Xiangxiaobei/test2 huggingface dataset:
There has been previous aortic valve replacement. Heart is towards upper limits normal for size and may be mild pulmonary vascular congestion. The skeletal structures are normal. The soft tissues are normal. Question mild pulmonary vascular congestion in a patient with prosthetic aortic valve.
Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. There are scattered nodular opacities, XXXX calcified granulomas. No XXXX focal airspace consolidation or pleural effusion. No acute or active cardiac, pulmonary or pleural disease. Probable previous granulomatous disease.
There is bilateral lower lung airspace disease. There are small to moderate sized bilateral pleural effusions, left greater than right. There is no pneumothorax. Mediastinal silhouette normal. Calcified left hilar lymph XXXX. Small to moderate sized bilateral pleural effusions with adjacent infiltrate or atelectasis.
The heart size is normal. The mediastinal contour is within normal limits. There are no focal infiltrates. There is prominent epipericardial fat. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Right 7th and 8th rib deformities are noted. There is no visible free intraperitoneal air under the diaphragm. No radiographic evidence of acute cardiopulmonary abnormality.
Chest: The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Thoracic spine: Mild dextro curvature the upper thoracic spine. Evaluation of the upper thoracic bodies is limited secondary to osseous overlap. Vertebral body XXXX and disc spaces are maintained. Mild degenerative endplate changes. Lumbar spine: There are 5 nonrib-bearing lumbar type vertebral bodies. Alignment is within normal limits. Vertebral body XXXX and disc spaces are maintained. Mild degenerative change without acute displaced fracture or dislocation. Moderate amount of stool.. Chest. No acute radiographic cardiopulmonary process. Thoracic spine. Mild degenerative change without acute bony abnormality. Lumbar spine. Mild degenerative change without acute bony abnormality.
None Heart size is normal. 2 cm calcified granuloma in the right midlung. Calcified right hilar lymph XXXX. No other nodules or masses. It is unchanged XXXX compared to a XXXX for the abdomen CT scan from XXXX. The XXXX 40% of the nodule is on the upper portion of the XXXX film.
The heart and mediastinum are unremarkable. The lung volumes are low. There is a calcified granuloma in the right hilum. Minimal XXXX atelectasis or scarring in the left lower lobe. There is no effusion or pneumothorax. 1. No acute cardiopulmonary disease.
Lobulated right middle lobe mass measuring 4.5 x 6.8 cm, increased in size compared to prior study, most compatible with neoplasm. Otherwise, the lungs are clear without focal consolidation. No pneumothorax or pleural effusion. Cardiomediastinal silhouette within normal limits. 1. Interval enlargement of right middle lobe mass, highly suspicious for malignancy. Recommend CT of the chest/abdomen with intravenous contrast for further evaluation. 2. Otherwise clear lungs. Dr. XXXX XXXX notified of the critical results at XXXX on XXXX, XXXX by telephone and acknowledged receipt of these results.
The The cardiac silhouette and pulmonary vascularity are normal. Atherosclerotic changes are present in the thoracic aorta. The lungs are clear with no evidence of pleural effusion or pneumothorax . Deformity of multiple left anterior ribs are present from previous fractures. Lumbar scoliosis is noted. No evidence of acute cardiopulmonary disease.
The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pleural effusion or pneumothorax. The visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities. .
Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are mild degenerative changes of the spine. There are extensive vascular calcifications. There is a left midlung calcified granuloma. Cardiomegaly without acute disease.
None Heart size is normal. Scattered right hilar granulomas and calcified 8mm right apical granuloma. Resolution of right effusion and infiltrate. Stable chronic blunting of the lateral left costophrenic XXXX.
There is stable marked cardiomegaly and mediastinal contour. Pulmonary vascularity is within normal limits. The left chest pacemaker is unchanged from comparison exam with fractured proximal lateral XXXX and both XXXX tips overlying the right ventricle. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. Stable marked cardiomegaly. No acute cardiopulmonary abnormalities.
None Bilateral enlargement of the XXXX, XXXX lymphadenopathy. Consider correlation with a XXXX of the chest. Sarcoidosis would be a consideration, less XXXX lymphoproliferative XXXX/lymphoma.
