings: Dual chamber pacemaker is in left pectoral region with lead tips in the right atrium and right ventricle. Sternotomy wires are in correct position. Clear lungs bilaterally without pleural effusion or pneumothorax. Likely borderline enlargement of left atrium and left ventricle is unchanged with normal heart size, mediastinal contour, and hila. No bony abnormality. Impression: Likely borderline enlargement of left atrium and left ventricle is unchanged. No radiographic evidence of pneumonia. Unable to contact Dr.___ ___ office. Results emailed on ___ by Dr.___ at ___ within 20 minutes. | Findings: Dual chamber pacemaker is in left pectoral region with lead tips in the right atrium and left ventricle. Sternotomy wires are in correct position. Clear lungs bilaterally without pleural effusion or pneumothorax. No borderline enlargement is noted with normal heart size, mediastinal contour, and hila. No bony abnormality. Impression: No borderline enlargement is noted. No radiographic evidence of pneumonia. Unable to contact Dr.___ ___ office. Results e-mailed on ___ by Dr.___ at ___ within 20 minutes. | ['Change location', 'Change to homophone', 'False negation'] |
| 1700f85c-68960a0a-f866450c-b5f29637-a33d208f, 303266f6-073d6233-fc604930-d749634a-89ed4e8c | 57515592 | 10014765 | Impression: No acute cardiopulmonary abnormality. | Impression: No acute cardiopulmonary abnormality. There is minimal right pleural effusion. Impression: No acute cardiopulmonary abnormality. | ['False negation', 'Add repetitions', 'False prediction'] |
| 6b8dabd7-7ceee0eb-343b6af4-8bef2b24-c5ddbb13, aeea1ede-69345fcc-1660a894-ff5d0669-141cc64b | 52050610 | 10014967 | Findings: PA and lateral views of the chest. There is subtle opacity at the left lung base laterally which partially obscures the left heart border with focal opacity confirmed on the lateral view. Blunting of the posterior costophrenic angles may be due to small effusions. Elsewhere, the lungs are clear. The cardiac silhouette is moderately enlarged. There is a 4 mm rounded density projecting over the left lung laterally which is likely calcified given density and could represent a calcified granuloma. No acute osseous abnormalities. Impression: Focal opacity within the lingula which certainly could be infection in the proper clinical setting. Probable small bilateral effusions. Patient was discharged from ED with diagnosis of pneumonia. | Findings: PA and lateral views of the chest. Their is subtle opacity at the left lung base laterally which partially obscures the left heart border with focal opacity confirmed on the lateral view. Blunting of the posterior costophrenic angles may be due to small effusions. Elsewhere, the lungs are clear. The cardiac silhouette is moderately enlarged. There is a 4 inches rounded density projecting over the left lung laterally which is likely calcified given density and could represent a calcified granuloma. No acute osseous abnormalities. An ET tube is visualized in the trachea.Impression: Focal opacity within the lingula which certainly could be infection in the proper clinical setting. Probable small bilateral effusions. Patient was discharged from ED with diagnosis of pneumonia. | ['Change measurement', 'Change to homophone', 'Add medical device'] |
| 3d68a126-765b0219-92850b69-e09fbb01-d5261c05, 42dfb715-a9b0fd73-4a94ee27-e71cc19f-4dd29e93 | 52591138 | 10014967 | Findings: AP upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Calcified granuloma projects over the left mid lung unchanged. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A surgical anchor projects over the right humeral head. No free air below the right hemidiaphragm is seen. Impression: No acute intrathoracic process. | Findings: AP upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Calcified granuloma projects over the right mid lung unchanged. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A surgical anchor projects over the right humeral head, and there is possible left pleural effusion. No free air below the right hemidiaphragm is seen. Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'False prediction'] |
| ed231cb9-58b5647e-672e03e3-d43be791-c485128e, f24ba3b1-8a4cc77f-23ad8f8c-5c3dca7d-77e2c0da | 50292012 | 10015048 | Findings: PA and lateral views of the chest. Left-sided pacemaker is unchanged in position. There are low lung volumes. No focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis. The cardiomediastinal and hilar contours are normal. No pneumothorax is seen. No rib fractures identified. Impression: No rib fracture or pneumothorax. Dedicated rib films at the site of pain and can be done to better assess for fracture. | Findings: PA and lateral views of the chest. Left-sided ICD is unchanged in position. There are low lung volumes. No focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis. The cardiomediastinal and hilar contours are normal. No pneumothorax is seen. No rib fractures identified. Presence of a central venous line noted. Impression: No rib fracture or pneumothorax. Impression: Presence of pneumothorax. Dedicated rib films at the site of pain and can be done to better assess for fracture. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 12fd2ed8-5a501563-a86d9388-5ba1a246-2ac9104b, 5d2545e0-ea3ad600-6a2fa53d-e9336b30-cf8d3179 | 50474111 | 10015048 | Impression: Pacemaker leads terminate in right atrium and right ventricle. Heart size and mediastinum are stable. Bilateral basal interstitial opacities are similar to previous examination and most likely representing interstitial lung disease, potentially with fibrotic element. Further correlation with dedicated chest CT examination is recommended. Findings are unlikely to represent infectious process. There is no pleural effusion or pneumothorax. | Impression: Pacemaker leads terminate in the superior vena cava and right ventricle. Heart size and mediastinum are stable. Bilateral basal interstitial opacities are similar to previous examination and most likely representing interstitial lung disease, potentially with fibrotic element. Further correlation with dedicated chest CT examination is recommended. Findings are unlikely to represent infectious process. There is no pleural effusion or pneumothorax. Heart size and mediastinum are stable. There is an endotracheal tube in appropriate position. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| bbedc806-4228a38a-e077c922-bcb355a7-f7a6d785, cb900258-b426b740-fecaaf9d-c43940af-de57c019 | 53719691 | 10015048 | Findings: Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Minimal linear opacities are noted within the lung bases, likely reflective of subsegmental atelectasis or chronic interstitial abnormality. There is no pleural effusion, focal consolidation or pneumothorax. Minimal anterior wedging of a lower thoracic/upper lumbar vertebral body is unchanged. Impression: No acute cardiopulmonary process. | Findings: Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size is moderately enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Minimal linear opacities are noted within the lung bases, likely reflective of subsegmental atelectasis or chronic interstitial abnormality. There is no pleural effusion, focal consolidation or pneumothorax. Minimal anterior wedging of a lower thoracic/upper lumbar vertebral body is unchanged. Minimal pleural thickening is seen over the left apex. Impression: No acute cardiopulmonary process. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 3cf27c2d-e53f969e-db2660a9-5d8bac0d-aa61dade, dc8ddef8-8d7d359c-12c0a075-cb23fb80-8e55019a | 57144495 | 10015048 | Findings: Bilateral basilar opacities appear unchanged from at least ___ suggestive of an underlying interstitial lung disease, consistent with recent CT findings. New right lower lobe atelectasis is mild-to-moderate. The cardiomediastinal and hilar contours are stable. The pleural surfaces or normal. The left pacemaker is intact with leads terminating in appropriate positions. No pneumothorax. Impression: Chronic moderate interstitial lung disease. Low likelihood of superimposed pneumonia. New right lower lobe atelectasis. | Findings: Bilateral basilar opacities appear unchanged from at least ___ suggestive of an underlying interstitial lung disease, consistent with recent CT findings. New left upper lobe atelectasis is mild-to-moderate. The cardiomediastinal and hilar contours are stable. The pleural surfaces or normal. The left pacemaker is intact with leads terminating in appropriate positions. No pneumothorax. The left pacemaker is intact with leads terminating in appropriate positions. Impression: Chronic moderate interstitial lung disease. Low likelihood of superimposed pneumonia. New right lower lobe atelectasis. A central venous line is observed. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 596d6c23-6b89884b-a59f047a-25a7aa7f-34919f90, d60ba08e-4f4620a4-de4fe1cd-cca05e88-67575eb6 | 57847000 | 10015048 | Findings: Lung volumes are low, similar to the prior exam. Bilateral blunting of the costophrenic angles are unchanged and may reflect pleural thickening and/or scarring, similar to the prior exam. No pleural effusion. No focal consolidation to suggest residual pneumonia. No pneumothorax. The heart is normal in size. The descending aorta is slightly tortuous or ectatic, unchanged, and may be secondary to levoconvex scoliosis. The mediastinum is not widened. The hila are unremarkable. The left-sided dual lead cardiac pacemaker device appears intact and unchanged in position with 1 lead in the right atrium and the other ending in the right ventricle. Degenerative changes in the visualized thoracic spine are unchanged. Impression: No pneumonia. | Findings: Lung volumes are low, similar to the prior exam. Bilateral blunting of the costophrenic angles are unchanged and may reflect pleural thickening and/or scarring, similar to the prior exam. No pleural effusion. No focal consolidation to suggest residual pneumonia. There is evidence of a right-sided pneumothorax. The heart is normal in size. The descending aorta is slightly tortuous or ectatic, unchanged, and may be secondary to levoconvex scoliosis. There is borderline mediastinal widening. The hila are unremarkable. The left-sided dual chamber cardiac pacemaker device appears intact and unchanged in position with 1 lead in the right atrium and the other ending in the right ventricle. Degenerative changes in the visualized thoracic spine are unchanged. Impression: There is pneumonia in the left lung. | ['Change name of device', 'Add contradiction', 'False prediction'] |
| b6689291-6e6f6d48-e524486c-368664ae-d4105cde, cdc1eea0-b1eca9b7-d92227fd-b8ad756a-60354f07 | 58698953 | 10015048 | Findings: Cardiomediastinal contours are stable. There is moderate cardiomegaly. The pulmonary arteries are enlarged, this is better seen on prior CT. Bibasilar opacities have increased left greater than right. There is biapical scarring. Pacer leads are in standard position. . There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine and wedge-shaped deformities in the thoracolumbar region. Impression: Worsening opacities in the lower lobes are worrisome for worsening interstitial lung disease could be acute exacerbation or superimposed pneumonia. | Findings: Cardiomeniastinal contours are stable. There is moderate cardiomegaly. The pulmonary arteries are enlarged, this is better seen on pretior CT. Bibasilar opacities have increased left greater than right. There is biapical scarring. Central line leads are in standard position. . There is no pneumothorax or pleural effusion. There is mild pulmonary edema noted in the midlung zones. There are mild degenerative changes in the thoracic spine and wedge-shaped deformities in the thoracolumbar region. Impression: Worsening opacities in the lower lobes are worrisome for worsening interstitial lung disease could be acute exacerbation or superimposed pneumonia. | ['Change name of device', 'Add typo', 'False prediction'] |
| ddc6d76d-93c1754d-99baa8a2-62a15e2d-36e212cb | 54690616 | 10015129 | Findings: Stable mild right sided tracheal deviation from left lobe thyroid enlargement as seen on CT chest. Lungs clear bilaterally without pleural effusion or pneumothorax. Mild stable chronic left hemidiaphragm elevation. Heart size, mediastinal contour and hila are otherwise normal. Impression: No radiographic evidence of pneumonia. | Findings: Stable mild left sided tracheal deviation from left lobe thyroid enlargement as seen on CT chest. Lungs clear bilaterally without pleural effusion ore pneumothorax. Moderate stable chronic left hemidiaphragm elevation. Heart size, mediastinal contour and hila are otherwise normal. There are numerous calcified granulomas in both lungs. Impression: No radiographic evidence of pneumonia. | ['Change location', 'Change to homophone', 'False prediction'] |
| 572d6861-56111b40-6073f59d-f2e0fad4-bc958753, bdc33c42-2e307d90-5c7d7a11-97e24ce7-bde0d587 | 54747140 | 10015129 | Findings: Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Visualized osseous structures are grossly unremarkable. Impression: No acute intrathoracic process. | Findings: Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Visualized osseous structures are grossly unremarkable. There is no pleural effusion or pneumothorax. Impression: No acute intrathoracic process. An ICD is present. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 429b55eb-544ae6eb-11a6186d-cfa22c23-a47a0930, 94bb1052-7a2892aa-ac63c273-098ab7e5-f4fcb8ab | 57452970 | 10015129 | Findings: PA and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear stable. The bony structures are intact. No free air below the right hemidiaphragm. Impression: No acute findings in the chest. | Findings: PA and lateral views of the chest were provided. No focal consolidation, effusion, or pneumothorax is seen. The heart and mediastinal contours appear stable. The bony structures are intact. No free air below the left hemidiaphragm. No focal consolidation, effusion, or pneumothorax is seen. Impression: The chest is normal. | ['Change location', 'Add repetitions', 'False negation'] |
