| 70d7e600-373c1311-929f5ff9-23ee3621-ff551ff9 | 50084553 | 10003502 | Impression: Compared to chest radiographs since ___, most recently ___. Large right and moderate left pleural effusions and severe bibasilar atelectasis are unchanged. Cardiac silhouette is obscured. No pneumothorax. Pulmonary edema is mild, obscured radiographically by overlying abnormalities. | Impression: Compared to chest radiographs since ___, most recently ___. Large right and mild left pleural effusions and moderate bibasilar atelectasis are unchanged. Cardiac silhouette is obscured. No pneumothorax. Pulmonary edema is mild, obscured radiographically by overlying abnormalities. A central venous line is present. No pneumothorax. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 1fa79752-9ddaf5b5-2120ae82-9fec50d6-51f48d1f, a8319f39-9eef5bb2-5bd95b97-9dd70b0f-02a846e3 | 51180958 | 10003502 | Findings: No evidence of consolidation to suggest pneumonia is seen. There is some retrocardiac atelectasis. A small left pleural effusion may be present. No pneumothorax is seen. No pulmonary edema. A right granuloma is unchanged. The heart is mildly enlarged, unchanged. There is tortuosity of the aorta. | Findings: No evidence of consolidation to suggest pneumonia is seen. There is some retrocardiac atelectasis. A small left pleural effusion may be present. No pneumothorax is seen. Patchy opacities are noted in the upper lobes. A right granuloma is unchanged. The heart is mildly enlarged, unchanged. There is tortuosity of the ascending aorta. | ['Change location', 'Change to homophone', 'False prediction'] |
| 489faba7-a9dc5f1d-fd7241d6-9638d855-eaa952b1, 550e6f3b-f008c1d0-8d2dee2a-649b30f4-101a98cc | 52139270 | 10003502 | Findings: There are moderate bilateral pleural effusions with overlying atelectasis, underlying consolidation not excluded. Mild prominence of the interstitial markings suggests mild pulmonary edema. The cardiac silhouette is mildly enlarged. The mediastinal contours are unremarkable. There is no evidence of pneumothorax. Impression: Bilateral pleural effusions, cardiomegaly and mild edema suggest fluid overload, however, given the clinical history, underlying consolidation due to pneumonia cannot be excluded at the lung bases. | Findings: There are large bilateral pleural effusions with overlying atelectasis, underlying consolidation not excluded. Mild prominence of the interstitial markings suggests moderate pulmonary edema. The cardiac silhouette is mildly enlarged. The mediastinal contours are unremarkable. There is no evidence of pneumothorax. There is no evidence of pneumothorax. Impression: Bilateral pleural effusions, cardiomegaly and mild edema suggest fluid overload, however, given the clinical history, underlying consolidation due to pneumonia cannot be excluded at the lung bases. An osteolytic lesion in the left humerus is noted. | ['Change severity', 'Add repetitions', 'False prediction'] |
| e0275ad1-1e6a7451-c3960f5f-1267a188-547b73a1 | 52309364 | 10003502 | Findings: Moderate to large bilateral pleural effusions are again seen, likely right greater than left. There is suspected superimposed pulmonary edema may have slightly improved since prior although detailed evaluation is limited given layering pleural effusions. Vasculature appears less engorged. Cardiac silhouette cannot be assessed. Impression: Mild to large bilateral, right greater than left pleural effusions. Degree of pulmonary edema may have slightly improved since prior exam although detailed evaluation is limited. | Findings: Mild to large bilateral pleural effusions are again seen, likely right greater than left. There is suspected superimposed pulmonary edema that has significantly worsened since prior although detailed evaluation is limited given layering pleural effusions. Vasculature appears more engorged. Cardiac silhouette is within normal limits. Impression: Moderate to large bilateral, right greater than left pleural effusions. Degree of pulmonary edema may have significantly worsened since prior exam although detailed evaluation is limited. | ['Change severity', 'Add contradiction', 'False prediction'] |
| eb2fabb7-4bbc8aab-d7371282-08e5bcb5-de2e430a | 53282957 | 10003502 | Findings: Heart size is difficult to assess given the presence of moderate to large bilateral pleural effusions, but appears at least moderately enlarged. The mediastinal contours are grossly unremarkable. Perihilar haziness with vascular indistinctness and diffuse alveolar opacities are compatible with moderate pulmonary edema. Bibasilar compressive atelectasis is demonstrated. No pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine. Impression: Moderate pulmonary edema with moderate to large bilateral pleural effusions and bibasilar atelectasis. | Findings: Heart size is difficult to assess given the presence of mild bilateral pleural effusions, but appears at least moderately enlarged. The mediastinal contours are grossly unremarkable. Perihilar haziness with vascular indistinctness and diffuse alveolar opacities are compatible with mild pulmonary edema. Bibasilar compressive atelectasis is demonstrated. No pneumothorax is seen. No multilevel degenerative changes are noted in the thoracic spine. Impression: Moderate pulmonary edema with no bilateral pleural effusions and bibasilar atelectasis. | ['Change severity', 'Add contradiction', 'False negation'] |
| 371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b | 53836463 | 10003502 | Findings: The bilateral pleural effusions, lower lobe volume loss, and dense lower lobe opacity compatible with a combination of volume loss/infiltrate/effusion. The heart continues to be moderately enlarged. There is mild vascular redistribution. Impression: CHF, slightly worse than on the prior study. | Findings: The bilateral pleural effusions, lower lobe volume loss, and dense lower lobe opacity compatible with a combination of volume loss/infiltrate/effusion. The heart continues to be mildly enlarged. There is moderate vascular redistribution. There is a small left pneumothorax. Impression: CHF, slightly worse than on the prior dtudy. | ['Change severity', 'Add typo', 'False prediction'] |
| 31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e, b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8 | 57641661 | 10003502 | Findings: Frontal and lateral views of the chest. Size of the bilateral effusions, left greater than right has slightly decreased in size since prior exam. There is less pulmonary vascular congestion on the current exam as well. Cardiac silhouette which appears enlarged, is unchanged. No acute osseous abnormality is detected. Impression: Persistent small bilateral effusions, larger on the left which have decreased in size. Decreased pulmonary vascular congestion. No evidence of superimposed acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest. Size of the bilateral effusions, left greater than right has moderately decreased in size since prior exam. There is less pulmonary vascular congestion on the current exam as well. Cardiac silhouette which appears enlarged, is unchanged. No acute osseous abnormality is detected. Size of the bilateral effusions, left greater than right has moderately decreased in size since prior exam..Impression: No bilateral effusions. Decreased pulmonary vascular congestion. No evidence of superimposed acute cardiopulmonary process. | ['Change severity', 'Add repetitions', 'False negation'] |
| 1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e | 57812613 | 10003502 | Findings: There is a moderate-sized left pleural effusion which is increased in size from the prior exam in ___. There is no right pleural effusion. The lungs are clear without pulmonary edema, consolidation, or pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged. Impression: 1. Enlarging moderate left pleural effusion. 2. Stable right calcified granuloma. 3. Stable mild cardiomegaly. | Findings: There is a mild-sized left pleural effusion which is increased in size from the prior exam in ___. There is no right pleural effusion. The lungs are clear without pulmonary edema, consolidation, or pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged. The cardiac size is mildly enlarged, unchanged from prior exams. Impression: 1. No pleural effusion. 2. Stable right calcified granuloma. 3. Stable mild cardiomegaly. | ['Change severity', 'Add repetitions', 'False negation'] |
| 537d5240-7ea880c9-7e16b990-f04ef406-c7fe5066, 822ea266-47279ea1-f37382a9-0e32ce11-fc3d643a | 50281931 | 10072167 | Findings: As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Minimal scarring at the lateral aspects of the right lung. No lung nodules or masses suggesting metastatic disease. No pleural effusions. No diffuse or focal lung parenchymal disease. | Findings: As compared to the previous radiograph, there is no relevant change. Normael lung volumes. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Substantial scarring at the lateral aspects of the right lung. No lung nodules or masses suggesting metastatic disease. No pleural effusions. Diffuse alveolar infiltrates in the right lung. | ['Change severity', 'Add typo', 'False prediction'] |
| 0f3224d0-b72c37a0-b9d8b5e4-ec922787-44f841ac, 4359fd68-d9a2137b-df64aa37-2868a0c5-f0febbee | 53950117 | 10072167 | Findings: Heart size is normal. Aorta is tortuous. Decrease in lung volume. However, the Lungs are clear. There is no pleural effusion or pneumothorax. Impression: No evidence of metastatic disease in the thorax, within the limitations of chsst radiograph. | Findings: Heart size is normal. Aorta is tortuous. Decrease in lung volume. However, the Lungs are clear. There is no pleural effusion or pneumothorax. Aorta is tortuous. There is a Pacemaker present. Impression: No evidence of metastatic disease in the thorax, within the limitations of chest radiograph. | ['Add repetitions', 'Change to homophone', 'Add medical device'] |
| 250a78d4-af5baabd-28ba3b84-13941316-dc3f1d7d, e586ee12-2cf30962-9c160a3e-17ac12bd-ebb403be | 55283974 | 10072167 | Impression: In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Specifically, at the limits of plain radiography, there is no evidence of pulmonary or skeletal metastasis. | Impression: In comparison with the study of ___, there is little change with new evidence of left lower lobe pneumonia. Possibly moderate vascular congestion. Specifically, at the limits of plain radiography, there is no evidence of pulmonary or skeletal metastasis. A right-sided pleural effusion is also noted. | ['False prediction', 'Add contradiction', 'Add medical device'] |
| 2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6, 4cfccdcb-122eefe2-ccd1cbbd-c93635de-eda3823c | 51010496 | 10075925 | Findings: Mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema are new compared with the prior study. Mild cardiomegaly has increased compared with the immediate prior study. There is no pleural effusion, pneumothorax, or focal consolidation. The cardiomediastinal contour is stable The osseous structures and upper abdomen are unremarkable. Impression: New mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema and increased mild cardiomegaly. No focal consolidation. | Findings: Moderate pulmonary vascular congestion with mild to moderate interstitial pulmonary edema are new compared with the prior study. Moderate cardiomegaly has increased compared with the immediate prior study. There is no pleural effusion, pneumothorax, or focal consolidation. The cardiomediastinal contour is stable The osseous structures and upper abdomen are unremarkable. No focal consolidation. Impression: No pulmonary vascular congestion with mild to moderate interstitial pulmonary edema and increased mild cardiomegaly. No focal consolidation. | ['Change severity', 'Add repetitions', 'False negation'] |
| dbd34ffe-85795554-0531cdd9-ac757c62-46a7e259, eaef7f7a-a5d2ccdb-8098c68a-6d425309-06049ede | 51856263 | 10174198 | Findings: Lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures. Impression: No acute cardiopulmonary process. | Findings: Lungs are clear without consolidation, effusion, or pneumotharax. The cardiomediostinal silhouette is within normal limits. No displaced fractures. A small left pleural effusion is noted. Impression: No acute cardiopulmonary processes. | ['Add typo', 'Change to homophone', 'False prediction'] |
| 2aafe5ea-12d26b26-972e16c4-ff3d0f9a-ae75d498, 707c7ae4-04900b82-789fd588-1d86b741-ec38124b | 50438069 | 10190940 | Impression: Comparison to ___. No relevant change. Minimally increased atelectasis at the left lung bases. Unchanged known elevation of the left hemidiaphragm and moderate cardiomegaly as well as signs of generalized fluid overload. No new focal parenchymal opacities. No evidence of pneumonia on the frontal and lateral radiograph. | Impression: Comparison to ___. Increased abnormalities detected. Minimally increased atelectasis at the left lung bases. New elevation of the left hemidiaphragm and mild cardiomegaly as well as signs of a pacemaker in situ. No new focal parenchymal opacities. Evidence of pneumonia on the frontal and lateral radiograph. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 13490b6f-3eb75751-a191991b-e8f33cad-e423992c, 49f3fbfe-cb406005-e8999546-2f5f2217-cd346108 | 51351116 | 10190940 | Findings: The left hemidiaphragm is elevated. Cardiomegaly is stable. There is bibasilar atelectasis. No pleural effusion or pneumothorax is seen. The left-sided port terminates at the distal SVC. Impression: No evidence of pneumonia. No acute cardiopulmonary process. | Findings: The right hemidiaphragm is elevated. Cardiomegaly is stable. There is bibasilar atelctasis. No pleural effusion or pneumothorax is seen. The left-sided port terminates at the distal SVC, and a right-sided central venous line is observed. Impression: No evidence of pneumonia. No acute cardiopulmonary process. | ['Change location', 'Add typo', 'Add medical device'] |
| e1b3bcbc-dc7e3b4d-cf3958a9-8357851c-6ec58b21 | 51877987 | 10190940 | Impression: Moderate cardiomegaly is accompanied by pulmonary and mediastinal vascular engorgement but no pulmonary edema or consolidation. Elevation of the left lung base posteriorly reflects scarring or linear atelectasis. There no findings to suggest acute chest syndrome or pneumonia and the cardiovascular findings could be chronic, but we have no priors studies with which to compare. A left central venous infusion pump catheter ends close to the superior cavoatrial junction. | Impression: Moderate cardiomegaly is accompanied by pulmonary and mediastinal vascular engorgement but no pulmonary atelectasis or consolidation. Elevation of the left lung base posteriorly reflects scarring or linear atelectasis with a small right-sided pleural effusion. There no findings to suggest acute chest syndrome or pneumothorax, and the cardiovascular findings could be chronic, but we have no prior studies with which to compare. A left central venous infusion pump catheter ends close to the junction of the inferior vena cava and right atrium. | ['Change position of device', 'Change to homophone', 'False prediction'] |
| ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3 | 52908323 | 10198310 | Impression: Cardiomegaly is severe, unchanged. Pacemaker leads are unchanged. There is interval progression of vascular congestion and interstitial pulmonary edema. No pneumothorax. No atelectasis. Subcutaneous air within the left chest wall is minimal. | Impression: Cardiomegaly is absent. Pacemaker wires extend 6 cm from the right atrium. There is no interstitial pulmonary edema. No pneumothorax. No atelectsasis. Subcutaneous air within the left chest well is minimal. | ['Change position of device', 'Add typo', 'False negation'] |
| b0957f5e-2da32f5e-3f46e685-8b05a23b-25c97471 | 53321855 | 10198310 | Findings: Lungs are fully expanded and clear. No pleural abnormalities. Severe cardiomegaly and cardiomediastinal hilar silhouettes are unchanged. Pacemaker and ICD leads are unchanged in position. No evidence of displaced rib fracture. Impression: No evidence of rib fracture. Pacemaker and ICD leads are unchanged in position. | Findings: Lungs are fully expanded and clear. No pleural abnormalities. Severe cardiomegaly and cardiomediastinal hilar silhouettes show significant changes. Pacemaker and ICD leads are repositioned in the left atrium. No evidence of displaced rib fracture. Pacemaker and ICD leads are unchanged in position. Impression: No evidence of rib fracture. Pacemaker and ICD leads are unchanged in position. There is a faint shadow suggesting the possibility of a pulmonary nodule. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| c4231749-4328dd96-eabe1197-d473f365-9b6602bc | 54296371 | 10198310 | Impression: Comparison to ___. The pacemaker leads are in correct position. No complications, notably no pneumothorax. Stable moderate cardiomegaly. Stable mild elongation of the descending aorta and minimal retrocardiac atelectasis. No pneumothorax. No larger pleural effusions. | Impression: Comparison to ___. The pacemaker leads are located in the right ventricle. No complications, notably no pneumothorax. Stable moderate cardiomegaly. Stable mild elongation of the descending aorta and minimal retrocardiac atelectasis. Mild pulmonary edema is present. No larger pleural effusions. | ['Change position of device', 'Add contradiction', 'False prediction'] |
| 769fd8c6-0c20f1bf-86fa9850-b0b58e74-054967d1 | 55018013 | 10198310 | Impression: Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable. Pleural effusions are small if any. No pneumothorax. 3 transvenous atrioventricular pacer leads, at least 2 of which are or found are unchanged in their respective positions since ___. 2 new epicardial leads project over the left heart border. New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement. There is no mediastinal widening or pneumothorax. Lungs are low in volume but clear of any focal abnormality. | Impression: Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has slightly worsened, mild pulmonary edema has resolved, but severe cardiomegaly is stable. Pleural effusions are large if any. No evidence of severe pneumothorax. 3 transvenous temporary pacing leads, at least 2 of which are unchanged in their respective positions since ___. 2 new external leads project over the left heart border. New left pleural thickening partially hidden by the new left pectoral generator is probably a small amount of bleeding associated with pacemaker placement. There is mediastinal widening or pneumothorax. Lungs are low in volume but clear of any focal abnormality. | ['Change name of device', 'Add contradiction', 'False prediction'] |
| 691d5bdf-502c05bd-000c22a0-9be0768d-e13bb54d, a94f823a-d1f6f5aa-de10d9b8-37f6c6c1-e9631495 | 57420501 | 10198310 | Findings: PA and lateral views of the chest provided. Left chest wall AICD is again seen with leads extending into the right atrium and right ventricle. The heart is moderately enlarged. Hila appearing or urged. There is no overt pulmonary edema. No large effusion or pneumothorax. No focal consolidation concerning for pneumonia. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm seen. Impression: Moderate cardiomegaly with pulmonary vascular congestion. | Findings: PA and lateral views of the chest provided. Left chest wall AICD is again seen with leads extending into the right atrium and right ventricle. The heart is severely enlarged. Hila appearing or urged. Mild pulmonary edema. No large effusion or pneumothorax. No focal consolidation concerning for pneumonia. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm seen. Impression: Moderate cardiomegaly with pulmonary vascular congestion. An NG tube is noted with its tip in the stomach. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 3971a847-5fdaeaec-226d2538-7ef67cf3-d5955a86 | 59538225 | 10198310 | Impression: In comparison with the study of ___, there appears to be a new pacer generator in place with what appear to be epicardial leads in the region of the left ventricle. No evidence of post procedure pneumothorax. There are lower lung volumes that may be accentuating the pulmonary vascularity. | Impression: In comparison with the study of ___, there appears to be a new pacer generator in place with what appear to be epicardial leads in the region of the right ventricle. There is no evidence of post procedure pneumothorax. There are lower lung volumes that may be accentuating the pulmonary vessel. There is a small left pleural effusion noted. | ['Change location', 'Change to homophone', 'False prediction'] |
| 121773ed-56eae249-ca58c72b-26c66aae-88b837e5, 9203c21e-1b06abe0-e6fadf69-3d70d893-249f5a2b | 51438218 | 10199765 | Findings: Subtle patchy opacity along the left heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation. No focal consolidation seen elsewhere. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No overt pulmonary edema is seen. Chronic changes at the right acromioclavicular joint are not well assessed. Impression: Subtle patchy opacity along the left heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation. | Findings: Subtle patchy opacity along the right heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation. No focal consolidation seen elsewhere. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No overt pulmonary edema is seen. Chronic changes at the right acromioclavicular joint are not well assessed. An NG tube is in place. Impression: Subtle patchy opacity along the left heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation. There is no pleural effusion or pneumothorax. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 53875428-43e38b4f-4474877c-8f58e8c1-9a189004 | 56226668 | 10199765 | Impression: No relevant change as compared to the previous image. Moderate cardiomegaly. Mild central enlargement of the pulmonary arteries. No pleural effusions. No parenchymal opacities. No pneumothorax. | Impression: No relevant change as compared to the previous image. Mild cardiomegaly. Mild central enlargement of the pulmonary arteries. No pleural effusions. No parenchymal opacities. No pneumothorax. Mild central enlargement of the pulmonary arteries. Presence of a central venous line. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| b7b5e3b9-d55d332f-ebd0edf9-b48553d6-376f7a96 | 56874598 | 10199765 | Impression: As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly. Mild tortuosity of the descending aorta. No pleural effusions. No pneumonia, no pulmonary edema. | Impression: As compared to the previous radiograph, no relevant change is scene. Severe cardiomegaly. Mild tortuosity of the descending aorta. No pleural effusions. No pneumonia, no pulmonary edema. A central venous line is present. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| b313c405-d9c8a648-8b1f3762-edb5671b-8541118c, d98a4431-acba5ef8-f0c5fe0c-b1b0900e-13276d61 | 58927269 | 10244947 | Findings: AP upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Impression: No acute intrathoracic process. | Findings: AP upright and lateral views of the abdomne provided. There is now focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the left hemidiaphragm is seen. A central venous line is present. Impression: No acute intrathoracis process. | ['Change location', 'Add typo', 'Add medical device'] |
| 1f199273-2f4b7e8c-9041b5c2-18e7ca21-26142e3c, 4f0fdcd0-d9e08481-3d3c4e0d-76022ffd-270ef82f | 51023457 | 10248673 | Findings: No focal consolidation is seen. There is elevation of the mid to posterior left hemidiaphragm with minimal blunting of the left costophrenic angle without a definite pleural effusion seen on the lateral view. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of DISH is seen along the spine. No displaced fracture is seen. Impression: Elevated left hemidiaphragm and blunting of the left costophrenic angle although no definite evidence of pleural effusion seen on the lateral view. | Findings: No focal consolidation is seen. There is moderate elevation of the mid to posterior left hemidiaphragm with minimal blunting of the left costophrenic angle without a definite pleural effusion seen on the lateral view. Mild patchy consolidation in the lower lung fields is seen. The cardiac and mediastinal silhouettes are unremarkable. The mediastinal contours are abnormal. Evidence of DISH is seen along the spine. A minor nondisplaced fracture is seen. Impression: Elevated left hemidiaphragm and blunting of the left costophrenic angle although no definite evidence of pleural effusion seen on the lateral view. Moderate cardiomegaly. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 5af7f675-13339075-9c8b61d4-bf098f85-30636763 | 55182796 | 10248673 | Impression: 1. Interval extubation. Right internal jugular central line and left basilar chest tube remain in place. Lung volumes are lower on the current examination. There is patchy opacity at the left base with an associated effusion, likely reflecting compressive atelectasis. No evidence of pulmonary edema. Cardiac and mediastinal contours are difficult to assess due to the low lung volumes and patient rotation on the current study, although the mediastinal contours are likely unchanged. Status post median sternotomy for CABG. No pneumothorax. | Impression: 1. Interval extubation. Right internal jugular central line and right basilar chest tube remain in place. Lung volumes are lower on the current examination. There is patchy opacity at the left base with an associated effusion, likely reflecting compressive atelectasis. No evidence of pulmonary edema. Cardiac and mediastinal contours are difficult to assess due to the low lung volumes and patient rotation on the current study, although the mediastinal contours are likely unchanged. No patchy opacity seen. No pneumothorax. | ['Change location', 'Add repetitions', 'False negation'] |
| 81d06e6f-8036e3cb-2cc3e83e-53754192-6adfd7ae | 55680175 | 10248673 | Impression: 1. Interval removal of the left chest tube. No evidence of pneumothorax. Right internal jugular central line has its tip in the distal SVC near the cavoatrial junction, unchanged. Status post median sternotomy for CABG with stable postoperative cardiac and mediastinal contours. There is elevation of the left hemidiaphragm with some adjacent streaky opacities, suggestive of atelectasis. Blunting of the left costophrenic angle likely reflects a small effusion. There is also possibly a tiny right pleural effusion. No evidence of pulmonary edema. | Impression: 1. Interval removal of the left PICC line. No evidence of pneumothorax. Right internal jugular central line has its tip in the distal SVC near the cavoatrial junction, unchanged. Status post median sternotomy for CABG with stable postoperative cardiac and mediastinal contours. There is elevation of the left hemidiaphragm with some adjacent streaky opacities, suggestive of atelectasis. Blunting of the left costophrenic angle likely reflects a small effusion. There is also possibly a tiny right pleural effusion. No evidence of pulmonary edema. There is a dual-chamber pacemaker noted with leads terminating in the right atrium and right ventricle. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 24386f31-41e447f6-dd0abcfa-ac74f2fe-431699ec, 58fff15b-eb79f6d5-8c99f86c-74dcb1df-d63b2957 | 57118642 | 10253119 | Findings: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | Findings: No nodular opacities. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Mild pulmonary edema noted. Impression: No acute cardiopulmonary process. No acute osseous abnormalities. | ['False negation', 'Add repetitions', 'False prediction'] |
| 46583e03-f42311f4-87dca60a-c4c12f22-0fe13c7f | 54512270 | 10261230 | Findings: No previous studies for comparison. The heart size is within normal limits. Lungs are grossly clear without definite consolidation, pleural effusions, or signs for acute pulmonary edema. There are no pneumothoraces. | Findings: No previous studies for comparison. The hart size is within normal limits. Lungs are grossly clear without definite consolidation, pleural effusions, or sings for acute pulmonary edema. No consolidation noted. There are no pneumothoraces. | ['Change to homophone', 'Add typo', 'False negation'] |
| 51051faa-2f20e284-0d88407b-8415e95b-9767e74e, 846d111d-b06db236-e8ad3b94-2d90a99b-82cea8a1 | 53799929 | 10269181 | Findings: The lungs are clear without consolidation or edema. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The visualized osseous structures are unremarkable. Impression: No acute pulmonary process. | Findings: The lungs are clear without consolidation or edema. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The visualized osseous structures are unremarkable. Impression: Mild interstitial lung disease. No acute pulmonary process. | ['Add contradiction', 'Add repetitions', 'False prediction'] |
| f2c7b3a4-c8299236-db971a34-5b06646b-233f91ae | 58092224 | 10287742 | Impression: As compared to ___, there is unchanged evidence of mildly displaced right rib fractures. The right pneumothorax. Visualized on the CT examination from ___, is not visualized on the radiograph. No pleural effusions. No pulmonary edema. No pneumonia. | Impression: As compared to ___, there is unchanged evidence of mildly displaced left rib fractures. The write pneumothorax. Visualized on the CT examination from ___, is not visualized on the radiograph. No pleural effusions. There is a small left-sided pleural effusion. No pneumonia. | ['Change location', 'Change to homophone', 'False prediction'] |
| 4749ba05-564eff9b-d0d13d38-c614a53c-056ac9a7, 902eff2e-fa561f7b-5fa0f94e-e783fda8-9929d74a | 59266404 | 10295064 | Findings: PA and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable. Impression: No acute cardiopulmonary process. | Findings: PA and lateral views of the chest. No prior. The right lung shows a small nodule. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable. Impression: No acute cardiopulmonary process. The lungs are clear. | ['Change location', 'Add repetitions', 'False prediction'] |
| 42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0 | 55091382 | 10308375 | Findings: Interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity. Unchanged left apical pleural thickening and scarring. No interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a Bochdalek hernia. No pneumothorax or pulmonary edema. Heart size is partially obscured by the pleural parenchymal process. Mediastinal contour and hila are normal. No bony abnormality. Impression: 1. Interval increase in moderate-sized right pleural effusion. 2. Worsening right lower lobe opacity and new right upper lobe opacity are likely due to evolving pneumonia or aspiration. Results were conveyed via telephone to primary team by Dr. ___ on ___ at 3:40 p.m. within 5 minutes of observation of findings. | Findings: Interval increase in mild-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacyty. Unchanged left apical pleural thickening and scarring. No interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a Bochdalek hernia. No pneumothorax or pulmonary edema. Heart size is partially obscured by the pleural parenchymal process. Mediastinal contour and hila are normal. No bony abnormality. Impression: 1. No pleural effusion. 2. Worsening right lower lobe opacity and new right upper lobe opacity are likely due to evolving pneumonia or aspiration. Results were conveyed via telephone to primary team by Dr. ___ on ___ at 3:40 p.m. within 5 minutes of observation of findings. | ['Change severity', 'Add typo', 'False negation'] |
| 18a4c626-d4481b14-559c1206-26f54875-dd74e59d, aa29a8f7-ec260779-8cb37967-7d5bb1e6-a623e93f | 57023953 | 10308375 | Findings: Ill-defined patchy opacities are seen in the right lung base with an associated small right pleural effusion, which is also confirmed in the lateral view. A dense left-sided retrocardiac opacity abutting the left hemidiaphragm is unchanged since at least ___ compatible with a Bochdalek hernia. A small left pleural effusion is also likely present. There is biapical pleuro-parenchymal scarring, more conspicuous in the left apex. No other focal opacities are identified. Mild cardiomegaly is unchanged from prior. There is no pneumothorax. Impression: Right lower lobe pneumonia. Small bilateral pleural effusions. | Findings: Ill-defined patchy opacities are seen in the right lung base with an associated small right pleural effusion, which is also confirmed in the lateral view. No dense left-sided retrocardiac opacity abutting the left hemidiaphragm is identified. A small left pleural effusion is also likely present. There is biapical pleuro-parenchymal scarring, more conspicuous in the left apex. No other focal opacities are identified. Severe cardiomegaly is unchanged from prior. There is no pneumothorax. Impression: Mild right lower lobe pneumonia. No pleural effusions. | ['Change severity', 'Add contradiction', 'False negation'] |
| 5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65 | 50223793 | 10337896 | Findings: Allowing for differences in technique and projection, there has been minimal change in the appearance of the chest except for apparent slight increase in bilateral pleural effusions, now moderate on the right and small to moderate on the left. | Findings: Allowing for differences in technique and projection, there has been minimal change in the appearance of the chest except for apparent slight increase in bilateral pleural effusions, now mild on the right and small to moderate on the left. Additionally, there is evidence of mild pulmonary congestion. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 47dd9117-4908216e-6fa039c8-2d7a1454-74151fad | 50519407 | 10337896 | Findings: AP portable upright view of the chest. Extensive intrathoracic calcifications are again seen, better localized on the chest CT examination from ___. The heart size is top normal. A tracheostomy tube is appropriately positioned. A right PICC terminates at the caval atrial junction. Again seen are bilateral pulmonary parenchymal opacities, with interval improvement along the right mid and lower zones since the ___ radiograph. Opacities across the left lung are unchanged. There is no pneumothorax. Small bilateral pleural effusions are stable. , Impression: Interval decrease of right pulmonary parenchymal opacities, reflecting improvement since ___. Unchanged small bilateral pleural effusions. | Findings: AP portable upright view of the chest. Extensive intrathoracic calcifications are again seen, better localized on the chest CT examination from ___. The heart size is mildly enlarged. A tracheostomy tube is appropriately positioned. A right PICC terminates at the caval atrial junction. Again seen are bilateral pulmonary parenchymal opacities, with interval improvement along the right mid and lower zones since the ___ radiograph. Opacities across the left lung are unchanged. There is a small pneumothorax. Small bilateral pleural effusions are stable. A left-sided chest tube is present., Impression: Interval significant decrease of right pulmonary parenchymal opacities, reflecting improvement since ___. Large new bilateral pleural effusions. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| e5cd4468-946415a5-4559575d-56536274-59b03c5d | 50880103 | 10337896 | Impression: Findings on the chest CT ___ showed probable multi focal pneumonia, predominantly in the right lung, and mild interstitial edema. Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion. The progression of these associated findings this suggested that the interval change was primarily due to cardiac decompensation. Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration. . Mild cardiomegaly and chronic mediastinal widening are chronic. | Impression: Findings on the chest CT ___ showed probable multi focal pneumonia, predominantly in the right lung, and moderate interstitial edema. Edema improved between ___ and ____, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion. The progression of these associated findings this suggestd that the interval change was primarily due to cardiac decompensation. No edema seen in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration. No cardiomegaly seen. | ['Change severity', 'Add typo', 'False negation'] |
| ac8d6143-a581f133-eafa59da-4f66bc75-4693997c | 53275640 | 10337896 | Findings: The tracheostomy tube is unchanged in position and terminates approximately 4.8 cm above the carina. The right PICC line terminates in the distal SVC. There is no significant change in the lungs when compared to ___. There are several parenchymal calcifications which were characterized on the most recent CT scan. Again noted are diffuse infiltrative parenchymal opacities, right worse than left; this is largely due to pulmonary edema and the right-sided pleural effusion, but underlying pneumonia cannot be excluded. The mediastinum is wide, which was noted as far back as the outside hospital CXR from ___. No acute osseous abnormalities. Impression: 1. Moderate pulmonary edema, unchanged. 2. Interval improvement in right-sided pleural effusion. | Findings: The tracheostomy tube is unchanged in position and terminates approximately 5.3 cm above the carina. The right PICC line terminates in the distal SVC. There is no significant change in the lungs when compared to ___. There are several parenchymal calcifications which were characterized on the most recent CT scan. Again noted are diffuse infiltrative parenchymal opacities, right worse than left; this is largely due to pulmonary edema and the right-sided pleural effusion, but underlying pneumonia cannot be excluded. The mediastinum is wide, which was noted as far back as the outside hospital CXR from ___. There is no significant change in the lungs when compared to ___. No acute osseous abnormalities. There is a small pneumothorax in the apex of the left lung. Impression: 1. Moderate pulmonary edema, unchanged. 2. Interval improvement in right-sided pleural effusion. | ['Change measurement', 'Add repetitions', 'False prediction'] |
| 15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d | 53323373 | 10337896 | Impression: In comparison with the study of ___, there is little change. Diffuse bilateral pulmonary opacification with areas of calcificationpersist with bilateral pleural effusions and no change in the monitoring and support devices. | Impression: In comparison with the study of ___, there is litle change. Diffuse unilateral pulmonary opacification with areas of calcification persist with bilateral pleural effusions and no change in the monitoring and support devices. Presence of an NG tube in the left lung field. | ['Change location', 'Add typo', 'Add medical device'] |
| e7f2ad9b-a5698623-14f87c8b-47a99b0b-31959f7a | 53482443 | 10337896 | Impression: Endotracheal tube and right internal jugular central line are unchanged position. Nasogastric tube is seen coursing to the level of the distal esophagus but the tip is not identified. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Given the extensive parenchymal abnormality, this does limit the sensitivity of plain radiography. Bilateral apical pleural thickening, left greater than right, which is unchanged. There are stable bilateral layering effusions, left greater than right, with probable associated compressive atelectasis in the lower lobes. No overt pulmonary edema. Heart remains stably enlarged. Bilateral glenohumeral degenerative changes with deformity of the left humeral head. | Impression: Nasogastric tube and right internal jugular central line are unchanged position. Nasogastric tube is seen coursing to the level of the distal esophagus but the tip is not identified. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Given the extensive parenchymal abnormality, this does limit the sensitivity of plain radiography. Bilateral apical pleural thickening, left greater than right, which is unchanged. There are stable bilateral layering effusions, left greater than right, with probable associated compressive atelectasis in the lower lobes. Nasogastric tube is seen coursing to the level of the distal esophagus but the tip is not identified. No overt pulmonary edema. Heart remains stably enlarged. Bilateral glenohumeral degenerative changes with deformity of the left humeral head. A left-sided dual-chamber pacemaker device with leads terminating in the atrium and ventricle. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 58ac68b5-24c8cb7d-62f38524-4c03808a-0329f3c6 | 53778461 | 10337896 | Findings: Multiple calcified pulmonary nodules and calcified lymph nodes within the neck. Severe degenerative changes of the glenohumeral joints. Bilateral pleural effusions with bibasilar atelectasis. Developing bibasilar consolidation is difficult to exclude. No pneumothorax. Impression: Small bilateral pleural effusions with passive atelectasis. Developing bibasilar consolidations are difficult to exclude. Redemonstrated densities within the lung parenchyma and neck, possibly secondary to prior granulomatous disease. | Findings: Multiple calcified pulmonary nodules and calcified lymph nodes within the neck. Mild degenerative changes of the glenohumeral joints. Bilateral pleural effusions with bibasilar atelectasis. Developing bibasilar consolidation is difficult to exclude. No pneumothorax. Impression: Small bilateral pleural effusions with passive atelectasis. Developing bibasilar consolidations are difficult to exclude. No densities within the lung parenchyma and neck. | ['Change severity', 'Add repetitions', 'False negation'] |
| c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515 | 53799148 | 10337896 | Impression: Interval placement of an endotracheal tube which has its tip approximately 4.5 cm above the carina. Nasogastric tube appears to be coursing below the diaphragm with the tip not identified. Right internal jugular central line is unchanged in position. Overall stable cardiac mediastinal contours. No interval change in the bilateral multiple calcified lymph nodes and parenchymal and pleural opacities. Unchanged layering bilateral effusions. Asymmetric biapical pleural thickening, left greater than right, all is unchanged dating back to ___. No pneumothorax. | Impression: Interval placement of an endotracheal tube which has its tip approximately 4.8 cm above the carina. Nasogastric tube appears to be coursing below the diapgragm with the tip not identified. Right internal jugular central line is unchanged in position. Overall stable cardiac mediastinal contours. No interval change in the bilateral multiple calcified lymph nodes and parenchymal and pleural opacities. Unchanged layering bilateral effusions. Asymmetric biapical pleural thickening, left greater than right, all is unchanged dating back to ___. No pneumothorax. A pacemaker is also present within the chest cavity. | ['Change measurement', 'Add typo', 'Add medical device'] |
| ffde91fb-1eb2b3c1-48e6008b-c16bd376-8a771f1b | 54031658 | 10337896 | Impression: As compared to the previous radiograph, the parenchymal opacities ___ notably on the left, have moderately decreased in severity. The monitoring and support devices are unchanged. Unchanged moderate cardiomegaly. Unchanged known intra and extra thoracic lymph node calcifications. | Impression: As compared to the previous radiograph, the parenchymal opacities ___ notably on the left, have mildly decreased in severity. The monitoring and support devices are unchanged. Unchanged moderate cardiomegaly. Unchanged known intra and extra thoracic lymph node calcifications. A central venous line is in place. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 1cf4fc4f-428e8580-055a5630-45455deb-5c72df9c | 54785280 | 10337896 | Findings: An ET tube is present approximately 3.6 cm above the carina. The enteric tube is present the distal tip off the film. There is no pneumothorax. There are small bilateral effusions. Dense calcified opacities in both upper lung fields and hila are noted, consistent with prior history of tuberculosis. Atelectasis or consolidation of the lung bases are noted. Reticular changes are also noted, which may be acute or chronic. | Findings: An ET tube is present approximately 3.5 cm above the carina. The enteric tube is present with the distal tip visible in the film. There is mild pneumothorax. There are moderate bilateral effusions. Dense calcified opacities in both upper lung fields and hila are noted, consistent with no history of tuberculosis. Atelectasis or consolidation of the lung bases are noted along with a pacemaker. Reticular changes are also noted, which may be chronic. | ['Change measurement', 'Add contradiction', 'Add medical device'] |
| aa75e710-aee0e27e-b996e245-8bb737da-caa4ea7a | 54966187 | 10337896 | Impression: In comparison with the study of ___, there is little change. Monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist along with multiple dense calcifications. | Impression: In comparison with the study of ___, there is little change. Monitoring and support devices remain in place. Diffuse bilateral upper lobe pulmonary opacifications persist along with multiple dense calcifications. There is an ET tube in place. Impression: Improvement in bilateral pulmonary opacifications noted. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 8c563705-ea74b74f-c379e0f7-91cd0b0e-b7ed81d8 | 55022783 | 10337896 | Impression: In comparison with the earlier study of this day, the monitoring and support devices are unchanged diffuse pulmonary opacification is processed and may be more prominent in the left base, suggesting some layering pleural effusion. . | Impression: In comparison with the earlier study of this day, the monitoring and support devices are unchanged diffuse pulmonary opacification is processed and may be more prominent in the right base, suggesting some layering pleural effusion. There is no pleural effusion. . | ['Change location', 'Add typo', 'False negation'] |
| 3eb3bf96-c5401aea-07178eee-c43e5e80-600f6a33, 44bec237-520a0e5b-80e20d64-2c0a9036-c8766a81 | 55070875 | 10337896 | Findings: The NG tube not well visualized, but may pass into the abdomen. Diffuse bilateral pulmonary opacifications are again seen, unchanged from prior exam. ET tube and right IJ central line are in stable position from prior exam. Impression: NG tube not well visualized, but may pass into the abdomen. If it is a better visualization is desired, repeat radiographs with abdominal technique can be performed. | Findings: The NG tube not well visualized, but may pass into the abdmen. Diffuse bilateral pulmonary opacifications are again seen, unchanged from prior exam. ET tube and right IJ central line are terminating at the mid SVC. Bibasilar atelectasis is noted. Impression: NG tube not well visualized, but may pass into the abdomen. If better visualization is desired, repeat radiographs with abdominal technique can be performed. | ['Change position of device', 'Add typo', 'False prediction'] |
| ce5750a7-68ea7a3c-9170b26c-f86bd4a4-dea2e2f2 | 55705635 | 10337896 | Impression: Minimal interval improvement of the pre-existing right pleural effusion, with subsequent increase in transparency of the right lung base. In the interval, the nasogastric tube has been removed. No other relevant changes. | Impression: Minimal interval improvement of the pre-existing right pleural effusion, with subsequent increase in transparency of the right lung base. In the interval, the endotracheal tube has been removed. No other relevant changes. In the interval, the endotracheal tube has been removed. There remains a right-sided mediastinal mass. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 69edea97-d76e1e86-638a39dc-13ee8420-6f3385ef | 55929666 | 10337896 | Impression: Endotracheal tube continues to have its tip approximately 4 cm above the carina. A right internal jugular central line is unchanged in position. Nasogastric tube appears to have pulled back into the mid esophagus. No interval change in appearance of the multiple calcified nodes, multiple calcified pleural plaques, and multiple calcified parenchymal opacities. Layering effusions with retrocardiac opacity likely reflecting compressive atelectasis. No pneumothorax. Asymmetric biapical pleural thickening unchanged. Bilateral humeral head degenerative changes with remodeling on the left. | Impression: Endotracheal tube continues to have its tip approximately 5 cm above the carina. A write internal jugular central line is unchanged in position. Nasogastric tube appears to have pulled back into the mid esophagus, and there is a noticeable pleural effusion on the left side. No interval change in appearance of the multiple calcified nodes, multiple calcified pleural plaques, and multiple calcified parenchymal opacities. Layering effusions with retrocardiac opacity likely reflecting compressive atelectasis. No pneumothorax. Asymmetric biapical pleural thickening unchanged. Bilateral humeral head degenerative changes with remodeling on the left. | ['Change measurement', 'Change to homophone', 'False prediction'] |
| 48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d, 7fef0afd-85293903-b15562d2-3b827aee-1405b065 | 56165736 | 10337896 | Impression: As compared to the previous radiograph, there is a minimal increase in diameter of the vascular structures, likely reflecting increased fluid overload. No other changes. The multiple known calcifications are constant in appearance. In the interval, the patient has received a tracheostomy tube. There is no pneumothorax. | Impression: As compared to the previous radiograph, there is a minimal increase in diameter of the vascular structures, likely reflecting increased fluid overload. No other changes. The multiple known calcifcations are constant in appearance. No calcifications seen. In the interval, the patient has received a PICC line. There is no penumothorax. | ['Change name of device', 'Add typo', 'False negation'] |
| c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5 | 56271118 | 10337896 | Findings: There is an ET tube which terminates 3.3 cm above the carina. The right IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax. Impression: Moderate pulmonary edema, possibly worse in the left lung most prominently. Otherwise stable chest x-ray. | Findings: There is an ET tube which terminates 3.3 cm above the carina. The left IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the right lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax. There is a nasogastric tube with the tip in the stomach. Impression: Mild pulmonary edema, possibly worse in the left lung most prominently. Otherwise stable chest x-ray. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274, 7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a | 56329890 | 10337896 | Findings: ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax. Impression: 1. Enteric tube with side port projecting above the GE junction. ___ require advancement. Otherwise stable support structures. 2. Unchanged lung parenchyma and stable small bilateral layering pleural effusions. | Findings: ET tube is seen in stable position 1 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however sid port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well own. There is unchanged appearance of the bilateral lung parenchyma. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorx. Impression: 1. Enteric tube with side port projecting above the GE junction. ___ require advancement. Otherwise stable support structures. 2. Unchanged lung parenchyma and stable small bilateral layering pleural effusions. | ['Change position of device', 'Add typo', 'False negation'] |
| b6a12938-a1f0ed52-bca8e3f0-728b69ec-d2bc0a92 | 56437767 | 10337896 | Findings: There has been interval placement of a right internal jugular line with tip terminating in the lower SVC. There is no pneumothorax. There is no improvement in the lung fields since the recent prior study. | Findings: There has been interval placement of a right internal carotid line with tip terminating in the lower SVC. There is no pneumothorax. There is no improvement in the lung fields since the recent prior study. There is no improvement in the lung fields since the recent prior study. A left-sided pacemaker device is also noted with leads terminating in the right atrium. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2, 603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e | 56539620 | 10337896 | Impression: Interval extubation. Nasogastric tube is seen coursing below the diaphragm with the tip not identified but at least within the stomach. Right internal jugular central line is unchanged in position. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Bilateral layering effusions unchanged. Overall cardiac mediastinal contours are stable. No pneumothorax. | Impression: Interval extubation. Nasogastric tube is seen coursing below the diaphragm with the tip not identified but at least within the esophagus. Right internal jugular central line is unchanged in state. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Bilateral layering effusions unchanged. Portable chest radiograph now demonstrates a new temporary pacemaker. Overall cardiac mediastinal contours are stable. No pneumonia. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| f06a566d-44137a23-0a4acf0e-15f9c10d-4fcffff2 | 56623034 | 10337896 | Impression: As compared to the previous radiograph, the right PICC line has been pulled back. The tip of the line, however, still projects over the right atrium and should be pulled back by another 5-6 cm. No evidence of complications. Otherwise unchanged appearance of the lung parenchyma and the cardiac silhouette. | Impression: As compared to the previous radiograph, the right PICC line has been pulled back. The tip of the line, however, now terminates in the right subclavian vein and should be pulled back by another 5-6 cm. Evidence of new complications. Otherwise unchanged appearance of the lung parenchyma and the cardiac silhouette. A left-sided Port-A-Cath is noted, terminating in the mid SVC. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383 | 56887951 | 10337896 | Impression: As compared to the previous radiograph, the tip of the right PICC line now projects over the mid SVC. No other changes are noted. The right internal jugular vein catheter and the tracheostomy tube are in constant position. | Impression: As compared to the previous radiograph, the tip of the right central venous line now projects over the mid SVC. No other chagnes are noted. No internal jugular vein catheter is present. The tracheostomy tube is in constant position. | ['Change name of device', 'Add typo', 'False negation'] |
| 7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c | 56902361 | 10337896 | Findings: The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position. Moderate pulmonary edema and small layering pleural effusions are also unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted. Impression: No significant interval change in moderate pulmonary edema and small bilateral pleural effusions. Lines and tubes in satisfactory position. | Findings: The right IJ central line, endotrahceal tube and enteric tube remain in satisfactory position. Mild pulmonary edema and small layering pleural effusions are also unchanged. There is a large pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are agian noted. Impression: No significant interval change in mild pulmonary edema and small bilateral pleural effusions. Lines and tubes in satisfactory position. | ['Change severity', 'Add typo', 'False prediction'] |
| 11835a49-689d7896-d692a675-ea26b04a-9b11c20f, 3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e | 57080785 | 10337896 | Impression: As compared to the previous image, tip of the right PICC line still projects over the mid to lower parts of the right atrium. Pulling back of the line should be performed, as indicated in the previous report. No relevant change in appearance of the lung parenchyma and the heart. | Impression: As compared to the previous image, tip of the right PICC line now projects over the upper parts of the right atrium. Pulling back of the line should bee performed, as indicated in the previous report. No relevant change in appearance of the lung parenchyma and no abnormalities in the heart. | ['Change position of device', 'Add typo', 'False negation'] |
| a9390c8a-a8ea6990-7b9e1035-281e4eee-754368be | 57554911 | 10337896 | Impression: Cardiomediastinal contours are unchanged. Mild to moderate pulmonary edema has worsened. Small to moderate right and small left effusions have increased. Multiple calcified lymph nodes and granulomas are again noted. | Impression: Cardiomediastinal contours are unchanged. Mild to moderate pulmonary edema has worsened. Small to moderate left and small right effusions have increased. Multiple calcified lymhp nodes and granulomas are again noted. A large cavitary lesion is noted in the right upper lobe. | ['Change location', 'Add typo', 'False prediction'] |