None Heart size upper limits normal. Sternotomy. Right-sided aortic XXXX. Lungs are clear.
Low lung volumes bilaterally with bibasilar airspace opacities, right greater than left. There is blunting of the bilateral costophrenic sulci. Cardiac device overlies left chest, leads intact, tips overlying right atrium and right ventricle. No pneumothorax. Cardiomegaly. Degenerative changes of the spine. Cardiomegaly with bibasilar airspace disease and bilateral pleural effusions, right greater than left. .
The heart is within normal limits in size. Surgical suture material projects over the right lung apex. The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion and small right pleural effusion. No visualized pneumothorax. 1. Left lower lobe airspace disease and bilateral pleural effusions, left greater than right. This may be secondary to inhalational injury. Recommend followup to ensure complete resolution.
The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are minimal degenerative changes of the spine. No evidence of active disease.
Cardiomediastinal silhouette is within normal limits for size and contour. Lungs are hyperinflated with flattening of the diaphragms consistent with emphysematous change. No evidence of focal airspace disease, pleural effusion, or pneumothorax. Multilevel degenerative changes of the spine are noted. 1. Emphysematous change without evidence of acute cardiopulmonary process.
There is a focal area of opacity in the right midlung zone. This was not present on the recent prior study. There is prominence of the pulmonary markings throughout and there are small bilateral pleural effusions. The heart is not significantly enlarged. There is a prosthetic valve. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted. 1. Focal opacity in the right midlung zone worrisome for pneumonitis. 2. Mild pulmonary vascular congestion.
No focal areas of consolidation. No suspicious bony opacities. Heart size within normal limits. No pleural effusions. No pneumothorax. No acute cardiopulmonary abnormality.
Normal heart size and mediastinal contours. Calcified aortic XXXX. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance. No acute or XXXX pulmonary abnormality.
Cardiomegaly. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax. Cardiomegaly similar to prior examination. Negative for evidence of acute pulmonary disease.
There is bibasilar airspace disease. Cardiac silhouette is within normal limits and stable. There is blunting of the right costophrenic XXXX unchanged XXXX scarring. No pneumothorax. Bibasilar airspace disease.
The lungs are hyperexpanded, with increased AP diameter of the chest. The cardiomediastinal silhouette is stable and normal. There is no pneumothorax or large pleural effusion. No acute cardiopulmonary abnormality. Chronic changes consistent with emphysema.
The heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic XXXX are excluded. No acute disease.
Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine. Clear lungs.
Sternotomy XXXX noted. Suture material overlies the left upper lobe. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. Scarring left costophrenic XXXX, unchanged. Calcified granulomas noted. No acute abnormality.
None Sternotomy XXXX are noted in XXXX. Vascular clips are noted consistent with previous coronary artery bypass graft. The previously seen central venous line catheter has been removed. A left pleural effusion remains. Underlying atelectasis is suspected. Given differences in technique, the effusion is not XXXX to be significantly different but is XXXX favored to be lower end of moderate for size. Osseous structures are remarkable for osteopenia, degenerative changes and there is some kyphosis noted to the thoracic spine.
[<Heart size and pulmonary vascularity within normal limits. There is a large hiatal hernia seen projecting in the retrocardiac region. This is XXXX from prior examination. There is associated atelectasis in the left lung base. No pleural effusion or pneumothorax is identified. 1. XXXX large hiatal hernia. 2. Left base atelectasis.
Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. there are residuals of prior granulomatous infection. Lungs otherwise clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine. No acute cardiopulmonary process.
Heart size within normal limits, stable mediastinal and hilar contours. Stable mild hyperinflation, right apical pleural-parenchymal irregularities compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax. No acute findings
No The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are T-spine osteophytes. No acute cardiopulmonary abnormality.
There is mild cardiomegaly, similar to prior exams. No focal consolidation. No visible pleural effusion or pneumothorax. Stable mild cardiomegaly. No acute pulmonary abnormality.
The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. A few bandlike opacities are present which are XXXX to represent small areas of scarring or atelectasis. There is eventration of the right hemidiaphragm. Calcified granuloma is present in the left lung. No evidence of active disease.