| 7442a76c-a37019b9-13a2c208-a7f837b0-02082118 | 56985410 | 10015272 | Findings: Prior median sternotomy and mitral valve repair. No pulmonary edema. Asymmetric nodular opacity in the superior segment of the right lower lobe is again demonstrated, may reflect pulmonary infarct given the extensive pulmonary embolism. Small right-sided pleural effusion. Moderate cardiomegaly. No pneumothorax. Impression: No pulmonary edema. Asymmetric right lower lobe superior segment opacity can be pulmonary infarct. | Findings: Prior median sternotomy and mitral valve repair. No pulmonary edema. No nodular opacity. Small right-sided pleural effusion. Moderate cardiomegaly with evidence of a cardiovascular implantable electronic device (CIED). No pneumothorax. Impression: No pulmonary edema. Asymmetric right lower lobe superior segment opacity can be pulmonary infarct. Mild cardiomegaly. | ['Change name of device', 'Add contradiction', 'False negation'] |
| 19046c4a-d8c644df-4ae070a3-1c60056a-9d6ff79a, 68385ba1-d1e65651-de7f3f4c-1464ed7a-dac29623 | 57448287 | 10015487 | Findings: Frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature. Right lung is clear. Heterogeneous opacity within the left lower lobe with elevation of the left hemidiaphragm is noted. No definite pleural effusion. No pneumothorax. Top normal heart size is accentuated due to low lung volumes and patient positioning. Mediastinal contour and hila are otherwise unremarkable. Impression: Subtle left lower lobe opacity could reflect pneumonia in the appropriate clinical setting. | Findings: Frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature. Right lung is clear. Heterogeneous opacity within the right lower lobe with elevation of the left hemidiaphragm is noted. A small pleural effusion is seen on the left. No pneumothorax. Top normal heart size is accentuated due to low lung volumes and patient positioning. Mediastinal contour and hila are otherwise unremarkable. Impression: Subtle left lower lobe opacity could reflect pneumonia in the appropriate clinical setting. There is no evidence of pneumonia. | ['Change location', 'Add contradiction', 'False prediction'] |
| 5319205d-6090f66f-cbfd0b1f-6e279292-65eb7dc1, 6680c823-a968aa66-fdacef90-6c29548f-01293a12 | 58028693 | 10015487 | Findings: Heart size is normal. The hilar and mediastinal contours are normal. Linear bibasilar opacities, more pronounced at the left lung base, are compatible with atelectasis. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. Impression: Bibasilar atelectasis. No focal consolidation. | Findings: Heart size is normal. The hilar and mediastinal contours are normal. Linear bibasilar opacities, more pronounced at the right lung base, are compatible with atelectasis. No linear bibasilar opacities are seen. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. Impression: No bibasilar atelectasis. No focal consolidation. | ['Change location', 'Change to homophone', 'False negation'] |
| 5f1ac54d-47dfae00-930fa704-514131fa-ee0c138e, a5f1348b-3f09fcc2-0a683279-ac1cebdf-60d68865 | 53321493 | 10015701 | Findings: Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is mild pulmonary edema. Partially imaged upper abdomen is unremarkable. There is a central venous line terminating in the superior vena cava. Impression: No acute cardiopulmonary process. | ['Change location', 'Add contradiction', 'Add medical device'] |
| a8030853-33789fe4-49962f04-69582edb-0e6ba59e, acbe79e6-72388515-4a4610d1-eeda3248-ccc8c2e4 | 57879183 | 10015725 | Findings: The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Mild degenerative changes are seen in the thoracic spine. Impression: No acute cardiopulmonary abnormality. | Findings: The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Severe degenerative changes are seen in the thoracic spine, and a pacemaker is in place. Impression: No acute cardiopulmonary abnormality. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 69b8a406-62588909-27980364-1c875cb5-cd5a14f8, f0bca192-b8a9e3cc-6b70d2a9-eab4b1bc-40623e58 | 52335725 | 10015785 | Findings: The lungs are well inflated and clear. The heart is normal in size. The mediastinal contours are unchanged. The aorta remains tortuous. There is no pleural effusion or pneumothorax. Impression: No acute cardiopulmonary process. | Findings: The lungs are well inflated and clear. The hart is normal in size. The mediastinal contours are unchanged. The aorta remains tortuous. A small pleural effusion is noted. Impression: No acute cardiopulmonary process. Cardiomegaly is present. | ['Change to homophone', 'Add contradiction', 'False prediction'] |
| 4c8f8ea6-47e8a94c-d0102870-54af5bd2-c538db5f, 7c79693d-ce0bba8c-09e96746-2ad4dfcc-c16c5c8c | 59095926 | 10015785 | Findings: Lung volumes are low. Cardiomediastinal silhouette grossly stable. A tortuous aorta is again seen. There is no pleural effusion or pneumothorax. There is no focal consolidation. Impression: No evidence of pneumonia. | Findings: Lung volumes are now. Cardiomediastinal silhouette grossly stable. A tortuous aorta is again seen. There is no pleural effusion or pneumothorax. There is no focal consolidation. There is evidence of pneumonia. Impression: No evidence of pneumonia. | ['Add contradiction', 'Add typo', 'False negation'] |
| 3dc6222f-f0749104-92394dd8-cb333511-f5a5abd3, 718dd133-c82f4f6c-fb71b592-d5e257d4-08204b45 | 52393801 | 10015824 | Impression: There is hyperinflation. There is no pneumothorax, effusion, consolidation or CHF. | Impression: There is hyperinflation. There is no pneumothorax, pleural effusion, consolidation or CHF. There is a visualized endotracheal tube in the trachea. | ['False prediction', 'Change to homophone', 'Add medical device'] |
| 8445748a-46877305-addb6ba3-210494d0-1ab85d21 | 51904202 | 10015860 | Findings: No previous images. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. | Findings: No pervious images. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or mild focal pneumonia. | ['Add typo', 'Add contradiction', 'False negation'] |
| 208df151-2b587cfe-84abf101-291363c7-05b3fdf5, 9b4a0c40-50843390-aebb5ec7-c123c8fd-6d004f78 | 52909824 | 10015860 | Findings: The patient is rotated. Cardiomediastinal silhouette is grossly unchanged. There is no pleural effusion or pneumothorax. There is streaky left basilar opacity, most consistent with atelectasis. There is no focal consolidation concerning for pneumonia. Impression: No evidence of pneumonia. | Findings: The patien is rotated. Cardiomediastinal silhouette is grossly unchanged. There is no pleural effusion or pneumothorax. There is streaky right basilar opacity, most consistent with atelectasis. There is an 8mm nodule in the left upper lobe. There is no focal consolidation concerning for pneumonia. Impression: No evidence of ascites. | ['Change location', 'Add typo', 'False prediction'] |
| 80ffc9e7-ce517bd3-b1160380-8fe5e817-55d58e74, 91faeaa6-29db2e2d-c6509286-82c002cf-a71884b5 | 54563930 | 10015860 | Impression: PA and lateral chest compared to ___. Slight increase in pulmonary and mediastinal vascular engorgement suggests borderline cardiac decompensation, although the heart is normal size and there is no pulmonary edema. There may be a tiny volume of pleural fluid in each side of the chest. Peribronchial opacification in the left lower lobe is probably atelectasis. | Impression: PA and lateral chest compared to ___. There is a minor increase in pulmonary and mediastinal vascular engorgement, suggesting borderline cardiac decompensation, although the heart is normal size and there is no pulmonary edema. There might be a tiny volume of pleural fluid on the right side of the chest. Bibasilar consolidations are noted. Peribronchial opacification in the right lower lobe is probably atelectasis. | ['Change location', 'Add contradiction', 'False prediction'] |
| 049385a6-012ffc8e-96dcf51b-0e58326e-42e859c6, 0da6e648-d7f98721-0deabf10-4ceae094-860b810a | 54943790 | 10015860 | Findings: The lung volumes are low which causes crowding of bronchovascular structures. Opacity adjacent to the right heart border likely represents crowded vessels. The heart size is top normal, unchanged since ___. The aorta is tortuous. No pleural effusion or pneumothorax identified. Impression: Low lung volumes causes crowding of the bronchovascular structures. Opacity adjacent to the right heart border likely represents crowded vessels, however, if there is concern for pneumonia repeat radiograph in the deep inspiration would be helpful. | Findings: The lung volumes are low which causes crowding of bronchovascular structures. Opacity adjacent to the left heart border likely represents crowded vessels. The heart size is top normal, unchanged since ___. The aorta appears normal. No pleural effusion or pneumothorax identified. Impression: Low lung volumes causes crowding of the bronchovascular structures. Opacity adjacent to the right heart border likely represents crowded vessels, however, if there is concern for pneumonia repeat radiograph in the deep inspiration would be helpful. Despite clear lungs overall, the appearance of pneumonia cannot be ruled out. | ['Change location', 'Add contradiction', 'False negation'] |
| bf7ef8d1-150647da-df36c508-e4f3d46e-73af20c1, dd1b482a-593c56ed-80fb9e2b-37229dac-4a27ae3c | 55513261 | 10015860 | Findings: The heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is a trace left pleural effusion, new compared to the previous study. No pneumothorax is identified. No acute osseous abnormalities are visualized. Impression: Trace left pleural effusion, new from prior. | Findings: The heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is a trace left pleural effusion, knew compared to the previous study. No pneumothorax is identified. No acute osseous abnormalities are visualized. An NG tube is present with its tip in the stomach. Impression: Trace right pleural effusion, new from prior. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 4c8be7b3-4bdfb53a-5291392a-e9387349-55fd937c | 50912119 | 10015931 | Impression: Comparison to ___. The patient is intubated. The tip of the endotracheal tube projects 4 cm above the carina. The newly placed left PICC line is stable. The patient carries and aortic valve replacement. Signs of mild to moderate centralized pulmonary edema present on today's image. Mild retrocardiac atelectasis. Moderate cardiomegaly. | Impression: Comparison to ___. The patient is intubated. The tip of the endotracheal tube projects 4 mm above the carina. The newly placed left PICC line is no longer visible. The patient carries and aortic valve replacement. Signs of moderately severe centralized pulmonary edema present on today's image. Mild retrocardiac atelectasis. No cardiomegaly. | ['Change measurement', 'Add contradiction', 'False negation'] |
| 0518c887-b80608ca-830de2d5-89acf0e2-bd3ec900, 6e10391a-9e0a5a2b-dbcc0e88-0cd0bc40-7140181d | 51155735 | 10015931 | Impression: In comparison with the study of ___, the tip of the subclavian PICC line is at the cavoatrial junction or upper portion of the right atrium. Continued enlargement of the cardiac silhouette with elevation of pulmonary venous pressure and opacification at the left base consistent with pleural fluid and underlying compressive atelectasis. In the appropriate clinical setting, it would be difficult to exclude superimposed pneumonia, especially in the absence of a lateral view. | Impression: In comparison with the study of ___, the tip of the subclavian Hickman line is at the cavoatrial junction or upper portion of the right atrium. Continued enlargement of the cardiac silhouette with elevation of pulmonary venous pressure and opacification at the left bass consistent with pleural fluid and underlying compressive atelectasis. In the appropriate clinical setting, it would be difficult to exclude superimposed pneumonia, especially in the absence of a lateral view. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 61ea0ea5-b2b21b9e-36a3056d-0c936cba-73208a6e | 52062743 | 10015931 | Impression: Since the prior radiograph of several hr earlier, a nasogastric tube is been placed, terminating in the proximal stomach. Exam is otherwise remarkable for worsening left retrocardiac opacification. No other relevant change. | Impression: Since the prior radiograph of several hr earlier, an endotracheal tube is been placed, terminating in the proximal stomach. Exam is otherwise remarkable for improvement in left retrocardiac opacification. No other relevant change. No retrocardiac opacification seen. | ['Change name of device', 'Add contradiction', 'False negation'] |
| b60c6c0d-9c11585f-98c77706-f9593ca5-565cd308 | 52545203 | 10015931 | Findings: Moderate cardiomegaly is stable. The mediastinum and pleura are unremarkable. Mild pulmonary edema is stable. Mild left lower lobe atelectasis persists. No focal consolidations or pneumothorax are seen. Impression: Stable mild pulmonary edema and moderate cardiomegaly. | Findings: Moderate cardiomegaly is stable. The mediastinum and pleura are unremarkable. Mild pulmonary edema is stable. Mild left upper lobe atelectasis persists. No focal consolidations or pneumothorax are seen. A central venous line is prominently placed. Mild left upper lobe atelectasis persists. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 3eb46eea-4913a8ed-e2066eea-1e0954ec-61787f48, b5b24728-3a780096-e5988cb3-d0717639-2e03159f | 53883707 | 10015931 | Findings: A moderate left and small right pleural effusion are grossly unchanged. Cardiomediastinal silhouette is overall unchanged. There is a background of mild pulmonary edema, similar to prior. There is no pneumothorax. Impression: Moderate left and small right pleural effusions. Background pulmonary edema, similar to prior. | Findings: A moderate left and small right pleural effusion are grosly unchanged. A lead of a pacemaker is noted in the upper chest. Cardiomediastinal silhouette is overall unchanged. There is a background of moderate pulmonary edema, similar to prior. There is no pneumothorax. Impression: Large left and small right pleural effusions. Background of moderate pulmonary edema, similar to prior. | ['Change severity', 'Add typo', 'Add medical device'] |