| f65f9193-62ebcf82-99968803-f13a04d1-f2c529b5 | 57814257 | 10337896 | Impression: The overall appearance of the chest is similar to the recent study except for worsening multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion. | Impression: The overall appearance of the chest is similar to the recent study except for moderate multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion. Impression: The overall appearance of the chest is similar to the recent study except for worsening multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion. Impression: There is a central venous line in place. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 837a3315-a9ccd709-59623363-1b86d9d7-0682317f | 58472100 | 10337896 | Impression: In comparison with the study of ___, the monitoring and support devices remain in place. Diffuse bilateral pulmonary opacification is processed, consistent with pulmonary edema, bilateral pleural effusions, and compressive atelectasis at the bases, as well as diffuse calcifications. | Impression: In comparison with the study of ___, the monitoring and support devices remainin. Diffuse bilateral pulmonary opacification is processed, consistent with pulmonary edema, right pleural effusions, and compressive atelectasis at the bases, as well as diffuse calcifications. An ET tube is in the correct position. | ['Change location', 'Add typo', 'Add medical device'] |
| 56ba2b4a-a47cedaf-139af8c9-10d8a957-74ec4f4f | 59930189 | 10337896 | Findings: Support and monitoring devices are unchanged in position, and cardiomediastinal contours are similar. Interval worsening of pulmonary edema as well as slight increase in size of moderate bilateral pleural effusions. Otherwise, no relevant short interval change. | Findings: Support and monitoring devices are unchanged in position, and cardiomediastinal contours are similar. Interval worsening of pulmonary edema as well as slight increase in size of moderate left pleural effusions. There is no pulmonary edema. | ['Change location', 'Add contradiction', 'False negation'] |
| 658a8ccf-a63adc9e-66351e99-f15af5f2-8e2e00b1, 8af1b630-3ace08e2-edeb0783-ae2ef2e3-07f5576b | 54647674 | 10377744 | Findings: Frontal and lateral views of the chest were obtained. New subtle opacity at the right lung base in the setting of similar lung volumes with increased opacity on the lateral view may be atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting. Cardiac and mediastinal silhouettes are normal. No acute osseous abnormality is identified. Impression: Right basilar opacity is probably atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting. | Findings: Frontal and lateral views of the chest were obtained. New subtle opacity at the right lung base in the setting of similar lung volumes with increased opacity on the lateral view may be atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting. Cardiac and mediastinal silhouettes are normal. There is a small left-sided pleural effusion. Cardiac and mediastinal silhouettes are normal. Impression: Left basilar opacity is probably atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting. | ['Change location', 'Add repetitions', 'False prediction'] |
| 0e692067-1cd27131-a4ab943b-4a9bfbc9-d662b997, e049f18a-e4f9351c-fec6cad4-a19211f7-0c534a5c | 58549367 | 10401591 | Impression: No acute cardiopulmonary abnormality. | Impression: No acute cardiopulmonary abnormality. There is a small right-sided pleural effusion. There is a large hiatal hernia visualized. Impression: Mild pulmonary edema. | ['False prediction', 'Add contradiction', 'Add medical device'] |
| 4f0f1c98-127de941-be134310-bf433d4a-c79e22aa, acf8db28-7be06aa5-dec86122-ecb7e055-f198a3f8 | 50064627 | 10401700 | Findings: Frontal and lateral views of the chest demonstrate normal lung volumes without 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 evidence of acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest demonstrate normal lung volumes with pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are remarkable. Heart size is normal. There are right-sided pleural plaques. Partially imaged upper abdomen is unremarkable. Impression: Enlarged mediastinum with possible lymphadenopathy. | ['Change location', 'Change to homophone', 'False prediction'] |
| 4517dc03-f5b5bca8-05cdecdd-45b7a15d-a512bd04, cf1dab72-e09f8f17-73f1e925-ffb70fe0-e8b878fa | 57541861 | 10401700 | Findings: Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Patient's known bilateral sub-5-mm pulmonary nodules are better assessed in ___ CT. Partially imaged upper abdomen is unremarkable. Impression: No evidence of acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Patient's known bilateral sub-5-cm pulmonary nodules are better assessed in ___ CT. Partially emaged upper abdomen is unremarkable. Impression: No pulmonary nodules. | ['Change measurement', 'Change to homophone', 'False negation'] |
| 6887e2d1-fbfd6066-7306286f-87e5d3bc-3ded14e7, 6c123f37-2e866064-a97fce62-c3214b55-0725f10d | 53709854 | 10425463 | Findings: Heart size is normal. A small hiatal hernia is demonstrated. Mediastinal and hilar contours are otherwise unremarkable. No focal consolidation, pleural effusion or pneumothorax is seen. Multiple clips are noted in the upper abdomen. Multilevel degenerative changes are present in the thoracic spine. Impression: No acute cardiopulmonary abnormality. | Findings: A small hiatal hernia is demonstrated. A small hiatal hernia is demonstrated. Mediastinal and hilar contours are otherwise unremarkable. No costophrenic angle blunting is seen. Multiple sternal wires are noted in the upper abdomen. Multilevel degenerative changes are present in the lumbar spine. Impression: No acute cardiopulmonary edema. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| aa81a761-dbc13def-538949eb-6aefd90c-12a85e54, ccea3851-88245a72-e4229b4e-0d54293e-6b5fae76 | 52339870 | 10462870 | Findings: In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. There has been interval placement of multiple surgical clips in the lower neck, presumably from thyroid surgery. | Findings: In comparrison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumona, vascular congestion, or pleural effusion. There is a NG tube with its tip positioned in the stomach. There has been interval placement of multiple surgical clips in the mid neck, presumably from thyroid surgery. | ['Change position of device', 'Add typo', 'Add medical device'] |
| 07f8e57c-a1b872d2-5c2e7806-1c4fd548-128dd898, f5d855de-88ff9fae-f82e34bc-c80b59f6-1f79d117 | 55818165 | 10503161 | Findings: Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. A left IJ central venous catheter is in place. Impression: Small bilateral pleural effusions. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 8f408f38-01bd3625-ba5e3d67-86aec5a5-4161a165, ede0b529-6cdb009c-7768be87-b40bb244-7ff29b19 | 55380352 | 10521109 | Findings: Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There appears to be a right-sided aortic arch. The cardiac silhouette is not enlarged. Impression: Clear lungs without focal consolidation. Probable right-sided aortic arch. | Findings: Frontal and lateral views of the chest wre obtained. No focal consolidation. No pleural effusion or pneumothorax is seen. There appears to be a left-sided aortic arch. The cardiac silhouette is not enlarge. Impression: Clear lungs without focal consolidation. Probable left-sided aortic arch. | ['Change location', 'Add typo', 'False negation'] |
| d5aedb5c-3e300b8e-4ab8aa68-066f67dc-cfe7bd84 | 50421811 | 10522265 | Impression: Mild to moderate pulmonary edema, with a basal predominance, is new probably accompanied by small pleural effusions. Heart size is top-normal not appreciably changed. | Impression: Moderate to severe pulmonary edema, with a basil predominance, is new probably accompanied by small pleural effusions. Heart size is top-normal not appreciably changed. A central venous line is present. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 17077b64-972ced4d-1dd026ac-595f3151-121e9520 | 52497746 | 10522265 | Impression: Pulmonary edema developed between ___ and ___. Edema has subsequently cleared from the upper lungs, but there is still substantial consolidation in the lower lungs, particularly the left accompanied by at least small bilateral pleural effusions. To what extent the abnormality represents combination of edema and residual atelectasis or pneumonia, is radiographically indeterminate, but if the patient's respiratory status has recently declined that cannot be attributed to worsening edema; either atelectasis or pneumonia is more likely. Feeding tube passes into the stomach and out of view. Left PIC line ends in the low SVC. | Impression: Pulmonary edema developed between ___ and ___. Edema has subsequently cleared from the upper lungs, but there is still substantial consolidation in the lower lungs, particularly the left accompanied by at least small bilateral pleural effusions. To what extent the abnormality represents combination of edema and residual atelectasis or pneumonia, is radiographically indeterminate, but if the patient's respiratory status has recently declined that cannot be attributed to worsening edema; either atelectasis or pneumonia is more likely. Feeding tube passes into the stomach and out of view. Left PIC line ends in the upper SVC. Presence of a left-sided pacemaker. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| 3b6ecb77-1f0b496f-0e7298e0-2805ed0e-616e6f35 | 54528409 | 10522265 | Findings: An NG tube is present, tip overlies the gastric body. The sideport lies distal to the GE junction. The chest is incompletely evaluated, but note is made of left lower lobe collapse and/or consolidation with a small effusion. Incidental note is made of a small density along the right edge of the T12/L1 disc space - ? small clip or calcification. The differential includes an artifact outside of the patient. Impression: NG tube side port and tip distal to the GE junction. | Findings: An NG tube is present, tip overlies the gastric buddy. The pacemaker lies distal to the GE junction. The chest is incompletely evaluated, but note is made of left lower lobe collapse and/or consolidation with a small effusion. Incidental note is made of a small density along the right edge of the T12/L1 disc space - ? small clip or calcification. The differential includes an artifact outside of the patient. In addition, a central venous line is noted. Impression: NG tube side port and tip distal to the GE junction. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| a8326c4c-0f639e00-ca24c7c1-95d336f2-d9de521f | 55120315 | 10522265 | Impression: In comparison with the study of ___, there again are low lung volumes. The endotracheal tube has been removed. No evidence of acute cardiopulmonary disease. What appears to be some apical pleural thickening is again seen at the right apex laterally. | Impression: In comparison with the study of ___, there again are low lung volumes. The chest tube has been removed. No evidence of acute cardiopulmonary disease. What appears to be some apical pleural thickening is again seen at the right apex laterally. There is a newly placed central venous line. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| b9454df6-7f75440e-9f3f32d4-038f3447-0c48ce72 | 55255109 | 10522265 | Findings: Tip of the endotracheal tube projects over the mid thoracic trachea, approximately 3.7 cm from the carina. Enteric tube terminates beyond the diaphragm, in the left upper quadrant. Lungs are clear and cardiomediastinal silhouette is normal. Impression: Appropriate position of endotracheal and enteric tubes. | Findings: Tip of the endotracheal tube projects over the mid thoracic trachea, approximately 5.1 cm from the carina. Enteric tube terminates beyond the diaphragm, in the left upper quadrant. Lungs are clear with patchy opacities noted in the left lower lung. Cardiomegaly is noted. Impression: Appropriate position of endotracheal and enteric tubes. No pulmonary opacities or cardiac abnormalities seen. | ['Change measurement', 'Add contradiction', 'False prediction'] |
| 88d07416-c595d584-b0eec579-babde77f-c3ce90be | 55807323 | 10522265 | Findings: Compared to ___ at 04:27, the overall appearance is similar. Enteric type tube extends beneath the diaphragm, off the film. Left subclavian PICC line tip overlies distal SVC. Inspiratory volumes are low, with left lower lobe collapse and/or consolidation and faint hazy opacity at the lung bases. Mild upper zone redistribution present. Impression: Overall similar to 1 day earlier. Above. | Findings: Compared to ___ at 04:27, the overall appearance is similar. Enteric type tube extends beneath the diaphragm, off the film. Left subclavian PICC line tip overlies distal SVC. Inspiratory volumes are low, with left lower lobe collapse and/or consolidation and faint hazy opacity over the bases. Mild upper zone redistribution present. Impression: Overall similar to 1 day earlier. No upper zone redistribution. Above. | ['Change severity', 'Change to homophone', 'False negation'] |
| 1dd6b552-6d7354f6-6087977b-ed48e39a-5eecc163 | 57136358 | 10522265 | Impression: As compared to the previous radiograph, the nasogastric tube was removed. The left PICC line is in unchanged position. Mild cardiomegaly with retrocardiac atelectasis. No overt pulmonary edema. No pneumonia, no pleural effusions. | Impression: As compared to the previous radiograph, the nasogastric tube was removed. The left PICC line is in unchanged position. Right-sided AICD is noted with leads terminating in the right atrium and right ventricle. No overt pulmonary edema. No overt pulmonary edema. No pneumonia, no pleural effusions. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 5112f0c8-88daad36-4b8ec976-5df44b65-9b6b621b | 58007779 | 10522265 | Impression: There are low lung volumes. Bibasilar opacities have increased more so in the left side likely due to increasing atelectasis and a small left effusion. The upper lungs are clear. There is no pneumothorax. Cardiomegaly is stable. Left PICC tip is in the lower SVC | Impression: There are low lung volumes. No bibasilar opacities. The upper lungs are clear. There is no pneumothorax. Cardiomegaly is stable. Left PICC tip is in the mid SVC There is no pneumothorax. | ['Change position of device', 'Add repetitions', 'False negation'] |
| 4f448157-5d85f1e3-0eb6b849-f1fbf95f-0e6d1f6b, 87c1098e-9c3bb6e3-a61f96b2-ee3edd92-93ac1cdf | 58814809 | 10522265 | Impression: ET tube tip is 3.5 cm above the carinal. NG tube tip is in the stomach. Heart size and mediastinum are stable. Lungs are essentially clear. There is no pleural effusion or pneumothorax. | Impression: ET tube tip is 2.5 cm above the carinal. Pacemaker in place. NG tube tip is inn the stomach. Heart size and mediastinum are stable. Lungs are essentially clear. Their is no pleural effusion or pneumothorax. | ['Change measurement', 'Change to homophone', 'Add medical device'] |
| de3b15c4-8ccd2746-09cb6b58-2c546177-5c7cc9f8 | 55733884 | 10526217 | Impression: In comparison with the study of ___ from an outside facility, there has been substantial decrease in the bilateral pulmonary opacifications. Monitoring and support devices have been removed. The cardiac silhouette is within normal limits. Mild prominence of the ascending and descending aorta raise the possibility of underlying hypertension. Some indistinctness of pulmonary vessels could reflect elevated pulmonary venous pressure. Are mild focal areas of opacification suggested at the bases. In view of the relatively low lung volumes, these could merely reflect areas of atelectasis. However, in the appropriate clinical setting, superimposed pneumonia could be considered. | Impression: In comparison with the study of ___ from an outside facility, there has been a substantial increase in the bilateral pulmonary opacifications. Monitoring and support devices have been noted. The cardiac silhouette is severely enlarged. Mild prominence of the ascending and descending aorta raise the possibility of underlying hypertension. Some indistinctness of pulmonary vessels could reflect normal pulmonary venous pressure. Are mild focal areas of opacification suggested at the bases. In view of the relatively low lung volumes, these could merely reflect areas of atelectasis. However, in the appropriate clinical setting, mild superimposed pneumonia could be considered. A central venous line is present in the right atrial region. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 343111ee-6c14729f-63955176-bbc37b84-e1195f48 | 50135643 | 10543994 | Impression: Since the prior study there is no substantial change in widespread parenchymal opacities and no focal consolidation that would be neo wall concerning for aspiration. The rest of the findings are similar to previous examination | Impression: Since the prior study there is now substantial change in widespread parenchymal opacities and no focal consolidation that would be neo wall concerning for aspiration. Since the prior study there is no substantial change in widespread parenchymal opacities and no focal consolidation that would be neo wall concerning for aspiration. The rest of the findings are similar to the previous examination. No nodular opacities | ['Add typo', 'Add repetitions', 'False negation'] |
| 5ed42390-a6bef7ec-7a5f8cd0-59d4304d-6a85c880 | 50269819 | 10543994 | Impression: Cardiomediastinal silhouette is unchanged. There is interval improvement in the left lung variation but unchanged appearance of the right lung. Port-A-Cath catheter tip is at the cavoatrial junction. A left pacemaker lead is in the right ventricle. Interstitial opacities projecting over the lung bases, right more than left are consistent with known interstitial lung disease with most likely superimposed pulmonary edema. No focal consolidation to suggest pneumonia is can see in | Impression: Cardiomediastinal silhouette is unchanged. There is interval improvement in the right lung variation but unchanged appearance of the right lung. Port-A-Cath catheter tip is at the cavoatrial junction. A left pacemaker lead is in the right ventricle. No interstitial opacities projecting over the lung bases. No focal consolidation to suggest pneumonia is can sea in | ['Change location', 'Change to homophone', 'False negation'] |
| 6227f675-2c12a350-9948a0bc-be0b2666-b1ba8954 | 52321866 | 10543994 | Impression: As compared to ___ radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and worsening asymmetrical combined alveolar and interstitial pattern which remains more severe in the right lung than the left. Observed findings may reflect asymmetrical edema, but followup radiographs after diuresis may be helpful to exclude secondary superimposed process in the right lung such as infection. Small pleural effusions are present bilaterally. | Impression: As compared to ___ radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and worsening asymmetrical combined alveolar and interstitial pattern which remains less severe in the right lung than the left. Observed findings may reflect asymmetrical edema, but followup radiographs after diuresis may be helpful to exclude secondary superimposed process in the right lung such as infection. Small pleural effusions are present bilaterally. There is a central venous line ending in the SVC. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b | 52330535 | 10543994 | Findings: Since the prior radiograph, no significant change in the widespread parenchymal opacities and moderate cardiomegaly. No change in the left the Port-A-Cath, which terminates at the cavoatrial junction, and right pacemaker lead in the right ventricle. No new focal consolidation or larger pleural effusions. Impression: No significant change in the widespread parenchymal opacities and moderate cardiomegaly. No larger pleural effusions. | Findings: Since the prior radiograph, no significant change in the widespread parenchymal opacities and moderate cardiomegaly. No change in the left the MRI, which terminates at the cavoatrial junction, and right pacemaker lead in the right ventricle. No new focal consolidation or larger pleural effusons. No parenchymal opacities. Impression: No significant change in the widespread parenchymal opacities and moderate cardeomegaly. No larger pleural effusions. | ['Change name of device', 'Add typo', 'False negation'] |
| cd184740-11930719-2a8fc04b-c1076a05-9009709a | 53186992 | 10543994 | Findings: The bilateral parenchymal opacities are likely secondary to edema but may be due to accelerated interstitial disease. There largely unchanged. Moderate cardiomegaly is unchanged, as are the pulmonary vasculature and mediastinal contours. Right Port-A-Cath terminating at the cavoatrial junction and left pacemaker continuous lead in the right ventricle are unchanged. Impression: Largely unchanged bilateral parenchymal opacities, likely secondary to edema but may be due to accelerated interstitial disease. | Findings: The left parenchymal opacities are likely secondary to edema but may be due to accelerated interstitial disease. There largely unchanged. Moderate cardiomegaly is unchanged, as are the pulmonary vasculature and mediastinal contours. Right Port-A-Cath terminating at the cavoatrial junction and left pacemaker continuous lead in the right ventricle are unchanged. A central venous line is noted in the left subclavian vein. Impression: Largely unchanged bilateral parenchymal opacities, likely secondary to edema but may be due to accelerated interstitial disease. Largely unchanged bilateral parenchymal opacities, likely secondary to edema but may be due to accelerated interstitial disease. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 78383c35-b9b27e1d-2f9fa023-af32c4bc-0e8f6a90 | 53418566 | 10543994 | Findings: Portable AP upright chest film ___ at 09:31 is submitted. Impression: Interval placement of a single lead left-sided pacing device with the lead terminating over the expected location of the right ventricle. The cardiac and mediastinal contours are stable with left ventricular prominence. Interval placement of a right internal jugular Port-A-Cath with its tip in the distal SVC. No pneumothorax. Interval appearance of mild pulmonary edema. | Findings: Portable AP upright chest film ___ at 09:31 is submtited. Impression: Interval placement of a single lead left-sided pacing device with the lead terminating over the expected location of the left ventricle. Mildly enlarged mediastinum is noted.The cardiac and mediastinal contours are stable with left ventricular prominence. Interval placement of a right internal jugular Endotracheal Tube with its tip in the distal SVC. No pneumothorax. Interval appearance of mild pulmonary edema with basal atelectasis. | ['Change name of device', 'Add typo', 'False prediction'] |
| 7abd173d-1d1b5df7-ff08e42a-7d346b58-6e49dcec | 54489908 | 10543994 | Impression: Widespread parenchymal opacities have demonstrate no substantial change since the prior study. Heart size and mediastinum are unchanged including 1 moderate cardiomegaly. No pleural effusion or pneumothorax is seen. Port-A-Cath catheter tip is at the level of the cavoatrial junction. | Impression: Widespread parenchymal opacities have demonstrate no substantial change since the prior study. Heart size and mediastinum are unchanged including 1 moderate cardiomegaly. No pleural effusion or pneumothorax is seen. No parenchymal opacities are seen. The PICC line catheter tip is at the level of the cavoatrial junction. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 95a1bd4e-c011b21e-36ba6f97-6683c294-5b0dd26d | 57237894 | 10543994 | Impression: As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Relatively extensive bilateral parenchymal opacities, right more than left, combined with a moderately enlarged cardiac silhouette. No new parenchymal opacities. The left pectoral pacemaker and the right Port-A-Cath are in unchanged position. | Impression: As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Relatively extensive bilateral parenchymal opacities, right more than left, combined with a moderately enlarged cardiac silhouette. No new parenchymal opacities. No parenchymal opacities. The left pectoral AICD device and the right Port-A-Cath are in unchanged position. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 1216f943-00196c3a-c41ea739-788f8d83-9571731c, a35725a6-cea21ad3-08b4e359-ffa6686f-8bb4f626 | 58473321 | 10543994 | Findings: PA and lateral views of the chest provided. There are subpleural reticular opacities as seen on prior CT compatible with early interstitial lung disease. The heart size appears mildly enlarged. The mediastinal contour is normal. No pleural effusion or pneumothorax. Bony structures are intact. Impression: Subpleural reticular opacities better assessed on the recent CT of the chest likely representing early interstitial lung disease. Mild cardiomegaly | Findings: PA and lateral views of the chest provided. There are subpleural reticular opacities as seen on prior CT compatible with early interstitial right lung disease. The heart size appears mildly enlarged. The mediastinal contour is normal. No pleural effusion or pneumothorax. Bony structures are intact. Impression: Subpleural reticular opacities better assessed on the recent CT of the chest likely representing early interstitial lung disease. No cardiomegaly | ['Change location', 'Change to homophone', 'False negation'] |
| 3d361f0b-af2b247b-955d1166-f1ae4ef9-b96b55db | 58585479 | 10543994 | Impression: In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease. Or fibrosis the tip of the right Port-A-Cath again extends to the upper portion of the right atrium. Pacer device remains in place. | Impression: In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease. Or fibrosis the tip of the right Port-A-Cath again extends to the lower portion of the right atrium. Pacer devise remains in place. | ['Change position of device', 'Change to homophone', 'False negation'] |
| e666163a-857953ec-9b3034d3-6020c1aa-12c0c11a | 58967663 | 10543994 | Impression: The abdomen CT showed mild pulmonary fibrosis and severe aortic valvular calcification undoubtedly stenotic. Interstitial abnormality has predominated in the right lung. This is probably asymmetric edema. It has improved today since ___. Cardiomegaly is severe. Pleural effusions are small if any. No pneumothorax. Right jugular infusion catheter ends low in the right atrium. Transvenous right ventricular pacer lead in standard placement. No pneumothorax. | Impression: The abdomen CT showed mild pulmonary fibrosis and severe aortic valvular calcification undoubtedly stenotic. Interstitial abnormality has predominated in the right lung. This is probably asymmetric edema. It has improved today since ___. Cardiomegaly is severe. Pulmonary nodules are noted. No pneumothorax. Right jugular infusion drainage tube ends low in the right atrium. Transvenous right atrial pacer lead in standard placement. No pneumothorax. No pneumothorax. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| b2093612-0ee94341-26838e2f-d6912ecd-14c5aa64 | 59383182 | 10543994 | Impression: Since the prior study there is minimal interval change in cardiomegaly, mediastinal contours, lines as well as parenchymal opacities. The right lung appears to be more involved than left. The consolidation is slightly more asymmetric than on the prior study and does either worsening of interstitial process or superimposed infection in the right lung are possibility. Correlation with chest CT would be justified at this point | Impression: Sense the prior study there is minimal interval change in cardiomegaly, mediastinal contours, lines as well as parenchymal opacities. There is small pleural effusion noted. The right lung appears to be more involved than left. The consolidation is slightly less asymmetric than on the prior study and does either worsening of interstitial process or superimposed infection in the right lung are possibility. Correlation with chest CT would be justified at this point. | ['Change severity', 'Change to homophone', 'False prediction'] |
| ef13f435-fe872e16-39f17cfe-50700e9c-c69a04d3 | 59627293 | 10543994 | Impression: Mild interstitial edema has minimally worsened. There are low lung volumes. Patient has underline interstitial lung disease / fibrosis. There is no pneumothorax. Cardiomegaly and widened mediastinum are stable. Right port catheter tip is in the upper right atrium. Pacemaker lead tip is in the right ventricle. | Impression: Mild interstitial edema has slightly improved. There are low lung volumes. Patient has interstitial lung disease / fibrosis. There is no pneumothorax. Cardiomegaly and widened mediastinum are stable. Left port catheter tip is in the upper right atrium. No pacemaker lead tip is identified. | ['Change location', 'Add contradiction', 'False negation'] |
| d22a0609-122f9478-2067622b-1cc96cdb-c5c975aa, eb6725c5-05997634-42fc628d-001242ba-5ab3fe83 | 51104115 | 10552670 | Findings: Frontal and lateral views of the chest. The lungs are clear. There is no pneumothorax nor effusion. Cardiomediastinal silhouette is within normal limits. Radiopaque densities seen in the mid to distal esophagus with additional focus just past the GE junction. This may represent patient's esophageal pH probe. Impression: No acute cardiopulmonary process. Radiopaque densities in the region of the mid to distal esophagus and stomach which may correlate with patient's pH probe placement. | Findings: Frontal and lateral views of the chest. The lungs are clear. There is no pneumothorax nor effusion. The cardiomediastinal silhouette is within normal limits. Radiopaque densities seen in the mid to proximal esophagus with an additional focus just past the GE junction. This may represent patient's esophageal pH probe. An ET tube is noted in the trachea. Impression: No acute cardiopulmonary process. There are no radiopaque densities in the region of the mid to distal esophagus and stomach which may correlate with patient's pH probe placement. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 08895756-28628f43-7bb6fa61-72737637-e90ef342, 3ef83336-7f67850f-4c481312-ec7c99d2-a874836a | 51507599 | 10569231 | Findings: Moderate enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Impression: No acute cardiopulmonary abnormality. | Findings: Mild enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Impression: There is evidence of a large right-sided pleural effusion. | ['Change severity', 'Change to homophone', 'False prediction'] |
| d68f20ae-43c390c2-b66bf131-3528cedc-57f7e90f, f81a519e-734afad4-3d6c87f8-6434f949-a7676b82 | 53678530 | 10569231 | Findings: Underpenetration of the lower chest, particularly on the left, is felt to be due to overlying soft tissue. No focal consolidation is seen on the lateral view. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable with persistent enlargement of the cardiac silhouette. Impression: No acute cardiopulmonary process. | Findings: Underpenetration of the lower chest, particularly on the left, is felt to be due to overlying soft tissue. No focal consolidation is seen on the lateral view. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable with persistent enlargement of the cardiac silhouette. There is no pleural effusion or pneumothorax. Impression: No acute cardiopulmonary process. No cardiac enlargement. | ['Change location', 'Add repetitions', 'False negation'] |
| 70a1de7a-ced6544b-f6c703aa-f806951c-c1fc887d, 781476c8-b3ceae84-5bca3f05-15064709-53236d2f | 54463242 | 10569231 | Findings: Moderate enlargement of the cardiac silhouette persists. The lung bases are underpenetrated due to overlying soft tissue. Increased opacity projecting over the inferior thoracic spine on the lateral view may be due to atelectasis although an early consolidation due to aspiration or infection is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. Mediastinal contours are stable. No pulmonary edema is seen. Impression: Persistent enlargement of the cardiac silhouette. No pulmonary edema. The lung bases are underpenetrated due to overlying soft tissue. Increased opacity projecting over the inferior thoracic spine on the lateral view may be due to atelectasis although an early consolidation due to aspiration or infection is not excluded in the appropriate clinical setting. | Findings: Moderate enlargement of the cardiac silhouette persists. The lung apices are underpenetrated due to overlying soft tissue. Increased opacity projecting over the inferior thoracic spine on the lateral view may be due to atelectasis although an early consolidation due to aspiration or infection is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. Mediastinal contours are stable. Patchy pulmonary edema is evident. A centrally located pacemaker is in place. Impression: Persistent enlargement of the cardiac silhouette. No pulmonary edema. The lung bases are underpenetrated due to overlying soft tissue. Increased opacity projecting over the inferior thoracic spine on the lateral view may be due to atelectasis although an early consolidation due to aspiration or infection is not excluded in the appropriate clinical setting. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 70e97a3f-29b2d597-f8635ca2-daabc3ae-fba20599, 8bd08c70-fbb6e2dc-4a5730ee-8a7a80b5-c496867e | 55488757 | 10569231 | Findings: AP upright and lateral views of the chest provided. Large body habitus and underpenetrated technique limits assessment. Allowing for technical limitations, the lungs are clear. Heart is mildly enlarged. Mediastinal contour is normal. No large effusion or pneumothorax. Bony structures are intact. Impression: Mild cardiomegaly. No overt signs of edema or pneumonia. | Findings: AP upright and lateral views of the chest provided. Large body habitus and underpenetrated technique limits assessment. Allowing for technical limitations, the lungs are clear. Heart is severely enlarged. Mediastinal contour is normal. No large effusion or pneumothorax. Bony structures are intact. Impression: There is no cardiomegaly. No overt signs of edema or pneumonia. No overt signs of edema or pneumonia. | ['Change severity', 'Add repetitions', 'False negation'] |
| 01f860b4-313df5f2-ef6df995-a3bff91e-0e53eadd, f6aafba9-9cacdf7c-73268cf5-74b96292-7b81a593 | 51022437 | 10575262 | Findings: The heart size is mildly enlarged, slightly increased compared to the prior exam. The mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular congestion with trace amount of fluid tracking within the fissures. No large pleural effusion or focal consolidation is seen. There is no pneumothorax. No acute osseous abnormalities identified. Impression: Findings likely reflective of mild pulmonary vascular congestion. | Findings: The heart size is severely enlarged, slightly increased compared to the prior exam. The mediastinal and hilar contours are unremarkable. There is moderate pulmonary vascular congestion with trace amount of fluid tracking within the fissures. No large plural effusion or focal consolidation is seen. There is no pneumothorax. No acute osseous abnormalities identified. A pacemaker is present. Impression: Findings likely reflective of moderate pulmonary vascular congestion. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 16e57afa-63382843-a3a5c024-e1af2c42-96184334, bbee38bd-f8ab65ce-49fa28b2-f1bcb3e5-3bbffc88 | 54255491 | 10575262 | Findings: No pleural effusion or pneumothorax. No parenchymal consolidation is seen. The heart is mildly enlarged. On the lateral, the posterior heart border overlies the anterior aspect of the lower thoracic vertebral bodies implying LV and ___ ___. There is decreased retrosternal space implying mild right ventricular enlargement. Impression: No radiographic cause is identified for the patient's cough. Mild cardiomegaly is seen. | Findings: No pleural effusion or pneumothorax. No parenchymal consolidation is seen. The heart is mildly enlarged. On the lateral, the posterior heart border overlies the anterior aspect of the lower cervical vertebral bodies implying LV and ___ ___. There is decreased retrosternal space implying mile right ventricular enlargement. Bilateral pleural thickening is noted. Impression: No radiographic cause is identified for the patient's cough. Right paratracheal lymphadenopathy is seen. | ['Change location', 'Change to homophone', 'False prediction'] |
| 30e3504a-2e22ab19-d9dd1362-eb94fd44-91739662, e283e6ee-1e78a429-c05396b5-19ed705f-5de5210a | 55987322 | 10575262 | Findings: Cardiac silhouette size remains mildly enlarged but unchanged. Mediastinal and hilar contours are stable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified. Impression: Unchanged mild cardiomegaly. Otherwise no evidence of congestive heart failure or pneumonia. | Findings: Cardiac silhouette size remains severely enlarged but unchanged. Mediastinal and hilar coutours are stable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. There is a small left-sided pleural effusion. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified. Impression: Unchanged moderate cardiomegaly. Otherwise no evidence of congestive heart failure or pneumonia. | ['Change severity', 'Add typo', 'False prediction'] |
| ad5dbcae-e391d578-f01e2f54-b2d7c96c-0c121ec6, c027d8f8-d7e3b702-251c84f4-f4630cbf-72e59727 | 59777295 | 10575714 | Findings: AP upright and lateral views of the chest provided. Lung volumes are low. Allowing for this, the lungs are clear. 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: AP upright and lateral views of the chest provided. NG tube is in place. Lung volumes are low. Allowing for this, the lungs are clear. There is mild consolidation in the left lower lobe. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Impression: Moderate consolidation in the left lower lobe. No acute intrathoracic process. | ['Change location', 'Add contradiction', 'Add medical device'] |
| a7955cff-d2fccb0b-b49d4a97-71d64c98-d657a78b | 53675993 | 10580208 | Impression: AP chest compared to ___, 1:15 a.m.: Moderately severe pulmonary edema has improved minimally in the mid and upper lung zones, not so in the lung bases where it is more severe, accompanied by moderate bilateral pleural effusion. Severe cardiomegaly has improved slightly. There is no pneumothorax. Transvenous right atrioventricular pacer defibrillator system in standard placement. Thoracic aorta is heavily calcified and mildly irregular in shape, due to heavy atherosclerotic plaque. | Impression: AP chest compared to ___, 1:15 a.m.: Moderately severe pulmonary edema has improved minimally in the mid and upper lung zones, not sew in the lung bases where it is more severe, accompanied by moderate bilateral pleural effusion. Severe cardiomegaly has improved slightly. There is no pneumothorax. Transvenous right atrioventricular pacer defibrillator system in an inferior placement. Thoracic aorta is heavily calcified and mildly irregular in shape, due to heavy atherosclerotic plaque. Mild bibasilar atelectasis is noted. | ['Change position of device', 'Change to homophone', 'False prediction'] |
| 18378887-d7647b4e-a2987793-7ff5887a-51970d80, 43fe7b33-07803c3a-c3cdc4b6-7a8f7f94-e7e6e01a | 54794964 | 10580208 | Findings: AP and lateral images of the chest. A pacer is seen overlying the left anterior chest in a different location than on prior exam, with intact leads in appropriate position. Increased interstitial markings are seen bilaterally, consistent with mild to moderate pulmonary edema. Bilateral pleural effusions are seen, left greater than right. No pneumothorax is seen. The cardiomediastinal silhouette is incompletely assessed due to adjacent pulmonary effusion, but it appears to be enlarged. Impression: 1. Mild-to-moderate pulmonary edema with bilateral pleural effusions, left greater than right. 2. Cardiomegaly. | Findings: AP and lateral images of the chest. A pacer is seen overlying the right anterior chest in a different location than on prior exam, with intact leads in appropriate position. Increased interstitial markings are seen bilaterally, consistent with mild to moderate pulmonary edema. Bilateral pleural effusions are seen, left greater than right. No pneumothorax is seen. The cardiomediastinal silhouette is incompletely assessed due to adjacent pulmonary effusion, but it appears to be enlarged. Impression: 1. Mild-to-moderate pulmonary edema with bilateral pleural effusions, left greater than right. 2. Cardiomegaly. 3. Large left apical mass. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| 20907810-b1ab5c94-cb4fbcf4-09c10590-05321eb1, ad582141-5b748b2f-c456f25a-705b7a04-b32e22e4 | 51728482 | 10592002 | Findings: Heart size is normal. The mediastinal and hilar contours are normal. Mild atherosclerotic calcifications are noted at the aortic knob. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air is present. Impression: No acute cardiopulmonary abnormality. No subdiaphragmatic free air identified. | Findings: Heart size is normal. The mediastinal and hilar contours are normal. Mild atherosclerotic calcifications are noted at the aortic knob. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air is present. There are significant aortic calcifications identified. | ['Change severity', 'Add contradiction', 'False negation'] |
| 2a4ad985-4a6d5b92-11a8cc7b-046220f5-188ce7c8, c1557f59-55c7ff14-cdb02fc2-db962b0d-3aa6a6b3 | 58910893 | 10592002 | Impression: No previous images. No evidence of acute cardiopulmonary disease. There is some the apical sub pleural thickening with mild fibrous scarring bilaterally, consistent with old healed tuberculous disease. | Impression: No previous images. No evidence of acute cardiopulmonary disease. There is some the apical sub pleural thickening with moderate fibrous scarring bilaterally, consistent with old healed tuberculous disease and trace pleural effusion. | ['Change severity', 'Add typo', 'False prediction'] |
| 3e690aea-3a937250-0a43c974-010eeb6a-f84953b2, 6e0c0f60-529ac8e0-606e671a-5e7075f0-07fcd489 | 56038252 | 10595724 | Impression: No acute intrathoracic process. | Impression: The patient may need to be evaluated for a localized pleural effusion. | ['False prediction', 'Change to homophone', 'Add medical device'] |
| 3edade1d-e06bbc14-6a3b9886-930b0ff1-95810ebc, 5e4ec3e6-eff5ccaf-92e6f524-90e868e2-3d2c2772 | 52366630 | 10617538 | Findings: Frontal and lateral chest radiographs demonstrate a normal cardiac silhouette. Slightly unfolded aorta with otherwise unremarkable mediastinal and hilar contour. The lungs are well-aerated without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable without evidence for sub- diaphragmatic free air. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral chest radiographs demonstrate a normal cardiac silhouette. Slightly unfolded aorta with otherwise unremarkable mediastinal and hilar contour. The lungs are well-aerated without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable without evidence for sub- diaphragmatic free air. A central venous line is present at the right atrium. The lungs are well-aerated without focal consolidation, pleural effusion, or pneumothorax. Impression: No acute cardiopulmonary process. | ['Change location', 'Add repetitions', 'Add medical device'] |
| cb19438f-641f1bf4-e5b7d045-351ae8c3-892e9013, d5c7d596-f85d51d0-f50de103-25a4904c-c62cd894 | 59001230 | 10617538 | Findings: Right sided Port-A-Cath tip terminates in the mid SVC. Heart size is normal. Mediastinal and hilar contours are unchanged. Calcified bilateral hilar lymph nodes are re- demonstrated. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Heterogeneous appearance of the T12 vertebral body is better seen on the prior CT. Impression: No acute cardiopulmonary abnormality. | Findings: Right sided Port-A-Cath tip terminates in the inferior vena cava. Heart sighs is normal. Mediastinal and hilar contours are unchanged. Calcified bilateral hilar lymph nodes are re- demonstrated. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. A newly placed pacemaker is noted. Heterogeneous appearance of the T12 vertebral body is better scene on the prior CT. Impression: No acute cardiopulmonary abnormality. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 7eff5f7d-db222fe7-fe4b9865-1f0641c1-bcfdc4a1, e4b6639a-addc6e70-3931f176-25766a17-95a40103 | 52666674 | 10625954 | Findings: The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. Impression: No focal consolidations concerning for pneumonia. | Findings: The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal cosolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. Impression: No focal consolidations concerning for pneumothorax. There is evidence of bilateral pleural effusions. | ['Add typo', 'Add contradiction', 'False prediction'] |
| 1d781883-bb2d3cf0-14fd56ff-c4d0e12f-1143d820 | 50196128 | 10649970 | Findings: AP view of the chest. There are low lung volumes. Calcified nodules in the right lung base are unchanged from prior, likely sequelae of prior healed infection. There is bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Impression: 1. No evidence of pneumonia. 2. Stable calcified nodules in the right lung base, likely sequela of prior healed infection. | Findings: AP view of the chest. AP view of the chest. There are low lung volumes. Calcified nodules in the left lung base are unchanged from prior, likely sequelae of prior healed infection. There is a central venous line present. There is bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Impression: 1. No evidence of pneumonia. 2. Stable calcified nodules in the left lung base, likely sequela of prior healed infection. | ['Change location', 'Add repetitions', 'Add medical device'] |
| a1c8c7ce-7da30482-9513e5d6-e9c94ca0-4ce8696a | 50701407 | 10649970 | Impression: 1. Lung volumes remain somewhat low. There are multiple small calcified nodular opacities in the right mid and lower lungs, which are unchanged. No pulmonary edema or airspace consolidation to suggest an acute infectious process. No pneumothorax or pleural effusions. Overall cardiac and mediastinal contours are stable. No pneumothorax. | Impression: Lung volumes remain somewhat low. There are multiple small calcified nodular opacities in the right mid and lower lungs, which are unchanged. No pulmonary edema or airspace consolidation to suggest an acute infectious process. The patient has a central venous line. No pneumothorax or pleural effusions. Overall cardiac and mediastinal contours are stable. No pneumothorax or pleural effusions. No pneumothorax. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| df51559d-507712fb-fa6e2962-7da4f76b-a209ffe9 | 52247104 | 10738077 | Findings: The AP portable chest radiograph demonstrates right PICC which terminates in the axilla. There is no focal consolidation. There is bibasilar atelectasis. Heart size is top-normal. Mediastinal and hilar contours are within normal limits. There is no pneumothorax or appreciable pleural effusion. Impression: Right PICC with tip terminating in right axilla. These findings were communicated to surgical house staff officer ___ by Dr. ___ ___ telephone at 10:00 on ___. | Findings: The AP portable chest radiograph demonstrates right vascular stent which terminates in the axilla. There is no focal consolidation. There is no atelectasis. Heart size is top-normal. Mediastinal and hilar contours are within normal limits. There is no pneumothorax or appreciable pleural effusion. There is moderate atelectasis. Impression: Right PICC with tip terminating in right atrium. These findings were communicated to surgical house staff officer ___ by Dr. ___ ___ telephone at 10:00 on ___. | ['Change name of device', 'Add contradiction', 'False negation'] |
| 50d7481e-a17d3334-1639b695-43ac984e-46ccec4f, c5cb848f-99205a6c-08c1ebd4-fd92d960-44ec5143 | 58146073 | 10738077 | Findings: Left-sided PICC tip terminates in the mid SVC, in unchanged position. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal subsegmental atelectasis in the left lung base is noted. The remainder of the lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Impression: Left PICC tip in unchanged position. No acute cardiopulmonary abnormality. | Findings: Left-sided PICC tip terminates in the right atrium, in unchanged position. Heart siz is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No atelectasis is noted. The remainder of the lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Impression: Left PICC tip poksition in unchanged position. No acute cardiopulmonary abnormality. | ['Change position of device', 'Add typo', 'False negation'] |
| 6a83b24c-67c3269a-c2c1b295-6bde13b8-b9bab43c | 51178141 | 10750092 | Impression: AP chest compared to ___, 5:37 a.m. There is a new tracheostomy tube, turned to the left, tip facing the left tracheal wall. There is no pneumothorax or mediastinal widening. Small right pleural effusion is new. Heart size is normal. Thoracic aorta is tortuous, but not focally dilated. Right subclavian line ends low in the SVC. | Impression: AP chest compared to ___, 5:37 a.m. There is a new nasogastric tube, turned to the left, tip facing the left tracheal wall. There is no pneumothorax or mediastinal whining. No right pleural effusion is new. Heart size is normal. Thoracic aorta is tortuous, but not focally dilated. Right subclavian catheter ends low in the SVC. | ['Change name of device', 'Change to homophone', 'False negation'] |
| f9f2994d-0072f6aa-32cf61c7-af016a0a-5e32b37a | 52347962 | 10750092 | Findings: Comparison is made to previous study from ___. There is an endotracheal tube whose tip is 3.3 cm above the carina. This could be pulled back 1-2 cm for more optimal placement. There is a nasogastric tube whose side port is near the GE junction. This could be advanced several centimeters for more optimal placement. There is stable cardiomegaly and tortuosity of the thoracic aorta. There is some slight prominence of pulmonary vascular markings and some atelectasis versus developing infiltrate at the right base. No pneumothoraces are present. | Findings: Comparison is made to previous study from ___. There is an endotracheal tube whose tip is 3.7 cm above the carina. This could be pulled back 1-2 mm for more optimal placement. There is a nasogastric tube whose side port is near the GE junction. This could be advanced several centimeters for more optimal placement. There is stable cardiomegaly and tortuosity of the thoracic aorta. There is no prominence of pulmonary vascular markings. No pneumothoraces are present. | ['Change measurement', 'Add repetitions', 'False negation'] |
| 0467c521-bdba9798-87b7c0cf-b1e76b40-5fcd1444 | 54397816 | 10750092 | Findings: Portable upright chest radiograph demonstrates no change in aeration accounting for differences in positioning. The patient remains intubated, with the tip of the endotracheal tube positioned 3.5 cm from the level of the carina. An NG tube is in place with its tip projecting over the expected position of the stomach, and sidehole projecting over the expected position of the distal esophagus. There is mild pulmonary edema. Cardiac and mediastinal contours are unchanged. Impression: 1. Unchanged mild pulmonary edema. 2. NG tube sidehole in the distal esophagus, could be advanced several centimeters to decrease the risk of aspiration. | Findings: Portable upright chest radiograph demonstrates no change in aeration accounting for differences in positioning. The patient remains intubated, with the tip of the ET tube positioned 3.5 cm from the level of the carina. An NG tube is in place with its tip projecting over the expected position of the stomach, and sidehole projecting over the expected position of the distal esophagus. There is mild pulmonary edema. Cardiac and mediastinal counters are unchanged. A central venous line is noted in the right internal jugular vein. Impression: 1. Unchanged mild pulmonary edema. 2. NG tube sidehole in the distal esophagus, could be advanced several centimeters to decease the risk of aspiration. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| 28bcbc77-70736463-dc95285f-40b115a7-5d7b7f15, 501b436f-4f6cf540-ca6ea4e6-b4a0a951-03e9baf9 | 55148571 | 10750092 | Impression: No acute cardiopulmonary process. | Impression: No overt pulmonary edema. | ['Add repetitions', 'Change to homophone', 'False prediction'] |
| ce531719-78a6c8a0-6db6ac35-9786e10c-8ff62104 | 57870796 | 10750092 | Impression: Slightly decreased edema with bibasilar atelectasis and newly evident right midlung opacity which may reflect a developing pneumonia. Finding was discussed by phone with Dr. ___ by Dr. ___ at ___ on ___. | Impression: Slightly decreased edema with basilar atelectasis and newly evident right midlung opacity which may reflect a developing pneumonia. Finding was discussed by phone with Dr. ___ by Dr. ___ at ___ on ____. | ['Change location', 'Add typo', 'False prediction'] |
| 632aa920-047fa58d-57bb9ec3-53497e57-ab6df53a | 59472868 | 10750092 | Findings: In the interim, the patient has been intubated, the endotracheal tube tip lies no less than 1.3 cm from the level of the carina. The lungs remain hyperexpanded, with no pneumothorax or pleural effusion. The cardiac silhouette remains normal in size, the mediastinal contours are notable for aortic ectasia. There is a healed fracture of the posterolateral right fifth rib. An NG tube remains in place with its tip and sidehole within the stomach. Note is made of mitral annular calcifications. Impression: 1. Interval intubation, endotracheal tube tip is at least 1.3 cm from the level of the carina. 2. Hyperexpansion, with no acute chest abnormality. | Findings: In the interim, the patient has been intubated, the endotracheal tube tip lies no less than 2.5 cm from the level of the carina. The lungs remain hyperexpanded, with no pneumothorax or pleural effusion. The cardiac silhouette remains normal in size, the mediastinal contours are notable for aortic ectasia. There is a healed fracture of the posterolateral right fifth rib. An NG tube remains in place with its tip and sidehole within the stomach. Note is made of mitral annular calcifications. The lungs remain hyperexpanded, with no pneumothorax or pleural effusion. Impression: 1. Interval intubation, endotracheal tube tip is at least 1.3 cm from the level of the carina. 2. No hyperexpansion, with no acute chest abnormality. | ['Change measurement', 'Add repetitions', 'False negation'] |
| 6c0ee6ab-a42d369e-38095ae8-53f0889e-f84941fb, e6a7f3ac-fb2965d9-da384ee3-023cf138-7b74ab23 | 59509278 | 10767172 | Findings: The lungs are well expanded and clear. There is no pleural abnormality. The cardiac and mediastinal silhouettes are unremarkable. Impression: No acute cardiopulmonary process. | Findings: The lungs are well expanded and clear. There is no pleural abnormality. The cardiac and mediastinal silhouettes are unremarkable. Impression: Moderate bilateral pulmonary edema. Findings: The cardiac and mediastinal silhouettes are unremarkable. | ['Add repetitions', 'Add contradiction', 'False negation'] |
| 12c35222-67523ce4-b206cd0f-7ae4b5c5-cffd8b0f, 71567b61-e39a229b-3e60f82f-73c88327-5339c006 | 50392431 | 10773739 | Impression: The right lung is unremarkable. On the left, there is an increase in pleural effusion and, with limitation of 2 different techniques, an increase in extent of the pleural based parenchymal consolidation, as compared to the CT from ___. Only a minimal portion of the left lung continues to be ventilated. The right hemithorax is unremarkable. | Impression: The right lung is unremarkable. On the right, there is an increase in pleural effusion and, with limitation of 2 different techniques, an increase in extent of the pleural based parenchymal consolidation, as compared to the CT from ___. No pleural based parenchymal consolidation is seen. Only a minimal portion of the left lung continues to be ventilated. The right hemithorax is normal, without significant abnormalities. | ['Change location', 'Add contradiction', 'False negation'] |
| 03a0e671-6ed112db-cd729147-e75e4c14-8b10b571, 27301340-4a2d61c1-9754659f-1f32a3ba-c517d70f | 52243706 | 10773739 | Impression: The left upper chest tube is been removed. The lower chest tube is still in place. There is interval improved appearance of the lungs with decreased effusions bilaterally. There continues to be volume loss/ infiltrate in the left lower lung and a layering left effusion. | Impression: The left upper chest tube is been removed. The lower chest tube is now in the right side. There is interval improved appearance of the linges with decreased effusions bilaterally. No volume loss or infiltrate is seen. | ['Change position of device', 'Add typo', 'False negation'] |
| 7ce067b7-43b86b45-28974414-6f1c4688-b7f94e66 | 53225875 | 10773739 | Findings: The tiny volume of residual air in the left pleural space laterally and anteriorly, in the small, stable volume of loculated left pleural fluid or pleural thickening, reflects recent removal of the left thoracostomy tube. The left hemidiaphragm is more elevated now than it was several days ago, an indication of greater volume loss in the left lower lobe. The right lung and pleural space and visible mediastinal contours and structures are normal. Impression: 1. Small amount of thoracostomy related air and residual pleural fluid loculation, unchanged. 2. Mild volume loss at the left lower lobe. | Findings: The tiny volume of residual air in the left pleural space laterally and anteriorly, in the small, stable volume of loculated left pleural fluid or pleural thickening, reflects recent removal of the left chest tube. The left hemidiaphragm is more elevated now than it was several days ago, an indication of greater volume loss in the left lower lobe. The right lung and pleural space and visible mediastinal contours and structures are normal. The left lung shows mild fibrosis. Impression: 1. Small amount of thoracostomy related air and residual pleural fluid loculation, unchanged. 2. Mild volume loss at the left lower lobe. The left hemidiaphragm is more elevated now than it was several days ago, an indication of greater volume loss in the left lower lobe. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| e6f661d0-3ef9f93a-c00603f2-8e7d049d-6a3a0581 | 54534488 | 10773739 | Impression: 2 left-sided chest tubes are again seen. There continues to be a moderate left effusion. There is left sided pulmonary vascular redistribution and alveolar edema that is slightly increased compared to the study from the prior day. The right lung is clear. | Impression: 2 left-sided chest tubes are again seen. There continues to be a moderate left effusion. There is right sided pulmonary vascular redistribution and alveolar edema that is slightly increased compared to the study from the prior day. The rught lung is clear. A central venous line is present in the right thorax. | ['Change location', 'Add typo', 'Add medical device'] |