Normal heart size and mediastinal contours. No focal airspace consolidation. Chronic appearing left greater than right lung base scarring with possible small effusions. No pneumothorax. Visualized osseous structures are unremarkable in appearance. 1. Chronic appearing bibasilar pleural abnormality with possible small effusions. 2. No evidence of pneumonia. TIPS shunt visualized. .
None Normal heart size. XXXX scarring in the left lung base. Otherwise, clear lungs. Reconstructed right clavicle.
None Normal heart size. Normal pulmonary vasculature. Normal mediastinal contours. Lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of active cardiopulmonary disease.
The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality. 1. No acute cardiopulmonary process. 2. Bilateral scapula appear unremarkable.
The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Lungs appear relatively clear on today's exam. No significant interval change since the prior study and XXXX.
Redemonstration of moderate left pneumothorax which is unchanged from comparison. Left pleural catheter is again seen overlying the left upper lung at the level of the left 5th and 6th ribs. No focal consolidation. Cardiomediastinal silhouette is normal. No change in moderate left pneumothorax with left pleural drainage catheter again seen overlying the left upper lung.
Heart size and pulmonary vascularity appear within normal limits. The ascending aorta is prominent and descending thoracic aorta is is tortuous. Aorta appears unchanged as compared to the study. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules are identified. There is an oblong density projecting over the anterior left 7th rib. Appearance suggests an old rib fracture. This is XXXX since the previous study. 1. Clear lungs. 2. Apparent old rib fractures in the left anterior chest.
The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Scattered calcified granulomas noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality. No acute cardiopulmonary abnormality.
Stable enlargement of the cardiac silhouette, lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases. 1. Cardiomegaly, question small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, differential diagnosis includes infectious and inflammatory processes.
Cardiomediastinal silhouette and central pulmonary vasculature are within normal limits. There is no focal air space opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is demonstrated. No acute cardiopulmonary abnormality.
Heart size is within normal limits. Cardiomediastinal silhouette is normal. Lungs are clear bilaterally without effusion or pneumothorax. No bony or soft tissue abnormalities. No cardiopulmonary abnormality.
The lungs appear clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. Surgical clips are identified in the mediastinum. Pleural spaces are clear. Soft tissue XXXX previously noted along the right lateral chest wall has resolved. No acute cardiopulmonary disease
Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Right-sided aortic XXXX. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. There is right basal XXXX patchy opacity and bibasal atelectasis or scarring. There is no pleural effusion or pneumothorax. Right apical calcified granuloma noted. 1. Right basal acute airspace disease. Please correlate clinically for pneumonia. 2. Chronic interstitial pattern, may reflect COPD.
Normal heart size and mediastinal contours. No abnormal airspace opacities or large cavitary lung lesions. Visualized osseous structures are unremarkable in appearance. No radiographic evidence of tuberculosis.
Normal cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation. 1. No acute cardiopulmonary abnormalities.
Lungs are clear. Heart size normal. Scattered thoracic spine spurring. No acute cardiopulmonary finding.
The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures identified. 1. No acute intrathoracic abnormality.
The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. [Pulmonary vascularity is within normal limits>]. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable. No acute cardiopulmonary abnormality identified.
None Cardiomegaly with midlung and lower lobe edema. Shunt catheter overlies the right anterior chest.
Heart is mildly enlarged but stable. Pulmonary vascularity is normal. The patient is status post valve replacement. XXXX sternotomy XXXX intact. No focal airspace disease or effusion. Residuals of prior granulomatous infection. Degenerative change of the spine. No pneumothorax. 1. Stable cardiomegaly without evidence for acute pulmonary process.
The trachea is midline. The cardiomediastinal silhouette is normal. Lung XXXX are clear without evidence of effusion, infiltrate, or pneumothorax. Visualized bony structures are intact. Visualized soft tissues appear normal. Normal chest x-XXXX.
The heart size and pulmonary vascularity appear within normal limits. The thoracic aorta is tortuous. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Tortuous thoracic aorta. Clear lungs.
Normal heart size and mediastinal contours. There is interval improvement in the right lower lobe airspace disease. There is XXXX mild air space opacity in that distribution. No XXXX airspace disease. No pneumothorax or pleural effusion. Improved right lower lobe consolidation with mild residual or recurrent pneumonia. Recommend radiographic follow up after appropriate therapy to confirm resolution. If there is no improvement consider XXXX for further evaluation. .