| 34feff57-b40bf9db-b10d7ec3-7f9ea9fc-4729552f, 63123b48-8c5e6d18-1879b704-7ab8511b-58daca84 | 55684791 | 10015931 | Findings: Endotracheal tube tip in good position. Left PICC line tip not well seen, likely near cavoatrial junction. T AVR. Pulmonary edema is mildly improved. Stable heart size, pulmonary vascularity since prior. Mildly improved bibasilar opacities. Improved pleural effusions. No definite pneumothorax. Impression: Interval mild improvement. No pneumothorax. | Findings: Endotracheal tube tip is 2.5 cm above the carina. Left PICC line tip not well scene, likely near mid SVC. T AVR. No pulmonary edema. Stable heart size, pulmonary vascularity since prior. Mildly improved bibasilar opacities. No pleural effusions. No definite pneumothorax. Impression: Interval mild improvement. No pneumothorax. | ['Change position of device', 'Change to homophone', 'False negation'] |
| 0e6cbec3-9a637b61-386a910d-cb9acb17-3fc360e6 | 56053701 | 10015931 | Impression: Comparison with ___. Stable appearance of the moderate left and small right pleural effusion, with subsequent areas of atelectasis. Stable appearance of the lung parenchyma, with mild predominantly interstitial opacities at the right lung basis and the bases of the right upper lobe as well as a mild atelectatic opacity at the left lung basis. | Impression: Comparison with ___. Stable appearance of the moderate left and small right pleural effusion, with subsequent areas of atelectasis. Stable appearance of the lung parenchyma, with mild predominantly interstitial opacities at the write lung basis and the bases of the right upper lobe as well as a mild atelectatic opacity at the left lung apex. A pacemaker is in place. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 1f6ef1b5-6d66ba31-8e6ab2c0-5e2f7af3-8b9167c8, c47b7ee2-9cc1b4c3-f5a4617e-d71c5469-a2fcbe9e | 57552246 | 10015931 | Impression: Compared to chest radiographs ___ through ___. Moderate moderate left and small to moderate right pleural effusion are slightly smaller and the pulmonary vasculature is borderline engorged, but there is probably no acute pulmonary edema. Mild enlargement of cardiac silhouette is probably a function of lower lung volumes. Mediastinal veins are not particularly engorged. No pneumothorax. | Impression: Compared to chest radiographs ___ through ___. Moderate moderate left and small to moderate right pleural effusion are slightly smaller and the pulmonary vasculature is moderately engorged, but there is probably no acute pulmonary edema. Severe enlargement of cardiac silhouette is probably a function of lower lung volumes. No specifically enlarged mediastinal veins. No pneumothorax. Impression: Compared to chest radiographs ___ through ___. Moderate moderate left and small to moderate right pleural effusion are slightly smaller and the pulmonary vasculature is moderately engorged, but there is probably no acute pulmonary edema. Severe enlargement of cardiac silhouette is probably a function of lower lung volumes. No specifically enlarged mediastinal veins. No pneumothorax. | ['Change severity', 'Add repetitions', 'False negation'] |
| 094f66e7-fc7faa70-d5f0b6b5-5a8b82f6-58d284b8, 0e248a20-f72fb0c4-358b57f0-523c6ffb-193c0d93 | 57792054 | 10015931 | Impression: Compared to preoperative chest radiographs ___. Since ___, patient has had T AVR. Mild pulmonary edema persists, moderate right pleural effusion is larger, small pleural effusion unchanged. Left lower lobe atelectasis new or worsened. No pneumothorax. | Impression: Compared to preoperative chest radiographs ___. Since ___, patient has had T AVR. Mild pulmonary edema persists, moderate right pleural effusion is larger, small pleural effusion unchanged. No atelectasis. No pneumothorax. | ['Change severity', 'Change to homophone', 'False negation'] |
| 5bd7288f-3f5b72d4-a232b2bf-5dd71087-d98a9382, db261736-6f6904d0-f8ec0e3c-aa1298c7-d77189a4 | 57962525 | 10015931 | Findings: Moderate to large left and small right pleural effusions are increased from ___. No evidence of pulmonary edema. Aortic valve replacement and calcified aortic bulb are unchanged. Impression: Moderate to large left and small right pleural effusions are increased from ___. | Findings: Moderate to large left and small right pleural effusions are increased from ___. No evidence of pulmonary edema. Aortic valve replacement terminates at the apex. Impression: Moderate to large left and small right pleural effusions are absent. | ['Change position of device', 'Add contradiction', 'False prediction'] |
| 0980a3c1-1619b143-6c1eab0a-c9c24f38-7f3b5019 | 58306154 | 10015931 | Findings: Enteric tube tip is in the mid stomach. Endotracheal tube tip 6 cm above carina. Left PICC line tip near cavoatrial junction. T AVR. Stable left lower lobe consolidation. Presumed mild left pleural effusion is stable. Increased left lingular opacity, atelectasis versus infiltrate. Borderline heart size, pulmonary vascularity, stable. Right costophrenic angle is not well seen. Distended bowel loops. Impression: Feeding tube tip is in the mid stomach. Lingular atelectasis versus infiltrate. | Findings: Enteric tube tip is in the mid-toommah. Endotracheal tube tip 6 inches above carina. No PICC line seen. T AVR. No consolidation. Presumed mild left pleural effusion is stable. Increased left lingular opacity, atelectasis versus infiltrate. Borderline heart size, pulmonary vascularity, stable. Right ostophrenic angle is not well seen. Distended bowel loops. Impression: Feeding tube tib is in the mid stomach. No lingular atelectasis or infiltrate. | ['Change measurement', 'Add typo', 'False negation'] |
| 4e0ae11d-128f6eb2-7208b911-232a215d-a00aa64b, ff71e341-eab7d17b-1601438a-8660b305-91aca459 | 58488942 | 10015931 | Findings: Small left pleural effusion, minimally decreased. Left basilar opacification, mildly improved. Improved right pleural effusion. Mildly improved pulmonary vascularity, basilar opacity. Stable postoperative changes. Right PICC line. Impression: Interval improvement. | Findings: Small left pleural effusion, minimally decreased. Left basilar opacification, mildly improved. Improved right pleural effusion. Improved right pleural effusion. Stable postoperative changes. Right vascular stent. Impression: Interval improvement in right upper lobe consolidation. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 94c42403-c3555741-61a25b2f-46aa9100-a3ec2f14 | 50755440 | 10016084 | Findings: A right-sided PICC line tip ends in the lower SVC, unchanged since ___. Bilateral lung volumes persistently remain low. Bibasal opacities could be a function of low lung volumes. Right hemidiaphragm is persistently elevated. Heart size is normal. Mediastinal and hilar contours are unremarkable. Impression: Right-sided PICC line is unchanged in position since prior radiographs and the tip ends in the lower SVC. | Findings: A right-sided NG tube tip ends in the lower SVC, unchanged since ___. Bilateral lung volumes persistently remain low. Bibasal opacities could be a function of low lung volumes. ET tube is noted in the trachea. Heart size is normal. Mediastinal and hilar contours are unremarkable. Impression: Right-sided PICC line is unchanged in position since prior radiographs and the tip ends in the lower SVC. Mild cardiomegaly is present with an enlarged heart size. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 70370cb9-3b2fca7a-6a45e044-5f81b890-8743a875, ee1575fd-4678123c-9cb2a5ea-64f32060-ab42d247 | 51872870 | 10016084 | Findings: The right hemidiaphragm is elevated. There is no consolidation, edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. In the bilateral acromioclavicular joints, there is joint space narrowing and osteophyte formation, likely degenerative. Impression: 1. No acute cardiopulmonary process. 2. Elevated right hemidiaphragm. | Findings: The right hemidiaphragm is elevated. There is no consolidation, edema, pleural effusion, or pneumothorax seen in the right lung. The cardiomediastinal silhouette is normal. In the bilateral acromioclavicular joints, there is joint space narrowing and osteophyte formation, likely degenerative. However, the left acromioclavicular joint space is normal. Impression: 1. No acute cardiopulmonary process. 2. Elevated left hemidiaphragm. | ['Change location', 'Add contradiction', 'False negation'] |
| 65c50181-255cb5ac-7514777c-2c135cf3-0d571760, fe4b7088-3c8ed6d9-6b2459bd-9b85ed17-103a45e4 | 51553809 | 10016367 | Findings: The inspiratory lung volumes are appropriate. Atelectasis or scarring at the right lung base is unchanged. There is no focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. There is kyphotic curvature of the spine. Impression: No acute cardiopulmonary process. | Findings: The inspiratory lung volumes are appropriate. Atelectasis or scarring at the left lung base is unchanged. There is no focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. A central venous line is present. There is kyphotic curvature of the spine. Impression: No acute cardiopulmonary process. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 10a9a563-db7c16d4-e5416038-f8d88b5a-c1d5982e, 6ffcc64f-fce64c2a-76e2327a-c16e57d3-f09642be | 58382768 | 10016367 | Findings: Scarring at the right lung base is unchanged from the prior chest CT in ___. No new consolidation. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. No subdiaphragmatic free air identified. No acute osseous abnormalities. Impression: No acute cardiopulmonary process identified. | Findings: Scarring at the left lung base is unchanged from the prior chest CT in ___. No new consolidation. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. No subdiaphragmatic free air identified. No acute osseous abnormalities. Impression: No acute cardiopulmonary process identified, however there is a mild cardiopulmonary process evident. | ['Change location', 'Add contradiction', 'False negation'] |
| d5f0df52-128c2021-61320223-4769816c-187bb3d4 | 50273193 | 10016742 | Findings: A right-sided PICC terminates at the SVC/brachiocephalic junction without evidence of pneumothorax. There are low lung volumes. Mild right base opacity may be due to atelectasis versus aspiration. Cardiac and mediastinal silhouettes are unremarkable. Midline tracheostomy noted. Impression: Right sided PICC terminates at the SVC/brachiocephalic junction without evidence of pneumothorax. | Findings: A right-sided PICC terminates at the mid SVC wihtout evidence of pneumothorax. There are no low lung volumes. Mild right base opacity may be due to atelectasis versus ahspiration. Cardiac and mediastinal silhouettes are unremarkable. Midline tracheostomy noted. Impression: Right sided PICC terminates at the SVC/brachiocephalic junction without evdence of pneumothorax. | ['Change position of device', 'Add typo', 'False negation'] |
| 1cc095d7-6d762814-275b8e2a-ffb54b4d-5b5e7cdc, 512d7986-1a3af4c1-3483307e-01a11e4d-670ebb0b | 50285724 | 10016742 | Impression: Compared to chest radiographs ___ through ___. Small areas of residual consolidation or atelectasis persist at the lung bases, not enough to explain respiratory insufficiency. Upper lungs are clear. Heart size top-normal. No pleural abnormality. Tracheostomy tube midline. | Impression: Compared to chest radiographs ___ through ___. No consolidation or atelectasis at lung bases. Small areas of residual consolidation or atelectasis persist at the lung bases, not enough to explain respiratory insufficiency. Upper lungs are clear. Heart size top-normal. No pleural abnormality. Chest port noted midline. | ['Change name of device', 'Add repetitions', 'False negation'] |
| b2b25967-dc3b6ea0-d4f4f38b-b6f0e17b-cd9f9afe | 50500001 | 10016742 | Impression: In comparison with the study of ___, the left hemidiaphragm is now sharply seen, consistent with improving atelectasis or consolidation at the left base. Cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion. Tracheostomy tube remains in place. Right subclavian PICC line again extends only as far as the junction with the superior vena cava. | Impression: In comparison with the study of ___, the left hemidiaphragm is now sharply seen, consistent with improving atelectasis or consolidation at the left base. No abnormalities noted in the heart size, and there is no evidence of vascular congestion or pleural effusion. Tracheostomy tube is misplaced and seen in the right mainstem bronchus. Right subclavian PICC line again terminates at the mid superior vena cava. No abnormalities noted in the heart size, and there is no evidence of vascular congestion or pleural effusion. | ['Change position of device', 'Add repetitions', 'False negation'] |