| 1ded0fc6-dc59870e-c054eea2-5b6cceee-6151983d, fa7b20f1-0fd5ce93-b4aaf450-db44d8ec-8f3df713 | 56346242 | 10773739 | Findings: The left-sided chest tube is been removed. There is a small left apical lateral pneumothorax. The volume loss/a atelectasis/effusion on the left is similar compared to prior Compared to the prior study there is no significant interval change Impression: Small left pneumothorax. | Findings: The left-sided Foley catheter is been removed. There is a small left apical lateral pneumothorax. Their is a small right pleural effusion. The volume loss/a atelectasis/effusion on the left is similar compared to prior Compared to the prior study there is no significant interval change Impression: Small left pneumothorax. | ['Change name of device', 'Change to homophone', 'False prediction'] |
| 203fcaff-aaa7aa30-f1eeb9d0-d903b93f-b2bc1a10 | 57343946 | 10773739 | Impression: Interval increase in opacification of the left lung is probably a function of pleural restriction and had asymmetric edema, accompanying increase in the volume of pleural fluid at the base of the left hemi thorax. Apical and basal pleural tubes are unchanged in position. Right lung is clear. Heart is mildly enlarged. Elevation of the left hemi diaphragm is probably a function of left lower lobe atelectasis and pleural fixation. No pneumothorax. | Impression: Interval increase in opacification of the right lung is probably a function of pleural restriction and had asymmetric edema, accompanying increase in the volume of pleural fluid at the base of the left hemi thorax. Apical and basal pleural tubes are unchanged in position. Right lung is clear. Heart is mildly enlarged. Elevation of the left hemi diaphragm is probably a function of left lower lobe atelectasis and pleural fixation. No pneumothorax. Right lung is clear. Mild bilateral pleural effusion is noted. | ['Change location', 'Add repetitions', 'False prediction'] |
| 4f3d57de-827269dc-785ac7cd-9b9c4f86-8366d5da | 58663163 | 10773739 | Impression: Following insertion of left apical and basal pleural drains, there has been a substantial decrease in the volume of left pleural effusion, small to moderate, and largely basal. Left lower lobe is poorly aerated, so I cannot exclude pneumonia there. The upper lung is clear. There is mild re-expansion edema in the left midlung. Right lung is clear. CT scanning would be helpful in assessing both the left pleural space an the lower lung, depending course upon the profile of the thoracentesis aspirate. No pneumothorax. | Impression: Following insertion of left apical and baffal pleural drains, there has been a substantial decrease in the volume of right pleural effusion, small to moderate, and largely basal. Right lower lobe is poorly aerated, so I cannot exclude pneumonia there. The upper lung is clear. There is mild re-expansion edema in the left lower lung. Left lung is clear. Multiple nodular opacities are noted in the right lung base. CT scanning would be helpful in assessing both the left pleural space an the lower lung, depending course upon the profile of the thoracentesis aspirate. Small pneumothorax is present. | ['Change location', 'Add typo', 'False prediction'] |
| 0634e821-c53b5925-d799ae9a-7d89063e-d8f88591, 0c04004a-a36c9c30-f869bd3d-e4497073-49914c51 | 59278582 | 10773739 | Findings: Cardiomediastinal contours are normal. The right lung is clear. There is no pneumothorax or right pleural effusion. There is mild elevation of the left hemidiaphragm unchanged from prior. Opacities in the left lower hemithorax have markedly improved with residual probably scarring. Blunting of the left costophrenic angles could represent a small effusion or pleural thickening. The osseous structures are unremarkable Impression: No acute cardiopulmonary abnormalities. Minimal residual linear opacities in the left lower lung likely scarring and small left effusion and or pleural thickening | Findings: Cardiomediastinal contours are nominal. The right lung is clear. There is no pneumothorax or right pleural effusion. There is mild elevation of the left hemidiaphragm unchanged from prior. Nodules in the left lower hemithorax have markedly improved with residual probably scarring. Blunting of the left costophrenic angles could represent a small effusion or pleural thickening. There are scattered calcifications within the osseous structures. Impression: No acute cardiopulmonary abnormalities. Minimal residual linear opacities in the left lower lung likely scarring and small left effusion and or pleural thickening. There is mild hyperinflation of the lungs. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 864c32b8-9a203655-831c5b9a-f9adadcb-767da6bb, eae6b2ca-4d2a18ae-8fbf9cf4-15cf90bc-2ae81da1 | 51475084 | 10785610 | Findings: The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Impression: No acute cardiopulmonary process. | Findings: The longs are clear. The cardiomediastinal silhouette is abnormal. No acute osseous abnormalities identified. The left lung shows a small area of opacity concerning for pneumonia. Impression: No acute cardiopulmonary process. | ['Add contradiction', 'Change to homophone', 'False prediction'] |
| 49910657-1f377f22-5cc20631-adab4e1a-1debb4b0 | 50512608 | 10803114 | Findings: Small right apical and basilar pneumothorax is not significantly changed compared to the most recent radiograph from ___. The previously seen small caliber right pleural catheter on the prior chest radiograph is no longer identified. There are two new larger bore pleural catheters projecting over the right lung base. There has been interval improvement of the small right-sided pleural effusion. The left lung is clear without evidence of focal consolidations. There is mild right basilar atelectasis. The hilar and mediastinal contours are normal. Impression: 1. S/p placement of two new larger bore pleural catheters projecting over the right lung base. Small right pneumothorax not significantly changed compared to the most recent radiograph. 2. Mild right basilar atelectasis. | Findings: Small right apical and basilar pneumothorax is not significantly changed compared to the most recent radiograph from ___. The previously seen small caliber right pleural catheter on the prior chest radiograph is no longer identified. There are two new Foley catheters projecting over the right lung base. There has been interval improvement of the small right-sided pleural effusion. There is no basilar atelectasis. The left lung is clear without evidence of focal consolidations. There is mild right basilar atelectasis. The hilar and mediastinal contours are normal. Impression: 1. S/p placement of two new larger bore pleural catheters projecting over the right lung base. Small right pneumothorax worsened compared to the most recent radiograph. 2. Mild right basilar atelectasis. | ['Change name of device', 'Add contradiction', 'False negation'] |
| a239d4b6-5c88ad05-ed28dae6-22f93f18-4538a559 | 50901934 | 10803114 | Findings: Comparison to the most recent preceding radiograph, there is a slight reaccumulation of fluid in the right pleural space. Two chest tubes are noted in that space. A tiny apical pneumothorax is present. Right atelectasis is also present. The left lung is essentially clear. Cardiac size is normal. | Findings: Comparison to the most recent preceding radiograph, there is a slight reaccumulation of fluid in the left pleural space. Two chest tubes are noted in that space. No pneumothorax is present. Right atelectasis is also present. The left lung is essentially clear. Cardiac size is normal. Impression: Nodular areas identified within both lungs. | ['Change location', 'Add contradiction', 'False negation'] |
| 21b088f4-785d17f9-7d448101-6744c865-87dd790b | 52569432 | 10803114 | Impression: Pigtail right base. No pneumothorax, reduced effusion. | Impression: ET tube present in the trachea. No pneumotherax, reduced effusion. | ['Change location', 'Add typo', 'Add medical device'] |
| 24dcc6bd-268da180-8371ae76-64cd7bcd-550a8701 | 53287973 | 10803114 | Impression: 1. There is a stable small right apical pneumothorax. Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged. A small but stable right effusion is likely present. The left lung remains clear. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema. | Impression: 1. There is a stable large right apical pneumothorax. Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged. A small but stable right effusion is likely present. The left lung remains clear. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema. No left-sided pleural effusion is observed. | ['Change severity', 'Add repetitions', 'False prediction'] |
| dd5da479-b1000fad-3146bb1a-6a6c7244-25e07794 | 53696310 | 10803114 | Findings: In comparison with study of ___, there is little interval change in the appearance of the small residual effusion and atelectatic changes at the right base with Pleurx catheter in place. No evidence of pneumothorax. | Findings: In comparison with study of ___, there is little interval change in the appearance of the small residual effusion and atelectatic changes at the right base with Hickman catheter in place. There is no evidence of pneumothorax. A central venous line is noted in the left subclavian vein. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| 3bcd0d92-81373a0a-8fb28e74-2cac5886-c8fd319b, c3c8dab4-129cc1cd-e3818349-2e9417a3-50ceda9c | 53790841 | 10803114 | 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 ___. The heart size remains normal. No configurational abnormality is seen. Unremarkable appearance of thoracic aorta. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on the frontal views. As already seen on the preceding study, there is a mild degree of right-sided convex scoliosis in the thoracic spine with moderate degree of degenerative changes, but no other skeletal abnormalities are identified. Impression: Stable chest findings, no cardiomegaly, pulmonary congestion or interstitial abnormalities suspicious for amiodarone toxicity. | Findings: AP and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The heart size remains enlarged. No configurational abnormality is seen. Unremarkable appearance of abdominal aorta. The pulmonary vasculature is congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on the frontal views. Mild pulmonary edema is present. As already seen on the preceding study, there is a mild degree of left-sided convex scoliosis in the thoracic spine with moderate degree of degenerative changes, but no other skeletal abnormalities are identified. Impression: Stable chest findings, no cardiomegaly, pulmonary congestion or interstitial abnormalities suspicious for amiodarone toxicity. | ['Change location', 'Add contradiction', 'False prediction'] |
| 583ddbd2-50f85c61-b2d63c29-0c4cc293-77060208, a9c0a1f8-cb2a4f30-656ef3e2-e80e3406-e70d3c53 | 54240463 | 10803114 | Findings: A large subpulmonic effusion is present on the right with associated atelectasis. The heart size is at the upper limits of normal and the visualized mediastinal and hilar contours are within normal limits. The left lung is clear. There is no pneumothorax. Two locules of gas in the left upper abdomen represent the gastric bubble and splenic flexure of the colon. Impression: Large right pleural effusion with associated atelectasis. | Findings: A right-sided pleural effusion with associated atelectasis is present. The heart size is upper limits of noral and the visualized mediastinal and hilar contours are within normal limits. Bibasilar opacities likely representing infiltrates are noted. The left lung is clear. There is no pneumothorax. Two locules of gas in the left upper abdomen represent the gastric bubble and splenic flexure of the olon. Impression: Large right pleural effusion with associated atelectasis. | ['Change position of device', 'Add typo', 'False prediction'] |
| d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe, ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455 | 56199877 | 10803114 | Findings: The cardiac, mediastinal and hilar contours appear unchanged. There is no shift of mediastinal structures. There is a large right-sided pleural effusion, which has increased since the earlier radiographs and perhaps slightly since the more recent CT. There is no pneumothorax. The left lung remains clear. Impression: Similar to increased right-sided pleural effusion, large in size. No evidence of pneumothorax. | Findings: The cardiac, mediastinal and hilarious contours appear unchanged. There is no shift of mediastinal structures. There is no pleural effusion. There is no pneumothorax. The left lung remains clear. Impression: Similar to increased right-sided pleural effusion, massive in size. No evidence of pneumothorax. | ['Change severity', 'Change to homophone', 'False negation'] |
| 2bbed805-9edabe38-d0476a90-21720847-53aa7ab7, 4e706237-7bfcb1f1-73ed2f42-d39a58df-de79389a | 56530218 | 10803114 | Impression: 1. Two right basilar chest tubes remain in place. There is a stable small right apical pneumothorax. Contiguous patchy airspace disease at the right base is also seen and stable. There is a small residual right pleural effusion vs. pleural thickening, unchanged. Left lung is clear. No evidence of pulmonary edema. Heart remains enlarged. Mediastinal contours are unchanged. | Impression: 1. Two right basilar chest tubes remain in place. There is a stable small right apical pneumothoramx. Contiguous patchy airspace disease at the right base is absnt. There is a small residual right pleural effusion vs. pleural thickening, slightly enlarged. Left lung is clear. No evidence of pulmonary edema. Heart remains mildy enlarged. Mediastinal contours are unchanged. | ['Change severity', 'Add typo', 'False negation'] |
| 44a77474-9433858c-b46ea842-b78cbd76-b08fc180 | 56814699 | 10803114 | Impression: No change. | Findings: The heart is within normal limits in size. Lungs are free of acute infiltrates. There is no evidence of pneumothorax or pleural effusion. Multiple surgical clips are present in the right upper quadrant. | ['Add contradiction', 'Add typo', 'Add medical device'] |
| 6e7b243d-a11a3f29-49057751-677985e1-c29b0e67, c9cf7fd7-7209115e-f7497506-5548d12f-30259e65 | 56915281 | 10803114 | Findings: Frontal and lateral views of the chest demonstrate similar configuration as a right basal approach pleural catheter in place. There is a persistent small right pleural effusion with associated atelectasis and a small perifissural component. Previously seen pneumothorax component in the right basal hydropneumothorax is no longer visible. The right upper lung and left lung appear well aerated. There is no pulmonary edema or left pleural effusion. The heart is normal in size. The mediastinal and hilar contours are within normal limits. Multilevel upper thoracic anterior spondylosis is present. Impression: Stable small right pleural effusion with associated atelectasis and pleural chest catheter in place. | Findings: Frontal and lateral views of the chest demonstrate similar configuration as a right basal approach pleural vaccum in place. There is a persistent small right pleural effusion with associated atelectasis and a small perifissural component. Previously sen pneumothorax component in the right basal hydropneumothorax is no longer visible. The right upper lung and left lung appear well aerated. There is no pulmonary edema or left pleural effusion. The heart is normal in size. The mediastinal and hilar contours are within normal limits. Multilevel upper thoracic anterior spondylosis is present. A left-sided central venous line is seen terminating in the superior vena cava. Impression: Stable small right pleural effusion with associated atelectasis and pleural chest cathter in place. | ['Change name of device', 'Add typo', 'Add medical device'] |
| e29f99dd-1ecf184b-8a7a3240-781f606a-b37061da | 58469461 | 10803114 | Findings: PA and lateral views of the chest demonstrate a right-sided pleural catheter in unchanged position. The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura. The chest is otherwise unchanged, including right basal atelectasis, and clear left lung. Cardiac size remains stable. Impression: Interval decrease in the amount of fluid but increase in the amount of air within the right pleura compatible with a small hydropneumothorax. | Findings: PA and lateral views of the chest demonstrate a right-sided vascular stent in unchanged position. The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura. The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura. The chest is otherwise unchanged, including right basal atelectasis, and clear left lung. No pleural air is seen. Impression: Interval decrease in the amount of fluid but increase in the amount of air within the right pleura compatible with a small hydropneumothorax. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 3b21641a-0dbd0858-0948dffc-42b3b047-a2153a8a, e5fe40d3-47686c41-bd3deb46-bff9a8dd-60e1fc04 | 56869570 | 10807361 | 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. No free air below the right hemidiaphragm is seen. Impression: No acute intrathoracic process. | Findings: PA and lateral views of the abdomen provided. There is no focal consolidation, effusion, or pneumotorax. The cardiomediastinal silettou is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. An NG tube is in place. Impression: No acute intrathoracic process. | ['Change location', 'Add typo', 'Add medical device'] |
| 30b12960-af4bffa5-615613dd-d0a3cdcc-f885a90f | 59649487 | 10817099 | Findings: Interval extubation. Cardiomediastinal contours are within normal limits and without change. Improved aeration at the lung bases with residual subsegmental atelectasis at the left lung base. Impression: Improving aeration at lung bases with residual left lower lobe subsegmental atelectasis. | Findings: Interval extubation. Cardiomediastinal contours are within normal limits and without change. Improved aeration at the left lung base with residual subsegmental atelectasis at the left lung base. Impression: No subsegmental atelectasis. | ['Change location', 'Change to homophone', 'False negation'] |
| 635af03b-69756d41-3660ec05-e2c0ec37-d732f2cc, bb1e3b63-37b0c06b-9ee2551f-b2d7cf01-ed2f7d8b | 50702835 | 10862054 | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The heart is top-normal in size. There is mild unfolding of the thoracic aorta. The cardiac and mediastinal silhouettes are otherwise unremarkable. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without vocal consolidation. No pleural effusion or pneumothorax is seen. The heart is top-normal in size. No unfolding of the thoracic aorta. The cardiac and mediastinal silhouettes are otherwise unremarkable. Impression: No acute cardiopulmonary process. | ['Change severity', 'Change to homophone', 'False negation'] |
| 6320a177-342a4fd7-a6b6cd85-53265126-c5592815, 7ca81fd6-1bf2f074-46a147a6-c0a1560d-28d9dde0 | 52442425 | 10862054 | 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 stable and unremarkable. Hilar contours are also stable. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the leg were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar counters are also stable. A left-sided central venous line is present. Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 48c29455-ce143787-9c665645-6d085f76-c141b0f1 | 52877968 | 10862054 | Impression: PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. | Impression: PA and lateral chest compared to ___: Cardiac silhouette is top normal, lungs, hila, mediastinum and pleural surfaces. Mild pleural effusion present. No pleural effusion noted. | ['Change location', 'Add contradiction', 'False prediction'] |
| e5ba8565-97cf1086-bd6674d6-78042027-ad400dce, fde68247-83632d38-2e159579-20fba1c5-c7473876 | 53265978 | 10893584 | Findings: The lungs are clear bilaterally. The heart may be at the upper limit of normal, however there are low lung volumes and magnification artifact present (AP film). No pleural effusion or pneumothorax is seen. On the lateral, a thin-walled ring shadow unlikely be of significance is seen. Impression: No radiographic evidence for the patient's leukocytosis. | Findings: The lungs are clear bilaterally. The heart may be at the upper limit of normal, however there are low lung volumes and magnification artifact present (AP film). No pleural effusion or pneumothorax is seen. On the lateral, a thin-walled ring shadow unlikely be of significance is seen. No pleural effusion or pneumothorax is seen. Impression: No radiographic evidence of a left-sided pleural effusion. | ['Change location', 'Add repetitions', 'False prediction'] |
| 74155497-e80ec02f-154721b7-bc76f816-069c92eb, d1552af1-5b159d3e-4058cc59-8af87caf-375f46e7 | 53623762 | 10924949 | Findings: Lung volumes are low and exaggerate pulmonary vascular markings. There are bibasilar atelectatic changes but the lungs are otherwise without a focal consolidation. The cardiac and mediastinal contours appears stable. Left ventriculoperitoneal shunt is again visualized traversing through the chest into the upper abdomen. No acute fractures are identified. Severe degenerative changes are noted at the right glenohumeral joint with moderate degenerative changes throughout the thoracolumbar spine. Impression: No acute cardiopulmonary process. | Findings: Lung volumes are low and exaggerate pulmonary vascular markings. There are bibasilar aspiratory changes but the lungs are otherwise without a focal consolidation. The cardiac and mediastinal contours appears stable with left-sided pleural effusion. Left ventriculoperitoneal shunt is again visualized traversing through the chest into the upper abdomen. No significant fractures are identified. Severe degenerative changes are noted at the right glenohumeral joint with mild degenerative changes throughout the thoracolumbar spine. Impression: Mild acute cardiopulmonary process. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 9174f95c-f3fdd1b5-b0a921a6-de43c3e8-939bcfa2, f4ec1ae5-a9b3e696-9647c6e3-2518312e-e435cf0a | 58001725 | 10924949 | Findings: Frontal lateral views of the chest. Tubing seen along the left anterior chest wall, presumably from a ventriculoperitoneal shunt. Relatively low lung volumes are seen. The lungs however are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Impression: No acute cardiopulmonary process. | Findings: Frontal lateral views of the chest. Tubing seen along the right anterior chest wall, presumably from a ventriculoperitoneal shunt. No tubing seen. Relatively low lung volumes are seen. The lungs however are clear of consolidation or effusion. Mild right-sided consolidation noted. Cardiomediastinal silhouette is within normal limits. Slight cardiomegaly is observed. No acute osseous abnormality detected. Impression: No acute cardiopulmonary process. | ['Change location', 'Add contradiction', 'False negation'] |
| 171a4674-65e7ed96-c63bae1f-faa3fd7d-07ac9309, 4d5310fd-468856e6-1b902127-c506ed84-8b93870d | 53302173 | 10986871 | Findings: Cardiomediastinal and hilar contours are stable demonstrating mild cardiomegaly. Mitral annular calcifications are noted. Bibasilar opacities, left greater than right are demonstrated and may represent infection or atelectasis. Lower lung volumes on the current exam results in crowding of the bronchovascular markings. The aorta is tortuous and calcified. There is no pneumothorax. There is no pleural effusion. There is marked degenerative change involving the glenohumeral joints bilaterally. Impression: Bibasilar opacities, left greater than right suggest infection or atelectasis. Mild cardiomegaly is stable. | Findings: Cardiomediastinal and hilar contours are stable demonstrating mild cardiomegaly. Mitral annular calcifications are noted. No opacities are demonstrated. Lower lung volumes on the current exam results in crowding of the broncho-vascular markings. The aorta is tortuous and calcified. There is no pneumothorax. There is no pleural effusion. There is marked degenerative change involving the glanohumeral joints bilaterally. Impression: No bibasilar opacities suggest infection or atelectasis. Severe cardiomegaly is stable. | ['Change severity', 'Change to homophone', 'False negation'] |
| d0d2bd0c-8bc50aa2-a9ab3ca1-cf9c9404-543a10b7 | 54076811 | 11001469 | Impression: No evidence of free air. | Impression: No evidence of free air. No evidence of free air. Impression: Free air noted in the abdominal cavity. | ['Add repetitions', 'Add contradiction', 'False negation'] |
| 0ab98ebc-3e42c243-135283ca-41290b6b-639453bd, 47cc7240-5f6606db-9489804d-ba5151f2-7b875507 | 53261242 | 11045233 | Findings: There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Mild multilevel degenerative changes of visualized thoracic spine are noted. Impression: No acute cardiopulmonary process. | Findings: There is no focal consolidation, pleural effusion, pneumothorax, or mild pulmonary edema. The cardiomediastinal silhouette is within normal limits. Slight multilevel degenerative changes of visualized thoracic spine are noted. Impression: Mild cardiopulmonary process is present. | ['Change severity', 'Add contradiction', 'False negation'] |
| 5baac073-ce7e3f3a-9ba21c8f-9237a435-845c26f6 | 50986892 | 11068484 | Findings: Since ___, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. Lung volumes remain low. Cardiomegaly is difficult to evaluate but also appears worse. No pneumothorax. Impression: Substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are also increased with persistent bibasilar retrocardiac atelectasis since ___ | Findings: Since ___, substantial pulmonary edema is increased, bilateral basal pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. Lung volumes remain low. Cardiomegaly is difficult to evaluate but also appears worse. No pneumothorax. Substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. Impression: Substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are also increased with new left upper lobe consolidation since ___ | ['Change location', 'Add repetitions', 'False prediction'] |
| 9613d784-ef4fadd2-8b33b9c3-3db90fd4-6730c5d6 | 52314386 | 11068484 | Findings: Compared to the prior study there is no significant interval change. Impression: No change. | Findings: Compared to the prior study their is no significant interval change. There is an infiltrate in the right middle lobe. Impression: No change. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 2c072c9e-42b8fab0-a0fd256c-780bc612-53941594, 35626d65-acd62381-7a66c7ef-04150642-7e5e9b32 | 53544633 | 11068484 | Impression: As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small. A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation. Elevation of the right hemidiaphragm is a persistent finding since ___. | Impression: As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of right pleural effusion, now small. A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation. A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation. Elevation of the right hemidiaphragm is a persistent finding since ___. Subtle ground-glass opacities are noted in the left upper lobe. | ['Change location', 'Add repetitions', 'False prediction'] |
| 5a686ceb-f01792db-cdba870c-da79a22f-f34265ea | 54047608 | 11068484 | Findings: Lung volumes remain low. Silhouetting of the left hemidiaphragm and blunting of the left costophrenic angle is new compared to the prior exam and suggest presence of small pleural effusion. Is probably also atelectasis. There is moderate pulmonary edema. Heart size is probably a moderate to severely enlarged, even in the setting of low lung volumes and portable technique. Elevation of the right hemidiaphragm is unchanged. Severe pulmonary vascular engorgement is overall unchanged. Right infrahilar opacity may reflect combination of atelectasis, edema. Concurrent infection cannot be excluded. No pneumothorax. Extensive aortic knob calcifications are unchanged. Impression: Low lung volumes. Findings most consistent with volume overload. However, concurrent infection cannot be excluded. This patient could benefit from a chest CT non-emergently. | Findings: Lung volumes remain low. Silhouetting of the left hemidiaphragm and blunting of the left costophrenic angle is knew compared to the prior exam and suggest presence of small pleural effusion. There is probably also atelectasis. There is mild pulmonary edema. Heart size is probably a moderate to severely enlarged, even in the setting of low lung volumes and portable technique. Elevation of the right hemidiaphragm is unchanged. Severe pulmonary vascular engorgement is overall unchanged. Right infrahilar opacity may reflect combination of atelectasis, edema. A central venous line is present. Concurrent infection cannot be excluded. No pneumothorax. Extensive aortic knob calcifications are unchanged. Impression: Low lung volumes. Findings most consistent with volume overload. However, concurrent infection cannot be excluded. This patient could benefit from a chest CT non-emergently. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| c4752408-15e8abd3-707ec66e-a1449931-5430926e | 55945977 | 11068484 | Findings: Portable semi-erect chest radiograph ___ at 23:12 is submitted. Impression: Lung volumes remain low with crowding of the vasculature and bibasilar opacities likely representing atelectasis, although pneumonia or aspiration cannot be excluded. Worsening mild perihilar edema. Stable cardiac and mediastinal contours with calcification of the aortic knob. No pneumothorax. | Findings: Portable semi-erect chest radiograph ___ at 23:12 is submited. Impression: Lung volumes remain low with crowding of the vasculature and no opacities observed. Worsening moderate perihilar edema. Stable cardiac and mediastinal contours with calcification of the aortic knub. No pneumothorax. | ['Change severity', 'Add typo', 'False negation'] |
| 4cac02f5-71a07948-2e40edb0-d546dcad-b3683965 | 55984935 | 11068484 | Findings: AP portable upright view of the chest. Lung volumes are markedly low limiting evaluation. There is chronic elevation of the right hemidiaphragm. Left mid to lower lung opacity could reflect the presence of pneumonia or aspiration. There is pulmonary vascular congestion with at least mild pulmonary edema. Pleural effusions are likely present. Heart size cannot be assessed. No pneumothorax. Bony structures appear grossly intact. Impression: Limited exam with left lower lung consolidation concerning for pneumonia or aspiration. Mild pulmonary edema with bilateral pleural effusions. | Findings: AP portable upright view of the chest. Lung volumes are moderately low limiting evaluation. There is chronic elevation of the right hemidiaphragm. Left mid to lower lung opacity could reflect the presence of pneumonia or aspiration. There is pulmonary vascular congestion with at least mild pulmonary edema. Pleural effusions are likely present. Lung volumes are moderately low limiting evaluation. No pleural effusions. No pneumothorax. Bony structures appear grossly intact. Impression: Limited exam with left lower lung consolidation concerning for pneumonia or aspiration. No pulmonary edema with bilateral pleural effusions. | ['Change severity', 'Add repetitions', 'False negation'] |
| 5da374a7-95f81d01-9c2072c5-7a5799b7-2f7164e0, fadc81b1-9ea238c0-58b6e7a8-915e4bbc-34aee7b4 | 56360523 | 11068484 | Findings: AP upright and lateral views the chest were provided. Lung volumes are low limiting assessment. Elevation of the right hemidiaphragm is again noted. There is bibasilar atelectasis. Hilar congestion and mild pulmonary edema is noted. No large effusions are seen. Heart size cannot be assessed. Mediastinal contour appears grossly unchanged with atherosclerotic calcifications of the aortic knob. Bony structures are grossly intact. Impression: Mild edema, bibasilar atelectasis. | Findings: AP upright and lateral views the chest were provided. Lung volumes are low limiting assessment. Elevation of the right hemidiaphragm is again noted. There is bibasilar atelectasis. Hilar congestion and moderate pulmonary edema is noted. No large effusions are seen. Heart size cannot be assessed. Mediastinal contour appears grossly unchanged with atherosclerotic calcifications of the aortic knob. Bony structures are grossly intact. There is bibasilar atelectasis. Impression: No edema, bibasilar atelectasis. | ['Change severity', 'Add repetitions', 'False negation'] |
| 06e2fd1d-35c95f84-e6021f4a-4611a14e-a4b9a693 | 57395441 | 11068484 | Findings: Compared to the prior study there is no significant interval change. Impression: No change. | Findings: Compared to the prior study there is no significant interval change. Impression: Mild change. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 804c7e55-eb848216-fc96a88b-0e374004-dacbc260, a85d21f5-217f24d8-6de4274b-ec73620f-ac05403c | 59455276 | 11068484 | Impression: Heart size is prominent but stable. There are calcifications of the thoracic aorta. There are very low lung volumes. There is atelectasis at the lung bases. There is a left retrocardiac opacity. There is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema. No pneumothoraces are seen. | Impression: Heart size is prominent but stable. There are calcifications of the thoracic aorta. There are very low lung volumes. There is atelectasis at the lung bases. There is a left retroclavicualr opacity. There is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema. No pneumothoraces are seen. There is a small pleural effusion on the right. | ['Change location', 'Add repetitions', 'False prediction'] |
| b0f9a42a-784e16e8-201986c2-ae91c454-6f5cbbd6 | 59971654 | 11068484 | Impression: Severe cardiomegaly and pulmonary vascular engorgement are unchanged since ___. Mild pulmonary edema on present on ___ has resolved. Atelectasis in the right middle lobe and atelectasis or consolidation in the infrahilar left lower lobe are unchanged. Pleural effusions are small if any. No pneumothorax. Chest CT scanning would be useful to determine the extent of pulmonary abnormality the size of right pleural effusion, and the presence if any pericardial effusion. Chest CTA would of course be diagnostic regarding pulmonary emboli. | Impression: Severe cardiomegaly and pulmonary vascular engorgement are unchanged since ___. Mild pulmonary edema on present on ___ has resolved. Atelectasis in the right middle lobe and atelectasis or consolidation in the infrahilar left lower lobe are unchanged. Large pleural effusions are small if any. No pneumothorax. No pulmonary abnormality. Chest CTA would of course be diagnostic regarding pulmonary emboli. Mild pulmonary edema on present on ___ has resolved. | ['Change severity', 'Add repetitions', 'False negation'] |
| 1f6d1038-c6cffc09-b682f19e-854afec7-cef098a5, f52765f8-018073b3-3ce025f3-c3820e4f-a3c35f56 | 56811276 | 11082901 | Findings: Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | Findings: Lungs are cleer. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. An endotracheal tube is noted. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | ['Add typo', 'Add repetitions', 'Add medical device'] |
| 4eb4be03-2765d772-09f40d82-96431de2-b7ca17e9, b21d03fd-ba77c145-efcda1f7-654925ed-bba4d6e8 | 51797846 | 11091816 | Findings: Mild enlargement of the cardiac silhouette is present. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Impression: No acute cardiopulmonary abnormality. | Findings: Severe enlargement of the cardiac silhouette is present. The aorta is tortuous. Enhanced mediastinal and hilar contours are present. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Impression: Mild cardio megaly detected. | ['Change severity', 'Add contradiction', 'False negation'] |
| b4a9606f-2d62a1a5-c7d2c5e1-7ca25c12-e1d2f15f, bc2e5f8e-5fa53cf8-97cc7920-21879c69-eada094b | 57451515 | 11128012 | Findings: The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. There continues to be elevation of the right hemidiaphragm, similar to prior radiographs. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary nodule. The heart is normal in sighs, and the mediastinal contours are normal. There continues to be elevation of the left hemidiaphragm, similar to prior radiographs. Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'False prediction'] |
| 30e1c508-1a2ca634-02f30afb-06fc43a9-d7eac519 | 51942946 | 11134683 | Findings: No focal consolidation is seen. Biapical pleural thickening is noted. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is calcified and tortuous. Old posterior lateral left ninth rib fracture was better seen on prior x-ray. Impression: No acute cardiopulmonary process. | Findings: No focal consolidation is seen. Biapical pleural thickening is noted. No pleural effusion or pneumothorax is seen. The cardiac silhouette is left-medial. The aorta is calcified and tortuous. Old posterior lateral left ninth rib fracture was better seen on prior x-ray. There is a right-sided pacemaker. The cardiac silhouette is left-medial. Impression: No acute cardiopulmonary process. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 9f4042d8-67b0cf43-edad00d1-e8a6f893-c8c3548c | 50091414 | 11135350 | Impression: Since ___, the patient has been intubated, with tip of endotracheal tube terminating within 2 cm of the carina. This can be withdrawn a few cm for standard positioning. Additionally, the cuff of the tube is apparently over distended. Cardiomegaly is accompanied by improved pulmonary vascular congestion and near resolution of interstitial edema. Small pleural effusions have also decreased in size in the interval. | Impression: Since ___, the patient has been intubated, with tip of endotracheal tube terminating within 3 cm of the carina. This can be withdran a few cm for standard positioning. Additionally, the cuff of the tube is apparently over distended. Cardiomegaly is accompanied by improved pulmonary vascular congestion and near resolution of interstitial edema. Small pleural effusions have also decreased in size in the interval. An NG tube is present and its position is appropriate. | ['Change measurement', 'Add typo', 'Add medical device'] |
| e2cc529b-ba7a0982-effc5cf0-662077a9-c2ce376f | 52432586 | 11135350 | Impression: Compared to prior radiograph of 1 day earlier, endotracheal tube remains relatively low, with tip terminating 2 cm above the carina. Cardiomegaly is accompanied by pulmonary vascular congestion and slight worsening of pulmonary edema. Bilateral pleural effusions are a persistent finding, and left retrocardiac atelectasis or consolidation has improved. | Impression: Compared to prior radiograph of 1 day earlier, endotracheal tube remains relatively low, with tip terminating 4 cm above the carina. Cardiomegaly is accompanied by pulmonary vascular congestion and slight worsening of pulmonary edema. Bilateral pleural effusions are a persistent finding, and left retrocardiac atelectasis or consolidation has improved. Cardiomegaly is accompanied by pulmonary vascular congestion and slight worsening of pulmonary edema. A right-sided central venous line is noted in appropriate position. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| a49ebd3a-d86b070c-87256a4b-f5bb2b7e-f8ebaa00 | 53036339 | 11135350 | Findings: Assessment is somewhat limited due to marked patient rotation. The endotracheal tube tip is 2 cm above the carina. A right internal jugular catheter terminates in the distal SVC. There is persistent left lower lobe atelectasis. The heart remains enlarged. Bilateral pleural effusions are similar in appearance when compared to the prior study. Airspace opacity at the right lung base may reflect either atelectasis or infection. Impression: Bibasilar atelectasis versus consolidation. Otherwise no significant interval change when compared to the prior study. | Findings: Assessment is somewhat limited due to marked patient rotation. The endotracheal tube tip is 3 cm above the carina. A right internal jugular catheter terminates in the distal SVC. There is persistent left lower lobe atelectasis. The heart remains enlarged. Bilateral pleural effusions are similar in appearance when compared to the prior study. Airspace opacity at the right lung base may reflect either atelectasis or infection. Airspace opacity at the right lung base may reflect either atelectasis or infection. Impression: Bibasilar atelectasis versus consolidation. Otherwise no significant interval change when compared to the prior study. | ['Change measurement', 'Add repetitions', 'False prediction'] |
| f3a27e2d-1d0d73bc-b7394f0c-7ed82c79-189ddee5 | 53277637 | 11135350 | Findings: Since the chest radiographs obtained 3 days prior, there has been a significant increase in left lung atelectasis with leftward mediastinal shift. Patient positioning does not account for all apparent mediastinal shift. Unable to assess for concomitant left pleural effusions or consolidation. The right lung is fully expanded and clear. Impression: Subtotal left lung collapse with significant leftward mediastinal shift concerning for an airway obstruction such as an endobronchial lesion, foreign body, or mucous plug. | Findings: Since the chest radiographs obtained 3 days prior, there has been a moderate increase in left lung atelectasis with leftward mediastinal shift. Patient positioning does not account for all apparent mediastinal shift. Unable to assess for concomitant left pleural effusions or consolidation. The right lung is fully expanded and clear. Unable to assess for concomitant left pleural effusions or consolidation. Impression: Subtotal left lung collapse with significant leftward mediastinal shift concerning for an airway obstruction such as an endobronchial lesion, foreign body, or mucous plug. Presence of a central venous line noted. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 317f2687-c3bf422b-70bb63ef-c094a677-6c81f799 | 53452058 | 11135350 | Impression: The tip of the endotracheal tube again is low and is 1.4 cm above the carina. This could be pulled back for more optimal placement. Right IJ central line has the distal lead tip in the distal SVC, unchanged. Heart size is enlarged but stable. There is a left retrocardiac opacity and bilateral effusions. There has been mild improvement of the pulmonary interstitial edema. | Impression: The tip of the endotracheal tube again is low and is 1.8 cm above the carina. This could be pulled back four more optimal placement. Right IJ central line has the distal lead tip in the distal SVC, unchanged. An endotracheal tube is noted in the trachea. Heart size is enlarged but stable. Their is a left retrocardiac opacity and bilateral effusions. There has been mild improvement of the pulmonary interstitial edema. | ['Change measurement', 'Change to homophone', 'Add medical device'] |
| 120e5b75-c3500201-4fcbcd62-51265bb3-e3371c84, 598d6145-85bfdcdc-b0cd756d-4d72d599-79e3f10a | 53762826 | 11135350 | Findings: AP upright and lateral views of the chest provided. Tiny clips in the left axilla are again noted. The heart remains mildly enlarged. There is no focal consolidation, large effusion, or pneumothorax. A rounded density at the right pulmonary hilum likely represents a large vessel en face. No convincing signs of pneumonia or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Impression: Mild cardiomegaly. Otherwise unremarkable. | Findings: AP upright and lateral views of the chest provided. Tiny clips in the left axilla are again noted. The heart remains mildly enlarged. There is no focal consolidation, large effusion, or pneumothorax. A rounded density at the right pulmonary hilum likely represents a large PICC line. No convincing signs of pneumonia or edema. A chest tube is seen in the left thorax. No free air below the right hemidiaphragm is seen. Impression: Moderate cardiomegaly. Otherwise unremarkable. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| cd3281a8-6fdf014d-d38263aa-913e7ac6-50920fae | 53772313 | 11135350 | Impression: As compared to the previous image, no relevant change is seen. The endotracheal tube and the right internal jugular vein catheter are constant position. Moderate cardiomegaly. Unchanged mild enlargement of the right hilus. . Overall low lung volumes with mild fluid overload but no overt pulmonary edema. No evidence of pneumonia. | Impression: As compared to the previous image, no relevant change is seen. The endotracheal tube and the right internal jugular vein catheter are in a slightly superior position. No cardiomegaly. Unchanged mild enlargement of the right hilus. . Overall low lung volumes with mild fluid overload but no overt pulmonary edema. There are signs consistent with pneumonia. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 2d945b0a-0962f1ea-b9f44bcd-83adc688-3a74a962 | 54266284 | 11135350 | Impression: As compared to ___, signs indicative of pulmonary edema have increased. There is now moderate pulmonary edema. Moderate cardiomegaly. Low lung volumes. Minimal blunting of the costophrenic sinuses, potentially indicative of pleural effusions. | Impression: As compared to ___, signs indicative of pulmonary edema have increased. There is now mild pulmonary edema. Moderate cardiomegaly. Low lung volumes. Minimal blunting of the costophrenic sinuses, potentially indicative of pleural effusions. A pacemaker is present. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 05213484-b9cc6edd-f1208b60-51391906-10549d97, 3dd5a5cf-d8a6dc19-0e4fbd9e-3c8cb517-68034727 | 57156490 | 11135350 | Impression: As compared to the previous radiograph, the patient has been extubated. The right internal jugular vein catheter remains in unchanged position. Unchanged moderate cardiomegaly with new partial left lower lobe atelectasis. No change in appearance of the right lung. | Impression: As compared too the previous radiograph, the patient has been extubated. The right PICC line remains in unchanged position. Unchanged moderate cardiomegaly with no atelectasis. No change in appearance of the right lung. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 0a7b4797-26061ea5-69f731ec-a45b9e8e-b4a66113 | 57437729 | 11135350 | Findings: ET tube is seen with tip approximately 1.8 cm from the carina. Enteric tube seen passing below the inferior field of view. Lower lung volumes are noted on the current exam with bilateral parenchymal opacities which could be due to edema or infection. Prominence of the right hilum is again noted. Moderate cardiomegaly and appears to have progressed since prior could potentially be in part due to changes in positioning. No acute osseous abnormalities. Surgical clips project over the left chest wall/axilla. Impression: ET and enteric tubes as above. Cardiomegaly with bilateral parenchymal opacities potentially infection or edema. | Findings: ET tube is seen with tip approximately 5 mm from the carina. Enteric tube scene passing below the inferior field of view. Lower lung volumes are noted on the current exam with bilateral parenchymal opacities which could be due to edema or infection. Prominence of the right hilum is again noted, with a new 2 cm nodule in the left upper lobe. Moderate cardiomegaly and appears to have progressed since prior could potentially be in part due to changes in positioning. No acute osseous abnormalities. Surgical clips project over the left chest wall/axilla. Mild pleural effusion observed on the right. Impression: ET and enteric tubes as above. Cardiomegaly with bilateral parenchymal opacities potentially infection or edema. | ['Change measurement', 'Change to homophone', 'False prediction'] |
| e9151bd8-1aa6fa8b-d9bfa6c6-4035e4a5-e0e856bd | 57976096 | 11135350 | Impression: Tip of endotracheal tube continues to terminate within 1.5 cm above the carinal with the neck in a flexed position. Cardiomediastinal contours are stable. Small to moderate right pleural effusion has apparently increased in size in the interval. No other relevant changes. | Impression: Tip of endotracheal tube continues to terminate within 1.5 mm above the carinal with the neck in a flexed position. Cardiomediastinal contours are stable. Small to moderate right pleural effusion has apparently increased in size in the interval. No other relevant changes. Pacemaker is noted in the left thoracic region. Small to moderate right pleural effusion has apparently increased in size in the interval. | ['Change measurement', 'Add repetitions', 'Add medical device'] |
| 7a9248b7-731f2e31-4c7a766b-902c1682-03ec67c8 | 57998601 | 11135350 | Impression: As compared to ___, the monitoring and support devices are constant. Increasing right pleural effusion. Unchanged moderate cardiomegaly with signs of mild to moderate pulmonary edema. Increasing extent of a left retrocardiac atelectasis. | Impression: As compared to ___, the monitoring and support devices are constant. Decreasing right pleural effusion. Unchanged mild cardiomegaly with signs of mild to moderate pulmonary edema. Increasing extent of a left retrocardiac atelectasis. A right IJ central venous catheter is in place. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 532c6ecd-2488a763-5bd16f91-8214f9de-8fb8c49d | 58052703 | 11135350 | Impression: ___. | Please provide me with a chest X-ray radiology report so that I can proceed with the task as requested. | ['Add typo', 'Change to homophone', 'Add medical device'] |
| 02ae05fc-ce6ab459-7561db4d-881fb85b-5a207608 | 58767809 | 11135350 | Findings: Since the chest radiograph obtained 1 day prior, there is substantial improvement in aeration throughout the left lung. Subtotal collapse has resolved with minimal residual atelectasis of the apex and lung base. Right lung is fully expanded and clear. No obvious consolidations. Moderate cardiomegaly is unchanged. Pleural effusions small, if any. Impression: Substantially increased left lung aeration with minimal residual atelectasis of the left apex and left lung base. | Findings: Since the chest radiograph obtained 1 day prior, there is mild improvement in aeration throughout the left lung. Subtotal collapse has resolved with no residual atelectasis of the apex and lung base. Right lung is fully expanded and clear. No obvious consolidations. Left lung shows new increased opacities. Cardiomegaly is unchanged. No pleural effusions. Impression: Substantially increased left lung aeration with minimal residual atelectasis of the left apex and left lung base. | ['Change severity', 'Add contradiction', 'False negation'] |
| 556d5af6-986670c8-db365f47-e8286407-b025908b, 88877d10-188b5a1e-d99e6d09-75236a50-63e30ee8 | 59122716 | 11135350 | Findings: AP and lateral views of the chest. The right lung is clear. There is obscuration of the left hemidiaphragm, which is clearly seen on prior and could be due to underlying left basilar atelectasis or pneumonia. Increased opacity over the spine on the lateral view is likely in part due to degenerative, the tortuous descending thoracic aorta and hilar vasculature, although superimposed component of overlying consolidation is also possible in this region. Atherosclerotic calcifications are noted at the aortic arch. There is a sliver of lucency projecting over the upper abdomen to the left of midline. This is of could be due to pneumomediastinum or potentially free intraperitoneal air. Consider repeat examination with a chest x-ray with PA technique if possible. Otherwise, CT scan may be necessary. Findings were discussed with Dr. ___ at 5:35 p.m. on ___ by Dr. ___ ___ the phone 2 minutes after time of discovery. | Findings: AP and lateral views of the chest. The left lung is clear. There is obscuration of the left hemidiaphragm, which is clearly seen on prior and could be due to underlying left basilar atelectasis or pneumonia. Increased opacity over the spine on the lateral view is likely in part due to degenerative, the tortuou descnding thoracic aorta and hilar vasculature, although superimposed component of overlying consolidation is also possible in this region. Atherosclerotic calcifications are noted at the aortic arch. There is a sliver of lucency projecting over the upper abdomen to the left of midline. This is of could be due to pneumomediastinum or potentially free intraperitoneal air. Consider repeat examination with a chest x-ray with PA technique if possible. Otherwise, CT scan may be necessary. A bilateral pleural effusion is present. Findings were discussed with Dr. ___ at 5:35 p.m. on ___ by Dr. ___ ___ the pone 2 minutes after time of discovery. | ['Change location', 'Add typo', 'False prediction'] |
| 56291d00-a7244635-53aa8eb3-dce3a174-bc250ba0 | 59746851 | 11135350 | Impression: Consolidation in the left lower lobe is new since ___, without improvement since ___. Previous moderate right pleural effusion is slightly smaller. Severe cardiomegaly is not. There is no pulmonary edema. No pneumothorax. ET tube is in standard placement. Sharp definition of the upper margin of the cuff indicates secretions pooling above the. Right jugular line ends in the low SVC. | Impression: There is no consolidation. Previous moderate right pleural effusion is slightly smaller. Mild cardiomegaly is not. Mild pulmonary edema. No pneumothorax. ET tube is placed 2 cm above the carina. Sharp definition of the upper margin of the cuff indicates secretions pooling above the. Right jugular line ends in the mid right atrium. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 4662c1cc-57eb400d-e894dd62-0486f8e4-6b84a7e1, a5c3470b-be30e581-14b6f2be-8eb54504-adeaa406 | 51953245 | 11144972 | Findings: Frontal and lateral views of the chest were obtained. There is prominence of the hila raising concern for vascular engorgement, although underlying lymphadenopathy may be present and could be further evaluated for on chest CT. No focal consolidation is seen. There is minimal pulmonary vascular congestion. The cardiac and mediastinal silhouettes are unremarkable. There is no pleural effusion or pneumothorax. Impression: Prominence of the hila could be due to vascular engorgement, although underlying lymphadenopathy not excluded. Findings could be further evaluated on non-urgent chest CT. | Findings: Frontal and lateral views of the chest were obtained. There is prominence of the hila raising concern for vascular engorgement, although underlying lymphadenopathy may be present and could be further evaluated for on chest CT. No focal consolidation is seen. There is minimal pulmonary vascular congestion. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary vascular congestion is observed. There is no pleural effusion or pneumothorax. Impression: Prominence of the left hila could be due to vascular engorgement, although underlying lymphadenopathy not excluded. Findings could be further evaluated on non-urgent chest CT. There is no prominence of the hila. | ['Change location', 'Add contradiction', 'False negation'] |
| 1d6f62f9-adc5107d-e66dba67-28c879ec-bcf9e17a | 56430288 | 11164575 | Findings: As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette. No acute process, in particular no pneumonia or pulmonary edema. No pleural effusions. No pneumothorax. | Findings: As compared to the previous radiograph, there is no relevant change. Cardiac pacemaker is in place. No acute process, in particular no pneumonia or pulmonary edema. No pleural effusions. Moderate pulmonary edema is seen. | ['Add medical device', 'Add contradiction', 'False negation'] |