None 1. Low lung volumes 2. Patchy and streaky bibasilar atelectasis or scarring, unchanged from prior study 3. Blunting of the costophrenic XXXX suggestive of small pleural effusions. This is seen XXXX in the posterior costophrenic recesses 4. Esophagogastric to the in XXXX, the distal tip coursing inferiorly into the stomach and not included on the study. Previously noted esophagogastric flexion catheter has been removed 5. Previously noted left-sided PICC line has been removed.
Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact. No acute cardiopulmonary disease.
None Compared with prior examination mildly improved inspirational XXXX. Lung parenchyma is not clear. No acute airspace disease, large pleural effusions or pulmonary edema. No XXXX of acute cardiopulmonary disease.
Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable Negative for acute cardiopulmonary abnormality.
There are several small calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine. No evidence of active disease.
This is a stable normal cardiomediastinal silhouette. The lungs are mildly hyperexpanded. Some blunting of the left costophrenic XXXX XXXX represent scarring or atelectasis. No large pneumothorax or effusion. There are no acute osseous abnormalities. 1. No acute radiographic cardiopulmonary process.
Heart size is normal. Mild lung hyperexpansion. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity. No acute abnormality. .
None Mild cardiomegaly. No overt edema. Lateral image is degraded by motion but there suggestion of minimal bibasilar airspace disease/atelectasis. No appreciable pleural effusion or pneumothorax.
Postoperative changes are present in the left fifth rib. Residual radiopaque sutures are also present in the left upper lobe. The lungs are clear with no infiltrates or masses. Heart and mediastinum are normal. Postoperative left upper lobe. No visible active cardiopulmonary disease.
The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable calcified granuloma in the left upper lung. No acute bony abnormality is identified. No acute cardiopulmonary abnormality.
The heart size is normal. The mediastinal contour is within normal limits. Low lung volumes and bronchovascular crowding. Mild bibasilar opacities, XXXX atelectasis. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Stable degenerative change throughout the thoracic spine. Stable thoracolumbar retrolisthesis. There is no visible free intraperitoneal air under the diaphragm. No acute radiographic cardiopulmonary process.
Normal cardiac size and contour unremarkable mediastinal silhouette. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease. Normal cardiac size and contour unremarkable mediastinal silhouette. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.
The heart is normal in size. The aorta is tortuous. The lungs are hypoinflated. No focal consolidation or pleural effusion seen. Old right-sided rib fracture is noted. 1. Low lung volumes without acute infiltrate. 2. Aortic tortuosity and mild ectasia.
XXXX XXXX sternotomy XXXX appear intact. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There is no focal lung opacity. Clips overlie the right upper quadrant. No acute cardiopulmonary findings.
The heart is normal size. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild emphysematous changes are noted. Bilateral apical pleural scarring is present. Calcified granuloma is present within the right lower lobe. The XXXX are generally unremarkable. No acute cardiopulmonary abnormality.
Midline sternotomy XXXX identified. Heart size and cardiomediastinal silhouette are grossly normal. Airspace opacity in posterior segment on the lateral view. Osseous structures are grossly intact. Posterior airspace opacity consistent with developing infection.
There has been interval increase in size of the cardiac silhouette from XXXX. The cardiac fluid is now mildly enlarged. Pulmonary vasculature is increased with mildly increased interstitial markings and fissural thickening, suggesting mild pulmonary edema. There is no focal airspace disease, pneumothorax, or large pleural effusion. Descending thoracic aorta is tortuous. There are no acute bony findings. Cardiomegaly which appears XXXX from XXXX with probable mild pulmonary edema. .
PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation. Degenerative spine. No acute cardiopulmonary disease.
Lungs are clear without focal consolidation. No suspicious pulmonary nodules identified. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Clear lungs.
None heart size normal. Lungs clear. Calcified 5 mm right midlung granuloma.
The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes within the spine. Clear lungs. No acute cardiopulmonary abnormality. .
No change in the appearance of the left upper lobectomy. Left parahilar scar is unchanged. No XXXX infiltrates or masses in the lungs. Heart size remains normal. Stable chest. No evidence for recurrence or metastasis.