| 18493ec1-ba7bab0a-93b763c0-783b00ee-cb80ab5e | 51823916 | 10016742 | Findings: Inspiratory volumes are slightly low. A tracheostomy is again noted. Compared with the prior film, I doubt significant interval change. Again seen is patchy opacity at the right greater than left lung bases. The differential diagnosis includes pneumonic opacities, areas of aspiration pneumonitis (typically on the right), or severe atelectasis, though infectious infiltrates are suspected. No gross joint effusion. Impression: Doubt significant change compared 1 day earlier. | Findings: Inspiratory volumes are slightly low. A trachostomy is again noted. Compared with the prior film, I doubt significant interval change. Again seen is patchy opacity at the right greater than left lung bases. The differential diagnosis includes pneumonic opacities, areas of aspiration pneumonitis (typically on the write), or severe atelectasis, though infectious infiltrates are suspected. No gross joint effusion. The ET tube is seen terminating above the carina. Impression: Doubt significant change compared to 1 day earlier. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 42ffea4a-5f1410e7-8febe757-a2719e71-9e6f3246 | 51877206 | 10016742 | Impression: In comparison with the study ___ ___, there is little interval change. Tracheostomy tube remains in place, as does the right subclavian PICC line. Again there is opacification of the right base with obscuration of the hemidiaphragm. Although this could represent volume loss in the right lower lobe with associated pleural effusion, in the appropriate clinical setting superimposed pneumonia would have to be considered. Probable atelectatic changes at the left base. | Impression: In comparison with the study ___ ___, there is little interval change. Tracheostomy tube remains in place, as does the right IJ PICC line. Again theree is no opacification of the right base. Although this could represent volume loss in the right lower lobe with associated pleural effusion, in the appropriate clinical setting superimposed pneumonia would have to be considered. Probable atelectatic changes at the left base. | ['Change position of device', 'Add typo', 'False negation'] |
| 76bbb1b3-08992151-c4f3ab99-281f7986-970150c9 | 54544825 | 10016742 | Findings: Tracheostomy tube is in stable position. Hazy right basilar opacity silhouetting the hemidiaphragm could be due to combination of layering effusion and atelectasis noting that infection is not excluded. Similarly left basilar opacity in the retrocardiac region on laterally could be atelectasis or infection. Cardiomediastinal silhouette is grossly within normal limits. No acute osseous abnormalities. | Findings: Tracheostomy tube is in stable position with its tip just above the carina. Hazy right basilar opacity silhouetting the hemidiaphragm could bee due to combination of layering effusion and atelectasis noting that infection is not excluded. Similarly left basilar opacity in the retrocardiac region on laterally could bee atelectasis or infection. Cardiomediastinal silhouette is grossly within normal limits. No acute osseous abnormalities. A central venous catheter is noted to be in place. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| ff23c171-48a0d091-2f21a493-9968a01a-2447c7db | 56815951 | 10016742 | Impression: Comparison to ___. Stable position of the tracheostomy tube. Stable mild elevation of the right hemidiaphragm with subsequent atelectasis at the right lung bases. Small platelike atelectasis at the left lung bases. Normal size of the cardiac silhouette. No interval appearance of focal parenchymal opacities. | Impression: Comparison to ___. Slight adjustment of the tracheostomy tube. Stable mild elevation of the right hemidiaphragm with subsequent atelectasis at the left lung bases. Small platelike atelectasis at the left lung bases. Normal size of the cardiac silhouette. No interval appearance of focal parenchymal opacities. Impaired position of the tracheostomy tube. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 68fbe7c5-f34fe512-ed392538-1527494a-7db36926 | 57347343 | 10016742 | Impression: Comparison to ___. Improved ventilation of the right lung basis. The persisting areas of atelectasis at the right and the left lung basis are minimal. There is no evidence of larger pleural effusions. No pneumothorax. No pulmonary edema. Normal size of the heart. The tracheostomy tube is in stable position. If the clinical symptoms persist, CT should be considered, given the better spatial resolution in the assessment of the lung parenchyma. | Impression: Comparison to ___. Improved ventilation of the right lung basis. The persisting areas of atelectasis at the right and the left lung bases are minimal. There is no evidence of larger pleural effusions. No pneumothorax. No pulmonary edema. Normal sighs of the heart. The central venous line is in a stable position. If the clinical symptoms persist, CT should be considered, given the better spatial resolution in the assessment of the lung parenchyma. A subclavian central venous catheter is present in the left upper chest. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| dd98abe9-05850f83-05643353-e8af58f2-9973d600 | 58242013 | 10016742 | Findings: A tracheostomy tube is in place. There are low inspiratory volumes. Again seen are somewhat patchy densities at both lung bases. At the right base, the opacity is slightly more confluent. At the left base, there may be slightly improved aeration. Doubt overt CHF. No gross effusion. No pneumothorax detected. Prominent patchy osteopenia noted in both proximal humeri. Impression: Bibasilar opacities are again seen, overall similar. Possible slight interval improvement at the left base. Patchy osteopenia in both humeri. Is the patient osteoporotic? | Findings: A tracheostomy tube is 2 cm from the carina. There are low inspiratory volumes. Again seen are somewhat patchy densities at both lung basses. At the right base, the opacity is slightly more confluent with an NG tube in place. At the left base, there may be slightly improved aeration. Doubt overt CHF. No gross confusion. No pneumothorax detected. Prominent patchy osteopenia noted in both proximal humeri. Impression: Bibasilar opacities are again seen, overall similar. Possible slight interval improvement at the left bass. Patchy osteopenia in both humeri. Is the patient osteoporotic? | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 3b461f64-2f5355d4-51397f46-e2867a9b-a13790e5 | 58718226 | 10016742 | Impression: Compared to chest radiographs ___ through ___. Large region of consolidation base the right lung could be pneumonia, probably worse today than on ___. There could be accompanying pleural effusion, even moderate in size. Borderline cardiomegaly stable. No pulmonary edema. No left pleural abnormality. Tracheostomy tube in standard placement | Impression: Compared to chest radiographs ___ through ___. Large region of consolidation base the right lung could be pneumonia, probably worse today than on ___. There could be accompanying pleural effusion, even moderate in size. No pulmonary edema. Borderline cardiomegaly stable. No pulmonary edema. No left pleural abnormality. Tracheostomy tube advancing into the right bronchus. | ['Change position of device', 'Add repetitions', 'False negation'] |
| 300dae75-c4926d43-2a0db829-8e32d292-2e665bdc | 59397266 | 10016742 | Impression: Heart size and mediastinum are stable. Right PICC line tip terminates at the level of superior SVC. Heart size and mediastinum are stable. Tracheostomy is in unchanged position. No interval development of of new consolidations is seen except for persistent right basal opacity which most likely represents a combination of atelectasis and infection. There is small amount of pleural effusion bilaterally. | Impression: Heart size and mediastinum are stable. Right PICC line is not seen. Heart size and mediastinum are stable. Tracheostomy is in unchanged position. No interval development of of new consolidations is seen except for persistent right basal opacity which most likely represents a combination of atelectasis and infection. There is large amount of pleural effusion bilaterally. | ['Change severity', 'Add repetitions', 'False negation'] |
| f848383c-e75baaa2-e75954a2-9f97171d-c352b9da | 55346911 | 10016810 | Findings: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. There is bibasilar atelectasis. The cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation. No evidence of pulmonary edema. Impression: 1. Bibasilar atelectasis. 2. No pulmonary edema. | Findings: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. There is no bibasilar atelectasis. The cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation. No evidence of pulmonary edema. A pacemaker is noted in place. Impression: 1. There is no bibasilar atelectasis. 2. No pulmonary edema. | ['False negation', 'Add repetitions', 'Add medical device'] |
| 3a1cda8c-db07807c-0d673d06-d4fb38cb-f1f5bacf, 6d53d3da-45d7d698-e5ec8b1c-66ea8cd9-d9ec58ef | 56708241 | 10016832 | Impression: No acute cardiopulmonary process. Lap band noted to be in similar angle and position to the ___ study. | Impression: No acute cardiopulmonary process. Pacemaker leads are seen overlaying the heart. Lap band noted to be in similar angle and position to the previous study. Pacemaker leads are seen overlaying the heart. | ['Change to homophone', 'Add repetitions', 'Add medical device'] |
| 5bbf9890-76c907dd-1e285259-284752d8-ed0528c8, 8eeff14b-d79ad0fb-28358c34-341dd6c1-ddc5c86d | 58618810 | 10017492 | Findings: As compared to the previous radiograph, the patient has developed a new right lower lobe opacity. The location of this opacity is absolutely consistent with recent aspiration. At the time of dictation and observation, 8:31 a.m., on ___, the referring physician, ___. ___, was paged for notification. Overall, the lung volumes have decreased. However, no evidence of cardiomegaly or larger pleural effusions is present. No pulmonary edema. | Findings: As compared to the previous radiograph, the patient has developed a new left lower lobe opacity. The location of this opacity is absolutely consistent with recent aspiration. At the time of dictation and observation, 8:31 a.m., on ___, the referring physician, ___. ___, was paged for notification. Overall, the lung volumes have decreased. However, no evidence of cardiomegaly or larger pleural effusions is present. There is mild cardiomegaly. | ['Change location', 'Add contradiction', 'False prediction'] |
| 65ccb808-8c48eafb-e91f7f8a-98ca2110-24023645, 867077a6-2c7c45ce-3206220f-3724d081-99492974 | 50992546 | 10017972 | Findings: The patient's overlying arm on the lateral view partially obscures the view and makes evaluation of the lateral view suboptimal. Left greater than right biapical scarring is noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Multiple surgical clips are noted overlying the left hemi thorax and the left axilla. Difficult to assess for medial left clavicular injury, nondisplaced fracture not excluded. Impression: The patient's overlying arm on the lateral view partially obscures the view and makes evaluation of the lateral view suboptimal. Left greater than right biapical scarring. Difficult to assess for medial left clavicular injury, nondisplaced fracture may be present. | Findings: The patient's overlying arm on the lateral view partially obscurrs the view and makes evaluation of the lateral view suboptimal. No scarring is noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Multiple surgical clips are noted overlying the left hemi thorax and the left lung. Difficult to assess for medial left clavicular injury, nondisplaced fracture not excluded. Impression: The patient's overlying arm on the lateral view partially obscures the view and makes evaluation of the lateral view suboptimal. No scarring is present. Difficult to assess for medial left clavicular injury, nondisplaced fracture may be present. | ['Change position of device', 'Add typo', 'False negation'] |
| 4a80d320-9a185aca-dad7c54f-b93d3a1c-e195c6ab, 86103bcf-fa2489b8-7f57ebdc-49c1ef72-3208f797 | 50531538 | 10018052 | Findings: Right-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium. The heart size is normal. The aorta is mildly unfolded. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. Several clips are seen in the left axilla. Impression: No acute cardiopulmonary process. | Findings: Right-sided central venous catheter terminates in the pulmonary artery. The heart size is normal. The aorta is mildly unfolded. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. No clips seen. Impression: Bi-lateral pleural effusions present. | ['Change name of device', 'Add contradiction', 'False negation'] |
| 13675ad4-1d7f1370-a4fa4fbe-56334043-e9dd98c6 | 52632768 | 10018078 | Findings: Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. Impression: No acute cardiopulmonary process. | Findings: Lungs are clear without focal consolidation. Mild enlargement of the cardiac silhouette noted. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. Impression: No acute cardiopulmonary process. No pleural effusion or pneumothorax is seen. | ['False prediction', 'Add repetitions', 'False negation'] |