| f9624358-214a129c-dc05b026-e49885ed-66224bdb | 54099371 | 11177224 | Findings: Single frontal view of the chest. Heart size and mediastinal contours are stable. Left lower lobe atelectasis persists. Pulmonary vascular markings have increased and the hila appear indistinct and hazy, findings consistent with interval worsening of pulmonary edema. In addition, multiple widely distributed small rounded opacities were not seen on ___ and, given the short time interval, likely represent vascular structures. Impression: Slight interval worsening of pulmonary edema with persistent left lower lobe atelectasis. Multiple bilateral small rounded opacities, new since ___, are most likely engorged vessels, but follow-up is recommended after resolution of pulmonary edema. | Findings: Single frontal view of the chest. Heart size and mediastinal contours are stable. Left lower lobe atelectasis persists. Pulmonary vascular markings have decreased and the hila appear indistinct and hazy, findings consistent with interval worsening of pulmonary edema. In addition, multiple widely distributed small rounded opacities were not seen on ___ and, given the short time interval, likely represent vascular structures. Small left-sided pleural effusion is noted. Impression: Slight interval improvement of pulmonary edema with persistent left lower lobe atelectasis. Multiple bilateral small rounded opacities, new since ___, are most likely engorged vessels, but follow-up is recommended after resolution of pulmonary edema. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 25a4da29-677dfc01-3c7bc2e9-ca5766ff-8910f5a1 | 57718675 | 11177224 | Findings: Portable semi-upright radiograph of the chest demonstrates increased interstitial markings in the bilateral lungs concerning for pulmonary edema. Increased opacification in the retrocardiac region raises concern for atelectasis versus pneumonia. There is a small left-sided pleural effusion. Cardiomediastinal and hilar contours are unchanged. No pneumothorax. Impression: 1. Interval increase in interstitial markings raises concern for pulmonary edema. 2. Retrocardiac opacity is consistent with atelectasis or less likely pneumonia. | Findings: Portable semi-upright radiograph of the chest demonstrates increased interstitial markings in the bilateral lungs concerning for pulmonary edema. Increased opacification in the retrocardiac region raises concern for atelectasis versus pneumonia. There is a small right-sided pleural effusion. Cardiomediastinal and hilar contours are unchanged. Small bilateral pleural effusions observed. Impression: 1. Interval decrease in interstitial markings raises concern for pulmonary edema. 2. Retrocardiac opacity is consistent with atelectasis or less likely pneumonia. | ['Change location', 'Add contradiction', 'False prediction'] |
| a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75 | 53038461 | 11181748 | Impression: As compared to the previous radiograph, the right pleural effusion has been almost completely drained. There is no evidence of pneumothorax. Otherwise unchanged radiograph. | Impression: As compared to the previous radiograph, the left pleural effusion has been almost completely drained. There is no edvidence of pneumothorax. Otherwise unchanged radiograph containing a central venous line. | ['Change location', 'Add typo', 'Add medical device'] |
| c75317be-225faf00-b7bccd06-b199a930-a4ef45ff | 53610077 | 11181748 | Findings: Right-sided pleural effusion has minimally decreased. Right-sided adjacent atelectasis and fluid along the fissure have also decreased. The left lung is clear. The cardiomediastinal silhouette is unchanged. Numerous calcified lesions in the right chest wall are stable. Impression: Slight interval decrease in right-sided pleural effusion and atelectasis. | Findings: Left-sided pleural effusion has minimally decreased. Right-sided adjacent atelectasis and fluid along the fissure have also decreassed. The left lung is clear. The cardiomediastinal silhouette is unchanged. Numerous calcified lesions in the right chest wall are stable. There is a small nodular opacity in the left lung apex. Impression: Slight interval decrease in right-sided pleural effusion and atelectasis. | ['Change location', 'Add typo', 'False prediction'] |
| 7a54f39f-f199adbd-22bd79bc-f9ef8f44-0ee9682f, febddc5e-2a9cf23a-7c6c7b4b-227c0ad3-96a82b0d | 53956979 | 11181748 | Findings: Cardiomediastinal silhouette is stable. Moderate right pleural effusion has decreased in size with better aeration of the right lung. The left lung is clear. There is no left pleural effusion. No pneumothorax. Impression: Interval decreased moderate right pleural effusion. | Findings: Cardiomediastinal silhouette is stabile. Mild right pleural effusion has decreased in size with better aeration of the right lung. The left lung is clear, with a small atelectasis in the upper lobe. There is no left pleural effusion. No empyema. Impression: Interval decreased mild right pleural effusion. | ['Change severity', 'Add typo', 'False prediction'] |
| 589ad56b-158c86eb-cb95283c-8452b1ed-44503295 | 54592417 | 11181748 | Impression: New atelectasis right middle lobe probably due to increased small right pleural effusion. Left lung clear. Heart size normal. | Impression: New atelectasis right middle lobe probably due to increased mild right pleural effusion. Left lung clear. Heart size normal. Left lung clear. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 648179a6-4fa29136-911690e6-f934aaa8-bcd92eef, 6fab1ad7-445ea2a4-e4074846-ffc0bcd0-3a5972ca | 55851177 | 11181748 | Findings: A large right pleural effusion is new from the prior study. Superimposed opacity likely represents compressive atelectasis, however infectious process could be considered the proper clinical setting. There is no left pleural effusion. There is mild pulmonary vascular congestion without overt pulmonary edema. Impression: 1. New large right pleural effusion. 2. Superimposed opacity may represent compressive atelectasis or infectious process in the proper clinical setting. 3. Mild pulmonary vascular congestion without overt pulmonary edema. | Findings: A moderate right pleural effusion is new from the prior study. Superimposed opacity likely represents compressive atelectasis, however infectious process could be considered the proper clinical setting. There is no left pleurl effusion. There is moderate pulmonary vascular congestion without overt pulmonary edema.Nasogastric tube is noted in the stomach. Impression: 1. New large right pleural effusion. 2. Superimposed opacity may represent compressive atelectasis or infectious process in the proper clinical setting. 3. Moderate pulmonary vascular congestion without overt pulmonary edema. | ['Change severity', 'Add typo', 'Add medical device'] |
| 20a8146b-74dd756c-382fd16f-2248a7d2-a74b9bbd, 3b81672c-7380f29c-16a0623b-5e6342fc-243805ea | 58227020 | 11181748 | Findings: Small right pleural effusion is stable. There is no evidence of pneumothorax, lobar consolidation, or pulmonary edema. No left-sided pleural effusion. The cardiomediastinal silhouette is unchanged from the prior examination. Impression: Stable small right pleural effusion. | Findings: Large right pleural effusion is stable. There is no evidence of pneumothorax, lobar consolidation, or pulmonary edema. No left-sided pleural effusion. The cardiomediastinal silhouette is unchanged from the prior examination. An osteolytic lesion is seen in the left clavicle. Impression: Stable small right pleural effusion. | ['Change severity', 'Add repetitions', 'False prediction'] |
| f2ed03fa-b7c00d7d-985f0cb3-dc9fb555-01c54c25 | 54514716 | 11197890 | Impression: The lung volumes are normal. The patient is intubated. The tip of the endotracheal tube projects 4.5 cm above the carinal. The course of the nasogastric tube is unremarkable. No pleural effusions. No pneumonia, no pulmonary edema. Moderate tortuosity of the thoracic aorta. | Impression: The lung volumes are normal. The patient is intubated. The tip of the endotracheal tube projects 5.3 cm above the carinal. The course of the nasogastric tube is unremarkable. No pleural effusions. No pneumonia, no pulmonary edema. Moderate tortuosoty of the thoracic aorta. There is a small right-sided pleural effusion. | ['Change measurement', 'Add typo', 'False prediction'] |
| 61f52c00-7a583d5a-eb7fe590-480bddd5-3a5776dc, cb6b6702-9109f7be-cb626f90-5de5b6ef-4f4c7ad9 | 57239326 | 11216230 | Findings: No focal consolidation, pleural effusion or pneumothorax is seen. Prominent bilateral interstitial markings are stable from prior exam. The cardiac silhouette is normal in size. Multiple bilateral rib deformities reflect prior fractures. Impression: No acute cardiopulmonary process. | Findings: No focal consolidation, pleural effusion, or pneumothorax is seen. Prominent right interstitial markings are stable from a prior exam. The cardiac silhouette is mildly enlarged. Multiple bilateral rib deformities reflect prior fractures and new acute fractures on the left. Impression: No acute cardiopulmonary process. | ['Change location', 'Add contradiction', 'False prediction'] |
| 34aad429-6b57597f-a1caa34d-d84cef06-3bc0c4ab | 58384629 | 11219382 | Impression: Comparison to ___. No relevant change. No pneumonia. Mild overinflation. Normal size of the heart. Minimal bilateral apical scarring. | Impression: Comparison to ___b. No releverant change. No pneumonia. Moderate overinflation. Normal size of the heart. Minimal bilateral apical scarring. An ET tube is in place. | ['Change severity', 'Add typo', 'Add medical device'] |
| 0301c574-112ee0a8-1ccd9da9-2d579a55-b2f80210, 7aebcf40-c513d753-29abca25-111aef26-ba376639 | 51350911 | 11226572 | Findings: Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. The lungs are clear. No pleural effusion or pneumothorax is evident. Impression: No acute intrathoracic process or evidence of recurrent sarcoidosis. | Findings: Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Minimal bilateral pleural effusion is present. The lungs aer clear. No pleural effusion or pneumothorax is evident. Impression: No acute intrathoracic process or evidence of recurrent scarcoidosis. | ['Change location', 'Add typo', 'False prediction'] |
| da9de99a-88589600-954a7bf7-b947b366-25d4cf16, f2f96a77-ffa800e0-fe3c692c-487ed51b-87b84b10 | 51860612 | 11226572 | Findings: Focal opacity in the left lower lobe is not from nipple shadow and on retrospective review was imaged in the CT abdomen and pelvis on ___ and likely represents atelectasis or focal scarring. No new focal opacity, pneumothorax, pleural effusion or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality. Impression: Focal opacity in the left lower lobe likely represents atelectasis or focal scarring. | Findings: Focal opacity in the left lower lobe is not from nipple shadow and on retrospective review was imaged in the CT abdomen and pelvis on ___ and likely represents atelectasis or focal scarring. No new focal opacity, pneumothorax, pleural effusion or pulmonary edema. There is a small pleural effusion in the right lung base. Heart size, left mediastinal contour and hila are normal. No new focal opacity, pneumothorax, pleural effusion or pulmonary edema. No bony abnormality. Impression: Focal opacity in the left lower lobe likely represents atelectasis or focal scarring. | ['Change location', 'Add repetitions', 'False prediction'] |
| 48f65bd6-fd930f65-27b3123b-39cb33cc-049a89be, 7c3703a8-64b5649b-f5839d8c-3e2cf8e8-d0e6eee3 | 53521127 | 11226572 | Findings: The lungs are hyperinflated. Multifocal bilateral opacities are concerning for multifocal pneumonia atypical infection or viral infection. No pleural effusion, edema, or pneumothorax. Heart size is normal. Hilar contours are unchanged. No mediastinal widening. Impression: Multifocal pneumonia, atypical or viral. | Findings: The lungs are hyperinflated. Multifocal bilateral opacities are concerning for multifocal pneumonia atypical infection or viral infection. No pleural effusion, edema, or pneumothorax. Heart size is normal. Hilar contours are unchanged. No mediastinal widening. There is a large mass in the left lung. Heart size is normal. | ['Change location', 'Add repetitions', 'False prediction'] |
| c7524a34-034ad3d1-e934a59f-85f18631-6f81adad | 53764194 | 11226572 | Findings: Previously seen focal consolidation at the lingula is resolved and there is only minimal residual interstitial thickening. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouette are normal size and unchanged. There is no radiographic findings that suggests sarcoidosis. The lungs are mildly hyperinflated. Impression: No evidence of pneumonia. | Findings: Previously seen focal consolidation at the lingula is resolved and there is only moderate residual interstitial thickening. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouette demonstrate mild cardiomegaly. There is no radiographic findings suggesting sarcoidosis. The lungs are mildly hyperinflated with bibasilar atelectasis. Impression: No evidence of pneumonia. Early signs of lung infection. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 648ee6d5-cb5e79fb-b7aca47b-5b20049b-042b1f8a, efa7ce32-9434194a-c88b2633-833bc1e5-4b39a4fc | 54348250 | 11226572 | Findings: The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest appears somewhat hyperinflated. There is no pleural effusion or pneumothorax. There is no indication of lymphadenopathy or parenchymal interstitial disease that would be likely to reflect sarcoidosis. In the lingula, there is persistent minor opacification, but considerably reduced so possibly due to scarring from a prior process. Impression: Persistent lingular opacity, but markedly reduced, so possibly due to scarring; although perhaps unlikely recurrent pneumonia at the site is not entirely excluded, however. No radiographic findings particularly suggestive of active sarcoid. | Findings: The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest appears somewhat hyperinflated with bilateral pleural effusions. There is no pleural effusion or pneumothorax. No opacification noted. There is no indication of lymphadenopathy or parenchymal interstitial disease that would be likely to reflect sarcoidosis. In the lingula, there is persistent minor opacification, but considerably reduced so possibly due to scarring from a prior process. Impression: Persistent lingular opacity, but markedly reduced, so possibly due to scarring; although perhaps unlikely recurrent pneumonia at the site is not entirely excluded, however. Mild interstitial lung disease findings suggestive of active sarcoid. | ['False prediction', 'Add contradiction', 'False negation'] |
| 80ebdd2c-d387828d-89e90960-df690604-91bd8696 | 56558940 | 11226572 | Findings: The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear aside from minor unchanged scarring in the lingula. Impression: No evidence of acute cardiopulmonary disease. | Findings: The cardiac, mediastinal and hilar contours appear sable. There is no pleural effusion or pneumothorax. An ET tube is seen with its tip just above the carina. The lungs appear clear aside from minor unchanged scarring in the lingula. Impression: Moderate bilateral pleural effusions and pneumothorax. | ['Add typo', 'Add contradiction', 'Add medical device'] |
| a2c7838e-c081e69b-ecdee541-780db068-00b5fd81, c468a266-8cdc345b-7830d55d-85f6be9c-42a47dc9 | 59178330 | 11226572 | Findings: There is o pacitiy at the left lung base, but is unchanged since ___ when patient was asymptomatic. This suggests chronic scarring. Otherwise, there are no focal consolidations, pleural effusions or pneumothorax. No evidence of hilar lymphadenopathy. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: Left lung base opacity, likely due to chronic atelectasis. No hilar lymphadenopathy. | Findings: There is opacity at the right lung base, but is unchanged since ___ when patient was asymptomatic. This suggests chronic scarring. However, new focal consolidation is present. Otherwise, there are no focal consolidations, pleural effusions or pneumothorax. No evidence of hilar lymphadenopathy. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No evidence of left lung base opacity. No hilar lymphadenopathy. | ['Change location', 'Add contradiction', 'False negation'] |
| 1231dc8f-4cf6ae66-2754d2f7-db1abf04-fe0eb62b, ecd38a1a-a066f8ff-860275d8-be7ba46b-09449675 | 59951875 | 11226572 | Findings: Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mild left base and lingular linear atelectasis/scarring is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Impression: No acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Moderate left base and lingular linear atelectasis/scarring is scene. The cardiac and mediastinal silhouettes are stable and unremarkable. Impression: No acute cardiopulmonary process. | ['Change severity', 'Change to homophone', 'False negation'] |
| 0f4d6e3a-d8e36345-55070513-6f057329-b4f1283b, 55ba8d4b-a90e56a6-4209b8bf-e6950992-a13cab93 | 59535336 | 11260884 | Findings: The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Degenerative changes are noted in the thoracolumbar spine. Impression: No acute cardiopulmonary process. | Findings: The langs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. No degenerative changes are noted. Impression: No acute cardiopulmonary process. Impression: Severe degenerative changes in the thoracolumbar spine. | ['Add contradiction', 'Add typo', 'False negation'] |
| 7b305795-f3816546-a9a8227a-013d0d53-47dec574, 7c4d214c-4ec4e4bd-71675aed-fad9c05a-e679ee9a | 54116119 | 11285398 | Findings: PA and lateral views of the chest provided. Lungs are clear. 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: AP and lateral views of the chest provided. Lungs are not clear. Lateral opacities noted, possible consolidation, and mild effusion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. There is free air below the right hemidiaphragm. Impression: No acute intrathoracic process. There is a right IJ central venous catheter in place. | ['Change location', 'Add contradiction', 'Add medical device'] |
| dc423670-4243d370-0917d0d7-e7ccb499-f9e256e6 | 50043121 | 11287042 | Findings: Interval resolution of the right subpulmonic effusion. Mild elevation of the left hemidiaphragm, most likely secondary to bowel distention and interposition of bowel between the spleen and left hemidiaphragm. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Stable appearance of the cardiomediastinal silhouette. No sub-diaphragmatic intra-abdominal free air. Impression: 1. Interval resolution of the right subpulmonic pleural effusion. 2. No acute cardiopulmonary process. | Findings: Interval resolution of the right subpulmonic effusion. Moderate elevation of the left hemidiaphragm, most likely secondary to bowel distention and interposition of bowel between the spleen and left hemidiaphragm. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Stable appearance of the cardiomediastinal silhouette. No sub-diaphragmatic intra-abdominal free air. Impression: 1. Interval resolution of the right subpulmonic pleural effusion. 2. Mild focal consolidation in the left lower lobe. 3. No acute cardiopulmonary process. | ['Change severity', 'Add contradiction', 'False negation'] |
| 2cd661d7-82b0c37e-0db4c82f-d0b33edb-842bf86c, 87ca06e4-657d51bb-8f660ff0-655f3f25-3c421dbe | 50391562 | 11287042 | Impression: Small to moderate right subpulmonic pleural effusion has re accumulated, substantially smaller than its volume on ___. Aside from mild right basal atelectasis lungs are clear. There is no left pleural effusion. There is no evidence of central lymph node enlargement. Incidental note is made of a heavily calcified mitral anulus and possible left atrial enlargement, but there is no overall cardiomegaly or any pulmonary vascular congestion or pulmonary edema. | Impression: Small to large right subpulmonic pleural effusion has re accumulated, substantially smaller than its volume on ___. Aside from mild right basal atelectasis lungs are clear. There is no left pleural effusion. There is no evidence of central lymph node enlargement. Incidental note is maid of a heavily calcified mitral anulus and possible left atrial enlargement, but there is no overall cardiomegaly or any pulmonary vascular congestion or pulmonary edema. | ['Change severity', 'Change to homophone', 'False negation'] |
| 1ad21961-ee94488b-7fc68fbd-3a8a8100-9b71edfc, 31afabb5-1bab1f87-ced724a1-8ae227f6-6bca4f42 | 50657073 | 11287042 | Findings: PA and lateral views of the chest provided. A small right pleural effusion is noted not significantly changed from the prior PET-CT allowing for differences in modality. Otherwise, lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact. Impression: Small right pleural effusion, not significantly changed from prior PET-CT. | Findings: PA and lateral views of the chest privided. A small left pleural effusion is noted not significantly changed from the prior PET-CT allowing for differences in modulation. Otherwise, lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact. A central venous line is present. Impression: Small left pleural effusion, not significantly changed from prior PET-CT. | ['Change location', 'Add typo', 'Add medical device'] |
| a0baf1bf-063bb5ba-1044c1ee-23f0b7ed-24b8169a, d3e2e4d5-85f72646-4f703a66-df6941af-3344c515 | 53208211 | 11287042 | Impression: Moderate subpulmonic right pleural effusion smaller today than on ___. There is probably mild right basal atelectasis. Lungs are otherwise clear. No left pleural effusion.. Mediastinum is midline and contours are normal. Stomach is moderately distended with air. No pneumothorax. | Impression: Moderate subpulmonic left pleural effusion smaller today than on ___. There is probably mild right basel atelectasis. Lungs are otherwise clear. No left pleural effusion.. Mediastinum is midline and contours are normal. Stomach is moderately distended with air. No pneumothorax.***Added central venous line.*** | ['Change location', 'Add typo', 'Add medical device'] |
| b8084cc6-129daa21-5e7278cf-1038961e-a964e354 | 54197597 | 11287042 | Findings: The lungs are clear. A small right pleural effusion is stable. The heart and mediastinum are within normal limits despite the projection. There is no pneumothorax. Impression: Clear lungs with no evidence of pneumothorax. Stable small right pleural effusion. | Findings: The lungs are clear. A large right pleural effusion is stable. The heart and mediastinum are within normal limits despite the projection. There is no pneumothorax. There is no pneumothorax. An ET tube is present. Impression: Clear lungs with no evidence of pneumothorax. Clear lungs with no evidence of pneumothorax. Stable small right pleural effusion. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 579d3a5f-1e6911b4-307a3da3-6a8c84c8-27cfb985, 58a552fb-7fb1145c-d82ff0eb-3efacd83-c20fb38f | 56219888 | 11287042 | Impression: Heart size and mediastinum are stable. Lungs are clear. Elevated right hemidiaphragm is re- demonstrated as well as calcified mitral anulus. There is no definitive pleural effusion seen and there is no pneumothorax. Prior mediastinal lesions to the as seen on the previous chest CT are not clearly seen on the current examination | Impression: Heart size and mediastinum are sable. Lungs are clear. Elevated right hemidiaphragm is re-demonstrated as well as calcified mitral anulus. There is a small left pleural effusion seen, but there is no pneumothorax. Prior mediastinal lesions to t he as seen on the previous chest CT are not clearly seen on the current examination. | ['Change location', 'Add typo', 'False prediction'] |
| 620d7dcf-06e6a794-87f53b98-bc55811e-8fc54800, a19d711b-6c29af26-11883860-c9e6a00a-dd8b349c | 56969632 | 11287042 | Findings: PA and lateral views of the chest provided. There is new retrocardiac opacity consistent with left lower lobe pneumonia. Mild elevation of the right hemidiaphragm is again noted with stable blunting of the right CP angle suggesting small right pleural effusion versus pleural thickening. No pneumothorax. No edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Impression: Left lower lobe pneumonia. | Findings: PA and lateral views of the chest prvovided. There is new retrocardiac opacity consistent with left lower lobe pneumonia. Moderate elevation of the right hemidiaphragm is again noted with stable blunting of the right CP angle suggesting small right pleural effusion versus pleural thickening. No pneumothorax. No edema. A central venous line is present. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Impression: Left lower lobe pneumonia. | ['Change severity', 'Add typo', 'Add medical device'] |
| ebff6ece-1b6243e8-1f3cd0af-af4824b5-3f629000 | 58000103 | 11287042 | Impression: Small right pleural effusion is overall stable. There is new bandlike opacity in the right mid lung, concerning for atelectasis or developing infectious process. Alternatively it might represent the fluid in the fissure (major). Lungs are essentially clear otherwise. No pleural effusion demonstrated on the left. | Impression: Large right pleural effusion is overall stable. There is new bandlike opacity in the right mid lung, concerning for atelectasis or developing infectious process. Alternatively it might represent the fluid in the fissure (major). Lungs are essentially clear otherwise. No pleural effusion demonstrated on the left. Impression: There is no right pleural effusion. | ['Change severity', 'Add contradiction', 'False negation'] |
| cd8b3583-06cd4871-e09025fe-a2a60b90-348e7521 | 51634516 | 11307058 | Findings: Compared with the most recent radiograph, left lower lobe opacity compatible with infection is grossly unchanged. There is minimal right basilar atelectasis. Lobulated contour abutting the aortic arch and projecting over the AP window is compatible with thoracic aortic aneurysm and prior dissection. Intact median sternotomy wires. No pneumothorax. Tiny, if any, right pleural effusion. Impression: Persistent left lower lobe consolidation, compatible with infection. Small right pleural effusion. | Findings: Compared with the most recent radiograph, left lower lobe opacity compatible with infection is grossly unchanged. There is moderate right basilar atelectasis. Lobulated contour abutting the aortic arch and projecting over the AP window is compatible with thoracic aortic aneurysm and prior dissection. Intact median sternotomy wires. No pneumothorax. Tiny, if any, right pleural effusion. There is moderate right basilar atelectasis. Impression: No left lower lobe consolidation. Small right pleural effusion. | ['Change severity', 'Add repetitions', 'False negation'] |
| 3f5dec1b-45644e70-ed34cbb0-1a80da55-77581541, a39f20a8-d6fcb2c5-62904bb6-546afe49-0d7926bc | 51697632 | 11307058 | Findings: There is new left lower lobe opacity compatible with infection. Elsewhere, lungs are clear. Lobulated contour abutting the aortic arch and projecting over the AP window on the frontal view is compatible with thoracic aortic aneurysm with prior dissection. No acute osseous abnormalities. Impression: Left lower lobe consolidation compatible with pneumonia. Repeat after treatment suggested to document resolution. Stable appearance of the mediastinum with abnormal aortic contour as seen on multiple priors. | Findings: There is new right lower lobe opacity compatible with infection. Elsewhere, lungs are cler. Lobulated contour abutting the aortic arch and projecting over the AP window on the frontal view is compatible with thoracic aortic aneurysm with prior dissection. No acute osseous abnormalities noted, but evidence of right side rib fractures. Impression: Left lower lobe consolidation compatible with pneumonia. Repeat after treatment suggested to document resolution. Stable appearance of the mediastinum with abnormal aortic contour as seen on multiple priors. | ['Change location', 'Add typo', 'False prediction'] |
| ab25e52b-e8eebab5-500ce27e-c39b6376-71e6f3f1, b040bf26-e5aa5364-1a53b33b-6aea1bb0-89637102 | 53295563 | 11307058 | Impression: In comparison with the study of ___, there is again a hyperexpansion of the lungs consistent with chronic pulmonary disease. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. There is substantial prominence of the descending aorta, better characterized on the CT of the chest from ___. | Impression: In comparison with the study of ___, there is again a hyperexpansion of the lungs consistent with chronic pulmonary disease. Cardiac silhouette is within normal limits with mild interstitial edema and there is no vascular congestion, pleural effusion, or acute focal pneumonia. The cardiac silhouette shows no vascular congestion, pleural effusion, or acute focal pneumonia. There is substantial prominence of the descending aorta, better characterized on the CT of the chest from ___. An NG tube is seen with its tip located in the stomach. | ['False prediction', 'Add repetitions', 'Add medical device'] |
| 1b56958d-2db30a47-c149a47c-5161435f-f70948bd, 5f053b2c-56f23cae-42d6a64d-cc58332c-8a49a6fe | 54070533 | 11307058 | Findings: Patient is status post median sternotomy. The appearance of the cardiac and mediastinal silhouettes is stable ; patient has reported history of known thoracic aortic dissection and descending aortic dilatation. There is a likely hiatal hernia. No focal consolidation is seen. No large pleural effusion or pneumothorax. No overt pulmonary edema. Impression: No acute cardiopulmonary process. Stable appearance of the mediastinum. | Findings: Patient is status post median sternotomy. The appearance of the cardiac and mediastinal silhouettes is stable, with the heart severely enlarged. There is a likely hiatal hernia. Mild focal consolidation is seen. There is a small pleural effusion and pneumothorax. Severe overt pulmonary edema. There is an endotracheal tube terminating 5 cm above the carina. Impression: Mild cardiopulmonary congestion. Stable appearance of the mediastinum. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| a0c5a980-ee72873e-6b8ab2e4-ccf5e1b7-56693b1b, da624dca-d4652abd-453c6fc6-a97f99a7-93578866 | 56032638 | 11307058 | Impression: In comparison with the study of ___, there is little change. The aneurysm and dilatation of the descending aorta is unchanged. No evidence of vascular congestion or acute focal pneumonia. | Impression: In comparison with the study of ___, there is little change. The aneurysm and dilatation of the descending aorta is unchanged. No evidence of vascular congestion or acute focal consolidation. | ['False prediction', 'Add typo', 'False negation'] |
| 03270807-5e38a815-9e4f8720-08103828-f27bb4e4, 05abb6c4-7cc9ae3c-bc29c9da-5c2f5ab2-8845a3ae | 58044051 | 11307058 | Findings: Compared to prior, there is opacity a partially obscuring the left heart border, concerning for pneumonia or atelectasis. The right lung is clear. No pleural abnormality is seen. Mediastinal contour is consistent with patient's known thoracic aortic dissection and descending aortic dilatation, unchanged from prior. Impression: Possible lingular pneumonia vs. atelectasis. | Findings: Compared to prior, there is opacity a partially obscuring the right heart border, concerning for pneumonia or atelectasis. The right lung is clear. The right lung is clear. No pleural abnormality is seen. Mediastinal contour is consistent with patient's known thoracic aortic dissection and descending aortic dilatation, unchanged from prior. Impression: No lingular pneumonia. | ['Change location', 'Add repetitions', 'False negation'] |
| 2c1b8528-f39e96b9-54bb89a8-d99d2ec5-472472ce, cbfd7625-9544bc09-c925c328-d7fe32ae-a29d64ef | 58651071 | 11307058 | Findings: The cardiac and mediastinal silhouette appear similar compared to the study from 3 days ago. There small bilateral pleural effusions which have slightly increased in the interval. This is particularly apparent on the lateral films. Otherwise no significant change. There is no focal infiltrate. Impression: small bilateral effusions, increased compared to prior. | Findings: The cardiac and mediastinal silhouette appear similar compared to the study from 3 days ago. There large bilateral pleural effusions which have slightly increased in the interval. This is particularly apparent on the lateral films. Otherwise no significant change. There is no focal infiltrate. Impression: small bilateral effusions, increased compared to prior. Findings: The cardiac and mediastinal silhouette appear similar compared to the study from 3 days ago. | ['Change severity', 'Add repetitions', 'False negation'] |
| ca55481f-3895ec03-76a040b8-d0fbd6ec-bcac13eb | 51462743 | 11309915 | Impression: In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends into the lower body of the stomach with the side port distal to the esophagogastric junction. The remainder of the examination is unchanged, except for free gas beneath the hemidiaphragm related to the the recent abdominal procedure. | Impression: In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends into the upper body of the stomach with the side port distal to the esophagogastric junction. The remainder of the examination is unchanged, except for free gas beneath the hemidiaphragm related to the recent abdominal procedure. A central venous line is noted in the right atrium. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 09e634af-25dfbe2b-e54ba5f1-0b74a44a-bd670415 | 52073508 | 11309915 | Impression: No previous images. The cardiac silhouette is enlarged but there is no vascular congestion. Opacification in the retrocardiac region is consistent with volume loss in the left lower lobe and small pleural effusion. However, in the appropriate clinical setting, it would be very difficult to exclude superimposed pneumonia, especially in the absence of a lateral view. | Impression: No previous imgages. The cardiac silhouette is enlarged but there is no vascular congestion. Opacification in the retrocardiac region is consistent with volume loss in the left lower lobe and no pleural effusion. However, in the appropriate clinical setting, it would be very difficult to exclude superimposed mild pneumonia, especially in the absence of a lateral view. | ['Change severity', 'Add typo', 'False negation'] |
| bde3538e-7dd799a6-2e524bd0-78754798-97ab1afa, f086c561-9ee26e41-62786cc5-de4c7709-13df81fa | 54889965 | 11442039 | Impression: No previous images. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. There is mild scoliosis of the thoracic spine convex to the right. | Impression: No previous images. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. There is mild scoliosis of the thoracic spine convex to the left. An enlarged lymph node is seen in the right hilum. | ['Change location', 'Change to homophone', 'False prediction'] |
| d3a7a4ec-d8c2bf03-e0bd22f1-4c39d667-2b5dd849 | 59515380 | 11442039 | Impression: Compared to chest radiographs ___. Relative elevation of the right hemidiaphragm is more pronounced today, but unexplained. Lungs are grossly clear. Normal cardiomediastinal and hilar silhouettes and pleural surfaces. | Impression: Compared to chest radiographs ___. Relaitve elevation of the left hemidiaphragm is more pronounced today, but unexplained. No abnormalities seen in the lungs. Normal cardiomediastinal and hilar silhouettes and pleural surfaces. | ['Change location', 'Add typo', 'False negation'] |
| 01ef5d76-76b24ff8-e3bd287c-b62fa42a-fa7fe5ee, 95c813f7-c3e310da-424bd659-10fb136a-98c4cdb7 | 54659794 | 11465247 | Impression: Lungs are fully expanded and clear. Heart size top-normal. Normal pulmonary vasculature. Normal mediastinal and hilar contours and pleural surfaces. | Impression: Lungs are fully expanded and clear. Heart size top-normal. A nasogastric tube is noted within the stomach. Normal mediastinal and hilar contours and pleural surfaces. | ['Add medical device', 'Change to homophone', 'False negation'] |
| 5cd7a101-9ff0c026-fd16c237-8cdcd48d-3c4c342b, 7da61e0c-128804f1-b17951e5-5e34acbe-c01fd2fd | 54829511 | 11465247 | Impression: PA and lateral chest compared to ___: Previous pneumonia in lingula has resolved. Lungs are now clear. Heart size is normal. There is no pleural abnormality or evidence of central lymph node enlargement. Thoracic aorta is tortuous but not clearly aneurysmal. | Impression: PA and lateral chest compared to ___: No pneumonia. Lungs are now clear. Heart size is normal. There is no pleural abnormality or evidence of central lymph node enlargement. Thoracic aorta is tortuous but not clearly abdominal. | ['Change location', 'Change to homophone', 'False negation'] |
| b85ecda1-089e869a-90607e39-84199c93-e66fae7a, e19abbe6-df472023-83481ac8-0a310178-3cdd22d2 | 56946073 | 11465247 | Findings: PA and lateral views of the chest provided. There is a vague consolidation in the lateral aspect of the left lung which localizes anteriorly which is concerning for pneumonia. No large effusion. Right lung is clear. Cardiomediastinal silhouette is stable. Impression: Findings concerning for pneumonia within the left upper lobe/lingula. | Findings: PA and lateral views of the chest provided. There is a vague consolidation in the lateral aspect of the left lung which localizes anteriorly which is concerning for new-monia. No large effusion. Right lung is clear. Cardiomediastinal silhouette is stable. A central venous line is present. Impression: Findings concerning for severe pneumonia within the left upper lobe/lingula. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 0e252b44-7eeee514-f7db5565-5c69c644-9808eb6c, d8e7e260-db17e49d-5a6fdba5-6ae4bb12-73abeec9 | 50248902 | 11469724 | Findings: Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. There is no pneumothorax or pleural effusion. There is no consolidation. Impression: No acute cardiopulmonary process, including no evidence of pneumothorax. | Findings: Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. There are left lower lobe nodules. There is no pneumothorax or pleural effusion. There is no consolidation. Impression: No acute cardiopulmonary process, including no evidence of pneumothorax. There are left lower lobe nodules. | ['Change location', 'Add repetitions', 'False prediction'] |
| 3b825e5c-972cf73b-c9e78f42-2ffb6f80-40fb7b5e, f0220e89-6a3c972d-e6129b54-0f9f801e-8bdeb45e | 51499238 | 11483127 | Findings: No focal consolidation is present. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Impression: No acute intrathoracic process. | Findings: No foal consolidation is present. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no pleural effusion or pneumothorax. There is a pacemaker visualized in the right atrial region. Impression: No acute intrathoracic process. | ['Add typo', 'Add repetitions', 'Add medical device'] |
| 967b4be7-246fd0d5-0f1f4921-af286d14-001bff69, e739c1f7-c8cb4da6-35a5b19c-c3c44f5c-bde78d3d | 55217119 | 11485848 | Findings: Chest, PA and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Impression: No acute cardiopulmonary process. | Findings: Chest, PA and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. Bibasilar opacities are present. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'False prediction'] |
| c051db46-f8077330-028442f2-35bf5221-fda0ae4f | 56446166 | 11500818 | Findings: Low lung volumes on the AP projection causing crowding of bronchovascular structures. In addition, the apparent widened mediastinum is likely due to patient positioning and rotation. No focal consolidation concerning for pneumonia. No evidence of pneumothorax. Cardiomediastinal and hilar silhouettes are grossly unremarkable. No evidence of dispalced rib fractures. Impression: Low lung volumes causing crowding of bronchovascular structures. No evidence focal consolidation or pneumothorax. No evidence of dispalced rib fractures. Please see the subsequent CT torso report from the same date for further findings. | Findings: Low lung volumes on the AP projection causing crowding of bronchovascular structures. In addition, the apparent widened mediastinum is likely due to patient positioning and rotation. No focal consolidation concerning for pneumonia. No evidence of pneumothorax. Cardiomediastinal and hilar silhouettes are grossly unremarkable. No evidence of rib fractures. Impression: Low lung volumes causing crowding of bronchovascular structures. No focal consolidation or pneumothorax. Evidence of displaced rib fractures. Please see the CT torso report from the same date for further findings. | ['False negation', 'Add typo', 'False prediction'] |
| da4b16dc-70fac17f-f55577e8-6d7eb687-7777fa17 | 53036025 | 11520249 | Findings: Peripheral right upper lobe lung nodule has grown compared to the prior CT chest of ___ and chest radiograph of ___. On the prior chest radiograph, it measured 1.6 cm in diameter and now measures 1.9 cm. As AP technique may magnify the nodule, dedicated chest CT may be considered for more accurate assessment of interval growth as well as possible development of lymphadenopathy in the right hilum. Heart remains enlarged. Low lung volumes accentuate the pulmonary vascular structures. Minor bibasilar atelectasis is present. No definite pleural effusion. Single-lead pacer remains in place, with lead terminating in right ventricle. Impression: 1. Slowly growing peripheral right upper lobe lung nodule is concerning for primary lung adenocarcinoma. Dedicated chest CT may be considered for more accurate assessment as well as to evaluate for possible right hilar lymph node enlargement warranted clinically. 2. Low lung volumes limit assessment of the lung bases for pneumonia. Given clinical suspicion for this entity, this could be further evaluated with repeat chest radiograph with improved inspiratory level. Dr. ___ was paged with these results at 8:15 a.m. on ___, at the time of discovery. | Findings: Peripheral right upper lobe lung nodule has grown compared to the prior CT chest of ___ and chest radiograph of ___. On the prior chest radiograph, it measured 1.6 cm in diameter and now measures 2.3 cm. As AP technique may magnify the nodule, dedicated chest CT may be considered for more accurate assessment of interval growth as well as possible development of lymphadenopathy in the right hilum. Heart remains enlarged. Low lung volumes accentuate the pulmonary vascular structures. Minor bibasilar atelectasis is present. No definite pleural effusion. Single-lead pacer remains in place, with lead terminating in right ventricle. Heart remains enlarged. Impression: 1. Slowly growing peripheral right upper lobe lung nodule is concerning for primary lung adenocarcinoma. Dedicated chest CT may be considered for more accurate assessment as well as to evaluate for possible right hilar lymph node enlargement warranted clinically. 2. Low lung volumes limit assessment of the lung bases for pneumonia. Given clinical suspicion for this entity, this could be further evaluated with repeat chest radiograph with improved inspiratory level. Dr. ___ was paged with these results at 8:15 a.m. on ___. Additional line opacification noted which appears to be a possible nasogastric tube. | ['Change measurement', 'Add repetitions', 'Add medical device'] |
| 046d4db0-ce1ff4f2-7995008c-6b054b3f-52e497a8 | 53508597 | 11520249 | Findings: Left-sided pacemaker device is noted with single lead terminating in the right ventricle. Moderate cardiomegaly persists. Aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Left basilar opacity likely reflects atelectasis. No large pleural effusion is seen though assessment for left-sided effusion is somewhat limited due to overlying pacemaker generator pack obscuring this region. And ill-defined 19 mm hazy nodular opacity within the right upper lung field is unchanged from ___. Calcified granuloma in the left lung apex is unchanged. No pneumothorax is identified. Degenerative changes are noted in the thoracic spine. Impression: 1. Retrocardiac opacity likely reflects atelectasis. Infection is difficult to exclude. 2. Persistent 19 mm subtle ill-defined nodular opacity in the right lung apex. Finding are concerning for a neoplastic process, and further assessment with a chest CT is recommended. | Findings: Left-sided pacemaker device is noted with single lead terminating in the right ventricle. Moderate cardiomegaly persists. Aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Left basilar opacity likely reflects atelectasis. No large pleural effusion is seen though assessment for left-sided effusion is somewhat limited due to overlying pacemaker generator pack obscuring this region. And ill-defined 29 mm hazy nodular opacity within the right upper lung field is unchanged from ___. No calcified granuloma in the left lung apex is identified. No pneumothorax is identified. Degenerative changes are noted in the thoracic spine. Impression: 1. Retrocardiac opacity likely reflects atelectasis. Infection is difficult to exclude. 2. Persistent 19 mm subtle ill-defined nodular opacity in the right lung apex. Finding are concerning for a neoplastic process, and further assessment with a chest CT is recommended. No nodular opacity is seen in the right lung apex. | ['Change measurement', 'Add contradiction', 'False negation'] |
| 47095b32-a853ea62-3c44a0f5-18ba6a9d-bf1ef6f9 | 56831678 | 11520249 | Findings: A left single lead pacemaker projects over the left lower chest and the lead likely terminates in the right ventricle. Lung volumes are decreased, accentuating the cardiac silhouette which otherwise appears mildly enlarged. There is a left lower lobe opacity, which may reflect aspiration or pneumonia in the appropriate clinical setting. There is prominence of the right hilum. There is prominence of the pulmonary vasculature. No large pleural effusion identified, although limited examination of the left costophrenic angle. Impression: 1. Left lower lobe opacity which could reflect aspiration or pneumonia. Clinical correlation advised. 2. Mild cardiomegaly with mild pulmonary vascular congestion. 3. Prominent right hilum, concerning for lymphadenopathy. Anterior shallow obliques or a chest CT can be obtained for further evaluation if clinically warranted. | Findings: A left demands attention for a change to single-lead pacer over the left lower chest. Lung volumes are decreased, accentuating the cardiac silhouette which otherwise appears mildly enlarged. There is minimal upper lobe atelectasis, with a left lower lobe opacity that may reflect aspiration or pneumonia in the appropriate clinical setting. There is prominence of the right hilum. There is prominence of the pulmonary vasculature. No large pleural effusion identified, although limited examination of the left costophrenic angle exists. There is prominence of the right hilum. Impression: 1. Left lower lobe opacity which could reflect aspiration or pneumonia. Clinical correlation advised. 2. Mild cardiomegaly with mild pulmonary vascular congestion. 3. Prominent right hilum, concerning for lymphadenopathy. Anterior shallow obliques or a chest CT can be obtained for further evaluation if clinically warranted. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a, d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc | 57610653 | 11520249 | Findings: Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The heart remains moderately enlarged. Dense atherosclerotic calcifications are present at the aortic knob. Mediastinal and hilar contours are unchanged. Rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to 2.4 cm. Minimal patchy opacities are noted within the lung bases. No pleural effusion or pneumothorax is identified. Multiple ___ are demonstrated within the right upper quadrant of the abdomen. Impression: Patchy bibasilar airspace opacities appear relatively unchanged, and may reflect atelectasis and/or chronic changes. Slight interval increase in size of right upper lobe rounded opacity which remains concerning for adenocarcinoma. | Findings: Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The heart remains significantly enlarged. Dense atherosclerotic calcifications are present at the aortic arch. Mediastinal and hilar contours are unchanged. Rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to 3.5 cm. Minimal patchy opacities are noted within the lung bases. No pleural effusion or pneumothorax is identified. Multiple gallstones are demonstrated within the right upper quadrant of the abdomen. Impression: Patchy bibasilar airspace opacities appear relatively unchanged, and may reflect atelectasis and/or chronic changes. Slight interval decrease in size of right upper lobe rounded opacity which remains concerning for adenocarcinoma. | ['Change measurement', 'Add contradiction', 'False prediction'] |
| b22978a8-b5b4125a-08c7a341-112606a4-cbd852a9, d1969331-194ac1ab-ab92b6ec-10a231e8-8585ed4a | 58466105 | 11520249 | Findings: AP upright and lateral views of the chest provided. A left chest wall pacer device is seen with catheter extending into the expected location of the right ventricle, unchanged. There is mild central pulmonary vascular engorgement which could indicate mild increased pulmonary pressures. The heart is stably enlarged. Atherosclerotic calcification of the aortic knob noted. Lung volumes are low, though there is no definite sign of pneumonia. Bony structures appear intact. Impression: Stable cardiomegaly with mild pulmonary interstitial edema. | Findings: AP upright and lateral views of the chest prvoded. A left chest wall pacer device is seen with catheter extending into the mid right atrium, unchanged. There is no sign of central pulmonary vascular engorgement. The heart is stably enlrged. Atherosclerotic calcification of the aortic knob noted. Lung volumes are low, though there is no definite sign of pneumonia. Bonny structures appear intact. Impression: No cardiomegaly with mild pulmonary interstitial edema. | ['Change position of device', 'Add typo', 'False negation'] |
| 21ff2ec7-c4a60756-1d1937eb-e12dee07-852c4995, a54f4d38-f53d69a4-fe5bb1af-ec0c839c-ca1ea4cf | 58792298 | 11520249 | Findings: AP and lateral views of the chest. There is a right upper lung, somewhat rounded opacity as seen on previous exam. Again, this remains concerning for neoplasm. The lungs are otherwise grossly clear noting some right basilar atelectasis. Left chest wall single lead pacing device seen with lead tip in the right ventricular apex. Cardiac silhouette is enlarged but stable in configuration. Atherosclerotic calcification is seen within the aorta. Impression: No definite acute cardiopulmonary process. Right upper lung rounded opacity again concerning for malignancy. | Findings: AP and lateral views of the chest. There is a right upper lung, somewhat rounded opacity as seen on previous exam. Again, this remains concerning for neoplasm. The lungs are otherwise grossly clear noting some right basilar atelectasis. Left chest wall single lead ICD device seen with lead tip in the right ventricular apex. Cardiac silhouette is enlarged but stable in configuration. Atherosclerotic calcification is seen within the aorta. A right IJ central venous catheter is present. Impression: No definite acute cardiopulmonary process. Right upper lung rounded opacity not concerning for malignancy. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 2bd4b6f8-658cb9f5-939803a8-685c7ce3-356accb5, 8c9534d9-497d5f33-e7f5ab5b-66be897e-2491cd73 | 59584536 | 11524266 | Findings: Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Impression: Normal chest radiograph. | Findings: Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax detected. Impression: Normal chest radiograph with NG tube in place. | ['Add medical device', 'Change to homophone', 'False negation'] |
| 18f9a05f-f2cd30f5-bb92443e-a96e29a2-2d10374b, 8c92d74b-8f6e075a-400a5d87-ae954228-73edbc6b | 50677500 | 11529986 | Findings: As compared to the prior examination dated ___, there has been no significant interval change. Low lung volumes resultant crowding of the bronchovascular structures. There is no lobar consolidation, pleural effusion, or pneumothorax. The heart size is within normal limits. A large hiatal hernia is again seen. Multiple known osseous metastases are poorly visualized on today's examination. Impression: Stable appearance of the chest with low lung volumes and a large hiatal hernia. No evidence for superimposed acute cardiopulmonary process. | Findings: As compared to the prior examination dated ___, there has been trivial significant interval change. Low lung volumes resultant crowding of the bronchovascular structtures. There is mild lobar consolidation, pleural effusion, or pneumothorax. The heart size is within normal limits. A large hiatal hernia is again seen. Multiple known osseous metastases are poorly visualized on today's examination with new bilateral pleural effusions. Impression: Stable appearance of the chest with low lung volumes and a large hiatal hernia. Mild cardiomegaly is noted. No evidence for superimposed acute cardiopulmonary process. | ['Change severity', 'Add typo', 'False prediction'] |
| 4e988876-de35584e-49fde4ca-bfa3f240-b99a8e3a, dfa6aa31-59502aee-a73c4b24-1b369d25-d3f48851 | 55864646 | 11529986 | Impression: In comparison with the study of ___, there are even lower lung volumes. Again there is a large hiatal hernia but no evidence of acute pneumonia or vascular congestion. Sclerotic metastases again are seen from carcinoma the prostate. | Impression: In comparison with the study of ___, there are even lowr lung volumes. Again there is a large hiatal hernia but no evidence of acute pneumonia or vascualr congestion. Sclerotic metastases again are seen from carcinoma the prostate. A central venous line is noted in place. | ['Change severity', 'Add typo', 'Add medical device'] |
| 51bf1504-fd68a1ec-7f7ca477-9736040f-4167a6f0, a4e05e8d-f1cc5629-84b87ad8-9f4c0402-17e6f75e | 50995901 | 11614040 | Findings: In comparison with the study of ___, there has been some decrease in the still substantial left pleural effusion. There is a small pleural effusion on the right extending into the minor fissure. The pulmonary vascular congestion has essentially cleared. Bibasilar atelectatic changes are present. Port-A-Cath again extends to the cavoatrial junction or right atrium. The possibility of supervening pneumonia would be difficult to exclude in the appropriate clinical setting. | Findings: In comparison with the study of ___, there has been some decrease in the still substantial right pleural effusion. There is a small pleural effusion on the write extending into the minor fissure. The pulmonary vascular congestion has essentially cleared. Bibasilar atelectatic changes are present. Port-A-Cath again extends to the cavoatrial junction or right atrium. Multiple enlarged lymph nodes are noted in the hilar regions. The possibility of supervening pneumonia would be difficult to exclude in the appropriate clinical setting. | ['Change location', 'Change to homophone', 'False prediction'] |
| 3171e900-87eb21d0-8d960bcd-ae644198-073b1869 | 52577959 | 11614040 | Impression: 1. OG tube placed, with tip over fundus. 2. Slight interval improvement in CHF findings. | Impression: 1. OG tube placed, with tip over fundus. 2. Slight interval improvement in CHF findings. There is noticeable worsening of cardiomegaly. | ['Change position of device', 'Add contradiction', 'False prediction'] |
| 45707eca-99bf58cc-cefc31b3-28749819-720469b4, bdb97138-b120be67-8b9c2ad3-d5187876-17f2143d | 54015727 | 11614040 | Impression: 1. Interval placement of ET tube in satisfactory position. Other lines as described. 2. Stable cardiomegaly. 3. Findings suggestive of CHF with interstitial edema. This is likely superimposed on background COPD. 4. Small left effusion, with left lower lobe collapse and/or consolidation. 5. New fluid or atelectasis in the right mid zone. No fluid seen in the right costophrenic sulcus. | Impression: 1. Interval placement of ET tube in satisfactory position. Other lines as described. Right IJ central venous catheter projects over the right atrium. 2. Stable cardiomegaly. 3. Findings suggest CHF without evidence of interstitial edema. This is likely superimposed on background COPD. 4. Small left effusion, with left lower lobe collapse and/or consolidation. No evidence of left effusion. 5. New fluid or atelectasis in the right mid zone. Minimal fluid seen in the right costophrenic sulcus. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| cb4af14c-7c3258e3-157f685e-c1cc0471-fe3eb0ec | 54498314 | 11614040 | Findings: As compared to prior chest radiograph from ___, there has been interval increase of moderate left pleural effusion and increased atelectasis at the left lower lung. There is a small right pleural effusion. Minimal amount of apical left pneumothorax persists. A right Port-A-Cath catheter tip terminates at the cavoatrial junction. Impression: 1. Minimal left apical pneumothorax. 2. Interval increase of moderate left pleural effusion. These findings were discussed with ___ ___ by Dr. ___ via telephone on ___ at 2:52 p.m., at time of discovery. | Findings: As compared to prior chest radiograph from ___, there has been absent interval increase of moderate left pleural effusion and increased atelectasis at the left lower lung. No small right pleural effusion. Minimal amount of apical left pneumothorax persists. A right-sided vascular stent terminates at the cavoatrial junction. Minimal amount of apical left pneumothorax persists. Impression: No left apical pneumothorax. 2. Interval increase of moderate left pleural effusion. These findings were discussed with ___ ___ by Dr. ___ via telephone on ___ at 2:52 p.m., at time of discovery. These findings were discussed with ___ ___ by Dr. ___ via telephone on ___ at 2:52 p.m., at time of discovery. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81 | 54620855 | 11614040 | Findings: AP single view of the chest is obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Cardiac enlargement and right-sided Port-A-Cath system via internal jugular approach as before. There is now marked congestive pulmonary vascular pattern with distended vessels and perivascular haze. Centrally located parenchymal densities are indicative of pulmonary edema. In comparison with the previous study, a sizeable left-sided pleural effusion has developed reaching up to the hilar level. The right-sided lateral pleural sinus, however, remains free. Impression: Acute pulmonary congestion with central pulmonary edema and left-sided pleural effusion. Report has been issued at 2:15 p.m. as the study remained non-verified for more than 10 hours. | Findings: AP single view of the chest is obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. No cardiac enlargement and right-sided Port-A-Cath system via internal jugular approach as before. There is now marked congestive pulmonary vascular pattern with distended vessels and perivascular haze. Centrally located parenchymal densities are indicative of pulmonary edema. In comparison with the previous study, a sizeable left-sided pleural effusion has developed reaching up to the hilar level. The right-sided lateral pleural sinus, however, remains free. Impression: Mild pulmonary congestion with central pulmonary edema and left-sided pleural effusion. Report has been issued at two-fifteen p.m. as the study remained non-verified for more than 10 hours. | ['Change severity', 'Change to homophone', 'False negation'] |
| 050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7 | 56045322 | 11614040 | Findings: As compared to the previous radiograph, the effusion on the left has minimally increased in extent. On the right, the small pleural effusion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. Fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath. | Findings: As compared to the previous radiograph, the effusion on the right has minimally increased in extent. On the right, the small pleural effushion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. No fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath. | ['Change location', 'Add typo', 'False negation'] |
| 7fccf9d1-bf743f6f-504039f0-d2709205-699a13cc | 56082008 | 11614040 | Impression: AP chest compared to ___: Moderately severe pulmonary edema, transiently improved on ___ has recurred, more pronounced today than on ___. Interval decrease in the volume of moderate left pleural effusions suggests thoracentesis. No pneumothorax. Moderate cardiomegaly, not appreciably changed. Small right pleural effusion stable. Right supraclavicular central venous infusion port ends close to the superior cavoatrial junction. A small elliptical opacity projecting over the right mid lung is probably fissural pleural fluid. | Impression: AP chest compared to ___: Moderately severe pulmonary edema, transiently improved on ___ has recurred, more pronounced today than on ___. Interval decrease in the volume of mild left pleural effusions suggests thoracentesis. No pneumothorax. Moderate cardiomegaly, not appreciably changed. Small right plural effusion stable. Right supraclavicular central venous infusion port ends close to the superior cavoatrial junction. A small elliptical opacity projecting over the left mid lung is probably fissural pleural fluid. Multiple rounded opacities consistent with metastases are seen in both lungs. | ['Change severity', 'Change to homophone', 'False prediction'] |
| c81743fc-40348d42-c468e36f-0c9077e0-46d24e73 | 56418467 | 11614040 | Findings: In comparison with the earlier study of this date, there has been a thoracentesis on the left with removal of substantial fluid from the pleural space. Specifically, no evidence of appreciable pneumothorax. | Findings: In comparison with the earlier study of this date, there has been a thoracentesis on the right with removal of substantial fluid from the pleural space. Specifically, no evidance of appreciable pneumothorax. A central venous line is seen in place. | ['Change location', 'Add typo', 'Add medical device'] |
| 551d7076-32d60564-745ab2a8-624b5317-c6f634f8, ae000d03-91aa28dd-ccd3897d-ceb92206-fba185ff | 57214129 | 11614040 | Findings: Moderate left pleural effusion has slightly increased in the interval with overlying atelectasis. New right base opacity is seen, may represent combination of pleural effusion and atelectasis with overlying consolidation. Fluid is seen tracking in the minor fissure on the lateral view. There is mild pulmonary vascular congestion. The cardiac silhouette difficult x-ray assessed due to the bibasilar opacities. The aorta is calcified. Right-sided Port-A-Cath is seen, with distal tip in the expected location of the right atrium. Impression: Moderate left pleural effusion slightly increased as compared to the prior study. Interval increase in right base opacity may represent combination of pleural effusion and atelectasis, underlying consolidation is not excluded. Pulmonary vascular congestion. | Findings: Moderate left pleural effusion has slightly increased in the interval with overlying atelectasis. New right base opacity is seen, may represent combination of pleural effusion and atelectasis with overlying consolidation. Fluid is seen tracking in the minor fissure on the lateral view. There is mild pulmonary vascular congestion. The cardiac silhouette difficult x-ray assessed due to the bibasilar opacities. The aorta is calcified. Right-sided PICC line is seen, with distal tip in the expected location of the right atrium. An ET tube is located just above the carina. Impression: Moderate left pleural effusion slightly increased as compared to the prior study. Interval increase in right base opacity may represent combination of pleural effusion and atelectasis, underlying consolidation is knot excluded. Pulmonary vascular congestion. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| f7afb1fb-980babb9-17a967f1-4ab852ff-c8ecd2fa | 57726913 | 11614040 | Findings: As compared to the previous radiograph, the patient has newly developed, moderate pulmonary edema. The changes manifest as increase in interstitial markings, a symmetrically increase in lung density and an increase in diameter of the pulmonary vessels and the heart. No pleural effusions. Unchanged right pectoral Port-A-Cath. At the time of dictation and observation, 10:28 a.m., on ___, the referring physician, ___. ___ was paged for notification. | Findings: As compared to the previous radiograph, the patient has newly developed, moderate pulmonary edema. The changes manifest as increase in interstitial markings, a symmetrically increase in lung density and an increase in diameter of the pulmonary vessels and the heart. No pleural effusions. Unchanged right pectoral central venous line. At the time of dictation and observation, 10:28 a.m., on ____, the referring physician, ____. An ET tube is visible in the trachea and ____. ___ was paged for notification. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| a421114e-d29d7d27-ca1c3caa-149eff70-e015e6c6, bd9e45d8-e8d6d3fa-e8a8e094-a2a77b14-2b43fddb | 58129550 | 11614040 | Findings: AP and lateral chest radiographs demonstrate stable positioning of the right Port-A-Cath. There is no pulmonary vascular congestion, pleural effusion, or pneumothorax. Left apical nodule is unchanged and has been further characterized on prior CT-Torso. The cardiomediastinal silhouette is normal. Impression: No pneumonia. | Findings: AP and lateral chest radiographs demonstrate stable positioning of the right PICC line. Their is no pulmonary vascular congestion, pleural effusion, or pneumothorax. No nodule is seen. The cardiomediastinal silhouette is normal. Impression: No pneumonia. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 056b228a-40cb1f70-1ae4fc61-78474095-bfb2d962, 172f444a-38c985ed-c8457287-b660b135-cde87b37 | 58602712 | 11614040 | Impression: AP chest compared to ___: Previous pulmonary edema has nearly cleared. Small right pleural effusion and moderate left pleural effusion, both stable. Cardiac silhouette is obscured and its size cannot be assessed. Right subclavian infusion port ends in the right atrium. | Impression: AP chest compared to ___: Right-sided pulmonary edema has nearly cleared. Small bright pleural effusion and moderate left pleural effusion, both stable. Cardiac silhouette is obscured and its size cannot be assessed. Chronic right-sided atelectasis. Right subclavian infusion port ends in the left atrium. | ['Change location', 'Change to homophone', 'False prediction'] |
| 7252d03a-a20f7bb6-f72983bd-0b4f5591-98efee5e | 50955531 | 11619788 | Impression: Right PICC terminating in the upper SVC, unchanged from prior. No pneumothorax. | Impression: Right thoracic drain terminating in the upper SVC, unchanged from prior. No pneumothorax. Impression: Right PICC terminating in the lower SVC, unchanged from prior. There is a small pneumothorax. | ['Change name of device', 'Add contradiction', 'False prediction'] |
| 268224a0-f4db4bc6-9f5606f0-6a333f24-ace4e910 | 52904178 | 11619788 | Findings: A right PICC line has been retracted with the tip now terminating in the proximal right axillary vein. There is no pneumothorax. There are increased bibasilar patchy airspace opacities in the bilateral lung bases concerning for developing pneumonia and raising the possibility of aspiration. Small left pleural effusion is difficult to exclude. The cardiac silhouette is unchanged in size. The mediastinum appears unchanged from the prior chest radiograph of ___. Impression: 1. Right PICC retracted with the tip terminating in the proximal right axillary vein. 2. Bibasilar patchy airspace opacities new from the most recent prior study are concerning for developing pneumonia and raise the possibility of aspiration. | Findings: A right PICC line has been retracted with the tip now terminating in the mid SVC. There is no pneumothorax. There are increased bibasilar patchy airspace opacities in the bilateral lung bases concerning for developing pneumonia and raising the possibility of aspiration. Moderate bilateral pleural effusions are present. The cardiac silhouette is unchanged in size. The mediastinum appears unchanged from the prior chest radiograph of ___. Impression: 1. Right PICC retracted with the tip terminating in the mid SVC. 2. No significant bibasilar airspace opacities noted. | ['Change position of device', 'Add contradiction', 'False prediction'] |
| 63422ad6-e1977068-64602147-0409a128-76499d3c, a305262a-fc35773c-be68cd0d-b834e2ec-80646749 | 55041813 | 11619788 | Findings: Semi-upright portable frontal chest radiograph demonstrates interval withdrawal of right-sided PICC line now terminating in the upper SVC. Cardiomediastinal and hilar contours are unremarkable. Stable platelike atelectasis in the bilateral lung bases. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax. No osseous abnormality present. Impression: Interval withdrawal of PICC line now terminating in the upper SVC. Otherwise, unchanged exam. No fluid overload or pneumonia. | Findings: Semi-upright portable frontal chest radiograph demonstrates interval withdrawal of right-sided NG tube now terminating in the upper SVC. Cardiomediastinal and hilar contours are unremarkable. Stable platelike atelectasis in the bilateral lung bases. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax. No osseous abnormality present. Cardiomediastinal and hilar contours are unremarkable. Impression: Interval withdrawal of PICC line now terminating in the upper SVC. Otherwise, unchanged exam. No fluid overload or pneumonia. Presence of left-sided central venous line. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 09df9e78-971e1a02-c9968fef-e789e1ff-6ca76ab2, 34ef720b-67dd22ea-ff045347-55244604-8fc95e70 | 56461985 | 11619788 | Findings: The cardiac silhouette size is mildly enlarged. The aorta is unfolded and calcified but unchanged. The mediastinal and hilar contours are otherwise unremarkable. Minimal linear opacities in the lung bases are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Impression: Minimal bibasilar atelectasis. | Findings: The cardiac silhouette size is severely enlarged. The aorta is unfolded and calcified butt unchanged. The mediastinal and hilar contours are otherwise unremarkable. Moderate linear opacities in the lung bases are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. An NG tube is seen in place. Impression: Moderate bibasilar atelectasis. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| d468d381-defa9a3f-980dcf37-2507e827-dde4f6c9, ede7dee9-d9fff69d-6b18ffa5-ee83e334-d818bbaa | 58277756 | 11619788 | Impression: Low lung volumes with bibasilar atelectasis | Impression: Low lung volumes with bibasilar atelectasis. ET tube is seen in the distal trachea. Impression: Lung volumes are normal with no evidence of atelectasis. | ['Add medical device', 'Add contradiction', 'False prediction'] |
| 0ec69750-0632a3fd-75f5556a-63efc651-c2d582f3, 36e2ba54-b3a43f54-fe19cfdd-d444c635-f67a3229 | 57605743 | 11641663 | Findings: No previous images. Mild streaks of atelectasis at the left base, but otherwise, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. There are low lung volumes and some tortuosity of the aorta. | Findings: No previous images. Moderate streaks of atelectasis at the left base, but otherwise, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. There are low lung volumes and some tortuosity of the aorta. A right IJ central venous catheter is in place. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 5b7be76e-a4c9feb1-8407dbe4-3d0e8436-c2b49b98 | 54913015 | 11644926 | Findings: There is bilateral interstitial edema and pulmonary vascular congestion. The heart is moderately enlarged. Small right and moderate left pleural effusions are seen. Retrocardiac opacity may represent pneumonia in the appropriate clinical setting. Impression: Moderate pulmonary edema, moderate cardiomegaly, and bilateral pleural effusions, small on the right and moderate on the left. Superimposed pneumonia cannot be excluded. | Findings: There is bilateral interstitial edema and pulmonary vascular congestion. The heart is severely enlarged. Small right and moderate left pleural effusions are seen. Retrocardiac opacity may represent pneumonia in the appropriate clinical setting. Impression: Moderate pulmonary edema, moderate cardiomegaly, and bilateral pleural effusions, small on the right and moderate on the left. Superimposed pneumonia cannot be excluded. The heart is severely enlarged. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 5a32886d-a4653f96-53ae3fbd-4903075b-320b865d | 51038639 | 11662490 | Findings: Portable supine AP view of the chest obtained. There are low lung volumes with bronchovascular crowding. There are subtle lower lobe opacities, may reflect atelectasis, less likely pneumonia. No supine evidence of pneumothorax or effusion. The cardiomediastinal silhouette is unremarkable. The visualized osseous structures are unremarkable. | Findings: Portable supine AP view of the chest obtained. There are low lung volumes with bronchovascular crownding. There are subtle lower lobe opacities, may reflect atelectasis, less likely pneumonia. There is a mass lesion in the left upper lobe. No supine evidence of pneumothorax or effusion. The cardiomediastinal silhouette is unremarkable. The visualized osseous structures show mild degenerative changes. | ['Change location', 'Add typo', 'False prediction'] |
| 127c8f18-778f317b-10bde8a4-fb02eba9-e1fcd511 | 51400794 | 11662490 | Findings: As compared to the previous radiograph, there is unchanged evidence of mild fluid overload. In addition, there is an area of increased opacity around the right hilus, further monitoring is required to exclude the presence of perihilar pneumonia. No pleural effusions. Borderline size of the cardiac silhouette. Minimal retrocardiac atelectasis. | Findings: As compared to the previous radiograph, there is unchanged evidence of mild fluid overload. In addition, there is an area of increased opacity around the right apex, further monitoring is required to exclude the presence of perihilar pneumonia. No pleural effusions. Borderline sighs of the cardiac silhouette. Minimal retrocardiac atelectasis. There is a suspicious mass in the left lower lung zone. | ['Change location', 'Change to homophone', 'False prediction'] |
| b9ea020d-fe39c08b-1e6f557d-405aa7cb-ce016ba2 | 51662547 | 11662490 | Findings: The study is somewhat limited by motion. There is improved aeration at the lung bases with increasing consolidation of the right mid-lung. There is no pleural effusion or pneumothorax. Cardiac and mediastinal contours are normal. Impression: Improved aeration of the lung bases with increasing consolidation in the right mid-lung. These findings would be atypical for aspiration. | Findings: The study is somewhat limited by motion. There is improved aeration at the lung bases with increasing consolidation of the right mid-lung. Improved aeration at the lung bases with increasing consolidation of the right mid-lung. There is a small pleural effusion on the left side. Cardiac and hilar contours are normal. Impression: Improved aeration of the lung bases with increasing consolidation in the left mid-lung. These findings would be typical for aspiration. | ['Change location', 'Add repetitions', 'False prediction'] |
| 209d689e-f2bb226e-ab552d0d-9117b227-324c0ac6 | 53401480 | 11662490 | Findings: There is prominence of the vasculature which has increased from prior. Additionaly, patchy opacities at the lung bases is more conspicuous on this study. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal. The imaged upper abdomen is unremarkable. Cervical orthopedic hardware is partially imaged. Impression: Bibasilar patchy opacities are nonspecific but may be due to aspiration given clinical suspicion for this entity. Worsened vascular congestion. | Findings: There is prominence of the vasculature which has increased from prior. Additionally, patchy opacities at the right lung base is more conspicuous on this study. There is a mild right pleural effusion. The cardiomediastinal contours are normol. The imaged upper abdomen is unremarkable. Lumbar orthopedic hardware is partially imaged. Impression: Bibasilar patchy opacities are nonspecific but may be due to aspiration given clinical suspicion for this entity. Bibasilar atelectasis with probable infectious process. | ['Change location', 'Add typo', 'False prediction'] |
| 372cbd5c-3e859e0a-99848f35-a0ad4c90-72e10f87, c28d6f89-4ca74a2d-2dac60f1-572eb1e1-651e43a4 | 53288720 | 11668016 | Findings: Subtle left base streaky opacity most likely represents atelectasis, although in the appropriate clinical setting, an underlying consolidation is not excluded. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Mild degenerative changes are seen along the spine. No displaced fracture is seen. Impression: Subtle left base streaky opacity most likely represents atelectasis, although in the appropriate clinical setting, an underlying consolidation is not excluded. | Findings: Subtle left base streaky opacity most likely represents atelectasis, although in the appropriate clinical setting, an underlying consolidation is not excluded. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Moderate degenerative changes are seen along the spine. No displaced fracture is seen. Impression: No opacity most likely represents atelectasis, although in the appropriate clinical setting, an underlying consolidation is not excluded. | ['Change severity', 'Add repetitions', 'False negation'] |
| 86b84bed-d791c470-659a6623-1e13e455-cc83eda7, c681e756-278b3b38-0472808c-ce2344ce-743125ee | 50335438 | 11669319 | Findings: The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Old healed left lateral rib fractures are noted. Impression: No acute cardiopulmonary process. | Findings: The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Old healed right lateral rib fractuers are noted. A central venous line is present. Impression: Ni acute cardiopulmonary process. | ['Change location', 'Add typo', 'Add medical device'] |
| f33f365d-10d1ff5e-228007f3-863aa1cb-63c0c506 | 54673619 | 11686207 | Findings: PA and lateral chest views have been obtained with patient in upright position. There is moderate cardiac enlargement and the thoracic aorta is generally widened and elongated. Calcium deposits are seen in the wall, mostly at the level of the arch. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no sign of an advanced interstitial or alveolar edema. No evidence of acute infiltrates and the lateral pleural sinuses are free. In the apical area, thickened pleural structures are noted bilaterally and combined with old scar formations and irregular densities in the peripheral portions of the parenchyma in this territory. When comparison is made with the next previous examination of ___, these changes have not undergone any difference in appearance anf represent old inactive specific scars. Comparison demonstrates on the other hand that the cardiac size has increased mildly and so has the upper zone redistribution pattern. Acute infiltrates are not present. Impression: Old stable, probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions. | Findings: PA and lateral chest views have been obtained with patient in upright position. There is moderate cardiac enlargement and the thoracic aorta is generally widened and elongated. Calcium deposits are seen in the wall, mostly at the level of the arch. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no sign of an advanced interstitial or alveolar edema. No evidence of acute infiltrates and the lateral pleural sinuses are free. In the apical area, thickened pleural structures are noted bilaterally and combined with old scar formations and irregular densities in the peripheral portions of the parenchyma in this territory. When comparison is made with the next previous examination of ___, these changes have not undergone any difference in appearance anf represent old inactive specific scars. Comparison demonstrates on the other hand that the cardiac size has increased severely and so has the upper zone redistribution pattern. Acute infiltrates are present. Impression: Old stable, probably specific bilateral apical scar formations, mild cardiac enlargement with mild degree of chronic CHF but acute pulmonary infiltrates and pleural effusions are evident. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 6e21c3c3-eeed0568-c5827143-dc010d61-a5f5f0bd, c8d7cf11-95b640cd-48eceb73-02f4b390-b9d3f500 | 58712687 | 11686207 | Findings: Biapical scarring is again seen. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | Findings: No biapical scarring is seen. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. No biapical scarring is seen. | ['Add contradiction', 'Add repetitions', 'False negation'] |
| dec3e055-ebb80e67-6fe65c6e-de8f0130-d39b8896 | 50281684 | 11717909 | Impression: Right PICC line tip is at the level of the right atrium and should be pulled back 3 cm to secure it position at the cavoatrial junction or above. Right basal atelectasis is unchanged associated with minimal amount of pleural effusion. There is no pneumothorax. No pulmonary congestion . | Impression: Right chest tube tip is at the level of the right atrium and should be pulled back 3 cm to secure it position at the cavoatrial junction or above. Right basal atelectasis is unchanged associated with minimal amount of pleural effusion. There is no pneumothorax. No pulmonary congestion. There is no pneumothorax. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| edd6b83c-688ee075-7706abe7-8585945e-88b5d0c7 | 50309094 | 11717909 | Findings: Lungs: Continued parenchymal disease is seen in the right chest which has not altered significantly. There is also left basilar disease. Pleura: Likely there is a right pleural effusion is well as a small left pleural effusion. Mediastinum: Surgical clips noted in the mediastinum Heart: The heart is not enlarged. Osseous structures: The osseous structures are normal for age. Additional findings: Endotracheal tube is in the region of the thoracic inlet. Left-sided PICC line terminates in the satisfactory position. A new right internal jugular catheter terminates in the right atrium. Nasogastric tube some stomach. Monitor leads noted. There is no pneumothorax. Impression: Right internal jugular catheter terminates in right atrium. Continued bilateral parenchymal disease much worse on the right than the left. Probable bilateral effusions | Findings: Lungs: Continued parenchymal disease is seen in the right chest which has not altered significantly. There is also left basilar disease. Pleura: Likely there is a right pleural effusion is well as a small left pleural effusion. Mediastinum: Surgical clips noted in the mediastinum Heart: The heart is not enlarged. Osseous structures: The osseous structures are normal for age. Additional findings: Endotracheal tube is in the right main bronchus. Left-sided PICC line terminates in the right atrium. A new right internal jugular catheter terminates in the right atrium. Nasogastric tube some stomach. Pacemaker noted. There is no pneumothorax. Impression: Right internal jugular catheter terminates in right atrium. Continued bilateral parenchymal disease much worse on the right than the left. Right internal jugular catheter terminates in right atrium. Probable bilateral effusions | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| 5dfe015d-040fa10d-c7519ab8-abd04b07-2013debb | 50703663 | 11717909 | Impression: Pulmonary edema has not recurred. Moderate cardiomegaly including substantial left atrial enlargement is comparable to ___ prior to removal of the intra-aortic balloon pump. Pulmonary vasculature is unremarkable. Projecting over the right second anterior rib, there could be a right juxta hilar nodules large as 19 mm across. Conventional radiographs are recommended when feasible. Pleural effusion small if any. Swan-Ganz catheter ends in standard position at the upper pole of the right hilus. | Impression: Pulmonary edema has not recurred. Moderate cardiomegaly including substantial left atrial enlargement is comparable to ___ prior to removal of the intra-aortic baloon pump. Pulmonary vasculature is unremarkable. No nodules are seen. Conventional radiographs are recommended when feasible. Pleural effusion small if any. Swan-Ganz catheter ends in standard position at the upper pole of the right hilus. | ['Change measurement', 'Add typo', 'False negation'] |
| 2d2c3c7d-5f951cb0-24e5522b-c233da94-349dc006 | 51107651 | 11717909 | Impression: Comparison to ___. The endotracheal tube has been advanced by approximately 1 cm. The tip of the tube is now 5 cm above the carina. The pre-existing left retrocardiac and right perihilar parenchymal opacities are unchanged in extent and severity. No new parenchymal opacities. Unchanged alignment of the sternal wires. Normal size of the cardiac silhouette. No pneumothorax. | Impression: Comparison to ___. The nasogastric tube has been advanced by approximately 1 cm. The tip of the tube is now 5 cm above the carina. The pre-existing left retrocardiac and right perihilar parenchymal opacities are unchanged in extent and severity. No new parenchymal opacities. Unchanged alignment of the sternal wires. Normal size of the cardiac silhouette. No new parenchymal opacities. No pneumothorax. There is a left-sided pacemaker device visible. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| bc5a307e-a37c05c6-a1ef1917-721c48d7-ebdd2788 | 51110401 | 11717909 | Impression: Comparison to ___. The parenchymal opacities on the right are stable in extent and severity. No new parenchymal opacities. Low lung volumes. Mild cardiomegaly without pulmonary edema. Unchanged normal alignment of the sternal | Impression: Comparison to ___. The parenchymal opacities on the right are stable in extent and mild severity. No new parenchymal opacities. Low lung volumes. Mild cardiomegaly withotu pulmonary edema. Unchanged normal alignment of the sternal. There is a left-sided pleural effusion. | ['Change severity', 'Add typo', 'False prediction'] |
| 5fd8a518-4f42a2e8-6c946190-1901fd9e-b7fbcd08 | 51326810 | 11717909 | Impression: As compared to the previous radiograph, the cardiac assist device is in unchanged position. The lung volumes have substantially expanded and the pre-existing left pleural effusion is almost completely resolved. If new nineth in the colon I PICC line on the left has been removed. The patient has received a left pectoral pacemaker with a single lead. The lead projects over the right ventricle. There is no evidence of pneumothorax. | Impression: As compared to the previous radiograph, the cardiac assist device is in unchanged position. The lung volumes have substantially expanded and the pre-existing left pleural effusion is almost completely resolved. There are newly developed infiltrates noticed in both lungs. A left pectoral pacemaker with a dual lead system is now seen. The lead projects over the right ventricle. There is a small pneumothorax noted on the right side. | ['Change name of device', 'Add contradiction', 'False negation'] |
| 74ada62d-569c8df3-d20cc6c4-27858ab1-6bf22d69, d891fbe7-d3417dbd-cd121094-32b33449-d1e3fee2 | 51345024 | 11717909 | Impression: Heart size and mediastinum are stable. Lungs are well aerated. There is interval resolution of right pleural effusion, almost complete. The right middle lobe atelectasis is minimal. Effusion along the distal portion of the fissure my still being a present. No focal consolidation to suggest infectious process demonstrated. | Impression: Heart size and mediastinum are reduced. Lungs are poorly aerated. There is interval presence of right pleural effusion, almost complete. The right middle lobe atelectasis is moderate. No effusion along the distal portion of the fissure noted. Focal consolidation to suggest infectious process demonstrated. | ['Change severity', 'Add contradiction', 'False negation'] |
| ea47c557-92fcaf75-13b7ed5c-c784b2b8-3d83111c | 51409536 | 11717909 | Findings: Cardiomediastinal contours are stable. Patient is status post heart transplant. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned. Multiple clips in the mediastinum are noted. Impression: No acute cardiopulmonary abnormalities | Findings: Cardiomediastinal contours are stable. Patient is status post heart transplant. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned. A left-sided AICD device is present. Multiple clips in the mediastinum are noted. There is no pneumothorax or pleural effusion. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| b51fb695-3cf77ffd-0401b042-c7378e82-eca5ceed | 51427132 | 11717909 | Findings: Sternotomy. Right IJ central line tip low SVC. Small right pleural effusion, similar. Stable right basilar, right perihilar opacities. Surgical clips. Shallow inspiration accentuates heart size. Mild elevation right hemidiaphragm, may in part be related to subpulmonic component of effusion, stable. No pneumothorax. . Impression: Stable exam | Findings: Sternotomy. Right IJ central line tip in normal position. No pleural effusion, similar. Stable right basilar, right perihilar opacities. Surgical clips. Shallow inspiration accentuates heart size. Moderate elevation right hemidiaphragm, may in part be related to subpulmonic component of effusion, stable. No pneumothorax. Mild left basilar opacities. Impression: Stable exam | ['Change severity', 'Add contradiction', 'False negation'] |
| d7a84073-0d23e88e-5dbd44fd-4d8bee1f-5f53df8b | 51595982 | 11717909 | Findings: Since the prior examination of ___, the lung volumes have improved. Heart is mildly enlarged. Heterogeneous linear opacities at the right base superimposed on the right hemidiaphragm probably represent residual atelectasis. There is no focal consolidation or pleural effusion. No pneumothorax. Impression: No evidence of pneumonia. | Findings: Since the prior examination of ___, the lung volumes have improved. Heart is mildly enlarged. Heterogeneous linear opacities at the left base superimposed on the right hemidiaphragm probably represent residual atelectasis. There is no focal consolidation or pleural effusion. There is a small right sided effusion. Impression: No evidence of pneumonia. | ['Change location', 'Change to homophone', 'False prediction'] |
| fe9eaa7f-1b6e6971-5aae1fe2-1a9a732e-9a4f58e7 | 51664703 | 11717909 | Impression: In comparison with the study of ___, the monitoring and support devices are stable. There is increased opacification at the right base with extension along the right lateral chest wall, consistent with worsening pleural effusion. The areas of atelectasis and multifocal opacities on the right may have slightly decreased. The left lung is essentially clear except for blunting of the costophrenic angle and mild retrocardiac atelectasis. | Impression: In comparison with the study of ___, the monitoring and support devices are stable. There is increased opacification at the rigth base with extension along the right lateral chest wall, consistent with worsening pleural effusion. The areas of atelectasis and multifocal opacities on the right may have moderately decreased. The left lung is essentially clear except for blunting of the costophrenic angle and moderate retrocardiac atelectasis. | ['Change severity', 'Add typo', 'Add medical device'] |
| 5cb341c8-aa49422d-40f3789c-39d15032-f20400d3 | 51977643 | 11717909 | Impression: The endotracheal tube, nasogastric tube and right central line are unchanged. There is persistent density both bases more pronounced on the right than the left. There has been slight improvement in aeration as compared to the earlier study. There is no pneumothorax or CHF. | Impression: The endotracheal tube, nasogastric tube and right central line are terminated. There is persistent density both bases more pronunced on the right than the left. There has been slight improvement in aeration as compared to the earlier study. There is no pneumothorax or CHF. Additionally, a cardiac pacemaker is noted with leads in the right atrium and ventricle. | ['Change position of device', 'Add typo', 'Add medical device'] |
| fe2ff38c-680b5099-89541975-822dfa10-235feb53 | 52052474 | 11717909 | Impression: In comparison with the earlier study of this date, there is little changed. Continued substantial enlargement of the cardiac silhouette with obscuration of the left hemidiaphragm consistent with substantial volume loss in the left lower lobe. The right lung is clear and there is no evidence of pulmonary vascular congestion. | Impression: In comparison with the earlier study of this date, there is little changed. Continued substantial enlargement of the cardiac silhouette with obscuration of the left hemidiaphragm consistent with substantial volume loss in the right lower lobe. The right lung is clear and there is know evidence of pulmonary vascular congestion. An ET tube is present with its tip at the carina. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 65ef31a2-e080f853-c5c75be5-2246e4e8-105fffb1 | 52127446 | 11717909 | Impression: As compared to ___, widespread areas of airspace consolidation have slightly improved and continue to involve the right lung to a greater degree than the left. Moderate right and small left pleural effusions are again demonstrated, and no pneumothorax detected. | Impression: As compared to ___, widespread areas of airspace consolidation have slightly improved and continue to involve the right lung to a greater degree than the left. Mild right and small left pleural effusions are again demonstrated, and no pneumothorax detected. Mild right and small left pleural effusions are again demonstrated, and small right pleural effusion seen. No pleural effusions are again demonstrated, and no pneumothorax detected. No widespread areas of airspace consolidation have slightly improved and continue to involve the right lung to a greater degree than the left. | ['Change severity', 'Add contradiction', 'False negation'] |
| 6fa38a39-b7c9d558-58dec4b3-9b6ae59b-d80805e8 | 52264867 | 11717909 | Findings: Portable semi-erect chest radiograph ___ at 09:28 is submitted. Impression: There is worsening airspace consolidation involving most of the right lower lung and possibly some of the right upper lobe concerning for pneumonia or possibly hemorrhage in the correct clinical setting. The left lung remains grossly clear. No pulmonary edema. Heart remains stably enlarged status post median sternotomy for CABG. No pneumothorax. Left subclavian PICC line unchanged in position. | Findings: Portable semi-erect chest radiograph ___ at 09:28 is submitteed. Impression: No airspace consolidation involving the lung. The left lung remains grossly clear. No pulmonary edema. Heart remains stably enlarged status post median sternotomy for CABG. No pneumothorax. Left subclavian central venous catheter unchanged in position. | ['Change name of device', 'Add typo', 'False negation'] |
| f3d88efb-8d1f70db-a2131320-90053712-cfd9a1bd | 52362021 | 11717909 | Impression: As compared to the previous radiograph, no relevant change is seen. The cardiac assist device is in constant position. Constant extent of the known left pleural effusion, combined to retrocardiac atelectasis. The lung volumes remain low. Moderate cardiomegaly persists. There is minimal fluid overload but no overt pulmonary edema. The sternal wires are in constant position. Normal position of the left PICC line. | Impression: As compared to the previous radiograph, no relevunt change is seen. The cardiac assist device is in constant position. Constant extent of the known left pleural effusion, combined to retrocardiac atelectasis and right-sided pleural effusion. The lung volumes remain low. Severe cardiomegaly persists. There is significant fluid overload but no overt pulmonary edema. The sternal wires are in constant position. Pneumothorax is noted in the left lung. Normal position of the left PICC line. | ['Change severity', 'Add typo', 'False prediction'] |
| efb1eddb-0ef61d1a-e71c7c6a-9885a19f-d756d9ca | 52435223 | 11717909 | Findings: Heart size is enlarged and stable. Right internal jugular Swan-Ganz catheter is appropriately positioned. Pulmonary edema has improved. Small left pleural effusion is stable. Intra-aortic balloon pump tip is 1.2 cm from the apex of the aortic knob. Impression: Intra-aortic balloon pump is above the usual expected position. Stable cardiomegaly and improvement in pulmonary edema. | Findings: Heart size is absent. Left internal jugular PICC line is appropriately positioned. Pulmonary fluid has improved. Small left pleural effusion is absent. Intra-aortic stent tip is 1.2 cm from the apex of the aortic knob. Impression: Intra-aortic balloon pump is above the expected position. Stable cardiomegaly and improvement in pulmonary edema. | ['Change name of device', 'Change to homophone', 'False negation'] |
| e3afe9cf-4fbc9089-8943fa0a-08a4af09-069a5605 | 52620864 | 11717909 | Findings: A right-sided PICC terminates within the right atrium and should be pulled back approximately 3 cm for appropriate positioning. Median sternotomy wires and clips are again demonstrated. 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. Impression: Right-sided PICC terminates within the right atrium and should be pulled back approximately 3 cm for appropriate positioning. | Findings: A right-sided vascular stent terminates within the right atrium and should be pulled back approximately 3 cm for appropriate positioning. Median sternotomy wires and clips are again demonstrated. 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. An ET tube is present. Impression: Right-sided PICC terminates within the right atrium and should be pulled back approximately 3 cm for appropriate positioning. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| c2bd0b48-ecc300dc-df118f3d-a82300cd-5e16b5bc | 52655610 | 11717909 | Impression: Swan-Ganz catheter tip is in the main pulmonary artery or proximal right pulmonary artery. There is no pneumothorax. There is stable atelectasis or scarring in the right mid and lower lung zone. There is no new consolidation or CHF.. | Impression: Swan-Ganz catheter tip is in the main pulmonary artery or proximal left pulmonary artery. There is no pneumothorax. There is stable atelectasis or scarring in the left mid and lower lung zone. There is no new consolidation or CHF. There is a central venous line in place. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 17a73741-1a329d9a-09f6f1af-1e66a860-43d74397 | 52755842 | 11717909 | Findings: Again seen is very extensive consolidation involving the right lung with relative sparing of the apex. An associated right pleural effusion is likely slightly decreased when compared to the prior study. Opacities in the left lung are unchanged. Monitoring and supportive equipment is unchanged in appearance. No definite left-sided pleural effusion. No pneumothorax seen. Impression: No significant interval change when compared to the prior study. | Findings: Again seen is moderate consolidation involving the right lung with relative sparing of the apex. An associated right pleural effusion is not seen. Opacities in the left lung are unchanged. Monitoring and supportive equipment is unchanged in appearance. No definite left-sided pleural effusion. No pneumothorax seen. Impression: There is slight interval change in comparison to the prior study. | ['Change severity', 'Add contradiction', 'False negation'] |
| f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb | 52869267 | 11717909 | Findings: Since ___, moderate right pleural effusion is mildly improved and bibasilar and retrocardiac atelectasis is increased with a possible new small left pleural effusion. A new opacity in the right mid lung may be atelectasis but could represent pneumonia in the right clinical setting. The left lung remains clear. Enlarged appearing heart may be technical from persistence of low lung volumes. Unchanged positioning of right internal jugular central line and feeding tube. Median sternotomy wires are intact and aligned. No pneumothorax. Impression: 1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting. | Findings: Since ___, moderate right pleural effusion is mildly improved and bibasilar and retrocardiac atelectasis is increased with a possible new small right pleural effusion. A new opacity in the right mid lung may be atelectasis but could represent pneumonia in the right clinical setting. The left lung shows patchy opacities. Enlarged appearing heart may be technical from persistence of low lung volumes. Unchanged positioning of right internal jugular vascular stent and feeding tube. Median sternotomy wires are intact and aligned. Right IJ central venous catheter is present ending in the right atrium. No pneumothorax. Impression: 1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting. Left lung is clear of any opacities. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| df0b3ae5-a86fd93b-1d84dc76-01d14fb3-4837ad71, ec02cfa7-6890853a-bacd3fbf-8863ccf7-d309c168 | 52879897 | 11717909 | Impression: Comparison to ___. The pre-existing right-sided parenchymal opacities have increased in extent and severity and are suggesting pneumonia. There is also is a new parenchymal opacity in the perihilar left lung areas. Moderate cardiomegaly persists. Status post CABG. No larger pleural effusions. | Impression: Comparison to ___. The pre-existing left-sided parenchymal opacities have increased in extent and severity and are suggesting pneumonia. There is also a new parenchymal opacity in the perihilar left lung areas. Moderate cardiomegaly persists. Status post CABG. Large pleural effusions noted. A right IJ central venous catheter is also present. | ['Change location', 'Add contradiction', 'Add medical device'] |
| c1999cab-aab644aa-a8c530ff-347de8b1-4b8299ac | 52970815 | 11717909 | Findings: Compared to the prior study there is no significant interval change. Impression: No change. | Findings: Compared to the prior study there is no insignificant interval change. Impression: No change. A pacemaker is present. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 9e212d56-0e1f18f3-63caba31-b94a0ec4-50aa339b | 52983911 | 11717909 | Impression: As compared to the previous radiograph, the lung volumes have decreased. The monitoring and support devices, including the cardiac support device, is in unchanged position. The extent of the opacity in the left lung, however, has not substantially increased. No evidence of pneumothorax. | Impression: As compared to the previous radiograph, the lung volumes have decreased. The monitoring and support devices, including the cardiac support device, is now located in the lower left thorax. The extent of the opacity in the left lung, however, has not substantially increased. No evidence of pneumothorax. The extent of the opacity in the left lung, however, has not substantially increased. Impression: Low right basal opacity is noted. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| e273ee90-02f2af87-c118ca0a-86222135-c38eb743 | 53001361 | 11717909 | Impression: As compared to ___ chest radiograph, a feeding tube is been advanced into the duodenum. Overall appearance of the chest is not appreciably changed. | Impression: As compared to ___ chest radiograph, a PICC line is been advanced into the duodenum. Overall appearance of the chest is not appreciably changed. Impression: A new central venous line is also noted in the subclavian vein. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| 0074eb26-c1938874-43e673d0-accb9fb7-e22c3757, 843962d4-17729cc1-22b9d9ad-fd3f97b8-e78f8b56 | 53042347 | 11717909 | Impression: Small to moderate left pleural effusion has recurred, despite persistent left pleural drainage catheter. No pneumothorax. Persistent left lower lobe collapse. Right lung cardiomediastinal silhouette clear. Is large but unchanged. Ventricular diversion device grossly unchanged in position. Midline and left pleural drains, Swan-Ganz catheter, left PIC line all in standard placements. Tip of the nasogastric tube lies above the upper margin of the clavicles, no less than 55 mm from the carina. No pneumothorax. | Impression: Small to moderate left pleural effusion has recurred, despite persistent left pleural drainage catheter. No pneumothorax. Persistent left lower lobe collapse. Right lung cardiomediastinal silhouette clear. Is large but unchanged. Ventricular diversion device grossly unchanged in position. Midline and left pleural drains, Swan-Ganz catheter, left PIC line all in standard placements. Tip of the nasogastric tube lies above the upper margin of the clavicles, no less than 55 cm from the carina. No pneumothorax. Additionally, an endotracheal tube is noted. | ['Change measurement', 'Add repetitions', 'Add medical device'] |
| c2bbad8a-13586101-c890f65a-eb483340-39f89263 | 53106161 | 11717909 | Impression: Prior chest radiographs ___ through ___. Extensive bilateral pneumonia, more pronounced in the right lung, has improved in the left lower lobe since ___, but is still considerable. Heart size top-normal. No pulmonary edema. Small right pleural effusion is likely, not appreciably changed since ___. No pneumothorax. ET tube, right internal jugular line, and transesophageal drainage tube in standard placements respectively. | Impression: Prior chest radiographs ___ through ___. Extensive bilateral pneumonia, more pronounced in the right lung, has improved in the left lower lobe since ___, but is still considerable. Heart size top-normal. No pulmonary edema. No pleural effusion. No pneumothorax. ET tube, right subclavian line, and transesophageal drainage tube in standard placements respectively. No pleural effusion. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 7ee2c611-7652d0ee-f7552709-ffaf4671-7623d229 | 53205436 | 11717909 | Impression: In comparison with the study of ___, there is little change in the diffuse opacification involving most of the right hemithorax and the lower left lung. The monitoring support devices appear essentially unchanged. | Impression: In comparison with the study of ___, there is little change in the diffuse opacification involving most of the left hemithorax and the lower left lung. The monitoring support devises appear essentially unchanged. The positioning of the central venous line is appropriate. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 8e665747-30e84fad-114b57db-62a44a61-43ce1a8d | 53534976 | 11717909 | Impression: As compared to previous radiograph of 1 day earlier, multifocal opacities in the right lung show slight interval improvement in the right lower lobe. Left basilar opacities have slightly worsened. Small left pleural effusion is unchanged, and a small right pleural effusion has apparently decreased in size. No other relevant changes. | Impression: As compared to previous radiograph of 1 day earlier, multifocal opacities in the right lung show slight interval improvement in the left lower lobe. Left basilar opacities have slightly worsened. Small left pleural effusion is unchanged, and a small right pleural effusion has apparently decreased in size. Left basilar opacities have slightly worsened. No other relevant changes. Pulmonary edema is noted in the right upper lobe. | ['Change location', 'Add repetitions', 'False prediction'] |
| d6d51a18-a82e65e5-5faa935c-9054fe80-5c5545af | 53651103 | 11717909 | Impression: Comparison to ___. Decrease in extent and severity of a pre-existing right lower lobe parenchymal opacity. A small atelectasis in the retrocardiac lung area is constant. Constant size of the cardiac silhouette. Stable normal size of the monitoring and support devices. The tip of the endotracheal tube continues to project approximately 5 cm above the carinal. | Impression: Comparison to ___. Decrease in extent and intensity of a pre-existing right lower lobe parenchymal opacity. No atelectasis. Constant size of the cardiac silhouette. Stable normal size of the monitoring and support devices. The tip of the endotracheal tube continues to project approximately five cm above the carina. | ['Change severity', 'Change to homophone', 'False negation'] |
| 7c4ff21f-9a4daf55-86b77fbe-ca727f5f-3b43aeae | 53722061 | 11717909 | Impression: Compared to ___ radiograph, heterogeneous consolidation in the right middle and right lower lung have progressed, concerning for an evolving infectious pneumonia in the appropriate clinical setting. A possible new small right pleural effusion is also demonstrated. Exam is otherwise unchanged. | Impression: Compared to ___ radiograph, heterogeneous consolidation in the right middle and right lower lung have regressed, concerning for an evolving infectious pneumonia in the appropriate clinical setting. A possible new small right pleural effusion is also demonstrated. Cardiomegaly is seen. Exam is otherwise unchanged. A possible new small right pleural effusion is also demonstrated. Exam is otherwise unchanged. | ['Change severity', 'Add repetitions', 'False prediction'] |
| d0ca3617-41955c1f-01c01461-5785bb86-ea5d99a9 | 53923822 | 11717909 | Impression: In comparison with the study of ___, the Swan-Ganz catheter has been removed. Slightly improved lung volumes with continued cardiomegaly with left ventricular configuration. Opacification at the right base persists, most likely reflecting a combination of pleural fluid and atelectatic changes. No evidence of pulmonary edema. No definite acute focal pneumonia. However, there is mild asymmetry in the mid to lower zones with opacification on the right. In the appropriate clinical setting, this could represent a developing consolidation. | Impression: In comparison with the study of ___, the Swan-Ganz catheter is now located in the right atrium. Slightly improved lung volumes with continued cardiomegaly with left ventricular configuration. Opacification at the right bass persists, most likely reflecting a combination of pleural fluid and atelectatic changes. No evidence of pulmonary edema. There is no definite acute focal pneumonia. However, there is mild asymmetry in the mid to lower zones with opacification on the right. In the appropriate clinical setting, this could represent a developing consolidation. An ET tube is visible, terminating approximately 5 cm above the carina. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| efa94d5d-74a20d4d-31e24085-919dcc5d-f9e926ad | 54060552 | 11717909 | Impression: Compared to chest radiographs ___ through ___. Small right pleural effusion is new. No pneumothorax. Very low lung volumes and subsegmental atelectasis right mid and lower lung zones unchanged. No pulmonary edema. Stable and normal cardiomediastinal silhouette. Swan-Ganz catheter ends in the right pulmonary artery. | Impression: Compared to chest radiographs ___ through ___. Small right pleural effusion is new. No pneumothorax. Very low lung volumes and subsegmental atelectasis right mid and lower lung zones unchanged. Pulmonary edema noted. Stable and normal cardiomediastinal silhouette. A Swan-Ganz catheter ends in a branch of the right pulmonary artery. An NG tube is in place. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| ca478dcf-175c3fb5-2c0d1d03-58bb12ac-8b86f479 | 54130761 | 11717909 | Impression: In comparison with the study of ___, the cardio mediastinal silhouette is stable and the right IJ Swan-Ganz catheter extends to the right pulmonary artery. Continued low lung volumes. There again is increased opacification in the right mid and lower lung zones, most likely related to atelectasis above the elevated hemidiaphragmatic contour. However, in the appropriate clinical setting, superimposed pneumonia would have to be considered. No evidence of pulmonary vascular congestion or pneumothorax. Mild atelectatic changes are seen at the left base. | Impression: In comparison with the study of ___, the cardio mediastinal silhouette is stable and the right IJ Swan-Ganz catheter extends to the right pulmonary artery. Continued low lung volumes. There again is increased opacification in the right mid and lower lung zones, most likely related to atelectasis above the elevated hemidiaphragmatic contour. However, in the appropriate clinical setting, superimposed pneumonia would have to be considered. No pneumothorax observed. Mild atelectatic changes are seen at the left base. Mild pulmonary vascular congestion is noted. | ['Change severity', 'Add contradiction', 'False negation'] |
| 54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25 | 54173931 | 11717909 | Findings: Portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema. Chest tubes project over the left hemithorax. Severe cardiomegaly is stable. No pneumothorax. The endotracheal tube ends 3.2 cm from the carina. The left ventricular assist device is in unchanged position. Swan-Ganz catheter tip ends in the right pulmonary artery. Impression: 1. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema. 2. No pneumothorax or pleural effusion. | Findings: Portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. The left lower lobe has improved aeration and there has been interval clearing of moderate interstitial edema. Chest tubes project over the left hemithorax. Severe cardiomegaly is stable. No pneumothorax. The endotracheal tube ends 3.2 cm from the carina. The left ventricular assist device is in unchanged position. Swan-Ganz catheter tip ends in the write pulmonary artery. Diffuse fine nodular interstitial pattern noted bilaterally. Impression: 1. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema. 2. No pneumothorax or pleural effusion. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 3d5c1b0f-46f03f74-eb5beae3-88ef8b4f-7e463c51 | 54350778 | 11717909 | Impression: Comparison to ___. No relevant change. The extensive right and mild left parenchymal opacities are constant. Constant size of the moderately enlarged cardiac silhouette. The monitoring and support devices are in stable position. | Impression: Comparison to ___. No eelevent change. The extensive right and severe left parenchymal opacities are constant. Constant size of the mildly enlarged cardiac silhouette. The monitoring and support devices are in stable position. Presence of a central vwnous line. | ['Change severity', 'Add typo', 'Add medical device'] |
| 68415db4-13599d5d-876aef44-c3907c31-1b429bba | 54360882 | 11717909 | Impression: In comparison with these study of ___, the patient has taken a slightly better inspiration. The monitoring and support devices are stable. The degree of opacification in the right hemithorax appears to have decreased, though much of this could merely represent the better inspiration. Poor definition of the hemidiaphragm on the right is consistent with layering pleural fluid. The opacification at the left base has decreased and most likely represents atelectasis. | Impression: In comparison with these study of ___, the patient has taken a slightly better inspiration. The monitoring and support devices are stable. The degree of opacification in the left hemithorax appears to have decreased, though much of this could merely represent the better inspiration. Poor definition of the hemidiaphragm on the left is consistent with layering pleural fluid. The opacification at the left base has decreased and most likely represents atelectasis. There is increased opacification in the right hemithorax suggestive of pneumonia. | ['Change location', 'Add contradiction', 'False prediction'] |