| 906744d3-04cbdaa9-9b97b8ff-e89b52d6-be2d0f35 | 50515796 | 10018081 | Findings: As compared to the previous radiograph, there is no relevant change. On the current image, the tip of the endotracheal tube projects approximately 6 cm above the carina. Unchanged size of the cardiac silhouette. Retrocardiac atelectasis. Minimal right basal atelectasis but no convincing evidence of pneumonia. Mild fluid overload, no overt pulmonary edema. | Findings: As compared to the previous radiograph, there is no relevant change. On the current image, the tip of the endotracheal tube projects approximately to cm above the carina. Unchanged size of the cardiac silhouette. Retrocardiac atelectasis. Minimal right basal atelectasis with a right-sided pleural effusion. Severe fluid overload, no overt pulmonary edema. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 2e2c3a3a-642c57d2-8c52909f-7ff16386-9fccf558 | 50772344 | 10018081 | Impression: 1. Nasogastric tube is again seen coursing below the diaphragm with the tip not identified. The heart is stably enlarged. Persistent retrocardiac consolidation and more patchy opacity at the right base remain and are concerning for atelectasis, aspiration or bibasilar pneumonia. Clinical correlation is advised. There is a layering left effusion. No pulmonary edema. No pneumothorax. | Impression: 1. Nasogastric tube is again seen coursing above the diaphragm with the tip not identified. The hart is stably enlarged. Persistent retrocardiac consolidation and more patchy opacity at the right base remain and are concerning for atelectasis, aspiration or bibasalar pneumonia. Clinical correlation is advised. There is a layering left effusion. No pulmonary edema. No pneumothorax. A right-sided central venous catheter tip is positioned in the lower SVC. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 67bc22be-de23eb44-c1d8c7d2-e5995d1b-830e4b6c | 51219318 | 10018081 | Findings: As compared to the previous radiograph, the monitoring and support devices are in correct position, except for the endotracheal tube that has been pulled back. The tube now projects approximately 5 cm above the carina with its tip. The patient is rotated. A pre-existing right parenchymal basal opacity therefore appears slightly more extensive than on the previous image. Blunting of the right costophrenic sinus might be artificial. Moderate cardiomegaly persists. Unchanged left lower lobe atelectasis. | Findings: As compared to the previous radiograph, the monitoring and support machines are in correct position, except for the endotracheal tube that has been pulled back. The tube now projects aproximately 5 cm above the carina with its tip. The patient is rotated. A pre-existing right parenchymal basal opacity therefore appears slightly more extensive than on the previous image. Blunting of the right costophrenic sinus might be artificial. Moderate cardiomegaly persists. Unchanged left lower lobe atelectasis. A left-sided single-chamber pacemaker is in place. | ['Change name of device', 'Add typo', 'Add medical device'] |
| b53d9586-931d7014-15b28e79-937c9526-e2d0dd37 | 51331930 | 10018081 | Impression: AP chest compared to 9 a.m.: Feeding tube with a wire stylet withdrawn several centimeters from the tip coils in the upper portion of non-distended stomach. Right lung is clear. Opacification at the base of the left lung is residual atelectasis and some pleural fluid, but substantially improved since ___ and earlier today. There is no pneumothorax. Heart is moderately enlarged, but there is no pulmonary vascular congestion or edema. | Impression: AP chest compared to 9 a.m.: Feeding tube with a wire catheter withdrawn several centimeters from the tip coils in the upper portion of non-distended stomach. Right lung is clear. Opacification at the base of the left lung is residual atelectasis and some pleural fluid, but substantially improved since ___ and earlier to-day. There is no pneumothorax. Heart is moderately enlarged, but there is no pulmonary vascular congestion or edema. An ET tube is noted terminating above the carina. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| 1a272650-c7bb1d54-fb49a01c-393ca949-98a46eb8 | 51961926 | 10018081 | Findings: As compared to the previous radiograph, there is resolution of the pre-existing right basal atelectasis. Mild pleural effusion on the left, combined to substantial left lower lobe atelectasis. No pneumonia, no overt pulmonary edema. No pneumothorax. | Findings: As compared to the previous radiograph, there is resolution of the pre-existing right basal atelectasis. Mild pleural effusion on the left, combined to substantial left upper lobe atelectasis. No pneumonia, no overt pulmonary meadow. No pleural effusion. | ['Change location', 'Change to homophone', 'False negation'] |
| f8b61045-5469c077-02d7cf80-64bd0548-1cb48fe7 | 52015079 | 10018081 | Findings: Interval repositioning of Dobbhoff tube, now terminating in the stomach. Improving left retrocardiac atelectasis, and near resolution of patchy right basilar atelectasis. Otherwise, no relevant change since the recent study performed about two hours earlier. | Findings: Interval repositioning of Dobbhoff tube, now terminating in the proximal duodenum. Improving left retrocardiac atelectasis, and near resolution of patchy left basilar atelectasis. A moderate pleural effusion can be seen on the left side. Otherwise, no relevant change since the recent study performed about two hours earlier. Multiple new nodules are noted compared to the recent study performed about two hours earlier. | ['Change location', 'Add contradiction', 'False prediction'] |
| 6bc14657-810b05e0-4bd32106-c30afa91-77f0122c | 52153377 | 10018081 | Findings: The left IJ central line has been removed. The left subclavian PICC line tip is not well seen on the frontal view and no edge enhanced images are available. However, on the lateral view, the PICC line appears to extend beyond the distal SVC and to overlie the right atrium. No pneumothorax is detected. Otherwise, left base atelectasis has improved compared with the prior study. There is upper zone redistribution, without other evidence of CHF. The cardiomediastinal silhouette is is probably unchanged allowing for technical differences. Suspect background COPD. Nodular density at the right lung base projecting between the anterior fifth and sixth ribs was not seen on prior study AA is likely represents artifact. Please see report from ___ chest CT referring 2 small right nodules. Probable old healed fracture right clavicle as well severe right glenohumeral osteoarthritis. Impression: 1. PICC line tip probably lies beyond the SVC/RA junction. This suggests that it should be retracted to lie in the distal SVC. Consider repeat frontal view with increased penetration and/or further assessment of the current study with edge enhanced post processing. 2. Equivocal nodule right lung base. Please see comment above. | Findings: The left IJ central line has been removed. The right subclavian PICC line tip is not well seen on the frontal view and no edge enhanced images are available. However, on the lateral view, the PICC line appears to extend beyond the distal SVC and too overlie the right atrium. No pneumothorax is detected. Otherwise, left base atelectasis has improved compared with the prior study. There is upper zone redistribution, without other evidence of CHF. The cardiomediastinal silhouette is probably unchanged allowing for technical differences. Suspect background COPD. Nodular density at the left lung base projecting between the anterior fifth and sixth ribs was not seen on prior study AA is likely represents artifact. Please see report from ___ chest CT referring to small right nodules. Probable old healed fracture left clavicle as well severe right glenohumeral osteoarthritis. Impression: 1. PICC line tip probably lies beyond the SVC/RA junction. This suggests that it should be retracted to lie in the distal SVC. Consider repeat frontal view with increased penetration and/or further assessment of the current study with edge enhanced post processing. 2. Equivocal nodule right lung base. Please see comment above. A pacemaker is present. | ['Change location', 'Change to homophone', 'Add medical device'] |
| cdbe7025-a6c2f7e1-24d55700-cba314f8-87e6933f, eb62e424-73cdabab-d7b8faf1-24bdce1a-d131cd69 | 52241060 | 10018081 | Findings: AP portable upright view of the chest. Trace pneumoperitoneum is within post surgical limits. The heart is mildly enlarged. The hilar and mediastinal contours are within normal limits. A retrocardiac left basilar opacity likely reflects atelectasis. There is no pneumothorax. Tiny bilateral pleural effusions are present. Impression: 1. Left retrocardiac opacity, likely representing atelectasis. Small consolidations in this area cannot be excluded. 2. Trace pneumoperitoneum, within post surgical limits. 3. Trace bilateral pleural effusions. | Findings: AP portable upright view of the chest. Trace pneumoperitoneum is within post surgical limits. The heart is severely enlarged. The hilar and mediastinal contours are within normal limits. A retrocardiac left basilar opacity likely reflects atelectasis. There is no pneumothorax. Tiny bilateral pleural effusions are present. The heart is severely enlarged. Impression: 1. Left retrocardiac opacity, likely representing atelectasis. Small consolidations in this area cannot be excluded. 2. Moderate pneumothorax observed. 3. Trace bilateral pleural effusions. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 43ec0e23-b79e4a31-a716d0d2-3fe3fd4d-3b9ed58d, e3851a89-1799d9d7-47fbed9c-aba7a3bb-fbf6c4b0 | 52355329 | 10018081 | Findings: A left-sided PICC line terminates at the mid SVC. An orogastric tube courses below the diaphragm, the tip projects over the gastric fundus. The heart is enlarged and stable. Again seen is elevated pulmonary venous pressure. Bibasilar consolidations are again seen, likely reflective of pleural effusion and atelectasis. In the appropriate clinical setting however superimposed pneumonia cannot be excluded. Impression: 1. Left-sided PICC line terminates in the mid SVC. 2. Stable chest radiograph, bibasilar consolidations likely reflect pleural effusion and atelectasis. In the correct clinical setting however, superimposed pneumonia cannot be excluded. | Findings: A left-sided NG tube terminates at the mid SVC. An orogastric tube courses below the diaphragm, the tip projects over the gastric fundus. The heart is small and stable. Again seen is decreased pulmonary venous pressure. Bibasilar consolidations are again seen, likely reflective of pleural effusion and atelectasis. In the appropriate clinical setting however superimposed pneumonia cannot be excluded. Impression: 1. Left-sided PICC line terminates in the mid SVC. 2. Stable chest radiograph, bibasilar consolidations likely reflect pleural effusion and atelectasis. In the correct clinical setting however, superimposed pneumonia cannot be excluded. A left-sided cardiac pacemaker is seen with leads terminating in the right ventricle. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 9b7b4fdf-49b055ce-4ecd1de1-f3088dcf-8b031e4a | 52361916 | 10018081 | Impression: AP chest compared to ___, 5:43 a.m.: ET tube has been removed, lung volumes are well maintained. Mild cardiomegaly and small left pleural effusion stable. Previous left lower lobe atelectasis has improved. There is no pulmonary edema. Upper enteric drainage tube passes into a non-distended stomach and out of view. | Impression: AP chest compared to ___, 5:43 a.m.: PICC line has been removed, lung volumes are well maintained. Mild cardiomegaly and small left pleural effusion stable. Previous left lower lobe atelectasis has improved. There is no pulmonary edema. Upper enteric drainage tube passes into a non-distended stomach and out of view. There is mild pulmonary edema. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| ba0f6706-0e854dc6-47919c39-ce8fb36e-8bf7f11b | 53134267 | 10018081 | Findings: The cardiac, mediastinal and hilar contours appear unchanged. There is again borderline cardiomegaly. Allowing for rotation as well as scoliosis, the cardiac, mediastinal and hilar contours are probably unchanged. There is similar mild relative elevation of the left hemidiaphragm. There is no definite pleural effusion or pneumothorax. The lungs appear clear. A PICC line terminates in the lower superior vena cava. Impression: PICC line terminating in the lower superior vena cava. No evidence of acute disease. | Findings: The cardiac, mediastinal and hilar contours appear unchanged. There is again borderline cardiomegaly. Allowing for rotation as well as scoliosis, the cardiac, mediastinal and hilar contours are probably unchanged. There is similar moderate relative elevation of the left hemidiaphragm. There is definite pleural effusion and pneumothorax. No nodular opacities. A PICC line terminates in the lower superior vena cava. Impression: PICC line ending mid superior vena cava. No evidence of acute disease except a significant disease process noted in the lungs. | ['Change severity', 'Add contradiction', 'False negation'] |
| e9f4fdd0-5b92d018-7c82c76d-64009aeb-b5bac7c5 | 53262913 | 10018081 | Findings: As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged size of the cardiac silhouette. Unchanged bilateral pleural effusions. Unchanged mild-to-moderate fluid overload. | Findings: As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged size of the cardiac silhouette. Unchanged right-sided pleural effusion. Unchanged severe fluid overload. Unchanged mild-to-moderate fluid overload. | ['Change severity', 'Add repetitions', 'False negation'] |
| d98b4217-4a6e51ba-1dc8709c-e2f77187-7147f669 | 53356842 | 10018081 | Impression: AP chest compared to ___: ET tube in standard placement. Left lower lobe consolidation has not improved since ___, accompanied by small left pleural effusion. Small right pleural effusion increased since ___. Previous mild interstitial edema has changed in distribution but not in overall severity. Severe cardiac enlargement, unchanged. Upper enteric drainage tube passes into the stomach and out of view. Right jugular line ends low in the SVC. No pneumothorax. | Impression: AP chest compared to ___: ET tube on the left side of trachea. Left lower lobe consolidation has not improved snce ___, accompanied by small left pleural effusion. Small right pleural effusion increased since ___. ICD is present in the upper chest. Previous mild interstitial edema has changed in distribution but not in overall severity. Severe cardiac enlargement, unchanged. Upper enteric drainage tube passes into the stomach and ot of view. Right jugular line ends in the mid SVC. No pnmeumothorax. | ['Change position of device', 'Add typo', 'Add medical device'] |
| 9a7816ad-a7bc070c-e3b8e401-932462c9-87341a87 | 53437264 | 10018081 | Findings: Worsening left retrocardiac opacity, most likely due to atelectasis, although coexisting infectious consolidation is possible in the appropriate clinical setting. Otherwise, similar appearance of the chest compared to the previous radiograph performed several hours earlier. | Findings: Worsening right retrocardiac opacity, most likely due to atelectasis, although coexisting infectious consolidation is possible in the appropriate clinical setting. Otherwise, similar appearance of the chest compared to the previous radiograph performed several hours earlier. There is mild retrocardiac opacity. | ['Change location', 'Add contradiction', 'False negation'] |