| 075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11 | 54369648 | 11717909 | Findings: Right IJ Swan-Ganz catheter has been removed and no pneumothorax seen. Left-sided PICC line and left ventricular assist device appear unchanged radiographically. Cardiac silhouette is large with unchanged splayed carina. Obscuration of the left hemidiaphragm and right cardiophrenic angle indicate associated basilar consolidation the findings do not suggest increase in pleural fluid on either side. Impression: No pneumothorax status post removal of right-sided Swan-Ganz catheter. No specific findings to account for new increase in tachycardia | Findings: Right IJ central venous catheter has been removed and no pneumothorax seen. Left-sided pacemaker and left ventricular assist device appear unchanged radiographically. Cardiac silhouette is large without changes in the splayed carina. Obscuration of the left hemidiaphragm and right cardiophrenic angle indicate associated basilar consolidation the findings suggest an increase in pleural fluid on the left side. A right subclavian central venous catheter is present. Impression: No pneumothorax post removal of right-sided Swan-Ganz catheter. New specific findings to account for new increase in tachycardia. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| b780e69e-01fe1577-1c8d166a-40f8c788-8f9f1115 | 54405868 | 11717909 | Impression: As compared to the previous radiograph, no relevant change is seen. The patient has been extubated and the nasogastric tube was removed. The other monitoring and support devices, including the cardio vascular assistance device and the left chest tube are in unchanged position. There might be minimal increase of a left pleural effusion, with subsequent areas of atelectasis at the basal and basal lateral left lung. No change in appearance of the right lung and of the cardiac silhouette. | Impression: As compared to the previous radiograph, no relevant change is seen. The patient has been extubated and the nasogastric tube was removed. The other monitoring and support devices, including the cardio vascular assistance device and the left chest tube are in unchanged position. The dual-chamber pacemaker device is in place. There might be minimal increase of a left pleural effusion, with subsequent areas of atelectasis at the basal and basal lateral left lung. there might be minimal increase of a left pleural effusion, with subsequent areas of atelectasis at the basal and basal lateral left lung. No change in appearance of the right lung and of the cardiac silhouette. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| dd25eb4c-0385059d-450c8977-dd3049b5-5c1790be | 54458579 | 11717909 | Impression: The Swan Ganz tip is in the right pulmonary artery. There is stable linear atelectasis in the right lung base. There is no pneumothorax or CHF. | Impression: The Swan Ganz tip is in the left pulmonary artery. There is stable linear atelectasis in the right lung base. There is no pneumothorax or CHF. There is mild right-sided pulmonary edema. | ['Change location', 'Add contradiction', 'False prediction'] |
| 65c1567a-4a7ac3a5-cbd23877-d66c126e-7e188589 | 55096981 | 11717909 | Impression: Multifocal pulmonary consolidation, most pronounced in the right lung, also at the left base, has not worsened. Apparent improvement is probably due to decreased atelectasis and perhaps resolution of a component of pulmonary edema and decrease in moderate right pleural effusion. Moderate cardiomegaly remains. | Impression: Multifocal pulmonary consolidation, most pronounced in the right lung, also at the left base, has not worsened. Apparent improvement is probably due to decreased atelectasis and perhaps resolution of a component of pulmonary edema and decrease in moderate right pleural effusion. Severe cardiomegaly remains. A central venous line is seen in the right atrium. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 1069a38a-769121b0-3d5f575e-28b0d063-fac78684, bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b | 55248428 | 11717909 | Findings: There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Mild atelectasis is noted at the lung bases bilaterally. Sternotomy wires and mediastinal clips are unchanged from prior studies. Impression: No acute cardiopulmonary process. | Findings: There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No atelectasis is noted. Sternotomy wires and mediastinal clips are unchanged from prior studies. Sternotomy wires and mediastinal clips are unchanged from prior studies. Impression: No acute cardiopulmonary process. | ['Change position of device', 'Add repetitions', 'False negation'] |
| 755a89e3-07c0c918-4be04b78-27526552-f2505932 | 55357075 | 11717909 | Findings: Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion. Impression: No pneumothorax. | Findings: Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of retroperitoneal edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is a small right pleural effusion. Impression: No pneumothorax. | ['Change location', 'Add repetitions', 'False prediction'] |
| b337b63e-7e254de9-316afa13-f7d944d1-b69cbe1d | 55385319 | 11717909 | Findings: Compared to ___, there is suggestion of cavitation in lesions in the left mid lung measuring up to 2.1 x 1.3 cm. Bilateral parenchymal opacities, right worse than left is unchanged. Moderate right pleural effusion is likely. Left retrocardiac atelectasis is unchanged. Left upper lung is mostly clear. There is no evidence for pulmonary edema. Moderate cardiomegaly is unchanged. Monitoring and support lines are unchanged. Sternal wires are aligned and intact. No pneumothorax is seen. Impression: Possible cavities in the left lung. Further evaluation with CT chest is recommended if clinically indicated. RECOMMENDATION(S): Further evaluation with CT chest is recommended if clinically indicated. | Findings: Compared to ___, there is suggestion of cavitation in lesions in the left mid lung measuring up to 2.1 x 2.0 cm. Bilateral parenchymal opacities, right worse than left is unchanged. Moderate right pleural effusion is likely. Left retrocardiac atelectasis is unchanged. Bilateral lower lung opacities are new. Left upper lung is mostly clear. There is no evidence for pulmonary edema. Moderate cardiomegaly is unchanged. Monitoring and support lines are unchanged. Sternal wires are aligned and intact. No pneumothorax is seen. A central venous line is noted in the right subclavian vein. Impression: Possible cavities in the left lung. Further evaluation with CT chest is recommended if clinically indicated. RECOMMENDATION(S): Further evaluation with CT chest is recommended if clinically indicated. | ['Change measurement', 'Add contradiction', 'Add medical device'] |
| 462d17f7-8f916f40-15f994b1-a745df9d-44cc9f48 | 55763521 | 11717909 | Findings: Comparison is made to previous study from ___. There is a Swan-Ganz catheter which is unchanged. Mediastinal drains and chest tube are also unchanged. LVAD device is identified. There is an unchanged left retrocardiac opacity. There are no pneumothoraces. The right lung and left lung apex appear clear. Overall, there has been no appreciable change. | Findings: Comparison is made to previous study from ___. There is a PICC line which is unchanged. Mediastinal drains and chest tube are also unchanged. Mediastinal drains and chest tube are also unchanged. LVAD device is identified. There is an unchanged left retrocardiac opacity. There are no pneumothoraces. The right lung and left lung apex appear clear. A right-sided central venous line is seen. Overall, there has been no appreciable change. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 4cd0e6e4-e486a052-5adcc162-6ea6ba64-f65c1a31 | 55813066 | 11717909 | Findings: There is no consolidation, pneumothorax or large pleural effusion. Cardiomediastinal and hilar silhouettes are normal size. Sternotomy wires are intact. Impression: No radiographic evidence of pneumonia. If there is continued clinical concern for pneumonia, consider obtaining chest CT for better evaluation. | Findings: Theyre is no consolidation, pneumothorax or large pleural effusion. Cardiomediastinal and hilar silhouettes are normal size. Sternotomy wires are intact. Pacemaker present. Impression: No radiographic evidence of pneumonia. If there is continued clinical concern for pneumonia, consider obtaining chest CT for worse evaluation. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 437a988e-3de10dcb-fe6e16b3-eb4765eb-b5d5ca1b | 55835350 | 11717909 | Impression: As compared to ___, cardiomediastinal contours are stable. Heterogeneous opacities in the right upper lobe and a small right pleural effusion are not appreciably changed in the interval, but right basilar opacities have slightly improved. No other relevant changes since recent exam. | Impression: As compared to ___, cardiomediastinal contours are satble. Heterogeneous opacities in the left upper lobe are not appreciably changed in the interval, but right basilar opacities have slightly improved. No right pleural effusion. No other relevant changes since recent exam. | ['Change location', 'Add typo', 'False negation'] |
| e189e2b0-2d38dabb-5a0273ad-39465f07-37d9141e | 55912381 | 11717909 | Impression: In comparison with the study of ___, the right subclavian PICC line is again in the right atrium. To be at or just above the cavoatrial junction, the tube could be pulled back about 4 cm. The heterogeneous opacification in the right mid zone may be slightly improved. However, there is increasing opacification at the right base, consistent with pleural fluid and underlying atelectasis. | Impression: In comparison with the study of ___, the right subclavian PICC line is again in the right atrium. To be at or just above the cavoatrial junction, the tube could be pulled back about 5 cm. The heterogeneous opacification in the right mid zone may be slightly improved. However, there is increasing opacification at the right base, consistent with pleural fluid and underlying atelectasis. No pleural fluid or atelectasis noted. | ['Change measurement', 'Add contradiction', 'False negation'] |
| 1f19bc2a-ca226782-41cd1a10-2c3c3346-a73ba6b7 | 55912597 | 11717909 | Impression: In comparison with the study ___ ___, there is continued increased opacification at the left base with substantial enlargement of the cardiac silhouette. However, no evidence of pulmonary vascular congestion. | Impression: In comparison with the study ___ ___, there is continued increased opacification at the right base with a substantial enlargement of the cardiac silhouette. However, no evidence of pulmonary vascular congestion. An external pacemaker device is noted in the right thorax. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b | 55953262 | 11717909 | Impression: Left PICC tip is in thecavoatrial junction. Moderate cardiomegaly is stable. LVAD is in unchanged standard position. Smaller catheter projecting over to the heart is also in unchanged position. Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis. Mild vascular congestion is stable. There is no pneumothorax. | Impression: Left PICC tip is in the right atrium. Moderate cardiomegaly is stable. LVAD is in unchanged standard position. No smaller catheter seen. Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis. Mild vascular congestion is stable. There is no evidence of pleural effusion. There is no pneumothorax. | ['Change position of device', 'Add contradiction', 'False negation'] |
| ea32b0da-db8371b9-e24620b3-33e572f6-51a33032 | 56207647 | 11717909 | Findings: Again seen is heterogeneous ill-defined opacity in the right lower lobe with some central lucency, though not as well seen compared to the exam from the day before. Small pleural effusion on the right is also likely. The left lung is mostly clear. Heart size is large and have increased in size compared to the day before.Mediastinal and hilar contours are unchanged. There is no evidence for pulmonary edema or pneumothorax.Left-sided PICC terminates in the cavoatrial junction or right atrium, unchanged from prior. Sternotomy wires and surgical clips are intact and unchanged. Impression: 1. Right lower lobe pneumonia, cavitation suspected. Small right pleural effusion. 2. Increase in size of the heart. | Findings: Again seen is heterogeneous ill-defined opacity in the right lower lobe with some central lucency, though knot as well seen compared to the exam from the day before. Small pleural effusion on the right is also likely. The left lung is mostly clear. Heart size is large and has increased in size compared to the day before. Mediastinal and hilar contours are unchanged. There is no evidence for pulmonary edema or pneumothorax. Left-sided vascular stent terminates in the cavoatrial junction or right atrium, unchanged from prior. Sternotomy wires and surgical clips are intact and unchanged. A nasogastric tube is noted to be in the expected position. Impression: 1. Right lower lobe pneumonia, cavity suspected. Small right pleural effusion. 2. Increase in size of the heart. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| 072f7231-5cf47203-6fd7994e-ed9b5111-008da8c6 | 56279353 | 11717909 | Findings: Compared to the prior study there is no significant interval change. Impression: No change. | Findings: Compared to the pior study there is no significant interval chane. There is a central venous line in place. | ['Change severity', 'Add typo', 'Add medical device'] |
| c5987359-2e90a885-b3394108-de36dfa8-bd5bd43f | 56316715 | 11717909 | Impression: Tip of intra-aortic balloon pump terminates 3 cm below the superior aspect of the aortic knob. Cardiomediastinal contours are stable. Heterogeneous bilateral lung opacities with nodular component are not appreciably changed in likely relate to history of multifocal infection. | Impression: Tip of intra-aortic balloon pump terminates 4 cm below the superior aspect of the aortic knob. Cardiomediastinal contours are stable. Heterogeneous bilateral lung opacities with nodular component are slightly improved in likely relate to history of multifocal infection. There is the presence of a pacemaker. | ['Change measurement', 'Add contradiction', 'Add medical device'] |
| 2a8f24b1-1ece112d-0b423812-bc4b1305-91950820 | 56401108 | 11717909 | Impression: Severe cardiomegaly improved slightly between ___ and ___, subsequently unchanged. Lungs are grossly clear, pulmonary and mediastinal vasculature are unremarkable. Pleural effusions small if any. Swan-Ganz catheter ends in the right main pulmonary artery. No pneumothorax. | Impression: Severe cardiomegaly improved slightly betwene ___ and ___, subsequently unchanged. Lungs are grossly clear, pulmonary and mediastinal vasculature are unremarkable. Mild pleural effusions small if any. Swan-Ganz catheter ends in the right main pulmonary artery. No pneumothorax. Pacemaker in the upper right chest. | ['Change severity', 'Add typo', 'Add medical device'] |
| 618de111-4fa4977a-9e4832be-bb8b5484-f682b893, a3bc4d65-3db9755b-661a9b86-fdfdb4cf-a04f944e | 56417700 | 11717909 | Impression: Compared to the study from ___ at 08:00 there is a new doboff tube with tip in this proximal stomach. There is also an NG tube with tip in the stomach. The remainder of the lines and tubes are unchanged from the study earlier the same day. | Impression: Compared to the study from ___ at 08:00 there is a new doboff tube with tip in the mid esophagus. There is also an NG tube with tip in the stomach. The remainder of the lines and tubes are unchanged from the study earlier the same dae. A newly placed ET tube is seen with its tip approximately 5 cm above the carina. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 5c4c8b07-b9c2042c-256f2184-2dcf8b2d-86131204 | 56447683 | 11717909 | Impression: Endotracheal tube tip is 4 cm above the carina. Nasogastric tube tip is in the stomach. Right central line tip is in the SVC right atrial junction. There is no pneumothorax. There is slight decrease in the bilateral basal consolidation. There are no new areas of consolidation present. There is no CHF. | Impression: Endotracheal tube tip is 7 cm above the carina. Nasogastric tube tip is in the stomach. Right central line tip is in the SVC right atrial junction. There is no pneumothorax. There is slight decrease in the bilateral basal consolidation. There are no new areas of consolidation present. There is no CHF. Nasogastric tube tip is in the stomach. Pacemaker is in place. | ['Change measurement', 'Add repetitions', 'Add medical device'] |
| 1259489f-8000cb0e-9f205915-088eab59-dd4b2b40, 388a4a27-03e4f888-3e5d47a5-2c869953-d020a180 | 56453461 | 11717909 | Impression: Since a recent radiograph from earlier today, a feeding tube is been placed within the stomach and a pre-existing nasogastric tube remains in place as well. Exam is otherwise remarkable for persistent widespread airspace opacities with relative sparing of the left upper lobe. Since a recent radiograph, this has slightly improved in the right upper lobe and worsened in the left lower lobe. Bilateral pleural effusions are again demonstrated, right greater than left. | Impression: Since a recent radiograph from earlier today, a feeding tube is been placed within the ***duodenum*** and a pre-existing nasogastric tube remains in place as well. Exam is otherwise remarkable for no airspace opacities. Since a recent radiograph, this has slightly improved in the right upper lobe and worsened in the ***right lower*** lobe. Bilateral pleural effusions are ***not*** again demonstrated. | ['Change position of device', 'Change to homophone', 'False negation'] |
| 9ce742fc-f08586f1-87a80fc9-edd9c1b9-04218c60, bbeb657c-2c2bd6fe-ec787126-bc79a926-4d1122e9 | 56526568 | 11717909 | Impression: In comparison with the earlier study of this day, the endotracheal tube has been removed. The tip of the Dobbhoff to appears to be in the distal stomach. Otherwise little change. Retrocardiac opacification with obscuration of the hemidiaphragm persists, consistent with substantial volume loss in the left lower lobe. | Impression: In comparison with the earlier study of this day, the endotracheal tube has been repositioned. The tip of the Dobbhoff two appears to be in the proximal stomach. Otherwise little change. Retrocardiac opacification with obscuration of the hemidiaphragm persists, consistent with substantial volume loss in the left lower lobe. A right-sided central venous line is noted. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 0ab5e42c-b66dcafc-80e41036-0be28891-69da4244 | 56582554 | 11717909 | Impression: The Swan-Ganz catheter inserted on the right side has its tip the right pulmonary artery. There is no pneumothorax or CHF. There is persistent linear atelectasis or scarring in the right lung base and right perihilar region. The cardiac silhouette is unchanged. | Impression: The Swan-Ganz catheter inserted on the right side has its tip in the left pulmonary artery. There is no pneumothorax or CHF. There is persistent linear atelectasis or scarring in the right lung base and right perihilar region. The cardiac silhouette is unchanged. There is no pneumothorax or CHF. There is persistent linear atelectasis or scarring in the right lung base and right perihilar region. The cardiac silhouette is unchanged. There is a mild pleural effusion on the left side. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 861996f7-f715090f-6fbfb34e-37a5f763-1e1ff6e7 | 56647493 | 11717909 | Impression: There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well. No pneumothorax. Left PIC line ends in the upper right atrium. | Impression: There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and mild pulmonary edema now extending to the level of both hila, moderate right pleural effusion, small left pleural effusion, and probably increase in moderate cardiomegaly as well. No pneumothorax. Left PIC line ends in the upper right atrium. Overall, there is minimal improvement. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 9205c9ac-2bc07ba3-7ce03e6e-f5c7a725-31fd481d, be35822b-d15d7251-57872f94-f8e5d649-b71aba02 | 56671598 | 11717909 | Findings: The lungs are mildly hypoinflated with crowding of vasculature. There is a new heterogeneous right lower and right middle lobe opacities. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Again seen are intact median sternotomy wires and mediastinal clips. Impression: Right middle and right lower lobe pneumonia. | Findings: The lungs are mildly hypoinflated with crowding of vasculature. There is an indistinct mass in the right upper lobe along with hazy opacities. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Again seen are intact right-sided pacemaker wires and mediastinal clips. The lungs are mildly hypoinflated with crowding of vasculature. Impression: Right middle and right lower lobe pneumonia. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53 | 57022813 | 11717909 | Impression: Very severe pulmonary consolidation in the right lung than accompanying moderate right pleural effusion have worsened and there may be more nodular areas of new infection in the left lung, compared to ___. Moderate cardiomegaly is probably stable of right heart border is obscured by adjacent cardiopulmonary abnormalities. There is no pneumothorax. Left pleural effusion is probably small. Left PIC line a right jugular line both end close to the superior cavoatrial junction. ET tube is in standard placement. Nasogastric drainage tube ends in the midportion of the nondistended stomach. | Impression: Very severe pulmonary consolidation in the right lung than accompanying moderate right pleural effusion have worsened and there may be more nodular areas of new infection in the right lung, compared to ___. Moderate cardiomegaly is probably stable of right heart border is obscured by adjacent cardiopulmonary abnormalities. Lungs are clear. There is no pneumothorax. Left pleural effusion is small and visible. Left PIC line a right jugular line both end close to the superior cavoatrial junction. ET tube is in deep placement, near the carina. Nasogastric drainage tube ends in the distal portion of the nondistended stomach. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 2ee41fdf-c427ca61-d4dad2ce-68c8d635-55b20347 | 57198522 | 11717909 | Findings: Compared to most recent radiograph, there is more confluent appearance of previously seen right middle and lower lobe opacity, concerning for infectious pneumonia. Right pleural effusion is likely increased since prior exam. The left lung is grossly clear. Otherwise the exam is unchanged. Sternotomy wires and surgical clips are again noted to be intact. Impression: Worsening right middle and lower lobes pneumonia. Increased right pleural effusion. | Findings: Compared to most recent radiograph, there is more confluent appeerance of previously seen right middle and lower lobe opacity, concerning for infectious pneumonia. Right-sided chest tube is noted in stable position. The left lung is grossly clear. Otherwise the exam is unchanged. Sternotomy wires and central venous catheter are again noted to be intact. Impression: Worsening right middle and lower lobes pneumonia. Right pleural effusion is resolved. | ['Change name of device', 'Add typo', 'False prediction'] |
| 20b49aa6-b4422623-e76adcf1-21cb7b84-82bb0fee, 59d4377f-2cf11d14-faf7a7fc-1ef6704c-3e0f161b | 57348180 | 11717909 | Impression: Compared to prior chest radiographs, ___ through ___:50. 3 frontal chest radiographs show successive advancement of the esophageal feeding tube from the upper to the lower esophagus and finally into the upper stomach. Final radiograph in the series shows clear left lung and mild cardiomegaly. Right pleural abnormality in heterogeneous consolidation or atelectasis in the right lung are unchanged over the past several days. The final radiograph in the series shows repositioning of the right PIC line from a right internal jugular vein to the estimated location of the right superior cavoatrial junction alongside the indwelling right internal jugular catheter. | Impression: Compared to prior chest radiographs, ___ through ___:50. 3 frontal chest radiographs show successive advancement of the esophageal feeding tube from the upper to the lower esophagus and finally into the upper stomach. Final radiograph in the series shows clear left lung and severe cardiomegaly. No pleural abnormality is seen. The final radiograph in the series shows repositioning of the right PIC line from a right internal jugular vein to the estimated location of the right superior cavoatrial junction alongside the indwelling right internal jugular catheter. | ['Change severity', 'Change to homophone', 'False negation'] |
| 679090b8-5b08a40b-e515db21-32f95ad4-624698c4, a5d7641b-97e1262f-5f5a9f22-71aaf621-10f7bdc9 | 57552532 | 11717909 | Findings: AP upright and lateral views the chest provided. Lung volumes are low which limits assessment. Midline sternotomy wires and mediastinal clips again noted. Airspace consolidation in the right lower lung is concerning for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. Impression: Right mid to lower lung opacity likely pneumonia. Low lung volumes limits assessment. | Findings: AP upright and laterel views the chest provided. Lung volumes are low which limits assessment. Midline sternotomy wires and mediastinal clips again noted. No airspace consolidation. No large effusion or pneumothorax. Cardiomediastinal silhouette apperas normal. Bony structures are intact. Impression: No right mid to lower lung opacity. Low lung volumes limits assessment. | ['Change severity', 'Add typo', 'False negation'] |
| a6d94c92-b9884e9a-493bceef-9f6c698a-83d8b674, c3ddf503-e6b16525-fd7a9015-9a50abe2-bef2b09e | 57608934 | 11717909 | Findings: Right internal jugular Swan-Ganz catheter is appropriately positioned. Intra-aortic balloon pump tip is roughly 1.4 cm from the apex of the aortic arch. Heart size is enlarged and bilateral parenchymal opacities likely represent pulmonary edema. Small bilateral pleural effusions are noted. No pneumothorax. Impression: Mild pulmonary edema with appropriately positioned Swan-Ganz catheter. Intra-aortic balloon pump is above the usually accepted positioning. | Findings: Right internal jugular PICC line is appropriately positioned. Intra-aortic balloon punt tip is roughly 1.4 cm from the apex of the aortic arch. Heart size is enlarged and bilateral parenchymal opacities likely represent pulmonary edema. Small bilateral pleural effusions are noted. A left-sided dual-chamber pacemaker device is seen with leads terminating in the right atrium and right ventricle. Impression: Mild pulmonary edema with appropriately positioned Sawn-Ganz catheter. Intra-aortic balloon pump is above the usually accepted positioning. | ['Change name of device', 'Add typo', 'Add medical device'] |
| 3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a | 57650038 | 11717909 | Impression: Left Swan-Ganz catheter tip is in themain pulmonary artery. Cardiomegaly is enable. There is no pneumothorax. Left pleural effusion has resolved. Retrocardiac atelectasis have improved . Vascular congestion has resolved. ET tube is in standard position. New mediastinal and chest tubes are noted. LVAD is unchanged. Sternal wires are aligned. NG tube tip is out of view below the diaphragm. Left PICC tip is at the cavoatrial junction. | Impression: Right Swan-Ganz catheter tip is in themain pulmonary artery. Cardiomegaly is enable. There is no pneumothorax. Left pleural effusion has resolved. Retrocardiac atelectasis have improved . Vascular congestion has resolved. ET tube is in standard position. New mediastinal and chest tubes are noted. LVAD is unchanged. Sternal wires are aligned. NG tube tip is out of view below the diaphragm. Left PICC tip is at the cavoatrial junction. New central venous line inserted. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 2fb800a3-3eaf68d1-b83393d6-6c72f07a-fa520908 | 57712518 | 11717909 | Impression: Severe consolidation, most of the right lung in the left lung base improved on the right since ___, unchanged since ___. Bilateral pleural effusion, moderate on the right, small on the left, unchanged. Mild cardiac enlargement stable. No pneumothorax. Cardia is pulmonary support devices in standard placements unchanged, including esophagogastric feeding tube which retains a wire stylet. | Impression: Severe consolidation involving most of the right lung and the left lung base, improved on the right since ___, unchanged since ___. Bilateral pleural effusion noted, moderate on the right, small on the left, unchanged. There is hyperinflation of the lungs. No pneumothorax detected. Severe cardiac enlargement noted unchanged since ___. There is mild cardiac enlargement stable. Support devices in standard placements, including a PICC line noted in the superior vena cava instead of an esophagogastric feeding tube. | ['Change name of device', 'Add contradiction', 'False prediction'] |
| 87d740da-c8e188ac-af29818b-cadad040-6f3ef6ca | 57740453 | 11717909 | Impression: Right PICC tip is in thelower SVC. Cardiac size is top-normal. Right mid lung and right lower lobe consolidations are stable. The left lung is grossly clear. There is no pneumothorax or pleural effusion there are low lung volumes. Sternal wires are aligned. NG tube tip is out of view below the diaphragm | Impression: Right PICC tip is in the right atrium. Cardiac size is top-normal. Right mid lung and right lower lobe consolidations are stable. The left lung is grossly clear. There is no pneumothorax or pleural effusion there are low lung volumes. Sternal wires are aligned. NG tube tip is out of view in the stomach. The left lung has diffuse opacities. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 25e2e3f7-350778cf-d7530deb-eb31e56c-8c2a8744 | 57805143 | 11717909 | Impression: In comparison with the study ___ ___, there is again substantial enlargement of the cardiac silhouette with retrocardiac opacification most likely reflecting substantial volume loss in the left lower lobe. No definite vascular congestion. The left subclavian catheter in again is at the level of the cavoatrial junction or upper portion of the right atrium. | Impression: In comparison with the study ___ ___, there is again substantial enlargement of the cardiac silhouette with retrocardiac opacification most likely reflecting substantial volume loss in the left lower lobe. No definite vascular congregation. No substantial volume loss in the left lower lobe. The left subclavian AICD in again is at the level of the cavoatrial junction or upper portion of the right atrium. | ['Change name of device', 'Add typo', 'False negation'] |
| 6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db | 57994301 | 11717909 | Findings: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. The heart remains stably enlarged. There is dense left basilar opacification, which may represent atelectasis or pneumonia, but is not significantly changed from prior. Median sternotomy wires and a left ventricular assist device are in place. A Swan-Ganz catheter is present with the tip ending in the right pulmonary artery, but its ifnerior loop in the right atium appears to be subluxing into the IVC. There is no pneumothorax. Impression: Stable dense left basilar opacification may represent atelectasis, however pneumonia could be considered in the appropriate clinical setting. No pulmonary edema. | Findings: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. The hart remains stably enlarged. There is dense left basilar opacification, which may represent atelectasis or pneumonia, but is not significantly changed from prior. Median sternotomy wires and a left ventricular assist device are in place. A Swan-Ganz catheter is present with the tip ending in the mid SVC, but its inferior loop in the right atrium appears to be subluxing into the IVC. There is no pneumothorax. Impression: Stable dense left basilar opacification may represent atelectasis, however pneumonia could be considered in the appropriate clinical setting. No pulmonary edema. An NG tube is noticed with its tip in the stomach. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| f4caf2a7-cfab7dcf-4ed18148-2edc0c1d-ec22176f | 58279613 | 11717909 | Findings: Patient is mildly rotated. Compared to ___, there is worsening of right perihilar parenchymal opacities. Left lung atelectasis is still present. Bilateral pleural effusions are likely unchanged. Sternotomy wires and surgical clips are well aligned and unchanged from prior. ETT terminates less than 1 cm from the carina, however this may be due to chin-tuck position of the patient. Otherwise, support lines appear unchanged from prior. Impression: Worsening consolidation in right perihilar region. | Findings: Patient is mildly rotated. Compared to ___, there is no worsening of perihilar parenchymal opacities. Left lung atelectasis is still present. Bilateral plueral effusions are likely unchanged. Sternotomy wires and surgical clips are well aligned and unchanged from prior. ETT terminates less than 1 mm from the carina, however this may be due to chin-tuck position of the patient. Otherwise, support lines appear unchanged from prior. Impression: No consolidation in right perihilar region. | ['Change measurement', 'Add typo', 'False negation'] |
| b4c53279-dc6e8b39-fbc566fd-d4cb1bf9-41b39939 | 58465039 | 11717909 | Impression: Severe cardiomegaly is stable. There is no pulmonary edema. No pleural effusion. No pneumothorax. Right transjugular Swan-Ganz catheter ends in the right pulmonary artery in standard placement. | Impression: Severe cardiomegaly is stable. There is now pulmonary edema. No pleural effusion. No neumothorax. Right transjugular Swan-Ganz catheter ends in the right pulmonary artery in standard placement. | ['Change severity', 'Add typo', 'Add medical device'] |
| b57584cc-a29bd841-898af146-74374eab-42633a08 | 58480507 | 11717909 | Impression: As compared to the previous radiograph, the Swan-___ catheter was removed and the left chest tube was pulled. Unchanged appearance of the cardiac silhouette. No not visible left-sided pneumothorax. The extent of the retrocardiac atelectasis and small left pleural effusion as well as of the right lung are unchanged. Unchanged position of the cardiac support device. The second more basal positioned tube is also or removed. | Impression: As compared to the previous radiograph, the endotracheal tube was removed and the left chest tube was pulled. Unchanged appearance of the cardaic silhouette. No not visible right-sided pneumothorax. The extent of the retrocaridiac atelectasis and small left pleural effusion as well as of the right lung are unchanged. Unchanged position of the cardiac support device. The second more basal positioned tube is also not removed. | ['Change name of device', 'Add typo', 'False prediction'] |
| 1fb09915-c0059d07-e6cd2be9-857cd031-773f848a | 58486262 | 11717909 | Impression: Comparison to ___. The feeding tube is now in correct position. The right internal jugular vein catheter is stable. Unchanged mild elevation of the right hemidiaphragm, with platelike atelectasis at the right lung basis. Mild cardiomegaly without overt pulmonary edema. Likely presence of a minimal right pleural effusion. | Impression: Comparison to ___. The feeding tube is now in correct position. The right internal jugular vein catheter is stable. Unchanged mild elevation of the left hemidiaphragm, with platelike atelectasis at the right lung basis. Miild cardiomegaly without overt pulmonary edema. Likely presence of a minimal right pleural effusion. There are bilateral apical pneumothoraces. | ['Change location', 'Add typo', 'False prediction'] |
| 3a02fc54-25995479-f166cf7b-9bf0c201-fe0e3098 | 58613391 | 11717909 | Impression: Comparison to ___. No relevant change. The widespread bilateral parenchymal opacities are constant. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. The patient shows no new parenchymal opacities. | Impression: Comparison to ___. No relevant change. The widespread unilateral parenchymal opacities are constant. Unchanged monitoring and support devise. Unchanged size of the cardiac silhouette. The patient shows no new parenchymal opacities. Presence of a central venous line. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 83464977-3248cdf7-dabf04d4-71b78a27-306db131 | 58628303 | 11717909 | Findings: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Left lower lobe collapse has recurred. The cardiomediastinal and hilar contours are unchanged. The endotracheal tube ends 1.8 cm from the carina. Chest tubes project over the left hemi thorax. Swan-Ganz catheter ends in the right pulmonary artery. Left ventricular assist device is in unchanged position. Nasogastric tube courses into the stomach. Left-sided PICC line ends at the cavoatrial junction. Impression: 1. Nasogastric tube courses into the stomach. 2. Endotracheal tube ends 1.8 cm from the carina. 3. Left lower lobe collapse has recurred. | Findings: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crownding. Mind lobe left-sided opacities noted. The cardiomediastinal and hilar contours are unchanged. The endotracheal tube ends 1.6 cm from the carina. Chest tubes project over the left hemi thorax and trace pleural effusion is present. Swan-Ganz catheter ends in the right pulmonary artery. Small pleural nodules visualized. Nasogastric tube courses into the stomach. Left-sided PICC line ends at the cavoatrial contrunction. Impression: 1. Small pleural nodules visualized. 2. Endotracheal tube ends 1.6 cm from the carina. 3. Left lower lobe collapse has improved. | ['Change measurement', 'Add typo', 'False prediction'] |
| 18696db7-7d416236-9375f9b1-cb09447c-cbfb9773 | 58663147 | 11717909 | Findings: Portable upright chest radiograph ___ at 17:13 Impression: Persistent right airspace disease and interval appearance of increasing opacity at the left base. Findings are concerning for multifocal pneumonia or aspiration. The left upper and mid lung remain clear. No pulmonary edema. Stable postoperative cardiac and mediastinal contours status post median sternotomy. Left subclavian PICC line unchanged in position with tip in the distal SVC. No pneumothorax. | Findings: Portable upright chest radiograph ___ at 17:13 Impression: No right airspace disease and interval appearance of increasing opacity at the left base. Findings are concerinig for multifocal pneumonia or aspiration. The left upper and mid lung remain clear. No pulmonary edema. Stable postoperative cardiac and mediastinal contours status post median sternotomy. Left subclavian PICC line unchanged in position with tip in the proximal SVC. No pneumothorax. | ['Change position of device', 'Add typo', 'False negation'] |
| 4237ac38-158147e0-87b15115-b3ffc6e6-113d33a5 | 58964089 | 11717909 | Findings: In comparison with study of ___, there has been placement of an IABP, which is somewhat high with the tip located only about 1.4 cm below the transverse arch of the aorta. Swan-Ganz catheter extends beyond the mediastinum into branches of the right pulmonary artery. Enlargement of the cardiac silhouette persists, though the pulmonary vascularity is essentially within normal limits. Some retrocardiac atelectasis is noted. | Findings: In comparison with study of ___, there has been placement of an IABP, which is somewhat high with the tip located only about 1.4 mm below the transverse arch of the aorta. Swan-Ganz catheter extends beyond the mediastinum into branches of the rgiht pulmonary artery. Enlargement of the cardiac silhouette persists, though the pulmonary vascularity is essentially within normal limits. No atelectasis is noted. | ['Change measurement', 'Add typo', 'False negation'] |
| 083f7549-82faf4e6-b108e14f-e1d63399-5e5dc66d | 59068375 | 11717909 | Impression: The right central line, endotracheal tube and nasogastric tubes are unchanged. There is persistent patchy density in both lung bases. There is no pneumothorax or CHF. There is no significant interval change. | Impression: The right central line, endotracheal tube and nasogastric tubes are unchanged. There is persistent patchy density in both lung bases. There is no pneumothorax or CHF. There is a significant interval change. | ['Change name of device', 'Add contradiction', 'False prediction'] |
| cd151804-3ba37dc7-1008641f-491929af-f37e6dc5 | 59105787 | 11717909 | Findings: The cardiomediastinal and hilar contours are within normal limits. The heart appears smaller in size compared to the prior examination on ___. Right midlung and right lower lobe opacities are similar in appearance to multiple prior examinations. The left lung is clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned. There is no evidence of pulmonary edema. Impression: No evidence of pulmonary edema. Persistent opacities involving the right midlung and base of the right lung are stable from multiple prior exams and likely reflect atelectasis or scarring. | Findings: The cardiomediastinal and hilar contours are within normal limits. The heart appears smaller in size compared to the prior examination on ___. Left midlung and left lower lobe opacities are similar in appearance to multiple prior examinations. The left lung is clear. There is no pneumothorax or pleural effusion. No sternal wires are seen. There is no evidence of pulmonary edema. Impression: No evidence of pulmonary edema. Persistent opacities involving the right midlung and base of the right lung are stable from multiple prior exams and likely reflect atelectasis or scarring. No opacities are seen. | ['Change location', 'Add contradiction', 'False negation'] |
| 7798f90f-d4185983-5f262189-fe7879ae-df20ce5d | 59231099 | 11717909 | Findings: Allowing for projection the heart is probably within normal limits in size. Left lung is clear. Increased small right effusion is seen. Increased opacity in the right base may indicate the underlying atelectasis. Infection cannot be excluded. Right IJ line in mid SVC Impression: Right base atelectasis/ opacity and small right pleural effusion. | Findings: Allowing for projection the heart is probably within normal limits in size. Right lung is clear. Increased small right effusion is seen. Increased opacity in the right base may indicate the underlying atelectasis. No infection is noted. Right IJ line in mid SVC. Impression: Right base atelectasis/ opacity and right-sided pneumothorax. | ['Change location', 'Add contradiction', 'False prediction'] |
| 86cbbd27-298942a6-03e4baae-97bf2fa6-7959f957, a92dc43d-69675ba1-b327698d-39a479af-fd78fba4 | 59507971 | 11717909 | Findings: These are two views during Dobhoff placement. On the second film the feeding tube tip is in the stomach. NG tube is been removed. The right IJ line is unchanged. The appearance the lungs are unchanged. Impression: Dobhoff tube in the stomach | Findings: These are two views during Dobhoff placement. On the second film the feeding tube tip is in the colon. NG tube has been removed. The left IJ line is unchanged. The appearance of the lungs are the same. Impression: No Dobhoff tube seen in the stomach | ['Change location', 'Change to homophone', 'False negation'] |
| 1645a8b3-a40b82da-8ea72c55-64a8dfe5-ce6efba4, 5246aaeb-fd4fe4e3-3107d96d-28205321-1fcd4ed8 | 59535781 | 11717909 | Findings: Heart size is normal. The patient is status post previous median sternotomy and coronary bypass surgery. Right internal jugular catheter terminates in the lower superior vena cava, with no pneumothorax. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for linear scar in the lingula. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Impression: No acute cardiopulmonary abnormality. | Findings: Heart size is normal. The patient is status post previous median sternotomy and coronary bypass surgery. Right internal jugular ventilator terminates in the lower superior vena cava, with no pneumothorax. The mediastinal and hilar contours are normal. The pulmonary vasculature is abnormal. Lungs are clear except for linear scar in the lingula. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Impression: Mild pulmonary edema. | ['Change name of device', 'Add contradiction', 'False negation'] |
| c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca | 59549909 | 11717909 | Findings: Bilateral lower lobe pneumonia, right greater than left, is stable since ___ but improved since ___. The cardiac silhouette remains top-normal. No pneumothorax or pulmonary edema. The endotracheal to tip is seen 5.4 cm above the carina. Right internal jugular central line placement is unchanged and transesophageal drainage tube is seen over the stomach and continues had a few. Impression: 1. Unchanged bilateral lower lobe pneumonia, right greater than left, since ___. 2. All support devices are appropriately positioned. | Findings: Bilateral lower lobe pneumonia, right greater than left, is stable since ___ but improved since ___. The cardiac silhouette remains top-normal. No pneumothorax or pulmonary edema. The endotracheal to tip is seen 6.2 cm above the carina. Right internal jugular central line placement is unchanged and transesophageal drainage tube is seen over the stomach and continues had a few. A pacemaker is seen in the left upper chest. Impression: 1. Unchanged bilateral lower lobe pneumonia, right greater thaan left, since ___. 2. All support devices are appropriately positioned. | ['Change measurement', 'Add typo', 'Add medical device'] |
| 9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5 | 59648901 | 11717909 | Findings: The left chest tube has been removed. There is no new large pleural effusion. There is no pneumothorax. There is a persistent left retrocardiac opacity which may be secondary to infection, pleural effusion, or atelectasis. Cardiomegaly is unchanged. The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position. Impression: Persistent left retrocardiac opacity. No evidence of large volume left pleural effusion. No pneumothorax after removal of chest tube. | Findings: The left chest tube has bean removed. There is no new small pleural effusion. There is no pneumothorax. There is a persistent left retrocardiac opacity which may be secondary to infection, pleural effusion, or atelectasis. Cardiomegaly is unchanged. The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position. A nasogastric tube is in place. Impression: Persistent left retrocardiac opacity. No evidence of high volume left pleural effusion. No pneumothorax after removal of chest tube. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| c6e3ce13-2009d15c-22403934-c8b0ed0a-84811273 | 59756989 | 11717909 | Impression: Swan-Ganz catheter tip is at the level of right main pulmonary artery. Heart size and mediastinum are stable. Minimal bibasal atelectasis, right more than left are similar to previous study. There is no pneumothorax. | Impression: Swan-Ganz catheter tip is at the level of left pulmonary artery. Heart size and mediastinum are stable. Minimal bibasal atelectesis, right more than left are similar to previous study. There is right pleural effusion. There is no pneumothorax. | ['Change position of device', 'Add typo', 'False prediction'] |
| 427b4ab7-9ff413ad-27cb0c6a-12e7de89-7ab26654, 7db9f8cc-6fa31cc8-1a5129e9-9c39ac1c-a1a15416 | 59872440 | 11717909 | Impression: No relevant change as compared to the prior image. Sternal wires, pacemaker and a cyst device are in unchanged position. Minimal left pleural effusion and left atelectasis. Otherwise normal lungs. Mild cardiomegaly that is unchanged in severity. | Impression: There is a significant increase in abnormalities as compared to the prior image. Sternal wires, pacemaker, and a cyst device are in unchanged positions. Minimal right pleural effusion and left atelectasis. Otherwise normal lungs. Mild cardiomegaly that is unchanged in severity. | ['Change location', 'Add contradiction', 'False prediction'] |
| 78ed3ced-cd79570f-e1427410-e2202da1-75dd1584 | 59882746 | 11717909 | Impression: In comparison with the study of ___, the there may be even further opacification in the right hemithorax. Persistent opacification in the retrocardiac region with blunting of the left costophrenic angle. Monitoring and support devices are essentially unchanged. | Impression: In comparison with the study of ___, the there may be even further opacification in the left hemithorax. Persistent opacification in the retrocardiac region with blunting of the left costophrenic angle. Monitoring and support devices are essentially unchained. A central venous line is noted in proper position. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e | 59956973 | 11717909 | Findings: Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion. Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stable. The cardiomediastinal and hilar contours are unchanged. Left ventricular assist device is remains in similar position. Left-sided PICC line ends at the cavoatrial junction. No pneumothorax or pleural effusion Impression: Stable retrocardiac opacification consistent with left lower lobe consolidation and small pleural effusion. | Findings: Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crouding. Dense retrocardiac opacification is absent. Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stabel. The cardiomediastinal and hilar contours are unchanged. Left ventricular assist device is remains in similar psition. Left-sided PICC line ends in the lower SVC. No pneumothorax or pleural effusion | ['Change position of device', 'Add typo', 'False negation'] |
| 321f3032-be0e27a3-89aaf76d-79b01d0b-1c4d5b9b | 59962763 | 11717909 | Findings: Comparison is made to previous study from ___. There is a Swan-Ganz catheter. There is a left-sided chest tube. There is an LVAD device. There are mediastinal drains. There is a left-sided PICC line. These are all stable. The heart size is upper limits of normal, but unchanged. There remains a left retrocardiac opacity. There are no signs for overt pulmonary edema. No pneumothoraces are identified. Overall, there has been no change. | Findings: Comparison is made to previous study from ___. There is a Swan-Ganz catheter. There is a left-sided chest tube. There is an LVAD device. There is a left-sided PICC line that terminates in the SVC. There are mediastinal drains. These are all stable. The heart size is upper limits of normal, but unchanged. The heart size is upper limits of normal, but unchanged. There remains a left retrocardiac opacity. There are no signs for overt pulmonary edema. No pneumothoraces are identified. An NG tube is noted. Overall, there has been no change. | ['Change position of device', 'Add repetitions', 'Add medical device'] |
| 1c847671-bd632b77-11107efc-969f0d03-ffb45c06 | 59982171 | 11717909 | Impression: Comparison to ___. No relevant change. Mildly increased lung volumes with the subsequent decrease in radiodensity of the pre-existing right parenchymal opacities and consolidations. The left changes are constant. Stable correct position of the monitoring and support devices. | Impression: Comparison to ___. No relevant change. Mildly increased lung volumes with the subsequent decrease in radiodesnity of the pre-existing left parenchymal opacities and consolidations. The right changes are constant. No monitoring and support devices. | ['Change location', 'Add typo', 'False negation'] |
| 9f2d20e8-1c570228-e58b3e93-e6171fd9-2033b28a | 55651475 | 11724488 | Impression: AP chest compared to preoperative chest radiograph on ___: Volumes are quite low. Heterogeneous opacification involves both lower lungs. Heart is normal size and mediastinal vasculature is not engorged. Findings include noncardiogenic as well as atypical cardiogenic edema and severe aspiration or diffuse pulmonary hemorrhage. Dr. ___ was paged at the time of dictation. | Impression: AP chest compared to preoperative chest radiograph on ___: Volumes are quite now. Heterogeneous opacification involves both upper lungs. Heart is normal size and mediastinal vasculature is not engorged. Findings include noncardiogenic as well as non-severe cardiogenic edema and severe aspiration or diffuse pulmonary hemorrhage. Dr. ___ was paged at the time of dictation. A central venous line is present. | ['Change severity', 'Add typo', 'Add medical device'] |
| 4be77f0f-26020260-0150f74f-f95c85f5-33c47450, 8a2d0c99-d9c16df8-af4a6670-03baa169-48086bb0 | 55960369 | 11724488 | Findings: Frontal and lateral views of the chest. No prior. Opacity at the left cardiophrenic angle would be compatible with a pericardial fat pad, especially given appearance on the lateral. Lungs are clear and costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Degenerative changes noted at the acromioclavicular joints and hypertrophic changes are seen in the spine. Impression: No acute cardiopulmonary process. No focal consolidation. | Findings: Frontal and lateral views of the chest. No pyre. Opacity at the left cardiophrenic angle would be compatible with a pericardial fat pad, especially given appearance on the lateral. Lungs are clear and costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable, but a small pleural effusion is noted on the right side. Degenerative changes noted at the acromioclavicular joints and hypertrophic changes are seen in the spine with a suspected compression fracture at the thoracic level. Impression: No acute cardiopulmonary process. There is evidence of basal atelectasis. | ['Change location', 'Change to homophone', 'False prediction'] |
| 16e5b1a2-792c2449-d0f46569-a6fc499f-62628542, 21b2ba36-099442f2-f218da36-f0bc8c1a-27305d7c | 57834148 | 11724488 | Findings: Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragm. Degenerative changes are again seen along the spine. Impression: No acute cardiopulmonary process. No evidence of free air beneath the diaphragm. | Findings: Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Cardiac silhouette is mildly enlarged. Degenerative changes are again seen along the spine. Impression: No significant cardiopulmonary process. No evidence of free air beneath the diaphragm. | ['Change location', 'Add typo', 'False prediction'] |
| 3a83d7fe-a10cb175-c0015bff-dc7613f5-2ed928b2 | 58618080 | 11724488 | Impression: 1. Suspect mild CHF, though improved compared with ___. 2. Bibasilar patchy opacities. The differential diagnosis includes infectious infiltrates and aspiration. These are similar to ___, allowing for considerable differences in technique. | Impression: 1. Suspect moderate CHF, though improved compared with ___. 2. Bibasilar patchy opacities. The differential diagnosis includes infectious infiltrates and aspiration. These are similar to ___, allowing for considerable differences in technique. The cardiac size is mildly enlarged. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 40dc9290-9a260ee3-d39bc9ca-9a80981a-ca659255, c3fd73cb-5e46b400-0cc3a1d2-8cd95b40-d8ce12df | 50523025 | 11778596 | Findings: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | Findings: There is a small left pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Impression: No acute cardiopulmonary process. | ['False prediction', 'Add contradiction', 'False negation'] |
| b1013c9a-72cbbabf-f3f57999-0e872542-c493daa7, e2f8c511-0fc27635-102d25e8-09067cc6-6943c99e | 51411261 | 11778596 | Findings: No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No evidence of pneumomediastinum is seen. Impression: No significant interval change. No acute cardiopulmonary process. | Findings: No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No evidence of pneumomediastinum is seen. Impression: Mild interstitial edema. No acute cardiopulmonary process. | ['Change severity', 'Add contradiction', 'False negation'] |
| c8d5e710-a91b72a0-7854336c-d9636d1e-f30a45fe | 51454316 | 11778596 | Impression: Comparisons ___. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No pneumonia, no pulmonary edema, no pleural effusions. | Impression: Comparisons ___. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. The patient has a pacemaker. No pneumonia, no pulmonary edema, no pleural effusions. Normal size of the cardiac silhouette. | ['Add contradiction', 'Add repetitions', 'Add medical device'] |
| 476a3664-0a37f09b-cf422fb1-b96e8af6-b1ff1c8b, 9b3209a1-4f4f10b6-89d60e43-ae5ca330-58720ec8 | 51493045 | 11778596 | Findings: PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm seen. Impression: No acute intrathoracic process. | Findings: PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the left hemidiaphragm seen. A central venous line is in place. The cardiomediastinal silhouette is normal. Impression: No acute intrathoracic process. | ['Change location', 'Add repetitions', 'Add medical device'] |
| f15e3281-13c23328-e39947d4-33a6882f-dd72ac3c | 52620709 | 11778596 | Impression: Normal chest radiographs. | Impression: Normal chest radiographs. Impression: Normal chest radiographs. Impression: Mild pulmonary congestion. Impression: Normal chest radiographs. | ['Add repetitions', 'Add contradiction', 'Add medical device'] |
| 07f9f818-19d71d41-fac3dfba-a4307c8e-1804d6ec, 4e2cdbbb-94042b25-3040684e-0c7ff67d-5616031e | 55316910 | 11778596 | Findings: The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact. Impression: No acute cardiopulmonary process. | Findings: The lungs are well expanded. No focal consolidation is present. The cardiomediastinal silhouette is normal. The bones are intact. Impression: Mild pleural effusion on the left. No acute cardiopulmonary process. | ['Add contradiction', 'Change to homophone', 'False negation'] |
| 0557e604-9479496b-6839fa34-3dfa8788-846e8429, 2ea89aad-3d076a79-425867fa-0370247c-567a9dd5 | 56643765 | 11778596 | Findings: As compared to the previous radiograph, there is no relevant change. Normal lung volumes. No evidence of pneumonia or other parenchymal lung disease. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. | Findings: As compared to the previous radiograph, there is no relevant chamge. Normal lung volumes. No evidence of pneumonia or other parenchymal lung disease. No cardiac enlargement is observed. Normal hilar and mediastinal structures. Impression: There is moderate cardiac enlargement. | ['Add contradiction', 'Add typo', 'False negation'] |
| 013e8b20-1dd181f6-4abba114-5ab4f096-e8a4d186, 15048198-d09e7dbe-22ba5069-9f484be3-8482c96f | 57138064 | 11778596 | Impression: In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. | Impression: In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. Nw pneumonia, vascular congestion, or pleural effusion. No pneumonia, vascular congestion, or pleural effusion. | ['Add repetitions', 'Add typo', 'False negation'] |