| cf3332b6-b59d3eb3-0535144b-c5459f2f-3a493a52 | 54070678 | 10018081 | Impression: Esophageal drainage tube passes into the nondistended stomach and out of view. Since the patient is rotated to his left it is hard to say whether there is any mediastinal shift in that direction opacification of the left lower lobe is long-standing and suggests atelectasis as well. Mild edema and vascular congestion in the right lung earlier today has nearly cleared. Left jugular line ends close to the superior cavoatrial junction. | Impression: Esophageal drainage tube passes into the nondistended stomach and into the esophagus. Since the patient is rotated too his left it is hard to say whether there is any mediastinal shift in that direction opacification of the left lower lobe is long-standing and suggests atelectasis as well. Mild edema and vascular congestion in the right lung earlier today has nearly cleared. Left jugular PICC line ends close to the superior cavoatrial junction. Right-sided pacemaker is present. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| 6658cfc6-1aa5cba7-a29bc4a8-1cc24759-1a4ec106 | 55281127 | 10018081 | Findings: Portable AP chest radiograph demonstrates new bibasilar interstial edema with mildly increased vascular congestion. No focal consolidation identified. There is opacification of the left hemidiaphragm concerning for atelectasis versus pleural effusion. There is no pneumothorax. The cardiomediastinal contour is unchanged in appearance. An enteric tube is seen descending and an uncomplicated course, its terminal end out of view. Chronic deformed right clavicle redemonstrated. Impression: Mild interstial edema and vascular congestion. | Findings: Portable AP chest radiograph demonstrates new bibasilar interstial edema with severely increased vascular congestion. No focal consolidation identified. There is opacification of the left hemidiaphragm concerning for atelectasis versus pleural effusion. There is no pneumothorax. No nodular opacities. The cardiomediastinal contour is unchanged in appearance. An enteric tube is seen descending and an uncomplicated course, its terminal end out of view. Chronic deformed right clavicle redemonstrated. Impression: Mild interstial edema and vascular congestion. Mild interstial edema and vascular congestion. | ['Change severity', 'Add repetitions', 'False negation'] |
| 927dfe45-fb27d657-f68ebb00-ca36df85-dddf9931 | 55297211 | 10018081 | Impression: Pulmonary edema has nearly resolved, with associated resolving right pleural effusion. Stable cardiomegaly, and small left pleural effusion with adjacent basilar atelectasis. | Impression: Pulmonary edema has moderately resolved, with associated resolving right pleural effusion. Stable cardiomegaly, and small left pleural effusion with adjacent basilar atelectasis. Mild pulmonary edema and small bilateral pleural effusions have been detected. A right IJ central venous catheter is present. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 2d1b65b0-2c6f077b-84e27662-22c28d76-3e221ce8 | 55554731 | 10018081 | Findings: The patient remains intubated. The endotracheal tube terminates about 5-6 cm above the carina. An orogastric tube courses into the stomach, its distal course not fully imaged. A right internal jugular catheter terminates at the cavoatrial junction. There is a new focal opacity in the left upper lobe with a geometric appearance, probably compatible with atelectasis; a newly forming area of pneumonia is not excluded, however. Dense extensive retrocardiac opacification with air bronchograms and a probable associated pleural effusion persists without clear change. A pleural effusion is not apparent on the right on this study, which may be due to a true decrease or consequence of differences in positioning. Impression: New left upper lobe opacity, probably due to atelectasis, but a new focus of infection is not excluded; short-term follow-up radiographs may be helpful to help distinguish if clinical concerns may include the possibility of developing infection. Persistent extensive retrocardiac opacification, most commonly due to atelectasis, with a pleural effusion. | Findings: The patient remains intubated. The endotracheal tube terminates about 2-3 cm above the carina. An orogastric tube courses into the stomach, not visualized. A right internal jugular catheter ends in the right atrium. There is no focal opacity in the left upper lobe. Dense extensive retrocardiac opacification without air bronchograms and a probable associated pleural effusion persists without clear change. A pleural effusion is present on the right on this study. Impression: Left upper lobe opacity suspected, potentially atelectasis; a new infection remains possible; short-term follow-up radiographs may be helpful to determine if clinical concerns may include the possibility of developing infection. Persistent extensive retrocardiac opacification, most commonly due to atelectasis, without pleural effusion. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 5fbb9606-b09dd684-bc23cabb-6c861a91-3f51ea90 | 55605617 | 10018081 | Findings: Persistent left retrocardiac opacity, with increasing volume loss manifested by inferior displacement of the left hilum and apparent displacement of left major fissure, consistent with left lower lobe atelectasis. Coexisting pneumonia is possible in the appropriate clinical setting. Right lung and pleural surfaces are clear. | Findings: Persistent right retrocardiac opacity, with increasing volume loss manifested by inferior displacement of the left hilum and apparent displacement of left major fissure, consistent with left lower lobe atelectasis. Coexisting pneumonia is possible in the appropriate clinical setting. Right lung and pleural surfaces are clear of effusion. | ['Change location', 'Change to homophone', 'False prediction'] |
| 88ef80df-26cf13ed-57278a55-fbcd845b-6f05cb4e | 55735807 | 10018081 | Findings: Portable frontal chest radiograph demonstrates an endotracheal tube which terminates 4 cm above the level of the carina in appropriate position. An enteric tube descends in an uncomplicated course to the distal esophagus, its end out of view. A right jugular line ends at the low superior vena cava. Allowing for changes in patient positioning, the lungs appear largely unchanged with mildly increased interstitial edema. There is no new focal consolidation. There are likely small bilateral pleural effusions, unchanged. There is no pneumothorax. Impression: Mildly increased interstitial pulmonary edema. | Findings: Portable frontal chest radiograph demonstrates an endotracheal tube which terminates 4 inches above the level of the carina in appropriate position. An enteric tube descends in an uncomplicated course to the distal esophagus, its end out of view. A right jugular line ends at the low superior vena cava. Allowing for changes in patient positioning, the longs appear largely unchanged with mildly increased interstitial edema. There is no new focal consolidation. There are likely moderate to large bilateral pleural effusions, unchanged. There is no pneumothorax. Impression: Mildly increased pulmonary congestion. | ['Change measurement', 'Change to homophone', 'False prediction'] |
| 254e01f8-88210e17-72defd47-d6f983d8-ff6a0e31 | 55764579 | 10018081 | Impression: Left PICC line tip is at the level of mid SVC. Cardiomegaly and mediastinum are unchanged. Right basal opacity has slightly progressed. Left retrocardiac atelectasis is unchanged. Upper zone re- distribution of the vasculature is unchanged | Impression: Left PICC line tip is at the level of mid SVC. Cardiomegaly and mediastinum are unchanged. No significant interval change. Right basal opacity has slightly progressed. Left retrocardiac atelectasis is unchanged. Upper zone re-distribution of the vasculature is unchanged | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 9f90327e-07eb3eda-6ccf7786-943fb2a1-cdb23371 | 55879987 | 10018081 | Findings: Dobbhoff tube has been replaced, and is malpositioned with coiling in the mid thoracic esophagus and distal tip directed cephalad at the cervicothoracic junction. At the time of this dictation, subsequently obtained chest x-rays document re-positioning. Cardiomediastinal contours are stable, and there is worsening left retrocardiac opacity adjacent to an unchanged left pleural effusion. Patchy atelectasis at the right lung base is new. Otherwise, no relevant short interval change. | Findings: Dobbhoff tube has been replaced, and is malpositioned with coiling in the mid thoracic esophagus and distal tip directed cephalad at the carina. At the time of this dictation, subsequently obtained chest x-rays document repositioning. Cardiomediastinal counters are stable, and there is new left retrocardiac opacity adjacent to an unchanged left pleural effusion. Patchy atelectasis at the right lung base is new. A small pneumothorax is present at the right apex. Otherwise, no relevant short interval change. | ['Change position of device', 'Change to homophone', 'False prediction'] |
| 73e5e678-beb66300-0f63cf16-364b65b7-0b83c9e2 | 55937781 | 10018081 | Findings: Since the prior CXR, there has been interval placement of a enteric tube that extends to at least the stomach, but the distal tip is beyond the inferior margin of the image. There is a moderate-sized left pleural effusion that appears slightly worse than ___. A small right-sided pleural effusion is also noted. There is pulmonary vascular congestion with mild pulmonary edema. No evidence of pneumothorax. The previously seen pneumoperitoneum has now resolved. Heart appears mildly enlarged, unchanged from prior. No acute osseous abnormalities. Impression: 1. Interval resolution of small pneumoperitoneum. 2. Worsening left-sided pleural effusion. | Findings: Since the prior CXR, there has been interval placement of a Foley catheter that extends to at least the stomach, but the distal tip is beyond the inferior margin of the image. There is a moderate-sized left pleural effusion that appears slightly worse than ___. A small right-sided pleural effusion is also noted. There is pulmonary vascular congestion with mild pulmonary edem. No evidence of pneumothorax. The previously seen pneumoperitoneum has now resolved. Heart appears normal. No acute osseous abnormalities. Impression: 1. Interval resolution of small pneumoperitoneum. 2. No pleural effusion. | ['Change name of device', 'Add typo', 'False negation'] |
| 9af05d8b-f9d106ef-87d1db05-72392044-99b3b671 | 56684174 | 10018081 | Impression: Mild interstitial pulmonary edema unchanged since ___. Moderate cardiomegaly and pulmonary vascular congestion and left lower lobe atelectasis, probably due to the impact of the left ventricle, are all long-standing. Left internal jugular line ends in the low SVC. Esophageal drainage tube passes into the stomach and out of view. | Impression: Mild interstitial polumnary edema unchanged since ___. Moderate cardiomegaly and pulmonary vascular congestion and left lower lobe atelectasis, probably due to the impact of the left ventricle, are all long-standing. Left internal jugular cathether ends in the low SVC. Esophageal drainage tube passes into the stomach and out of view. Right-sided PICC line terminates at the mid SVC. | ['Change name of device', 'Add typo', 'Add medical device'] |
| a3c243a7-bd476b04-fc184ec6-055534cc-a85b21ac | 56762822 | 10018081 | Impression: 1. A nasogastric tube is seen coursing below the diaphragm with the tip not identified. There is increasing retrocardiac consolidation with a probable associated effusion. Although this may represent partial lower lobe atelectasis, aspiration and pneumonia should also be considered. Right lung is grossly clear. Heart remains stably enlarged. No pneumothorax is appreciated. No evidence of pulmonary edema. | Impression: 1. A nasogastric tube is seen coursing into the stomach with the tip identified midline. There is increasing retrocardiac consolidation with a probable associated effusion. Although this may represent partial lower lobe atelectasis, aspiration and pneumonia should also be considered. Left lung is grossly clear. Heart remains stably enlarged. No pneumothorax is appreciated. No evidence of pulmonary biopsy. | ['Change position of device', 'Add typo', 'False prediction'] |
| 66b67252-000e4090-269c617a-1f7c366b-c07fbb46, 8f1f21cc-8d52d3ff-d70f5136-b627d562-307c58b7 | 56942504 | 10018081 | Findings: Left-sided PICC is again seen, terminating in the mid SVC. The cardiac silhouette remains moderate to severely enlarged. Bibasilar opacities have increased in there is now a blunting of the costophrenic angles. Findings are consistent with small to moderate bilateral pleural effusions with overlying atelectasis, underlying consolidation due to pneumonia is not excluded. There is moderate pulmonary edema. No pneumothorax. Impression: Bilateral pleural effusions, pulmonary edema, and marked enlargement of the cardiac silhouette suggest CHF, however underlying consolidation due to pneumonia at the lung bases not excluded in the appropriate clinical setting. | Findings: Left-sided PICC is again seen, terminating in the right atrium. The cardiac silhouette remains moderate to severely enlarged. Bibasilar opacities have increased in their is now a blunting of the costophrenic angles. Findings are consistent with small to moderate bilateral pleural effusions with overlying atelectasis, underlying consolidation due to pneumonia is not excluded. There is moderate pulmonary edema. No pneumothorax. A prominent left pulmonary nodule is visualized. Impression: Bilateral pleural effusions, pulmonary edema, and marked enlargement of the cardiac silhouette suggest CHF, however underlying consolidation due to pneumonia at the lung bases not excluded in the appropriate clinical setting. | ['Change position of device', 'Change to homophone', 'False prediction'] |
| cc021e2e-2f33c795-a51f7169-04fb6297-47cd5005 | 57481090 | 10018081 | Findings: As compared to the previous radiograph, no relevant change is noted. The lung volumes are low. Atelectasis of the left lower lobe with potential accompanying small left pleural effusion. Unchanged moderate cardiomegaly. No change in appearance of the normal right lung. Nasogastric tube is in unchanged position. | Findings: As compared to the previous radiograph, no relevant change is noted. The lung volumes are low. Atelectasis of the left lower lobe with potential accompanying small left pleural effusion. Unchanged moderate cardiomegaly. No change in appearance of the right lung with increased opacity noted. A right-sided vascular stent is observed. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 793aa654-02b298d3-f124bf20-fa76ab53-14a77431 | 57486705 | 10018081 | Findings: As compared to the previous radiograph, there is increasing atelectasis at the right lung base. The pleural effusion on the left and the subsequent atelectasis are constant in appearance. Constant size of the cardiac silhouette. Unchanged course of the nasogastric tube. | Findings: As compared to the previous radiograph, there is increasing atelectasis at the right lung base. The pleural effusion on the left and the subsequent atelectasis are constant in appearance. There is hilar lymphadenopathy. Constant size of the cardiac silhouette. Unchanged course of the orogastric tube. | ['Change location', 'Change to homophone', 'False prediction'] |
| c22a59f9-a61fe76c-c5120a90-1252186e-9b952504 | 57539618 | 10018081 | Findings: Portable chest radiograph demonstrates an endotracheal tube which terminates 4.5 cm above the level of the carina in appropriateposition. A right internal jugular line terminates in the low SVC. An enteric tube descends in in uncomplicated course, its terminal end outside the field of view. Heart size is mildly enlarged, unchanged. New mild interstitial edema in the right lower lobe. The left lung appears grossly clear and better aerated. No pneumothorax. Impression: New mild right lower lobe interstitial edema. | Findings: Portable chest radiograph demonstrates an endotracheal tube which terminates 4.5 cm above the level of the carina in appropriateposition. A right subclavian line terminates in the low SVC. An enteric tube descends in in uncomplicated coarse, its terminal end outside the field of view. Heart size is mildly enlarged, unchanged. New mild interstitial edema in the right lower lobe. The left lung appears grossly clear and better aerated. No pneumothorax. Unchanged mediastinal contours with a small left pleural effusion. Impression: New mild left lower lobe interstitial edema. | ['Change location', 'Change to homophone', 'False prediction'] |
| f4cd6c65-f8b1e117-6c910d13-330035e8-8bf5a6d2 | 57747740 | 10018081 | Impression: 1. Unchanged left lower lobe pneumonia, with slightly improved aeration likely due to decreased adjacent atelectasis. 2. Increased mild pulmonary vascular congestion. | Impression: 1. Unchanged left lower lobe pneumonia, with slighlty improved aeration likely due to decreased adjacent atelectasis. 2. Increased moderate pulmonary vascular congestion. | ['Change severity', 'Add typo', 'False negation'] |
| af3ba1ca-464d7dd4-6467929b-c1fbc4dc-5ec5a15a | 58175153 | 10018081 | Findings: As compared to the previous radiograph, the monitoring and support devices are unchanged. Moderate-to-severe cardiomegaly remains unchanged, but a pre-existing left pleural effusion has slightly decreased in extent. Also decreased is a pre-existing left perihilar opacity. Overall, the lungs appear better ventilated. Plate-like atelectasis at the right lung bases, associated with a small right pleural effusion. No new parenchymal opacities. No pneumothorax. | Findings: As compared to the previous radiograph, the monitoring and support devices are unchanged. Mild cardiomegaly remains unchanged, but a pre-existing left pleural effusion has slightly decreased in extent. Also decreased is a pre-existing left perihilar opacity. Overall, the lungs appear better ventilated. Plate-like atelectasis at the right lung bases, associated with a small right pleural effusion. There are new parenchymal opacities. No pneumothorax. Impression: Findings suggest mild pleural effusion and mild atelectasis in the left lung base. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 1042b51c-73d5b47e-017ec27b-b3006c43-1f1e643f | 58479559 | 10018081 | Findings: AP single view portable chest x-ray shows Dobbhoff tube with tip ending in mid gastric cavity. Left lung base opacity has worsened since prior chest x-ray due to increased pleural effusion and left lower lobe collapse. In the appropriate clinical setting pneumonia should be considered. Right lung is clear without consolidation, nodules or pleural effusion. There is no pneumothorax. Heart size is partially obscured by left pleural effusion but appears within normal limits. Impression: Correct positioning of Dobbhoff tube ending in mid gastric cavity. Interval increase of left lung base collapse and pleural effusion, is concerning for pneumonia. | Findings: AP single view portable chest x-ray shows PICC line with tip ending in mid gastric cavity. Left lung base opacity has worsened since prior chest x-ray due to increased pleural effusion and left lower lobe collapse. In the appropriate clinical setting pneumonia should be considered. Right lung is clear without consolidation, nodules or pleural effusion. There is no pneumothorax. Mildly enlarged heart size is partially obscured by left pleural effusion but appears within normal limits. Impression: Correct positioning of Dobbhoff tube ending in mid gastric cavity. Interval increase of left lung base collapse and pleural effusion, is concerning for pneumonia. Heart size is partially obscured by left pleural effusion but appears within normal limits. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| c1e2fa7a-57c1e13d-aaba6229-25814465-263078ec | 58536937 | 10018081 | Impression: 1. Nasogastric tube is again seen coursing below the diaphragm with the tip not identified. Overall cardiac and mediastinal contours are stable. Interval reduction in lung volumes with appearance of patchy opacity at both bases, right greater than left, most likely representing patchy atelectasis in the setting of low lung volumes. No large effusions. No pneumothorax. No evidence of pulmonary edema. | Impression: 1. Nasogastric tube is again seen coursing in the upper thoracic region with the tip not identified. Overall cardiac and mediastinal contours are stable. Interval reduction in lung volumes with appearance of patchy opcaity at both bases, right greater than left, most likely representing patchy atelectasis in the setting of low lung volumes. Right lower lobe pneumonia is noted. No large effusions. No pneumothorax. No evidence of pulmonary edema. | ['Change position of device', 'Add typo', 'False prediction'] |
| 25c66098-6176e39c-e9f5e7d8-7a9ae7ab-3efce671 | 59239908 | 10018081 | Impression: AP chest compared to ___: Small-to-moderate right pleural effusion is smaller and extent of mild atelectasis at the right lung base is unchanged, nor is there pulmonary edema. On the left, the lower lobe has been virtually airless since ___ and that has not changed, accompanied by a small pleural effusion which one would expect in the setting of chronic atelectasis. Left upper lobe is clear. Cardiac silhouette is moderately to severely enlarged but unchanged due to cardiomegaly and/or pericardial effusion. ET tube is in standard placement. Right jugular line ends low in the SVC and upper enteric drainage tube passes into the stomach and out of view. | Impression: AP chest compared to ___: Small-to-moderate right pleural effusion is smaller and extent of mild atelectasis at the right lung base is unchanged, nor is there pulmonary edema. On the left, the lowr lobe has been virtually airless since ___ and that has not changed, accompanied by a small pleural effusion which one would expect in the setting of chronic atelectasis. Left upper lobe is clear. Cardiac silhouette is moderately to severely enlarged but unchanged due to cardiomegaly and/or pericardial effusion. NG tube is in standard placement. Right jugular line ends low in the SVC and the right jugular line passes into the stomach and out of view. Pacemaker leads are seen terminating in the heart. | ['Change name of device', 'Add typo', 'Add medical device'] |
| 3079df57-251ab8eb-40bb5cfa-2ecdefcd-c36ea22f | 59593112 | 10018081 | Impression: In comparison with the study of ___, there is again enlargement of the cardiac silhouette and with some evidence of elevated pulmonary venous pressure. By basilar opacification 6 consistent with pleural effusions and adjacent atelectatic change. In the appropriate clinical setting, the possibility of superimposed pneumonia would have to be considered. There has been placement of a nasogastric tube that extends to at least the upper stomach, where it crosses the lower margin of the image. Central catheter remains in place. | Impression: In comparison with the study of ___, there is again enlargement of the cardiac silhouette and with some evidence of elevated pulmonary venous pressure. No basilar opacification 6 is noted. In the appropriate clinical setting, the possibility of superimposed pneumonia would have to be considered. There has been placement of a nasotracheal tube that extends to at least the upper stomach, where it crosses the lower margin of the image. Central catheter remains in place. There has been placement of a nasotracheal tube that extends to at least the upper stomach, where it crosses the lower margin of the image. | ['Change name of device', 'Add repetitions', 'False negation'] |
| d67fca74-68b9aac3-f5333c23-955e651a-1e08c3f8 | 59614225 | 10018081 | Impression: 1. Nasogastric tube is again seen coursing below the diaphragm with the tip not identified. The heart remains stably enlarged. There is a stable retrocardiac consolidation likely with an associated effusion. In addition, there is more focal patchy opacity developing at the right lung base. Although these findings may represent atelectasis, aspiration and/or bibasilar pneumonia should also be considered. No pneumothorax. No evidence of pulmonary edema. | Impression: 1. Nasogastric tube is again seen coursing below the diaphragm with the tip in the stomach. The heart remains slightly enlarged. There is a stable retrocardiac consolidation likely with an associated effusion. In addition, there is more focal patchy opacity developing at the left lung base. Although these findings may represent atelectasis, aspiration and/or bibasilar pneumonia should also be considered. No pneumothorax. There is evidence of pulmonary edema. | ['Change location', 'Add contradiction', 'False prediction'] |
| 5c20833a-538616e5-8d5fe63d-863a3b80-b781767a, 7b463646-59098c02-f5a5c93a-081b0861-c05685d2 | 56519856 | 10018169 | Findings: The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Impression: No acute cardiopulmonary process. | Findings: The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. The lungs are well expanded and clear. Impression: Moderate pneumothorax present. Nasogastric tube tip in stomach. | ['Add repetitions', 'Add contradiction', 'Add medical device'] |
| 3a791be7-64c31ef0-e2efe90d-51fa59eb-23bc299f, 807eeaa5-778658ed-c5d33fb7-103402dc-7de45d38 | 51700871 | 10018205 | Findings: The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. No discernible osseous injury is seen on current exam. Impression: No acute cardiopulmonary process. | Findings: The cardiomediastinal silhouette is normal. The lungs are clarae. There is no pleumothorax, vascular congestion, or pleural effusion. No discernible osseous injury is seen on current exam. The patient has a pacemaker in place. Impression: Diffuse cardiomegaly with vascular congestion. | ['Add contradiction', 'Add typo', 'Add medical device'] |
| 45553b7a-6d0dfae6-cc769ef4-bdc5b03c-882886c2, a74924c3-5c4524a7-e28f5437-e9ae275a-317089e3 | 55652312 | 10018205 | Findings: The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. Impression: There are no significant cardiopulmonary findings. | Findings: The lungs are cleer. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. Impression: There are no significant cardiopulmonary findings. A central venous line is in place. | ['Change severity', 'Add typo', 'Add medical device'] |
| 41812075-50c0909c-4f1c1865-ab15d054-65d60315, 4db220a2-9740db2e-1a339507-b0ac0b4a-debb0116 | 58629645 | 10018205 | Findings: Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. A pacemaker is noted in the upper left chest.Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 524f6ed6-39fd1e72-fe3ba43d-bc5b6f6d-f6bd9b1d, d17f20a6-e95f5215-fb7dcfcf-6755b201-7274b774 | 58430738 | 10018286 | Findings: 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 unremarkable. The hilar contours are within normal limits. No displaced fracture is seen. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the abdomen were obtained. A small left pleural effusion is seen. The cardiac and mediastinal silhouettes are unremarkable. The hilar counters are within normal limits. No displaced fracture is seen. Impression: Mild cardiomegaly. | ['Change location', 'Change to homophone', 'False prediction'] |