| 9f68f784-5188d495-c5803627-37126944-42f904c6 | 58510004 | 11778596 | Impression: In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. | Impression: In comparison with the study of ___, there is a small left upper lung nodule and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion is present. A central venous catheter tip terminates in the superior vena cava. | ['False prediction', 'Add typo', 'Add medical device'] |
| 571f6fe7-8dfc0bb4-1a799b61-088a701a-55a35ec7, ed6718bd-49c6aaf7-4f16a407-3ce9862f-0961129b | 59075390 | 11778596 | Findings: The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There are few prominent loops of small bowel in the left upper quadrant. Impression: No evidence of acute cardiopulmonary abnormality. | Findings: The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are usual. There is no pleural effusion or pneumothorax identified. There are few prominent loops of small bowel in the left upper quadrant with mild thickening. Impression: No evidence of acute cardiopulmonary abnormality. | ['Change severity', 'Change to homophone', 'False prediction'] |
| c0f09085-246fdee9-571d4688-2450db13-fb67b641 | 59624830 | 11805011 | Impression: In comparison with the study of ___, there again is mild enlargement of the cardiac silhouette with tortuosity of the aorta. No evidence of acute pneumonia, vascular congestion, or pleural effusion. | Impression: In comparison with the study of ___, there again is moderate enlargement of the cardiac silhouette with tortuosity of the aorta. Vascular congestion is noted, but no evidence of acute pneumonia or pleural effusion. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 36997d16-4f0421af-656978c4-33b5be2d-4bd00de0, 7b10680c-26e6c5fc-a403cd66-97cf2e7d-6578aeff | 51164335 | 11842519 | Impression: In comparison with the study of ___, there is little change in the appearance of the cardiomediastinal silhouette and spinal hardware. The pulmonary vessels are less engorged, it consistent with improvement in pulmonary vascular status. Bibasilar atelectatic changes are again seen with probable small pleural effusions on both sides. | Impression: In comparison with the study of ___, there is little change in the appearance of the cardiomediastinal silhouette and spinal hardware. The pulmonary vessels are more engorged, it consistent with improvement in pulmonary vascular status. Bibasilar atelectatic changes are again seen with probable small pleural effusions on both sides. There is no evidence of pleural effusions on either side. | ['Change severity', 'Add contradiction', 'False prediction'] |
| e9977922-0c45547e-2c72b894-91042335-31f132ea | 51581083 | 11842519 | Impression: Comparison to ___. Minimal decrease in extent of the pre-existing right basal parenchymal opacities. Moderate cardiomegaly. Stable appearance of the vertebral fixation devices. A minimal right pleural effusion is unchanged in extent and severity. | Impression: Comparison to ___. Moderate decrease in extent of the pre-existing right basal parenchymal opacieties. Severe cardiomegaly. Stable appearance of the verebral fixation devices. A mild right pleural effusion is unchanged in extent and severity. There is the presence of an NG tube. | ['Change severity', 'Add typo', 'Add medical device'] |
| e044c941-2f2d494f-0a794f54-a64e76fe-70da04b2, f116ca80-a8af602f-9e093f53-f6f59ad5-7dd5441d | 52278905 | 11842519 | Findings: The heart is enlarged and there is engorgement of the pulmonary vasculature as well as mild pulmonary edema. There is thickening of major fissure on the right, which may represent fissural fluid. Again seen are bilateral pleural effusions with atelectasis at the lung bases. There is no evidence of new focal consolidation. No pneumothorax is seen. Again seen is thoracic spinal fusion hardware, unchanged in appearance. Impression: 1. Mild pulmonary edema with no strong evidence of pneumonia. 2. Bilateral pleural effusions and bibasilar atelectasis. | Findings: The heart is severely enlarged and there is engorgement of the pulmonary vasculature as well as moderate pulmonary edema. There is thickening of major fissure on the right, which may represent fissural fluid. Again seen are no pleural effusions with atelectasis at the lung bases. There is no evidence of new focal consolidation. No pneumothorax is seen. Again seen is thoracic spinal fusion hardware, unchanged in appearance. Impression: 1. Mild pulmonary edema with no evidence of pneumonia. 2. No pleural effusions and bibasilar atelectasis. | ['Change severity', 'Change to homophone', 'False negation'] |
| 87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae, cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54 | 52435125 | 11842519 | Findings: The bilateral pleural effusions are again seen right greater than left. Right lower lobe opacities are unchanged and may be chronic atelectasis related to persistent effusions. The previously seen pulmonary edema has resolved. There is mild cardiomegaly. Orthopedic hardware is seen in the thoracic spine with adjacent surgical clips. Impression: 1. Persistent bilateral effusions and likely chronic atelectasis. 2. Resolution of previous pulmonary edema. | Findings: The bilateral pleural effusions are again scene right greater than left. Left lower lobe opacities are unchanged and may be chronic atelectasis related to persistent effusions. The previously seen pulmonary edema has resolved. There is mild cardiomegaly. Orthopedic hardware is seen in the thoracic spine with adjacent surgical pipettes. An NG tube is noted trailed into the stomach. Impression: 1. Persistent bilateral effusions and likely chronic emphysema. 2. Resolution of previous pulmonary edema. | ['Change name of device', 'Change to homophone', 'Add medical device'] |
| 065a7a9c-53732182-e1803a70-560a7a03-f85438e2, b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf | 52474377 | 11842519 | Impression: In comparison with the study of ___, there is little overall change. Cardiac silhouette remains within normal limits and there is some hyperexpansion of the lungs. Coarse interstitial markings process along with blunting of both costophrenic angles and atelectatic changes at the bases, more prominent on the right. | Impression: In comparison with the study of ___, there is little overall change. Cardiac silhouette remains within normal limits, and there is sum hyperexpansion of the lungs. Coarse interstitial markings process along with blunting of both costophrenic angles and atelectatic changes at the bases, more prominent on the left. There is the presence of an NG tube. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 463855e7-833cbc69-04a5abcb-dda8a693-e6e4e948, 6c74d21c-53fddedf-a2bb1745-bd2de6ee-d9f68f8a | 54717070 | 11842519 | Findings: Stable cardiomegaly. There is worsening pulmonary vascular congestion and mild pulmonary edema. Pleural effusions are stable. No pneumothorax is seen. Right hilar fullness is a manifestation of mild heart failure. Again seen is chronic posterior pleural thickening and nodulation at the right base. Again seen is thoracic fusion hardware, unchanged. Impression: 1. Worsening pulmonary vascular congestion and edema. Mild chronic cardiomegaly. 2. Chronic small pleural effusions, posterior pleural loculation. 3. Recommend baseline chest CT to further evaluate chronic pleural thickening and nodulation at the right base. RECOMMENDATION: Recommend baseline chest CT to further evaluate chronic pleural thickening and nodulation at the right base. | Findings: Stable cardiomegaly. There is worsening pulmonary vascular congestion and moderate pulmonary edema. Pleural effusions are stable. No pneumothorax is seen. Right hilar fullness is a manifestation of severe heart failure. Again seen is chronic posterior pleural thickening and nodulation at the right base. Again seen is thoracic fusion hardware, unchanged. Impression: 1. No pulmonary vascular congestion or edema. Mild chronic cardiomegaly. 2. Chronic small pleural effusions, posterior pleural loculation. 3. Recommend baseline chest CT to further evaluate chronic pleural thickening and nodulation at the right base. Recommend baseline chest CT to further evaluate mild pleural thickening and nodulation at the left base. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 0fe43549-21617d5c-89c5f44b-affffc13-9409fa39, 66423af7-ad57034e-b950291f-d84abf0a-902afb34 | 54806621 | 11842519 | Findings: Pulmonary vascular cephalization is chronic. Moderate loculated right pleural effusion going into the fissure is stable. 22 mm opacity projects at the left lung base unchanged since ___, but could not be clearly seen before that. Mild-to-moderate cardiomegaly is unchanged. The patient is status post fusion with posterior screws at T6 through T9 levels. Impression: Left lower lung opacity could either be a focal area of atelectasis or even a lung nodule. It could not be seen before the chest x-ray of ___. If warranted, CT scan could be done to assess this abnormality. There is no significant change since ___ in chronic pulmonary vessel cephalization and loculated pleural effusion on the right. The results have been posted to Radiology dashboard for direct notification to referring physician. | Findings: Pulmonary vascular cephalization is chronic. Moderate loculated right pleural effusion going into the fissure is stable. 2.2 cm opacity projects at the left lung base unchanged since ___, but could not be clearly seen before that. No cardiomegaly is noted. The patient is status post fusion with posterior screws at T6 through T9 levels. Impression: Left lower lung opacity could either be a focal area of atelectasis or even a lung nodule. Left lower lung opacity could either be a focal area of atelectasis or even a lung nodule. It could not be seen before the chest x-ray of ___. If warranted, CT scan could be done to assess this abnormality. There is no significant change since ___ in chronic pulmonary vessel cephalization and loculated pleural effusion on the right. The results have been posted to Radiology dashboard for direct notification to referring physician. | ['Change measurement', 'Add repetitions', 'False negation'] |
| 293c8608-3a0f3cbd-cea33c07-ea8130b0-2b90fea4, cce40a95-f888ed8b-3d0d8160-c780a8be-dedc172d | 55196530 | 11842519 | Findings: The cardiac, mediastinal and hilar contours are relatively unchanged, with the heart size appearing top normal. There is mild pulmonary edema, minimally worse when compared to the prior study. Moderate size right and small left pleural effusions are relatively unchanged. There are patchy bibasilar airspace opacities, likely reflective of atelectasis though infection cannot be completely excluded. No pneumothorax is identified. Thoracic posterior spinal fusion hardware accomplished by two posterior rods and pedicle screws is unchanged. There are multiple clips also demonstrated within the mid back. Impression: Mild congestive heart failure, with moderate size right and small left pleural effusion. Bibasilar airspace opacities likely reflect atelectasis though infection is not completely excluded. | Findings: The cardiac, mediastinaal and hilar contours are relatively unchanged, with the heart size appearing top normal. There is mild pulmonary effusion, minimally worse when compared to the prior study. Moderate size right and small left pleural effusions are relatively unchanged. There are patchy bibasilar airspace opacities, likely reflective of atelectasis though infection cannot be completely excluded. A small pneumothorax is seen. Thoracic posterior spinal fusion hardware accomplished by two posterior rods and pedicle screws terminates at the L2 vertebra. There are multiple clips also demonstrated within the mid back. Impression: Mild congestive heart failure, with moderate size right and bilatertal pleural effusions. Bibasilar airspace opacities likely reflect atelectasis though infection is not completely excluded. | ['Change position of device', 'Add typo', 'False prediction'] |
| 112ad818-aecb7d67-24a87957-b69727eb-b71d395e, 5c411331-4bd0ce00-fa971a77-14b441a9-7988a9a4 | 55737976 | 11842519 | Impression: Cardiomediastinal silhouette is unchanged. Spinal hardware is unchanged. Bibasal consolidations appear to be mildly progressed since the prior study as well as there is slightly more pronounced vascular congestion. Right pleural effusion is small but increased since the prior study. | Impression: Cardiomediastinal silhouette is unchanged. Spinal hardware is unchanged. Bibasal consolidations appear to be mildly progressed since the prior study as well as there is slightly more pronounced vascular congestion. Right pleural effusion is small but increased since the prior study. A left pleural effusion is stable since prior study. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 1daf1add-19e374b0-b8e35d65-58f13e97-acb7ed37, c8e45d42-826148f0-ecddc635-78da1bb8-218f17be | 55933985 | 11842519 | Findings: PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Moderate cardiomegaly as before. Upper mediastinal structures are obscured by the presence of two ___ rods each with 4 penetrating fixation screws stabilizing the mid portion of the thoracic spine. Integrity of orthopedic devices appears preserved and is unchanged. Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses. The pleural effusion is moderately more marked on the right side than the left. Lateral view indicates extension of fluid into the posteriorly located dependent pleural sinuses. No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia. No pneumothorax seen in the apical area. Impression: Bilateral small pleural effusions and moderate congestive pulmonary vascular pattern. In comparison with the next previous examination 18 months ago, the patient's pulmonary congestion and pleural effusions were markedly more pronounced than they are now. Whether the present degree of chronic CHF is related to fluid overload must be judged on clinical grounds. | Findings: PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Severe cardiomegaly as before. Upper mediastinal structures are obscured by the presents of two ___ rods each with 4 penetrating fixation screws stabilizing the mid portion of the thoracic spine. Integrity of orthopedic devices appears preserved and is unchanged. Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses. The pleural effusion is severely more marked on the right side than the left. Lateral view indicates extension of fluid into the posteriorly located dependent pleural sinuses. No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia. No pneumothorax seen in the apical area. A pacemaker is in place at the left chest wall. Impression: Bilateral moderate pleural effusions and mild congestive pulmonary vascular pattern. In comparison with the next previous examination 18 months ago, the patient's pulmonary congestion and pleural effusions were markedly more pronounced than they are now. Whether the present degree of chronic CHF is related to fluid overload must be judged on clinical grounds. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 2b16b5f9-f1b0a358-5bd9e08e-e1f5a385-2a69e8dd, d9247008-190a48a3-02caefc9-e25fb73c-1c3f9dfd | 50160109 | 11888614 | Findings: PA and lateral views demonstrate dilation of the azygos, tiny pleural effursion, and faint interlobular septal thickening. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, mediastinal contours are within normal limits. Impression: Mild pulmonary edema. | Findings: PA and lateral views demonstrate dilation of the azygos, tiny pleural effersion, and faint interlobular septal thickening. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is mildly enlarged. The cardiac, hilar, mediastinal contours are within normal limits with bilateral nodular opacities suspicious for malignancy. Impression: Moderate pulmonary edema. | ['Change severity', 'Change to homophone', 'False prediction'] |
| d0e2802e-7ba958f6-7db1cbc3-31f2a1d0-0ac20695 | 50536002 | 11888614 | Findings: Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation or pneumothorax. There is no pneumomediastinum. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Mild pulmonary vascular congestion is seen on ___ exam has resolved. Insterstiail markings appear prominent which may reflect underlying small airways disease or interstitial disease. Clinical correlation is advised. Partially imaged upper abdomen is unremarkable. Impression: Mild pulmonary vascular congestion seen on ___ exam has resolved. | Findings: Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation, or pneumothorax. There is no pneumomediastinum. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Severe pulmonary vascular congestion is seen on ___ exam has resolved. Insterstiail markings appear prominent which may reflect underlying small airways disease or interstitial disease. Clinical correlation is advised. Partially imaged upper abdomen is unremarkable. An NG tube is in place. Impression: Mild pulmonary vascular congestion seen on ___ exam has resolved. | ['Change severity', 'Change to homophone', 'Add medical device'] |
| 86eb621b-f9a39d0a-22d3a0de-eeb8000a-f31f0e44, f877eb30-e2155ec8-a0bdcfb3-494d60b8-a0e7c7b7 | 50561566 | 11888614 | Findings: There has been little interval change from the prior exam. The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal without evidence of pulmonary edema. Again noted are bilateral ill-defined hazy airspace opacities predominantly within a perihilar distribution, not significantly changed in extent compared to the recent chest radiograph and chest CT. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Impression: No significant interval change in bilateral predominantly perihilar ill-defined airspace opacities which may reflect a multifocal infectious process, but is nonspecific. | Findings: There has been little interval change from the prior exam. The heart size is enlarged. The mediastinal and hilar contours are witnin normal limits. The pulmonary vascularity is normal without evidence of pulmonary edema. Again noted are bilateral ill-defined hazy airspace opacities predominantly within a perihilar distribution, with new upper lobe consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Impression: No significant interval change in bilateral predominantly perihilar ill-defined airspace opacities whch may reflect a multifocal infectious process, but is nonspecific. | ['Change severity', 'Add typo', 'False prediction'] |
| 65a8e3b5-8552ea89-9bc2e215-fd42bed9-e469687f | 50703372 | 11888614 | Impression: ET tube tip is 3 cm above the carinal. NG tube tip is in the stomach. Pulmonary edema is substantial, bilateral associated with large bilateral pleural effusions. No evidence of pneumothorax expressed | Impression: ET tube tip is 3 mm above the carinal. NG tube tip is in the stomach. No pulmonary edema. No evidence of pneumothorax exprezzed. | ['Change measurement', 'Add typo', 'False negation'] |
| c3a5cd3a-ef8d5ed2-e9185ad1-5ed385b0-b980a67e | 50741129 | 11888614 | Findings: There are nonspecific bibasilar opacities. The apices of the lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified on this limited supine view. Impression: Nonspecific bibasilar opacities, right worse than left, which are concerning for pneumonia. | Findings: There are nonspecific bibasilar opacities. The apices of the lungs show mild interstitial thickening. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette shows mild enlargement. No fracture is identified on this limited supine view with a mild suspicion of a left rib fracture. Impression: Nonspecific bibasilar opacities, right worse than left, which are concerning for pneumonia. Impression: The lungs are clear without any nonspecific findings or evidence of pneumonia. | ['Change location', 'Add contradiction', 'False prediction'] |
| 73e67ffa-4125674a-1c921135-faea72ee-d3a60267 | 50746880 | 11888614 | Findings: Since the prior study the endotracheal tube is been removed. Heterogeneous bilateral opacities predominantly at the lung bases, are essentially unchanged ___. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Impression: Unchanged bilateral parenchymal opacities since ___, concerning for multifocal pneumonia or aspiration. Consider opportunistic infection given the atypical appearance. | Findings: Since the prior study the endotracheal tube has been removed. Heterogeneous bilateral opacities predominantly at the right apex, are essentially unchanged ___. Mild pleural effusion is present. Cardiomediastinal silhouette shows mild cardiomegaly. Impression: Unchanged bilateral parenchymal opacities since ___, concerning for multifocal pneumonia or aspiration. No evidence of opportunistic infection. | ['Change location', 'Add contradiction', 'False prediction'] |
| 528871d5-6baf82c5-5fd7b922-bbc60517-26d6dc84, 82964865-d4efa996-8d0f5736-16793d59-ca381654 | 51017937 | 11888614 | Findings: The lungs are well inflated and clear. No focal consolidations identified. The cardiomediastinal silhouette hilar contours are stable. There is no pleural effusion or pneumothorax. Impression: No evidence of acute cardiopulmonary process. | Findings: The loans are well inflated and clear. No focal consolidations identified. The cardiomediastinal silhouette hilar contours are stable. There is a small left pleural effusion. Impression: No evidence of acute cardiopulmonary process. Mild bilateral pleural effusions. | ['Add contradiction', 'Change to homophone', 'False prediction'] |
| 25b1f581-32a8bccf-ddc5c8cd-f34d16a5-befd4bdc, 973d8700-4120b7b6-d9b4de64-42d4af18-999c914d | 51240157 | 11888614 | Findings: The cardiomediastinal and hilar contours are normal. There is no pleural effusion pneumothorax. The lungs are expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. No acute osseous abnormalities are detected. Impression: No acute cardiopulmonary process. | Findings: The cardiomediastinal and hilar contours are normal. Lymphadenopathy is noted in the hilar region. There is no pleural effusion pneumothorax. The lungs are expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. Minimal fusiform dilation of the thoracic aorta noted. No acute osseous abnormalities are detected. Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'False prediction'] |
| 7f7f9559-e0020fe2-d818feea-fe3dfc5a-6fe1fdf3, 849bcc13-403bf760-04323271-8223b6e7-a6c8e685 | 51840085 | 11888614 | Findings: Again seen are nonspecific bibasilar opacities, which have increased from ___. The apices of lungs are clear. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. Cardiomediastinal and hilar contours are unremarkable. No acute displaced rib fracture identified. Impression: Nonspecific bibasilar opacities, right worse than left, are concerning for pneumonia. These appear progressed from ___. | Findings: Again seen are nonspecific bibasilar opacities, which have increased from ___. The apices of lungs is clear. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. Cardiomediastinal and hilar contours are unremarkable. No acute displaced rib fracture identified. Impression: No opacities. These appear progressed from ___. | ['Change location', 'Change to homophone', 'False negation'] |
| d761d23a-c91f3562-afa919b9-4296a1ca-18a90632 | 51853599 | 11888614 | Impression: In comparison with the study of ___, the monitoring and support devices are unchanged. The patient has taken a much poor inspiration. Continued enlargement of the cardiac silhouette with pulmonary edema with pleural effusions and compressive basilar atelectasis. | Impression: In comparison with the study of ___, the monitoring and suport devices are unchanged. The patient has taken a much poorer inspiration. Continued enlargement of the cardiac silhouette with pulmonary edema with pleural effusions and compressive basilar electasis. An ET tube is present. | ['Add typo', 'Change to homophone', 'Add medical device'] |
| 24aaa8b8-bd3cb728-72b4e416-3dca185e-89bad691, 5ff743c4-002fb75b-2bebc8ef-391abb9f-8ecce49c | 52249249 | 11888614 | Findings: There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. A rounded, nodular opacity overlies the right lower lung, and cannot be discreetly separated from the ninth posterior rib. The cardiomediastinal silhouette is within normal limits. Impression: 1. No evidence of acute cardiopulmonary process. 2. Nodular opacity overlying the right lower lung and anterior right fifth rib. TO DETERMINE WHETHER THIS IS A LUNG NODULE OR THE RIGHT NIPPLE OR SCLEROSIS IN THE ANTERIOR RIGHT FIFTH RIB, SHALLOW OBLIQUE VIEWS WITH NIPPLE MARKER SHOULD BE OBTAINED. | Findings: There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. No nodular opacity seen. The cardiomediastinal silhouette is within normal limits. A rounded, nodular opacity overlies the right lower lung, and cannot be discreetly separated from the ninth posterior rib. Impression: 1. No evidence of acute cardiopulmonary process. 2. Nodular opacity overlying the left lower lung and anterior right fifth rib. TO DETERMINE WHETHER THIS IS A LUNG NODULE OR THE RIGHT NIPPLE OR SCLEROSIS IN THE ANTERIOR RIGHT FIFTH RIB, SHALLOW OBLIQUE VIEWS WITH NIPPLE MARKER SHOULD BE OBTAINED. | ['Change location', 'Add repetitions', 'False negation'] |
| 436a33ef-05436b90-941301ea-3e5c29aa-85fa6307 | 52382255 | 11888614 | Impression: The patient is a currently intubated with the ET tube tip being 4.3 cm above the carinal. NG tube tip is in the stomach. Widespread parenchymal opacities are demonstrated, most likely representing pulmonary edema but reassessment after diuresis is recommended. Underlying infection is a possibility | Impression: The patient is a currently intubated with the ET tube tip being 3.6 cm above the carinal. Pneumothorax is noted. NG tube tip is in the stomach. Widespread parenchymal opacities are demonstrated, most likely representing pulmonary edema but reassessment after diuresis is recommended. Underlying infection is a possibility. | ['Change measurement', 'Add contradiction', 'Add medical device'] |
| 0747fa57-65ee11cc-ed504521-5cfed40f-2a61d9b7, 9cbd3475-8f9f2464-1fbb6aca-f66b1b1e-6f5a46d8 | 52480192 | 11888614 | Impression: No acute intrathoracic process. | Impression: No acute intrathoric process. | ['Add typo', 'Add repetitions', 'Add medical device'] |
| 66e06e1a-cbaf78cc-cfb43d10-c93987a3-a12d7bca, f64e7f86-3a69ce7c-1bca8f45-3fb972a4-a7f54583 | 53383243 | 11888614 | Findings: The cardiac, mediastinal and hilar contours are within normal limits, and the heart size is normal. Focal ill-defined opacities are demonstrated predominantly within the perihilar regions of both upper lobes, as was noted on the prior CT, but new when compared to the prior chest radiograph. No pleural effusion or pneumothorax is present, and there is no pulmonary vascular congestion. There are no acute osseous abnormalities. Impression: Multifocal opacities in both lungs, predominantly within a perihilar distribution, as demonstrated on the prior chest CT. Findings again are nonspecific, but concerning for a multifocal infectious process. | Findings: The cardiac, mediastinal and hilar contours are within normal limits, and the heart size is normal. There is a small left pleural effusion. Focal ill-defined opacities are demonstrated predominantly within the perihilar regions of both lower lobes, as was noted on the prior CT, but new when compared to the prior chest radiograph. No pleural effusion or pneumothorax is present, and there is no pulmonary vascular congestion. Focal ill-defined opacities are demonstrated predominantly within the perihilar regions of both upper lobes, as was noted on the prior CT, but new when compared to the prior chest radiograph. There are no acute osseous abnormalities. Impression: Multifocal opacities in both lungs, predominantly within a perihilar distribution, as demonstrated on the prior chest CT. | ['Change location', 'Add repetitions', 'False prediction'] |
| c963fac4-7f414f76-1fe5eb83-2bd75a14-f2dcd77e | 53769263 | 11888614 | Findings: Supine portable AP view of the chest was provided. There is an endotracheal tube which is seen terminating approximately 7.6 cm above the carina. An NG tube tip terminates in the left upper abdomen. There is mild prominence of the bronchovascular markings which could reflect technique though possibility of aspiration is not excluded. No definite pneumothorax or effusion is seen. Cardiomediastinal silhouette appears normal. No bony deformities are seen. Impression: Appropriately positioned ET and NG tubes. Mild bronchovascular prominence could reflect an element of aspiration. | Findings: Supine portable AP view of the chest was provided. There is an endotracheal tube which is seen terminating approximately 3.9 cm above the carina. An NG tube tip terminates in the left upper abdmonen. There is mild prominence of the bronchovascular markings which could reflect technique though possibility of aspiration is not excluded. No definite pneumothorax or effusion is seen. Cardiomediastinal silhouette appears normal. No bony deformities are seen. A central venous catheter is noted. | ['Change position of device', 'Add typo', 'Add medical device'] |
| 4c484e73-4abd4329-ec10231a-56289fc3-aaed7d86, eaf346b2-804fccf1-7b8edede-5553e418-701f2e75 | 53774641 | 11888614 | Findings: The heart is normal in size. The main pulmonary artery contour is slightly prominent, but stable. Central pulmonary arteries are also mildly enlarged. The pulmonary interstitium has a mildly coarsened appearance bilaterally, but without significant change. There is no pleural effusion or pneumothorax. Mild rightward convex curvatures centered along the mid thoracic spine appear similar. Impression: Similar central pulmonary artery enlargement, for which the possibility of pulmonary hypertension should be considered in the appropriate clinical setting. | Findings: The heart is normal in size. The main pulmonary artery contour is slightly prominent, but stable. Central pulmonary arteries are also mildly large. The pulmonary interstitium has a mildly coarsened appearance on the left side, but without significant change. There is no pleural effusion or pneumothorax. No rightward convex curvatures centered along the mid thoracic spine appear similar. Impression: Similar central pulmonary artery enlargement, for which the possibility of pulmonary hypertension should be considerd in the appropriate clinical setting. | ['Change location', 'Add typo', 'False negation'] |
| 394e4fc7-9c032c3f-1bf44214-594a112c-dbf00598 | 54081752 | 11888614 | Findings: There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact. Impression: No acute cardiopulmonary process. | Findings: There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged lower abdomen is unremarkable. The bones are intact. Impression: No acute cardiopulmonary process. The cardiomediastinal silhouette is normal. A central venous line is in place. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 3153b513-aa211ff5-db3a738d-8e4d0c11-9afdadd8, cabb5fa9-d1acd957-85f5de3b-98fe2481-6ebf62bd | 55352995 | 11888614 | Findings: There has been interval improvement in aeration in the lower lobes. No focal infiltrate is identified. The cardiac and mediastinal silhouettes are unchanged | Findings: There has been interval improvement in aeration in the upper lobes. No focal infiltrate is identified. The cardiac and mediastinal silhouettes are unchaged No pulmonary nodules. | ['Change location', 'Add typo', 'False negation'] |
| ae6a9c3e-1994f6fc-566936f5-9b51a110-2fb8ea7e | 55517450 | 11888614 | Findings: Since prior, a left PICC has been retracted and now ends at the confluence of the left brachiocephalic vein and superior vena cava. An endotracheal tube has been removed. There is no pneumothorax or pleural effusion. Cardiac enlargement is unchanged. Since prior, there has been increased right greater than left basilar opacity, compatible with worsening pulmonary edema. Impression: 1. Retraction of the left PICC now ending in the left brachiocephalic vein. 2. Worsening pulmonary edema. | Findings: Since prior, a left PICC has been retracted and now ends at the confluence of the left brachiocephalic vein and left subclavian vein. An endotracheal tube has been removed. There is no pneumothorax or pleural effusion. Cardiac enlargement is unchanged. Since prior, there has been increased right greater than left basilar opacity, compatible with worsening pulmonary edema. A right IJ central venous catheter is noted in appropriate position. Impression: 1. Retraction of the left PICC now ending in the superior vena cava. 2. Worsening pulmonary edema. 3. Mild improvement in pulmonary edema. | ['Change position of device', 'Add contradiction', 'Add medical device'] |
| abca1a43-54c24a8a-52ed07b0-5cd250c5-afdc7061 | 56043754 | 11888614 | Findings: Portable upright chest radiograph demonstrates clear, well expanded lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. Impression: Normal view of the chest. | Findings: Portable upright chest radiograph demonstrates clear, well exapnded lungs. Their is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. Patchy bilateral opacities suspicious for infection or atelectasis are noted. Impression: Normal view of the chset. | ['Add typo', 'Change to homophone', 'False prediction'] |
| 88e154a1-fd82784b-588fbc5a-0649ad57-b12ed9cb | 56703975 | 11888614 | Findings: AP portable upright view of the chest. Interval intubation noted with the endotracheal tube tip residing approximately 6cm above the carina. The lungs are mostly clear aside from mild lower lung atelectasis. No large effusion or pneumothorax. Cardiomediastinal silhouette appear stable. Bony structures are intact. Impression: Endotracheal tube in place with its tip 6 cm above the carina. Advancement of endotracheal tube by 1-2 cm may result in more optimal positioning. | Findings: AP portable upright view of the chest. Interval intubation noted with the nasogastric tube tip residing approximately 6cm above the carina. The lungs are mostly clear aside from mild lower lung atelectasis. No large efusion or pneumothorax. Cardiomediastinal silhouette appear stable. Interstitial pulmonary edema is present. Bony structures are intact. Impression: Endotracheal tube in place with its tip 6 cm above the carina. Advancement of endotracheal tube by 1-2 cm may result in more ooptimal positioning. | ['Change name of device', 'Add typo', 'False prediction'] |
| 3262a2af-cbec2cad-9cd5cba9-7d8623c0-9655977e, c1610076-7344ca52-76ac1da0-6b6e055a-0888a924 | 56780883 | 11888614 | Findings: No focal consolidation, pleural effusion, or pneumothorax is seen. Mild pulmonary vascular redistribution persists. Interstitial prominence is likely chronic. Heart and mediastinal contours are within normal limits. Impression: Pulmonary vascular congestion, a little more congested than his best recent chest radiograph on ___. | Findings: No local consolidation, pleural effusion, or pneumothorax is seen. Moderate pulmonary vascular redistribution persists. Interstitial prominence is likely chronic. Heart and mediastinal contours are within normal limits with lower lobe nodular opacity. Impression: Pulmonary vascular congestion, a little more congested than his best recent chest radiograph on ___. | ['Change severity', 'Change to homophone', 'False prediction'] |
| c7d68ac0-4b3a8241-8126525e-1868154e-bfe8aae3 | 57247661 | 11888614 | Impression: In comparison with the study of ___, the nasogastric tube has been removed. Diffuse bilateral pulmonary opacifications are again seen, consistent with substantial pulmonary edema. The cardiac silhouette is within normal limits on this study. Given the extensive pulmonary changes, superimposed pneumonia would be difficult to exclude, especially in the absence of a lateral view. The left spur PICC line extends only to the brachiocephalic vein just before the junction with the SVC. | Impression: In comparison with the study of ___, the NG tube has been removed. Diffuse bilateral pulmonary opacifications are again seen, consistent with substantial pulmonary edema. The cardiac slhouette is within normal limits on this study. Given the extensive pulmonary changes, superimposed pneumonia would be difficult to exclude, especially in the absence of a lateral view. No PICC line extends to the brachiocephalic vein. | ['Change name of device', 'Add typo', 'False negation'] |
| 31716940-bbbe2182-3ed77c6c-2c4bb3d2-e2d71c0e, 58486732-601a466c-04f4fd39-26bf4291-8cf57364 | 57386788 | 11888614 | Findings: AP upright and lateral views the chest. Subtle prominence of the right hilar bronchovascular markings may reflect AP technique. No definite consolidation concerning for pneumonia. No effusion or pneumothorax. No overt edema. Cardiomediastinal silhouette appears normal. No acute bony injuries. Impression: Limited exam, no acute findings. | Findings: AP upright and lateral views the chest. Subtle prominence of the left hilar bronchovascular markings may reflect AP technique. No definite consolidation concerning for pneumonia. No effusion or pneumothorax. No overt edema. Cardiomediastinal silhouette appears normal. No acute bony injuries. ET tube is noted within the trachea. No definite consolidation concerning for pneumonia. Impression: Limited exam, no acute findings. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 8792030f-fa92ef26-20cc8462-d46e5176-1dd9ee64, b4ad1fa1-a7d0c3f5-61065597-401ffc49-7d46d1ed | 57547663 | 11888614 | Findings: PA and lateral views of the chest are obtained. There is significant interval improvement in lung aeration. Vague reticular opacities persist in the perihilar regions, possibly representing residual pneumonia. No definite signs of CHF, pleural effusion, or pneumothorax. Heart and mediastinal contours appear normal. Interval removal of the endotracheal and nasogastric tubes. Bony structures are intact. Impression: Significant improvement in pulmonary aeration with persistent reticular perihilar markings, possibly representing residua of recent pulmonary infection. | Findings: PA and lateral views of the chest are obtained. There is significant interval improvement in lung aerstion. No reticular opacities are seen. No definite signs of CHF, pleural effusion, or pneumothorax. Heart and mediastinal contours appear normal. Interval removal of the bronchoscope. Bony structures are intact. Impression: Significant improvement in pulmonary aeration with no perihilar markings seen. | ['Change name of device', 'Add typo', 'False negation'] |
| 8f21f008-08a83591-c104c6ca-3bc4abf9-5a9a7ccb, 8f587ae6-79663504-c7d6018f-27854479-a30cb057 | 57933100 | 11888614 | Findings: The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. There is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. Impression: No acute cardiopulmonary process. | Findings: The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal lmits. The trachea is midline. There is mild scoliosis of the thoracic spine. Impression: No concise cardiopulmonary process. | ['False negation', 'Add typo', 'False prediction'] |
| 380bd914-1c234083-a59c609d-7ebce49b-0a9b6101, 896369e9-0e4e879b-f8fccc40-e58605c2-c1bfaf48 | 58240183 | 11888614 | Findings: There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary edema has resolved. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. Impression: No acute cardiopulmonary process. | Findings: There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary edema has resolved. The cardiomediastinal silhouette is normal. The imaged lower abdomen is unremarkable. There is a centrally inserted central venous line. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 10313a92-ab9a74d9-00b5cef1-09e6a75f-b95d878d, 971b4bd8-09f04bc5-e43b86b5-dde445a3-5cbfca46 | 58264635 | 11888614 | Findings: Frontal and lateral views of the chest were obtained. Prominence of interstitial markings is similar to prior radiograph particularly that on ___. The cardiac, mediastinal, hilar contours are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Impression: No significant interval change. | Findings: Frontal and lateral views of the chest were obtained. Prominence of interstitial markings is less prominent compared to prior radiograph particularly that on ___. The cardiac, mediastinal, hilar contours are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is mild pulmonary edema. Impression: Mild interval change. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 1e9ce595-bdd1e282-474eb65a-4f0acade-2ed14cac, 29c6ee6f-aeb1d255-de6cfa22-759fbcea-190bc64d | 58444156 | 11888614 | Impression: No acute cardiopulmonary pathology, especially no pneumothorax detected. | Impression: No acute cardiopulmonary pathology, especially no pulmonary edema detected. | ['False negation', 'Add typo', 'False prediction'] |
| 69eca2be-d1ce0c03-915414db-24d5cb14-1a5729b1 | 58813685 | 11888614 | Findings: Single AP portable view of the chest was obtained. Low lung volumes persist. There is mild central pulmonary vascular engorgement. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. | Findings: Single AP portable view of the chest was otbained. Low lung volumes persist. There is moderate central pulmonary vascular engorgement. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. No abnormalities in cardiac and mediastinal silhouettes are seen. | ['Change severity', 'Add typo', 'False negation'] |
| b200342e-9a78a04c-db63c0f7-725a09b8-0a4f31d5 | 59174426 | 11888614 | Impression: In comparison with the study of ___, the patient has taken a better inspiration. The cardiac silhouette is within upper limits of normal or mildly enlarged with continued substantial pulmonary edema. Although there is no definite focal area of consolidation, superimposed pneumonia would be difficult to unequivocally exclude, in view of the pulmonary changes as well as the absence of a lateral projection. | Impression: In comparison with the study of ___, the patient has taken a better inspiration. The cardiac silhouette is within upper limits of normal or mildly enlarged with continued substantial pulmonary edema. Although there is no definite focal area of consolidation, superimposed pneumonia would be difficult to unequivocally exclude, in view of the pulmonary changes. No pulmonary changes are noted. | ['Change location', 'Add contradiction', 'False negation'] |
| 11dec88e-878b57f1-343fb940-c74959b5-0320dab9, 16ba2ebd-2cf0b27a-05a2c9ef-d72cf558-6c0b0bb2 | 52548540 | 11890444 | Findings: Heart size is normal. The aorta is mildly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear. Small bilateral pleural effusions are new in the interval. No focal consolidation is present. There is no pneumothorax. No acute osseous abnormality is visualized. Impression: New small bilateral pleural effusions. No radiographic evidence for pneumonia. | Findings: Heart size is normal. The aorta is mildly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not endorse. Lungs are clear. Small bilateral pleural effusions are new in the interval. There is a small right-sided hydropneumothorax. There is no pneumothorax. No acute osseous abnormality is visualized. Impression: New small bilateral pleural effusions and small right-sided hydropneumothorax. No radiographic evidence for pneumonia. | ['Change location', 'Change to homophone', 'False prediction'] |
| a801e9d6-a80c7ee3-f0074930-698b1ee0-eca02fef, edf1e5ad-e7249deb-2d881608-aa2878c8-e22288bd | 53685497 | 11890444 | Findings: Heart size is normal. The aorta is unfolded. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities detected. Impression: No acute cardiopulmonary abnormality. | Findings: Heart size is normal. The aorta appears normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities detected. Impression: New mild cardiomegaly is seen. | ['Add contradiction', 'Add repetitions', 'False negation'] |
| 3409fbb3-3f6323e9-0d72911c-0f62ad8d-ec55cdcb, 975bd9a6-00f17467-7782efe6-857c386d-9d3494b6 | 59741167 | 11891514 | Findings: Lung volumes are low. This accentuates the size of the cardiac silhouette which is borderline enlarged with a left ventricular predominance. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy opacities in the lung bases likely reflect atelectasis. No pleural effusion, pneumothorax, or focal consolidation is present. Moderate multilevel degenerative changes with anterior osteophytic spurring are demonstrated in the thoracic spine. Impression: Low lung volumes with patchy bibasilar airspace opacities, likely atelectasis. | Findings: Lung volumes are low. This accentuates the size of the cardiac silhouette which is moderately enlarged with a left ventricular predominance. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures with mild pulmonary edema. Patchy opacities in the lung bases likely reflect atelectasis. No pleural effusion, pneumothorax, or focal consolidation is present. Moderate multilevel degenerative changes with anterior osteophytic spurring are demonstrated in the thoracic spine. A right-sided central venous catheter is present. Impression: Low lung volumes with patchy bibasilar airspace opacities, moderate pulmonary edema likely atelectasis. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 406fe27f-63d23a7d-33fa6a30-181e80d4-a1f38ff4, 5c43dc33-0a06529a-827bf40b-85849e83-977ad483 | 56893815 | 11917288 | Findings: The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change. Impression: No evidence of acute disease. | Findings: The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a small pleural effusion. The lungs appear clear. Bony structures show multiple fractures. There has been no significant change. Impression: No evidence of acute disease. Moderate pulmonary congestion present. | ['Change severity', 'Add contradiction', 'False prediction'] |
| 26ee6ee4-e5bb799b-aa5f201b-b27779ab-636db2a4 | 51087989 | 11921090 | Findings: Lung volumes are low. There is a mild interstitial pulmonary edema and mild cardiomegaly. Mediastinal wires appear intact numerous surgical clips project over the mediastinum. The aortic arch is calcified. There is no large pleural effusion or pneumothorax. Impression: Mild cardiomegaly and interstitial pulmonary edema. | Findings: Lung volumes are low. There is a moderate interstitial pulmonary edema and mild cardiomegaly. Mediastinal wires appear intact numerous surgical clips project over the mediastinum. The aortic arch is calcified. There is no large pleural effusion or pneumothorax. Impression: Severe cardiomegaly and interstitial pulmonary edema. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 5448e34a-3c48a8c9-74c33e5b-2f85b885-6f094061 | 56456745 | 11921090 | Impression: In comparison with the earlier study of this date, there is suggestion of some increasing opacification at the left base that could represent atelectasis or, in the appropriate clinical setting, a developing consolidation. Otherwise little change. | Impression: In comparison with the earlier study of this date, there is suggestion of some increasing opacification at the right base that could represent atelectasis or, in the appropriate clinical setting, a developing consolidation. Otherwise litttle change. An NG tube is present, with its tip at the stomach. | ['Change location', 'Add typo', 'Add medical device'] |
| 25651b13-d572c28c-5e501292-b096b253-6d6fb63a, 547bf6d9-5959e8be-65d31255-e8e031b4-5a9af9e0 | 50794292 | 11925631 | Findings: PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. 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 provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the left hemidiaphragm. Bony structures are intact. Impression: No acute findings in the chest. | ['Change location', 'Add repetitions', 'False negation'] |
| 4b17550c-25e0500e-c7f5e522-75da40cb-c6e5c492 | 51003988 | 11925631 | Findings: Improved aeration of the left lower lobe since ___ with residual bibasilar opacities likely atelectasis. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. Impression: Improving left lower lobe aeration with residual bibasilar atelectasis. Dr. ___ paged at 11:00 on ___ by Dr. ___ ___ request | Findings: Improved aeration of the left upper lobe since ___ with residual bibasilar opacities likely atelectasis. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. No pleural effusion or pneumothorax. Impression: Improving left lower lobe aeration with residual bibasilar atelectasis. Dr. ___ paged at 11:00 on ___ by Dr. ___ ___ request. There is a central venous line present. | ['Change location', 'Add repetitions', 'Add medical device'] |
| b6d962de-3c13f291-b994fcea-8f43cab1-4d7bd9e9 | 51368660 | 11925631 | Impression: No evidence of pneumonia. | Impression: No evidence of pneumonia. There appear to be bilateral infiltrates suggestive of pneumonia. | ['Add contradiction', 'Add repetitions', 'False prediction'] |
| 82c0e7ef-5760c746-e27a81ec-73b19b26-475e8d54 | 51690906 | 11925631 | Findings: Upright portable view of the chest demonstrates low lung volumes, which accentuates bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Evidence of free is is seen under the right hemidiaphragm, which may relate to patient's reported recent cholecystectomy. Impression: Evidence of free air under the right hemidiaphragm, may relate to patient's reported cholecystectomy earlier today. | Findings: Upright portable view of the chest demonstrates low lung volumes, which accentuates bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Evidence of free air is seen under the left hemidiaphragm, which may relate to patient's reported recent cholecystectomy. Additionally, a central venous line is noted in the superior vena cava. Impression: Evidence of free air under the right hemidiaphragm, may relate to patient's reported cholecystectomy earlier to day. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 00d187bc-46b2dcc4-dcc3029d-57dedba3-c026f807, 1041a192-952e9875-16fa1c6c-45c39917-f19e5dc2 | 52715722 | 11925631 | Findings: PA and lateral views of the chest were obtained. There is an area of linear opacity representing plate-like atelectasis of the left lower lung. There is no focal consolidation, pleural effusion, or significant pulmonary edema. The cardiomediastinal silhouette is unremarkable. Impression: No acute cardiopulmonary disease. | Findings: PA and lateral views of the chest were obtained. There is no linear opacity seen. There is no focal consolidation, pleural effusion, or significant pulmonary edema. The PICC line terminates near the right atrium. Impression: Mild pulmonary edema and small bilateral pleural effusions. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 01b2e505-9d2a75bc-da0a86a7-cb2a2c42-9582f62b, 3b197005-484344a8-d685b5df-3c59c632-aa22411e | 53086987 | 11925631 | Findings: Compared with the most recent prior radiograph, there are new bibasilar opacities which could represent atelectasis, aspiration or consolidation. There are low lung volumes, which accentuates the cardiomediastinal silhouette. There is blunting of the left costophrenic angle which may be related to small pleural effusion. No pneumothorax is present. A dense round opacity in the left upper abdomen could be barium if the patient had a previous barium swallow; however, none is documented our system. A drain is seen in the left upper abdomen. Impression: New bibasilar opacities could be atelectasis, aspiration or pneumonia. Findings discussed with Dr. ___ by Dr. ___ at 11:26 a.m. on ___, 5 minutes after discovery. | Findings: Compared with the most recent prior radiograph, there are new bibasilar opacities which could represent atelectasis, aspiration or consolidation. There are low lung volumes, which accentuates the cardiomediastinal silhouette. There is blunting of the right costophrenic angle which may be related to small pleural effusion. No pneumothorax is present. A dense round opacity in the left upper abdomen could be barium if the patient had a previous barium swallow; however, none is documented in our system. A pacemaker is seen in the chest. Impression: New bibasilar opacities could be atelectasis, aspiration or pneumonia. The lungs appear clear without any signs of atelectasis, aspiration or pneumonia. Findings discussed with Dr. ___ by Dr. ___ at 11:26 a.m. on ___, 5 minutes after discovery. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 9dbd6a42-6f6b8a99-892e0d7d-b0765810-57292428 | 54487320 | 11925631 | Impression: AP chest compared to ___: There has been little change since ___ except for decrease in previous small right pleural effusion. Substantial atelectasis persists at the base of the right lung and the left lower lobe is still completely consolidated or collapsed. Upper lungs are grossly clear. The extent of gaseous distention of the intestinal tract as seen in the upper abdomen has improved. No pneumothorax. Mild-to-moderate cardiomegaly, improved. | Impression: AP chest compared to ___: There has been little change since ___ except for decrease in previous small left pleural effusion. Substantial atelectasis persists at the base of the right lung and the left lower lobe is stil completely consolidated or collapsed. Upper lungs are grossly clear. No consolidation or collapse is identified. No pneumothorax. Mild-to-moderate cardiomegaly, imrpoved. | ['Change location', 'Add typo', 'False negation'] |
| 3e807ef1-89671fba-a42567b3-a1ceb0db-0c056a50, 7036152d-aa6efb97-c67ab87a-cf180d3c-c9a2dfd1 | 56871970 | 11925631 | 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 free air is seen beneath the diaphragms. Right upper quadrant surgical clips are noted. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without edivence of focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal. No evidence of free air is seen beneath the diaphragms. Left upper quadrant surgical clips are noted. Impression: No acute cardiopulmonary process. | ['Change location', 'Add typo', 'False negation'] |
| 3dd4e4e5-e6793772-9ea89ee4-5984f91b-04184847, f075ce73-c9417eb6-96794bef-5c430ca4-d3026797 | 58651437 | 11925631 | Findings: Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. There is mild left base atelectasis. There is slight increase in the interstitial markings bilaterally, which may relate to low lung volumes and minimal interstitial edema; however, an atypical infectious process cannot be excluded. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. | Findings: Frontal and lateral views of the chest were obtained. There are relatively lo lung volumes. No left base atelectasis. There is moderate increase in the interstitial markings bilaterally, which may relate to low lung volumes and minimal interstitial edema; however, an atypical infectious process cannot be excluded. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stabel and unremarkable. | ['Change severity', 'Add typo', 'False negation'] |
| 44f46b9b-c9fa5d0e-60b6b805-910142d9-93721971, 7c2f91e9-a7031c70-2a73d302-0080f356-544ae51c | 59403702 | 11925631 | Impression: In comparison with the study of ___ the right heart border is not as sharply seen. However, there is no evidence of a opacification overlying the cardiac silhouette on the lateral view, and therefore no evidence of acute focal pneumonia. No cardiomegaly or vascular congestion or pleural effusion. | Impression: In comparison with the study of ___ the left heart border is not as sharply seen. However, there is evidence of an opacification overlying the cardiac silhouette on the lateral view, and therefore no evidence of acute focal pneumonia. No cardiomegaly or vascular congestion or pleural effusion. A pacemaker is noted in the left chest region. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 84886842-304fe1cd-e55f7a58-185a5fe3-96e3a8eb, 908b9934-054b6fbb-1a8eddea-5b722b43-2f83d2fb | 59932213 | 11925631 | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Impression: No acute cardiopulmonary process. | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seeen. The cardiac and mediastinal silhouettes are unremarkable. Impression: No acute cardiopulmonary process. A central venous line is present. | ['Add medical device', 'Add typo', 'False prediction'] |
| 01064b50-d0d421d9-6fad1834-798ed6d8-d2ef01ac | 51819903 | 11932181 | Findings: As compared to the previous radiograph, the patient has undergone left upper lobectomy. The patient now displays typical signs of right upper lobe atelectasis with consolidation of the right upper lobe and deviation of the trachea to the right. The left chest tube is in correct position. There is no postoperative pneumothorax. The postoperative rib defect is seen on the left. Normal size of the cardiac silhouette. No pleural effusions. Mild overinflation of the stomach. | Findings: As compared to the previous radiograph, the patient has undergone left upper lobectomy. The patient now displays typical signs of right upper lobe atelectasis with consolidation of the right upper lobe and deviation of the trachea to the right. The left chest tube is in correct position. No postoperative pneumothorax. No postoperative rib defect. Normal size of the cardiac silhouette. No pleural effusions. Moderate overinflation of the stomach. | ['Change severity', 'Change to homophone', 'False negation'] |