| 7ff4e7c7-59ffae35-f3e8c04c-b3e5efc7-ba128f43 | 51710812 | 10018328 | Impression: Heart size is enlarged. Mediastinum is overall unchanged although mildly enlarged most likely due to a adjacent area of atelectasis. Large bilateral pleural effusions are unchanged. There is no pneumothorax. | Impression: Heart size is small. Mediastinum is overall unchanged although mildly enlarged most likely due to a adjacent area of atelectasis. Large bilateral pleural effusions are enlarged. There is no pneumothorax. An ET tube is present. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 98fae24c-37e5e480-b3f52bfa-710a5f7a-5ba0f94d | 53637154 | 10018328 | Impression: Cardiomegaly is substantial associated with bilateral pleural effusions which a large but appear to be slightly decreased since the prior study. There is mild vascular congestion. There is no pneumothorax. | Impression: Cardiomegaly is substantial associated with bilateral pleural effusions which a large but appear to be slightly decreased since the prior study. There is moderate vascular congestion. There is no pneumothorax. There is moderate vascular congestion. | ['Change severity', 'Add repetitions', 'False negation'] |
| 868d364e-a72fbf51-7778697c-bdc07fe4-6376b804 | 53995593 | 10018328 | Impression: Compared to chest radiographs ___ Cardiac silhouette is substantially larger due to progressive cardiomegaly and likely pericardial effusion. Mild mediastinal widening is due to distension of mediastinal veins, reflecting increase in right heart filling pressure. Tamponade to be excluded clinically. Combination of moderate bilateral pleural effusion and substantial bibasilar atelectasis, perhaps bilateral lower lobe collapse, is new. There is no pulmonary edema. RECOMMENDATION(S): Echocardiography to evaluate pericardium and heart. | Impression: Compared to chest radiographs ___ Cardiac silhouette is substantially larger due to progressive cardiomegaly and likely left pericardial effusion. Mild mediastinal widening is due to distension of mediastinal veins, reflecting increase in right heart filling pressure. Tamponade to be excluded clinically. Combination of moderate bilateral pleural effusion and substantial bibasilar atelectasis, perhaps bilateral lower lobe collapse, is new. There is no pulmonary edema. Combination of moderate bilateral pleural effusion and substantial bibasilar atelectasis, perhaps bilateral lower lobe collapse, is new. RECOMMENDATION(S): Echocardiography to evaluate pericardium and heart. Coronary artery calcification is also noted. | ['Change location', 'Add repetitions', 'False prediction'] |
| fb8ae1e9-05e3a012-43e61b7b-fb157e12-8f82ecbf | 50526690 | 10018423 | Findings: Postoperative mediastinal widening is unchanged after initial improvement. Small bilateral effusions are unchanged. Bibasilar atelectasis is improved. The right IJ central line terminates in the lower SVC. There is no pneumothorax. Median sternotomy wires are intact. Impression: Stable postoperative mediastinal widening. Small bilateral effusions are unchanged. Bibasilar atelectasis is improved. | Findings: Postoperative mediastinal widening is unchanged after initial improvement. Large bilateral effusions are unchanged. Bibasilar atelectasis is improved. The right IJ central line terminates in the lower SVC. There is no pneumothorax. No bibasilar atelectasis. Median sternotomy wires are intact. Impression: Stable postoperative mediastinal widening. There are no bilateral effusions. Bibasilar atelectasis is improved. | ['Change severity', 'Add contradiction', 'False negation'] |
| b7d461a7-0c62f988-6f183936-a5893d35-bb834eb2 | 51545426 | 10018423 | Findings: Severe cardiomegaly is stable. Widening mediastinum and vascular congestion have markedly improved. There is no evident pneumothorax. Small bilateral effusions are unchanged. Right IJ catheter tip is in unchanged position. Bilateral chest tubes are in place Impression: Resolved vascular congestion. There is stable small bilateral effusions. Improved mediastinal widening | Findings: Severe cardiomegaly is stable. Widening mediastinum and vascular congestion have markedly improved. There is no evident mydiumstinum. Small bilateral effusions are unchanged. Left IJ catheter tip is in unchanged position. Bilateral chest tubes are in place. Impression: Resolved small infiltrates. There is stable small bilateral effusions. Improved mediastinal widening. | ['Change name of device', 'Add typo', 'False prediction'] |
| 101a731c-9672c933-d9ea98c3-a7c61f56-98837995 | 58065422 | 10018423 | Impression: There is a right IJ central line with the distal lead tip in the distal SVC. Bibasilar chest tubes have been removed. Heart size is enlarged but stable. There are low lung volumes with atelectasis at the lung bases. There are no pneumothoraces. | Impression: There is a right IJ Swan-Ganz catheter with the distal lead tip in the distal SVC. Bibasilar chest tubes have been removed. Heart size is enlarged but stable. There are low lung volumes with atelactasis at the lung bases. There is a small left pleural effusion. | ['Change name of device', 'Add typo', 'False prediction'] |
| 52f7cf0a-e13e2328-993ae39b-37ed0efb-14d64e8a, a7683ef2-eaff89e7-336f313d-929d3007-b708f4ae | 58815716 | 10018423 | Findings: Low lung volumes are noted. The cardiomediastinal/hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is no focal parenchymal consolidation. The imaged bones also unremarkable. Impression: No acute cardiopulmonary process. | Findings: Low lung volumes are noted. The cardiomediastinal/hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Thyroid calcifications are present. There is no pleural effusion or pneumothorax. There is no focal parenchymal consolidation. The imaged bones are also unremarkable. Impression: No acute cardiopulmonary process. | ['Add repetitions', 'Change to homophone', 'False prediction'] |
| 201f453a-87d6c3b4-74bad0d8-d9b48a3c-78479e06, f60c7ef5-1a062d6d-b2c5f89d-851ddd64-1737fe39 | 50386655 | 10018684 | Findings: Exam is suboptimal due to underpenetration, or presumed secondary to patient body habitus. The cardiac silhouette is enlarged. The mediastinum is also widened however, given patient body habitus, this may be due to mediastinal lipomatosis. Central pulmonary vascular congestion. Impression: Suboptimal study due to underpenetration presumed secondary to patient body habitus. Enlarged cardiomediastinal silhouette. Possible underlying mediastinal lipomatosis. Possible central pulmonary vascular engorgement. | Findings: Exam is suboptimal due to undrpenetration, or presumed secondary to patient body habitus. The cardiac silhouette is enlarged. The mediastinum is also widened however, given patient body habitus, this may be due to mediastinal lipomatosis. Central pulmonary vascular congestion. There is also a left lower lobe consolidation noted. Impression: Suboptimal study due to underpenetration presumed secondary to patient body habitus. Enlarged cardiomediastinal silhouette. Well-defined borders of the cardiomediastinal silhouette. Possible underlying mediastinal lipomatosis. Possible central pulmonary vascular engogrement. | ['Add contradiction', 'Add typo', 'False prediction'] |
| 13fb3144-310685ab-b24e4c5f-b9119fae-2cebf8ec, b306bd89-19ae9c5c-55767ae8-7e5de5ba-e020e7d7 | 56085991 | 10018712 | Impression: Possible mild interstitial edema. | Impression: Possible moderate interstitial edema. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 1ff4efd4-b67cd42b-7955d51e-4319fafe-c441fbd5, 4266c160-8fda279f-b08c4633-f9971d39-98faa428 | 58860169 | 10018712 | Findings: Frontal and lateral chest radiographs demonstrate a heart which is top-normal in size, unchanged. There is no concerning focal consolidation, pleural effusion, or pneumothorax. An elevated left hemidiaphragm is confirmed on CT from the same day. The visualized upper abdomen is unremarkable. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral chest radiographs demonstrate a heart which is top-normal in size, unchanged. There is no concerning focal consolidation, pleural effusion, or pneumothorax. An elevated right hemidiaphragm is confirmed on CT from the same day. The visualized upper abdomen is unremarkable. The visualized upper abdomen is unremarkable. Impression: Right-sided pleural effusion noted. | ['Change location', 'Add repetitions', 'False prediction'] |
| 427234e4-f8c2fce8-c55f5f09-f120a30f-ad3f6826, 7e6f4293-a52aae32-02935a4a-a5de5e85-6fc5692b | 55566664 | 10018852 | Findings: Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Heterogeneous retrocardiac opacities are identified which project posteriorly on the lateral view concerning for pneumonia. The right lung is clear. There is trace left pleural effusion. There is no pneumothorax. Trace pneumoperitoneum is expected given recent abdominal surgery. Impression: Retrocardiac consolidation compatible with pneumonia. Results were discussed over the telephone with Dr. ___ by Dr. ___ at 10:12 a.m. on ___ at the time of initial review. | Findings: Heart size is norma. Cardiomediastinal silhouette and subclavian contours are unremarkable. Heterogeneous perihilar opacities are identified which project posteriorly on the lateral view concerning for pneumonia. The left lung is clear. There is trace right pleural effusion. There is no pneumothorax. Trace pneumoperitoneum is expected given recent abdominal surgery. There is a pacemaker in place. Impression: Retrocardiac consolidation compatible with pneumonia. Results were discussed over the telephone with Dr. ___ by Dr. ___ at 10:12 a.m. on ___ at the time of initial review. | ['Change location', 'Add typo', 'Add medical device'] |
| 944d29a1-93b55f59-af7a8a2a-ff06e34f-dd6e4ef6 | 53307223 | 10019003 | Findings: The lungs are hypoinflated with crowding of vasculature, mild vascular congestion, and bibasilar atelectasis. Heterogeneous retrocardiac opacity is present. There is a new small left pleural effusion. No right pleural effusion. Heart size is likely accentuated due to low lung volumes and patient positioning. Mediastinal contour and hila are otherwise unremarkable. Right IJ CVL tip in low SVC. Impression: 1. Right IJ CVL tip in low SVC. 2. Mild vascular congestion. 3. New small retrocardiac opacity with small left pleural effusion is worrisome for pneumonia in the appropriate clinical setting. | Findings: The lungs are hypoinflated with crowding of vasculature, moderate vascular congestion, and bibasilar atelectasis. Heterogeneous retrocardiac opacity is present. No pleural effusion is seen. No right pleural effusion. Heart size is likely accentuated due to low lung voumes and patient positioning. Mediastinal contour and hila are otherwise unremarkable. Right IJ CVL tip in low SVC. Impression: 1. Right IJ CVL tip in low SVC. 2. Severe vascular congestion. 3. No retrocardiac opacity is seen. | ['Change severity', 'Add typo', 'False negation'] |
| f065302d-932783db-9bed9bfd-ce82d991-7126dd84 | 53986244 | 10019003 | Impression: In comparison with the study of ___, the patient has taken a much better inspiration. Cardiac silhouette is now within normal limits, though there appears to be some increased elevation of pulmonary venous pressure. Right IJ catheter again extends to the mid portion of the SVC. | Impression: In comparison with the study of ___, the patient has taken a much better inspiration. Cardiac silhouette is now within normal limits, though there appears to be no increased elevation of pulmonary venous pressure. Right IJ catheter again terminates in the right atrium. | ['Change position of device', 'Add contradiction', 'False negation'] |
| b9559cb3-9f78be3c-09019c6d-d8ab3dd8-4d4d11a8 | 54681791 | 10019003 | Findings: The tip of an endotracheal tube is seen 3.8 cm above the carina. Increased opacities is seen in the left lower lung base with left lung volume loss is concerning for aspiration. The right lung appears clear. The heart size is unchanged. No pneumothorax. Impression: 1. The tip of the ETT is seen 2.8 cm above the carina. No pneumothorax 2. Increased left lower lung opacities are concerning for aspiration. | Findings: The tip of the nasogastric tube is seen 3.8 cm above the carina. Increased opacities is seen in the left lower lung base with left lung volume loss is concerning for respiration. The right lung appears clear. The heart size is unchanged. No pneumothorax. Impression: 1. The tip of the ETT is seen 2.8 cm above the carina. No pneumothorax 2. No lung opacities. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 2c34feaf-c809c26f-d0611f83-94e86367-226a5106 | 54798105 | 10019003 | Findings: Cardiac size is top normal. Mild pulmonary edema is grossly unchanged. Bibasilar atelectasis larger on the right have minimally improved on the left. Right IJ catheter tip is in the cavoatrial junction. . There is no pneumothorax or pleural effusion. Impression: Mild pulmonary edema | Findings: Cardiac size is top normal. Mild pulmonary edema is grossly unchanged. No atelectasis. Left IJ catheter tip is in the cavoatrial junction. There is no pneumothorax or pleural effusion. Impression: Mild pulmonary edema No atelectasis. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 85a5f9ac-6a7c30f8-a7a94492-5726acf2-d0b87401 | 55125544 | 10019003 | Impression: In comparison with the study of ___, the cardiac silhouette is within normal limits. The pulmonary vascular congestion has improved. Bibasilar atelectatic changes are again seen. The right IJ catheter again extends to the mid portion of the SVC. | Impression: In comparison with the study of ___, the cardiac silhouette is particularly enlarged. The pulmonary vascular congestion has improved. Bibasilar atelectatic changes are again seen. The right IJ catheter terminates in the right atrium. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| 351fd417-c131e1fd-6573229f-5e58f4cf-a15263a6 | 56297761 | 10019003 | Impression: Comparison to ___. No relevant change. Low lung volumes. Mild atelectasis at the right lung basis. Normal size of the cardiac silhouette. Mild elongation of the descending aorta. Right internal jugular vein catheter in situ. | Impression: Comparison to ___. No relevant change. Low lung volumes. Mild atelectasis at the right lung basis. Normal size of the cardiac silhouette. Mild elongation of the descending aorta. Right internal jugular vascular stent in situ. | ['Change name of device', 'Add typo', 'False prediction'] |