| 6fafcd8d-67ac12fa-a3ce56a6-3557b61f-1fa1d58a, d593896e-25d268b0-0a8ededc-4a4c401c-c72b8357 | 52153858 | 11932181 | Findings: Frontal and lateral views of the chest were obtained. The patient is status post left upper lobectomy with significant volume loss again seen on the left with suggestion of interval increase in volume loss as compared to the prior study. No definite pleural effusion is seen. In the visualized left lower lung field, there is a patchy opacity likely present on the prior study and most likely relates to underlying volume loss, although a superimposed infection is not entirely excluded. The right lung is clear. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable. Surgical clips in the upper quadrant are from presumed prior cholecystectomy. Impression: Status post left upper lobectomy with left-sided volume loss which is increased as compared to the prior study. | Findings: Frontal and lateral views of the chest were obtained. The patient is status post left upper lobectomy with significant volume loss again seen on the left with suggestion of interval increase in volume loss as compared to the prior study. No definite pleural effusion is seen. In the visualized left lower lung field, there is no opacity. The right lung is clear. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable. Surgical sutures in the upper quadrant are from presumed prior cholecystectomy. Impression: Status post left upper lobectomy with left-sided volume loss which is increased as compared to the prior study. There is no pleural effusion or pneumothorax. | ['Change name of device', 'Add repetitions', 'False negation'] |
| 274d8805-bc393e4a-269a1f8a-ee42d1ae-e8959ff7, b89928d1-52232630-816e0948-e20d92e5-b0d906ab | 52901971 | 11932181 | Findings: Frontal and lateral chest radiographs demonstrate a left chest tube, unchanged in position. There is persistent right upper lobe atelectasis with collapse of the right upper lobe and rightward tracheal deviation. The lungs are clear without focal consolidation or pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. Impression: Persistent right upper lobe collapse. | Findings: Frontal and lateral chest radiographs demonstrate a left chest tube, terminating in the mid thorax. There is persistent right upper lobe atelectasis with collapse of the right upper lobe and rightward tracheal deviation. No atelectasis. The lungs are clear without focal consolidation or pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. Impression: Persistent right upper lobe collapse. No atelectasis. | ['Change position of device', 'Add repetitions', 'False negation'] |
| 91310c64-f689bd9a-53a0bb24-83baba02-d33e0c78, a6bfecfe-281e20c1-3d9a3002-ebed7792-aa0c7f47 | 53058995 | 11932181 | Findings: PA and lateral radiographs were acquired of the chest. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Bilateral degenerative changes of the acromioclavicular joints are noted. Impression: No acute cardiac or pulmonary process. | Findings: PA and lateral radiographs were acquired of the chest. The lungs r clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Bilateral degenerative changes of the costovertebral joints are noted. An ET tube is present. Impression: No acute cardiac or pulmonary process. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 2bcf27dd-d6846a19-17a50f81-e265b7ff-00892752, 6e7d1634-c7ec6214-ab2d08c7-5f964d50-7fcebc90 | 53371051 | 11932181 | Findings: Frontal and lateral views of the chest. There is volume loss in the left hemithorax with elevation of left hemidiaphragm and of the left hilum. Findings are compatible with left upper lobectomy. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Deformity of the posterior left sixth rib is again seen. Impression: Postoperative changes of left upper lobectomy. No superimposed acute cardiopulmonary process. | Findings: Frontal and lateral views of the chest. There is volume loss in the left hemithorax with elevation of right hemidiaphragm and of the left hilum. Findings are compatible with left upper lobectomy. The lungs are hear. The cardiomediastinal silhouette is within normal limits. Deformity of the posterior left sixth rib is again seen. An NG tube is present. Impression: Postoperative changes of left upper lobectomy. No superimposed acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 3938b32d-934d824e-3e75f809-d61dd89f-ad22b1a3, 57eb3bc1-e545c54d-119c0054-14d0f8cd-7d46d994 | 53880874 | 11932181 | Findings: The cardiomediastinal silhouettes are stable and within normal limits. The hila are within normal limits. There is volume loss of the left upper lung. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Deformity of the left posterior sixth rib is again noted. Impression: No acute cardiopulmonary process. | Findings: The cardiomediastinal silhouettes are stable and within normal limits. The hila are within normal limits. There is volume loss of the right upper lung. The lungs are clear without focal consolidation. Mild interstitial markings are noted bilaterally. There is no pneumothorax or pleural effusion. Deformity of the left posterior sixth rib is again noted. There is volume loss of the left upper lung. Impression: No acute cardiopulmonary process. | ['Change location', 'Add repetitions', 'False prediction'] |
| 533e10b2-a8dcfde7-b7e21125-3adb9a2b-ddfde194, 9e73fe4b-87d3e7cf-7daf5e9a-5ec42b51-6f1d44eb | 54197091 | 11932181 | Impression: AP chest compared to ___: There is still considerable volume loss in the postoperative left hemithorax, with no pneumothorax or appreciable pleural effusion. Right lung is clear. Heart is normal size. Extent of left suprahilar atelectasis and elevation of the left hemidiaphragm unchanged. | Impression: AP chest compared to ___: There is still considerable volume loss in the postoperative right hemithorax, with no pneumothorax or appreciable pleural effusion. Right lnug is clear. Heart is normal size. There is an NG tube in the stomach. Extent of left suprahilar atelectasis and elevation of the left hemidiaphragm unchanged. | ['Change location', 'Add typo', 'Add medical device'] |
| 4e25f2e7-4ab07975-e5a9f14c-acc20f75-9fa89750 | 54296756 | 11932181 | Findings: Compared to the study from earlier the same day, there is no significant interval change. | Findings: Compared to the study from earlier the same day, there is no significant interval change. Compared to the study from earlier the same day, there is no significant interval change. A central venous line is present. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 01426485-8678cd3e-09df30bc-44f2929a-dcae524c, 2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908 | 54496719 | 11932181 | Findings: Frontal and lateral chest radiographs demonstrate a left chest tube in unchanged position and normal cardiomediastinal silhouette. There has been interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. There is no focal consolidation or pleural effusion. There is a small left apical pneumothorax. This pneumothorax is more obvious on today's exam and may be minimally bigger, but was likely present on prior radiograph. Impression: 1. Small left apical pneumothorax. 2. Interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. These findings were communicated via telephone by Dr. ___ to Dr. ___ at ___ on ___, ___ min after discovery. | Findings: Frontal and lateral chest radiographs demonstrate a right chest tube in unchanged position and normal cardiomediastinal silhouette. There has been interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. There is no focal consolidation or pleural effusion. There is a small left apical pneumothorax. This pneumothorax is more obvious on today's exam and may be minimally bigger, but was likely present on prior radiograph. There is a large mass lesion in the left lower lobe. Impression: 1. Small left apical pneumothorax. 2. Interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. These findings were communicated via telephone by Dr. ___ to Dr. ___ at ___ on ___, ___ min after discovery. There is a small left apical pneumothorax. | ['Change location', 'Add repetitions', 'False prediction'] |
| 9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11 | 55109095 | 11932181 | Findings: There is a new left-sided chest tube with interval decrease in the left pleural effusion. On this upright film, the chest tube tip is located high in the thorax, much higher than the majority of the fluid. Post-surgical lobectomy changes are again visualized. There has been interval decrease in the left pneumothorax. The right lung is clear. | Findings: There is a new left-sided catheter with interval decrease in the left pleural effusion. On this upright film, the chest tube tip is located high in the thorax, much higher than the majority of the fliud. Post-surgical lobectomy changes are again visualized. No left pneumothorax. The rigth lung is clear. | ['Change name of device', 'Add typo', 'False negation'] |
| 8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90, c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f | 55112740 | 11932181 | Findings: Frontal and lateral chest radiograph again demonstrate a normal cardiomediastinal silhouette and a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure. The left apical pneumothorax is likely unchanged. Minimal increase may be secondary to changes in patient position. There is no right pneumothorax. Again seen are bilateral pleural effusions, the right effusion similar to slightly decreased and the left effusion increased. There is no focal consolidation. Impression: 1. Likely unchanged small left apical pneumothorax. 2. Increased left pleural effusion. Unchanged to slightly decreased right pleural effusion. 3. Redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure. | Findings: Frontal and lateral chest radiograph again demonstrate a normal cardiomediastinal silhouette and a re-expanded left upper lobe with slight improvement of residual atelectasis adjacent to the fissure. The left apical pneumothorax is likely unchanged. Minimal increase may be secondary to changes in patient position. There is no right pneumothorax. Again seen are bilateral pleural effusions, the right effusion similar to slightly decreased and the left effusion increased. There is no focal consolidation. There is moderate cardiomegaly. Impression: 1. Likely unchanged small left apical pneumothorax. 2. Increased left pleural effusion. Unchanged to slightly decreased right pleural effusion. 3. Redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure. | ['Change location', 'Add repetitions', 'False prediction'] |
| e5058ddc-12914e19-41492f3b-9016f745-4333ebfe | 55349973 | 11932181 | Findings: AP portable single view of the chest shows stable left lung base opacity due to moderate pleural effusion and left lower lobe atelectasis. Left pleural drain is unchanged. Right lung is clear. The cardiomediastinal silhouette is normal. There is a small left apical pneumothorax. | Findings: AP portable single view of the chest shows stable left lung base opacity due to moderate pleural effusion and left lower lobe atelectasis. Left pleural drain terminates in the mid thoracic cavity. Right lung reveals diffuse haziness. The cardiomediastinal silhouette is normal. There is a complete left apical pneumothorax. | ['Change position of device', 'Add contradiction', 'False prediction'] |
| d82e22a0-b3ce3eec-22bf56ae-9a1fca51-556da100 | 55392606 | 11932181 | Findings: Left chest tube is again seen. There is moderate left effusion is slightly larger than on the study from the prior day. There is pulmonary vascular redistribution and mild cardiomegaly compatible with fluid overload. | Findings: Left chest tube is seen terminating in the lower thoracic cavity. There is no effusion present. There is pulmonary vascular redistribution and mild cardiomegaly compatible with flew'd overload. | ['Change position of device', 'Change to homophone', 'False negation'] |
| 7875fcba-da8aa12e-d091f393-527e729b-65c7d344, 8894a073-a8fc7130-d4c16a1a-200a8663-2f3577f8 | 55708104 | 11932181 | Findings: Portable semi-upright radiograph of the chest demonstrates well-expanded, clear lungs. There is a curvilinear structure in the upper left hemithorax which may represent the pleural surface, but vessels are seen extending superior to this line, making pneumothorax unlikely. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion. Again seen is a nodular opacity in the left upper lung, consistent with area of biopsy today. Impression: Left apical curvilinear structure may represent pleural surface, but vessels are seen coursing superior to this structure, making pneumothorax unlikely. | Findings: Portable semi-upright radiograph of the chest demonstrates well-expanded, clear lobes in the upper right lung. There is a curvilinear structure in the upper left hemithorax which may represent the pleural surface, but vessels are seen extending superior to this line, making pneumothorax unlikely. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion. Again seen is a nodular opacity in the left upper lung, consistent with area of biopsy today. Impression: Left apical curvilinear structure may represent pleural surface, but there are nodular dense opacities making pneumothorax likely. In addition, there is a central venous line in position. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 9244882d-c90352d9-806e731d-e028242b-a619a04c, eab0888d-6b3b2814-4f0e59da-6f0c9408-d4cab1b0 | 55935470 | 11932181 | Findings: PA and lateral images of the chest shows stable left lung asymmetry due to left upper lobectomy, the left lung base opacity is minimally improved since ___ due to increased lung ventilation. There is no pneumothorax. Cardiomediastinal silhouette is normal. The posterior left chest wall osteotomy is due to thoracotomy. Impression: Stable left lung asymmetry in a patient who has had left upper lobectomy and thoracotomy. Improvement of left lung base opacity with improved lung ventilation. | Findings: PA and medial images of the chest shows stable left lung asymmetry due to left upper lobectomy, the left lung base opacity is minimally improved since ___ due to increased lung ventilation. Their is no pneumothorax. Cardiomediastinal silhouette is normal. The posterior right chest wall osteotomy is due to thoracotomy. There is the presence of a central venous line. Impression: Stable right lung asymmetry in a patient who has had left upper lobectomy and thoracotomy. Improvement of left lung base opacity with improved lung ventilation. | ['Change location', 'Change to homophone', 'Add medical device'] |
| 397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0 | 56531569 | 11932181 | Impression: Very small left apical and lateral pneumothorax unchanged since earlier in the day following removal of the left pleural drain. Very small left pleural effusion has begun to reaccumulate. The right hemithorax segmental atelectasis adjacent to the minor fissure is stable. Right lung otherwise clear. No right pneumothorax. Tiny right pleural effusion is collected posteriorly. Heart size normal. Mediastinal contour is unremarkable. | Impression: Very small left apical and lateral pneumothorax unchanged since earlier in the day following removal of the left pleural catheter. Very small left pleural effusion has begun to reaccumulate. The right hemithorax segmental atelectasis adjacent to the minor fissure is stable. Right lung otherwise clear. No right pneumothorax. Tiny right pleural effusion is collected posteriorly. Heart size normal. Mediastinal contour is unremarkable. Left-sided central venous line is noted with its tip in the right atrium. Very small left pleural effusion has begun to reaccumulate. | ['Change name of device', 'Add repetitions', 'Add medical device'] |
| 83422dab-e3015272-fbf3df24-eb9e1d65-1da5c1dc, 9b4edb71-42dc3068-0b5afbd8-6d1b2b45-34e992a3 | 59234160 | 11932181 | Findings: Frontal and lateral views of the chest were obtained. Increased left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis. Small left pneumothorax persists. Prominence of the left hilum may relate to left-sided pleural fluid; however, underlying lymphadenopathy or consolidation is not excluded. Left aspect of the cardiac silhouette is not well assessed due to the left basilar consolidation; however, the remainder of the cardiac and mediastinal silhouettes are grossly stable. Impression: Left hydropneumothorax. Significant interval increase in left basilar opacity, likely left pleural effusion with overlying atelectasis, underlying consolidation not excluded. Left perihilar opacity may relate to the above findings. However, underlying lymphadenopathy or additional consolidation is not excluded. Air-fluid level seen in the left upper hemithorax, which appears longer in the frontal view than on the lateral view can be seen in bronchopleural fistula. | Findings: Frontal and lateral views of the chest were obtained. Mild left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis. No left pneumothorax persists. Prominence of the left hilum may relate to left-sided pleural fluid; however, underlying lymphadenopathy or consolidation is not excluded. Left aspect of the cardiac silhouette is not well assessed due to the left basilar consolidation; however, the remainder of the cardiac and mediastinal silhouettes are grossly stable. Impression: Left hydropneumothorax. Significant interval decrease in left basilar opacity, likely left pleural effusion with overlying atelectasis, underlying consolidation not excluded. No left perihilar opacity may relate to the above findings. However, underlying lymphadenopathy or additional consolidation is not excluded. Air-fluid level seen in the left upper hemithorax, which appears longer in the frontal view than on the lateral view can be seen in bronchopleural fistula. | ['Change severity', 'Add contradiction', 'False negation'] |
| 666f0409-83c99213-aec854ff-03da11ef-e191743c, d190c814-1c8598f7-9097eae2-3fa18869-4c3939f0 | 57818787 | 11941487 | Findings: AP and lateral views of the chest. The lungs are clear without focal consolidation, large effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormality is identified. Impression: No acute cardiopulmonary process. | Findings: AP and lateral views of the chest. The lungs are clear without focal consolidation, large effusion, or pulmonary wascular congestion. The cardiomediastinal silhouette is within normal limits for technique. Right-sided pleural effusion is noted. Impression: No acute cardiopulmonary process. | ['Change severity', 'Add typo', 'False prediction'] |
| 1e26851f-86034c0c-3c1b4167-5d391b8b-e57ddc3c, a30106ce-242ee50e-4ce16bef-83e94bda-ce490f7d | 50901945 | 11952678 | Findings: The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs are clear. Small anterior osteophytes are similar along the mid thoracic spine. One finding that is different since ___ is a small ossification interposed between the coracoid process of the left scapula and the nearby clavicle, which may be post-traumatic, but does not appear to represent an acute finding. Impression: No evidence of acute disease. | Findings: The heart is normal in zise. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs are clear except for moderate scattered nodules. Large anterior osteophytes are similar along the mid thoracic spine. One finding that is different since ___ is a small ossification interposed between the coracoid process of the left scapula and the nearby clavicle, which may be post-traumatic, but does not appear to represent an acute finding. Impression: No evidence of acute disease. | ['Change severity', 'Add typo', 'False prediction'] |
| 0c29ea1e-848c7739-b7f4844c-aac23b7c-cd7ec5f4, 41d5a498-07091ca9-2cd74297-047f091c-c2d1cd58 | 52887996 | 11989878 | Impression: Previous marked postoperative widening of the cardiomediastinal silhouette has improved. Moderate left pleural effusion has redistributed, now probably loculated and partially fissural. Moderate bibasilar atelectasis has improved. No pneumothorax or pulmonary edema. Right jugular line ends in the low SVC. | Impression: Previous marked postoperative widening of the cardiomediastinal silhouette has improved. Moderate left pleural effusion has redistributed, now probably loculated and partially fissural. Mild bibasilar atelectasis has improved. No pneumothorax or pulmonary edema. Right jugular lin ends in the low SVC. | ['Change severity', 'Add typo', 'False negation'] |
| 1a210276-bc14011e-b4575d45-690d73e9-5a5f4b36 | 54526426 | 11989878 | Impression: ET tube and midline and pleural drains have been removed. Left lower lobe collapse has worsened accompanied by increasing moderate left pleural effusion. Cardiomediastinal silhouette is slightly wider, including mediastinal vascular engorgement. There is no pneumothorax or pulmonary edema. Moderate right basal atelectasis is unchanged. Right jugular line ends in the low SVC. | Impression: ET tube and midline and pleural drains have been removed. There is streaky opacity in the right lung apex. Left lower lobe collapse has worsened accompanied by increasing moderate left pleural effusion. Cardiomediastinal silhouette is slightly wider, including mediastinal vascular engorgement. There is no pneumothorax or pulmonary edema. Moderate right basal atelectasis is unchanged. Right jugular line ends in the mid SVC. Moderate right basal atelectasis is unchanged. | ['Change position of device', 'Add repetitions', 'False prediction'] |
| 6caed164-11e024ad-5d6bb57a-9bf52ee3-2ca67ded, ac093f50-68e5995f-7d538f77-146f8bc4-7f6bd8a2 | 55750309 | 11989878 | Findings: Mild bibasilar atelectasis without definite focal consolidation seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen Impression: Mild basilar atelectasis without definite focal consolidation. | Findings: Moderate bibasilar atelectasis without definite focal consolidation scene. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal sillhouettes are stable. No pulmonary edema is seen Impression: No basilar atelectasis. | ['Change severity', 'Change to homophone', 'False negation'] |
| 218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d | 50120531 | 12056668 | Impression: Left basilar thoracostomy tube, with interval decrease of a moderate left effusion. Worsening right basilar atelectasis and right effusion. | Impression: Right basilar thoracostomy tube, with interval decrease of a moderate left effusion. Worsening right basilar atelectasis and right effusion. Left basilar atelectasis. | ['Change location', 'Add contradiction', 'Add medical device'] |
| e63e4411-eb57a2b9-50bb9ef0-8f980310-c7fd6f0f | 50674125 | 12056668 | Findings: In comparison with study of earlier in this date, there has been placement of a right pigtail catheter at the base with some decrease in the degree of pleural effusion. Opacification at the right base is consistent with persistent volume loss in the lower right lung and residual fluid. Large left pleural effusion persists. | Findings: In comparison with study of earlier in this date, there has been placement of a right pigtail catheter at the apex with some decrease in the degree of pleural effusion. Cleaner at the right base is consistent with persistent volume loss in the lower right lung and residual fluid. No pleural effusion noted. | ['Change position of device', 'Change to homophone', 'False negation'] |
| 052e448b-2164ba7d-2a1a5625-94f5bdc2-34f732ab | 52167064 | 12056668 | Findings: Portable chest radiograph demonstrates slightly increased large bilateral pleural effusions. Evaluation of the cardiomediastinal and hilar silhouettes is very limited due to pleural effusions but appears grossly unchanged. No focal opacification concerning for pneumonia identified. Impression: Slight increase in large bilateral pleural effusions. | Findings: Portable chest radiograph demonstrates slightly increased large bilateral pleural effuisons. Evaluation of the cardiomediastinal and hilar silhouettes is very limited due to pleural effusions but appears grossly unchanged. No focal opacification concerning for pneumonia identified. Presence of a central venous lien. Impression: Slight increase in small bilateral pleural effusions. | ['Change severity', 'Add typo', 'Add medical device'] |
| 4861b3fb-a6f7f90a-54624d89-31cc606f-beab81a7 | 53195010 | 12056668 | Findings: In comparison with study of ___, there is again large left pleural effusion and a much smaller right pleural effusion with pigtail catheter in place. Bibasilar compressive atelectasis. In the absence of a lateral view, the possibility of supervening pneumonia, especially at the left base, cannot be excluded. No evidence of vascular congestion. | Findings: In comparison with study of ___, there is again large left pleural effusion and a much smaller right pleural effusion with chest tube in place. Bibasilar compressive atelectasis. The lungs show mild interstitial markings suggesting early fibrosis. In the absence of a lateral view, the possibility of supervening pneumonia, especially at the left base, cannot be excluded. No evidence of vascular congestion. No evidence of vascular congestion. | ['Change name of device', 'Add repetitions', 'False prediction'] |
| 23a5cd3b-6bb29875-b1984d7c-7987bdb4-cff71cef | 54161539 | 12056668 | Findings: As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged bilateral pleural effusions, with a tendency to increase, and resultant areas of atelectasis. The air collection in the bilateral soft tissues is slightly decreased. Unchanged right PICC line. No definite evidence of pneumothorax. | Findings: As compared to the previous radiograph, the monitoring and support devices ore unchanged. Unchanged bilateral pleural effusions, with a tendency to increase, and resultant areas of atelectasis. The air collection in the bilateral soft tissues is slightly decreased. Unchanged right PICC line terminating in the mid SVC. No definite evidence of pneumothorax. A nasogastric tube is seen terminating in the stomach. | ['Change position of device', 'Change to homophone', 'Add medical device'] |
| 3c021d64-a606521a-b5070291-5ec59830-23aad4a7, 3f89e108-89fa407d-26628871-8e8731be-02819429 | 55757032 | 12056668 | Findings: AP and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been no significant interval change in the size of the bilateral pleural effusions. There is no significant pulmonary vascular engorgement. Cardiac silhouette is grossly unchanged but limited due to bibasilar abnormalities. Hypertrophic changes are again seen in the spine. G-tube not clearly identified. No free air identified below the diaphragm. Impression: Moderate bilateral pleural effusions, not significantly changed from prior. No free air below the diaphragm. | Findings: AP and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has not been any significant interval change in the size of the bilateral pleural effusions. Their is no significant pulmonary vascular engorgement. Cardiac silhouette is grossly unchanged but limited due to bibasilar abnormalities. Hypertrophic changes are again scene in the spine. G-tube not clearly terminating in the stomach. No free air identified below the diaphragm. Impression: no pleural effusions. No free air below the diaphragm. | ['Change position of device', 'Change to homophone', 'False negation'] |
| c85fee28-66bb150d-3b065b0a-102fe76b-cbe662b0 | 58168751 | 12056668 | Findings: AP single view of the chest was obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. In the interval, the right-sided pigtail end drainage catheter in the lower pleural space has been removed. Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present. Again, however, a small up to 2 cm wide apical pneumothorax cavity persists. No other new abnormalities. Left-sided pleural effusion persists and is seen to extend in the posterior pleural space as well as identified on a lateral view in sitting position. | Findings: AP single view of the chest was obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. In the interval, the right-sided pigtail end drainage catheter in the lower pleural space has been removed. Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present. Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present. However, a small up to 2 mm wide apical pneumothorax cavity persists. No other new abnormalities. Left-sided pleural effusion persists and is seen to extend in the posterior pleural space as well as identified on a lateral view in sitting position. A central venous line is also present. | ['Change measurement', 'Add repetitions', 'Add medical device'] |
| 0bf4ce04-1a1975cb-30d2e4c3-72803b59-f383d941 | 59247330 | 12056668 | Impression: 1. Endotracheal tube has its tip 5 cm above the carina. Right subclavian PICC line continues to have its tip in the mid SVC. There has been interval appearance of extensive subcutaneous emphysema. There continues to be elevation of the left hemidiaphragm with lucency beneath it likely corresponding to distended bowel. No definite pneumothorax is seen on this supine film, although the sensitivity to detect a pneumothorax is diminished given supine technique. There are likely small layering effusions and bibasilar patchy opacity which may reflect partial lower lobe atelectasis. Followup imaging in the upright or semi-erect position may be helpful to exclude an underlying pneumothorax. No pulmonary edema. | Impression: 1. Endotracheal tube has its tip 4 cm above the carina. Write subclavian PICC line continues to have its tip in the mid SVC. There has been interval appearance of extensive subcutaneous emphysema. No elevation of the hemidiaphragm is seen. No definite pneumothorax is seen on this supine film, although the sensitivity to detect a pneumothorax is diminished given supine technique. There are likely small layering effusions and bibasilar patchy opacity which may reflect partial lower lobe atelectasis. Followup imaging in the upright or semi-erect position may be helpful to exclude an underlying pneumothorax. No pulmonary edema. | ['Change measurement', 'Change to homophone', 'False negation'] |
| 3bf027ad-4ea50807-05aa327c-3b30394d-7aa6759b, d57952c1-89986306-f483eb47-8dc115ff-36d4fb7b | 59819600 | 12056668 | Impression: AP chest compared to ___: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouette are continuing to increase. It could be a pericardial effusion. Moderate pulmonary edema is exaggerated by low lung volumes, but also worsened. No pneumothorax. Right PIC line follows a course consistent with either the right internal mammary vein or upper right atrium. | Impression: AP chest compared to ___: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouette are continuing to increase. It could bee a pericardial effusion. Mild pulmonary edema is exaggerated by low lung volumes, but also worsened. No pneumothorax. Right PIC line follows a course consistent with either the right internal mammary vein or upper right atrium. | ['Change severity', 'Change to homophone', 'False negation'] |
| daa9c2a1-691a861b-e52b5481-7f9bdd7b-7620fca2 | 52313236 | 12085050 | Findings: Overlying trauma board limits assessment. Heart size is normal. Mediastinal and hilar contours are unremarkable. There is minimal calcification of the aortic knob. Pulmonary vascularity is normal and the lungs are grossly clear. No pleural effusion or pneumothorax is seen on this supine exam. Eventration of the right hemidiaphragm is present. Multilevel degenerative changes are noted in the thoracic spine. Marked degenerative changes of both glenohumeral joints are also noted. No acute osseous abnormalities are seen. Impression: No acute cardiopulmonary abnormality. | Findings: Overlying trauma board limits assessment. Heart size is normal. Mediastinal and hilar contours are unremarkable. There is minimal calcification of the aortic knob. Pulmonary vascularity is normal and the lungs are grossly clear. There is no pleural effusion, but a left-sided pneumothorax is noted on this supine exam. Eventration of the left hemidiaphragm is present. Multilevel degenerative changes are noted in the cervical spine. Marked degenerative changes of both glenohumeral joints are also noted. No acute fleshy abnormalities are seen. Impression: Bilateral lower lung atelectasis. | ['Change location', 'Change to homophone', 'False prediction'] |
| 54e21088-65a35336-172f8890-a611790f-e6557f83, 6df82632-348a13df-d696e9ad-1f33b79e-86525aab | 59125943 | 12183320 | Findings: PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. Impression: No acute intrathoracic process. | Findings: PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is abnormal. Bony structures are not intact. There is no free air below the right hemidiaphragm. Impression: No acute intrathoracic process. The left cardiomediastinal silhouette is normal. There is free air below the left hemidiaphragm. | ['Change location', 'Add contradiction', 'False negation'] |
| 4f22a5c8-9c123a46-7ddaa379-f478d129-ebfe7617 | 51336149 | 12184969 | Findings: In comparison with study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. As on the previous study, there is mild hyperexpansion of the lungs, raising the possibility of some underlying chronic pulmonary disease. | Findings: In comparison with study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. As on the previous study, there is moderate hyperexpansion of the lungs, raising the possibility of some underlying chronic pulmonary disease. There is slight vascular congestion indicated. | ['Change severity', 'Add contradiction', 'False negation'] |
| bab86a42-05db59f4-454c02e1-0bbe3f31-9cdc1707, dbaeebd4-8edab08d-1bac4c08-b70ae703-e338d747 | 57098023 | 12184969 | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No 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. No pulmonary edema is seen. The lungs are clear without focal consolidation. Impression: No acute cardiopulmonary process. Mild pulmonary edema is seen. | ['Add repetitions', 'Add contradiction', 'False prediction'] |
| 5f911953-51eaaa8a-320221e3-a2cf095f-044ba357, b60f7b52-7c9856fa-65e8bf8a-92264fda-4be20437 | 54260087 | 12186603 | Findings: AP and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Impression: No acute cardiopulmonary process. | Findings: AP and lateral views of the abdomen. The lungs are cleer. Cardiomediastinal silhouette is within normal limits. Pacemaker is visible within the chest. No acute osseous abnormality detected. Impression: No acute cardiopulmonary process. | ['Change location', 'Add typo', 'Add medical device'] |
| 2183d638-8f431548-7221c970-340325e1-fae35262 | 55600141 | 12216053 | Findings: As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly without overt pulmonary edema. No pleural effusions, no interstitial abnormalities, in particular non-suggestive of chronic fluid overload. The hilar and mediastinal structures are unremarkable. No evidence of pneumonia. | Findings: As compared to the previous radiograph, there is no relative change. Mild cardiomegaly without overt pulmonary edema. No pleural effusions, no interstitial abnormalities, in particular non-suggestive of chronic fluid overload. A small left-sided pneumothorax is noted. The hilar and mediastinal structures are unremarkable. No evidence of masses. | ['Change severity', 'Change to homophone', 'False prediction'] |
| 7abed310-5c7341f5-b74d2b26-7880d896-1cd5cff0, a07cee97-c744e578-dad89348-abe3886b-efe599ee | 51337781 | 12273883 | Findings: Subtle opacity is seen projecting over the lateral right mid lung which may be due to overlap of structures, but underlying pulmonary opacity is not excluded. The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. Minimal left base atelectasis is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No displaced rib fracture is definitively identified. However, if clinical concern persists, dedicated rib series or chest CT is more sensitive. Impression: Subtle opacity projecting over the lateral right mid lung may be due to overlap of structures, but underlying pulmonary opacity or even rib fracture is not excluded. Findings could be further assessed with shallow oblique radiographs or chest CT. No displaced rib fracture definitively identified. However, if clinical concern persists, dedicated rib series or chest CT is more sensitive. | Findings: Subtle opacity is seen projecting over the lateral right mid lung which may be due to overlap of structures, but underlying pulmonary opacity is not excluded. The lungs are moderately hyperinflated, suggesting chronic obstructive pulmonary disease. Minimal left base atelectasis is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable, with a pacemaker in place. No displaced rib fracture is definitively identified. However, if clinical concern persists, dedicated rib series or chest CT is more sensitive. However, if clinical concern persists, dedicated rib series or chest CT is more sensitive. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| e4527afd-9522899b-f0226c68-901dccb8-e2d4eff4 | 53211019 | 12326452 | Findings: Compared to most recent prior exam, mild pulmonary edema has improved. Lung volumes are improved with minimal bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is detected. There has been interval extubation. Right internal jugular catheter is in similar position with tip projecting at the level of the cavoatrial junction. Impression: Interval extubation and improved interstitial edema. | Findings: Compared to mnot recent prior exam, moderate pulmonary edema has improved. Lung volumes are improved with minimal bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is detected. There has been interval extubation. No right internal jugular catheter is seen. Impression: Interval extubation and improved interstitial edema. | ['Change severity', 'Add typo', 'False negation'] |
| 162fc277-cbb73b5c-ce81e596-2975a3c2-428c8a21, 53286e62-dc9dc056-5c468ac4-8d4b9a0d-747d77cd | 50866812 | 12329950 | Findings: AP and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. There is no bony abnormality. Impression: No acute cardiopulmonary process. | Findings: AP and medial views of the chest were obtained. Their is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. There is no bony abnormality. Impression: No acute cardiopulmonary process. | ['Change location', 'Change to homophone', 'False negation'] |
| 371535d2-66f5cbc5-b9d8abfd-fadeca21-81b0e4a8 | 53383140 | 12329950 | Findings: In comparison with the study of ___, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. | Findings: In comparison with the study of ___, there is no interval change or evidence of acute cardiopulmonary disease. The patient has an NG tube in place. No pneumonia, vascular congeston, or pleural effusion. In comparison with the study of ___, there is no interval change or evidence of acute cardiopulmonary disease. | ['Add repetitions', 'Add typo', 'Add medical device'] |
| 6cc81092-d60dc980-f5c8dd41-cc44c43d-09b45cbf | 57495790 | 12329950 | Findings: Single portable view of the chest. Lower lung volumes seen on the current exam. Patchy region of opacity identified at the left lung base. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. Partially visualized apparently chronic deformity of the proximal right humerus is also seen. Impression: Left basilar opacity could be due to atelectasis, although infection cannot be entirely excluded and please correlate clinically. Otherwise, no acute cardiopulmonary process. If desired, PA and lateral could be obtained to further characterize. | Findings: Single portable view of the chest. Lower lung volumes seen on the current exam. No opacity identified. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Tortuosity of the ascending thoracic aorta is noted. Partially visualized apparently chronic deformity of the proximal left humerus is also seen. Impression: There is a clear region in the left basilar area. Otherwise, no acute cardiopulmonary process. If desired, PA and lateral could be obtained to further characterize. | ['Change location', 'Add contradiction', 'False negation'] |
| 3ae2087f-a1f7a91f-91aa746d-514ea044-0864768e, 84a7d191-154e6207-cabc5be2-201fd84f-0140db07 | 54341807 | 12365242 | Impression: Respiratory effort, but likely no acute lung process. Minimal left costophrenic sulcus is seen and minimal congestive changes are not excluded. Incidentally noted are multiple distended loops of likely colon. Please correlate clinically. | Impression: Respiratory effort, but likely no acute lung process. Minimal left costophrenic sulcus is seen and moderate congestive changes are not excluded. No distended loops of colon noted. Please correlate clinically. | ['Change severity', 'Add contradiction', 'False negation'] |
| 25118890-fc44b48b-8e3d2980-31cb3356-13527ea4, c58bc070-f7ebbe78-118de371-eb210cc8-fa6d8df7 | 53550262 | 12371823 | Findings: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Height loss of several mid thoracic vertebral bodies is unchanged from prior. Impression: No acute cardiopulmonary process. | Findings: The lungs are cleer. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities idtentified. Height loss of several lower thoracic vertebral bodies is unchanged from prior. Impression: No acute cardiopulmonary process. A pacemaker is present. | ['Change location', 'Add typo', 'Add medical device'] |
| f8e30069-9a0af2ef-8f97a61a-6081a0f9-043dbf76 | 54768912 | 12386201 | Impression: The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pulmonary edema. No pleural effusions. Borderline size of the cardiac silhouette. Elongation of the descending aorta. | Impression: The lung volumes are normal. No devices are present. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pulmonary edema. No pleural effusions. Borderline size of the cardiac silhouette. No abnormalities in the descending aorta. | ['Add medical device', 'Add repetitions', 'False negation'] |
| 03b9e3ff-c40f29c1-615fb8e6-0216fe58-613d5825, 064e926b-28021384-d5cb542c-d54a9c5e-691c53eb | 51553781 | 12388581 | Findings: Patient is rotated to the left. The lungs are clear without focal consolidation, effusion, or pneumothorax. There is likely at least mild cardiomegaly although evaluation is limited due to patient positioning. There is no visualized pneumomediastinum. Right humeral head orthopedic hardware is identified. Impression: Cardiomegaly without definite superimposed acute cardiopulmonary process. | Findings: Patient is rotated to the left. The lungs show patchy consolidation with an area of focal opacity. There is likely at least severe cardiomegaly although evaluation is limited due to patient positioning. There is no visualized pneumomediastinum. Right humeral head orthopedic hardware is identified. Central venous line is present. Impression: Cardiomegaly without definite superimposed acute cardiopulmonary process. No cardiomegaly observed. | ['Change severity', 'Add contradiction', 'Add medical device'] |
| 87d03f53-dd1465e8-d596008b-79e71d28-8211447b, df851e66-1968ad73-dcc1849a-1cabdfab-cedd0bf1 | 53379950 | 12390084 | Findings: The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. There is no pulmonary vascular congestion. There is no focal lung consolidation. There is no pneumothorax or pleural effusion. Impression: No evidence of acute cardiopulmonary process. | Findings: The cardiomediastinal silhouettes are within normal limits. The right hila are unremarkable. There is no pulmonary vascular congestion. There is no focal lung consolidation. There is no pneumothorax or pleural effusion. There is no focal lung consolidation. Impression: No evidence of acute cardiopulmonary process. A left-sided pacemaker is present. | ['Change location', 'Add repetitions', 'Add medical device'] |
| 0031401d-0506c0cc-964f493e-c7e40618-2047871e, 881e3b6a-b2732a0c-70171a86-1151699e-8fceefe0 | 55900756 | 12424405 | Findings: The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Impression: No acute cardiopulmonary process. | Findings: The lungs are well inflated and cclear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no pleural effusion or pneumothorax. A pacemaker is present. Impression: No acute cardiopulmonary process. | ['Add repetitions', 'Add typo', 'Add medical device'] |
| 17fae21b-681fe7f9-de27ec0b-232f4842-b13d94e9, 5ff8860b-fc277b55-da194e4b-22a5190d-6e95a1aa | 57011996 | 12458098 | Impression: No acute cardiopulmonary pathology. | Impression: Now acute cardiopulmonary pathology. There is a central venous line present. | ['Add typo', 'Add repetitions', 'Add medical device'] |
| 16238d89-58968b0f-5673acd0-1ebef29e-4d339d87, c3a1b629-9780bce6-f4039fd1-f3db7c19-55bbcdb7 | 51389473 | 12502618 | Findings: Sternal wires are intact except for the inferior most wire. Heart size is normal. The lungs are clear and there is no pleural effusion or pneumothorax. Aortic valve replacement is noted. Central venous stent is noted. Impression: No acute cardiopulmonary process. | Findings: Sternal wires are intact except for the inferior most wire. Heart size is normal. The lungs are clear and there is no pleural effusion or pneumothorax. Pacemaker leads are noted. Central venous dialyzer is noted. Impression: Mild pulmonary edema. | ['Change name of device', 'Add contradiction', 'Add medical device'] |
| a8b640d1-c3a81570-baa9d963-cdaa8622-dfb59aa2, e965c6fd-c7c9ed8a-313a8d01-e2761616-b0dda288 | 51872919 | 12502618 | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The patient is status post median sternotomy. Vascular stenting appears stable in position. Impression: No acute cardiopulmonary process. No significant interval change. | Findings: The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The patient is status post median sternotomy. Vascular stenting appears stable in position. The patient is status post median sternotomy. Impression: Mild acute cardiopulmonary process. No significant interval change. Minimal right pleural effusion is noted. | ['Change severity', 'Add repetitions', 'False prediction'] |
| 00c5e8ac-78438bb0-ce44b225-9f9b777a-cb4e468e, f77f2651-184cccdb-7914e653-346dbc48-025f042c | 52919818 | 12502618 | Findings: PA and lateral views of the chest provided. Midline sternotomy wires again noted. There is no focal consolidation, effusion, or pneumothorax. The heart remains mildly enlarged. Mediastinal contour is stable. 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 provived. Midline sternotomy wires again noted. There is no focal consolidation, effusion, or pneumothorax. The heart remains mildly enlarged. Mediastinal contour is stable. Imaged osseous structures are intact. No free air below the lef hemidiaphragm is seen. Impression: No acute intrathoracic process. A central venous line is present. | ['Change location', 'Add typo', 'Add medical device'] |
| 4350f64d-aeb8882b-534177fb-fd203cf0-30c10a19, e8097fd2-6a5694a1-70f737f9-5d60b4b4-582fa652 | 53914388 | 12502618 | Findings: As compared to the previous radiograph, there is no relevant change. The alignment of the sternal wires is constant. No change in position. Normal appearance of the lung parenchyma. No pneumothorax. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. | Findings: As compared to the previous radiograph, there is no relevant change. The alignment of the sternal wires is constant. There is increased opacity in the right upper lobe. Normal appearance of the lung parenchyma. No pneumothorax. No pleural effusions. A pacemaker is seen in the left chest. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. | ['Add contradiction', 'Add repetitions', 'Add medical device'] |
| 1d4d38ca-ca23a788-10bb00aa-f4d15995-4fa7389c, cfdff70b-bac19d1e-01b71598-af4a73bc-345ae344 | 55381986 | 12502618 | Findings: The patient is status post aortic valve replacement and left subclavian vein stent placement. There is a fracture through the inferior-most sternotomy wire, which is unchanged since ___. Otherwise, the remaining sternotomy wires are intact and appropriately aligned. There is stable enlargement of the cardiomediastinal silhouette. Lungs are well-expanded and clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Impression: No acute cardiopulmonary abnormality. | Findings: The patient is status post aortic valve replacement and left subclavian vein stent placement. There is a fracture through the inferior-most sternotomy wire, which is unchanged since ___. Otherwise, the remaining sternotomy wires are all displaced. There is stable enlargement of the cardiomediastinal silhouette. No condition affecting the lungs. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Impression: No acute abnormality, but there is notable mild pulmonary congestion. | ['Change position of device', 'Add contradiction', 'False negation'] |
| 2cd5b0dd-527a6616-cb6ad62f-c8ee94df-0b7ffd5b | 52811570 | 12503812 | Findings: The patient appears to be kyphotic in position. There are low lung volumes. Prominence of the central pulmonary vasculature, pulmonary pulmonary arteries may be due to pulmonary arterial hypertension. Left base streaky opacity is more likely due to atelectasis rather than consolidation. No large pleural effusion or pneumothorax is seen. Cardiac silhouette is not well assessed due to patient position, but appears mildly enlarged. | Findings: The patient appears to be kyphotic in positoin. There are high lung volumes. Prominence of the left pulmonary vasculature, pulmonary pulmonary arteries may be due to pulmonary arterial hypertension. Right base streaky opacity is more likely due to atelectasis rather than consolidation. No large pleural effusion or pneumothorax is seen. Cardiac silhouette is not well assessed due to patient position, but appears mildly enlarged. An ET tube is noted in the trachea. | ['Change location', 'Add typo', 'Add medical device'] |
| 421ffb60-9a41bff9-c842e6e6-a31adcbc-d8e5ad64 | 55747240 | 12508865 | Findings: AP single view of the chest has been obtained with patient in semi-upright position. High positioned diaphragms indicate poor inspirational effort and obscure major portion of heart silhouette and result in crowded appearance of pulmonary vasculature. There is, however, no evidence of any pulmonary vascular congestion, acute infiltrate, or pneumothorax. The lateral pleural sinuses are free. No pneumothorax is observed in the apical area. Impression: No evidence of significant cardiovascular or pulmonary abnormalities, no pleural effusion reaching lateral pleural sinuses. Single view cannot exclude minor pleural effusions and depending posterior pleural sinuses. | Findings: AP single view of the chest has been obtained with patient in semi-upright position. High positioned diaphragms indicate poor inspirational effort and obscure major portion of heart silhouette and result in crowded appearance of pulmonary vasculature. There is, however, no evidence of any pulmonary vascular congestion, acute infiltrate, or pneumothorax. The lateral pleural sinuses are free. No pneumothorax is observed in the apical area. Impression: No evidence of moderate cardiovascular or pulmonary abnormalities, no pleural effusion reaching lateral pleural sinuses. Minor pleural effusions and depending posterior pleural sinuses are observed. | ['Change severity', 'Add contradiction', 'False negation'] |
| 2522581e-ac120282-c9568047-88e5dfff-2e19d8e4, 9ef62dcd-4b3e52d1-80cd9cd2-655e3c3b-b0669fc5 | 58700633 | 12521573 | Findings: Assessment is slightly limited due to rotation. Heart size remains mildly enlarged. Elevation of the left hemidiaphragm is unchanged. Atelectasis within the left lung base is noted, but no focal consolidation, pleural effusion or pneumothorax is present. Mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is identified. Scarring within the apices is unchanged. Mild to moderate multilevel degenerative changes are present in the thoracic spine. Impression: Chronic elevation of the left hemidiaphragm with left basilar atelectasis. No acute cardiopulmonary abnormality otherwise demonstrated. | Findings: Assessment is slightly limited due to rotation. Heart size remains severely enlarged. Elevation of the left hemidiaphragm is unchanged. Atelectasis within the left lung base is noted, but no focal consolidation, pleural effusion or pneumothorax is present. Mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is identified. Scarring within the apices is unchanged. Mild to moderate multilevel degenerative changes are present in the thoracic spine. Scarring within the apices is unchanged. Impression: Chronic elevation of the left hemidiaphragm with left basilar atelectasis. No acute cardiopulmonary abnormality otherwise demonstrated. A central venous line is present. | ['Change severity', 'Add repetitions', 'Add medical device'] |
| 78675c97-3d574a7a-21454f9d-2487195b-496a7b4b | 52709218 | 12536467 | Findings: Cardiomediastinal silhouette is within normal limits. Lung volumes are low. An endotracheal tube terminates approximately 3 cm above the carina and an enteric tube projects over the stomach with tip excluded from the images. Linear opacities at the bases likely represent atelectasis in the setting of low lung volumes. There is no focal consolidation, pleural effusion, or pneumothorax. Impression: Appropriate positioning of endotracheal and nasogastric tubes. | Findings: Cardiomediastinal silhouette is within normal limits. Lung volumes are low. An endotracheal tube terminates approximately 4 cm above the carina and an enteric tube projects over the stomach with tip excluded from the imgaes. Patchy consolidations at the bases likely represent atelectasis in the setting of low lung volumes. There is a small contralateral pleural effusion, no pneumothorax. Impression: Appropriate positioning of endotracheal and nasogatsric tubes. | ['Change measurement', 'Add typo', 'False prediction'] |
| 54dc0bb7-ef174450-8314a8e5-b94f3c64-748fd4a3 | 56957928 | 12548159 | Findings: As compared to the previous radiograph, there is no relevant change. Mild fluid overload. Cardiomegaly, extensive right pleural effusion with subsequent right middle and lower lung consolidations, likely to represent atelectasis, pneumonia, or a combination of both. Unchanged right PICC line. No pneumothorax. | Findings: As compared to the previous radiograph, there is no relevant change. No fluid overload. Cardiomegaly, extensive left pleural effusion with subsequent right middle and lower lung consolidations, likely to represent atelectasis, pneumonia, or a combination of both. Unchanged left PICC line. No pneumothorax. Impression: The right lung parenchyma is clear. | ['Change location', 'Add contradiction', 'False negation'] |
| 53e18b50-2214dd2c-d70345b2-935f26ab-f5128750, b8a96dfd-924e5707-1009e1ac-9f767236-ff131cd4 | 59548661 | 12548159 | Findings: There is moderate cardiomegaly and mild pulmonary edema as well as bilateral small pleural effusions. The mediastinum and hila are normal. No focal consolidation. Impression: Mild-to-moderate pulmonary edema, progressed since ___. | Findings: There is moderate cardiomegaly and severe pulmonary edema as well as bilateral small pleural effusions. The mediastinum and hila are normal. There is focal consolidation in the left lower lobe. An NG tube is present, with the tip in the expected location. Impression: Mild-to-moderate pulmonary edema, progressed since ___. No evidence of focal consolidation. | ['Change location', 'Add contradiction', 'Add medical device'] |
| 1312be28-d131f758-783e1a08-1e878cba-6236e5ff, 766b651a-bf318a3c-a6e00002-e595f99a-1a97ffae | 54952803 | 12598684 | Findings: As compared to the previous radiograph, there is status post resection of the eighth right-sided rib. Moreover, the local pleura is minimally thickened. The lung parenchyma shows no evidence of acute changes. No pneumonia, no pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. | Findings: As compared to the previous radiograph, there is status post resection of the third left-sided rib. Moreover, the local pleura is minimally thickened. The lung parenchyma shows no evidence of acute changes. No pneumonia, no pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. However, there is also evidence of pneumonia. The local pleura does not show any thickening. | ['Change location', 'Add contradiction', 'False negation'] |
| c211b75b-8161910e-f2e25176-8b940c43-41776603 | 51383617 | 12641488 | Impression: Feeding tube with the wire stylet in place is curled in the upper stomach. Right PIC line ends in the mid SVC Heart is normal size. Low lung volumes exaggerate mild pulmonary vascular congestion but there is no pulmonary edema or pleural effusion. | Impression: Feeding tube with the biopsy forceps in place is curled in the upper stomach. Right PIC line ends in the mid SVC Hart is normal size. Low lung volumes exaggerate mild pulmonary vascular congestion but there is no pulmonary edema or pleural effusion. | ['Change name of device', 'Change to homophone', 'False negation'] |
| 76c189dd-c9cae85a-af7009fe-25471b3e-172f291c | 51982061 | 12641488 | Findings: The NG tube tip is in the stomach. The. Left tube is been removed. There is volume loss at both bases. There is no focal infiltrate. Impression: NG tube tip in the stomach | Findings: The ETT tip is in the stomach. The. Lef tube is been removed. There is volume loss at both bases. There is no focal infiltrate with mild pulmonary fibrosis. Impression: NG tube tip in the stomach | ['Change name of device', 'Add typo', 'False prediction'] |
| 14f68fc5-ae8a53c1-5b35d96f-1fb5d709-e09abe35 | 55748860 | 12641488 | Findings: Lung volumes are low which leads to bronchovascular crowding. There may be mild pulmonary vascular congestion exaggerated by supine positioning. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Impression: Mild pulmonary vascular congestion. No focal consolidation. | Findings: Lung volumse are low which leads to bronchovascular crowding. There may be moderate pulmonary vascular congestion exaggerated by supine positioning. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Impression: No pulmonary vascular congestion. No focal consolidation. | ['Change severity', 'Add typo', 'False negation'] |