{"text": "X-ray images and show the chest with the following remarks: The heart size and pulmonary vascularity appear within normal limits. A large hiatal hernia is noted. The lungs are free of focal airspace disease. No pneumothorax or pleural effusion is seen. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR2384_IM-0942/0.png"}, {"type": "image", "value": "train/CXR2384_IM-0942/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2926_IM-1328/0.png"}, {"type": "image", "value": "train/CXR2926_IM-1328/1.png"}]} {"text": " and exhibit chest X-rays showing: Left lower lobe calcified granuloma. Heart size normal. No pleural effusion or pneumothorax. Mild medial right atelectasis. Mild emphysema.", "modalities": [{"type": "image", "value": "train/CXR1451_IM-0291/0.png"}, {"type": "image", "value": "train/CXR1451_IM-0291/1.png"}]} {"text": " and present chest X-rays with the following impressions: The cardiomediastinal silhouette is normal in size and contour. There are a few XXXX opacities in the lung bases bilaterally. No definitive pneumothorax or pleural effusion. Displaced fracture of the mid one-third of the right clavicle.", "modalities": [{"type": "image", "value": "train/CXR2887_IM-1289/0.png"}, {"type": "image", "value": "train/CXR2887_IM-1289/1.png"}]} {"text": " and are images of chest X-rays showing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1647_IM-0424/0.png"}, {"type": "image", "value": "train/CXR1647_IM-0424/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart is normal in size. The mediastinum is unremarkable. There is XXXX biapical scarring. The lungs are otherwise clear.", "modalities": [{"type": "image", "value": "train/CXR2434_IM-0976/0.png"}, {"type": "image", "value": "train/CXR2434_IM-0976/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Well circumscribed 11 mm right upper lobe nodule, unchanged appearance from previous examination 7 years ago. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal. Redemonstrated syndesmophyte.", "modalities": [{"type": "image", "value": "train/CXR3655_IM-1817/0.png"}, {"type": "image", "value": "train/CXR3655_IM-1817/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes with bronchovascular crowding. Otherwise the lungs are clear. There is no pneumothorax. No large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3299_IM-1575/0.png"}, {"type": "image", "value": "train/CXR3299_IM-1575/1.png"}]} {"text": " and capture chest X-rays with these findings: Cardiac silhouette and pulmonary vascularity are normal. There is mild bibasilar focal atelectasis. No evidence of pleural effusion or pneumothorax. Minimal atherosclerotic changes are present in the thoracic aorta.", "modalities": [{"type": "image", "value": "train/CXR1419_IM-0267/0.png"}, {"type": "image", "value": "train/CXR1419_IM-0267/1.png"}]} {"text": " and X-rays show chest observations as follows: The trachea is midline. The cardiomediastinal silhouette is normal. The superior thoracic spine is again noted, unchanged from prior. Lucent pulmonary parenchyma is consistent appearance with emphysema and appears unchanged from prior examinations. No evidence of pneumothorax. No focal airspace disease or pleural effusion. Vague density in the medial right lung apex most XXXX representing overlying shadows of bony structures, which is stable.", "modalities": [{"type": "image", "value": "train/CXR2867_IM-1274/0.png"}, {"type": "image", "value": "train/CXR2867_IM-1274/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart size is enlarged. The mediastinal contour is within normal limits. Calcification is seen within the aortic XXXX. XXXX interstitial opacities. There are no nodules or masses. Stable appearing right perihilar calcified granulomas. No visible pneumothorax. Bilateral costophrenic XXXX blunting, left worse than right. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR177_IM-0503/0.png"}, {"type": "image", "value": "train/CXR177_IM-0503/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Left XXXX XXXX noted with tip approximating the high SVC, stable. No pleural effusions. No pneumothorax. Heart size is normal limits. Degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3597_IM-1775/0.png"}, {"type": "image", "value": "train/CXR3597_IM-1775/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: 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.", "modalities": [{"type": "image", "value": "train/CXR2365_IM-0927/0.png"}, {"type": "image", "value": "train/CXR2365_IM-0927/1.png"}]} {"text": " and capture chest X-rays with these findings: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. There is mild scoliosis of the spine.", "modalities": [{"type": "image", "value": "train/CXR718_IM-2280/0.png"}, {"type": "image", "value": "train/CXR718_IM-2280/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mediastinal calcification and dense right upper lung nodule suggest a previous granulomatous process.", "modalities": [{"type": "image", "value": "train/CXR229_IM-0873/0.png"}, {"type": "image", "value": "train/CXR229_IM-0873/1.png"}]} {"text": " and are images of chest X-rays showing: Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There is is a calcified XXXX opacity in the left lung base suggestive of old empyema, hematoma, or prior TB. No cavitary lesions are seen. XXXX are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1237_IM-0159/0.png"}, {"type": "image", "value": "train/CXR1237_IM-0159/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The aorta is unfolded. There is left base streaky opacity due to XXXX scarring or discoid atelectasis. There is a midright lung small calcified granuloma. There are small nodular opacities projecting over the right base in the right costophrenic sulcus, posterior right 9th rib and the anterior T10 vertebral body. No XXXX focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2704_IM-1171/0.png"}, {"type": "image", "value": "train/CXR2704_IM-1171/1.png"}]} {"text": "These chest X-rays ( and ) show the following: No there is an dextroscoliosis of the thoracic spine. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "modalities": [{"type": "image", "value": "train/CXR1324_IM-0209/0.png"}, {"type": "image", "value": "train/CXR1324_IM-0209/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Normal heart size and mediastinal contours. Minimal blunting of the costophrenic XXXX. No focal airspace consolidation. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3516_IM-1715/0.png"}, {"type": "image", "value": "train/CXR3516_IM-1715/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3102_IM-1454/0.png"}, {"type": "image", "value": "train/CXR3102_IM-1454/1.png"}]} {"text": " and show chest images with these observations: No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1267_IM-0179/0.png"}, {"type": "image", "value": "train/CXR1267_IM-0179/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. There are severe arthritic changes of the XXXX with mild arthritic changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3766_IM-1885/0.png"}, {"type": "image", "value": "train/CXR3766_IM-1885/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Lungs are hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.", "modalities": [{"type": "image", "value": "train/CXR1145_IM-0097/0.png"}, {"type": "image", "value": "train/CXR1145_IM-0097/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1573_IM-0374/0.png"}, {"type": "image", "value": "train/CXR1573_IM-0374/1.png"}]} {"text": "The chest X-rays in and display: Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Bandlike opacities are present in the right lung. Appearance suggest atelectasis. No pneumothorax or pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR2372_IM-0933-0001/0.png"}, {"type": "image", "value": "train/CXR2372_IM-0933-0001/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR3115_IM-1463/0.png"}, {"type": "image", "value": "train/CXR3115_IM-1463/1.png"}]} {"text": " and exhibit chest X-rays showing: The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is stable from prior exam. There is no pneumothorax or large pleural effusion. Mediastinal surgical clips are again noted.", "modalities": [{"type": "image", "value": "train/CXR3706_IM-1851/0.png"}, {"type": "image", "value": "train/CXR3706_IM-1851/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal.", "modalities": [{"type": "image", "value": "train/CXR1616_IM-0399/0.png"}, {"type": "image", "value": "train/CXR1616_IM-0399/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Lungs are clear. Heart size normal. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2845_IM-1254/0.png"}, {"type": "image", "value": "train/CXR2845_IM-1254/1.png"}]} {"text": " and show chest X-ray scans that indicate: Normal heart. Clear lungs. No pneumothorax. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR951_IM-2447/0.png"}, {"type": "image", "value": "train/CXR951_IM-2447/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart is normal in size. The mediastinum is stable. There are postsurgical changes of the left breast. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3404_IM-1647/0.png"}, {"type": "image", "value": "train/CXR3404_IM-1647/1.png"}]} {"text": " and exhibit chest X-rays showing: AP and lateral views of the chest were obtained. The heart is normal size. Mediastinum is unremarkable. Lungs are hypoinflated but clear. No focal consolidation is seen.", "modalities": [{"type": "image", "value": "train/CXR3956_IM-2021/0.png"}, {"type": "image", "value": "train/CXR3956_IM-2021/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present within the spine.", "modalities": [{"type": "image", "value": "train/CXR1981_IM-0638/0.png"}, {"type": "image", "value": "train/CXR1981_IM-0638/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Lung volumes are low. No focal infiltrates. Pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR930_IM-2429/0.png"}, {"type": "image", "value": "train/CXR930_IM-2429/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart is normal in size. The mediastinum is unremarkable. The chest XXXX is in satisfactory position. There is no pneumothorax. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2269_IM-0858/0.png"}, {"type": "image", "value": "train/CXR2269_IM-0858/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart size is normal. The lungs are clear. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Again noted is tortuosity and unfolding of the thoracic aorta. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.", "modalities": [{"type": "image", "value": "train/CXR2328_IM-0898/0.png"}, {"type": "image", "value": "train/CXR2328_IM-0898/1.png"}]} {"text": " and capture chest X-rays with these findings: The lungs are hyperexpanded. There are XXXX opacities in the lingula, XXXX subsegmental atelectasis or scarring. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1167_IM-0112/0.png"}, {"type": "image", "value": "train/CXR1167_IM-0112/1.png"}]} {"text": "X-ray scans and display the following chest observations: Stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation, no findings of pleural effusion. Chronic appearing bilateral rib contour deformities compatible with old fractures. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR152_IM-0335/0.png"}, {"type": "image", "value": "train/CXR152_IM-0335/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: There are low lung volumes. The lungs are otherwise clear. No focal airspace consolidation or pleural effusion. Calcific density in the right lung apex, compatible with calcified granuloma.", "modalities": [{"type": "image", "value": "train/CXR1491_IM-0317/0.png"}, {"type": "image", "value": "train/CXR1491_IM-0317/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR880_IM-2395/0.png"}, {"type": "image", "value": "train/CXR880_IM-2395/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR22_IM-0810/0.png"}, {"type": "image", "value": "train/CXR22_IM-0810/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2643_IM-1129/0.png"}, {"type": "image", "value": "train/CXR2643_IM-1129/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1396_IM-0252/0.png"}, {"type": "image", "value": "train/CXR1396_IM-0252/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2438_IM-0978/0.png"}, {"type": "image", "value": "train/CXR2438_IM-0978/1.png"}]} {"text": " and depict chest X-rays with these findings: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR3141_IM-1477/0.png"}, {"type": "image", "value": "train/CXR3141_IM-1477/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, large pleural effusion, or pneumothorax is identified. Minimal thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2868_IM-1275/0.png"}, {"type": "image", "value": "train/CXR2868_IM-1275/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No upper lobe airspace disease or cavitary lesions identified.", "modalities": [{"type": "image", "value": "train/CXR3665_IM-1823/0.png"}, {"type": "image", "value": "train/CXR3665_IM-1823/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. Stable small calcified granuloma left base. No XXXX acute findings/opacities/infiltrates noted.", "modalities": [{"type": "image", "value": "train/CXR1135_IM-0091/0.png"}, {"type": "image", "value": "train/CXR1135_IM-0091/1.png"}]} {"text": " and capture chest X-rays with these findings: Frontal and lateral views of the chest demonstrate the cardiomediastinal silhouette normal. There is normal distribution of the pulmonary vascularity. The lungs are clear. No effusion, consolidation, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1151_IM-0102/0.png"}, {"type": "image", "value": "train/CXR1151_IM-0102/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart, 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 is chronic left hemidiaphragm elevation. The aorta is tortuous and ectatic with atherosclerotic calcifications.", "modalities": [{"type": "image", "value": "train/CXR1934_IM-0604/0.png"}, {"type": "image", "value": "train/CXR1934_IM-0604/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3537_IM-1730/0.png"}, {"type": "image", "value": "train/CXR3537_IM-1730/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1877_IM-0568/0.png"}, {"type": "image", "value": "train/CXR1877_IM-0568/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2215_IM-0820/0.png"}, {"type": "image", "value": "train/CXR2215_IM-0820/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable irregularity of the posterior left 6th rib which XXXX represents an old fracture..", "modalities": [{"type": "image", "value": "train/CXR811_IM-2343/0.png"}, {"type": "image", "value": "train/CXR811_IM-2343/1.png"}]} {"text": " and show chest images with these observations: Several calcified granulomas in bilateral hilar regions. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR1149_IM-0101/0.png"}, {"type": "image", "value": "train/CXR1149_IM-0101/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart size is moderate to severely enlarged. There is prominence of the central pulmonary XXXX suggesting pulmonary artery hypertension. There has been removal of the right-sided PICC line. There is persistent left basilar airspace opacity with left costophrenic XXXX blunting which is not evident on the lateral exam. There are mild degenerative changes of the spine. There is no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3848_IM-1946-1001/0.png"}, {"type": "image", "value": "train/CXR3848_IM-1946-1001/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The lungs are clear. There is hyperexpansion of the lungs suggesting underlying emphysema. The heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR2364_IM-0927/0.png"}, {"type": "image", "value": "train/CXR2364_IM-0927/1.png"}]} {"text": " and are images of chest X-rays showing: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR503_IM-2121/0.png"}, {"type": "image", "value": "train/CXR503_IM-2121/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1927_IM-0600/0.png"}, {"type": "image", "value": "train/CXR1927_IM-0600/1.png"}]} {"text": " and capture chest X-rays with these findings: Minimally increased XXXX airspace opacities bilaterally, most prominent in the lung bases. Heart size is within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR1187_IM-0126/0.png"}, {"type": "image", "value": "train/CXR1187_IM-0126/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is a right chest XXXX with central venous catheter tip overlying the high SVC. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1804_IM-0522/0.png"}, {"type": "image", "value": "train/CXR1804_IM-0522/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3176_IM-1497/0.png"}, {"type": "image", "value": "train/CXR3176_IM-1497/1.png"}]} {"text": "X-ray scans and display the following chest observations: The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR899_IM-2407/0.png"}, {"type": "image", "value": "train/CXR899_IM-2407/1.png"}]} {"text": " and exhibit chest X-rays showing: No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact. There is a small calcified granuloma in the right midlung.", "modalities": [{"type": "image", "value": "train/CXR248_IM-1008/0.png"}, {"type": "image", "value": "train/CXR248_IM-1008/1.png"}]} {"text": " and depict chest X-rays with these findings: Compared to prior examination, there is significant improvement in aeration bilaterally, with improved bilateral airspace opacities. Currently, there are only minimal streaky opacities in the bilateral midlung, which may represent mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. No large focal consolidations, pneumothorax, or definite pleural effusions identified. The mediastinal silhouette is stable and within normal limits for size and contour. No acute osseous abnormality is identified.", "modalities": [{"type": "image", "value": "train/CXR2338_IM-0905/0.png"}, {"type": "image", "value": "train/CXR2338_IM-0905/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. is not diffuse interstitial prominence, which has chronic appearance. Cannot exclude early pulmonary edema. Two airspace consolidation or effusion. XXXX are osteopenic. No visible pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR343_IM-1658/0.png"}, {"type": "image", "value": "train/CXR343_IM-1658/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR20_IM-0653/0.png"}, {"type": "image", "value": "train/CXR20_IM-0653/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR138_IM-0244/0.png"}, {"type": "image", "value": "train/CXR138_IM-0244/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The lungs are hyperinflated with biapical pleural-parenchymal scarring and upward retraction of the XXXX, similar to the prior study. There are multiple reticular-nodular opacities in the upper lobes bilaterally which appear grossly stable from the prior study. There is no evidence of XXXX, focal airspace disease. There is no pneumothorax or pleural effusion. Heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR3174_IM-1496/0.png"}, {"type": "image", "value": "train/CXR3174_IM-1496/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The cardiac silhouette is at the upper limits of normal for size. There are low lung volumes with bronchovascular crowding. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR687_IM-2255/0.png"}, {"type": "image", "value": "train/CXR687_IM-2255/1.png"}]} {"text": " and exhibit chest X-rays showing: Diffuse bilateral coarse interstitial markings are unchanged. No focal consolidation, pleural effusion, pneumothoraces. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the shoulder. Soft tissues are unremarkable..", "modalities": [{"type": "image", "value": "train/CXR2945_IM-1345/0.png"}, {"type": "image", "value": "train/CXR2945_IM-1345/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The XXXX examination consists of frontal and lateral radiographs of the chest. Cardiac silhouette is at top limits of normal. Aortic and mediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Partially visualized ORIF XXXX involving the left proximal humerus. Deformity of the left distal clavicle compatible with remote XXXX. No displaced rib fractures on this chest examination.", "modalities": [{"type": "image", "value": "train/CXR563_IM-2164/0.png"}, {"type": "image", "value": "train/CXR563_IM-2164/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Right middle lobe opacity is present. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. No large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3280_IM-1561/0.png"}, {"type": "image", "value": "train/CXR3280_IM-1561/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities, pleural effusion or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2358_IM-0922-0001/0.png"}, {"type": "image", "value": "train/CXR2358_IM-0922-0001/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Clear lungs. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR2923_IM-1326/0.png"}, {"type": "image", "value": "train/CXR2923_IM-1326/1.png"}]} {"text": " and present chest X-rays with the following impressions: Consolidation is developing in the left lower lobe. A patchy infiltrate is also present in the right lower lobe. Heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR2422_IM-0965/0.png"}, {"type": "image", "value": "train/CXR2422_IM-0965/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: 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.", "modalities": [{"type": "image", "value": "train/CXR1452_IM-0291/0.png"}, {"type": "image", "value": "train/CXR1452_IM-0291/1.png"}]} {"text": " and depict chest X-rays with these findings: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2651_IM-1136/0.png"}, {"type": "image", "value": "train/CXR2651_IM-1136/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2950_IM-1348/0.png"}, {"type": "image", "value": "train/CXR2950_IM-1348/1.png"}]} {"text": " and exhibit chest X-rays showing: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR129_IM-0189/0.png"}, {"type": "image", "value": "train/CXR129_IM-0189/1.png"}]} {"text": "The X-rays and show the following chest conditions: Heart size is normal. Lungs are clear. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1710_IM-0469/0.png"}, {"type": "image", "value": "train/CXR1710_IM-0469/1.png"}]} {"text": " and are images of chest X-rays showing: Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.", "modalities": [{"type": "image", "value": "train/CXR1994_IM-0651/0.png"}, {"type": "image", "value": "train/CXR1994_IM-0651/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Cardiomegaly. No pneumothorax or pleural effusion. Clear lung XXXX bilaterally.", "modalities": [{"type": "image", "value": "train/CXR3638_IM-1804/0.png"}, {"type": "image", "value": "train/CXR3638_IM-1804/1.png"}]} {"text": "The images and are chest X-rays with the following noted: There are scattered calcified granulomas. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR763_IM-2310/0.png"}, {"type": "image", "value": "train/CXR763_IM-2310/1.png"}]} {"text": " and are images of chest X-rays showing: KUB. Centered over the mid abdomen there are multiple air-filled dilated loops of small bowel measuring the XXXX of which measure up to about 3.7 cm in diameter. There is also an extremely dilated XXXX in the same region which measures 5.9 cm in diameter. There is extensive soft tissue pannus. Prior abdominal surgery. Chest. There is XXXX left basilar opacity. No visualized pneumothorax. The heart size is normal. There is mild elevation of the left hemidiaphragm. There are no large pleural effusions. There is thickening of the fissure.", "modalities": [{"type": "image", "value": "train/CXR688_IM-2256/0.png"}, {"type": "image", "value": "train/CXR688_IM-2256/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: 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.", "modalities": [{"type": "image", "value": "train/CXR2565_IM-1068/0.png"}, {"type": "image", "value": "train/CXR2565_IM-1068/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The cardiac silhouette is mildly enlarged. Mediastinal contours are within normal limits. The pulmonary vasculaturity is increased. There is large right-sided pleural effusion and probable underlying associated compressive atelectasis. Mild perihilar XXXX opacities, XXXX edema. No pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR2752_IM-1202-0001/0.png"}, {"type": "image", "value": "train/CXR2752_IM-1202-0001/1.png"}]} {"text": "Chest X-rays shown as and indicate: The cardiomediastinal silhouette is normal in size and contour. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3012_IM-1390/0.png"}, {"type": "image", "value": "train/CXR3012_IM-1390/1.png"}]} {"text": " and exhibit chest X-rays showing: The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. There is a XXXX opacity in the left lingula. There is no pleural effusion or pneumothorax. Visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR828_IM-2357/0.png"}, {"type": "image", "value": "train/CXR828_IM-2357/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: There is a XXXX in the left chest with catheter tip terminating in the superior XXXX XXXX. The cardiac silhouette is mildly enlarged, similar to prior study. There is minimal pulmonary vascular congestion. There is no acute pulmonary consolidation, pleural effusion or pneumothorax. There are stable mild interstitial lung changes, which could be related to chronic edema or fibrosis.", "modalities": [{"type": "image", "value": "train/CXR3915_IM-1990/0.png"}, {"type": "image", "value": "train/CXR3915_IM-1990/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The cardiac silhouette, mediastinum, and pulmonary vasculature are within normal limits. Lungs are clear. No pleural fluid or pneumothorax is appreciated.", "modalities": [{"type": "image", "value": "train/CXR2236_IM-0833/0.png"}, {"type": "image", "value": "train/CXR2236_IM-0833/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2828_IM-1247/0.png"}, {"type": "image", "value": "train/CXR2828_IM-1247/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Cardiac silhouette and mediastinal contours are within normal limits. Nodular opacity overlying the upper lungs bilaterally may represent overlying telemetry XXXX XXXX, correlate clinically. Otherwise, lungs are clear. No large pleural effusion no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1908_IM-0590/0.png"}, {"type": "image", "value": "train/CXR1908_IM-0590/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Lungs are clear. Heart is normal size. Trachea is midline. No pneumothorax. No large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3647_IM-1809/0.png"}, {"type": "image", "value": "train/CXR3647_IM-1809/1.png"}]} {"text": "The chest scans and reveal: The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Tubular densities overlying the heart XXXX are XXXX coronary artery stents. There are small round calcific densities in the bilateral lobes which are unchanged from prior exam and XXXX represent sequelae from old granulomatous disease. Otherwise lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR685_IM-2254/0.png"}, {"type": "image", "value": "train/CXR685_IM-2254/1.png"}]} {"text": "Chest X-rays shown as and indicate: Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR538_IM-2144/0.png"}, {"type": "image", "value": "train/CXR538_IM-2144/1.png"}]} {"text": " and depict chest X-rays with these findings: Lungs are overall hyperexpanded with flattening of the diaphragms. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. degenerative changes within the spine. There are expansile changes within the right clavicle which were seen on the previous XXXX/CT. Findings are consistent with changes of multiple myeloma.", "modalities": [{"type": "image", "value": "train/CXR3702_IM-1849/0.png"}, {"type": "image", "value": "train/CXR3702_IM-1849/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The cardiac contours are normal. The lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. There is no focal consolidation. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3240_IM-1534/0.png"}, {"type": "image", "value": "train/CXR3240_IM-1534/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Normal heart and mediastinum. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion. Radiopaque foreign body overlying left chest.", "modalities": [{"type": "image", "value": "train/CXR99_IM-2476/0.png"}, {"type": "image", "value": "train/CXR99_IM-2476/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: There is a rounded dense opacity in the lateral left midlung zone probably the left upper lobe most suggestive of a rounded pneumonia. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR2859_IM-1266/0.png"}, {"type": "image", "value": "train/CXR2859_IM-1266/1.png"}]} {"text": " and present chest X-rays with the following impressions: Cardiomediastinal silhouette is within normal limits of size In appearance. Pulmonary vascularity is unremarkable. There are diffuse, bilateral interstitial opacities, with XXXX B lines demonstrated. Small amount of subpleural edema is demonstrated in the fissures. There is mild blunting of both posterior costophrenic sulci, which may reflect XXXX effusions. Negative for pneumothorax. Limited evaluation reveals the XXXX XXXX the grossly intact.", "modalities": [{"type": "image", "value": "train/CXR934_IM-2432/0.png"}, {"type": "image", "value": "train/CXR934_IM-2432/1.png"}]} {"text": "The X-rays and show the following chest conditions: Heart size within normal limits. Streaky airspace disease is demonstrated on the lateral examination. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR495_IM-2114/0.png"}, {"type": "image", "value": "train/CXR495_IM-2114/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR3996_IM-2047/0.png"}, {"type": "image", "value": "train/CXR3996_IM-2047/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The tracheostomy tube is in stable position. Right subclavian catheter tip is in the lower SVC. The left upper extremity PICC tip is in the mid SVC. Surgical XXXX overlie the soft tissues of the neck. The lungs are clear. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2894_IM-1296-4001/0.png"}, {"type": "image", "value": "train/CXR2894_IM-1296-4001/1.png"}]} {"text": " and X-rays show chest observations as follows: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3285_IM-1566/0.png"}, {"type": "image", "value": "train/CXR3285_IM-1566/1.png"}]} {"text": " and show chest X-ray scans that indicate: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3226_IM-1525/0.png"}, {"type": "image", "value": "train/CXR3226_IM-1525/1.png"}]} {"text": " and X-rays show chest observations as follows: Heart size and mediastinal contour within normal limits. Atherosclerotic calcification of the aorta. Stable scattered calcified granulomas are noted. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR3808_IM-1918/0.png"}, {"type": "image", "value": "train/CXR3808_IM-1918/1.png"}]} {"text": "Chest X-rays shown as and indicate: Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.", "modalities": [{"type": "image", "value": "train/CXR2152_IM-0772/0.png"}, {"type": "image", "value": "train/CXR2152_IM-0772/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3624_IM-1794/0.png"}, {"type": "image", "value": "train/CXR3624_IM-1794/1.png"}]} {"text": " and are images of chest X-rays showing: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3904_IM-1983/0.png"}, {"type": "image", "value": "train/CXR3904_IM-1983/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the hemidiaphragms. Coarsened interstitial testes appear chronic and compatible with emphysema. There is minimal XXXX scarring or atelectasis in the left lung base. The lungs are otherwise clear of focal infiltrate, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3233_IM-1530/0.png"}, {"type": "image", "value": "train/CXR3233_IM-1530/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR276_IM-1207/0.png"}, {"type": "image", "value": "train/CXR276_IM-1207/1.png"}]} {"text": "The chest scans and reveal: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Again seen is XXXX paraspinal foreign body which may represent a bullet fragment.", "modalities": [{"type": "image", "value": "train/CXR2449_IM-0984/0.png"}, {"type": "image", "value": "train/CXR2449_IM-0984/1.png"}]} {"text": " and capture chest X-rays with these findings: The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal as are the skeletal structures and soft tissues.", "modalities": [{"type": "image", "value": "train/CXR3311_IM-1586/0.png"}, {"type": "image", "value": "train/CXR3311_IM-1586/1.png"}]} {"text": "The images and are chest X-rays with the following noted: XXXX XXXX and lateral views of the chest were obtained on XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.", "modalities": [{"type": "image", "value": "train/CXR3144_IM-1478/0.png"}, {"type": "image", "value": "train/CXR3144_IM-1478/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.", "modalities": [{"type": "image", "value": "train/CXR3129_IM-1471/0.png"}, {"type": "image", "value": "train/CXR3129_IM-1471/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: There is enlargement of the cardiac silhouette. There is a focal opacity within the right upper lung. There is dense calcification of the thoracic aorta. There is no pneumothorax. There is no large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3327_IM-1593/0.png"}, {"type": "image", "value": "train/CXR3327_IM-1593/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Heart size is XXXX within normal limits. There are surgical clips in the left mediastinum. There is no pneumothorax. There is a small left pleural effusion. Abnormal convexity within the mediastinum XXXX represents adenopathy which is better demonstrated on the prior XXXX.", "modalities": [{"type": "image", "value": "train/CXR651_IM-2229/0.png"}, {"type": "image", "value": "train/CXR651_IM-2229/1.png"}]} {"text": " and show chest X-ray scans that indicate: No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR505_IM-2123/0.png"}, {"type": "image", "value": "train/CXR505_IM-2123/1.png"}]} {"text": "These chest X-rays ( and ) show the following: No pleural effusion no pneumothorax. Normal cardiac contour. No focal consolidation. Lungs clear bilaterally.", "modalities": [{"type": "image", "value": "train/CXR844_IM-2367/0.png"}, {"type": "image", "value": "train/CXR844_IM-2367/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Surgical clips are present in the abdomen.", "modalities": [{"type": "image", "value": "train/CXR2109_IM-0739-0001/0.png"}, {"type": "image", "value": "train/CXR2109_IM-0739-0001/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. There is no pneumothorax. There is no pleural effusion. There is redemonstration of right rib deformities XXXX from old XXXX. XXXX of mild dextroscoliosis of the thoracic spine. There is no free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR835_IM-2360/0.png"}, {"type": "image", "value": "train/CXR835_IM-2360/1.png"}]} {"text": "X-ray scans and display the following chest observations: XXXX change. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR933_IM-2431/0.png"}, {"type": "image", "value": "train/CXR933_IM-2431/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart size is mildly enlarged. The patient is post aortic valve replacement. The XXXX sternotomy XXXX are intact. 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 mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3091_IM-1445/0.png"}, {"type": "image", "value": "train/CXR3091_IM-1445/1.png"}]} {"text": " and depict chest X-rays with these findings: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1450_IM-0291/0.png"}, {"type": "image", "value": "train/CXR1450_IM-0291/1.png"}]} {"text": "X-ray images labeled and display the following findings: Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. No focal alveolar consolidation, no definite pleural effusion seen. Right hilar calcifications suggest a previous granulomatous process. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR418_IM-2061/0.png"}, {"type": "image", "value": "train/CXR418_IM-2061/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: 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. Calcified granuloma are noted. A few XXXX opacities are present consistent with XXXX XXXX of scarring or atelectasis.", "modalities": [{"type": "image", "value": "train/CXR952_IM-2447/0.png"}, {"type": "image", "value": "train/CXR952_IM-2447/1.png"}]} {"text": "The X-rays and show the following chest conditions: Heart size and mediastinal contours appear within normal limits. Eventration of the right hemidiaphragm. No focal lung consolidation, pleural effusion or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1820_IM-0532/0.png"}, {"type": "image", "value": "train/CXR1820_IM-0532/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: 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.", "modalities": [{"type": "image", "value": "train/CXR2507_IM-1030/0.png"}, {"type": "image", "value": "train/CXR2507_IM-1030/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3156_IM-1486/0.png"}, {"type": "image", "value": "train/CXR3156_IM-1486/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Elevated left hemidiaphragm with scarring at the left costophrenic XXXX. There is a bullet fragment overlying the left T7 vertebra. Retained XXXX bullet fragments noted within the left upper and lower lobes. No focal consolidation, visible pneumothorax or large pleural effusion. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2729_IM-1187/0.png"}, {"type": "image", "value": "train/CXR2729_IM-1187/1.png"}]} {"text": " and exhibit chest X-rays showing: Lung volumes are mildly decreased. The cardiac silhouette and pulmonary vascularity are normal. There is bilateral lower lobe XXXX airspace opacities compatible with discoid atelectasis. There is no evidence of pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3541_IM-1733-0001/0.png"}, {"type": "image", "value": "train/CXR3541_IM-1733-0001/1.png"}]} {"text": "X-rays and show chest details with these impressions: There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3339_IM-1599/0.png"}, {"type": "image", "value": "train/CXR3339_IM-1599/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3830_IM-1933/0.png"}, {"type": "image", "value": "train/CXR3830_IM-1933/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart is normal in size and contour. There is no mediastinal widening. The lungs are hyperexpanded. Scattered granuloma. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR1437_IM-0281/0.png"}, {"type": "image", "value": "train/CXR1437_IM-0281/1.png"}]} {"text": " and show chest X-ray scans that indicate: Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2523_IM-1041/0.png"}, {"type": "image", "value": "train/CXR2523_IM-1041/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR3939_IM-2010/0.png"}, {"type": "image", "value": "train/CXR3939_IM-2010/1.png"}]} {"text": " and depict chest X-rays with these findings: There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR1314_IM-0204/0.png"}, {"type": "image", "value": "train/CXR1314_IM-0204/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Acromioclavicular arthritis is present, XXXX severe.", "modalities": [{"type": "image", "value": "train/CXR1028_IM-0022/0.png"}, {"type": "image", "value": "train/CXR1028_IM-0022/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Considering differences in technical factors XXXX stable cardiomegaly and stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR1743_IM-0489/0.png"}, {"type": "image", "value": "train/CXR1743_IM-0489/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.", "modalities": [{"type": "image", "value": "train/CXR2295_IM-0876/0.png"}, {"type": "image", "value": "train/CXR2295_IM-0876/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR255_IM-1058/0.png"}, {"type": "image", "value": "train/CXR255_IM-1058/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine", "modalities": [{"type": "image", "value": "train/CXR653_IM-2230/0.png"}, {"type": "image", "value": "train/CXR653_IM-2230/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2720_IM-1182/0.png"}, {"type": "image", "value": "train/CXR2720_IM-1182/1.png"}]} {"text": " and provide chest images showing: PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mildly tortuous thoracic aorta. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild elevation right hemidiaphragm.", "modalities": [{"type": "image", "value": "train/CXR3421_IM-1656/0.png"}, {"type": "image", "value": "train/CXR3421_IM-1656/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: 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.", "modalities": [{"type": "image", "value": "train/CXR3227_IM-1525/0.png"}, {"type": "image", "value": "train/CXR3227_IM-1525/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart is normal in size. The mediastinum is unremarkable. Left subclavian central catheter tip in distal SVC. No pneumothorax. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1231_IM-0155/0.png"}, {"type": "image", "value": "train/CXR1231_IM-0155/1.png"}]} {"text": " and show chest images with these observations: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR532_IM-2140/0.png"}, {"type": "image", "value": "train/CXR532_IM-2140/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Postsurgical changes are noted in the mediastinum. There is tortuosity and/or ectasia of the thoracic and upper abdominal aorta. No consolidative airspace opacities. Blunting of the lateral and posterior left costophrenic sulcus may represent residual postsurgical effusion or pleural-parenchymal scarring. No demonstrable pneumothorax. Cardiomediastinal silhouette within normal limits. Multilevel anterior osteophytes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2974_IM-1364/0.png"}, {"type": "image", "value": "train/CXR2974_IM-1364/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size within normal limits, stable mediastinal and hilar contours. Mild hyperinflation appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. Scattered chronic appearing irregular interstitial markings, no typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR14_IM-0256/0.png"}, {"type": "image", "value": "train/CXR14_IM-0256/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Surgical XXXX is noted in the right upper quadrant. Subcutaneous emphysema seen along the neck bilaterally, right lateral upper abdomen, and left chest.", "modalities": [{"type": "image", "value": "train/CXR228_IM-0866/0.png"}, {"type": "image", "value": "train/CXR228_IM-0866/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart is borderline in size. The aorta is mildly tortuous. XXXX right IJ catheter is in XXXX with tip in proximal right atrium/cavoatrial junction. There is no pneumothorax. Lungs are grossly clear. There is no large effusion.", "modalities": [{"type": "image", "value": "train/CXR1935_IM-0605-0001/0.png"}, {"type": "image", "value": "train/CXR1935_IM-0605-0001/1.png"}]} {"text": "X-ray images labeled and display the following findings: Frontal and lateral views demonstrate the cardiomediastinal silhouette to be within normal limits. There is normal distribution of the pulmonary vascularity. The lungs are clear. No effusion, consolidation, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3500_IM-1706/0.png"}, {"type": "image", "value": "train/CXR3500_IM-1706/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2997_IM-1381/0.png"}, {"type": "image", "value": "train/CXR2997_IM-1381/1.png"}]} {"text": "These chest X-rays ( and ) show the following: 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. Cholecystectomy clips overlie the right upper quadrant. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR432_IM-2072/0.png"}, {"type": "image", "value": "train/CXR432_IM-2072/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Stable XXXX XXXX, including elongation of the left ventricle and tortuous thoracic aorta. Subcarinal calcified lymph XXXX. XXXX lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR3644_IM-1807/0.png"}, {"type": "image", "value": "train/CXR3644_IM-1807/1.png"}]} {"text": "The chest scans and reveal: Heart size is moderately enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is suspected right lower lobe airspace opacity XXXX demonstrated on the lateral study. There is a fracture of superior sternotomy XXXX unchanged.", "modalities": [{"type": "image", "value": "train/CXR2181_IM-0793-1001/0.png"}, {"type": "image", "value": "train/CXR2181_IM-0793-1001/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The cardiac silhouette and upper mediastinum are within normal limits. There is no pulmonary venous congestion. There is prominence of the pulmonary arteries, right greater than left. There is no acute air space infiltrate, pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1386_IM-0246/0.png"}, {"type": "image", "value": "train/CXR1386_IM-0246/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR2591_IM-1083/0.png"}, {"type": "image", "value": "train/CXR2591_IM-1083/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1168_IM-0112/0.png"}, {"type": "image", "value": "train/CXR1168_IM-0112/1.png"}]} {"text": " and provide chest images showing: The heart size and cardiomediastinal silhouette are normal. The aorta is tortuous and atherosclerotic. The lungs are hyperexpanded with flattening of hemidiaphragms and increased retrosternal airspace. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3803_IM-1913/0.png"}, {"type": "image", "value": "train/CXR3803_IM-1913/1.png"}]} {"text": " and present chest X-rays with the following impressions: The aortic XXXX is mildly tortuous. 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. Large body habitus.", "modalities": [{"type": "image", "value": "train/CXR3184_IM-1503/0.png"}, {"type": "image", "value": "train/CXR3184_IM-1503/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR252_IM-1038/0.png"}, {"type": "image", "value": "train/CXR252_IM-1038/1.png"}]} {"text": " and present chest X-rays with the following impressions: The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2471_IM-1002/0.png"}, {"type": "image", "value": "train/CXR2471_IM-1002/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The cardiac contours are normal. Cardiac valve replacement. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR675_IM-2247/0.png"}, {"type": "image", "value": "train/CXR675_IM-2247/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size is normal. The lungs are grossly clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Normal pulmonary vascularity. No overt edema.", "modalities": [{"type": "image", "value": "train/CXR287_IM-1276/0.png"}, {"type": "image", "value": "train/CXR287_IM-1276/1.png"}]} {"text": " and capture chest X-rays with these findings: The lungs appear clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. The pleural spaces are clear.", "modalities": [{"type": "image", "value": "train/CXR2437_IM-0977/0.png"}, {"type": "image", "value": "train/CXR2437_IM-0977/1.png"}]} {"text": "The chest scans and reveal: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is stable XXXX scarring in the right upper lobe. Lungs are otherwise clear. There is no XXXX focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1352_IM-0229/0.png"}, {"type": "image", "value": "train/CXR1352_IM-0229/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Borderline enlarged heart. Stable mediastinal contours. Aortic XXXX calcifications. Hyperinflated lungs with chronic appearing interstitial markings, compatible with emphysema. Bilateral streaky opacities. Increased vascularity compatible with pulmonary vascular congestion. No focal airspace disease. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1125_IM-0082/0.png"}, {"type": "image", "value": "train/CXR1125_IM-0082/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size is mildly enlarged. There are diffusely increased interstitial opacities bilaterally. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3095_IM-1448/0.png"}, {"type": "image", "value": "train/CXR3095_IM-1448/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: there is a rounded opacity in the right lower zone measuring 2.0 cm which is XXXX to be in the posterobasal segment. There is of uncertain etiology but would benefit from followup at XXXX some concern for neoplasm. A XXXX is recommended. No airspace disease, effusion or cavitary nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2092_IM-0723/0.png"}, {"type": "image", "value": "train/CXR2092_IM-0723/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR668_IM-2242/0.png"}, {"type": "image", "value": "train/CXR668_IM-2242/1.png"}]} {"text": "X-rays and show these chest observations: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2528_IM-1044/0.png"}, {"type": "image", "value": "train/CXR2528_IM-1044/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart, 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.", "modalities": [{"type": "image", "value": "train/CXR3583_IM-1762/0.png"}, {"type": "image", "value": "train/CXR3583_IM-1762/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Increased interstitial lung changes with superimposed pulmonary edema. Cardiomegaly. Negative for effusion or pneumothorax. Degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR925_IM-2425/0.png"}, {"type": "image", "value": "train/CXR925_IM-2425/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. Since the prior study, there's been interval development of left lower lobe airspace disease. The right lung is clear.", "modalities": [{"type": "image", "value": "train/CXR1072_IM-0052-1001/0.png"}, {"type": "image", "value": "train/CXR1072_IM-0052-1001/1.png"}]} {"text": "X-ray images labeled and display the following findings: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1305_IM-0199/0.png"}, {"type": "image", "value": "train/CXR1305_IM-0199/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The XXXX examination consists of frontal and lateral radiographs of the chest. The posterior costophrenic XXXX are excluded on the lateral view. 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.", "modalities": [{"type": "image", "value": "train/CXR3703_IM-1850/0.png"}, {"type": "image", "value": "train/CXR3703_IM-1850/1.png"}]} {"text": " and show chest X-ray scans that indicate: The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. Pulmonary vascularity is within normal limits. Calcified right upper lobe nodule with a granuloma is again seen but unchanged. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2342_IM-0907/0.png"}, {"type": "image", "value": "train/CXR2342_IM-0907/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Minimal subsegmental atelectasis posteriorly. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR845_IM-2367/0.png"}, {"type": "image", "value": "train/CXR845_IM-2367/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiomediastinal silhouette is normal in size and contour. Right suprahilar calcified lymph XXXX. Right lung base calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Mildly hyperexpanded lungs. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR773_IM-2318/0.png"}, {"type": "image", "value": "train/CXR773_IM-2318/1.png"}]} {"text": " and show chest images with these observations: The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1359_IM-0233/0.png"}, {"type": "image", "value": "train/CXR1359_IM-0233/1.png"}]} {"text": " and provide chest images showing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1590_IM-0383/0.png"}, {"type": "image", "value": "train/CXR1590_IM-0383/1.png"}]} {"text": "Chest X-rays shown as and indicate: Heart size is normal. Right lung is clear. Granulomatous disease in the bilateral. Subsegmental atelectasis in the left lower lung. No pneumothorax. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR636_IM-2215/0.png"}, {"type": "image", "value": "train/CXR636_IM-2215/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3288_IM-1569/0.png"}, {"type": "image", "value": "train/CXR3288_IM-1569/1.png"}]} {"text": "The chest X-rays in and display: The lungs are hyperexpanded. There is a large rounded lucency in the right upper lung, XXXX large emphysematous XXXX. There are XXXX biapical opacities, XXXX scarring. No focal airspace consolidation to suggest pneumonia. There is no pleural effusion. No pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2169_IM-0785-0001/0.png"}, {"type": "image", "value": "train/CXR2169_IM-0785-0001/1.png"}]} {"text": "X-ray images labeled and display the following findings: The trachea is midline. The cardiomediastinal silhouette is normal. There are small round calcific density nodules consistent with prior granulomatous disease bilaterally. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There are no masses seen. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1848_IM-0550/0.png"}, {"type": "image", "value": "train/CXR1848_IM-0550/1.png"}]} {"text": "The chest X-rays in and display: The cardiac contours are normal. Atherosclerotic aorta. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3735_IM-1866/0.png"}, {"type": "image", "value": "train/CXR3735_IM-1866/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1118_IM-0079/0.png"}, {"type": "image", "value": "train/CXR1118_IM-0079/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size within normal limits. Right paratracheal prominence XXXX represents tortuous XXXX. XXXX lung volumes. Mild streaky bibasilar opacities. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3244_IM-1536/0.png"}, {"type": "image", "value": "train/CXR3244_IM-1536/1.png"}]} {"text": " and are images of chest X-rays showing: Calcified granuloma is noted in the left upper lobe. There are low lung volumes, with bronchovascular crowding as a result. Heart size is within normal limits. Normal mediastinal contours. No pleural effusion, pneumothorax or focal airspace disease. No free subdiaphragmatic air. The osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR1320_IM-0207/0.png"}, {"type": "image", "value": "train/CXR1320_IM-0207/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart is normal in size. The mediastinum is stable. Left-sided chest XXXX is again visualized with tip at cavoatrial junction. There is no pneumothorax. Numerous bilateral pulmonary nodules have increased in size and number XXXX compared to prior study. The dominant nodule/mass in the left midlung is also mildly increased. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR220_IM-0811/0.png"}, {"type": "image", "value": "train/CXR220_IM-0811/1.png"}]} {"text": "X-rays and show chest details with these impressions: Sequelae of old granulomatous disease. No suspicious pulmonary nodules or masses. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1287_IM-0188/0.png"}, {"type": "image", "value": "train/CXR1287_IM-0188/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. There are XXXX opacities in the left XXXX, XXXX subsegmental atelectasis or scar. Otherwise, the lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1514_IM-0333/0.png"}, {"type": "image", "value": "train/CXR1514_IM-0333/1.png"}]} {"text": " and X-rays show chest observations as follows: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Degenerative changes of the spine..", "modalities": [{"type": "image", "value": "train/CXR3488_IM-1696/0.png"}, {"type": "image", "value": "train/CXR3488_IM-1696/1.png"}]} {"text": "The X-rays and show the following chest conditions: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Calcified left hilar XXXX.", "modalities": [{"type": "image", "value": "train/CXR3099_IM-1450/0.png"}, {"type": "image", "value": "train/CXR3099_IM-1450/1.png"}]} {"text": " and are images of chest X-rays showing: Normal heart size and mediastinal contours. No focal airspace consolidation. Tracheostomy tip approximately 5 cm above the carina. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2622_IM-1110/0.png"}, {"type": "image", "value": "train/CXR2622_IM-1110/1.png"}]} {"text": " and X-rays show chest observations as follows: Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. Right hilar calcification suggests a previous granulomatous process.", "modalities": [{"type": "image", "value": "train/CXR2922_IM-1325/0.png"}, {"type": "image", "value": "train/CXR2922_IM-1325/1.png"}]} {"text": " and are images of chest X-rays showing: The lungs are clear. The heart pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR3458_IM-1678/0.png"}, {"type": "image", "value": "train/CXR3458_IM-1678/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The lateral view is nondiagnostic due to patient positioning. Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or large pleural effusion. Visualized osseous structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR1968_IM-0630/0.png"}, {"type": "image", "value": "train/CXR1968_IM-0630/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. Visualized osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR430_IM-2071/0.png"}, {"type": "image", "value": "train/CXR430_IM-2071/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart is normal size with normal appearance the cardiomediastinal silhouette. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with degenerative changes in thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1327_IM-0211/0.png"}, {"type": "image", "value": "train/CXR1327_IM-0211/1.png"}]} {"text": " and are images of chest X-rays showing: Stable calcified granulomas. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR417_IM-2060/0.png"}, {"type": "image", "value": "train/CXR417_IM-2060/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1384_IM-0246/0.png"}, {"type": "image", "value": "train/CXR1384_IM-0246/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. There are postoperative changes of cervical spine fusion.", "modalities": [{"type": "image", "value": "train/CXR982_IM-2470/0.png"}, {"type": "image", "value": "train/CXR982_IM-2470/1.png"}]} {"text": "X-rays and show chest details with these impressions: 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. Old healed left 5th and 6th rib fractures are seen laterally.", "modalities": [{"type": "image", "value": "train/CXR1385_IM-0246/0.png"}, {"type": "image", "value": "train/CXR1385_IM-0246/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: There are no acute osseous abnormalities. Questionable old left posterior third and fourth rib fractures. Visualized soft tissues are within normal limits. Normal heart size. Normal hilar vascular markings. Subtle prominence of interstitial markings in the bases, left worse than right. No focal area of consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2070_IM-0704/0.png"}, {"type": "image", "value": "train/CXR2070_IM-0704/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are hyperexpanded consistent with emphysema. Pectus carinatum is noted. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Calcified granuloma are noted. Vascular calcification is noted.", "modalities": [{"type": "image", "value": "train/CXR3349_IM-1606/0.png"}, {"type": "image", "value": "train/CXR3349_IM-1606/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart, 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 is an interim XXXX cervical spinal fusion partly evaluated.", "modalities": [{"type": "image", "value": "train/CXR8_IM-2333/0.png"}, {"type": "image", "value": "train/CXR8_IM-2333/1.png"}]} {"text": " and exhibit chest X-rays showing: 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.", "modalities": [{"type": "image", "value": "train/CXR2520_IM-1039/0.png"}, {"type": "image", "value": "train/CXR2520_IM-1039/1.png"}]} {"text": "The chest scans and reveal: The heart and mediastinum are normal. The lungs are clear. There is mild blunting of the right costophrenic XXXX. There is no infiltrate, mass or pneumothorax. The right internal jugular catheter has been removed.", "modalities": [{"type": "image", "value": "train/CXR3043_IM-1417/0.png"}, {"type": "image", "value": "train/CXR3043_IM-1417/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Normal cardiomediastinal contours, given patient position and technique. No pneumothorax or large pleural effusions. The lung volumes.", "modalities": [{"type": "image", "value": "train/CXR1453_IM-0292/0.png"}, {"type": "image", "value": "train/CXR1453_IM-0292/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Normal heart size and mediastinal contours. The lungs are free of any focal airspace disease. In the left lung base, there is a 9 mm nodule that not definitively calcified. No pneumothorax or pleural effusion. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR849_IM-2371/0.png"}, {"type": "image", "value": "train/CXR849_IM-2371/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart size is upper limits of normal. 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.", "modalities": [{"type": "image", "value": "train/CXR2871_IM-1277/0.png"}, {"type": "image", "value": "train/CXR2871_IM-1277/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart size of the limits of normal. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There is a calcified granuloma right midlung and posterior costophrenic sulcus.", "modalities": [{"type": "image", "value": "train/CXR902_IM-2409/0.png"}, {"type": "image", "value": "train/CXR902_IM-2409/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. Small rounded bilateral axillary densities not seen on the previous exam most suggestive of artifacts, healed right lateral 10th rib fracture noted..", "modalities": [{"type": "image", "value": "train/CXR1365_IM-0237/0.png"}, {"type": "image", "value": "train/CXR1365_IM-0237/1.png"}]} {"text": "X-rays and show these chest observations: The aortic XXXX, cardiac apex, and stomach are left-sided. The cardiomediastinal silhouette is significantly enlarged. Pulmonary vascular markings centrally are within normal limits and symmetric. Increased interstitial markings bilaterally at the lung bases. This may be related to chronic interstitial changes or edema. No focal airspace disease. No pleural effusion or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1898_IM-0581/0.png"}, {"type": "image", "value": "train/CXR1898_IM-0581/1.png"}]} {"text": " and present chest X-rays with the following impressions: Three images submitted. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR896_IM-2406/0.png"}, {"type": "image", "value": "train/CXR896_IM-2406/1.png"}]} {"text": "X-rays and show these chest observations: The heart size and mediastinal contours appear within normal limits. There is blunting of the right lateral costophrenic sulcus which could be secondary to a small effusion versus scarring. No focal airspace consolidation or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1019_IM-0015/0.png"}, {"type": "image", "value": "train/CXR1019_IM-0015/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR655_IM-2231/0.png"}, {"type": "image", "value": "train/CXR655_IM-2231/1.png"}]} {"text": " and show chest images with these observations: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR2015_IM-0664/0.png"}, {"type": "image", "value": "train/CXR2015_IM-0664/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction.", "modalities": [{"type": "image", "value": "train/CXR161_IM-0394/0.png"}, {"type": "image", "value": "train/CXR161_IM-0394/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR80_IM-2333/0.png"}, {"type": "image", "value": "train/CXR80_IM-2333/1.png"}]} {"text": " and show chest X-ray scans that indicate: The cardiac silhouette is mildly enlarged. A lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. No pneumothorax or pleural effusion. Severe degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR139_IM-0248/0.png"}, {"type": "image", "value": "train/CXR139_IM-0248/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable calcified granulomas. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR778_IM-2321/0.png"}, {"type": "image", "value": "train/CXR778_IM-2321/1.png"}]} {"text": " and show chest X-ray scans that indicate: There are a few small nodular opacities in the left lung, XXXX seen on the frontal view overlying the left 6th posterior rib. Lungs otherwise appear clear. No focal airspace consolidation. No overt pulmonary edema. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. There are mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1631_IM-0412-0001/0.png"}, {"type": "image", "value": "train/CXR1631_IM-0412-0001/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There is no focal air space opacity, pneumothorax, or effusion. There are large calcified mediastinal and right hilar granulomas. The bony structures of the thorax are intact with no evidence of acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1847_IM-0550/0.png"}, {"type": "image", "value": "train/CXR1847_IM-0550/1.png"}]} {"text": " and depict chest X-rays with these findings: The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures and soft tissues have a normal appearance.", "modalities": [{"type": "image", "value": "train/CXR2212_IM-0819/0.png"}, {"type": "image", "value": "train/CXR2212_IM-0819/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Lungs are mildly hyperexpanded. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1580_IM-0378/0.png"}, {"type": "image", "value": "train/CXR1580_IM-0378/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: There are bilateral pulmonary nodules whose appearances suggest metastatic disease to lungs. In the right lung, there is a 1.9 x 2.1 cm nodule overlying the posterior right 6th rib. There is a 1.0 x 1.2 cm nodule XXXX above this in the interspace between the posterior 5th and 6th ribs on the right. There is a 1.0 x 1.1 cm nodule projecting through the left 9th and 10th interspaces on the PA view. If not already performed, contrast-enhanced XXXX would be XXXX suited to evaluate these findings. There are no focal airspace opacities to suggest pneumonia. To the stomach contours appear grossly clear. Heart size and pulmonary XXXX appear normal. There are left-sided axillary clips. There is a right internal jugular central catheter, the distal tip in right atrium.", "modalities": [{"type": "image", "value": "train/CXR992_IM-2477-0001/0.png"}, {"type": "image", "value": "train/CXR992_IM-2477-0001/1.png"}]} {"text": "The images and are chest X-rays with the following noted: There is XXXX opacity left lung base may represent atelectasis or early infiltrate. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3813_IM-1922/0.png"}, {"type": "image", "value": "train/CXR3813_IM-1922/1.png"}]} {"text": "Chest X-rays shown as and indicate: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. The distal tip of a right IJ dual-lumen central venous catheter is at the XXXX which junction.", "modalities": [{"type": "image", "value": "train/CXR1341_IM-0220/0.png"}, {"type": "image", "value": "train/CXR1341_IM-0220/1.png"}]} {"text": "X-rays and show chest details with these impressions: Redemonstration of moderately-inflated lungs, consistent with COPD and unchanged. Atherosclerotic calcifications of the thoracic XXXX seen. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1921_IM-0598/0.png"}, {"type": "image", "value": "train/CXR1921_IM-0598/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Lungs are clear. Heart size normal. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1366_IM-0237/0.png"}, {"type": "image", "value": "train/CXR1366_IM-0237/1.png"}]} {"text": " and present chest X-rays with the following impressions: Within the posterior lateral 8th rib there is a deformity along the cortex with associated oblique lucency. In addition within the posterior lateral 9th rib there appears to be a obliquely oriented lucency with cortical disruption. Findings are concerning for possible left rib fractures. Otherwise the cardiomediastinal silhouette is within normal limits. The lungs are clear bilaterally. Multiple small punctate radiopaque foreign bodies are seen within the subcutaneous tissues and are present on previous CT scan from XXXX.", "modalities": [{"type": "image", "value": "train/CXR2002_IM-0654/0.png"}, {"type": "image", "value": "train/CXR2002_IM-0654/1.png"}]} {"text": " and show chest images with these observations: There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR499_IM-2116/0.png"}, {"type": "image", "value": "train/CXR499_IM-2116/1.png"}]} {"text": " and show chest images with these observations: The mediastinal and hilar lymph XXXX are less prominent than previously. Heart size remains normal. Lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2597_IM-1087/0.png"}, {"type": "image", "value": "train/CXR2597_IM-1087/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Gastrostomy tube is noted.", "modalities": [{"type": "image", "value": "train/CXR482_IM-2106/0.png"}, {"type": "image", "value": "train/CXR482_IM-2106/1.png"}]} {"text": "The chest X-rays in and display: Lateral view, over the lingula, there is a 7mm diameter uncalcified nodule of uncertain origin. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild tortuosity aorta is redemonstrated.", "modalities": [{"type": "image", "value": "train/CXR3393_IM-1637/0.png"}, {"type": "image", "value": "train/CXR3393_IM-1637/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The lungs are relatively clear with XXXX sulci. Heart size normal in LV contour. Slightly unfolded ascending and descending aorta. T-spine unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1639_IM-0418/0.png"}, {"type": "image", "value": "train/CXR1639_IM-0418/1.png"}]} {"text": " and show chest X-ray scans that indicate: The trachea is midline. Cardiomediastinal silhouette is normal. There is a calcified density in the left mid lung, most XXXX a calcified granuloma. Lungs are otherwise clear, without evidence of acute infiltrate or effusion. Specifically, there is no evidence of tuberculous disease. There is no pneumothorax. The bony structures show no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3137_IM-1476/0.png"}, {"type": "image", "value": "train/CXR3137_IM-1476/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The heart size and cardiomediastinal silhouette are normal. There is hyperexpansion of the lungs with flattening of the hemidiaphragms. There is no focal airspace opacity, pleural effusion, or pneumothorax. There multilevel degenerative changes of thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR35_IM-1704/0.png"}, {"type": "image", "value": "train/CXR35_IM-1704/1.png"}]} {"text": " and exhibit chest X-rays showing: Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea.", "modalities": [{"type": "image", "value": "train/CXR1596_IM-0387/0.png"}, {"type": "image", "value": "train/CXR1596_IM-0387/1.png"}]} {"text": " and depict chest X-rays with these findings: The lungs are clear. No focal air space consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.", "modalities": [{"type": "image", "value": "train/CXR2032_IM-0677/0.png"}, {"type": "image", "value": "train/CXR2032_IM-0677/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart is normal in size. The mediastinum is stable. Mild biapical scarring is identified. There is a nodular density in the right midlung which is stable from prior studies and noted to represent a granuloma on XXXX of XXXX. However, additional foci in the right upper lung are questioned. There is no acute infiltrate or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR277_IM-1213/0.png"}, {"type": "image", "value": "train/CXR277_IM-1213/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: 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. There is eventration of the right hemidiaphragm. The descending thoracic aorta is tortuous.", "modalities": [{"type": "image", "value": "train/CXR1483_IM-0313/0.png"}, {"type": "image", "value": "train/CXR1483_IM-0313/1.png"}]} {"text": "The chest X-rays in and display: PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Degenerative spine.", "modalities": [{"type": "image", "value": "train/CXR1655_IM-0431/0.png"}, {"type": "image", "value": "train/CXR1655_IM-0431/1.png"}]} {"text": "The X-rays and show the following chest conditions: Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2941_IM-1342/0.png"}, {"type": "image", "value": "train/CXR2941_IM-1342/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Lung volumes remain XXXX. XXXX opacities are present in both lower lobes. Old rib fractures and pleural thickening are present on the right. Heart and pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR3272_IM-1553/0.png"}, {"type": "image", "value": "train/CXR3272_IM-1553/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The left hilum is retracted superiorly. In the collapsed left upper lobe are stranding and pneumatoceles. Additionally, pleural thickening is present in the left apex. No infiltrates are present in the left lower lobe or in the right lung. Heart size is normal. These findings are similar to the previous outside examination.", "modalities": [{"type": "image", "value": "train/CXR1160_IM-0107/0.png"}, {"type": "image", "value": "train/CXR1160_IM-0107/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR346_IM-1680/0.png"}, {"type": "image", "value": "train/CXR346_IM-1680/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The lungs are clear. Heart size and mediastinal contours are normal. No osseous abnormalities.", "modalities": [{"type": "image", "value": "train/CXR326_IM-1546/0.png"}, {"type": "image", "value": "train/CXR326_IM-1546/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size is normal. No focal consolidations. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1340_IM-0220/0.png"}, {"type": "image", "value": "train/CXR1340_IM-0220/1.png"}]} {"text": " and present chest X-rays with the following impressions: Stable appearance of chest with no findings of disease progression. Heart and mediastinum stable configuration. Stable elevation of left hemidiaphragm. Lungs clear of consolidation. No pneumothorax or pleural effusion. Bony thorax intact. Minimal spondylosis of the lower thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2117_IM-0745/0.png"}, {"type": "image", "value": "train/CXR2117_IM-0745/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Mediastinum is stable. Retrocardiac lucency XXXX represents a large hiatal hernia, unchanged from prior. The lungs are clear, without focal infiltrate or pleural effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. Stable thoracic XXXX deformity.", "modalities": [{"type": "image", "value": "train/CXR2928_IM-1330/0.png"}, {"type": "image", "value": "train/CXR2928_IM-1330/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2662_IM-1143/0.png"}, {"type": "image", "value": "train/CXR2662_IM-1143/1.png"}]} {"text": "The chest scans and reveal: The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2751_IM-1201/0.png"}, {"type": "image", "value": "train/CXR2751_IM-1201/1.png"}]} {"text": "X-rays and show these chest observations: Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3070_IM-1432/0.png"}, {"type": "image", "value": "train/CXR3070_IM-1432/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR926_IM-2425/0.png"}, {"type": "image", "value": "train/CXR926_IM-2425/1.png"}]} {"text": "Chest X-rays shown as and indicate: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR1636_IM-0415/0.png"}, {"type": "image", "value": "train/CXR1636_IM-0415/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3528_IM-1725/0.png"}, {"type": "image", "value": "train/CXR3528_IM-1725/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The heart is normal in size. The mediastinum is stable. Lungs are mildly hypoinflated. Increased XXXX opacities on lateral projection XXXX reflect bronchovascular crowding. There is no acute infiltrate or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR185_IM-0551/0.png"}, {"type": "image", "value": "train/CXR185_IM-0551/1.png"}]} {"text": "X-ray scans and display the following chest observations: Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR2794_IM-1226/0.png"}, {"type": "image", "value": "train/CXR2794_IM-1226/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The trachea is midline. The cardiomediastinal silhouette is normal. Low lung volumes causing mild bronchovascular crowding. No focal airspace consolidation is seen. There is no pleural effusion. There is no large pneumothorax. Visualized bony structures reveal no acute abnormalities. Pression: Low lung volumes without acute cardiopulmonary findings. .", "modalities": [{"type": "image", "value": "train/CXR3368_IM-1620-0001/0.png"}, {"type": "image", "value": "train/CXR3368_IM-1620-0001/1.png"}]} {"text": "X-ray scans and display the following chest observations: There are low lung volumes. The cardiac silhouette and mediastinal contours are within normal limits. There is tortuosity of the thoracic aorta. No pneumothorax. No large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2693_IM-1165/0.png"}, {"type": "image", "value": "train/CXR2693_IM-1165/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The lungs appear clear. The thoracic aorta remains tortuous. The presence of an aortic aneurysm cannot be excluded on this study XXXX. A there are calcified mediastinal and hilar lymph XXXX suggesting prior histoplasmosis infection. The pleural spaces are clear.", "modalities": [{"type": "image", "value": "train/CXR3984_IM-2040/0.png"}, {"type": "image", "value": "train/CXR3984_IM-2040/1.png"}]} {"text": " and depict chest X-rays with these findings: Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is unremarkable. Morgagni hernia, stable. Lungs are expanded and clear of air space disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals diffuse demineralization with stable anterior wedging at the lower thoracic levels.", "modalities": [{"type": "image", "value": "train/CXR1333_IM-0214/0.png"}, {"type": "image", "value": "train/CXR1333_IM-0214/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR416_IM-2059/0.png"}, {"type": "image", "value": "train/CXR416_IM-2059/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2321_IM-0894/0.png"}, {"type": "image", "value": "train/CXR2321_IM-0894/1.png"}]} {"text": "The X-rays and show the following chest conditions: Mild cardiomegaly. Mediastinal normal width. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. XXXX scarring or atelectasis right midlung.", "modalities": [{"type": "image", "value": "train/CXR1105_IM-0072-1001/0.png"}, {"type": "image", "value": "train/CXR1105_IM-0072-1001/1.png"}]} {"text": "The chest scans and reveal: Heart size near top normal limits, mild aortic ectasia size tortuosity. Mediastinal calcifications and dense nodule in the lingula suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR2789_IM-1223/0.png"}, {"type": "image", "value": "train/CXR2789_IM-1223/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Moderate cardiomegaly. Mild bilateral costophrenic XXXX blunting and fissural thickening, interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. Dense right lower lobe nodule and right hilar calcifications suggest a previous granulomatous process.", "modalities": [{"type": "image", "value": "train/CXR2615_IM-1106/0.png"}, {"type": "image", "value": "train/CXR2615_IM-1106/1.png"}]} {"text": " and show chest images with these observations: Lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR1294_IM-0193/0.png"}, {"type": "image", "value": "train/CXR1294_IM-0193/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Changes post bilateral thoracotomy and XXXX sternotomy. Intact XXXX XXXX. Stable position of the epicardial XXXX XXXX. Mild cardiomegaly. The lungs are clear. Bilateral small pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR2127_IM-0751/0.png"}, {"type": "image", "value": "train/CXR2127_IM-0751/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The trachea is midline. Cardio mediastinal silhouette is normal in contour with overlying sternotomy XXXX. The lungs are clear without acute infiltrate, effusion or pneumothorax. The visualized bony structures reveal no fractures or dislocations.", "modalities": [{"type": "image", "value": "train/CXR1052_IM-0040/0.png"}, {"type": "image", "value": "train/CXR1052_IM-0040/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged.", "modalities": [{"type": "image", "value": "train/CXR1951_IM-0619/0.png"}, {"type": "image", "value": "train/CXR1951_IM-0619/1.png"}]} {"text": " and X-rays show chest observations as follows: The cardiomediastinal contours are stable and normal. Mid sternotomy XXXX again noted. Mildly low lung volumes. No significant pulmonary edema, focal lung consolidation, pleural effusions or pneumothorax seen.", "modalities": [{"type": "image", "value": "train/CXR1736_IM-0484/0.png"}, {"type": "image", "value": "train/CXR1736_IM-0484/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Cardiac silhouette is within normal limits in size. The lungs are hypoinflated with mild bronchovascular crowding. There is mild, XXXX opacity projected over the left lung base. This is partly due to overlying soft tissues, however, there is partial obscuration of the lateral left hemidiaphragm. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion. There are no acute bony findings. There are degenerative endplate changes throughout the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR297_IM-1361/0.png"}, {"type": "image", "value": "train/CXR297_IM-1361/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3234_IM-1531/0.png"}, {"type": "image", "value": "train/CXR3234_IM-1531/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . XXXX right pleural effusion blunting posterior costophrenic XXXX. There is a XXXX XXXX of subsegmental atelectasis of the left lung base. There is XXXX alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine.", "modalities": [{"type": "image", "value": "train/CXR3536_IM-1729/0.png"}, {"type": "image", "value": "train/CXR3536_IM-1729/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2855_IM-1263/0.png"}, {"type": "image", "value": "train/CXR2855_IM-1263/1.png"}]} {"text": "The images and are chest X-rays with the following noted: There's been interval enlargement in the cardiac silhouette. These XXXX't contours are within normal limits. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR3207_IM-1514/0.png"}, {"type": "image", "value": "train/CXR3207_IM-1514/1.png"}]} {"text": " and X-rays show chest observations as follows: Lung volumes are mildly low. The cardiomediastinal silhouette is within normal limits for size contour. No consolidation. No pleural effusion or pneumothorax. Mild degenerative disc change at the thoracic spine, no XXXX deformity.", "modalities": [{"type": "image", "value": "train/CXR1703_IM-0463/0.png"}, {"type": "image", "value": "train/CXR1703_IM-0463/1.png"}]} {"text": "X-rays and show these chest observations: Redemonstration of azygos lobe. Redemonstrated left perihilar nodular opacity, similar in size from previous examination. Dense appearing, may be granulomatous. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. XXXX. Limited exam, for evaluation of fractures. However, no evidence for displaced rib fracture.", "modalities": [{"type": "image", "value": "train/CXR3046_IM-1418/0.png"}, {"type": "image", "value": "train/CXR3046_IM-1418/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: There is hyperinflation. There is some subtle scarring in the lateral right base. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR892_IM-2403/0.png"}, {"type": "image", "value": "train/CXR892_IM-2403/1.png"}]} {"text": "X-ray images labeled and display the following findings: PA and lateral views. The cardiomediastinal silhouette is normal. The lungs are clear. No effusions, consolidation or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3856_IM-1951/0.png"}, {"type": "image", "value": "train/CXR3856_IM-1951/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Normal cardiomediastinal silhouette and hilar contours. Calcified bilateral lung and perihilar granulomas. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax.. XXXX XXXX are intact without acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR3602_IM-1778/0.png"}, {"type": "image", "value": "train/CXR3602_IM-1778/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. Scattered calcified granulomas bilaterally. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3402_IM-1646/0.png"}, {"type": "image", "value": "train/CXR3402_IM-1646/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR554_IM-2155/0.png"}, {"type": "image", "value": "train/CXR554_IM-2155/1.png"}]} {"text": " and capture chest X-rays with these findings: Cardiomegaly. Prominent XXXX are stable. Low lung volumes. No pneumothorax. Minimal right costophrenic XXXX blunting. No focal infiltrates.", "modalities": [{"type": "image", "value": "train/CXR2702_IM-1170/0.png"}, {"type": "image", "value": "train/CXR2702_IM-1170/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The lungs and pleural spaces show no acute abnormality. Calcified right hilar lymph XXXX. Heart size is enlarged, pulmonary vascularity within normal limits. XXXX sternotomy XXXX and prosthetic aortic valve noted.", "modalities": [{"type": "image", "value": "train/CXR2139_IM-0760/0.png"}, {"type": "image", "value": "train/CXR2139_IM-0760/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Heart XXXX, mediastinum, XXXX, bony structures are unremarkable. Possible subtle increased opacity in right apex versus technique. Otherwise no significant interval change compared to prior study", "modalities": [{"type": "image", "value": "train/CXR2231_IM-0831/0.png"}, {"type": "image", "value": "train/CXR2231_IM-0831/1.png"}]} {"text": "These chest X-rays ( and ) show the following: No pneumothorax or pleural effusion. Normal cardiac contours. Clear lungs bilaterally. Redemonstration of transmetatarsal amputation. No evidence of acute fracture-dislocations. No evidence of any bony erosions or osseous infections.", "modalities": [{"type": "image", "value": "train/CXR1770_IM-0504/0.png"}, {"type": "image", "value": "train/CXR1770_IM-0504/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Moderate cardiomegaly with narrowed severe mediastinal contours. Been sternotomy XXXX noted. No pneumothorax. no large pleural effusions. No focal lung consolidation.", "modalities": [{"type": "image", "value": "train/CXR2382_IM-0941/0.png"}, {"type": "image", "value": "train/CXR2382_IM-0941/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart, 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.", "modalities": [{"type": "image", "value": "train/CXR826_IM-2355/0.png"}, {"type": "image", "value": "train/CXR826_IM-2355/1.png"}]} {"text": "Chest X-rays shown as and indicate: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR366_IM-1820/0.png"}, {"type": "image", "value": "train/CXR366_IM-1820/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Stable mild cardiomegaly. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact. Right humeral head bone anchor.", "modalities": [{"type": "image", "value": "train/CXR1013_IM-0013/0.png"}, {"type": "image", "value": "train/CXR1013_IM-0013/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Cardiomediastinal silhouette demonstrates normal heart size with tortuosity and atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality identified. Multilevel degenerative disc disease of the thoracic spine noted.", "modalities": [{"type": "image", "value": "train/CXR998_IM-2479/0.png"}, {"type": "image", "value": "train/CXR998_IM-2479/1.png"}]} {"text": " and present chest X-rays with the following impressions: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3385_IM-1632/0.png"}, {"type": "image", "value": "train/CXR3385_IM-1632/1.png"}]} {"text": " and X-rays show chest observations as follows: Chest. Heart size normal. Lungs clear. XXXX unremarkable. Limited technique. Right elbow and forearm. No acute fracture, dislocation or joint effusion. Soft tissues unremarkable. Left ankle. Soft tissue XXXX around ankle. There are midfoot degenerative changes and plantar calcaneal enthesophyte. Ankle mortise intact. No acute fracture or dislocation.", "modalities": [{"type": "image", "value": "train/CXR2223_IM-0827/0.png"}, {"type": "image", "value": "train/CXR2223_IM-0827/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR219_IM-0799/0.png"}, {"type": "image", "value": "train/CXR219_IM-0799/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1345_IM-0223/0.png"}, {"type": "image", "value": "train/CXR1345_IM-0223/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Low lung volumes with streaky bibasilar opacities, right greater than left. Bronchovascular crowding, indistinct central vascular margination. No findings to suggest pleural effusion. Accounting for technical factors heart size XXXX within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1355_IM-0230/0.png"}, {"type": "image", "value": "train/CXR1355_IM-0230/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3590_IM-1769/0.png"}, {"type": "image", "value": "train/CXR3590_IM-1769/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR2470_IM-1001/0.png"}, {"type": "image", "value": "train/CXR2470_IM-1001/1.png"}]} {"text": " and X-rays show chest observations as follows: 2 images. Moderate thoracic dextroscoliosis, similar to prior imaging. Heart size is normal. No focal airspace consolidation is seen within the lungs. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3795_IM-1909/0.png"}, {"type": "image", "value": "train/CXR3795_IM-1909/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. Calcified granuloma in the anterior left lower lobe. XXXX XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3985_IM-2041/0.png"}, {"type": "image", "value": "train/CXR3985_IM-2041/1.png"}]} {"text": "X-ray images labeled and display the following findings: The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1827_IM-0535/0.png"}, {"type": "image", "value": "train/CXR1827_IM-0535/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact.", "modalities": [{"type": "image", "value": "train/CXR3433_IM-1662/0.png"}, {"type": "image", "value": "train/CXR3433_IM-1662/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3125_IM-1469/0.png"}, {"type": "image", "value": "train/CXR3125_IM-1469/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The heart is normal in size. The mediastinum is unremarkable. The costophrenic XXXX are blunted. The interstitial markings are slightly accentuated suggesting underlying chronic disease/emphysema. No focal consolidation is seen.", "modalities": [{"type": "image", "value": "train/CXR3678_IM-1831/0.png"}, {"type": "image", "value": "train/CXR3678_IM-1831/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size and mediastinal contours are unremarkable. There is no pneumothorax, pleural effusion, focal airspace consolidation.", "modalities": [{"type": "image", "value": "train/CXR967_IM-2457/0.png"}, {"type": "image", "value": "train/CXR967_IM-2457/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Underlying emphysematous changes are noted.", "modalities": [{"type": "image", "value": "train/CXR294_IM-1340/0.png"}, {"type": "image", "value": "train/CXR294_IM-1340/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The lungs are clear. There is no pleural effusion or pneumothorax. There has been XXXX XXXX sternotomy. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR2313_IM-0888/0.png"}, {"type": "image", "value": "train/CXR2313_IM-0888/1.png"}]} {"text": "Chest X-rays shown as and indicate: Both lungs remain hyperexpanded. No XXXX focal infiltrates. A small pleural or collection is XXXX present in the right apex. However, it has decreased considerably since the previous examination. Heart size remains normal.", "modalities": [{"type": "image", "value": "train/CXR3847_IM-1946/0.png"}, {"type": "image", "value": "train/CXR3847_IM-1946/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR151_IM-0331/0.png"}, {"type": "image", "value": "train/CXR151_IM-0331/1.png"}]} {"text": " and provide chest images showing: The heart is normal in size and contour. There is no mediastinal widening. No focal air space disease. Prominent hilar XXXX. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR1822_IM-0533/0.png"}, {"type": "image", "value": "train/CXR1822_IM-0533/1.png"}]} {"text": " and depict chest X-rays with these findings: In the interval, the heart size has become normal. Pulmonary XXXX are normal. Lungs are clear and expanded.", "modalities": [{"type": "image", "value": "train/CXR964_IM-2454/0.png"}, {"type": "image", "value": "train/CXR964_IM-2454/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Hyperexpanded lungs with flattened hemidiaphragms, consistent with emphysema. There is streaky airspace opacities in the left suprahilar and lingular regions. No pneumothorax or effusions. Mild bilateral costophrenic XXXX blunting XXXX represents pleural thickening and scarring. Degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2670_IM-1148/0.png"}, {"type": "image", "value": "train/CXR2670_IM-1148/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR478_IM-2101-1001/0.png"}, {"type": "image", "value": "train/CXR478_IM-2101-1001/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Left PICC line remains in XXXX. The tip projects over the upper SVC. It has moved outward since the previous study. The heart size and pulmonary vascularity appear within normal limits. Previously present left base airspace disease has cleared. There is blunting of the right costophrenic XXXX which may represent small amount of pleural effusion or pleural reaction. Some scattered bandlike opacities are present which appear to represent scars. Degenerative changes are present in the right shoulder.", "modalities": [{"type": "image", "value": "train/CXR3935_IM-2006/0.png"}, {"type": "image", "value": "train/CXR3935_IM-2006/1.png"}]} {"text": " and depict chest X-rays with these findings: The lungs and pleural spaces show no acute abnormality. Lungs are mildly hyperexpanded. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR333_IM-1594/0.png"}, {"type": "image", "value": "train/CXR333_IM-1594/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR236_IM-0924/0.png"}, {"type": "image", "value": "train/CXR236_IM-0924/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Small bilateral pleural effusions are seen.", "modalities": [{"type": "image", "value": "train/CXR408_IM-2054/0.png"}, {"type": "image", "value": "train/CXR408_IM-2054/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size and contour. There is a XXXX-A-XXXX terminating at the caval atrial junction, without evidence of pneumothorax. There is no focal airspace disease. There are small calcified nodules in the superior segment of the right lower lobe, XXXX old granulomatous infection. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2978_IM-1367/0.png"}, {"type": "image", "value": "train/CXR2978_IM-1367/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There is no focal air space opacity, pneumothorax, or effusion. The bony structures of the thorax are intact with no evidence of acute abnormality. .", "modalities": [{"type": "image", "value": "train/CXR1677_IM-0446/0.png"}, {"type": "image", "value": "train/CXR1677_IM-0446/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiomediastinal silhouette is normal in size and contour. Negative for effusion, pneumothorax, or focal airspace consolidation. The lungs are normally aerated.", "modalities": [{"type": "image", "value": "train/CXR1363_IM-0236-0001/0.png"}, {"type": "image", "value": "train/CXR1363_IM-0236-0001/1.png"}]} {"text": "The X-rays labeled and show chest conditions: There is a dual-lumen right internal jugular central venous catheter, the distal tip projects over the right atrium. There is no apparent pneumothorax. There is no focal lung opacity or pleural effusion. There is stable right upper lung lucency. The cardiopulmonary mediastinal silhouettes are stable. The visualized osseous structures appear within normal limits.", "modalities": [{"type": "image", "value": "train/CXR733_IM-2293-0001/0.png"}, {"type": "image", "value": "train/CXR733_IM-2293-0001/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR1948_IM-0616/0.png"}, {"type": "image", "value": "train/CXR1948_IM-0616/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Eventration of the left diaphragm is noted. Question left basilar atelectasis versus infiltrate. No evidence of pneumothorax. Generalized lung volumes. No definite pleural effusions. Heart size within normal limits. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR3882_IM-1970/0.png"}, {"type": "image", "value": "train/CXR3882_IM-1970/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The cardiac contours are normal. XXXX scarring left base. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3394_IM-1638/0.png"}, {"type": "image", "value": "train/CXR3394_IM-1638/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, predominantly left ventricular contour (XXXX visualized on lateral projection), pulmonary vascularity within normal limits. .", "modalities": [{"type": "image", "value": "train/CXR3773_IM-1891/0.png"}, {"type": "image", "value": "train/CXR3773_IM-1891/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1999_IM-0651/0.png"}, {"type": "image", "value": "train/CXR1999_IM-0651/1.png"}]} {"text": " and present chest X-rays with the following impressions: There is a right PICC with tip overlying the right brachiocephalic vein. The cardiac silhouette is enlarged. No overt pulmonary edema. There are streaky bibasilar opacities. No large pleural effusion. The right hemidiaphragm is elevated. No pneumothorax is identified. There are degenerative changes of the spine. Bilateral surgical clips are noted.", "modalities": [{"type": "image", "value": "train/CXR3305_IM-1581/0.png"}, {"type": "image", "value": "train/CXR3305_IM-1581/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.", "modalities": [{"type": "image", "value": "train/CXR3431_IM-1660/0.png"}, {"type": "image", "value": "train/CXR3431_IM-1660/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Mild cardiomegaly is unchanged. Stable superior mediastinal contour which is within normal limits. Bilateral interstitial prominence. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2593_IM-1084/0.png"}, {"type": "image", "value": "train/CXR2593_IM-1084/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR637_IM-2216/0.png"}, {"type": "image", "value": "train/CXR637_IM-2216/1.png"}]} {"text": "The chest X-rays in and display: PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation.", "modalities": [{"type": "image", "value": "train/CXR1587_IM-0381/0.png"}, {"type": "image", "value": "train/CXR1587_IM-0381/1.png"}]} {"text": " and capture X-rays of the chest with these observations: No focal areas of consolidation. No suspicious bony opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2504_IM-1029/0.png"}, {"type": "image", "value": "train/CXR2504_IM-1029/1.png"}]} {"text": " and provide chest images showing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Large bilateral hilar calcified lymph XXXX/granulomas. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1250_IM-0169/0.png"}, {"type": "image", "value": "train/CXR1250_IM-0169/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2829_IM-1247/0.png"}, {"type": "image", "value": "train/CXR2829_IM-1247/1.png"}]} {"text": "X-ray images labeled and display the following findings: Cardiomediastinal silhouette is within normal limits in size and appearance. Pulmonary vascularity is unremarkable. There are prominent coarse interstitial markings throughout the lungs, with more focal streaky bibasilar opacities, seen only on the frontal XXXX, XXXX atelectasis. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR776_IM-2319/0.png"}, {"type": "image", "value": "train/CXR776_IM-2319/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Normal heart size and mediastinal contours. Atherosclerotic calcifications of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. The visualized bony structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR2658_IM-1140/0.png"}, {"type": "image", "value": "train/CXR2658_IM-1140/1.png"}]} {"text": "The X-rays and show the following chest conditions: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated, without evidence of focal airspace disease, pneumothorax, or pleural effusion. Incidental note is XXXX of an azygos fissure. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2195_IM-0805/0.png"}, {"type": "image", "value": "train/CXR2195_IM-0805/1.png"}]} {"text": " and provide chest images showing: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1516_IM-0334/0.png"}, {"type": "image", "value": "train/CXR1516_IM-0334/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart size and cardiomediastinal silhouette are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR1330_IM-0213/0.png"}, {"type": "image", "value": "train/CXR1330_IM-0213/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Evaluation is limited by body habitus and AP technique. Enteric suction catheter courses below diaphragm and XXXX film. Stable heart size and mediastinal contours. Low lung volumes. No pneumothorax. Cardiac XXXX generator leads XXXX over the right atrium and right ventricle. Two XXXX bilateral pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR3036_IM-1409/0.png"}, {"type": "image", "value": "train/CXR3036_IM-1409/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic XXXX. Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR9_IM-2407/0.png"}, {"type": "image", "value": "train/CXR9_IM-2407/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Apical lordotic frontal view. Heart size within normal limits, mild aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing contour irregularity of the distal left clavicle and XXXX XXXX widening may be posttraumatic or postsurgical, verterbroplasty noted at the thoracolumbar junction.", "modalities": [{"type": "image", "value": "train/CXR1498_IM-0322/0.png"}, {"type": "image", "value": "train/CXR1498_IM-0322/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: XXXX XXXX and lateral chest examination was obtained. There is enlarged heart silhouette. Decreased lung volumes. Lungs demonstrate bibasilar airspace opacities better visualized on lateral view. There is no effusion or pneumothorax. Degenerative changes of the bilateral XXXX.", "modalities": [{"type": "image", "value": "train/CXR2177_IM-0789/0.png"}, {"type": "image", "value": "train/CXR2177_IM-0789/1.png"}]} {"text": "The X-rays and show the following chest conditions: Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR40_IM-2050/0.png"}, {"type": "image", "value": "train/CXR40_IM-2050/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR179_IM-0514/0.png"}, {"type": "image", "value": "train/CXR179_IM-0514/1.png"}]} {"text": " and exhibit chest X-rays showing: 2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1963_IM-0629/0.png"}, {"type": "image", "value": "train/CXR1963_IM-0629/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart, 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. The patient was shielded.", "modalities": [{"type": "image", "value": "train/CXR1721_IM-0476/0.png"}, {"type": "image", "value": "train/CXR1721_IM-0476/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs and pleural spaces show no acute abnormality. Heart size within normal limits. There is tortuosity of the descending thoracic aorta, unchanged. There is right paratracheal thickening and bilateral hilar enlargement corresponding to lymphadenopathy and XXXX pulmonary arterial enlargement visualized on XXXX chest in XXXX. Radiographically, the findings are grossly stable.", "modalities": [{"type": "image", "value": "train/CXR3231_IM-1528/0.png"}, {"type": "image", "value": "train/CXR3231_IM-1528/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. There is hyperexpansion of the lungs. Mild degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR732_IM-2292-1001/0.png"}, {"type": "image", "value": "train/CXR732_IM-2292-1001/1.png"}]} {"text": "X-rays and show chest details with these impressions: No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1221_IM-0149-0001/0.png"}, {"type": "image", "value": "train/CXR1221_IM-0149-0001/1.png"}]} {"text": "The X-rays labeled and show chest conditions: 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.", "modalities": [{"type": "image", "value": "train/CXR3047_IM-1418/0.png"}, {"type": "image", "value": "train/CXR3047_IM-1418/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcified granulomas at the right perihilar regions appear stable. There are significant degenerative osteophytes of the thoracic spine also appear stable.", "modalities": [{"type": "image", "value": "train/CXR2079_IM-0711/0.png"}, {"type": "image", "value": "train/CXR2079_IM-0711/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: There is hyperinflation of the lungs. A small area scarring is seen in the left cardiophrenic XXXX region. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR522_IM-2133/0.png"}, {"type": "image", "value": "train/CXR522_IM-2133/1.png"}]} {"text": "The chest scans and reveal: Heart size and pulmonary vascularity normal. There is a small right pleural effusion. There is infrahilar interstitial prominence which may represent bronchovascular crowding lung. Small left pleural effusion. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1868_IM-0561/0.png"}, {"type": "image", "value": "train/CXR1868_IM-0561/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: There is a 1.5 cm nodular opacity projecting over left hilum. The cardiac silhouette is within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax. XXXX opacities XXXX representing surgical clips, in the midline at the level of the thoracic inlet.", "modalities": [{"type": "image", "value": "train/CXR1918_IM-0597/0.png"}, {"type": "image", "value": "train/CXR1918_IM-0597/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1266_IM-0179/0.png"}, {"type": "image", "value": "train/CXR1266_IM-0179/1.png"}]} {"text": " and capture chest X-rays with these findings: Elevated right hemidiaphragm. Clear lungs. No pleural effusions or pneumothoraces. heart size is upper limits of normal with tortuosity and ectasia of the aorta. Generative changes within the spine. In the upper lumbar spine there is an age-indeterminate wedge XXXX of a vertebral body.", "modalities": [{"type": "image", "value": "train/CXR172_IM-0474/0.png"}, {"type": "image", "value": "train/CXR172_IM-0474/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart size and mediastinal contours appear within normal limits. Calcified granuloma in the left midlung. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3406_IM-1647/0.png"}, {"type": "image", "value": "train/CXR3406_IM-1647/1.png"}]} {"text": " and exhibit chest X-rays showing: Heart size and vascularity are normal. Mild tortuosity of the aorta. No focal airspace disease or effusion. Degenerative change of the spine. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR390_IM-1979/0.png"}, {"type": "image", "value": "train/CXR390_IM-1979/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size is upper limits of normal for AP projection. Mediastinal contours and pulmonary vasculature are unremarkable. The patient's chin obscures the bilateral lung apices. There is no focal airspace consolidation. No visible pleural effusion or pneumothorax. No displaced rib fractures are seen. There are moderate degenerative changes along the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2387_IM-0943/0.png"}, {"type": "image", "value": "train/CXR2387_IM-0943/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1212_IM-0143/0.png"}, {"type": "image", "value": "train/CXR1212_IM-0143/1.png"}]} {"text": "X-rays and show chest details with these impressions: Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications and mediastinum. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2700_IM-1169/0.png"}, {"type": "image", "value": "train/CXR2700_IM-1169/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: 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.", "modalities": [{"type": "image", "value": "train/CXR250_IM-1025/0.png"}, {"type": "image", "value": "train/CXR250_IM-1025/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Mild cardiomegaly. Normal size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.", "modalities": [{"type": "image", "value": "train/CXR1857_IM-0556/0.png"}, {"type": "image", "value": "train/CXR1857_IM-0556/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR782_IM-2324/0.png"}, {"type": "image", "value": "train/CXR782_IM-2324/1.png"}]} {"text": "The chest X-rays in and display: 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. No discrete nodules or adenopathy identified.", "modalities": [{"type": "image", "value": "train/CXR1057_IM-0041/0.png"}, {"type": "image", "value": "train/CXR1057_IM-0041/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2595_IM-1086/0.png"}, {"type": "image", "value": "train/CXR2595_IM-1086/1.png"}]} {"text": " and show chest X-ray scans that indicate: The cardiac silhouette mediastinal contours are within normal limits. There is no pneumothorax. There is no large pleural effusion. There is no focal opacity.", "modalities": [{"type": "image", "value": "train/CXR1728_IM-0479/0.png"}, {"type": "image", "value": "train/CXR1728_IM-0479/1.png"}]} {"text": "The X-rays and show the following chest conditions: Heart size within normal limits. No focal airspace disease. No cavitations. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1879_IM-0569/0.png"}, {"type": "image", "value": "train/CXR1879_IM-0569/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: 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.", "modalities": [{"type": "image", "value": "train/CXR2570_IM-1073/0.png"}, {"type": "image", "value": "train/CXR2570_IM-1073/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs and pleural spaces show no acute abnormality. Lower lung volumes on the AP projection. Heart size is upper limits of normal, pulmonary vascularity within normal limits. Implantable cardiac XXXX are visualized on the lateral projection in the region of the expected location of the mitral valve XXXX. XXXX sternotomy XXXX noted.", "modalities": [{"type": "image", "value": "train/CXR3347_IM-1605/0.png"}, {"type": "image", "value": "train/CXR3347_IM-1605/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1148_IM-0100/0.png"}, {"type": "image", "value": "train/CXR1148_IM-0100/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: There are bilateral opacities most prominent in the lower lobes bilaterally. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable. There is an embolization XXXX overlying left upper quadrant.", "modalities": [{"type": "image", "value": "train/CXR2396_IM-0945/0.png"}, {"type": "image", "value": "train/CXR2396_IM-0945/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Calcified left coronary arteries noted. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3762_IM-1883/0.png"}, {"type": "image", "value": "train/CXR3762_IM-1883/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No nodules or adenopathy is identified.", "modalities": [{"type": "image", "value": "train/CXR2804_IM-1235/0.png"}, {"type": "image", "value": "train/CXR2804_IM-1235/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size moderately enlarged, stable mediastinal contours. Lateral view curvilinear densities over the heart suggestive of coronary artery stents. Diaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR340_IM-1644/0.png"}, {"type": "image", "value": "train/CXR340_IM-1644/1.png"}]} {"text": " and X-rays show chest observations as follows: No pneumothorax, pleural effusion or airspace consolidation. Stable right lower lung granuloma. Interval to right clavicle XXXX procedure. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR1962_IM-0628/0.png"}, {"type": "image", "value": "train/CXR1962_IM-0628/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aortic XXXX are present. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1625_IM-0406/0.png"}, {"type": "image", "value": "train/CXR1625_IM-0406/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: There is a right IJ central venous catheter with tip overlying the inferior SVC. Cardiac silhouette is normal size. Normal mediastinal contour and pulmonary vasculature. There is a small right pleural effusion. Otherwise, lungs are without focal airspace disease.", "modalities": [{"type": "image", "value": "train/CXR153_IM-0343/0.png"}, {"type": "image", "value": "train/CXR153_IM-0343/1.png"}]} {"text": " and show chest X-ray scans that indicate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1047_IM-0036/0.png"}, {"type": "image", "value": "train/CXR1047_IM-0036/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: 1. Cardiomegaly and/or pericardial effusion. 2. Right base opacity XXXX combination of pleural effusion and atelectasis/airspace disease. Cannot exclude elevation right hemidiaphragm. 3. Left lung relatively clear. 4. Limited exam due to underpenetrated technique related to large patient habitus. 5. No evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3260_IM-1547/0.png"}, {"type": "image", "value": "train/CXR3260_IM-1547/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart is normal in size. No focal consolidation, pleural effusion or pneumothorax. No acute or destructive bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR801_IM-2335/0.png"}, {"type": "image", "value": "train/CXR801_IM-2335/1.png"}]} {"text": " and provide chest images showing: Given differences in patient rotation, heart size and mediastinal contours are grossly unchanged. Lungs appear clear without focal consolidation. No visible pleural effusion or pneumothorax. Stable degenerative changes of the thoracic spine with scattered XXXX deformities. Stable postsurgical changes of the left shoulder and marked degenerative changes of the right shoulder.", "modalities": [{"type": "image", "value": "train/CXR2442_IM-0979/0.png"}, {"type": "image", "value": "train/CXR2442_IM-0979/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures short thready changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1447_IM-0289/0.png"}, {"type": "image", "value": "train/CXR1447_IM-0289/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: There has been interval CABG. Sternotomy and XXXX cerclage XXXX appear intact. No focal air space opacity. No pleural effusion or pneumothorax. Stable, mild degenerative disc disease of the thoracic spine. Visualized bony structures are otherwise unremarkable in appearance. Atherosclerotic calcifications of the thoracic aorta.", "modalities": [{"type": "image", "value": "train/CXR1065_IM-0046/0.png"}, {"type": "image", "value": "train/CXR1065_IM-0046/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR1489_IM-0315/0.png"}, {"type": "image", "value": "train/CXR1489_IM-0315/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR3580_IM-1760/0.png"}, {"type": "image", "value": "train/CXR3580_IM-1760/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR2476_IM-1005/0.png"}, {"type": "image", "value": "train/CXR2476_IM-1005/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change calcified aorticopulmonary XXXX node.", "modalities": [{"type": "image", "value": "train/CXR1686_IM-0450/0.png"}, {"type": "image", "value": "train/CXR1686_IM-0450/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Mild degenerative change of the lower thoracic spine, anterior osteophytes.", "modalities": [{"type": "image", "value": "train/CXR2306_IM-0882/0.png"}, {"type": "image", "value": "train/CXR2306_IM-0882/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal suggests possible right XXXX versus dextrocardia. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3887_IM-1972/0.png"}, {"type": "image", "value": "train/CXR3887_IM-1972/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There are low lung volumes. The lungs are otherwise clear. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1660_IM-0436/0.png"}, {"type": "image", "value": "train/CXR1660_IM-0436/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Right XXXX-A-XXXX is in XXXX. The heart size and pulmonary vascularity appear within normal limits. Some prominent perihilar opacities are present. Some vague small nodular opacities are present in the right upper lung zone. These are slightly more prominent than on the previous study. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR1035_IM-0028/0.png"}, {"type": "image", "value": "train/CXR1035_IM-0028/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: 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 small calcified granulomata in the right lateral lung.", "modalities": [{"type": "image", "value": "train/CXR1018_IM-0014/0.png"}, {"type": "image", "value": "train/CXR1018_IM-0014/1.png"}]} {"text": " and present chest X-rays with the following impressions: The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1084_IM-0058/0.png"}, {"type": "image", "value": "train/CXR1084_IM-0058/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR2503_IM-1028/0.png"}, {"type": "image", "value": "train/CXR2503_IM-1028/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: No stable cardiomegaly, without focal consolidation, pneumothorax, or pleural effusion. Stable right basilar calcified granuloma. No acute osseous abnormality identified.", "modalities": [{"type": "image", "value": "train/CXR1459_IM-0297/0.png"}, {"type": "image", "value": "train/CXR1459_IM-0297/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Calcified left lower lobe granuloma. No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes noted of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1484_IM-0313/0.png"}, {"type": "image", "value": "train/CXR1484_IM-0313/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.", "modalities": [{"type": "image", "value": "train/CXR393_IM-2002/0.png"}, {"type": "image", "value": "train/CXR393_IM-2002/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Heart size within normal limits. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3936_IM-2007/0.png"}, {"type": "image", "value": "train/CXR3936_IM-2007/1.png"}]} {"text": "X-rays and show chest details with these impressions: Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2292_IM-0874/0.png"}, {"type": "image", "value": "train/CXR2292_IM-0874/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The cardiac silhouette mediastinal contours are within normal limits. There is no definite focal infiltrate. There is no large pleural effusion. There is no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3932_IM-2004/0.png"}, {"type": "image", "value": "train/CXR3932_IM-2004/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated. There is biapical scarring. No acute infiltrate or pleural effusion seen.", "modalities": [{"type": "image", "value": "train/CXR2439_IM-0978/0.png"}, {"type": "image", "value": "train/CXR2439_IM-0978/1.png"}]} {"text": " and exhibit chest X-rays showing: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR939_IM-2435/0.png"}, {"type": "image", "value": "train/CXR939_IM-2435/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary XXXX appear normal. Mediastinal contours appear normal. There's no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3625_IM-1794/0.png"}, {"type": "image", "value": "train/CXR3625_IM-1794/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: There is mild cardiomegaly. The transverse XXXX is calcified. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.", "modalities": [{"type": "image", "value": "train/CXR1343_IM-0222-0001/0.png"}, {"type": "image", "value": "train/CXR1343_IM-0222-0001/1.png"}]} {"text": "X-ray scans and display the following chest observations: Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. No evidence of abnormal radiodense foreign bodies.", "modalities": [{"type": "image", "value": "train/CXR186_IM-0558/0.png"}, {"type": "image", "value": "train/CXR186_IM-0558/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Stable mild cardiomegaly. Mediastinal contours are unchanged. Lungs are clear without focal consolidation. No visible pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1801_IM-0520/0.png"}, {"type": "image", "value": "train/CXR1801_IM-0520/1.png"}]} {"text": "X-rays and show these chest observations: Frontal and lateral views of the chest with overlying external cardiac monitor leads show reduced lung volumes with bronchovascular crowding of basilar atelectasis. No definite focal airspace consolidation or pleural effusion. The cardiac silhouette appears mildly enlarged.", "modalities": [{"type": "image", "value": "train/CXR2836_IM-1252/0.png"}, {"type": "image", "value": "train/CXR2836_IM-1252/1.png"}]} {"text": " and are images of chest X-rays showing: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR246_IM-0992/0.png"}, {"type": "image", "value": "train/CXR246_IM-0992/1.png"}]} {"text": " and show chest images with these observations: Consolidation, atelectasis, and costophrenic XXXX blunting in the left lower lobe have cleared in the interval. A persistent patchy infiltrate is present in the right middle lobe. No XXXX infiltrates. Heart is slightly large. Pulmonary XXXX are normal. Aorta remains tortuous.", "modalities": [{"type": "image", "value": "train/CXR1909_IM-0590/0.png"}, {"type": "image", "value": "train/CXR1909_IM-0590/1.png"}]} {"text": " and depict chest X-rays with these findings: Stable calcified hilar XXXX and granulomas. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2144_IM-0765/0.png"}, {"type": "image", "value": "train/CXR2144_IM-0765/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The heart is normal in size. The mediastinum is unremarkable. Left upper extremity PIC catheter tip overlies the distal aspect of the left clavicle XXXX within the subclavian vein. There is no pneumothorax. The lungs are mildly hyperinflated but clear. Deformity of the lateral left 6th rib, XXXX old injury.", "modalities": [{"type": "image", "value": "train/CXR841_IM-2365/0.png"}, {"type": "image", "value": "train/CXR841_IM-2365/1.png"}]} {"text": " and provide chest images showing: Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2067_IM-0701/0.png"}, {"type": "image", "value": "train/CXR2067_IM-0701/1.png"}]} {"text": " and are images of chest X-rays showing: The heart size is enlarged. Tortuous aorta. Otherwise the mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR797_IM-2332/0.png"}, {"type": "image", "value": "train/CXR797_IM-2332/1.png"}]} {"text": " and are images of chest X-rays showing: The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. No focal consolidation is seen. Postsurgical/biopsy changes overlying the right breast.", "modalities": [{"type": "image", "value": "train/CXR2344_IM-0909/0.png"}, {"type": "image", "value": "train/CXR2344_IM-0909/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.", "modalities": [{"type": "image", "value": "train/CXR2376_IM-0936/0.png"}, {"type": "image", "value": "train/CXR2376_IM-0936/1.png"}]} {"text": " and show chest images with these observations: Normal heart size. Stable unfolding the thoracic aorta. No focal air space consolidation. No pleural effusion or pneumothorax. Stable calcified granuloma in the left lower lobe. Visualized osseous structures are unremarkable appearance.", "modalities": [{"type": "image", "value": "train/CXR3977_IM-2036/0.png"}, {"type": "image", "value": "train/CXR3977_IM-2036/1.png"}]} {"text": "Chest X-rays shown as and indicate: 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.", "modalities": [{"type": "image", "value": "train/CXR1122_IM-0080-1001/0.png"}, {"type": "image", "value": "train/CXR1122_IM-0080-1001/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart is large. Pulmonary XXXX are engorged. No infiltrates. Aorta is somewhat tortuous. Degenerative disc disease is present in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2123_IM-0748/0.png"}, {"type": "image", "value": "train/CXR2123_IM-0748/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. Stable left basilar atelectasis versus scarring.", "modalities": [{"type": "image", "value": "train/CXR2403_IM-0951/0.png"}, {"type": "image", "value": "train/CXR2403_IM-0951/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Acromioclavicular joint degenerative change.", "modalities": [{"type": "image", "value": "train/CXR2444_IM-0980/0.png"}, {"type": "image", "value": "train/CXR2444_IM-0980/1.png"}]} {"text": " and exhibit chest X-rays showing: Heart size within normal limits, stable mediastinal and hilar contours. Left hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR1711_IM-0469/0.png"}, {"type": "image", "value": "train/CXR1711_IM-0469/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR707_IM-2270/0.png"}, {"type": "image", "value": "train/CXR707_IM-2270/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: There are scattered XXXX opacities in the left lower lobe. Cardiac silhouette is within normal limits. There is prominence of the right and left hilum XXXX representing enlargement of the central pulmonary arteries. No pneumothorax or pleural effusion. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR3895_IM-1977/0.png"}, {"type": "image", "value": "train/CXR3895_IM-1977/1.png"}]} {"text": "Chest X-rays shown as and indicate: The cardiac contours are normal. Mild atherosclerosis. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR1433_IM-0278/0.png"}, {"type": "image", "value": "train/CXR1433_IM-0278/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1367_IM-0237/0.png"}, {"type": "image", "value": "train/CXR1367_IM-0237/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart XXXX, mediastinum, XXXX, bony structures are unremarkable. Stable increased lung volumes consistent with chronic lung disease. No XXXX infiltrates noted.", "modalities": [{"type": "image", "value": "train/CXR1763_IM-0497/0.png"}, {"type": "image", "value": "train/CXR1763_IM-0497/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size and mediastinal contours appear normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR645_IM-2224/0.png"}, {"type": "image", "value": "train/CXR645_IM-2224/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: In the interval, a 2 cm diameter nodule has developed in the posterior segment of the left lower lobe. It is not calcified. No other infiltrates or masses in the lungs. Heart and pulmonary XXXX are normal. XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR728_IM-2287/0.png"}, {"type": "image", "value": "train/CXR728_IM-2287/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Soft tissue neck. The airway is XXXX. No laryngeal edema. Laryngeal XXXX intact. Cervical spine intact. Chest. The heart is large. Diffuse parahilar and alveolar consolidations are present. Bilateral costophrenic XXXX blunting is present.", "modalities": [{"type": "image", "value": "train/CXR3479_IM-1690/0.png"}, {"type": "image", "value": "train/CXR3479_IM-1690/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. Arthritic changes of the spine are present.", "modalities": [{"type": "image", "value": "train/CXR1318_IM-0205/0.png"}, {"type": "image", "value": "train/CXR1318_IM-0205/1.png"}]} {"text": " and X-rays show chest observations as follows: There is obscuration of the left hemidiaphragm, suggesting left retrocardiac airspace disease. This is not identified in the lateral view, which is limited by rotation. No evidence for effusion.", "modalities": [{"type": "image", "value": "train/CXR697_IM-2262/0.png"}, {"type": "image", "value": "train/CXR697_IM-2262/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Sternotomy XXXX and mediastinal clips are unchanged. Cardiomediastinal silhouette is unchanged. Pulmonary vasculature and XXXX are unchanged. No XXXX consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged.", "modalities": [{"type": "image", "value": "train/CXR1585_IM-0380/0.png"}, {"type": "image", "value": "train/CXR1585_IM-0380/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR515_IM-2129/0.png"}, {"type": "image", "value": "train/CXR515_IM-2129/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. Small hiatal hernia.", "modalities": [{"type": "image", "value": "train/CXR299_IM-1377/0.png"}, {"type": "image", "value": "train/CXR299_IM-1377/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart is normal in size. The mediastinum is grossly within normal limits. Moderate thoracolumbar scoliosis and patient rotation somewhat limits evaluation of the mediastinum. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3806_IM-1916/0.png"}, {"type": "image", "value": "train/CXR3806_IM-1916/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3540_IM-1732/0.png"}, {"type": "image", "value": "train/CXR3540_IM-1732/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Stable postsurgical changes. Heart XXXX, mediastinum and lung XXXX are unremarkable. Stable calcified small granuloma in left base.", "modalities": [{"type": "image", "value": "train/CXR116_IM-0107/0.png"}, {"type": "image", "value": "train/CXR116_IM-0107/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Surgical clips within the right upper quadrant. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2645_IM-1131/0.png"}, {"type": "image", "value": "train/CXR2645_IM-1131/1.png"}]} {"text": " and show chest X-ray scans that indicate: No acute osseous abnormality. Stable scattered endplate degenerative changes and osteophyte formation in the thoracic spine. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3987_IM-2041/0.png"}, {"type": "image", "value": "train/CXR3987_IM-2041/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There are increased lucencies in the bilateral apices along with horizontal oblique scarring in the left upper lobe. This could suggest emphysematous bullae. XXXX are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1417_IM-0266/0.png"}, {"type": "image", "value": "train/CXR1417_IM-0266/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1264_IM-0179/0.png"}, {"type": "image", "value": "train/CXR1264_IM-0179/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: There is a left-sided PICC with tip at the caval atrial junction. 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 short segment catheter tubing overlying the left XXXX, XXXX to reside within anterior chest soft tissues on recent chest CT. Stable remote posttraumatic changes of multiple right ribs.", "modalities": [{"type": "image", "value": "train/CXR174_IM-0488/0.png"}, {"type": "image", "value": "train/CXR174_IM-0488/1.png"}]} {"text": "X-ray scans and display the following chest observations: 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.", "modalities": [{"type": "image", "value": "train/CXR2554_IM-1059/0.png"}, {"type": "image", "value": "train/CXR2554_IM-1059/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Heart size mediastinal contours are normal in appearance. No focal airspace consolidation. No pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1781_IM-0509/0.png"}, {"type": "image", "value": "train/CXR1781_IM-0509/1.png"}]} {"text": " and show chest images with these observations: Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR225_IM-0844/0.png"}, {"type": "image", "value": "train/CXR225_IM-0844/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Borderline heart size. Tortuous calcified aorta. No active pulmonary disease. Mild spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2879_IM-1284/0.png"}, {"type": "image", "value": "train/CXR2879_IM-1284/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. The previously seen right upper lobe mass lesion is not seen in XXXX study. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3693_IM-1844/0.png"}, {"type": "image", "value": "train/CXR3693_IM-1844/1.png"}]} {"text": " and show chest X-ray scans that indicate: No focal consolidation, pneumothorax, or pleural effusion identified. However, there is a 1.7 cm nodular opacity within the right hilum, which may represent partially calcified granuloma or lymphadenopathy. Scattered calcified granulomas also seen. Heart size is upper limit normal. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR729_IM-2288/0.png"}, {"type": "image", "value": "train/CXR729_IM-2288/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Aortic calcifications and tortuosity. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. Degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2821_IM-1244/0.png"}, {"type": "image", "value": "train/CXR2821_IM-1244/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes are noted. The lungs are otherwise clear.", "modalities": [{"type": "image", "value": "train/CXR3297_IM-1575/0.png"}, {"type": "image", "value": "train/CXR3297_IM-1575/1.png"}]} {"text": " and capture X-rays of the chest with these observations: No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Left axillary surgical clips unchanged Visualized XXXX of the chest XXXX are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR82_IM-2350/0.png"}, {"type": "image", "value": "train/CXR82_IM-2350/1.png"}]} {"text": " and show chest images with these observations: Endotracheal tube and NG tube have been removed. Mild patchy bilateral airspace disease. There are small bilateral pleural effusions. No pneumothorax. Heart and mediastinum are stable with normal size heart. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR267_IM-1147/0.png"}, {"type": "image", "value": "train/CXR267_IM-1147/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2672_IM-1148/0.png"}, {"type": "image", "value": "train/CXR2672_IM-1148/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart size and pulmonary vascularity appear within normal limits. Right hemidiaphragm remains elevated. No pleural effusion is seen. No pneumothorax is identified. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine. Right XXXX-a-XXXX has been inserted since the previous study. The tip projects over the lower superior XXXX XXXX.", "modalities": [{"type": "image", "value": "train/CXR3881_IM-1969/0.png"}, {"type": "image", "value": "train/CXR3881_IM-1969/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3212_IM-1517/0.png"}, {"type": "image", "value": "train/CXR3212_IM-1517/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. Biapical scarring noted. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR2393_IM-0944/0.png"}, {"type": "image", "value": "train/CXR2393_IM-0944/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The cardiac and mediastinal contours are normal. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax or effusion. No acute bony abnormalities are seen. No radiopaque foreign bodies are present.", "modalities": [{"type": "image", "value": "train/CXR459_IM-2090/0.png"}, {"type": "image", "value": "train/CXR459_IM-2090/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The lungs are hypoventilated. There is no focal consolidation. Cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3186_IM-1503/0.png"}, {"type": "image", "value": "train/CXR3186_IM-1503/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Lungs are overall hyperexpanded consistent with obstructive lung disease. Lungs are clear without focal consolidation. No suspicious pulmonary nodules or masses are noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.", "modalities": [{"type": "image", "value": "train/CXR3930_IM-2003/0.png"}, {"type": "image", "value": "train/CXR3930_IM-2003/1.png"}]} {"text": " and provide chest images showing: There is obscuration of the bilateral lung bases with lower lung volumes compared to prior examination. Stable atelectatic/fibrotic changes of the visualized lung, and stable left-sided calcified granuloma. No acute osseous abnormalities identified. Cardiomediastinal silhouette unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2954_IM-1352/0.png"}, {"type": "image", "value": "train/CXR2954_IM-1352/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Calcific granulomas are present in the right upper lobe. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1276_IM-0184/0.png"}, {"type": "image", "value": "train/CXR1276_IM-0184/1.png"}]} {"text": " and provide chest images showing: Stable appearance of lower cervical fusion XXXX. Heart size normal. No pneumothorax or pleural effusion. No focal airspace disease. Calcified nodules consistent with chronic granulomatous disease. Bony structures appear intact. DISH of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3459_IM-1679/0.png"}, {"type": "image", "value": "train/CXR3459_IM-1679/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs, without focal consolidation, pneumothorax or large pleural effusion. XXXX right upper lobe scarring/atelectasis. Aortic calcifications.", "modalities": [{"type": "image", "value": "train/CXR2610_IM-1101/0.png"}, {"type": "image", "value": "train/CXR2610_IM-1101/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. No bony abnormality. Vague density in right mid lung, XXXX related to scapular tip and superimposed ribs. Not visualized on lateral exam.", "modalities": [{"type": "image", "value": "train/CXR420_IM-2064/0.png"}, {"type": "image", "value": "train/CXR420_IM-2064/1.png"}]} {"text": "Chest X-rays shown as and indicate: Normal cardiac contours. Clear lung XXXX bilaterally. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2960_IM-1354/0.png"}, {"type": "image", "value": "train/CXR2960_IM-1354/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. Stable calcified granuloma in the left lung.", "modalities": [{"type": "image", "value": "train/CXR575_IM-2173/0.png"}, {"type": "image", "value": "train/CXR575_IM-2173/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart size is at the upper limits of normal. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present within the thoracic spine..", "modalities": [{"type": "image", "value": "train/CXR2345_IM-0910/0.png"}, {"type": "image", "value": "train/CXR2345_IM-0910/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3738_IM-1867/0.png"}, {"type": "image", "value": "train/CXR3738_IM-1867/1.png"}]} {"text": " and show chest images with these observations: The heart is normal in size. The mediastinum is unremarkable. Subtle increased opacity of right mid hemithorax XXXX related to superimposed soft tissues. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1894_IM-0581/0.png"}, {"type": "image", "value": "train/CXR1894_IM-0581/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR3483_IM-1692/0.png"}, {"type": "image", "value": "train/CXR3483_IM-1692/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. There are emphysematous changes with increased interstitial markings, particularly in the periphery and lung bases. The lungs are clear of focal infiltrates. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3616_IM-1789/0.png"}, {"type": "image", "value": "train/CXR3616_IM-1789/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR581_IM-2178/0.png"}, {"type": "image", "value": "train/CXR581_IM-2178/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR1937_IM-0607/0.png"}, {"type": "image", "value": "train/CXR1937_IM-0607/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is again enlarged. Aorta is tortuous. The lungs are hypoinflated but clear. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR3690_IM-1841/0.png"}, {"type": "image", "value": "train/CXR3690_IM-1841/1.png"}]} {"text": " and provide chest images showing: Cardiomegaly is noted. No pleural effusions. No pneumothorax. There is perihilar prominence and interstitial opacification.", "modalities": [{"type": "image", "value": "train/CXR3432_IM-1661/0.png"}, {"type": "image", "value": "train/CXR3432_IM-1661/1.png"}]} {"text": "Chest X-rays shown as and indicate: Postsurgical changes of the right chest. Mild elevation of the right hemidiaphragm. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR2627_IM-1114/0.png"}, {"type": "image", "value": "train/CXR2627_IM-1114/1.png"}]} {"text": "The X-rays and show the following chest conditions: No large pleural effusions. No pneumothorax. No focal airspace opacities. Heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR3365_IM-1618/0.png"}, {"type": "image", "value": "train/CXR3365_IM-1618/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Dextroscoliosis of the thoracic spine. Clear lungs bilaterally. No pneumothorax or pleural effusion. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1652_IM-0428/0.png"}, {"type": "image", "value": "train/CXR1652_IM-0428/1.png"}]} {"text": " and provide chest images showing: Low lung volumes. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. Left humeral head bone anchors.", "modalities": [{"type": "image", "value": "train/CXR3429_IM-1657/0.png"}, {"type": "image", "value": "train/CXR3429_IM-1657/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size is upper limits of normal. Mediastinal contours and pulmonary vascularity are within normal limits. There is no focal infiltrate or suspicious pulmonary opacity. No pneumothorax or pleural effusion. There is a lucency along the peripheral right lung base, XXXX secondary to a skin fold. No acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR780_IM-2323/0.png"}, {"type": "image", "value": "train/CXR780_IM-2323/1.png"}]} {"text": "The X-rays labeled and show chest conditions: There is moderate cardiomegaly. No interstitial edema or pleural effusion. No focal airspace consolidation. No pneumothorax. There is mild degenerative disc disease of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1795_IM-0516/0.png"}, {"type": "image", "value": "train/CXR1795_IM-0516/1.png"}]} {"text": " and show chest X-ray scans that indicate: Heart size upper limits of normal but stable. Tortuous aorta. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR969_IM-2459/0.png"}, {"type": "image", "value": "train/CXR969_IM-2459/1.png"}]} {"text": " and X-rays show chest observations as follows: Enlarged cardiomediastinal silhouette. Low lung volumes. Relative elevation of right hemidiaphragm. XXXX left base density. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1233_IM-0157/0.png"}, {"type": "image", "value": "train/CXR1233_IM-0157/1.png"}]} {"text": "These chest X-rays ( and ) show the following: There are XXXX left upper lobe opacities. Lungs otherwise appear clear. No pleural effusion or pneumothorax. Heart size is as is within normal limits.", "modalities": [{"type": "image", "value": "train/CXR817_IM-2348-0001/0.png"}, {"type": "image", "value": "train/CXR817_IM-2348-0001/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size and pulmonary vascularity appear within normal limits. Descending thoracic aorta is tortuous. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR2888_IM-1290-0001/0.png"}, {"type": "image", "value": "train/CXR2888_IM-1290-0001/1.png"}]} {"text": " and depict chest X-rays with these findings: Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.", "modalities": [{"type": "image", "value": "train/CXR2391_IM-0944/0.png"}, {"type": "image", "value": "train/CXR2391_IM-0944/1.png"}]} {"text": "The chest X-rays in and display: Cardiomediastinal silhouette is within normal limits for size, with redemonstration of tortuous and atherosclerotic calcified thoracic aorta. No focal consolidation, effusion, or pneumothorax identified. Eventration of the right hemidiaphragm is stable compared to prior examination. Multilevel degenerative disc disease and thoracolumbar spine again noted without acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR1973_IM-0633/0.png"}, {"type": "image", "value": "train/CXR1973_IM-0633/1.png"}]} {"text": "The chest X-rays in and display: The lungs are clear. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. There is XXXX minimal sclerotic change overlying the midthoracic spine the lateral view. Unclear whether this is a pulmonary finding or skeletal finding. Bone scan would be helpful to evaluate for potential metastatic disease. The mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR1694_IM-0455/0.png"}, {"type": "image", "value": "train/CXR1694_IM-0455/1.png"}]} {"text": "The X-rays labeled and show chest conditions: A calcified granuloma is present in the right costophrenic XXXX. Lungs are otherwise clear. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR2317_IM-0890/0.png"}, {"type": "image", "value": "train/CXR2317_IM-0890/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.", "modalities": [{"type": "image", "value": "train/CXR1979_IM-0637/0.png"}, {"type": "image", "value": "train/CXR1979_IM-0637/1.png"}]} {"text": "X-rays and show these chest observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.", "modalities": [{"type": "image", "value": "train/CXR5_IM-2117/0.png"}, {"type": "image", "value": "train/CXR5_IM-2117/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR1051_IM-0039/0.png"}, {"type": "image", "value": "train/CXR1051_IM-0039/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3593_IM-1772/0.png"}, {"type": "image", "value": "train/CXR3593_IM-1772/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart size and mediastinal contours appear within normal limits. There are streaky left basilar opacities and blunting of the left costophrenic sulcus XXXX secondary to a small effusion. No pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1792_IM-0515/0.png"}, {"type": "image", "value": "train/CXR1792_IM-0515/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The heart size size and pulmonary vascularity appear within normal limits. Ill-defined opacity is again noted in the region of the lingula. This is increased since the previous study. The remainder of the lungs appear clear. Mild XXXX deformity is noted in the mid-thoracic spine. No pneumothorax or pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR1497_IM-0321/0.png"}, {"type": "image", "value": "train/CXR1497_IM-0321/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size and mediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. No focal airspace consolidation. There is mild elevation right hemidiaphragm. No visible pleural effusion or pneumothorax. There are mild degenerative changes along the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2216_IM-0821/0.png"}, {"type": "image", "value": "train/CXR2216_IM-0821/1.png"}]} {"text": "X-rays and show chest details with these impressions: Mild cardiomegaly. Changes of chronic lung disease. No pneumothorax or pleural effusion. Accentuated thoracic kyphosis.", "modalities": [{"type": "image", "value": "train/CXR3768_IM-1887/0.png"}, {"type": "image", "value": "train/CXR3768_IM-1887/1.png"}]} {"text": " and capture chest X-rays with these findings: The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.", "modalities": [{"type": "image", "value": "train/CXR1310_IM-0202/0.png"}, {"type": "image", "value": "train/CXR1310_IM-0202/1.png"}]} {"text": " and present chest X-rays with the following impressions: 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. There is a vague right suprahilar density with elevation of the XXXX fissure most XXXX mild subsegmental atelectasis though superimposed infection cannot be entirely excluded. The remaining lungs are clear. The visualized osseous structures and upper abdomen are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3190_IM-1505/0.png"}, {"type": "image", "value": "train/CXR3190_IM-1505/1.png"}]} {"text": " and provide chest images showing: The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hypoinflated but clear.", "modalities": [{"type": "image", "value": "train/CXR2058_IM-0696/0.png"}, {"type": "image", "value": "train/CXR2058_IM-0696/1.png"}]} {"text": " and are images of chest X-rays showing: The heart, 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 several age-indeterminate left-sided rib fractures noted. There is a calcified right hilar lymph node. There basilar calcified granulomas. There minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3336_IM-1598/0.png"}, {"type": "image", "value": "train/CXR3336_IM-1598/1.png"}]} {"text": " and show chest images with these observations: Cardiomegaly and tortuous calcified thoracic aorta are unchanged. Normal pulmonary vascularity. Minimal streaky bibasilar opacities. Blunted left costophrenic XXXX. Bony demineralization. Degenerative changes of the spine. Verterbroplasty change near the thoracolumbar junction. Upper abdominal surgical changes. Chronic appearing deformity of the proximal right humerus. Old right rib fractures.", "modalities": [{"type": "image", "value": "train/CXR1867_IM-0560/0.png"}, {"type": "image", "value": "train/CXR1867_IM-0560/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: 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. Multilevel thoracic spondylosis is again demonstrated..", "modalities": [{"type": "image", "value": "train/CXR3908_IM-1985/0.png"}, {"type": "image", "value": "train/CXR3908_IM-1985/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1679_IM-0448/0.png"}, {"type": "image", "value": "train/CXR1679_IM-0448/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: No pneumothorax. Heart size is normal. Granulomas are seen within the right lung. No large pleural effusions. No focal airspace consolidation.", "modalities": [{"type": "image", "value": "train/CXR1474_IM-0307/0.png"}, {"type": "image", "value": "train/CXR1474_IM-0307/1.png"}]} {"text": " and present chest X-rays with the following impressions: Chest: The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. Left knee: There is no fracture-dislocation. There are degenerative changes with medial compartment osteophytes. There is no suprapatellar effusion. There is a XXXX.", "modalities": [{"type": "image", "value": "train/CXR3263_IM-1549/0.png"}, {"type": "image", "value": "train/CXR3263_IM-1549/1.png"}]} {"text": "X-rays and show these chest observations: The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.", "modalities": [{"type": "image", "value": "train/CXR2457_IM-0989/0.png"}, {"type": "image", "value": "train/CXR2457_IM-0989/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3610_IM-1783/0.png"}, {"type": "image", "value": "train/CXR3610_IM-1783/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: 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 is a calcified granuloma in the right lung base. There are mild degenerative changes of the spine. There are some chronic increased interstitial markings noted.", "modalities": [{"type": "image", "value": "train/CXR2006_IM-0656/0.png"}, {"type": "image", "value": "train/CXR2006_IM-0656/1.png"}]} {"text": " and depict chest X-rays with these findings: Chest: The heart is normal size with normal appearance of the cardia mediastinal silhouette. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes and thoracic spine. Right knee: There are severe tricompartmental degenerative changes with obliteration of the joint spaces. There is no fracture or dislocation. Left knee: There is joint space loss most prominent in the medial compartment. The XXXX of lateral view and limits evaluation for an effusion or the patellofemoral joint space. There is no fracture or dislocation.", "modalities": [{"type": "image", "value": "train/CXR3966_IM-2028/0.png"}, {"type": "image", "value": "train/CXR3966_IM-2028/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: In the interval, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. In addition, on the PA view, an 8 mm opacity is adjacent to the left XXXX of the heart. This opacity cannot be well identified on the lateral view. It may be artifactual, but another mass on the left cannot be excluded. Mediastinum is normal with no evidence for adenopathy. Heart size normal. Note XXXX of an unchanged hiatal hernia.", "modalities": [{"type": "image", "value": "train/CXR1303_IM-0199-1001/0.png"}, {"type": "image", "value": "train/CXR1303_IM-0199-1001/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The lungs are clear. The cardiomediastinal silhouette is within normal limits. Small pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR2747_IM-1198/0.png"}, {"type": "image", "value": "train/CXR2747_IM-1198/1.png"}]} {"text": " and show chest images with these observations: 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.", "modalities": [{"type": "image", "value": "train/CXR2514_IM-1036/0.png"}, {"type": "image", "value": "train/CXR2514_IM-1036/1.png"}]} {"text": "X-ray scans and display the following chest observations: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is aortic XXXX vascular calcification. And there is a hyper left lung calcified granuloma. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion. There are vascular and skeletal senescent changes.", "modalities": [{"type": "image", "value": "train/CXR3630_IM-1798/0.png"}, {"type": "image", "value": "train/CXR3630_IM-1798/1.png"}]} {"text": "The chest scans and reveal: The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is a region of left upper lobe perihilar opacity identified.", "modalities": [{"type": "image", "value": "train/CXR1157_IM-0106/0.png"}, {"type": "image", "value": "train/CXR1157_IM-0106/1.png"}]} {"text": "Chest X-rays shown as and indicate: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR928_IM-2426/0.png"}, {"type": "image", "value": "train/CXR928_IM-2426/1.png"}]} {"text": " and present chest X-rays with the following impressions: Normal heart size. Density surrounding superior mediastinum reflex combination of vascular, osseous common pleural structures. No focal airspace consolidation. Moderate degenerative disc disease with osteophyte formation bridging.", "modalities": [{"type": "image", "value": "train/CXR3052_IM-1420/0.png"}, {"type": "image", "value": "train/CXR3052_IM-1420/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1304_IM-0199/0.png"}, {"type": "image", "value": "train/CXR1304_IM-0199/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The lungs are clear. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are sclerotic lesions within the XXXX, better visualized on the comparison XXXX scan. There are several bilateral rib fractures with evidence of the callus formation. The appearance is similar to the prior chest radiograph.", "modalities": [{"type": "image", "value": "train/CXR2578_IM-1078/0.png"}, {"type": "image", "value": "train/CXR2578_IM-1078/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2549_IM-1057/0.png"}, {"type": "image", "value": "train/CXR2549_IM-1057/1.png"}]} {"text": " and show chest X-ray scans that indicate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate stable, mild multilevel thoracolumbar degenerative disc disease without acute abnormality. Upper abdominal midline surgical sutures are likewise stable.", "modalities": [{"type": "image", "value": "train/CXR2985_IM-1373/0.png"}, {"type": "image", "value": "train/CXR2985_IM-1373/1.png"}]} {"text": " and are images of chest X-rays showing: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3701_IM-1848/0.png"}, {"type": "image", "value": "train/CXR3701_IM-1848/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Chest. Lung volumes are low, but no focal infiltrates are present. Heart and mediastinum remain normal. Abdomen. Multiple slightly distended loops are present from stomach to rectum. Formed stool is present in the rectum.", "modalities": [{"type": "image", "value": "train/CXR2340_IM-0907/0.png"}, {"type": "image", "value": "train/CXR2340_IM-0907/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart is mildly enlarged. Pulmonary vascularity is increased. There is again mild elevation of the right hemidiaphragm. Air space disease and/or atelectasis is noted in right lung base. There is also XXXX streaky opacity in the left base. The costophrenic XXXX are blunted.", "modalities": [{"type": "image", "value": "train/CXR2957_IM-1354/0.png"}, {"type": "image", "value": "train/CXR2957_IM-1354/1.png"}]} {"text": " and depict chest X-rays with these findings: Low lung volumes with redemonstrated bronchovascular crowding. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The cardiac silhouette size is borderline enlarged.", "modalities": [{"type": "image", "value": "train/CXR1311_IM-0203/0.png"}, {"type": "image", "value": "train/CXR1311_IM-0203/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1033_IM-0027/0.png"}, {"type": "image", "value": "train/CXR1033_IM-0027/1.png"}]} {"text": "The X-rays and show the following chest conditions: No focal consolidation, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. Right paratracheal calcifications suggest a previous granulomatous process. No acute osseous injury XXXX demonstrated.", "modalities": [{"type": "image", "value": "train/CXR398_IM-2039/0.png"}, {"type": "image", "value": "train/CXR398_IM-2039/1.png"}]} {"text": " and present chest X-rays with the following impressions: The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax. Multilevel flowing anterior thoracic spine osteophytes, which could represent changes of diffuse idiopathic skeletal hyperostosis (DISH).", "modalities": [{"type": "image", "value": "train/CXR1808_IM-0524/0.png"}, {"type": "image", "value": "train/CXR1808_IM-0524/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Lordotic projection and large body habitus. Limited mediastinal evaluation. Severe cardiomegaly. No visualized pneumothorax. No large effusion or airspace disease. No fracture.", "modalities": [{"type": "image", "value": "train/CXR1111_IM-0077/0.png"}, {"type": "image", "value": "train/CXR1111_IM-0077/1.png"}]} {"text": " and depict chest X-rays with these findings: The lungs are clear. A calcified granuloma is seen in the left midlung zone. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR1455_IM-0293/0.png"}, {"type": "image", "value": "train/CXR1455_IM-0293/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Clear lungs. Normal heart. No pneumothorax. No pleural effusion. Old right rib fractures.", "modalities": [{"type": "image", "value": "train/CXR224_IM-0837/0.png"}, {"type": "image", "value": "train/CXR224_IM-0837/1.png"}]} {"text": " and depict chest X-rays with these findings: The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1411_IM-0261-0001/0.png"}, {"type": "image", "value": "train/CXR1411_IM-0261-0001/1.png"}]} {"text": "X-ray images labeled and display the following findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Mild spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2147_IM-0767/0.png"}, {"type": "image", "value": "train/CXR2147_IM-0767/1.png"}]} {"text": "The X-rays and show the following chest conditions: XXXX focal opacity in the medial right lung base XXXX seen on the frontal view. No definite pleural effusion. Stable cardiomediastinal silhouette with normal heart size, no typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR742_IM-2298/0.png"}, {"type": "image", "value": "train/CXR742_IM-2298/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3529_IM-1725/0.png"}, {"type": "image", "value": "train/CXR3529_IM-1725/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Normal heart size. Clear lungs. No pneumothorax. No pleural effusion. There is opacity at the base of the mediastinum which is XXXX a hiatal hernia.", "modalities": [{"type": "image", "value": "train/CXR1505_IM-0330/0.png"}, {"type": "image", "value": "train/CXR1505_IM-0330/1.png"}]} {"text": "The chest X-rays in and display: No pneumothorax, pleural effusion, or focal airspace disease. There is a discrete 1.4 cm nodule within the anterior segment of the right lower lobe. The additional nodular opacities consistent with chronic granulomatous disease. Heart size normal. Cardiomediastinal silhouette is clear. Bony structures appear intact. Right unilateral nipple ring.", "modalities": [{"type": "image", "value": "train/CXR1668_IM-0441/0.png"}, {"type": "image", "value": "train/CXR1668_IM-0441/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2458_IM-0990/0.png"}, {"type": "image", "value": "train/CXR2458_IM-0990/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The heart, 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 degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1101_IM-0068/0.png"}, {"type": "image", "value": "train/CXR1101_IM-0068/1.png"}]} {"text": " and show chest X-ray scans that indicate: Heart size within normal limits. Prominent interstitial and nodular opacities are increased since comparison exam. There is a 1 cm nodular opacity in the right costophrenic XXXX, increased since comparison examination. A cystic lesion in the right upper lobe appears similar to prior examination. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2719_IM-1182/0.png"}, {"type": "image", "value": "train/CXR2719_IM-1182/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart is enlarged. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are noted within the spine.", "modalities": [{"type": "image", "value": "train/CXR1152_IM-0103/0.png"}, {"type": "image", "value": "train/CXR1152_IM-0103/1.png"}]} {"text": "The chest X-rays in and display: No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR507_IM-2125/0.png"}, {"type": "image", "value": "train/CXR507_IM-2125/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: 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.", "modalities": [{"type": "image", "value": "train/CXR249_IM-1016/0.png"}, {"type": "image", "value": "train/CXR249_IM-1016/1.png"}]} {"text": "X-rays and show these chest observations: Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No pulmonary nodules identified.", "modalities": [{"type": "image", "value": "train/CXR2031_IM-0676/0.png"}, {"type": "image", "value": "train/CXR2031_IM-0676/1.png"}]} {"text": "The chest X-rays in and display: No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits for technique, no mediastinal widening seen. No acute osseous injury XXXX demonstrated. Dextroscoliosis noted.", "modalities": [{"type": "image", "value": "train/CXR960_IM-2451/0.png"}, {"type": "image", "value": "train/CXR960_IM-2451/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The cardiomediastinal silhouette is within normal limits. Calcified right lower lobe granuloma. No focal airspace consolidation.. No visualized pneumothorax or large pleural effusion. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1767_IM-0501-0001/0.png"}, {"type": "image", "value": "train/CXR1767_IM-0501-0001/1.png"}]} {"text": " and present chest X-rays with the following impressions: Calcified granulomas noted. XXXX symmetric apical scarring. The diaphragms are flattened, and the chest is somewhat XXXX shaped. The cardiothymic silhouette is within normal limits for size. Pulmonary vascularity is unremarkable. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3264_IM-1550/0.png"}, {"type": "image", "value": "train/CXR3264_IM-1550/1.png"}]} {"text": " and exhibit chest X-rays showing: No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1456_IM-0294/0.png"}, {"type": "image", "value": "train/CXR1456_IM-0294/1.png"}]} {"text": "X-ray images labeled and display the following findings: Calcified left hilar lymph XXXX XXXX from prior granulomatous disease. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3128_IM-1471/0.png"}, {"type": "image", "value": "train/CXR3128_IM-1471/1.png"}]} {"text": "The chest scans and reveal: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR2925_IM-1327/0.png"}, {"type": "image", "value": "train/CXR2925_IM-1327/1.png"}]} {"text": " and present chest X-rays with the following impressions: The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR272_IM-1182/0.png"}, {"type": "image", "value": "train/CXR272_IM-1182/1.png"}]} {"text": " and exhibit chest X-rays showing: 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.", "modalities": [{"type": "image", "value": "train/CXR2492_IM-1018/0.png"}, {"type": "image", "value": "train/CXR2492_IM-1018/1.png"}]} {"text": "The chest X-rays in and display: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1161_IM-0107/0.png"}, {"type": "image", "value": "train/CXR1161_IM-0107/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: There is an ovoid opacity 3.5 cm in the retrocardiac area on AP view, not well-seen on the lateral view, a dedicated XXXX scan is recommended. No pneumothorax or pleural effusion present. The heart is normal in size. No hilar lymphadenopathy. No destructive bony lesions.", "modalities": [{"type": "image", "value": "train/CXR1747_IM-0490/0.png"}, {"type": "image", "value": "train/CXR1747_IM-0490/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size and vascularity normal. External contour normal. Lungs clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR2873_IM-1279/0.png"}, {"type": "image", "value": "train/CXR2873_IM-1279/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Slight thoracolumbar curvature is noted.", "modalities": [{"type": "image", "value": "train/CXR2305_IM-0882/0.png"}, {"type": "image", "value": "train/CXR2305_IM-0882/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Multiple punctate round XXXX XXXX over the abdomen on the lateral view. These may reside within, or outside of the patient.", "modalities": [{"type": "image", "value": "train/CXR2699_IM-1167/0.png"}, {"type": "image", "value": "train/CXR2699_IM-1167/1.png"}]} {"text": "X-rays and show chest details with these impressions: The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. There are a few scattered calcified granulomas. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR558_IM-2158-0001/0.png"}, {"type": "image", "value": "train/CXR558_IM-2158-0001/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Mildly low lung volumes. Lungs are clear without focal air space disease. Persistent mild elevation right hemidiaphragm. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR1893_IM-0580/0.png"}, {"type": "image", "value": "train/CXR1893_IM-0580/1.png"}]} {"text": " and capture X-rays of the chest with these observations: There are no acute osseous abnormalities. There are surgical clips in the right upper abdomen, XXXX from cholecystectomy. Normal heart size. Normal hilar vascular markings. The lungs are grossly clear without focal area of consolidation, pleural effusion, pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2939_IM-1339/0.png"}, {"type": "image", "value": "train/CXR2939_IM-1339/1.png"}]} {"text": " and capture chest X-rays with these findings: The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1881_IM-0570/0.png"}, {"type": "image", "value": "train/CXR1881_IM-0570/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The cardiac silhouette is borderline enlarged. Pulmonary vasculature is normal in caliber. Nipple shadows and dense breast tissue overlie the lung bases. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR806_IM-2340-0001/0.png"}, {"type": "image", "value": "train/CXR806_IM-2340-0001/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart is normal in size. The mediastinum is stable. The previously visualized bilateral pneumothoraces have resolved. Right chest wall surgical XXXX have been removed. There is improved aeration in the lung bases with mild residual XXXX opacities compatible with scarring or atelectasis.", "modalities": [{"type": "image", "value": "train/CXR2293_IM-0875/0.png"}, {"type": "image", "value": "train/CXR2293_IM-0875/1.png"}]} {"text": " and are images of chest X-rays showing: Some hyperinflation appears to be present. There are small calcified granulomas. The lungs are otherwise clear. The heart is normal. The mediastinum is normal. The skeletal structures and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR2407_IM-0954/0.png"}, {"type": "image", "value": "train/CXR2407_IM-0954/1.png"}]} {"text": "X-ray scans and display the following chest observations: Low lung volumes bilaterally with central bronchovascular crowding without focal consolidation, pleural effusion, or pneumothoraces.. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine..", "modalities": [{"type": "image", "value": "train/CXR120_IM-0133/0.png"}, {"type": "image", "value": "train/CXR120_IM-0133/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Examination was performed with nipple markers. The previously noted small nodule in the right lower lung is not well-seen on today's study and may have been secondary to summation of structures. The heart is normal in size. The mediastinum is unremarkable. The lungs are otherwise clear.", "modalities": [{"type": "image", "value": "train/CXR3683_IM-1835/0.png"}, {"type": "image", "value": "train/CXR3683_IM-1835/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Lungs are hyperexpanded bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1800_IM-0520/0.png"}, {"type": "image", "value": "train/CXR1800_IM-0520/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Heart size and vascularity normal. These contour normal. Lungs clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR2349_IM-0914/0.png"}, {"type": "image", "value": "train/CXR2349_IM-0914/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3239_IM-1534/0.png"}, {"type": "image", "value": "train/CXR3239_IM-1534/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Heart size is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2300_IM-0881/0.png"}, {"type": "image", "value": "train/CXR2300_IM-0881/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is redemonstration of a calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR1572_IM-0373/0.png"}, {"type": "image", "value": "train/CXR1572_IM-0373/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart is not enlarged. Lungs are clear. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR798_IM-2332/0.png"}, {"type": "image", "value": "train/CXR798_IM-2332/1.png"}]} {"text": " and depict chest X-rays with these findings: Two-view chest. Both lungs are clear and expanded. Heart and mediastinum normal. Right foot. Hindfoot, midfoot, forefoot XXXX are intact with no fractures or bone destruction.", "modalities": [{"type": "image", "value": "train/CXR341_IM-1648/0.png"}, {"type": "image", "value": "train/CXR341_IM-1648/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Cardiac silhouette is enlarged but unchanged. There is left-sided XXXX central line with a XXXX lumen. Poly vasculature is within normal limits. Mediastinum is normal. Bibasilar opacity, left greater than right is appreciated. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1243_IM-0165/0.png"}, {"type": "image", "value": "train/CXR1243_IM-0165/1.png"}]} {"text": "The images and are chest X-rays with the following noted: This radiograph was XXXX available for my interpretation at XXXX hours XXXX/XXXX. There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "modalities": [{"type": "image", "value": "train/CXR2276_IM-0863-1001/0.png"}, {"type": "image", "value": "train/CXR2276_IM-0863-1001/1.png"}]} {"text": "The X-rays labeled and show chest conditions: There is minimal scarring in the lung apices. The lungs are otherwise clear. Heart size is normal. No pneumothorax. There is dextrocurvature within the spine.", "modalities": [{"type": "image", "value": "train/CXR1768_IM-0502/0.png"}, {"type": "image", "value": "train/CXR1768_IM-0502/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is stable and unremarkable. No acute osseous abnormalities are identified.", "modalities": [{"type": "image", "value": "train/CXR1518_IM-0335/0.png"}, {"type": "image", "value": "train/CXR1518_IM-0335/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size is normal. No large effusions. No focal airspace opacities. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3206_IM-1513/0.png"}, {"type": "image", "value": "train/CXR3206_IM-1513/1.png"}]} {"text": " and X-rays show chest observations as follows: Mild cardiomegaly. Small area of platelike atelectasis in left mid lung. No pneumothorax or pleural effusion. Soft tissue and bony structures unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1760_IM-0497/0.png"}, {"type": "image", "value": "train/CXR1760_IM-0497/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.", "modalities": [{"type": "image", "value": "train/CXR3267_IM-1551/0.png"}, {"type": "image", "value": "train/CXR3267_IM-1551/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: 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. Multilevel degenerative changes are seen throughout the thoracic spine. XXXX anchors XXXX over the left humeral head. There is mild bilateral acromioclavicular joint osteoarthritis. Visualized upper abdomen is grossly unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR3079_IM-1438/0.png"}, {"type": "image", "value": "train/CXR3079_IM-1438/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable mild XXXX deformity of the lower thoracic vertebral body.", "modalities": [{"type": "image", "value": "train/CXR3876_IM-1967/0.png"}, {"type": "image", "value": "train/CXR3876_IM-1967/1.png"}]} {"text": "X-rays and show these chest observations: The XXXX examination consists of frontal and lateral radiographs of the chest. XXXX sternotomy XXXX are again seen. The cardiomediastinal contours are grossly unchanged. Right lung calcified granulomata are again seen. There is no consolidation, pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2278_IM-0864/0.png"}, {"type": "image", "value": "train/CXR2278_IM-0864/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR2273_IM-0861/0.png"}, {"type": "image", "value": "train/CXR2273_IM-0861/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Prominent left epicardial fat XXXX.", "modalities": [{"type": "image", "value": "train/CXR1547_IM-0357/0.png"}, {"type": "image", "value": "train/CXR1547_IM-0357/1.png"}]} {"text": " and provide chest images showing: Heart size within normal limits, stable mediastinal and hilar contours, coronary artery stent artifact, XXXX XXXX and clips suggest CABG. Mediastinal and hilar calcifications XXXX indicate a previous granulomatous process. Stable hyperinflation, bilateral upper lobe pleuroparenchymal near and nodular irregularities, right greater than left, XXXX opacities in the peripheral right lung most compatible with scarring. No XXXX abnormal pulmonary opacities, no definite pleural effusion seen. No typical findings of pulmonary edema. Osseous demineralization, stable appearance of T9 and T12 XXXX fractures.", "modalities": [{"type": "image", "value": "train/CXR1564_IM-0368/0.png"}, {"type": "image", "value": "train/CXR1564_IM-0368/1.png"}]} {"text": "X-ray scans and display the following chest observations: Normal heart size. Mild tortuosity of the aorta. No pneumothorax, pleural effusion or suspicious airspace opacity. Mild levoscoliosis of the lumbar spine.", "modalities": [{"type": "image", "value": "train/CXR466_IM-2094/0.png"}, {"type": "image", "value": "train/CXR466_IM-2094/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: No interval change is found in the bony thorax. The heart size remains normal with an ectatic tortuous aorta. The pulmonary vasculature is not engorged. Lungs are free of infiltrate and there is no pleural effusion. The fullness to the right hilum is again noted but this is unchanged suggesting no progression of the retrohilar nodule XXXX on the CT scan. No XXXX pulmonary nodule is found.", "modalities": [{"type": "image", "value": "train/CXR2783_IM-1220/0.png"}, {"type": "image", "value": "train/CXR2783_IM-1220/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Normal heart size. Mild unfolding of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR3531_IM-1726/0.png"}, {"type": "image", "value": "train/CXR3531_IM-1726/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR890_IM-2403/0.png"}, {"type": "image", "value": "train/CXR890_IM-2403/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Heart size is normal. Lungs are clear. Low lung volumes. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3094_IM-1447/0.png"}, {"type": "image", "value": "train/CXR3094_IM-1447/1.png"}]} {"text": " and are images of chest X-rays showing: Cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. Mildly low lung volumes. No focal infiltrate, pleural effusion or pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3714_IM-1856/0.png"}, {"type": "image", "value": "train/CXR3714_IM-1856/1.png"}]} {"text": "The chest scans and reveal: Normal heart size. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR211_IM-0740/0.png"}, {"type": "image", "value": "train/CXR211_IM-0740/1.png"}]} {"text": " and are images of chest X-rays showing: No focal consolidation. No visualized pneumothorax. Heart size is normal. Cardiac and mediastinal silhouette is grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2611_IM-1102/0.png"}, {"type": "image", "value": "train/CXR2611_IM-1102/1.png"}]} {"text": " and exhibit chest X-rays showing: Heart size is normal. There are densely calcified mediastinal and right hilar lymph XXXX which suggest prior histoplasmosis exposure. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1723_IM-0477/0.png"}, {"type": "image", "value": "train/CXR1723_IM-0477/1.png"}]} {"text": " and show chest X-ray scans that indicate: There is stable cardiomegaly with XXXX pulmonary vascular congestion and probable mild interstitial edema. There are bilateral pleural effusions with bibasilar airspace disease, right greater than left. There is no pneumothorax. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1102_IM-0069/0.png"}, {"type": "image", "value": "train/CXR1102_IM-0069/1.png"}]} {"text": "The chest scans and reveal: The outside x-XXXX is normal except for slight cardiomegaly.", "modalities": [{"type": "image", "value": "train/CXR2416_IM-0961/0.png"}, {"type": "image", "value": "train/CXR2416_IM-0961/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1476_IM-0308/0.png"}, {"type": "image", "value": "train/CXR1476_IM-0308/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.", "modalities": [{"type": "image", "value": "train/CXR3117_IM-1465/0.png"}, {"type": "image", "value": "train/CXR3117_IM-1465/1.png"}]} {"text": "X-rays and show chest details with these impressions: Stable cardiomediastinal silhouette. Stable XXXX opacity in the left base, XXXX scarring or atelectasis. Rounded calcified density in the left lung base, XXXX calcified granuloma. No XXXX consolidation. No pleural effusion or pneumothorax. Stable degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR504_IM-2122/0.png"}, {"type": "image", "value": "train/CXR504_IM-2122/1.png"}]} {"text": "Chest X-rays shown as and indicate: Stable cardiomediastinal silhouette with tortuous thoracic aorta. No pneumothorax, pleural effusion or suspicious focal air space opacity. Stable right lung base scarring.", "modalities": [{"type": "image", "value": "train/CXR864_IM-2384/0.png"}, {"type": "image", "value": "train/CXR864_IM-2384/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Heart size is normal. The aorta is tortuous, and cannot exclude ascending aortic aneurysm. The pulmonary vascularity is normal. There residual to prior granulomatous infection. Lungs are otherwise clear. Degenerative change of the spine.", "modalities": [{"type": "image", "value": "train/CXR1524_IM-0339/0.png"}, {"type": "image", "value": "train/CXR1524_IM-0339/1.png"}]} {"text": " and depict chest X-rays with these findings: XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax. There is degenerative changes of the skeletal structures", "modalities": [{"type": "image", "value": "train/CXR3218_IM-1520/0.png"}, {"type": "image", "value": "train/CXR3218_IM-1520/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: XXXX onset right basal atelectasis with airspace disease and effusion suggestive of the chest infection. Stable cardiomegaly and features of CABG. Interval XXXX removal of left PICC line, no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3666_IM-1824/0.png"}, {"type": "image", "value": "train/CXR3666_IM-1824/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. A right humeral intramedullary XXXX is noted incidentally, without evidence of XXXX complicating features.", "modalities": [{"type": "image", "value": "train/CXR3781_IM-1897/0.png"}, {"type": "image", "value": "train/CXR3781_IM-1897/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Normal heart size and mediastinal contours. Calcified aortic XXXX. XXXX opacities in the left lung base, XXXX atelectasis. The lateral view shows a XXXX left pleural effusion. No focal airspace consolidation. No pneumothorax. Stable bilateral apical pleural capping.", "modalities": [{"type": "image", "value": "train/CXR3632_IM-1799/0.png"}, {"type": "image", "value": "train/CXR3632_IM-1799/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size appears upper limits of normal. Tortuous aorta. Otherwise normal mediastinum. Confluent and XXXX opacities seen within the left base. There are no visible nodules or masses. No visible pneumothorax. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR1556_IM-0363/0.png"}, {"type": "image", "value": "train/CXR1556_IM-0363/1.png"}]} {"text": "Chest X-rays shown as and indicate: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. There is calcified granuloma in the left lingula. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR2315_IM-0889/0.png"}, {"type": "image", "value": "train/CXR2315_IM-0889/1.png"}]} {"text": " and X-rays show chest observations as follows: 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.", "modalities": [{"type": "image", "value": "train/CXR2160_IM-0778/0.png"}, {"type": "image", "value": "train/CXR2160_IM-0778/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Heart size and mediastinal contours are within normal limits. There is no pneumothorax, pleural effusion, focal airspace consolidation.", "modalities": [{"type": "image", "value": "train/CXR1671_IM-0442/0.png"}, {"type": "image", "value": "train/CXR1671_IM-0442/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3373_IM-1623/0.png"}, {"type": "image", "value": "train/CXR3373_IM-1623/1.png"}]} {"text": " and capture chest X-rays with these findings: The heart is normal in size. The mediastinum is stable. Postsurgical changes of esophagectomy and gastric pull-through are stable. Bibasilar air space opacities have significantly improved. The lungs remain hypoinflated with blunted costophrenic XXXX. There is no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3901_IM-1980/0.png"}, {"type": "image", "value": "train/CXR3901_IM-1980/1.png"}]} {"text": " and show chest X-ray scans that indicate: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2090_IM-0722/0.png"}, {"type": "image", "value": "train/CXR2090_IM-0722/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The trachea is midline. The cardiomediastinal silhouette is normal in contour and unchanged in comparison to prior exams. The lungs are clear with no evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2932_IM-1335/0.png"}, {"type": "image", "value": "train/CXR2932_IM-1335/1.png"}]} {"text": " and depict chest X-rays with these findings: Lungs are clear without focal infiltrates. Calcified right upper lobe granuloma unchanged from prior. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.", "modalities": [{"type": "image", "value": "train/CXR3725_IM-1861/0.png"}, {"type": "image", "value": "train/CXR3725_IM-1861/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: This study is limited by the patient body habitus. Lungs appear to be clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR2840_IM-1253-1001/0.png"}, {"type": "image", "value": "train/CXR2840_IM-1253-1001/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR207_IM-0703/0.png"}, {"type": "image", "value": "train/CXR207_IM-0703/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Borderline enlarged heart. Torturous/ectatic thoracic aorta. No focal pulmonary opacity, pleural effusion or pneumothorax. There are degenerative changes of the spine. There is fracture of distal right clavicle, better seen on the right shoulder radiographs dated XXXX. Small round lucency in the distal left clavicle, appears benign. Degenerative changes of both XXXX joints.", "modalities": [{"type": "image", "value": "train/CXR1292_IM-0191/0.png"}, {"type": "image", "value": "train/CXR1292_IM-0191/1.png"}]} {"text": "X-ray scans and display the following chest observations: No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR492_IM-2112/0.png"}, {"type": "image", "value": "train/CXR492_IM-2112/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Large medial right upper lobe mass lesion, measuring approximately 5.8 cm x 6.0 cm in diameter. No pneumothorax. No pleural effusions. Lungs clear. Heart size within normal limits. Degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR498_IM-2115/0.png"}, {"type": "image", "value": "train/CXR498_IM-2115/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Heart size within normal limits. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1182_IM-0124/0.png"}, {"type": "image", "value": "train/CXR1182_IM-0124/1.png"}]} {"text": " and depict chest X-rays with these findings: The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are calcified hilar lymph XXXX suggesting prior granulomatous disease. The bony structures of the thorax are intact with no evidence of acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR395_IM-2019/0.png"}, {"type": "image", "value": "train/CXR395_IM-2019/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The postoperative cardiomediastinal silhouette is stable and upper limits of normal in size. There are XXXX sternotomy XXXX and surgical clips compatible with prior CABG. There is at XXXX one left-sided coronary artery stent. Pulmonary vasculature is normal in caliber. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2884_IM-1286/0.png"}, {"type": "image", "value": "train/CXR2884_IM-1286/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3341_IM-1602/0.png"}, {"type": "image", "value": "train/CXR3341_IM-1602/1.png"}]} {"text": "X-ray scans and display the following chest observations: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. XXXX XXXX are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR609_IM-2197/0.png"}, {"type": "image", "value": "train/CXR609_IM-2197/1.png"}]} {"text": " and exhibit chest X-rays showing: 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.", "modalities": [{"type": "image", "value": "train/CXR2546_IM-1055/0.png"}, {"type": "image", "value": "train/CXR2546_IM-1055/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR999_IM-2480/0.png"}, {"type": "image", "value": "train/CXR999_IM-2480/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The heart is normal in size. The mediastinum is stable. Innumerable XXXX bilateral nodules are identified, most of which appear calcified on XXXX examination. There is no acute infiltrate or effusion. XXXX lingular scarring and/or atelectasis.", "modalities": [{"type": "image", "value": "train/CXR2213_IM-0819/0.png"}, {"type": "image", "value": "train/CXR2213_IM-0819/1.png"}]} {"text": " and capture chest X-rays with these findings: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3970_IM-2031/0.png"}, {"type": "image", "value": "train/CXR3970_IM-2031/1.png"}]} {"text": "X-rays and show these chest observations: Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.", "modalities": [{"type": "image", "value": "train/CXR2096_IM-0726/0.png"}, {"type": "image", "value": "train/CXR2096_IM-0726/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size and mediastinal contour are normal. Mild tortuosity of the aorta. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1875_IM-0566/0.png"}, {"type": "image", "value": "train/CXR1875_IM-0566/1.png"}]} {"text": " and capture X-rays of the chest with these observations: No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Surgical clips overlying the right upper quadrant. Anterior cervical fusion XXXX. Tortuous and ectatic aorta. No focal area of consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2860_IM-1268/0.png"}, {"type": "image", "value": "train/CXR2860_IM-1268/1.png"}]} {"text": "The images and are chest X-rays with the following noted: There is hyperexpansion. The heart size is normal. There is no pleural effusion or pneumothorax. Two circular densities overlying the right ribs which were not present in the XXXX CT. No focal infiltrates", "modalities": [{"type": "image", "value": "train/CXR1759_IM-0495/0.png"}, {"type": "image", "value": "train/CXR1759_IM-0495/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Mild cardiomegaly. Hypoinflation of the lungs. Right basilar XXXX opacity may represent atelectasis. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Sclerosis of the humeral XXXX bilateral, XXXX from prior AVN. Sclerotic vertebral body endplates with central depression. Calcifications in the right hemiabdomen may represent calcified gallstones.", "modalities": [{"type": "image", "value": "train/CXR1257_IM-0174/0.png"}, {"type": "image", "value": "train/CXR1257_IM-0174/1.png"}]} {"text": " and are images of chest X-rays showing: The heart is normal in size and contour. The lung volumes are low with bronchovascular crowding. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR1354_IM-0230/0.png"}, {"type": "image", "value": "train/CXR1354_IM-0230/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Normal heart size and mediastinal contours. Calcified aortic XXXX. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.", "modalities": [{"type": "image", "value": "train/CXR2505_IM-1029/0.png"}, {"type": "image", "value": "train/CXR2505_IM-1029/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. There is interstitial prominence and is basilar patchy air space opacity. No focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2239_IM-0836/0.png"}, {"type": "image", "value": "train/CXR2239_IM-0836/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Calcified granulomas are present. There is an area of focal density overlying the right first rib and medial clavicle. This is approximately 1.2 cm in diameter. It may be secondary to overlapping structures. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart is normal. Calcifications of the aortic XXXX are seen. The skeletal structures are unremarkable. There has been a left mastectomy.", "modalities": [{"type": "image", "value": "train/CXR2689_IM-1160/0.png"}, {"type": "image", "value": "train/CXR2689_IM-1160/1.png"}]} {"text": " and present chest X-rays with the following impressions: 4 images. There is a large hydropneumothorax within the left chest. There is essentially complete collapse of the left lung. Within the right lung, there are increased interstitial opacities within the medial right lung base and right upper lobe, with patchy airspace opacity within the right lung apex. At the right lung apex, there is a more focal ovoid lucency which measures approximately 1.3 cm. This could indicate cavitation. Left-sided cardiomediastinal contours are obscured by collapse of the left lung. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1525_IM-0340/0.png"}, {"type": "image", "value": "train/CXR1525_IM-0340/1.png"}]} {"text": " and show chest images with these observations: Heart size is normal. 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.", "modalities": [{"type": "image", "value": "train/CXR3071_IM-1433/0.png"}, {"type": "image", "value": "train/CXR3071_IM-1433/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: 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 calcifications projecting of the left midlung, unchanged from prior, this is is XXXX sequela of prior granulomatous disease. There are small T-spine osteophytes.", "modalities": [{"type": "image", "value": "train/CXR1032_IM-0026-1001/0.png"}, {"type": "image", "value": "train/CXR1032_IM-0026-1001/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR2683_IM-1156/0.png"}, {"type": "image", "value": "train/CXR2683_IM-1156/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Normal cardiomediastinal contours. No focal consolidation or pleural effusions. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR363_IM-1798/0.png"}, {"type": "image", "value": "train/CXR363_IM-1798/1.png"}]} {"text": " and present chest X-rays with the following impressions: Low lung volumes with bronchovascular crowding at the bases. No focal opacity. No pneumothorax. No large pleural effusion. Cardiac silhouette mediastinal contours within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2044_IM-0687/0.png"}, {"type": "image", "value": "train/CXR2044_IM-0687/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR282_IM-1243/0.png"}, {"type": "image", "value": "train/CXR282_IM-1243/1.png"}]} {"text": "X-rays and show these chest observations: The cardiomediastinal silhouette is normal in size and contour. Masslike opacification of right apex. No pneumothorax or large pleural effusion. XXXX are grossly normal.", "modalities": [{"type": "image", "value": "train/CXR3951_IM-2019/0.png"}, {"type": "image", "value": "train/CXR3951_IM-2019/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Heart is within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild streaky opacity lateral right lung, atelectasis versus scarring.", "modalities": [{"type": "image", "value": "train/CXR1088_IM-0061/0.png"}, {"type": "image", "value": "train/CXR1088_IM-0061/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs are chronically hypoinflated. There is XXXX visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. Evaluation of the lungs is markedly limited. Overall, the appearance is similar to the prior study from XXXX. There is no evidence of pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3154_IM-1486/0.png"}, {"type": "image", "value": "train/CXR3154_IM-1486/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Heart size within normal limits. There are low lung volumes with bronchovascular crowding. There is mild increased airspace opacity within the right lung base which may represent atelectasis or infiltrate.. No visualized pneumothorax or large pleural effusion. Multilevel degenerative disease of the spine.", "modalities": [{"type": "image", "value": "train/CXR183_IM-0537/0.png"}, {"type": "image", "value": "train/CXR183_IM-0537/1.png"}]} {"text": " and depict chest X-rays with these findings: Stable calcified superior mediastinal lymph XXXX. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2753_IM-1203/0.png"}, {"type": "image", "value": "train/CXR2753_IM-1203/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: 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.", "modalities": [{"type": "image", "value": "train/CXR25_IM-1024/0.png"}, {"type": "image", "value": "train/CXR25_IM-1024/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Normal heart size and mediastinal contour. Right lung base airspace disease on frontal XXXX. XXXX opacities in the left lung base consistent with atelectasis. No pneumothorax. No pleural effusion. Mild wedge XXXX deformity of T12.", "modalities": [{"type": "image", "value": "train/CXR2246_IM-0843/0.png"}, {"type": "image", "value": "train/CXR2246_IM-0843/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: 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.", "modalities": [{"type": "image", "value": "train/CXR2544_IM-1054/0.png"}, {"type": "image", "value": "train/CXR2544_IM-1054/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Stable cardiomegaly. XXXX sternotomy XXXX are intact. No pneumothorax or pleural effusion. XXXX calcific density in the left mid to upper lung XXXX represents old granulomatous disease. No focal consolidation. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis.", "modalities": [{"type": "image", "value": "train/CXR215_IM-0769/0.png"}, {"type": "image", "value": "train/CXR215_IM-0769/1.png"}]} {"text": "These chest X-rays ( and ) show the following: PICC line catheter tip XXXX in the right atrium. Heart is not enlarged. Trachea and XXXX bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. There are small areas of patchy density in the left lower lung XXXX. There is a larger area of XXXX patchy density in the right mid and lower lungs with right-sided pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR677_IM-2249/0.png"}, {"type": "image", "value": "train/CXR677_IM-2249/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild XXXX XXXX curvature thoracolumbar junction.", "modalities": [{"type": "image", "value": "train/CXR2297_IM-0877/0.png"}, {"type": "image", "value": "train/CXR2297_IM-0877/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Lung lines remain low. However, no focal infiltrates are identified. Heart and pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR55_IM-2154/0.png"}, {"type": "image", "value": "train/CXR55_IM-2154/1.png"}]} {"text": " and provide chest images showing: The heart size and pulmonary vascularity appear within normal limits. Left XXXX-a-XXXX is in XXXX. No pleural effusion or pneumothorax is seen. Right upper lobe area of dense opacity is seen in the medial right apex. On a previous outside XXXX scan (XXXX), the right upper lobe was consolidated. Comparison to the XXXX XXXX from that exam shows this opacity to have decreased. No films were available, however, for direct comparison.", "modalities": [{"type": "image", "value": "train/CXR744_IM-2299/0.png"}, {"type": "image", "value": "train/CXR744_IM-2299/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Multiple healed bilateral rib fractures. No acute bony abnormality is identified.", "modalities": [{"type": "image", "value": "train/CXR3408_IM-1648/0.png"}, {"type": "image", "value": "train/CXR3408_IM-1648/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart is normal in size. The mediastinal contours are within normal limits. There is mild prominence of the superior mediastinum which is somewhat lucent and XXXX reflects mediastinal and vascular structures. No focal consolidation is seen. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1758_IM-0495/0.png"}, {"type": "image", "value": "train/CXR1758_IM-0495/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3475_IM-1688/0.png"}, {"type": "image", "value": "train/CXR3475_IM-1688/1.png"}]} {"text": " and provide chest images showing: The heart is XXXX within normal limits in size given the low lung volumes an AP portable technique. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR1271_IM-0182/0.png"}, {"type": "image", "value": "train/CXR1271_IM-0182/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1584_IM-0379/0.png"}, {"type": "image", "value": "train/CXR1584_IM-0379/1.png"}]} {"text": "X-ray scans and display the following chest observations: The lungs and pleural spaces show no acute abnormality. Stable right lower lobe calcified granulomas. Thin XXXX lingular scar, unchanged. Heart size and pulmonary vascularity within normal limits. Surgical clips are visualized in the right upper quadrant.", "modalities": [{"type": "image", "value": "train/CXR2048_IM-0688/0.png"}, {"type": "image", "value": "train/CXR2048_IM-0688/1.png"}]} {"text": "Chest X-rays shown as and indicate: Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1136_IM-0092/0.png"}, {"type": "image", "value": "train/CXR1136_IM-0092/1.png"}]} {"text": " and show chest images with these observations: PA and lateral views of the chest were obtained. Tracheostomy tube. Probable mild cardiomegaly. Prominence of the central vasculature, unchanged. No pneumothorax pleural effusion or focal consolidation.", "modalities": [{"type": "image", "value": "train/CXR1990_IM-0648/0.png"}, {"type": "image", "value": "train/CXR1990_IM-0648/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissue is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3660_IM-1820/0.png"}, {"type": "image", "value": "train/CXR3660_IM-1820/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart is top normal in size. The mediastinum is stable. Aorta is tortuous and atherosclerotic. Lungs are mildly hypoinflated. No acute infiltrate is seen.", "modalities": [{"type": "image", "value": "train/CXR1836_IM-0540/0.png"}, {"type": "image", "value": "train/CXR1836_IM-0540/1.png"}]} {"text": " and present chest X-rays with the following impressions: There is stable XXXX scarring or atelectasis in the left midlung. The lungs are otherwise grossly clear. The heart size is near the upper limits of normal. Mediastinal silhouette is normal. There is no pneumothorax or pleural effusion. XXXX T-spine osteophytes are noted.", "modalities": [{"type": "image", "value": "train/CXR746_IM-2300/0.png"}, {"type": "image", "value": "train/CXR746_IM-2300/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR3236_IM-1533/0.png"}, {"type": "image", "value": "train/CXR3236_IM-1533/1.png"}]} {"text": " and provide chest images showing: Stable cardiomegaly with significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis. No definite pleural effusion, consolidation, or pneumothorax identified. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1961_IM-0628/0.png"}, {"type": "image", "value": "train/CXR1961_IM-0628/1.png"}]} {"text": "These chest X-rays ( and ) show the following: 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.", "modalities": [{"type": "image", "value": "train/CXR1551_IM-0359/0.png"}, {"type": "image", "value": "train/CXR1551_IM-0359/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs are clear, and without focal air space opacity. Cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3821_IM-1929/0.png"}, {"type": "image", "value": "train/CXR3821_IM-1929/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3828_IM-1932/0.png"}, {"type": "image", "value": "train/CXR3828_IM-1932/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The lungs and pleural spaces show no acute abnormality. There is a XXXX 10 XXXX nodule in the right apex projecting between the third and fourth posterior ribs. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits. Scattered XXXX densities throughout the chest from prior gunshot wound. Chronic blunting of the costophrenic XXXX. Healed right 10th and left 9th posterolateral rib fracture.", "modalities": [{"type": "image", "value": "train/CXR468_IM-2096/0.png"}, {"type": "image", "value": "train/CXR468_IM-2096/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1550_IM-0359/0.png"}, {"type": "image", "value": "train/CXR1550_IM-0359/1.png"}]} {"text": " and capture X-rays of the chest with these observations: There is redemonstration of an AICD with the left chest wall with stable intact XXXX placement. Surgical cervical XXXX is redemonstrated. Cardiac and mediastinal XXXX appear normal. XXXX opacity in the left upper lobe, XXXX atelectasis or scarring. No visible pneumothorax or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR2118_IM-0745/0.png"}, {"type": "image", "value": "train/CXR2118_IM-0745/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart is top normal in size. The mediastinum is stable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR948_IM-2443/0.png"}, {"type": "image", "value": "train/CXR948_IM-2443/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR639_IM-2218/0.png"}, {"type": "image", "value": "train/CXR639_IM-2218/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2782_IM-1220/0.png"}, {"type": "image", "value": "train/CXR2782_IM-1220/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Stable aortic tortuosity. Cardiomediastinal silhouette is otherwise unremarkable. Scoliosis and degenerative changes of the thoracic spine. Stent visualized in the right upper quadrant, XXXX biliary stent.", "modalities": [{"type": "image", "value": "train/CXR3300_IM-1578/0.png"}, {"type": "image", "value": "train/CXR3300_IM-1578/1.png"}]} {"text": "X-rays and show chest details with these impressions: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3723_IM-1860/0.png"}, {"type": "image", "value": "train/CXR3723_IM-1860/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The cardiomediastinal silhouette is normal in size and contour. Calcified left hilar lymph XXXX/granulomas. No focal consolidation, pneumothorax or large pleural effusion. Old fracture, right mid clavicle.", "modalities": [{"type": "image", "value": "train/CXR600_IM-2192/0.png"}, {"type": "image", "value": "train/CXR600_IM-2192/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Chronic appearing contour deformity of the right posterolateral 7th rib again noted suggestive of old injury.", "modalities": [{"type": "image", "value": "train/CXR1045_IM-0036/0.png"}, {"type": "image", "value": "train/CXR1045_IM-0036/1.png"}]} {"text": "The chest scans and reveal: Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion. Incidental note XXXX of an azygos fissure. There are surgical clips, perhaps from cholecystectomy, in the right upper quadrant.", "modalities": [{"type": "image", "value": "train/CXR2261_IM-0852/0.png"}, {"type": "image", "value": "train/CXR2261_IM-0852/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Prominent bilateral pericardial fat pads. The lungs are well aerated. There is minimal patchy and XXXX air space opacity within the lingula favored as atelectasis.", "modalities": [{"type": "image", "value": "train/CXR1288_IM-0189/0.png"}, {"type": "image", "value": "train/CXR1288_IM-0189/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart is normal in size. The mediastinum is unremarkable. There is again biapical scarring. Small stable calcified left lower lobe granuloma. The lungs are otherwise clear.", "modalities": [{"type": "image", "value": "train/CXR3228_IM-1526/0.png"}, {"type": "image", "value": "train/CXR3228_IM-1526/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX atelectasis or scar in the left lung base. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3748_IM-1874/0.png"}, {"type": "image", "value": "train/CXR3748_IM-1874/1.png"}]} {"text": " and depict chest X-rays with these findings: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR1381_IM-0245/0.png"}, {"type": "image", "value": "train/CXR1381_IM-0245/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: There is a moderate sized right pleural effusion. Severe slightly smaller than is compared to XXXX. There is a small left pleural effusion. This is unchanged as compared to the prior study. There is a right chest wall venous XXXX XXXX which appears accessed. No pneumothorax. Scaphoid abdomen.", "modalities": [{"type": "image", "value": "train/CXR2348_IM-0913/0.png"}, {"type": "image", "value": "train/CXR2348_IM-0913/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart is normal in size. The mediastinum is within normal limits. Aorta is tortuous. Right chest XXXX tip is visualized at the proximal right atrium. The lungs are grossly clear. No pneumothorax is seen. There are deformities of the left lateral 7th and 8th ribs possibly healing or old fractures.", "modalities": [{"type": "image", "value": "train/CXR2420_IM-0964-0001/0.png"}, {"type": "image", "value": "train/CXR2420_IM-0964-0001/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: No acute osseous abnormalities. Mild thoracic spine degenerative changes. Soft tissues are within normal limits. No focal area of consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3841_IM-1942/0.png"}, {"type": "image", "value": "train/CXR3841_IM-1942/1.png"}]} {"text": "X-ray images labeled and display the following findings: Normal cardiomediastinal silhouette. No airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR756_IM-2307/0.png"}, {"type": "image", "value": "train/CXR756_IM-2307/1.png"}]} {"text": " and exhibit chest X-rays showing: Mild cardiomegaly. Pulmonary vasculature is within normal limits. Costophrenic XXXX are XXXX. There is increased kyphotic curvature of the thoracic spine. Within the heart XXXX, there is a small area of oval-shaped density measuring 2.2 x 1.6 cm without correction for magnification. There is a calcified lymph node in the right hilum. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2644_IM-1130/0.png"}, {"type": "image", "value": "train/CXR2644_IM-1130/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: There are low lung volumes. The cardiac silhouette, upper mediastinum pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2803_IM-1234/0.png"}, {"type": "image", "value": "train/CXR2803_IM-1234/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.", "modalities": [{"type": "image", "value": "train/CXR2517_IM-1036/0.png"}, {"type": "image", "value": "train/CXR2517_IM-1036/1.png"}]} {"text": "X-rays and show these chest observations: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2854_IM-1262/0.png"}, {"type": "image", "value": "train/CXR2854_IM-1262/1.png"}]} {"text": " and depict chest X-rays with these findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3663_IM-1822/0.png"}, {"type": "image", "value": "train/CXR3663_IM-1822/1.png"}]} {"text": " and show chest X-ray scans that indicate: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures show several old rib fractures unchanged in the prior study on the left.", "modalities": [{"type": "image", "value": "train/CXR1121_IM-0080/0.png"}, {"type": "image", "value": "train/CXR1121_IM-0080/1.png"}]} {"text": " and X-rays show chest observations as follows: Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.", "modalities": [{"type": "image", "value": "train/CXR1308_IM-0201/0.png"}, {"type": "image", "value": "train/CXR1308_IM-0201/1.png"}]} {"text": " and exhibit chest X-rays showing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2540_IM-1052/0.png"}, {"type": "image", "value": "train/CXR2540_IM-1052/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3561_IM-1746/0.png"}, {"type": "image", "value": "train/CXR3561_IM-1746/1.png"}]} {"text": " and present chest X-rays with the following impressions: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3560_IM-1745/0.png"}, {"type": "image", "value": "train/CXR3560_IM-1745/1.png"}]} {"text": " and capture chest X-rays with these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1263_IM-0179/0.png"}, {"type": "image", "value": "train/CXR1263_IM-0179/1.png"}]} {"text": " and exhibit chest X-rays showing: Rotated apical lordotic frontal projection, mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings. No definite focal alveolar consolidation or pleural effusion seen. Accounting for technical factors heart size XXXX within normal limits, heavily calcified and mildly tortuous aorta. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR1924_IM-0598/0.png"}, {"type": "image", "value": "train/CXR1924_IM-0598/1.png"}]} {"text": "The chest X-rays in and display: There is mild cardiomegaly. The thoracic aorta is tortuous. Lung volumes are low with asymmetric elevation of the right hemidiaphragm. There is platelike atelectasis in the right midlung along with bibasilar airspace disease, either atelectasis or infiltrate. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2036_IM-0680/0.png"}, {"type": "image", "value": "train/CXR2036_IM-0680/1.png"}]} {"text": " and present chest X-rays with the following impressions: CHEST. The heart, 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 is a calcified granuloma in the left lung base. SOFT TISSUE NECK. There is reversal of the normal cervical lordosis which may indicate muscle spasm versus a positional phenomenon. There is no prevertebral soft tissue XXXX. The epiglottis is within normal limits. There is a 3 mm x 1 mm density identified on the lateral exam only, possibly within one of the piriform sinuses.", "modalities": [{"type": "image", "value": "train/CXR1695_IM-0456/0.png"}, {"type": "image", "value": "train/CXR1695_IM-0456/1.png"}]} {"text": " and depict chest X-rays with these findings: Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation.", "modalities": [{"type": "image", "value": "train/CXR1902_IM-0586/0.png"}, {"type": "image", "value": "train/CXR1902_IM-0586/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: 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. The left hemidiaphragm is elevated. This is unchanged. No focal airspace disease is seen. No pneumothorax or pleural effusion is noted. There is eventration of the right hemidiaphragm.", "modalities": [{"type": "image", "value": "train/CXR2380_IM-0940/0.png"}, {"type": "image", "value": "train/CXR2380_IM-0940/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Pectus carinatum is noted. Calcified lymph XXXX and granuloma are noted. No pleural effusion or pneumothorax is seen. Mild XXXX deformity is noted in the lower thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3581_IM-1761/0.png"}, {"type": "image", "value": "train/CXR3581_IM-1761/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart is top normal in size. The mediastinum is stable. The lungs are grossly clear. Bilateral rib deformities are noted, possibly old fractures. There is no pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3865_IM-1958/0.png"}, {"type": "image", "value": "train/CXR3865_IM-1958/1.png"}]} {"text": "X-rays and show chest details with these impressions: Normal heart size and mediastinal contours. No focal airspace consolidation. XXXX opacities in the right lower lung representing atelectasis versus scarring. Significantly decreased subcutaneous soft tissue since comparison radiograph. Probable pectus deformity. Negative for acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2034_IM-0679/0.png"}, {"type": "image", "value": "train/CXR2034_IM-0679/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Stable obscuration of the left cardiac XXXX, XXXX representing left pleural thickening. Stable nodular opacity within the left midlung. The lungs are clear bilaterally with no focal consolidation, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is stable. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3175_IM-1497/0.png"}, {"type": "image", "value": "train/CXR3175_IM-1497/1.png"}]} {"text": "The chest scans and reveal: Heart size and cardiomediastinal contours are normal. Low lung volumes without focal airspace opacity, pleural effusion, or pneumothorax. Multilevel degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR3910_IM-1987/0.png"}, {"type": "image", "value": "train/CXR3910_IM-1987/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR2343_IM-0908/0.png"}, {"type": "image", "value": "train/CXR2343_IM-0908/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The cardiac silhouette measures near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is stable eventration of the anterior right hemidiaphragm. The lungs are clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3179_IM-1499/0.png"}, {"type": "image", "value": "train/CXR3179_IM-1499/1.png"}]} {"text": "The chest scans and reveal: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Low left paraspinal/retrocrural adenopathy is present. This appears unchanged.", "modalities": [{"type": "image", "value": "train/CXR3077_IM-1438/0.png"}, {"type": "image", "value": "train/CXR3077_IM-1438/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR167_IM-0441/0.png"}, {"type": "image", "value": "train/CXR167_IM-0441/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Normal heart size. Mild unfolding and atherosclerotic calcification of the aorta. No focal air space consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR3979_IM-2038/0.png"}, {"type": "image", "value": "train/CXR3979_IM-2038/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR158_IM-0377/0.png"}, {"type": "image", "value": "train/CXR158_IM-0377/1.png"}]} {"text": "X-rays and show chest details with these impressions: Cardiac silhouette within normal limits. Central pulmonary vasculature is not engorged. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. No edema or focal consolidation in the lungs.", "modalities": [{"type": "image", "value": "train/CXR2620_IM-1109/0.png"}, {"type": "image", "value": "train/CXR2620_IM-1109/1.png"}]} {"text": " and exhibit chest X-rays showing: Lumbar and are low. No infiltrates. Heart size normal. A large hiatal hernia is present. An age-indeterminate XXXX fracture is present in the lower thoracic vertebra. Scoliosis is present in the thoracic and thoracolumbar spine.", "modalities": [{"type": "image", "value": "train/CXR1576_IM-0375/0.png"}, {"type": "image", "value": "train/CXR1576_IM-0375/1.png"}]} {"text": "These chest X-rays ( and ) show the following: There is a subtle left medial base opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR2709_IM-1175/0.png"}, {"type": "image", "value": "train/CXR2709_IM-1175/1.png"}]} {"text": " and exhibit chest X-rays showing: Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR443_IM-2078/0.png"}, {"type": "image", "value": "train/CXR443_IM-2078/1.png"}]} {"text": "The X-rays and show the following chest conditions: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Sequela of prior granulomatous disease Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3562_IM-1747/0.png"}, {"type": "image", "value": "train/CXR3562_IM-1747/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: There has been interval performance of CABG with multiple XXXX sternotomy XXXX, surgical clips, and CABG markers. All of the XXXX sternotomy XXXX are broken, and a fragment at a sternotomy XXXX appears to XXXX within the left posterior pleural space. Stable cardiomegaly and central pulmonary vascular prominence. No focal consolidation, pneumothorax, or effusion. Relative elevation of the left hemidiaphragm noted. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3502_IM-1707/0.png"}, {"type": "image", "value": "train/CXR3502_IM-1707/1.png"}]} {"text": "X-ray images labeled and display the following findings: There is mild blunting of the right costophrenic XXXX which may represent a small right pleural effusion. No focal consolidation or pneumothorax identified. Cardiomediastinal silhouette demonstrates stable mild tortuosity of the thoracic aorta, and heart size within normal limits and stable. No acute osseous abnormality. There is redemonstration of mild multilevel degenerative disc disease of the thoracolumbar spine. Old, healed left rib fractures are noted.", "modalities": [{"type": "image", "value": "train/CXR2441_IM-0978/0.png"}, {"type": "image", "value": "train/CXR2441_IM-0978/1.png"}]} {"text": " and show chest images with these observations: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1915_IM-0595/0.png"}, {"type": "image", "value": "train/CXR1915_IM-0595/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted.", "modalities": [{"type": "image", "value": "train/CXR1048_IM-0036/0.png"}, {"type": "image", "value": "train/CXR1048_IM-0036/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size within normal limits. Stable position of left subclavian central venous catheter. No focal airspace disease. No pneumothorax. Mild blunting of the costophrenic XXXX bilaterally.", "modalities": [{"type": "image", "value": "train/CXR105_IM-0037/0.png"}, {"type": "image", "value": "train/CXR105_IM-0037/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There is a minimally displaced fracture of the right lateral 7th rib. There is a small right pleural effusion with associated atelectasis of the right lower lobe. There appears to be a healing fracture of the posterolateral right 8th rib. There is questionable cortical defect involving the sternum seen XXXX on lateral view. XXXX would be XXXX to evaluate this finding. As the small right-sided pleural effusion is visible on both PA and lateral views. There is a XXXX left-sided pleural effusion as well. The left lung appears grossly clear. Heart size and pulmonary XXXX appear normal. There is a mild scoliosis involving the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2046_IM-0688/0.png"}, {"type": "image", "value": "train/CXR2046_IM-0688/1.png"}]} {"text": "The chest scans and reveal: The lungs are hyperexpanded. There are stable scattered XXXX bilateral opacities, most notable in the left upper lobe, XXXX scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3152_IM-1484/0.png"}, {"type": "image", "value": "train/CXR3152_IM-1484/1.png"}]} {"text": "The X-rays and show the following chest conditions: Lungs are clear. No focal consolidation, effusion, or pneumothorax. Interval resolution of left effusion. Central venous dialysis catheter unchanged in position. Heart and mediastinal contours are normal. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR392_IM-1993/0.png"}, {"type": "image", "value": "train/CXR392_IM-1993/1.png"}]} {"text": " and present chest X-rays with the following impressions: The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal . The skeletal structures and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR2920_IM-1323/0.png"}, {"type": "image", "value": "train/CXR2920_IM-1323/1.png"}]} {"text": "X-rays and show these chest observations: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR2189_IM-0798/0.png"}, {"type": "image", "value": "train/CXR2189_IM-0798/1.png"}]} {"text": "The chest scans and reveal: The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1_1_IM-0001/0.png"}, {"type": "image", "value": "train/CXR1_1_IM-0001/1.png"}]} {"text": "The chest X-rays in and display: Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR2264_IM-0854/0.png"}, {"type": "image", "value": "train/CXR2264_IM-0854/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2632_IM-1119/0.png"}, {"type": "image", "value": "train/CXR2632_IM-1119/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size moderately enlarged. Mild left costophrenic XXXX blunting. Streaky and patchy bibasilar opacities, left greater than right. Right hemidiaphragm eventration noted. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR3980_IM-2039/0.png"}, {"type": "image", "value": "train/CXR3980_IM-2039/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The lateral images limited secondary to motion artifact. No focal consolidation, large pneumothorax or large pleural effusion. Heart size normal. XXXX unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1895_IM-0581/0.png"}, {"type": "image", "value": "train/CXR1895_IM-0581/1.png"}]} {"text": " and are images of chest X-rays showing: No focal lung consolidation. No pneumothorax or pleural effusion.Heart size and pulmonary vascularity are within normal limits.Minimal degenerative changes of the thoracic spine. The previously
described XXXX deformity in the midthoracic spine is again seen. There is subcutaneous shunt catheter tubing along the anterior chest wall", "modalities": [{"type": "image", "value": "train/CXR2192_IM-0802/0.png"}, {"type": "image", "value": "train/CXR2192_IM-0802/1.png"}]} {"text": "Chest X-rays shown as and indicate: The cardiac contours are normal. Prominent pulmonary arteries. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3246_IM-1538/0.png"}, {"type": "image", "value": "train/CXR3246_IM-1538/1.png"}]} {"text": " and present chest X-rays with the following impressions: Left chest wall Mediport placement with venous catheter tip in superior XXXX XXXX. Normal cardiac contours. No pneumothorax or pleural effusions. Clear lungs bilaterally. XXXX fracture seen at T5 and L2 with areas of sclerosis throughout the thoracic and lumbar spine.", "modalities": [{"type": "image", "value": "train/CXR2084_IM-0715-1001/0.png"}, {"type": "image", "value": "train/CXR2084_IM-0715-1001/1.png"}]} {"text": " and provide chest images showing: There is a right upper lobe opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. Osseous structures and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR268_IM-1153/0.png"}, {"type": "image", "value": "train/CXR268_IM-1153/1.png"}]} {"text": " and X-rays show chest observations as follows: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1144_IM-0097/0.png"}, {"type": "image", "value": "train/CXR1144_IM-0097/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Overall low lung volumes. Lungs are grossly clear. Pleural thickening along the inferior left lateral chest. This appears relatively stable compared to the prior examination. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR2722_IM-1184/0.png"}, {"type": "image", "value": "train/CXR2722_IM-1184/1.png"}]} {"text": "X-rays and show these chest observations: Normal cardiac size, mediastinum, and central pulmonary vasculature. Grossly clear lungs, without focal airspace consolidation, pleural effusion, or pneumothorax. No evidence of displaced rib fractures. Normal thoracic vertebral body XXXX.", "modalities": [{"type": "image", "value": "train/CXR2311_IM-0886/0.png"}, {"type": "image", "value": "train/CXR2311_IM-0886/1.png"}]} {"text": "The X-rays and show the following chest conditions: 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 bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2963_IM-1356/0.png"}, {"type": "image", "value": "train/CXR2963_IM-1356/1.png"}]} {"text": "X-ray images labeled and display the following findings: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate healed, remote bilateral rib fractures without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2116_IM-0745/0.png"}, {"type": "image", "value": "train/CXR2116_IM-0745/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications in the paratracheal region. Mild streaky scarring in the right upper lobe. No active pneumonia. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1785_IM-0512/0.png"}, {"type": "image", "value": "train/CXR1785_IM-0512/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2240_IM-0838/0.png"}, {"type": "image", "value": "train/CXR2240_IM-0838/1.png"}]} {"text": "The X-rays and show the following chest conditions: Normal cardiomediastinal silhouette. Left-sided aortic XXXX. Pulmonary vasculatures are within normal limits. Central airways are XXXX. No focal consolidation, pleural effusion or pneumothorax. Bony structure are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR312_IM-1466/0.png"}, {"type": "image", "value": "train/CXR312_IM-1466/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size is normal. Mild XXXX XXXX atelectasis. Lungs are otherwise clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.", "modalities": [{"type": "image", "value": "train/CXR1403_IM-0258/0.png"}, {"type": "image", "value": "train/CXR1403_IM-0258/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR720_IM-2281/0.png"}, {"type": "image", "value": "train/CXR720_IM-2281/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart size is stable. There is focal airspace consolidation in the lateral aspect of the right upper lobe. There is no pneumothorax or effusion. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR818_IM-2349/0.png"}, {"type": "image", "value": "train/CXR818_IM-2349/1.png"}]} {"text": " and exhibit chest X-rays showing: Calcified thoracic aorta. Mild rightward deviation of the trachea, unchanged from comparison XXXX, XXXX secondary to a goiter. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Advanced degenerative change of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3685_IM-1836/0.png"}, {"type": "image", "value": "train/CXR3685_IM-1836/1.png"}]} {"text": " and provide chest images showing: Chest. Both lungs clear and expanded. Heart and mediastinum normal. Ankle. Soft tissue XXXX is present around the malleoli. XXXX intact. Mortise radiographically stable.", "modalities": [{"type": "image", "value": "train/CXR2771_IM-1213/0.png"}, {"type": "image", "value": "train/CXR2771_IM-1213/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.", "modalities": [{"type": "image", "value": "train/CXR3452_IM-1675/0.png"}, {"type": "image", "value": "train/CXR3452_IM-1675/1.png"}]} {"text": " and are images of chest X-rays showing: Normal heart size. Clear, hyperaerated lungs. No pneumothorax. No pleural effusion. XXXX substernal density may be related to a pectus deformity.", "modalities": [{"type": "image", "value": "train/CXR102_IM-0016/0.png"}, {"type": "image", "value": "train/CXR102_IM-0016/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: There is a left base opacity. The right lung is grossly clear. Heart size is normal. Left venous catheter with tip in the right atrium. There is no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3195_IM-1506-0001/0.png"}, {"type": "image", "value": "train/CXR3195_IM-1506-0001/1.png"}]} {"text": " and show chest images with these observations: The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR3556_IM-1741-1001/0.png"}, {"type": "image", "value": "train/CXR3556_IM-1741-1001/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: There is prominence of the superior mediastinum which may be partially due to patient's known thyroid mass. There is increased tortuosity of the descending thoracic aorta. Cardiac silhouette is within normal limits. Lungs are clear without focal opacification. No pneumothorax or pleural effusion. There is scoliotic curvature the thoracic spine. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR533_IM-2140/0.png"}, {"type": "image", "value": "train/CXR533_IM-2140/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. Scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR2233_IM-0832/0.png"}, {"type": "image", "value": "train/CXR2233_IM-0832/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. There is a mild dextro scoliotic curvature of the midthoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3507_IM-1709/0.png"}, {"type": "image", "value": "train/CXR3507_IM-1709/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. There is an obliquely oriented XXXX lucency through the posterior right 12th rib.", "modalities": [{"type": "image", "value": "train/CXR2885_IM-1287/0.png"}, {"type": "image", "value": "train/CXR2885_IM-1287/1.png"}]} {"text": " and show chest images with these observations: Stable cardiomediastinal silhouette with normal heart size, mediastinal calcifications suggest a previous granulomatous process. Apical irregularities also present on the previous exam suggestive of scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1478_IM-0310-0001/0.png"}, {"type": "image", "value": "train/CXR1478_IM-0310-0001/1.png"}]} {"text": "The X-rays labeled and show chest conditions: 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.", "modalities": [{"type": "image", "value": "train/CXR2489_IM-1016/0.png"}, {"type": "image", "value": "train/CXR2489_IM-1016/1.png"}]} {"text": "X-rays and show these chest observations: The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact.", "modalities": [{"type": "image", "value": "train/CXR41_IM-2055/0.png"}, {"type": "image", "value": "train/CXR41_IM-2055/1.png"}]} {"text": " and exhibit chest X-rays showing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR291_IM-1313/0.png"}, {"type": "image", "value": "train/CXR291_IM-1313/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart and mediastinum are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1821_IM-0532/0.png"}, {"type": "image", "value": "train/CXR1821_IM-0532/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart and mediastinum are unremarkable. There is a calcified granuloma within the left upper lobe. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There are acute mild anterior XXXX deformities identified at L1-L2. There is retropulsion of the posterior vertebral body of L1. A CT of the lumbar spine was already ordered at the time of this dictation.", "modalities": [{"type": "image", "value": "train/CXR3038_IM-1411/0.png"}, {"type": "image", "value": "train/CXR3038_IM-1411/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs are clear. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR306_IM-1426/0.png"}, {"type": "image", "value": "train/CXR306_IM-1426/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Two views of chest was obtained in AP projection. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate segmental air space disease within the left lower lobe. There is no effusion or pneumothorax. There is evidence of CABG.", "modalities": [{"type": "image", "value": "train/CXR1641_IM-0420/0.png"}, {"type": "image", "value": "train/CXR1641_IM-0420/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Stable appearance of the left upper lung lobe with scarring, volume loss, and pleural thickening. Cardiomediastinal silhouette is within normal limits normal appearance, similar to prior. Volume loss in the left lung, stable. Right lung is clear. There is no XXXX focal airspace disease, pleural effusion, or pneumothorax. Mild scarring at the right apex. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR549_IM-2153/0.png"}, {"type": "image", "value": "train/CXR549_IM-2153/1.png"}]} {"text": " and show chest images with these observations: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2466_IM-0997/0.png"}, {"type": "image", "value": "train/CXR2466_IM-0997/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is evidence of previous granulomatous disease. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR858_IM-2379/0.png"}, {"type": "image", "value": "train/CXR858_IM-2379/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size and cardiomediastinal silhouette are normal. Mild tortuosity of the aorta. Low lung volumes, however lungs are grossly clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures grossly intact.", "modalities": [{"type": "image", "value": "train/CXR944_IM-2440/0.png"}, {"type": "image", "value": "train/CXR944_IM-2440/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR1153_IM-0104/0.png"}, {"type": "image", "value": "train/CXR1153_IM-0104/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2621_IM-1109/0.png"}, {"type": "image", "value": "train/CXR2621_IM-1109/1.png"}]} {"text": " and provide chest images showing: A left-sided hemodialysis catheter is in XXXX with its distal tip at the right atrium. The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. No large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR335_IM-1606/0.png"}, {"type": "image", "value": "train/CXR335_IM-1606/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Heart size is normal. 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.", "modalities": [{"type": "image", "value": "train/CXR2248_IM-0844/0.png"}, {"type": "image", "value": "train/CXR2248_IM-0844/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2740_IM-1195/0.png"}, {"type": "image", "value": "train/CXR2740_IM-1195/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: 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 bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1537_IM-0348/0.png"}, {"type": "image", "value": "train/CXR1537_IM-0348/1.png"}]} {"text": " and exhibit chest X-rays showing: Cardiomediastinal silhouette is within normal limits. No acute bony abnormality is identified. There is slightly increased XXXX opacity of the right base compared to the left which may minimal right basilar airspace disease, XXXX in the right middle lobe. The left lung is clear. No pneumothorax or effusion identified.", "modalities": [{"type": "image", "value": "train/CXR3387_IM-1633/0.png"}, {"type": "image", "value": "train/CXR3387_IM-1633/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The lungs remain hyperexpanded. There are persistent XXXX bilateral lower lobe opacities, XXXX subsegmental atelectasis and scarring. No XXXX focal infiltrate is identified. There is no pleural effusion or pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR822_IM-2352/0.png"}, {"type": "image", "value": "train/CXR822_IM-2352/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Heart size is within normal limits. Mild prominence of the mediastinum. Bibasilar predominantly interstitial pulmonary opacities. No visualized pneumothorax. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1372_IM-0239/0.png"}, {"type": "image", "value": "train/CXR1372_IM-0239/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart, 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 is slight wedge XXXX deformity of the mid to lower thoracic vertebral body unchanged from the comparison study.", "modalities": [{"type": "image", "value": "train/CXR1061_IM-0043/0.png"}, {"type": "image", "value": "train/CXR1061_IM-0043/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR2252_IM-0844/0.png"}, {"type": "image", "value": "train/CXR2252_IM-0844/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The patient is rotated to left. The cardiomediastinal silhouette is normal in size. XXXX lucency along the left ventricular XXXX XXXX related to interface between the heart and aerated lung. Patchy right perihilar/upper lobe opacities, which abut the XXXX fissure on lateral projection. No pneumothorax or large pleural effusion. Exaggerated thoracic kyphosis. No definite acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1777_IM-0509/0.png"}, {"type": "image", "value": "train/CXR1777_IM-0509/1.png"}]} {"text": "The chest scans and reveal: Redemonstration of the left basilar patchy atelectasis, unchanged from last exam. Lungs are otherwise clear. No evidence of pneumothorax or pleural effusions present. There is a focal calcified nodules in the left upper lung, stable in appearance from XXXX of XXXX. The cardiomediastinal silhouette is unremarkable. No suspicion bony destruction identified.", "modalities": [{"type": "image", "value": "train/CXR3416_IM-1651-0001/0.png"}, {"type": "image", "value": "train/CXR3416_IM-1651-0001/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present.", "modalities": [{"type": "image", "value": "train/CXR3480_IM-1691/0.png"}, {"type": "image", "value": "train/CXR3480_IM-1691/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: 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.", "modalities": [{"type": "image", "value": "train/CXR3796_IM-1909/0.png"}, {"type": "image", "value": "train/CXR3796_IM-1909/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: 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.", "modalities": [{"type": "image", "value": "train/CXR2527_IM-1043/0.png"}, {"type": "image", "value": "train/CXR2527_IM-1043/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3548_IM-1739/0.png"}, {"type": "image", "value": "train/CXR3548_IM-1739/1.png"}]} {"text": "X-rays and show these chest observations: Unchanged elevation of the right hemidiaphragm. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is mildly enlarged. Mild degenerative changes throughout the thoracic spine anterior osteophytes noted inferiorly. Pulmonary artery prominence.", "modalities": [{"type": "image", "value": "train/CXR3952_IM-2020/0.png"}, {"type": "image", "value": "train/CXR3952_IM-2020/1.png"}]} {"text": "X-rays and show these chest observations: XXXX diffuse right lower lobe airspace opacity is present. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR3740_IM-1868/0.png"}, {"type": "image", "value": "train/CXR3740_IM-1868/1.png"}]} {"text": "The chest X-rays in and display: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR176_IM-0496/0.png"}, {"type": "image", "value": "train/CXR176_IM-0496/1.png"}]} {"text": "X-rays and show chest details with these impressions: Large calcified granuloma in the right lower lobe is unchanged. No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacification.", "modalities": [{"type": "image", "value": "train/CXR2047_IM-0688/0.png"}, {"type": "image", "value": "train/CXR2047_IM-0688/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis. Lower cervical degenerative arthritis.", "modalities": [{"type": "image", "value": "train/CXR2742_IM-1197/0.png"}, {"type": "image", "value": "train/CXR2742_IM-1197/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Heart size within normal limits. Trachea is midline. The lung volumes are is somewhat low. Both lungs are otherwise clear bilaterally. No pleural effusion. No pulmonary nodules visualized.", "modalities": [{"type": "image", "value": "train/CXR3229_IM-1526/0.png"}, {"type": "image", "value": "train/CXR3229_IM-1526/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Bilateral breast prostheses are noted.", "modalities": [{"type": "image", "value": "train/CXR415_IM-2058/0.png"}, {"type": "image", "value": "train/CXR415_IM-2058/1.png"}]} {"text": "X-rays and show these chest observations: Lungs are clear. A calcified small granuloma is present in the left lower lobe. Heart size normal. Mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3515_IM-1715/0.png"}, {"type": "image", "value": "train/CXR3515_IM-1715/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR114_IM-0096/0.png"}, {"type": "image", "value": "train/CXR114_IM-0096/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The opacity at the left lung base appears stable from prior exam. There is elevation of the left hemidiaphragm is stable. The cardiomediastinal silhouette is enlarged but unchanged. XXXX sternotomy XXXX are again noted. There is a large amount of XXXX distending the stomach, which incidentally was also seen on prior exam of 3 years ago. There is no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2218_IM-0823/0.png"}, {"type": "image", "value": "train/CXR2218_IM-0823/1.png"}]} {"text": "Chest X-rays shown as and indicate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR579_IM-2176/0.png"}, {"type": "image", "value": "train/CXR579_IM-2176/1.png"}]} {"text": "The chest scans and reveal: Within the right lower lobes there are XXXX airspace opacities XXXX representing consolidation and atelectasis with blunting of the bilateral costophrenic XXXX. The cardiomediastinal silhouette is within normal limits. Bibasilar subsegmental atelectasis. No acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR2716_IM-1181/0.png"}, {"type": "image", "value": "train/CXR2716_IM-1181/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine. Degenerative changes of the XXXX. Tortuous aorta.", "modalities": [{"type": "image", "value": "train/CXR3642_IM-1806/0.png"}, {"type": "image", "value": "train/CXR3642_IM-1806/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: 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.", "modalities": [{"type": "image", "value": "train/CXR2562_IM-1065/0.png"}, {"type": "image", "value": "train/CXR2562_IM-1065/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild degenerative changes are present within the spine.", "modalities": [{"type": "image", "value": "train/CXR3405_IM-1647/0.png"}, {"type": "image", "value": "train/CXR3405_IM-1647/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR160_IM-0390/0.png"}, {"type": "image", "value": "train/CXR160_IM-0390/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. No evidence of active tuberculosis.", "modalities": [{"type": "image", "value": "train/CXR3477_IM-1690/0.png"}, {"type": "image", "value": "train/CXR3477_IM-1690/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures show arthritic changes.", "modalities": [{"type": "image", "value": "train/CXR1569_IM-0372/0.png"}, {"type": "image", "value": "train/CXR1569_IM-0372/1.png"}]} {"text": " and provide chest images showing: Normal and stable cardiomediastinal contours. Interval removal of left-sided intravenous catheter. No pneumothorax. XXXX XXXX opacities obscuring the hemidiaphragms, slightly improved from prior exam.. Right-sided rib fractures again noted.", "modalities": [{"type": "image", "value": "train/CXR3165_IM-1490/0.png"}, {"type": "image", "value": "train/CXR3165_IM-1490/1.png"}]} {"text": " and capture chest X-rays with these findings: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR100_IM-0002/0.png"}, {"type": "image", "value": "train/CXR100_IM-0002/1.png"}]} {"text": " and present chest X-rays with the following impressions: The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR375_IM-1874/0.png"}, {"type": "image", "value": "train/CXR375_IM-1874/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1995_IM-0651/0.png"}, {"type": "image", "value": "train/CXR1995_IM-0651/1.png"}]} {"text": "The X-rays and show the following chest conditions: The cardiac silhouette size is at the upper limits of normal. Central vascular markings are mildly prominent. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3695_IM-1845/0.png"}, {"type": "image", "value": "train/CXR3695_IM-1845/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: No focal lung consolidation. No pneumothorax or large pleural effusion. Heart size and pulmonary vascularity are within normal limits. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR2659_IM-1140/0.png"}, {"type": "image", "value": "train/CXR2659_IM-1140/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR1717_IM-0473/0.png"}, {"type": "image", "value": "train/CXR1717_IM-0473/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2324_IM-0895/0.png"}, {"type": "image", "value": "train/CXR2324_IM-0895/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Similar mild cardiomegaly. Of the pulmonary vascularity is prominent. No focal consolidations or effusions. No pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3994_IM-2045/0.png"}, {"type": "image", "value": "train/CXR3994_IM-2045/1.png"}]} {"text": " and are images of chest X-rays showing: 3 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1643_IM-0421/0.png"}, {"type": "image", "value": "train/CXR1643_IM-0421/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. XXXX XXXX of the spine.", "modalities": [{"type": "image", "value": "train/CXR2091_IM-0722/0.png"}, {"type": "image", "value": "train/CXR2091_IM-0722/1.png"}]} {"text": "X-ray scans and display the following chest observations: The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal consolidations or pleural effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2131_IM-0755/0.png"}, {"type": "image", "value": "train/CXR2131_IM-0755/1.png"}]} {"text": "The chest X-rays in and display: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR208_IM-0711/0.png"}, {"type": "image", "value": "train/CXR208_IM-0711/1.png"}]} {"text": "The chest X-rays in and display: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR2551_IM-1058/0.png"}, {"type": "image", "value": "train/CXR2551_IM-1058/1.png"}]} {"text": " and provide chest images showing: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Levoscoliosis of the thoracolumbar spine is present.", "modalities": [{"type": "image", "value": "train/CXR3092_IM-1445/0.png"}, {"type": "image", "value": "train/CXR3092_IM-1445/1.png"}]} {"text": " and X-rays show chest observations as follows: There are scattered calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour. Right humeral internal fixation XXXX is noted.", "modalities": [{"type": "image", "value": "train/CXR1272_IM-0183/0.png"}, {"type": "image", "value": "train/CXR1272_IM-0183/1.png"}]} {"text": " and show chest X-ray scans that indicate: The cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. No pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR725_IM-2285/0.png"}, {"type": "image", "value": "train/CXR725_IM-2285/1.png"}]} {"text": " and provide chest images showing: The heart size is persistently enlarged. Lung volumes are low. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1753_IM-0494/0.png"}, {"type": "image", "value": "train/CXR1753_IM-0494/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal.", "modalities": [{"type": "image", "value": "train/CXR986_IM-2473/0.png"}, {"type": "image", "value": "train/CXR986_IM-2473/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic XXXX. The lungs are otherwise grossly clear.", "modalities": [{"type": "image", "value": "train/CXR32_IM-1511/0.png"}, {"type": "image", "value": "train/CXR32_IM-1511/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2805_IM-1235/0.png"}, {"type": "image", "value": "train/CXR2805_IM-1235/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The XXXX examination consists of frontal and lateral radiographs of the chest. Atherosclerotic calcifications of the aortic XXXX are again seen. 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.", "modalities": [{"type": "image", "value": "train/CXR3028_IM-1403/0.png"}, {"type": "image", "value": "train/CXR3028_IM-1403/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart size is within normal limits. Emphysematous changes. Focal pleural thickening in the left apex is XXXX scarring. Atherosclerotic calcifications of the aortic XXXX. There is no focal infiltrate. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR440_IM-2078/0.png"}, {"type": "image", "value": "train/CXR440_IM-2078/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The cardiomediastinal silhouette is within normal limits. Lungs are clear without focal consolidation. No pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3262_IM-1548/0.png"}, {"type": "image", "value": "train/CXR3262_IM-1548/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Heart size within normal limits, stable mediastinal contours with aortic ectasia/tortuosity. Left hilar and left lower lobe calcifications XXXX indicate a previous granulomatous process. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1531_IM-0344/0.png"}, {"type": "image", "value": "train/CXR1531_IM-0344/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: 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. Right XXXX-a-XXXX remains in XXXX.", "modalities": [{"type": "image", "value": "train/CXR765_IM-2311/0.png"}, {"type": "image", "value": "train/CXR765_IM-2311/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size within normal limits. No focal airspace disease. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3737_IM-1867/0.png"}, {"type": "image", "value": "train/CXR3737_IM-1867/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: There is prominence of the right heart XXXX, consistent with right atrial enlargement. A XXXX density is demonstrated on the frontal view with exaggerated posterior projection of the cardiac silhouette, suggesting left atrial enlargement. The cardiac silhouette is overall enlarged. The mediastinal contours are otherwise within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild pulmonary hyperexpansion. Mild left apical pleural thickening. Moderate degenerative changes of the thoracic spine. 19/33.", "modalities": [{"type": "image", "value": "train/CXR513_IM-2128/0.png"}, {"type": "image", "value": "train/CXR513_IM-2128/1.png"}]} {"text": " and present chest X-rays with the following impressions: Cardiomediastinal silhouette is within normal limits in overall size and appearance. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion or pneumothorax. No acute bony abnormality. Stable scarring in the right lung apex.", "modalities": [{"type": "image", "value": "train/CXR548_IM-2152/0.png"}, {"type": "image", "value": "train/CXR548_IM-2152/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Heart size is within normal limits. Tortuous thoracic aorta. There is patchy right base airspace disease. No pneumothorax or pleural effusion. There mild degenerative changes throughout the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2207_IM-0815/0.png"}, {"type": "image", "value": "train/CXR2207_IM-0815/1.png"}]} {"text": "The X-rays and show the following chest conditions: Low lung volumes are noted. Allowing for technical factors the heart size is XXXX normal. The mediastinum is unremarkable. There is increased bilateral predominantly perihilar interstitial opacity, XXXX consistent with pulmonary edema. There is no pneumothorax or pleural effusion. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR804_IM-2338/0.png"}, {"type": "image", "value": "train/CXR804_IM-2338/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The lungs are hypoinflated with mild basilar bronchovascular crowding/atelectasis. There is a fracture of the left anterior 7th rib and XXXX the left anterior 6th rib, of uncertain acuity. Correlate with XXXX tenderness. There is mild XXXX atelectasis in the left lung base. There is corticated deformity of the right anterior 7th rib, XXXX remote fracture. There is no evidence of pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1348_IM-0226-4004/0.png"}, {"type": "image", "value": "train/CXR1348_IM-0226-4004/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The heart, 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 minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3380_IM-1628/0.png"}, {"type": "image", "value": "train/CXR3380_IM-1628/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation. Stable mild interstitial prominence and bilateral lung bases.", "modalities": [{"type": "image", "value": "train/CXR2790_IM-1224/0.png"}, {"type": "image", "value": "train/CXR2790_IM-1224/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Low lung volumes bilaterally. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1731_IM-0481/0.png"}, {"type": "image", "value": "train/CXR1731_IM-0481/1.png"}]} {"text": "The chest X-rays in and display: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No change in the small calcified granuloma in the right upper lobe. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2171_IM-0786/0.png"}, {"type": "image", "value": "train/CXR2171_IM-0786/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR994_IM-2478/0.png"}, {"type": "image", "value": "train/CXR994_IM-2478/1.png"}]} {"text": "X-rays and show these chest observations: Left-sided medication injection XXXX has its tip projecting at the cavoatrial junction. The trachea is midline. Extensive bilateral bronchiectasis, cystic changes, and scarring represents sequela from the patient's cystic fibrosis. No evidence of focal pulmonary infiltrate or pleural effusion. No large pneumothorax has developed in the interim. The overlying bony structures reveal no acute abnormalities. The heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR3072_IM-1433/0.png"}, {"type": "image", "value": "train/CXR3072_IM-1433/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart is normal in size. Stable appearance of coronary stent. XXXX sternotomy changes are present. No focal consolidation, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1465_IM-0302/0.png"}, {"type": "image", "value": "train/CXR1465_IM-0302/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: There are patchy alveolar and interstitial opacities within the lung bases bilaterally representing an infectious etiology versus chronic lung disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac silhouette is enlarged. There are atherosclerotic calcifications of the aortic XXXX. There are degenerative changes throughout the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR897_IM-2406/0.png"}, {"type": "image", "value": "train/CXR897_IM-2406/1.png"}]} {"text": " and are images of chest X-rays showing: Stable mild thoracic levoscoliosis. Stable cardiomegaly. Multiple scattered round calcific densities XXXX represent old granulomatous disease. No pneumothorax or pleural effusion. No focal consolidation. Moderate degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2962_IM-1355/0.png"}, {"type": "image", "value": "train/CXR2962_IM-1355/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The cardiomediastinal silhouette is normal in size and contour. Negative for focal consolidation, pneumothorax or large pleural effusion. Middle lobe calcified granulomas. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR914_IM-2417/0.png"}, {"type": "image", "value": "train/CXR914_IM-2417/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR1696_IM-0457/0.png"}, {"type": "image", "value": "train/CXR1696_IM-0457/1.png"}]} {"text": " and depict chest X-rays with these findings: Both lungs are clear and expanded. Heart and mediastinum normal. XXXX-A-XXXX XXXX has its tip at the caval atrial junction.", "modalities": [{"type": "image", "value": "train/CXR1670_IM-0441/0.png"}, {"type": "image", "value": "train/CXR1670_IM-0441/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart is mildly enlarged. Mediastinal contour and pulmonary vascularity are within normal limits. There are streaky left basilar airspace opacities, compatible with atelectasis as seen on comparison abdomen and pelvis CT. There is a left upper lung granuloma. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. XXXX appear intact.", "modalities": [{"type": "image", "value": "train/CXR2184_IM-0795/0.png"}, {"type": "image", "value": "train/CXR2184_IM-0795/1.png"}]} {"text": " and are images of chest X-rays showing: XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate increased interstitial markings probably COPD. There is calcified hilar lymph XXXX. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1443_IM-0286/0.png"}, {"type": "image", "value": "train/CXR1443_IM-0286/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The cardiac silhouette, mediastinum, and pulmonary vasculature are unremarkable. There is stable elevation of the left hemidiaphragm. Lungs are clear. No pleural fluid or pneumothorax is appreciated. Cholecystectomy clips are noted in the right upper quadrant.", "modalities": [{"type": "image", "value": "train/CXR59_IM-2184/0.png"}, {"type": "image", "value": "train/CXR59_IM-2184/1.png"}]} {"text": " and X-rays show chest observations as follows: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR2680_IM-1154/0.png"}, {"type": "image", "value": "train/CXR2680_IM-1154/1.png"}]} {"text": " and show chest images with these observations: There are mildly diminished lung volumes. Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR3893_IM-1975/0.png"}, {"type": "image", "value": "train/CXR3893_IM-1975/1.png"}]} {"text": " and show chest X-ray scans that indicate: 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.", "modalities": [{"type": "image", "value": "train/CXR2553_IM-1059/0.png"}, {"type": "image", "value": "train/CXR2553_IM-1059/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Study is somewhat limited by body habitus. Cardiomegaly is noted, with central pulmonary vascular prominence and coarsened interstitial markings, suspicious for developing interstitial pulmonary edema. No focal consolidation, pneumothorax, or definite effusion identified. No acute bony abnormality seen.", "modalities": [{"type": "image", "value": "train/CXR1638_IM-0417/0.png"}, {"type": "image", "value": "train/CXR1638_IM-0417/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart size and pulmonary vascularity appear within normal limits. The descending thoracic aorta is tortuous. Central venous catheter is again noted. The lungs are free of focal airspace disease. The left hemidiaphragm remains elevated. No pneumothorax or pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR1089_IM-0061/0.png"}, {"type": "image", "value": "train/CXR1089_IM-0061/1.png"}]} {"text": " and are images of chest X-rays showing: Mild cardiomegaly. Mild unfolding of the thoracic aorta. No focal air space opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR462_IM-2090/0.png"}, {"type": "image", "value": "train/CXR462_IM-2090/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The cardiac silhouette is enlarged. There are bibasilar airspace opacities left greater than right with small right pleural effusion. No visualized pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3116_IM-1464/0.png"}, {"type": "image", "value": "train/CXR3116_IM-1464/1.png"}]} {"text": " and exhibit chest X-rays showing: There is a large calcified granuloma in the right apex. Mild patchy opacities are seen in the upper lung zones bilaterally similar to prior studies. The heart and mediastinum are normal. Scoliosis and arthritic changes of the spine are present.", "modalities": [{"type": "image", "value": "train/CXR3259_IM-1545/0.png"}, {"type": "image", "value": "train/CXR3259_IM-1545/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: 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. No non-calcified nodules are identified.", "modalities": [{"type": "image", "value": "train/CXR376_IM-1883/0.png"}, {"type": "image", "value": "train/CXR376_IM-1883/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Moderate cardiomegaly. Bibasilar and perihilar interstitial opacities. No pneumothorax. No pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR2183_IM-0794/0.png"}, {"type": "image", "value": "train/CXR2183_IM-0794/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is a mild levoscoliosis of the thoracic spine. There is mild widening of the right acromioclavicular joint which may be postsurgical or posttraumatic in XXXX.", "modalities": [{"type": "image", "value": "train/CXR410_IM-2056/0.png"}, {"type": "image", "value": "train/CXR410_IM-2056/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Lungs are clear without focal airspace disease. Numerous XXXX calcifications are again noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.", "modalities": [{"type": "image", "value": "train/CXR916_IM-2419/0.png"}, {"type": "image", "value": "train/CXR916_IM-2419/1.png"}]} {"text": " and provide chest images showing: Calcified left hilar lymph node. Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3732_IM-1866/0.png"}, {"type": "image", "value": "train/CXR3732_IM-1866/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1114_IM-0079/0.png"}, {"type": "image", "value": "train/CXR1114_IM-0079/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: There is a XXXX opacity projecting over the left midlung, posterior on the lateral view. No pleural effusions. No evidence of pneumothorax. Heart size top normal. Degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR961_IM-2452/0.png"}, {"type": "image", "value": "train/CXR961_IM-2452/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size within normal limits. No focal airspace consolidations. No pneumothorax or effusions.", "modalities": [{"type": "image", "value": "train/CXR990_IM-2476/0.png"}, {"type": "image", "value": "train/CXR990_IM-2476/1.png"}]} {"text": "The chest X-rays in and display: Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates or masses in the lungs. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR2917_IM-1319/0.png"}, {"type": "image", "value": "train/CXR2917_IM-1319/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1689_IM-0451/0.png"}, {"type": "image", "value": "train/CXR1689_IM-0451/1.png"}]} {"text": " and depict chest X-rays with these findings: The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1737_IM-0485/0.png"}, {"type": "image", "value": "train/CXR1737_IM-0485/1.png"}]} {"text": " and provide chest images showing: There is XXXX increased opacity within the right upper lobe with possible mass and associated area of atelectasis or focal consolidation. The cardiac silhouette is within normal limits. XXXX opacity in the left midlung overlying the posterior left 5th rib may represent focal airspace disease. No pleural effusion or pneumothorax. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1000_IM-0003/0.png"}, {"type": "image", "value": "train/CXR1000_IM-0003/1.png"}]} {"text": "Chest X-rays shown as and indicate: There is hyperinflation lungs due to small calcification is seen posteriorly in the right which may be pleural. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR2030_IM-0675/0.png"}, {"type": "image", "value": "train/CXR2030_IM-0675/1.png"}]} {"text": " and exhibit chest X-rays showing: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR365_IM-1812/0.png"}, {"type": "image", "value": "train/CXR365_IM-1812/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR796_IM-2332/0.png"}, {"type": "image", "value": "train/CXR796_IM-2332/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There is a stable calcified granuloma in the infrahilar right lung. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified.", "modalities": [{"type": "image", "value": "train/CXR1103_IM-0070/0.png"}, {"type": "image", "value": "train/CXR1103_IM-0070/1.png"}]} {"text": "The chest scans and reveal: The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. Left upper lobe granuloma. No evidence of active tuberculosis. Stable chronic blunting of the right costophrenic XXXX. No pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3739_IM-1868/0.png"}, {"type": "image", "value": "train/CXR3739_IM-1868/1.png"}]} {"text": "The chest X-rays in and display: No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3345_IM-1603/0.png"}, {"type": "image", "value": "train/CXR3345_IM-1603/1.png"}]} {"text": " and capture chest X-rays with these findings: XXXX XXXX and lateral chest examination was obtained. One AP view is expiratory and was repeated. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no focal infiltrates. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2256_IM-0848/0.png"}, {"type": "image", "value": "train/CXR2256_IM-0848/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart and mediastinum are unremarkable. There is tortuosity of the aorta, compatible with atherosclerosis. Low lung volumes. Minimal XXXX opacities within the lung bases, XXXX subsegmental atelectasis. The lungs are clear without infiltrate. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1654_IM-0430/0.png"}, {"type": "image", "value": "train/CXR1654_IM-0430/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Right chest wall surgical clips, compatible with prior lumpectomy. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR979_IM-2466/0.png"}, {"type": "image", "value": "train/CXR979_IM-2466/1.png"}]} {"text": " and show chest X-ray scans that indicate: Heart size normal. Lungs XXXX clear. XXXX XXXX normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3916_IM-1991/0.png"}, {"type": "image", "value": "train/CXR3916_IM-1991/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Left basilar patchy opacities. Small hiatal hernia.", "modalities": [{"type": "image", "value": "train/CXR350_IM-1705-0001/0.png"}, {"type": "image", "value": "train/CXR350_IM-1705-0001/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Atherosclerotic calcifications are present in the aortic XXXX.", "modalities": [{"type": "image", "value": "train/CXR266_IM-1141/0.png"}, {"type": "image", "value": "train/CXR266_IM-1141/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Rotated examination. Tortuous aorta. Moderate right-sided pleural effusion, small left sided. No pneumothorax. Mixed nodular interstitial opacities distributed through bilateral lungs, right greater than left. Cardiomediastinal silhouette is mildly enlarged. Obliquely oriented left humeral neck fracture, transverse, with 5 mm displacement of the distal fragment. Limited evaluation of the aorto iliac stent. No cavitary lesion to suggest. active tuberculosis. Large hiatal hernia.", "modalities": [{"type": "image", "value": "train/CXR650_IM-2228/0.png"}, {"type": "image", "value": "train/CXR650_IM-2228/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR514_IM-2129/0.png"}, {"type": "image", "value": "train/CXR514_IM-2129/1.png"}]} {"text": " and capture chest X-rays with these findings: There is a moderate amount of retained contrast within the distal esophagus. There is no evidence of aspiration. A 3.0 cm nodule is present within the right hilum. No moderate to large pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is normal.", "modalities": [{"type": "image", "value": "train/CXR3182_IM-1501-0001/0.png"}, {"type": "image", "value": "train/CXR3182_IM-1501-0001/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size appears within normal limits. Pulmonary vasculature appears within normal limits. Radiodensity overlying the middle cardiac silhouette, XXXX representing a hiatal hernia. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR288_IM-1284/0.png"}, {"type": "image", "value": "train/CXR288_IM-1284/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1091_IM-0062/0.png"}, {"type": "image", "value": "train/CXR1091_IM-0062/1.png"}]} {"text": " and X-rays show chest observations as follows: Stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity, stable mediastinal contours. No definite pleural effusion seen, no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes again noted.", "modalities": [{"type": "image", "value": "train/CXR63_IM-2210-0001/0.png"}, {"type": "image", "value": "train/CXR63_IM-2210-0001/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left XXXX-A-XXXX remains in XXXX.", "modalities": [{"type": "image", "value": "train/CXR846_IM-2368-0001/0.png"}, {"type": "image", "value": "train/CXR846_IM-2368-0001/1.png"}]} {"text": " and exhibit chest X-rays showing: The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. Mild degenerative changes and osteopenia of the thoracic spine. Overlying EKG leads.", "modalities": [{"type": "image", "value": "train/CXR777_IM-2320/0.png"}, {"type": "image", "value": "train/CXR777_IM-2320/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Lung volumes are low. The heart is large, the pulmonary XXXX are engorged. No infiltrates. XXXX opacity is present in the left midlung.", "modalities": [{"type": "image", "value": "train/CXR3286_IM-1567/0.png"}, {"type": "image", "value": "train/CXR3286_IM-1567/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size near top normal, bilateral hilar fullness nonspecific in appearance, mild aortic ectasia/tortuosity. Diaphragm flattening and relative apical lucencies suggestive of emphysema, XXXX and irregular interstitial markings, right greater than left. Prominent left epicardial fat XXXX, no focal alveolar consolidation, no definite pleural effusion seen. Atrial septal occluder artifact. Mild spine curvature.", "modalities": [{"type": "image", "value": "train/CXR867_IM-2387/0.png"}, {"type": "image", "value": "train/CXR867_IM-2387/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: There is chronic asymmetric elevation of the right hemidiaphragm. Compared with the prior study, there is mildly increased streaky airspace disease in the right lung base. Hilar prominence appears stable. There is no pneumothorax or large pleural effusion. Heart size is stable and grossly normal. There no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR715_IM-2277/0.png"}, {"type": "image", "value": "train/CXR715_IM-2277/1.png"}]} {"text": "X-rays and show these chest observations: Chest. Heart size is normal. Pulmonary vasculature is normal. There is a 13 mm nodule in the right lower lobe that is relatively dense, but not obviously calcified on the corresponding rib series. There are probably right hilar calcified lymph XXXX. Lungs otherwise are clear. There is no pleural effusion. Left ribs. No fracture or focal bony destruction.", "modalities": [{"type": "image", "value": "train/CXR1823_IM-0534/0.png"}, {"type": "image", "value": "train/CXR1823_IM-0534/1.png"}]} {"text": "X-ray images labeled and display the following findings: Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3619_IM-1791/0.png"}, {"type": "image", "value": "train/CXR3619_IM-1791/1.png"}]} {"text": "The chest X-rays in and display: Redemonstration of colonic interposition overlying the mediastinum. There are increased bibasilar airspace opacities, left greater than right. No pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1244_IM-0166/0.png"}, {"type": "image", "value": "train/CXR1244_IM-0166/1.png"}]} {"text": " and exhibit chest X-rays showing: The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3728_IM-1864/0.png"}, {"type": "image", "value": "train/CXR3728_IM-1864/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR704_IM-2267/0.png"}, {"type": "image", "value": "train/CXR704_IM-2267/1.png"}]} {"text": " and X-rays show chest observations as follows: Frontal and lateral views of the chest show normal size cardiac silhouette, allowing for an AP projection. Normal contour of the mediastinum and aorta. Grossly clear lungs. No obvious pneumothorax or hemothorax. No acute displaced clavicle or rib fractures.", "modalities": [{"type": "image", "value": "train/CXR1745_IM-0489/0.png"}, {"type": "image", "value": "train/CXR1745_IM-0489/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart is normal in size. The mediastinum is within normal limits. There is retrocardiac density which XXXX corresponds to patient's known hiatal hernia. The lungs are hypoinflated. No focal consolidation is seen.", "modalities": [{"type": "image", "value": "train/CXR1441_IM-0285/0.png"}, {"type": "image", "value": "train/CXR1441_IM-0285/1.png"}]} {"text": "The chest scans and reveal: XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is elevated right hemidiaphragm and evidence of right upper lobectomy. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1555_IM-0362/0.png"}, {"type": "image", "value": "train/CXR1555_IM-0362/1.png"}]} {"text": " and capture chest X-rays with these findings: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR2019_IM-0666/0.png"}, {"type": "image", "value": "train/CXR2019_IM-0666/1.png"}]} {"text": "X-rays and show these chest observations: Heart size at the upper limits of normal. There are scattered calcified granulomas. No focal airspace consolidation, large effusion, or appreciable pneumothorax. Tortuous, unfolded to descending aorta. Calcified aortic XXXX. XXXX curvature of the thoracic spine. Exaggerated kyphosis. XXXX are diffusely osteopenic. Multilevel degenerative changes of the thoracic spine with minimal anterior XXXX loss of several vertebral bodies.", "modalities": [{"type": "image", "value": "train/CXR2721_IM-1183/0.png"}, {"type": "image", "value": "train/CXR2721_IM-1183/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Heart size borderline enlarged. Stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion. No focal airspace disease. Low lung volumes. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Mild degenerative disease of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3656_IM-1817/0.png"}, {"type": "image", "value": "train/CXR3656_IM-1817/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Chest: The heart is enlarged. There may be a pericardial effusion. No definite pulmonary edema is seen. Lungs appear clear. There is no pleural effusion. The skeletal structures and soft tissues are unremarkable. KUB XXXX: XXXX single view of the abdomen was obtained. The bowel XXXX pattern is nonspecific. There is no evidence for obstruction or free intraperitoneal air. No large soft tissue masses or organomegaly are identified. The skeletal structures appear normal.", "modalities": [{"type": "image", "value": "train/CXR3608_IM-1781/0.png"}, {"type": "image", "value": "train/CXR3608_IM-1781/1.png"}]} {"text": "X-rays and show chest details with these impressions: 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.", "modalities": [{"type": "image", "value": "train/CXR857_IM-2378/0.png"}, {"type": "image", "value": "train/CXR857_IM-2378/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1780_IM-0509/0.png"}, {"type": "image", "value": "train/CXR1780_IM-0509/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Nasogastric tube tip XXXX within the stomach body, stable. Low lung volumes. Stable enlarged cardiomediastinal silhouette. Atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax or large pleural effusion. Relative elevation of right hemidiaphragm. Stable obscuration of lateral left diaphragm.", "modalities": [{"type": "image", "value": "train/CXR2676_IM-1151/0.png"}, {"type": "image", "value": "train/CXR2676_IM-1151/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. Emphysematous changes are identified. There is no acute infiltrate or effusion.", "modalities": [{"type": "image", "value": "train/CXR2440_IM-0978/0.png"}, {"type": "image", "value": "train/CXR2440_IM-0978/1.png"}]} {"text": "X-rays and show chest details with these impressions: 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.", "modalities": [{"type": "image", "value": "train/CXR2493_IM-1019/0.png"}, {"type": "image", "value": "train/CXR2493_IM-1019/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Sternotomy sutures and coronary bypass clips remain intact.", "modalities": [{"type": "image", "value": "train/CXR3032_IM-1407/0.png"}, {"type": "image", "value": "train/CXR3032_IM-1407/1.png"}]} {"text": "The chest scans and reveal: The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but clear.", "modalities": [{"type": "image", "value": "train/CXR1568_IM-0371/0.png"}, {"type": "image", "value": "train/CXR1568_IM-0371/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: 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.", "modalities": [{"type": "image", "value": "train/CXR2541_IM-1053/0.png"}, {"type": "image", "value": "train/CXR2541_IM-1053/1.png"}]} {"text": "Chest X-rays shown as and indicate: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2110_IM-0741/0.png"}, {"type": "image", "value": "train/CXR2110_IM-0741/1.png"}]} {"text": "The X-rays and show the following chest conditions: Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR1852_IM-0554/0.png"}, {"type": "image", "value": "train/CXR1852_IM-0554/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Normal cardiomediastinal contours. Hyperexpansion of the lungs with flattening of the diaphragm. No focal lung consolidation, pneumothorax or pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR1844_IM-0547/0.png"}, {"type": "image", "value": "train/CXR1844_IM-0547/1.png"}]} {"text": " and depict chest X-rays with these findings: The cardiac contours are normal. The lungs are clear. Stable granuloma in the left lower lung zone. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2132_IM-0755/0.png"}, {"type": "image", "value": "train/CXR2132_IM-0755/1.png"}]} {"text": " and capture chest X-rays with these findings: 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.", "modalities": [{"type": "image", "value": "train/CXR2560_IM-1064/0.png"}, {"type": "image", "value": "train/CXR2560_IM-1064/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size and cardiomediastinal contours are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR370_IM-1848/0.png"}, {"type": "image", "value": "train/CXR370_IM-1848/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3512_IM-1714/0.png"}, {"type": "image", "value": "train/CXR3512_IM-1714/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Normal heart size. Aortic calcification. Granulomatous nodule left midlung, stable. No acute pulmonary abnormalities. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR1500_IM-0326/0.png"}, {"type": "image", "value": "train/CXR1500_IM-0326/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion. There are right upper quadrant surgical clips, perhaps from cholecystectomy.", "modalities": [{"type": "image", "value": "train/CXR1883_IM-0572/0.png"}, {"type": "image", "value": "train/CXR1883_IM-0572/1.png"}]} {"text": "Chest X-rays shown as and indicate: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX. XXXX cholecystectomy.", "modalities": [{"type": "image", "value": "train/CXR1388_IM-0246/0.png"}, {"type": "image", "value": "train/CXR1388_IM-0246/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: There are numerous surgical clips at the thoracic inlet. Small areas of XXXX scarring are seen in the left base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR210_IM-0730/0.png"}, {"type": "image", "value": "train/CXR210_IM-0730/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Heart size and pulmonary vascularity appear within normal limits. Innumerable bilateral lung nodules are present. These are seen diffusely throughout both lungs. No superimposed focal airspace disease is seen. No pleural effusion or pneumothorax is identified. Scoliosis is present.", "modalities": [{"type": "image", "value": "train/CXR1058_IM-0041/0.png"}, {"type": "image", "value": "train/CXR1058_IM-0041/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size and mediastinal contour normal. Lungs are clear. Pulmonary vascularity normal. No pleural effusions or pneumothoraces. Minimal degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR348_IM-1690/0.png"}, {"type": "image", "value": "train/CXR348_IM-1690/1.png"}]} {"text": " and depict chest X-rays with these findings: The pulmonary nodules and masses masses on previous exam are smaller and not definitely seen. The lungs are otherwise clear. Heart size normal. No pneumothorax. There is a right chest XXXX with tip projecting over the lower SVC.", "modalities": [{"type": "image", "value": "train/CXR2778_IM-1218/0.png"}, {"type": "image", "value": "train/CXR2778_IM-1218/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There is a left basilar airspace opacity. Right basilar atelectasis. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3983_IM-2039/0.png"}, {"type": "image", "value": "train/CXR3983_IM-2039/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lateral view is degraded by patient motion. Lungs are grossly clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR2267_IM-0856/0.png"}, {"type": "image", "value": "train/CXR2267_IM-0856/1.png"}]} {"text": " and show chest images with these observations: 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.", "modalities": [{"type": "image", "value": "train/CXR577_IM-2175/0.png"}, {"type": "image", "value": "train/CXR577_IM-2175/1.png"}]} {"text": "X-ray images labeled and display the following findings: Patchy subsegmental atelectasis is seen bibasilar region, no evidence of pneumothorax or pleural effusion is present. The cardiomediastinal silhouette is unremarkable. Old fractures seen the left 9th rib.", "modalities": [{"type": "image", "value": "train/CXR2095_IM-0725/0.png"}, {"type": "image", "value": "train/CXR2095_IM-0725/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart, 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. The patient was shielded.", "modalities": [{"type": "image", "value": "train/CXR338_IM-1628/0.png"}, {"type": "image", "value": "train/CXR338_IM-1628/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3749_IM-1874/0.png"}, {"type": "image", "value": "train/CXR3749_IM-1874/1.png"}]} {"text": "The chest scans and reveal: The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1719_IM-0474/0.png"}, {"type": "image", "value": "train/CXR1719_IM-0474/1.png"}]} {"text": "The chest X-rays in and display: There is a 1 cm nodule within one of the lung bases, seen only on the lateral view. There is a calcified right hilar lymph node and right granuloma. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2119_IM-0746/0.png"}, {"type": "image", "value": "train/CXR2119_IM-0746/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Heart size is normal. No pneumothorax or focal airspace disease. No pleural effusion. Eventration of the right hemidiaphragm. Mild degenerative changes of the thoracic spine without fracture.", "modalities": [{"type": "image", "value": "train/CXR3852_IM-1949/0.png"}, {"type": "image", "value": "train/CXR3852_IM-1949/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.", "modalities": [{"type": "image", "value": "train/CXR1315_IM-0204/0.png"}, {"type": "image", "value": "train/CXR1315_IM-0204/1.png"}]} {"text": " and exhibit chest X-rays showing: Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No focal airspace consolidation or pleural effusion. There is subphrenic intraperitoneal extraluminal XXXX free XXXX.", "modalities": [{"type": "image", "value": "train/CXR2014_IM-0664/0.png"}, {"type": "image", "value": "train/CXR2014_IM-0664/1.png"}]} {"text": "The X-rays and show the following chest conditions: 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.", "modalities": [{"type": "image", "value": "train/CXR2518_IM-1036/0.png"}, {"type": "image", "value": "train/CXR2518_IM-1036/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1222_IM-0150/0.png"}, {"type": "image", "value": "train/CXR1222_IM-0150/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. VP shunt tubing is identified. The bony structures, as visualized, appear unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1390_IM-0249/0.png"}, {"type": "image", "value": "train/CXR1390_IM-0249/1.png"}]} {"text": "The chest X-rays in and display: The heart and mediastinum are unremarkable. There are two subcentimeter hyperdense nodular opacities are noted within the right lung. These may represent XXXX on end or alternatively, calcified granulomas. The lungs are clear without infiltrate. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR113_IM-0086/0.png"}, {"type": "image", "value": "train/CXR113_IM-0086/1.png"}]} {"text": "The chest scans and reveal: Heart size and cardiomediastinal contours are normal. Aorta is mildly tortuous. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Mild degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR2810_IM-1238/0.png"}, {"type": "image", "value": "train/CXR2810_IM-1238/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1546_IM-0356/0.png"}, {"type": "image", "value": "train/CXR1546_IM-0356/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: 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.", "modalities": [{"type": "image", "value": "train/CXR2483_IM-1012/0.png"}, {"type": "image", "value": "train/CXR2483_IM-1012/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3275_IM-1556/0.png"}, {"type": "image", "value": "train/CXR3275_IM-1556/1.png"}]} {"text": " and present chest X-rays with the following impressions: Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR11_IM-0067/0.png"}, {"type": "image", "value": "train/CXR11_IM-0067/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The lungs are clear. There are calcified left hilar lymph XXXX. The heart and mediastinum are normal. The skeletal structures are notable for an old apparent fracture at T12-L1 or congenital fusion unchanged from the prior study.", "modalities": [{"type": "image", "value": "train/CXR2140_IM-0762/0.png"}, {"type": "image", "value": "train/CXR2140_IM-0762/1.png"}]} {"text": " and provide chest images showing: Trachea is midline. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1178_IM-0121/0.png"}, {"type": "image", "value": "train/CXR1178_IM-0121/1.png"}]} {"text": "The X-rays and show the following chest conditions: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Limited lateral view, given overlapping silhouettes. Negative for acute displaced rib fracture.", "modalities": [{"type": "image", "value": "train/CXR947_IM-2442/0.png"}, {"type": "image", "value": "train/CXR947_IM-2442/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Heart size borderline enlarged, mediastinal contours appear similar to the XXXX from XXXX, XXXX XXXX noted. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR2217_IM-0822-0001/0.png"}, {"type": "image", "value": "train/CXR2217_IM-0822-0001/1.png"}]} {"text": "The X-rays and show the following chest conditions: There are XXXX sternotomy XXXX and mediastinal surgical clips XXXX secondary to a CABG procedure. Small T-spine osteophytes. 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 cholecystectomy clips. There is eventration of right hemidiaphragm.", "modalities": [{"type": "image", "value": "train/CXR2857_IM-1264/0.png"}, {"type": "image", "value": "train/CXR2857_IM-1264/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: 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.", "modalities": [{"type": "image", "value": "train/CXR256_IM-1064/0.png"}, {"type": "image", "value": "train/CXR256_IM-1064/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Spondylosis of the midthoracic spine with large anterior osteophyte formations.", "modalities": [{"type": "image", "value": "train/CXR3960_IM-2025/0.png"}, {"type": "image", "value": "train/CXR3960_IM-2025/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size within normal limits. No focal airspace disease. No pneumothorax or effusion. Mild degenerative change in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2813_IM-1239/0.png"}, {"type": "image", "value": "train/CXR2813_IM-1239/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR2638_IM-1123/0.png"}, {"type": "image", "value": "train/CXR2638_IM-1123/1.png"}]} {"text": " and depict chest X-rays with these findings: There is diffuse right-sided airspace disease, with dense consolidation in the right base. A right upper extremity PICC is seen with the tip in the right brachiocephalic vein, representing an interval retraction of approximately 6 cm. No pneumothorax or large effusions. Heart size within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1353_IM-0230/0.png"}, {"type": "image", "value": "train/CXR1353_IM-0230/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs are hyperexpanded, with flattened diaphragms. The cardiomediastinal silhouette is normal in size and stable from prior exam. There is mild tortuosity of the thoracic aorta. There is no pneumothorax or large pleural effusion. There are degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1073_IM-0053/0.png"}, {"type": "image", "value": "train/CXR1073_IM-0053/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: No focal consolidation, pneumothorax, or large pleural effusion identified. Stable blunting of the right costophrenic XXXX XXXX due to pleural thickening/sclerosis. Redemonstration and stable appearance of bilateral calcified granulomas/lymph XXXX. Changes in the lungs consistent with COPD/emphysema. Cardiomediastinal silhouette stable and unremarkable. No acute osseous abnormalities identified. Opacity in the left apex consistent with radiation change seen on prior CT.", "modalities": [{"type": "image", "value": "train/CXR3833_IM-1936/0.png"}, {"type": "image", "value": "train/CXR3833_IM-1936/1.png"}]} {"text": "The chest scans and reveal: There are postoperative changes of sternotomy and CABG. There is stable mild cardiomegaly. There are scattered XXXX of subsegmental atelectasis, decreased from the prior chest radiograph. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1053_IM-0040/0.png"}, {"type": "image", "value": "train/CXR1053_IM-0040/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated with blunted costophrenic XXXX. No focal consolidation is seen.", "modalities": [{"type": "image", "value": "train/CXR1217_IM-0145-0001/0.png"}, {"type": "image", "value": "train/CXR1217_IM-0145-0001/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. The visualized osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2902_IM-1306/0.png"}, {"type": "image", "value": "train/CXR2902_IM-1306/1.png"}]} {"text": " and exhibit chest X-rays showing: Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema. Distal clavicle shortening also present on the previous exam, possibly posttraumatic or postsurgical.", "modalities": [{"type": "image", "value": "train/CXR706_IM-2269/0.png"}, {"type": "image", "value": "train/CXR706_IM-2269/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Diffuse, right greater than left, interstitial opacities. Central vascular congestion. No pneumothorax or focal consolidation. No pleural effusion. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR3884_IM-1971/0.png"}, {"type": "image", "value": "train/CXR3884_IM-1971/1.png"}]} {"text": "X-rays and show these chest observations: There is stable, mild cardiomegaly with normal caliber pulmonary vasculature. There are grossly intact XXXX sternotomy XXXX and mediastinal surgical clips. There is no focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR327_IM-1552/0.png"}, {"type": "image", "value": "train/CXR327_IM-1552/1.png"}]} {"text": "X-rays and show these chest observations: Heart size is normal. No pneumothorax or pleural effusions. There is an 8 mm calcified nodule in the left midlung. There is also a 7 mm calcified nodule near the left hilum. Hyperexpanded lungs consistent with chronic obstructive pulmonary disease.", "modalities": [{"type": "image", "value": "train/CXR2386_IM-0942/0.png"}, {"type": "image", "value": "train/CXR2386_IM-0942/1.png"}]} {"text": " and present chest X-rays with the following impressions: Central vascular prominence and diffuse bilateral interstitial and alveolar opacities. Left basilar airspace opacities. No pneumothorax. Heart size XXXX large. XXXX unremarkable. No large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3455_IM-1677/0.png"}, {"type": "image", "value": "train/CXR3455_IM-1677/1.png"}]} {"text": " and depict chest X-rays with these findings: There are low lung volumes with bibasilar opacities XXXX representing subsegmental atelectasis. The cardio the cardiac silhouette is of the XXXX of normal. There is no pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2185_IM-0795/0.png"}, {"type": "image", "value": "train/CXR2185_IM-0795/1.png"}]} {"text": "The X-rays and show the following chest conditions: There is a calcified left upper lobe granuloma. No XXXX suspicious pulmonary mass or nodule is identified. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The lungs remain hyperexpanded. Stable cardiomediastinal silhouette. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. There are minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2163_IM-0779/0.png"}, {"type": "image", "value": "train/CXR2163_IM-0779/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: On the right there is marked narrowing of the hip joint space uniformly throughout. Osteophyte formation is present with some sclerosis and subchondral cyst formation vertically along the superior acetabulum and femoral head. I do not see evidence for fracture or destructive process. AP view of the femur shows no femoral XXXX destructive process or other significant abnormality. For of the Left hip shows near-complete obliteration of the joint space with severe subchondral sclerosis and cystic formation in both the superior acetabulum and superior aspect of the femoral head. No fracture or destructive process is identified. Surgical markers were XXXX in the images and left hip for the purpose of surgical planning. PA and lateral chest show the lungs to be clear. There may be some hyperinflation. No pleural effusion is identified. The heart is normal in size. There are calcified mediastinal lymph XXXX. The skeletal structures appear normal.", "modalities": [{"type": "image", "value": "train/CXR451_IM-2082/0.png"}, {"type": "image", "value": "train/CXR451_IM-2082/1.png"}]} {"text": "X-ray scans and display the following chest observations: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2023_IM-0669/0.png"}, {"type": "image", "value": "train/CXR2023_IM-0669/1.png"}]} {"text": " and show chest images with these observations: 2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1382_IM-0245/0.png"}, {"type": "image", "value": "train/CXR1382_IM-0245/1.png"}]} {"text": "These chest X-rays ( and ) show the following: 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.", "modalities": [{"type": "image", "value": "train/CXR279_IM-1224-1001/0.png"}, {"type": "image", "value": "train/CXR279_IM-1224-1001/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3897_IM-1978/0.png"}, {"type": "image", "value": "train/CXR3897_IM-1978/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart size and cardiomediastinal silhouette are normal. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with mild degenerative changes in thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1208_IM-0141/0.png"}, {"type": "image", "value": "train/CXR1208_IM-0141/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Calcified right hilar lymph XXXX noted.", "modalities": [{"type": "image", "value": "train/CXR3371_IM-1623/0.png"}, {"type": "image", "value": "train/CXR3371_IM-1623/1.png"}]} {"text": " and exhibit chest X-rays showing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3792_IM-1906/0.png"}, {"type": "image", "value": "train/CXR3792_IM-1906/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: No focal areas of consolidation. Heart size normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2257_IM-0849/0.png"}, {"type": "image", "value": "train/CXR2257_IM-0849/1.png"}]} {"text": "X-rays and show chest details with these impressions: Borderline heart size. The lungs are hyperexpanded and hyperlucent compatible with chronic obstructive pulmonary disease. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.", "modalities": [{"type": "image", "value": "train/CXR1992_IM-0649/0.png"}, {"type": "image", "value": "train/CXR1992_IM-0649/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Normal heart. Calcified right hilar granulomas. No focal infiltrate. Midline trachea.", "modalities": [{"type": "image", "value": "train/CXR516_IM-2130/0.png"}, {"type": "image", "value": "train/CXR516_IM-2130/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacities in right mid lung. The lungs are otherwise grossly clear.", "modalities": [{"type": "image", "value": "train/CXR37_IM-1847-0001/0.png"}, {"type": "image", "value": "train/CXR37_IM-1847-0001/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Lungs are clear. There is minimal atelectasis in the left base. No effusion or pneumothorax. Heart and mediastinal contours within normal limits. XXXX density foreign body present in the soft tissues overlying the left lateral chest wall. Visualized osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR1317_IM-0205/0.png"}, {"type": "image", "value": "train/CXR1317_IM-0205/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Normal heart size. No focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3982_IM-2039/0.png"}, {"type": "image", "value": "train/CXR3982_IM-2039/1.png"}]} {"text": " and provide chest images showing: The patient is rotated. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. No focal airspace opacities. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3470_IM-1686/0.png"}, {"type": "image", "value": "train/CXR3470_IM-1686/1.png"}]} {"text": " and X-rays show chest observations as follows: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR200_IM-0653/0.png"}, {"type": "image", "value": "train/CXR200_IM-0653/1.png"}]} {"text": " and X-rays show chest observations as follows: Stable mild rightward curvature of the thoracic spine. Heart size is normal. No focal airspace disease. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR2361_IM-0926/0.png"}, {"type": "image", "value": "train/CXR2361_IM-0926/1.png"}]} {"text": "The chest scans and reveal: There is scattered calcified granulomas. The lungs are otherwise grossly clear. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR537_IM-2143/0.png"}, {"type": "image", "value": "train/CXR537_IM-2143/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is mild tortuosity of the descending thoracic aorta. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There are mild degenerative endplate changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2033_IM-0678/0.png"}, {"type": "image", "value": "train/CXR2033_IM-0678/1.png"}]} {"text": "The chest X-rays in and display: The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR2698_IM-1167/0.png"}, {"type": "image", "value": "train/CXR2698_IM-1167/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted.", "modalities": [{"type": "image", "value": "train/CXR3473_IM-1688/0.png"}, {"type": "image", "value": "train/CXR3473_IM-1688/1.png"}]} {"text": "X-rays and show these chest observations: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR1432_IM-0278/0.png"}, {"type": "image", "value": "train/CXR1432_IM-0278/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable. There is evidence of granulomatous disease.", "modalities": [{"type": "image", "value": "train/CXR2762_IM-1208/0.png"}, {"type": "image", "value": "train/CXR2762_IM-1208/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size is normal. No pleural effusions. No pneumothorax. No focal air space opacities. Mild degenerative osteophytes are noted in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3084_IM-1443/0.png"}, {"type": "image", "value": "train/CXR3084_IM-1443/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3506_IM-1708/0.png"}, {"type": "image", "value": "train/CXR3506_IM-1708/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2245_IM-0842/0.png"}, {"type": "image", "value": "train/CXR2245_IM-0842/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size and mediastinal contours appear within normal limits. Hyperinflated lungs with flattening of diaphragms, compatible with emphysema. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3354_IM-1609/0.png"}, {"type": "image", "value": "train/CXR3354_IM-1609/1.png"}]} {"text": " and depict chest X-rays with these findings: Low lung volumes. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Mild left lingular platelike atelectasis. XXXX are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1552_IM-0360/0.png"}, {"type": "image", "value": "train/CXR1552_IM-0360/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Normal heart size. Bibasilar patchy opacities, left greater than right. No pneumothorax or large pleural effusions. Left-sided subclavian central venous catheter with tip in the right atrium. No significant pulmonary edema. Low lung volumes. Exaggeration of the thoracic kyphosis with evidence of lower thoracic vertebral body the deep opacities. Multiple mild vertebral body wedge deformities in the mid thoracic spine. Moderate degenerative changes of the thoracic spine. Multiple bilateral rib fractures, some of which appear old. Interval XXXX deformity of the vertebral body XXXX XXXX the level of the two vertebroplasty XXXX.", "modalities": [{"type": "image", "value": "train/CXR3892_IM-1974-0001/0.png"}, {"type": "image", "value": "train/CXR3892_IM-1974-0001/1.png"}]} {"text": " and show chest images with these observations: The heart is not enlarged. The bilateral pulmonary arteries appear enlarged. The lungs are hyperexpanded the hemidiaphragms are flattened. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "modalities": [{"type": "image", "value": "train/CXR3650_IM-1813/0.png"}, {"type": "image", "value": "train/CXR3650_IM-1813/1.png"}]} {"text": " and present chest X-rays with the following impressions: The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without focal consolidation or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. No layering pleural effusion or pneumothorax seen on decubitus exam.", "modalities": [{"type": "image", "value": "train/CXR234_IM-0906-0001/0.png"}, {"type": "image", "value": "train/CXR234_IM-0906-0001/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart, 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.", "modalities": [{"type": "image", "value": "train/CXR595_IM-2187/0.png"}, {"type": "image", "value": "train/CXR595_IM-2187/1.png"}]} {"text": "X-ray scans and display the following chest observations: Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1732_IM-0482/0.png"}, {"type": "image", "value": "train/CXR1732_IM-0482/1.png"}]} {"text": " and are images of chest X-rays showing: The cardiomediastinal silhouette is normal in size and appearance. The lung XXXX are clear. There are no soft tissue or bony abnormalities. There is no pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3185_IM-1503/0.png"}, {"type": "image", "value": "train/CXR3185_IM-1503/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Reduced lung volumes with basilar atelectasis. No XXXX focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR98_IM-2467/0.png"}, {"type": "image", "value": "train/CXR98_IM-2467/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3464_IM-1683/0.png"}, {"type": "image", "value": "train/CXR3464_IM-1683/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size is within normal limits. No focal airspace disease. No pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR1379_IM-0243/0.png"}, {"type": "image", "value": "train/CXR1379_IM-0243/1.png"}]} {"text": "X-rays and show these chest observations: The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified right hilar and mediastinal lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR3925_IM-1999/0.png"}, {"type": "image", "value": "train/CXR3925_IM-1999/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart, 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 is a calcified granuloma within the left midlung.", "modalities": [{"type": "image", "value": "train/CXR2690_IM-1162/0.png"}, {"type": "image", "value": "train/CXR2690_IM-1162/1.png"}]} {"text": "X-ray scans and display the following chest observations: The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR2754_IM-1204/0.png"}, {"type": "image", "value": "train/CXR2754_IM-1204/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR3146_IM-1479/0.png"}, {"type": "image", "value": "train/CXR3146_IM-1479/1.png"}]} {"text": "The chest scans and reveal: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1278_IM-0185/0.png"}, {"type": "image", "value": "train/CXR1278_IM-0185/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: There is a calcified granuloma in the left upper lobe. Lungs otherwise are believed to be clear. The heart is normal. There are calcified left hilar and mediastinal lymph XXXX. The skeletal structures show some senescent changes.", "modalities": [{"type": "image", "value": "train/CXR1087_IM-0060/0.png"}, {"type": "image", "value": "train/CXR1087_IM-0060/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3361_IM-1614/0.png"}, {"type": "image", "value": "train/CXR3361_IM-1614/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Lung volumes are XXXX. XXXX opacities are present in both lung bases. A hiatal hernia is present. Heart and pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR545_IM-2149/0.png"}, {"type": "image", "value": "train/CXR545_IM-2149/1.png"}]} {"text": " and X-rays show chest observations as follows: Normal heart size and mediastinal contours. There are reticular opacities in the medial right middle lobe with tubular airway ectasia which obscures the right heart XXXX. This was present previously and is most compatible with bronchiectasis. There is no XXXX focal airspace disease. No pneumothorax or pleural effusion. Unremarkable XXXX.", "modalities": [{"type": "image", "value": "train/CXR983_IM-2471/0.png"}, {"type": "image", "value": "train/CXR983_IM-2471/1.png"}]} {"text": "X-rays and show chest details with these impressions: Cardiac and mediastinal contours are within normal limits. Emphysematous changes are present. The lungs are free of active disease. Deformed right ribs. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2725_IM-1186/0.png"}, {"type": "image", "value": "train/CXR2725_IM-1186/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart size normal. Prominent epicardial fat. Lungs are clear. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1369_IM-0238/0.png"}, {"type": "image", "value": "train/CXR1369_IM-0238/1.png"}]} {"text": "The chest X-rays in and display: Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3742_IM-1869/0.png"}, {"type": "image", "value": "train/CXR3742_IM-1869/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart size is normal. No focal airspace consolidations. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR3119_IM-1466/0.png"}, {"type": "image", "value": "train/CXR3119_IM-1466/1.png"}]} {"text": "X-ray images labeled and display the following findings: XXXX sternotomy XXXX remain in XXXX. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2636_IM-1121/0.png"}, {"type": "image", "value": "train/CXR2636_IM-1121/1.png"}]} {"text": " and depict chest X-rays with these findings: Overall hyperexpanded lungs with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR258_IM-1078/0.png"}, {"type": "image", "value": "train/CXR258_IM-1078/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Lung volumes remain XXXX. XXXX opacity is present in the right middle lobe. No focal infiltrates. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR2322_IM-0894/0.png"}, {"type": "image", "value": "train/CXR2322_IM-0894/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: There are stable postoperative changes of left thoracotomy and left upper lobectomy. The lungs are clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. There is no pleural effusion or pneumothorax. Stable elevation of the left hemidiaphragm. Normal heart size and mediastinal contour.", "modalities": [{"type": "image", "value": "train/CXR3807_IM-1917/0.png"}, {"type": "image", "value": "train/CXR3807_IM-1917/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Evidence of prior granulomatous disease. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR15_IM-0324/0.png"}, {"type": "image", "value": "train/CXR15_IM-0324/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Heart size is normal. Cardiomediastinal contour is normal without mediastinal widening. Lungs are clear bilaterally. No pleural effusions or pneumothorax. No bony or soft tissue abnormalities.", "modalities": [{"type": "image", "value": "train/CXR920_IM-2423/0.png"}, {"type": "image", "value": "train/CXR920_IM-2423/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR223_IM-0831/0.png"}, {"type": "image", "value": "train/CXR223_IM-0831/1.png"}]} {"text": "X-rays and show these chest observations: No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact. There are calcified right hilar granulomas. There is mild thoracic dextroscoliosis.", "modalities": [{"type": "image", "value": "train/CXR3652_IM-1814/0.png"}, {"type": "image", "value": "train/CXR3652_IM-1814/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: 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.", "modalities": [{"type": "image", "value": "train/CXR253_IM-1045/0.png"}, {"type": "image", "value": "train/CXR253_IM-1045/1.png"}]} {"text": "X-rays and show chest details with these impressions: Cardiac And Mediastinal Contours Are Unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable. There are some minimal degenerative changes of the thoracic spine. Evidence of chronic granulomatous disease.", "modalities": [{"type": "image", "value": "train/CXR347_IM-1686/0.png"}, {"type": "image", "value": "train/CXR347_IM-1686/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The lungs remain hyperexpanded. No masses or infiltrates in the lungs. No pleural or mediastinal air collections. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR3492_IM-1698/0.png"}, {"type": "image", "value": "train/CXR3492_IM-1698/1.png"}]} {"text": "Chest X-rays shown as and indicate: Right thorax volume loss with some degree of left-to-right mediastinal shift. Relative hyperlucency of left lung, XXXX compensatory hyperinflation. Diminutive right hilar silhouette, compatible with absence of right XXXX pulmonary artery, as noted on prior CT. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.", "modalities": [{"type": "image", "value": "train/CXR531_IM-2140/0.png"}, {"type": "image", "value": "train/CXR531_IM-2140/1.png"}]} {"text": " and capture chest X-rays with these findings: Calcified granulomas. Calcified hilar XXXX. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Question large pulmonary arteries. Lung XXXX are hyperexpanded. Prominent substernal air space. Aortic calcifications. Degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1634_IM-0414/0.png"}, {"type": "image", "value": "train/CXR1634_IM-0414/1.png"}]} {"text": "X-rays and show chest details with these impressions: There is opacity at posterior aspect of lower chest seen on lateral view which probably represents left lower lobe consolidation. There may also be small bilateral pleural effusion. Upper limits of normal heart size. Mild central vascular prominence. Old fracture deformities of multiple right ribs.", "modalities": [{"type": "image", "value": "train/CXR1076_IM-0054/0.png"}, {"type": "image", "value": "train/CXR1076_IM-0054/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Costophrenic XXXX are blunted, XXXX corresponding to small bilateral pleural effusions. There is no focal consolidation or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2972_IM-1363/0.png"}, {"type": "image", "value": "train/CXR2972_IM-1363/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3747_IM-1873/0.png"}, {"type": "image", "value": "train/CXR3747_IM-1873/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR887_IM-2400/0.png"}, {"type": "image", "value": "train/CXR887_IM-2400/1.png"}]} {"text": "The chest scans and reveal: Cardiomediastinal silhouettes are within normal limits. Low lung volumes. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1499_IM-0323/0.png"}, {"type": "image", "value": "train/CXR1499_IM-0323/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR2360_IM-0925/0.png"}, {"type": "image", "value": "train/CXR2360_IM-0925/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Multilevel degenerative changes of the thoracic spine are noted.", "modalities": [{"type": "image", "value": "train/CXR1554_IM-0361/0.png"}, {"type": "image", "value": "train/CXR1554_IM-0361/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Stable cardiomegaly and mediastinal contour. Lungs are clear without focal consolidation, large pleural effusion, or pneumothorax. Left basilar airspace opacity XXXX secondary to epicardial fat and overlying soft tissues. DISH of the thoracic spine is noted. Otherwise, visualized osseous structures are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1458_IM-0296/0.png"}, {"type": "image", "value": "train/CXR1458_IM-0296/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing right mid clavicle injury. Visualized bony structures otherwise unremarkable.", "modalities": [{"type": "image", "value": "train/CXR529_IM-2137/0.png"}, {"type": "image", "value": "train/CXR529_IM-2137/1.png"}]} {"text": " and present chest X-rays with the following impressions: Lucency crosses the 10th left posterior rib. Visualized portions of the thoracic spine are unremarkable. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1041_IM-0033/0.png"}, {"type": "image", "value": "train/CXR1041_IM-0033/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Prior cholecystectomy", "modalities": [{"type": "image", "value": "train/CXR989_IM-2475/0.png"}, {"type": "image", "value": "train/CXR989_IM-2475/1.png"}]} {"text": " and are images of chest X-rays showing: The heart and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, pneumothorax. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2332_IM-0900/0.png"}, {"type": "image", "value": "train/CXR2332_IM-0900/1.png"}]} {"text": " and capture chest X-rays with these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR506_IM-2124/0.png"}, {"type": "image", "value": "train/CXR506_IM-2124/1.png"}]} {"text": " and show chest X-ray scans that indicate: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Stable tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.", "modalities": [{"type": "image", "value": "train/CXR927_IM-2425/0.png"}, {"type": "image", "value": "train/CXR927_IM-2425/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Apparent cardiomegaly XXXX at XXXX partially accentuated by low lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Right base calcified granuloma. Stable right infrahilar nodular density (lateral view). Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1970_IM-0632/0.png"}, {"type": "image", "value": "train/CXR1970_IM-0632/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart size within normal limits. Mild XXXX left upper lobe atelectasis or scarring. No pneumothorax or pleural effusion. Tortuous aorta. Hiatal hernia.", "modalities": [{"type": "image", "value": "train/CXR2013_IM-0663/0.png"}, {"type": "image", "value": "train/CXR2013_IM-0663/1.png"}]} {"text": "The chest X-rays in and display: Sequelae of old granulomatous disease. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. Prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. This appearance is overall not significantly XXXX. No pleural effusions or pneumothoraces. heart and mediastinum are stable with atherosclerotic vascular disease. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR128_IM-0186/0.png"}, {"type": "image", "value": "train/CXR128_IM-0186/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR582_IM-2179/0.png"}, {"type": "image", "value": "train/CXR582_IM-2179/1.png"}]} {"text": " and provide chest images showing: Both lungs are clear and expanded area heart and mediastinum are normal. Incidental note XXXX of bilateral breast implants.", "modalities": [{"type": "image", "value": "train/CXR819_IM-2349/0.png"}, {"type": "image", "value": "train/CXR819_IM-2349/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: 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. Degenerative changes are present in the spine. Stent is noted in the abdomen. The thoracic aorta is tortuous. Calcified granuloma are noted.", "modalities": [{"type": "image", "value": "train/CXR3101_IM-1453/0.png"}, {"type": "image", "value": "train/CXR3101_IM-1453/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: No acute cardiopulmonary abnormality. Extensive degenerative changes of the thoracic spine. Mildly enlarged heart. Tortuous aorta. Aortic calcifications. No focal area of consolidation, pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR593_IM-2186/0.png"}, {"type": "image", "value": "train/CXR593_IM-2186/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1866_IM-0559/0.png"}, {"type": "image", "value": "train/CXR1866_IM-0559/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Right chest central venous line is noted with tip in the mid SVC. There is no pneumothorax. Heart size is normal. No large pleural effusions. No acute focal airspace opacification.", "modalities": [{"type": "image", "value": "train/CXR2711_IM-1178-0001/0.png"}, {"type": "image", "value": "train/CXR2711_IM-1178-0001/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Prominent interstitial markings in the lungs are unchanged. No focal infiltrates. Heart and pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR2826_IM-1246/0.png"}, {"type": "image", "value": "train/CXR2826_IM-1246/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, large effusion or pneumothorax. There is minimal left basilar atelectasis. There are small bilateral pulmonary nodules measure approximately 5 mm in size in the right midlung and left upper lung XXXX. These are not well appreciated on the lateral projection.", "modalities": [{"type": "image", "value": "train/CXR3753_IM-1877/0.png"}, {"type": "image", "value": "train/CXR3753_IM-1877/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size within normal limits. No focal airspace opacities. No pneumothorax. No effusions. Mild degenerative changes of the thoracic spine. No XXXX deformities. Emphysematous changes.", "modalities": [{"type": "image", "value": "train/CXR1563_IM-0368/0.png"}, {"type": "image", "value": "train/CXR1563_IM-0368/1.png"}]} {"text": " and show chest X-ray scans that indicate: The cardiomediastinal silhouette is normal in size and appearance. There is no pneumothorax or pleural effusion. The lung zones are clear. There are no bony abnormalities", "modalities": [{"type": "image", "value": "train/CXR557_IM-2157/0.png"}, {"type": "image", "value": "train/CXR557_IM-2157/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: 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.", "modalities": [{"type": "image", "value": "train/CXR3209_IM-1515/0.png"}, {"type": "image", "value": "train/CXR3209_IM-1515/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3049_IM-1420/0.png"}, {"type": "image", "value": "train/CXR3049_IM-1420/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3325_IM-1591/0.png"}, {"type": "image", "value": "train/CXR3325_IM-1591/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There is mild cardiomegaly, similar to prior exams. No focal consolidation. No visible pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2519_IM-1037/0.png"}, {"type": "image", "value": "train/CXR2519_IM-1037/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2775_IM-1216/0.png"}, {"type": "image", "value": "train/CXR2775_IM-1216/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. XXXX airspace disease within the left lower lung. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax. Surgical clips overlying the right breast.", "modalities": [{"type": "image", "value": "train/CXR1196_IM-0131/0.png"}, {"type": "image", "value": "train/CXR1196_IM-0131/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: There is an marked interval increase in heart size. The heart also demonstrates the XXXX XXXX configuration, compatible with pericardial effusion. A small right pleural effusion the present. The lungs are otherwise clear without focal infiltrates. Normal pulmonary vascularity. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3214_IM-1519/0.png"}, {"type": "image", "value": "train/CXR3214_IM-1519/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR2792_IM-1226/0.png"}, {"type": "image", "value": "train/CXR2792_IM-1226/1.png"}]} {"text": " and capture chest X-rays with these findings: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR1442_IM-0286/0.png"}, {"type": "image", "value": "train/CXR1442_IM-0286/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The lungs and pleural spaces show no acute abnormality. Stable left upper lobe calcified granuloma. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta.", "modalities": [{"type": "image", "value": "train/CXR342_IM-1655-0001/0.png"}, {"type": "image", "value": "train/CXR342_IM-1655-0001/1.png"}]} {"text": "X-ray scans and display the following chest observations: Stable prominence of the cardiac apex, XXXX from ventricular hypertrophy. Mid sternotomy XXXX again noted. No pneumothorax, significant pulmonary edema or large pleural effusions. No focal lung consolidation. Clips in the right upper quadrant consistent with cholecystectomy. Dextroscoliosis of the thoracolumbar spine.", "modalities": [{"type": "image", "value": "train/CXR838_IM-2362/0.png"}, {"type": "image", "value": "train/CXR838_IM-2362/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures show no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1007_IM-0008/0.png"}, {"type": "image", "value": "train/CXR1007_IM-0008/1.png"}]} {"text": " and present chest X-rays with the following impressions: Rotated with low lung volumes. Question left atrial enlargement, XXXX appreciated on lateral view. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.", "modalities": [{"type": "image", "value": "train/CXR405_IM-2053/0.png"}, {"type": "image", "value": "train/CXR405_IM-2053/1.png"}]} {"text": "The chest scans and reveal: The lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence for mass lung apices. The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3113_IM-1462/0.png"}, {"type": "image", "value": "train/CXR3113_IM-1462/1.png"}]} {"text": " and X-rays show chest observations as follows: Enlarged cardiac contour, stable. Calcified vasculature. Sequelae of prior granulomatous disease. No confluent consolidation, pleural effusion, or overt pulmonary edema. Mild thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR1905_IM-0587/0.png"}, {"type": "image", "value": "train/CXR1905_IM-0587/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Cardiomediastinal silhouette appears normal in size and contour. Right lung is clear. Stable blunting of costophrenic XXXX with improved aeration of the left base compared to prior exam. No visualized pneumothorax or focal consolidation. XXXX unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2454_IM-0989/0.png"}, {"type": "image", "value": "train/CXR2454_IM-0989/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size and pulmonary vascularity appear within normal limits. Bilateral hilar fullness is present consistent with adenopathy. The appearance is unchanged. There is prominence of the interstitial markings bilaterally. These are also unchanged. No focal superimposed airspace disease is seen. No pneumothorax or pleural effusion is noted.", "modalities": [{"type": "image", "value": "train/CXR3972_IM-2032/0.png"}, {"type": "image", "value": "train/CXR3972_IM-2032/1.png"}]} {"text": " and depict chest X-rays with these findings: The heart size is within normal limits. Prominent right paratracheal soft tissues XXXX representing adenopathy. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2614_IM-1105/0.png"}, {"type": "image", "value": "train/CXR2614_IM-1105/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Two nodules are noted in the right XXXX XXXX measuring 13 mm and one measuring 16 mm in diameter. The smaller one appears to be within the right upper lobe and the large XXXX appears to be within the left lower lobe. No focal consolidation and no other pulmonary nodules are identified. However, if a full evaluation for lung nodules is desired consider XXXX for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR1329_IM-0211/0.png"}, {"type": "image", "value": "train/CXR1329_IM-0211/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart and mediastinum are within normal limits. No focal consolidation. No large pleural effusion or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3309_IM-1583/0.png"}, {"type": "image", "value": "train/CXR3309_IM-1583/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: There is abnormal separation of the right XXXX XXXX. This is age-indeterminate. Corticated bony density over the lateral aspect of the clavicle may reflect sequela of old remote XXXX. The cardia mediastinal silhouette, pulmonary vascular pattern are normal. No pneumothorax. No pleural effusion. No pulmonary edema . There is minimal endplate degenerative changes of the midthoracic spine. Partial obscuration retrosternal space due to overlying XXXX.", "modalities": [{"type": "image", "value": "train/CXR1070_IM-0050/0.png"}, {"type": "image", "value": "train/CXR1070_IM-0050/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.", "modalities": [{"type": "image", "value": "train/CXR1548_IM-0357/0.png"}, {"type": "image", "value": "train/CXR1548_IM-0357/1.png"}]} {"text": " and depict chest X-rays with these findings: The lungs appear clear. There are no focal airspace opacities to suggest pneumonia. The pleural spaces are clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. There is no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1006_IM-0007/0.png"}, {"type": "image", "value": "train/CXR1006_IM-0007/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. XXXX XXXX intact.", "modalities": [{"type": "image", "value": "train/CXR519_IM-2131/0.png"}, {"type": "image", "value": "train/CXR519_IM-2131/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The XXXX examination consists of frontal supine and lateral radiographs of the chest. Frontal view is lordotic in projection. The cardiomediastinal contours are within normal limits for supine film. No focal consolidation, pleural effusion, or pneumothorax identified. There is a calcified granuloma at the left lung base. The visualized osseous structures and upper abdomen are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR836_IM-2360/0.png"}, {"type": "image", "value": "train/CXR836_IM-2360/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Heart size and pulmonary vasculature are normal. Lungs are clear. No pneumothorax large effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2625_IM-1112-0001/0.png"}, {"type": "image", "value": "train/CXR2625_IM-1112-0001/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Heart size is normal. The lungs are clear. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3235_IM-1532/0.png"}, {"type": "image", "value": "train/CXR3235_IM-1532/1.png"}]} {"text": "The chest X-rays in and display: The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.", "modalities": [{"type": "image", "value": "train/CXR1871_IM-0564/0.png"}, {"type": "image", "value": "train/CXR1871_IM-0564/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains markedly enlarged. There is aortic XXXX vascular calcification. No XXXX focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3819_IM-1926/0.png"}, {"type": "image", "value": "train/CXR3819_IM-1926/1.png"}]} {"text": " and X-rays show chest observations as follows: 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.", "modalities": [{"type": "image", "value": "train/CXR1402_IM-0257/0.png"}, {"type": "image", "value": "train/CXR1402_IM-0257/1.png"}]} {"text": " and provide chest images showing: Postsurgical changes of XXXX sternotomy with screw fixation of anterior XXXX plates. Heart size and cardiomediastinal silhouette are normal. No focal consolidation, suspicious bony opacity, pneumothorax, or pleural effusion. No acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR2942_IM-1343/0.png"}, {"type": "image", "value": "train/CXR2942_IM-1343/1.png"}]} {"text": " and show chest X-ray scans that indicate: Lungs are XXXX. XXXX opacities are present in the left lung base. Heart size normal. Mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1439_IM-0282/0.png"}, {"type": "image", "value": "train/CXR1439_IM-0282/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Low lung volumes. Question patchy opacity left base. No pneumothorax. Osseous structures intact. Small right effusion.", "modalities": [{"type": "image", "value": "train/CXR2886_IM-1288-0001/0.png"}, {"type": "image", "value": "train/CXR2886_IM-1288-0001/1.png"}]} {"text": " and depict chest X-rays with these findings: Cardiomediastinal silhouette and pulmonary vasculature are stable and within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR142_IM-0267/0.png"}, {"type": "image", "value": "train/CXR142_IM-0267/1.png"}]} {"text": " and provide chest images showing: The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcifications in the aortic XXXX. There is a calcified granuloma at the left lower lung. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1669_IM-0441/0.png"}, {"type": "image", "value": "train/CXR1669_IM-0441/1.png"}]} {"text": " and show chest images with these observations: 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. XXXX calcified granuloma in the right apex.", "modalities": [{"type": "image", "value": "train/CXR552_IM-2155/0.png"}, {"type": "image", "value": "train/CXR552_IM-2155/1.png"}]} {"text": "X-ray scans and display the following chest observations: PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Old right rib fractures.", "modalities": [{"type": "image", "value": "train/CXR2203_IM-0812/0.png"}, {"type": "image", "value": "train/CXR2203_IM-0812/1.png"}]} {"text": "X-rays and show these chest observations: Heart size is normal. 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.", "modalities": [{"type": "image", "value": "train/CXR918_IM-2420/0.png"}, {"type": "image", "value": "train/CXR918_IM-2420/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1928_IM-0600/0.png"}, {"type": "image", "value": "train/CXR1928_IM-0600/1.png"}]} {"text": " and present chest X-rays with the following impressions: Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Calcified bilateral hilar lymph XXXX, greater on the left. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR173_IM-0481/0.png"}, {"type": "image", "value": "train/CXR173_IM-0481/1.png"}]} {"text": "X-ray scans and display the following chest observations: No focal consolidation, no definite pleural effusion seen. Exaggerated kyphosis with increased AP dimension of the thorax, curvilinear density projected over the right anterior 3rd and 4th ribs beyond which lung markings are seen XXXX skin fold artifact. Mild aortic ectasia/tortuosity, no typical mediastinal widening to suggest vascular injury. Contour irregularity of the lateral right 9th rib of indeterminate age.", "modalities": [{"type": "image", "value": "train/CXR525_IM-2136/0.png"}, {"type": "image", "value": "train/CXR525_IM-2136/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains moderately enlarged, exaggerated by epicardial fat pads. Interstitium is XXXX prominent. No XXXX focal airspace consolidation or pleural effusion. There is XXXX spine spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2162_IM-0779/0.png"}, {"type": "image", "value": "train/CXR2162_IM-0779/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The lungs appear clear. There is a calcified granuloma in the right lung base and calcified right hilar lymph XXXX. This was seen well on prior XXXX. There are no suspicious appearing pulmonary nodules or masses. Heart and pulmonary XXXX appear normal. The pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR2874_IM-1280/0.png"}, {"type": "image", "value": "train/CXR2874_IM-1280/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Normal heart size and mediastinal contours. Calcified aortic XXXX. Calcified granuloma in the anterior segment of the right lower lobe. No pleural effusion or pneumothorax. Degenerative disc disease the thoracic spine. Coronary artery stent.", "modalities": [{"type": "image", "value": "train/CXR3689_IM-1840/0.png"}, {"type": "image", "value": "train/CXR3689_IM-1840/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: In the interval, the interval, there has been development of multiple nodules in both the upper and lower lobes bilaterally. The previously identified left lower lobe nodule has increased in size. Left hemidiaphragm is slightly elevated, possibly from splinting. The mediastinum remains normal. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR3855_IM-1950/0.png"}, {"type": "image", "value": "train/CXR3855_IM-1950/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: There are no focal areas of consolidation. No pleural effusions. No pneumothorax. Heart size within normal limits. Calcified granulomas. Degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR824_IM-2354/0.png"}, {"type": "image", "value": "train/CXR824_IM-2354/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size within normal limits. Mild hyperinflation of the lungs. Mild pectus excavatum deformity. Stable left mid lung calcified granuloma. No focal airspace disease. No pneumothorax or effusions.", "modalities": [{"type": "image", "value": "train/CXR300_IM-1385/0.png"}, {"type": "image", "value": "train/CXR300_IM-1385/1.png"}]} {"text": "Chest X-rays shown as and indicate: 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.", "modalities": [{"type": "image", "value": "train/CXR2511_IM-1034/0.png"}, {"type": "image", "value": "train/CXR2511_IM-1034/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3357_IM-1610/0.png"}, {"type": "image", "value": "train/CXR3357_IM-1610/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2362_IM-0926/0.png"}, {"type": "image", "value": "train/CXR2362_IM-0926/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR886_IM-2400/0.png"}, {"type": "image", "value": "train/CXR886_IM-2400/1.png"}]} {"text": "The images and are chest X-rays with the following noted: XXXX sternotomy XXXX remain in XXXX. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. No acute, displaced rib fractures identified.", "modalities": [{"type": "image", "value": "train/CXR3760_IM-1883/0.png"}, {"type": "image", "value": "train/CXR3760_IM-1883/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Mild dextro curvature of the lower thoracic spine, this may be positional. Visualized bony structures are otherwise unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2981_IM-1371/0.png"}, {"type": "image", "value": "train/CXR2981_IM-1371/1.png"}]} {"text": "The chest scans and reveal: Heart size and mediastinal contours are within normal limits. Diffuse bilateral calcified sequelae of prior granulomatous infection. No pulmonary vascular congestion. No XXXX edema. No focal consolidation. There is no visible pleural effusion or pneumothorax. There is mild anterior wedging of a lower thoracic vertebral body, approximately T11 level.", "modalities": [{"type": "image", "value": "train/CXR1097_IM-0067/0.png"}, {"type": "image", "value": "train/CXR1097_IM-0067/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Normal heart size. Clear lungs. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3439_IM-1664/0.png"}, {"type": "image", "value": "train/CXR3439_IM-1664/1.png"}]} {"text": " and are images of chest X-rays showing: 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. Minimal scarring or atelectasis left lung base.", "modalities": [{"type": "image", "value": "train/CXR2777_IM-1217/0.png"}, {"type": "image", "value": "train/CXR2777_IM-1217/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart is normal in size. The mediastinum is unremarkable. The right chest XXXX tip is visualized in the mid SVC. There is no pneumothorax. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR596_IM-2188/0.png"}, {"type": "image", "value": "train/CXR596_IM-2188/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. There is no large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3617_IM-1789/0.png"}, {"type": "image", "value": "train/CXR3617_IM-1789/1.png"}]} {"text": " and are images of chest X-rays showing: Right paratracheal stripe is denser and XXXX than normal. The XXXX are normal. Heart size normal. Lungs clear and expanded with no infiltrates.", "modalities": [{"type": "image", "value": "train/CXR2968_IM-1360/0.png"}, {"type": "image", "value": "train/CXR2968_IM-1360/1.png"}]} {"text": " and show chest images with these observations: The 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 is a moderate sized hiatal hernia. There mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2936_IM-1338/0.png"}, {"type": "image", "value": "train/CXR2936_IM-1338/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The heart is normal in size and contour. There is focal airspace disease in the right middle lobe. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR118_IM-0123/0.png"}, {"type": "image", "value": "train/CXR118_IM-0123/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The cardiac silhouette is at the upper limits of normal for size. Stable, mild prominence of the bilateral hilar regions. No focal areas of pulmonary consolidation. No pneumothorax. Stable XXXX opacity in the left XXXX, XXXX representing a scar. No pleural effusion. Minimal degenerative changes of the thoracic spine. No acute, displaced rib fractures.", "modalities": [{"type": "image", "value": "train/CXR1416_IM-0265/0.png"}, {"type": "image", "value": "train/CXR1416_IM-0265/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: 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.", "modalities": [{"type": "image", "value": "train/CXR2494_IM-1020/0.png"}, {"type": "image", "value": "train/CXR2494_IM-1020/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR2075_IM-0708/0.png"}, {"type": "image", "value": "train/CXR2075_IM-0708/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Normal heart size. Normal mediastinal silhouette. No pneumothorax or pleural effusion. No suspicious focal air space opacity.", "modalities": [{"type": "image", "value": "train/CXR317_IM-1493/0.png"}, {"type": "image", "value": "train/CXR317_IM-1493/1.png"}]} {"text": " and provide chest images showing: 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.", "modalities": [{"type": "image", "value": "train/CXR222_IM-0823/0.png"}, {"type": "image", "value": "train/CXR222_IM-0823/1.png"}]} {"text": "The chest X-rays in and display: The lungs appear hyperexpanded suggesting emphysema. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Calcified granuloma is identified. No pneumothorax or pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR3436_IM-1663/0.png"}, {"type": "image", "value": "train/CXR3436_IM-1663/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The lungs appear clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. The mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR1512_IM-0332/0.png"}, {"type": "image", "value": "train/CXR1512_IM-0332/1.png"}]} {"text": " and X-rays show chest observations as follows: The lungs are clear. There is hyperinflation. Calcification is seen over the anterior mediastinum XXXX a calcified lymph node at is not identified on the PA projection. The heart is normal. Arthritic changes the spine are seen.", "modalities": [{"type": "image", "value": "train/CXR371_IM-1852/0.png"}, {"type": "image", "value": "train/CXR371_IM-1852/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart is normal in size. Prominent right paratracheal soft tissue density. Rounded mass in the right middle lobe measures approximately 4.6 cm x 3.7 cm. There is mild surrounding airspace disease and/or atelectasis. No pleural effusions noted. The visualized bony thorax appears grossly intact.", "modalities": [{"type": "image", "value": "train/CXR3096_IM-1448/0.png"}, {"type": "image", "value": "train/CXR3096_IM-1448/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Lungs remain hyperexpanded. No change in the right middle lobe opacification. No XXXX infiltrates or masses. Pulmonary arteries are prominent centrally.", "modalities": [{"type": "image", "value": "train/CXR2728_IM-1187/0.png"}, {"type": "image", "value": "train/CXR2728_IM-1187/1.png"}]} {"text": " and capture chest X-rays with these findings: The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1748_IM-0490/0.png"}, {"type": "image", "value": "train/CXR1748_IM-0490/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lungs are hyperexpanded without focal airspace consolidation, pleural effusion, or pneumothorax.. Degenerative endplate changes of the spine..", "modalities": [{"type": "image", "value": "train/CXR3481_IM-1692/0.png"}, {"type": "image", "value": "train/CXR3481_IM-1692/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size normal. Tortuous aorta. Calcified hilar lymph XXXX XXXX sequela of prior granulomatous disease. Hyperinflated lungs. The otherwise lungs are clear. The bilateral apices are partially excluded from the XXXX-of-view. There is the interval fixation of the right humeral fracture, XXXX appears grossly intact. Osteopenia. Exaggerated kyphosis of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR568_IM-2168/0.png"}, {"type": "image", "value": "train/CXR568_IM-2168/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Right mid lung nodule stable XXXX; etiology not determined. This is noncalcified, and is stable since a CT examination from XXXX and is XXXX benign etiology. The lungs are well inflated and without focal consolidation. The cardiomediastinal silhouette appears unremarkable. Costophrenic XXXX clear. Visualized spine vertebrae appear normal in XXXX and alignment. Overlying leads.", "modalities": [{"type": "image", "value": "train/CXR3251_IM-1541/0.png"}, {"type": "image", "value": "train/CXR3251_IM-1541/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Normal heart size mediastinal contours. No focal airspace opacity. No pneumothorax or pleural effusion. Visualized XXXX are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR1211_IM-0142/0.png"}, {"type": "image", "value": "train/CXR1211_IM-0142/1.png"}]} {"text": " and show chest images with these observations: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.", "modalities": [{"type": "image", "value": "train/CXR698_IM-2263/0.png"}, {"type": "image", "value": "train/CXR698_IM-2263/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart is normal in size and contour. There is no mediastinal widening. The lungs are hyperexpanded. No focal airspace disease. No large pleural effusion or pneumothorax. Exaggerated kyphosis.", "modalities": [{"type": "image", "value": "train/CXR2617_IM-1106/0.png"}, {"type": "image", "value": "train/CXR2617_IM-1106/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart is not enlarged. The central pulmonary vasculature is not engorged. Visualized osseous structures are unremarkable. No pneumothorax or pleural effusion. Small right juxtahilar opacity may represent infiltrate. Lungs are otherwise well aerated.", "modalities": [{"type": "image", "value": "train/CXR1200_IM-0134/0.png"}, {"type": "image", "value": "train/CXR1200_IM-0134/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Cardiomegaly with unfolded aorta. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR686_IM-2254/0.png"}, {"type": "image", "value": "train/CXR686_IM-2254/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated.", "modalities": [{"type": "image", "value": "train/CXR1626_IM-0407/0.png"}, {"type": "image", "value": "train/CXR1626_IM-0407/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Stable XXXX foreign body over the left breast (XXXX nipple piercing). Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1786_IM-0512/0.png"}, {"type": "image", "value": "train/CXR1786_IM-0512/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2017_IM-0665/0.png"}, {"type": "image", "value": "train/CXR2017_IM-0665/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate left upper lobe airspace disease most XXXX pneumonia. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR245_IM-0985/0.png"}, {"type": "image", "value": "train/CXR245_IM-0985/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: A patchy infiltrate has developed in the right middle lobe. Left lung is clear. Heart size normal. Aorta tortuous.", "modalities": [{"type": "image", "value": "train/CXR3312_IM-1586/0.png"}, {"type": "image", "value": "train/CXR3312_IM-1586/1.png"}]} {"text": "X-rays and show these chest observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR56_IM-2160/0.png"}, {"type": "image", "value": "train/CXR56_IM-2160/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: 2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2584_IM-1081/0.png"}, {"type": "image", "value": "train/CXR2584_IM-1081/1.png"}]} {"text": "X-rays and show chest details with these impressions: The lungs are clear and hyperinflated. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1108_IM-0075/0.png"}, {"type": "image", "value": "train/CXR1108_IM-0075/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart and mediastinal contours are stable. There is minimal patchy right lower lobe airspace disease identified. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR959_IM-2449/0.png"}, {"type": "image", "value": "train/CXR959_IM-2449/1.png"}]} {"text": " and depict chest X-rays with these findings: The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.", "modalities": [{"type": "image", "value": "train/CXR3307_IM-1582/0.png"}, {"type": "image", "value": "train/CXR3307_IM-1582/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR3637_IM-1804/0.png"}, {"type": "image", "value": "train/CXR3637_IM-1804/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1751_IM-0494/0.png"}, {"type": "image", "value": "train/CXR1751_IM-0494/1.png"}]} {"text": " and are images of chest X-rays showing: The heart is normal in size. The mediastinum is stable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR354_IM-1731/0.png"}, {"type": "image", "value": "train/CXR354_IM-1731/1.png"}]} {"text": "Chest X-rays shown as and indicate: The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. There is stable lucency in the right mid clavicle dating back to XXXX.", "modalities": [{"type": "image", "value": "train/CXR1492_IM-0318/0.png"}, {"type": "image", "value": "train/CXR1492_IM-0318/1.png"}]} {"text": "The X-rays and show the following chest conditions: Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3392_IM-1637/0.png"}, {"type": "image", "value": "train/CXR3392_IM-1637/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size normal. No pneumothorax, large pleural effusion, or focal airspace disease. Bony structures appear intact. Calcified right hilar nodules consistent with chronic granulomatous disease.", "modalities": [{"type": "image", "value": "train/CXR406_IM-2054/0.png"}, {"type": "image", "value": "train/CXR406_IM-2054/1.png"}]} {"text": " and capture chest X-rays with these findings: The heart is top normal in size. The mediastinum is stable. The aorta is atherosclerotic. XXXX opacities are noted in the lung bases compatible with scarring or atelectasis. There is no acute infiltrate or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1542_IM-0352/0.png"}, {"type": "image", "value": "train/CXR1542_IM-0352/1.png"}]} {"text": "Chest X-rays shown as and indicate: Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone there is identified a 1.5 cm nodule. This appears somewhat dense and may contain calcium although this cannot be stated with certainty.", "modalities": [{"type": "image", "value": "train/CXR2027_IM-0672-0001/0.png"}, {"type": "image", "value": "train/CXR2027_IM-0672-0001/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3837_IM-1939/0.png"}, {"type": "image", "value": "train/CXR3837_IM-1939/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There is corticated irregularity of the right posterior 5th rib, XXXX secondary to old rib fracture. There are no gross acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1086_IM-0059/0.png"}, {"type": "image", "value": "train/CXR1086_IM-0059/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size upper limits normal. Vascularity normal.Calcified breast implants obscure some detail. Lungs are clear. Vascular calcifications aorta. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR1423_IM-0270/0.png"}, {"type": "image", "value": "train/CXR1423_IM-0270/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3504_IM-1707/0.png"}, {"type": "image", "value": "train/CXR3504_IM-1707/1.png"}]} {"text": " and depict chest X-rays with these findings: The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is mildly tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild degenerative changes of the thoracic spine. Mild levoscoliosis of the thoracolumbar spine.", "modalities": [{"type": "image", "value": "train/CXR3573_IM-1756/0.png"}, {"type": "image", "value": "train/CXR3573_IM-1756/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart is normal in size. Atherosclerotic calcifications of the aorta. The mediastinum is stable. There is again soft tissue density projected over the right mid chest, XXXX patient's known large breast mass. The appearance is grossly stable to decreased from prior study. The lateral projection is suboptimal as patient could not raise XXXX. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3324_IM-1590/0.png"}, {"type": "image", "value": "train/CXR3324_IM-1590/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Normal heart size and mediastinal contours. Clear lungs besides scattered calcified granulomas. No pneumothorax or pleural effusion. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2745_IM-1197/0.png"}, {"type": "image", "value": "train/CXR2745_IM-1197/1.png"}]} {"text": " and X-rays show chest observations as follows: Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR425_IM-2068/0.png"}, {"type": "image", "value": "train/CXR425_IM-2068/1.png"}]} {"text": "X-ray scans and display the following chest observations: Stable position of right central venous catheter. Interval removal of nasogastric tube. Heart size is normal. Persistent prominent interstitial markings of the right upper lobe. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Normal pulmonary vascularity.", "modalities": [{"type": "image", "value": "train/CXR955_IM-2449/0.png"}, {"type": "image", "value": "train/CXR955_IM-2449/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR1734_IM-0484/0.png"}, {"type": "image", "value": "train/CXR1734_IM-0484/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: There are T-spine osteophytes. Small nodule projecting near the left heart XXXX is unchanged from XXXX and appears calcified. This XXXX represents a calcified granuloma. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "modalities": [{"type": "image", "value": "train/CXR820_IM-2351/0.png"}, {"type": "image", "value": "train/CXR820_IM-2351/1.png"}]} {"text": " and are images of chest X-rays showing: Lungs are hyperinflated with interstitial changes of severe emphysema. There is an ill-defined pleural parenchymal opacity in the left upper lobe. This may represent scarring but is incompletely evaluated on the outside study, without coronal and sagittal reformats. There is mild XXXX scarring and/or atelectasis in the lung bases. Lungs otherwise grossly clear. There is no pneumothorax or pleural effusion. Heart size is normal. There are mild degenerative endplate changes in the thoracic spine. There is generalized osteopenia.", "modalities": [{"type": "image", "value": "train/CXR1075_IM-0054/0.png"}, {"type": "image", "value": "train/CXR1075_IM-0054/1.png"}]} {"text": "X-rays and show these chest observations: The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. XXXX lucency under the right hemidiaphragm may represent a focus of free air.", "modalities": [{"type": "image", "value": "train/CXR1620_IM-0402/0.png"}, {"type": "image", "value": "train/CXR1620_IM-0402/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size is normal and cardiomediastinal contours are normal. Lungs are otherwise clear bilaterally without effusion or pneumothorax. Bony structures and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1688_IM-0450/0.png"}, {"type": "image", "value": "train/CXR1688_IM-0450/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Stable cardiomediastinal silhouette. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Changes of right mastectomy. Sequelae of prior granulomatous disease. Mild thoracic spine degenerative change", "modalities": [{"type": "image", "value": "train/CXR2065_IM-0701/0.png"}, {"type": "image", "value": "train/CXR2065_IM-0701/1.png"}]} {"text": "The X-rays and show the following chest conditions: Chest. Normal heart size. Mediastinal silhouette is unremarkable. No focal infiltrates or masses. No pneumothorax or visible pleural fluid. No free intraperitoneal air in the diaphragm. Osseous structures unremarkable. Abdomen: There are no dilated loops of bowel to suggest obstruction. No air-fluid levels or free intraperitoneal air. No suspicious calcifications. There is XXXX XXXX curvature of the thoracolumbar spine. Otherwise the osseous structures are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3729_IM-1864/0.png"}, {"type": "image", "value": "train/CXR3729_IM-1864/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2654_IM-1137/0.png"}, {"type": "image", "value": "train/CXR2654_IM-1137/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1461_IM-0299/0.png"}, {"type": "image", "value": "train/CXR1461_IM-0299/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild levocurvature of thoracic spine. A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view.", "modalities": [{"type": "image", "value": "train/CXR3559_IM-1744/0.png"}, {"type": "image", "value": "train/CXR3559_IM-1744/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. A wedge-shaped opacity has developed in the right upper lobe. There is also XXXX patchy opacification identified in the left upper lobe. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1422_IM-0269/0.png"}, {"type": "image", "value": "train/CXR1422_IM-0269/1.png"}]} {"text": " and depict chest X-rays with these findings: There is stable left costophrenic XXXX blunting. The patient has undergone prior left lobectomy. There are chronic appearing right basilar interstitial markings. Heart size normal. No visualized pneumothorax. There is stable appearing left upper and right upper lobe bullous disease.", "modalities": [{"type": "image", "value": "train/CXR1916_IM-0595/0.png"}, {"type": "image", "value": "train/CXR1916_IM-0595/1.png"}]} {"text": " and provide chest images showing: Evaluation is limited due to obscuration by the patient's arm on the lateral view. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascular is unremarkable. XXXX are chronic, coarse interstitial lung markings. Peripheral opacity along the right mid lung XXXX reflects scar or a small amount of loculated pleural fluid or thickening. Otherwise negative for focal airspace disease or consolidation. Hyperlucent lungs with apical XXXX. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact.", "modalities": [{"type": "image", "value": "train/CXR2817_IM-1241/0.png"}, {"type": "image", "value": "train/CXR2817_IM-1241/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Heart size within normal limits. No focal airspace disease. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3605_IM-1781/0.png"}, {"type": "image", "value": "train/CXR3605_IM-1781/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Radiographic attenuation obscures detail. Grossly, the lungs are clear and expanded. Heart is large. Pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR2301_IM-0881/0.png"}, {"type": "image", "value": "train/CXR2301_IM-0881/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, pneumothorax. No acute bony abnormality. No lymphadenopathy.", "modalities": [{"type": "image", "value": "train/CXR767_IM-2312/0.png"}, {"type": "image", "value": "train/CXR767_IM-2312/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR754_IM-2306/0.png"}, {"type": "image", "value": "train/CXR754_IM-2306/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR2353_IM-0918/0.png"}, {"type": "image", "value": "train/CXR2353_IM-0918/1.png"}]} {"text": " and provide chest images showing: Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR2394_IM-0944/0.png"}, {"type": "image", "value": "train/CXR2394_IM-0944/1.png"}]} {"text": "The chest scans and reveal: Cardiomediastinal silhouette is within normal limits in overall size and appearance. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR3024_IM-1399/0.png"}, {"type": "image", "value": "train/CXR3024_IM-1399/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: 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. Calcified granuloma is present in the right lung base. Bibasilar bandlike opacities are present. The appearance XXXX scarring or atelectasis.", "modalities": [{"type": "image", "value": "train/CXR1635_IM-0415/0.png"}, {"type": "image", "value": "train/CXR1635_IM-0415/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Aorta is ectatic. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Age-indeterminate anterior wedging deformity of lower thoracic vertebra.", "modalities": [{"type": "image", "value": "train/CXR1933_IM-0604/0.png"}, {"type": "image", "value": "train/CXR1933_IM-0604/1.png"}]} {"text": " and present chest X-rays with the following impressions: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is patchy airspace disease in the right lower lobe. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3064_IM-1428/0.png"}, {"type": "image", "value": "train/CXR3064_IM-1428/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Normal heart size. Clear lungs. No large pleural effusion. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR758_IM-2309/0.png"}, {"type": "image", "value": "train/CXR758_IM-2309/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: 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.", "modalities": [{"type": "image", "value": "train/CXR2509_IM-1031/0.png"}, {"type": "image", "value": "train/CXR2509_IM-1031/1.png"}]} {"text": "X-ray scans and display the following chest observations: Both lungs are clear and expanded. Heart and mediastinum normal. Surgical clips are in the epigastrium of the abdomen.", "modalities": [{"type": "image", "value": "train/CXR790_IM-2329/0.png"}, {"type": "image", "value": "train/CXR790_IM-2329/1.png"}]} {"text": " and depict chest X-rays with these findings: Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR3100_IM-1452/0.png"}, {"type": "image", "value": "train/CXR3100_IM-1452/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Limited lateral projection. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Healed distal left clavicular fracture noted.", "modalities": [{"type": "image", "value": "train/CXR295_IM-1348/0.png"}, {"type": "image", "value": "train/CXR295_IM-1348/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiac and mediastinal contours are within normal limits. There are calcified mediastinal lymph XXXX, with a calcified right lower lobe pulmonary nodule. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax, or effusion. There are degenerative changes of the first costochondral joints bilaterally. No acute bony abnormalities are seen.", "modalities": [{"type": "image", "value": "train/CXR2708_IM-1174/0.png"}, {"type": "image", "value": "train/CXR2708_IM-1174/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Intact XXXX sternotomy XXXX and CABG markers. Calcified granulomas. Heart size is normal. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. T-spine degenerative changes.", "modalities": [{"type": "image", "value": "train/CXR3407_IM-1647/0.png"}, {"type": "image", "value": "train/CXR3407_IM-1647/1.png"}]} {"text": " and X-rays show chest observations as follows: There are persistent low lung volumes. There is stable streaky left lower lobe airspace disease. Probable XXXX residual left pneumothorax. No large pleural effusion. Stable cardiomediastinal contour. Left-sided rib fractures are better appreciated on the XXXX chest comparison.", "modalities": [{"type": "image", "value": "train/CXR1691_IM-0453/0.png"}, {"type": "image", "value": "train/CXR1691_IM-0453/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.", "modalities": [{"type": "image", "value": "train/CXR3501_IM-1706/0.png"}, {"type": "image", "value": "train/CXR3501_IM-1706/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Patchy airspace disease in the left lingula. No significant effusion. Clear right lung. Normal heart size. Granulomatous mediastinal calcifications. Right chest XXXX tip at SVC.", "modalities": [{"type": "image", "value": "train/CXR2909_IM-1313/0.png"}, {"type": "image", "value": "train/CXR2909_IM-1313/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart size is normal. Low lung volumes. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.", "modalities": [{"type": "image", "value": "train/CXR1577_IM-0375/0.png"}, {"type": "image", "value": "train/CXR1577_IM-0375/1.png"}]} {"text": "The chest scans and reveal: The cardiac silhouette pulmonary vascularity are normal. The lungs are clear. There is no evidence of pleural effusion or pneumothorax. Mild degenerative changes are present in the XXXX spine.", "modalities": [{"type": "image", "value": "train/CXR834_IM-2359/0.png"}, {"type": "image", "value": "train/CXR834_IM-2359/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No change in the small calcified right upper lobe nodule. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1022_IM-0017/0.png"}, {"type": "image", "value": "train/CXR1022_IM-0017/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion or pneumothorax. The bony structures are normal.", "modalities": [{"type": "image", "value": "train/CXR3971_IM-2031/0.png"}, {"type": "image", "value": "train/CXR3971_IM-2031/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1657_IM-0432/0.png"}, {"type": "image", "value": "train/CXR1657_IM-0432/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The heart size is normal and cardiomediastinal silhouette has normal contour. The left hilar calcified lymph XXXX appear stable. There is persistence of a left lower lobe calcified nodule XXXX representing a granuloma. The lungs are hyperinflated but otherwise clear bilaterally.", "modalities": [{"type": "image", "value": "train/CXR2410_IM-0956/0.png"}, {"type": "image", "value": "train/CXR2410_IM-0956/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Cardiomegaly. Interstitial opacities consistent with edema in the lower lobes. No pneumothorax. No large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3082_IM-1441/0.png"}, {"type": "image", "value": "train/CXR3082_IM-1441/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR169_IM-0452/0.png"}, {"type": "image", "value": "train/CXR169_IM-0452/1.png"}]} {"text": "The chest X-rays in and display: 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..", "modalities": [{"type": "image", "value": "train/CXR2487_IM-1014/0.png"}, {"type": "image", "value": "train/CXR2487_IM-1014/1.png"}]} {"text": "The chest X-rays in and display: Lung volumes are low. Prominent increased interstitial markings in both lungs are unchanged in the interval. Bullae are present both upper lobes, right worse than left. No pleural air collections. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR355_IM-1739/0.png"}, {"type": "image", "value": "train/CXR355_IM-1739/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1400_IM-0256/0.png"}, {"type": "image", "value": "train/CXR1400_IM-0256/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1368_IM-0237/0.png"}, {"type": "image", "value": "train/CXR1368_IM-0237/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The lungs are hyperexpanded. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal airspace opacities, pneumothorax or pleural effusion. A calcific density in the left midlung zone XXXX represents old granulomatous disease. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3448_IM-1671/0.png"}, {"type": "image", "value": "train/CXR3448_IM-1671/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3121_IM-1466/0.png"}, {"type": "image", "value": "train/CXR3121_IM-1466/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart size is normal. The cardiomediastinal silhouette is stable in appearance. The lungs are clear without focal airspace opacity, pneumothorax, or pleural effusion. The XXXX are normal in appearance.", "modalities": [{"type": "image", "value": "train/CXR3931_IM-2003/0.png"}, {"type": "image", "value": "train/CXR3931_IM-2003/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: There is mild cardiomegaly. The aorta is tortuous. There is XXXX opacities noted in the right lower lobe, XXXX subsegmental atelectasis. There is no pneumothorax or effusion. No displaced rib fractures. If there is high clinical concern, consider dedicated rib views for further evaluation.", "modalities": [{"type": "image", "value": "train/CXR2066_IM-0701/0.png"}, {"type": "image", "value": "train/CXR2066_IM-0701/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The cardiac contours are normal. Calcified tortuous thoracic aorta. Emphysema. Mild apical scarring. The lungs are otherwise clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR1617_IM-0399/0.png"}, {"type": "image", "value": "train/CXR1617_IM-0399/1.png"}]} {"text": "Chest X-rays shown as and indicate: The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is enlarged. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3863_IM-1957/0.png"}, {"type": "image", "value": "train/CXR3863_IM-1957/1.png"}]} {"text": " and exhibit chest X-rays showing: There are low lung volumes. There is bronchovascular crowding. Heart and mediastinal contours within normal limits. No focal infiltrate or effusion. No pneumothorax. Visualized osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR674_IM-2247/0.png"}, {"type": "image", "value": "train/CXR674_IM-2247/1.png"}]} {"text": " and show chest images with these observations: The heart is significantly enlarged. Prominent pulmonary vascularity. No focal airspace consolidation, suspicious pulmonary opacity, or definite pleural effusion. No pneumothorax. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR2919_IM-1321/0.png"}, {"type": "image", "value": "train/CXR2919_IM-1321/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Negative for cardiac enlargement. Negative for vascular congestion. There are several small circular opacities in the right upper lung, some of which are centrally lucent. Negative for bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2467_IM-0997/0.png"}, {"type": "image", "value": "train/CXR2467_IM-0997/1.png"}]} {"text": " and depict chest X-rays with these findings: Chest. The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable. Thoracic spine. The XXXX examination consists of frontal, lateral and swimmers lateral radiographs of the thoracic spine. There is no evidence of fracture or malalignment. The vertebral body XXXX and disc spaces are maintained. Sternum. The XXXX examination consists of 2 oblique and one lateral radiograph of the sternum. No displaced XXXX fracture demonstrated.", "modalities": [{"type": "image", "value": "train/CXR310_IM-1451-0001/0.png"}, {"type": "image", "value": "train/CXR310_IM-1451-0001/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size and mediastinal contours appear within normal limits. Patchy airspace opacities in the left lower lobe, compatible with infiltrate. No large pleural effusion. No pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR182_IM-0531/0.png"}, {"type": "image", "value": "train/CXR182_IM-0531/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Coronary artery stents visualized. 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 bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1195_IM-0131/0.png"}, {"type": "image", "value": "train/CXR1195_IM-0131/1.png"}]} {"text": "These chest X-rays ( and ) show the following: There are broken 1st and 3rd-5XXXX XXXX XXXX. Normal cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. Left-sided aortic XXXX. Central airways are XXXX. No focal consolidation, pleural effusion or pneumothorax. Left hemidiaphragm is mildly elevated. Interposition of the colon in the left upper quadrant.", "modalities": [{"type": "image", "value": "train/CXR616_IM-2200/0.png"}, {"type": "image", "value": "train/CXR616_IM-2200/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Normal and stable cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.", "modalities": [{"type": "image", "value": "train/CXR309_IM-1444/0.png"}, {"type": "image", "value": "train/CXR309_IM-1444/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. Mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR805_IM-2339/0.png"}, {"type": "image", "value": "train/CXR805_IM-2339/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size remains slightly large. Pulmonary XXXX are normal. Aorta tortuous.", "modalities": [{"type": "image", "value": "train/CXR2475_IM-1004/0.png"}, {"type": "image", "value": "train/CXR2475_IM-1004/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size and cardiomediastinal contours are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. No displaced rib fracture.", "modalities": [{"type": "image", "value": "train/CXR3073_IM-1434/0.png"}, {"type": "image", "value": "train/CXR3073_IM-1434/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR298_IM-1369/0.png"}, {"type": "image", "value": "train/CXR298_IM-1369/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Chondral cartilages causing XXXX over the anterior lungs on lateral view.", "modalities": [{"type": "image", "value": "train/CXR3310_IM-1585/0.png"}, {"type": "image", "value": "train/CXR3310_IM-1585/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The heart is normal in size and contour. There is no mediastinal widening. Low lung volumes. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3332_IM-1596/0.png"}, {"type": "image", "value": "train/CXR3332_IM-1596/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Lungs are mildly hypoinflated with asymmetric elevation of the right hemidiaphragm, of uncertain chronicity. There is mild basilar bronchovascular crowding, without evidence of focal airspace disease. Heart is XXXX within normal limits for low lung volumes and AP technique. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1519_IM-0335/0.png"}, {"type": "image", "value": "train/CXR1519_IM-0335/1.png"}]} {"text": "The X-rays and show the following chest conditions: Lung volumes are low. No focal infiltrates. Heart size normal. Mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3201_IM-1513/0.png"}, {"type": "image", "value": "train/CXR3201_IM-1513/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Mildly hyperinflated lungs with flattened posterior diaphragm. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1342_IM-0221/0.png"}, {"type": "image", "value": "train/CXR1342_IM-0221/1.png"}]} {"text": " and X-rays show chest observations as follows: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.", "modalities": [{"type": "image", "value": "train/CXR1797_IM-0517/0.png"}, {"type": "image", "value": "train/CXR1797_IM-0517/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1010_IM-0012/0.png"}, {"type": "image", "value": "train/CXR1010_IM-0012/1.png"}]} {"text": " and are images of chest X-rays showing: The mediastinal silhouette is widened with overlying sternotomy XXXX. The heart size is normal. The lungs are clear without evidence of effusion, infiltrate or pneumothorax. Visualized bony structures are intact with no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3709_IM-1852/0.png"}, {"type": "image", "value": "train/CXR3709_IM-1852/1.png"}]} {"text": "X-rays and show chest details with these impressions: Normal cardiomediastinal contours. Lungs are clear bilaterally. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2012_IM-0662/0.png"}, {"type": "image", "value": "train/CXR2012_IM-0662/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart, 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.", "modalities": [{"type": "image", "value": "train/CXR3317_IM-1587/0.png"}, {"type": "image", "value": "train/CXR3317_IM-1587/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Cardiomediastinal contours are unchanged. There are stable fractures of several XXXX XXXX. Lungs are hyperexpanded but clear. No pneumothorax or pleural effusion. Degenerative changes are seen in the spine.", "modalities": [{"type": "image", "value": "train/CXR1888_IM-0576/0.png"}, {"type": "image", "value": "train/CXR1888_IM-0576/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Cardiomediastinal silhouette is a within normal limits. No focal consolidation, pneumothorax, or pleural effusion. Multiple granulomas. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR489_IM-2110/0.png"}, {"type": "image", "value": "train/CXR489_IM-2110/1.png"}]} {"text": " and exhibit chest X-rays showing: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR3465_IM-1683/0.png"}, {"type": "image", "value": "train/CXR3465_IM-1683/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR921_IM-2423/0.png"}, {"type": "image", "value": "train/CXR921_IM-2423/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: 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.", "modalities": [{"type": "image", "value": "train/CXR2485_IM-1013/0.png"}, {"type": "image", "value": "train/CXR2485_IM-1013/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin XXXX have been removed since prior study study. The left apical pneumothorax has resolved. There are mild chronic opacities in the left lung base with probable small residual effusion. The right lung is grossly clear.", "modalities": [{"type": "image", "value": "train/CXR649_IM-2227/0.png"}, {"type": "image", "value": "train/CXR649_IM-2227/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The heart is normal in size. The mediastinum is stable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1903_IM-0586/0.png"}, {"type": "image", "value": "train/CXR1903_IM-0586/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacities. No definite visualized rib fractures.", "modalities": [{"type": "image", "value": "train/CXR3205_IM-1513/0.png"}, {"type": "image", "value": "train/CXR3205_IM-1513/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3109_IM-1458/0.png"}, {"type": "image", "value": "train/CXR3109_IM-1458/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3183_IM-1502/0.png"}, {"type": "image", "value": "train/CXR3183_IM-1502/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The lungs hyperexpanded suggesting emphysema. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Osteopenia and degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR3969_IM-2030/0.png"}, {"type": "image", "value": "train/CXR3969_IM-2030/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The heart is mildly enlarged. Lung volumes are low. There is no focal consolidation, pneumothorax, or large pleural effusion. Bony structures are within normal limits. There is no free air under the diaphragm. There is a mild amount of XXXX seen in the transverse colon.", "modalities": [{"type": "image", "value": "train/CXR3075_IM-1436/0.png"}, {"type": "image", "value": "train/CXR3075_IM-1436/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Clear lungs bilaterally. Normal cardiac contours. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1882_IM-0571/0.png"}, {"type": "image", "value": "train/CXR1882_IM-0571/1.png"}]} {"text": " and present chest X-rays with the following impressions: Cardiomediastinal size and contour is grossly normal for AP technique. There is a calcified granuloma in the right lower lobe. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax or pleural effusion. No acute, displaced fractures are demonstrated.", "modalities": [{"type": "image", "value": "train/CXR648_IM-2226/0.png"}, {"type": "image", "value": "train/CXR648_IM-2226/1.png"}]} {"text": " and X-rays show chest observations as follows: The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. A calcified granuloma is identified in the peripheral aspect of the left lower lobe. Calcified lymph XXXX are identified in left hilar region. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2684_IM-1157/0.png"}, {"type": "image", "value": "train/CXR2684_IM-1157/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. Elevated right diaphragm. The lungs are clear. XXXX degenerative spondylosis. There appears to be a mildly displaced fracture of the mid right clavicle.", "modalities": [{"type": "image", "value": "train/CXR1782_IM-0510/0.png"}, {"type": "image", "value": "train/CXR1782_IM-0510/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: There is XXXX airspace disease in the right lower lobe seen behind the right hemidiaphragm on PA view. This is also well seen on lateral view. Remainder of the lungs appear clear. The heart and pulmonary XXXX appear normal. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR3108_IM-1457/0.png"}, {"type": "image", "value": "train/CXR3108_IM-1457/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1508_IM-0330/0.png"}, {"type": "image", "value": "train/CXR1508_IM-0330/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR1624_IM-0406/0.png"}, {"type": "image", "value": "train/CXR1624_IM-0406/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lungs are clear. There appear to be small bilateral pleural effusions. The heart is not grossly enlarged. There are atherosclerotic changes of the aorta. Increased kyphosis is seen in the may be a thoracic XXXX deformity that is not well-characterized. Arthritic changes are seen.", "modalities": [{"type": "image", "value": "train/CXR3211_IM-1517-1001/0.png"}, {"type": "image", "value": "train/CXR3211_IM-1517-1001/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: No airspace disease, effusion or noncalcified nodule. Calcified granuloma seen bilaterally. Normal heart size. Elevated right hemidiaphragm, with a nodular soft tissue contour, containing liver. Degenerative changes demonstrated within the visualized thoracic spine. There is neurostimulator, overlying the mid and lower thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3086_IM-1444/0.png"}, {"type": "image", "value": "train/CXR3086_IM-1444/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There is hyperexpansion of lungs and flattening of the diaphragm consistent with COPD. No focal lung consolidation. No pneumothorax or pleural effusion. Heart size and pulmonary vascularity are within normal limits. There is a kyphosis and osteopenia of the thoracic spine. No displaced rib fractures.", "modalities": [{"type": "image", "value": "train/CXR3759_IM-1883/0.png"}, {"type": "image", "value": "train/CXR3759_IM-1883/1.png"}]} {"text": "X-ray images labeled and display the following findings: Heart size and mediastinal contours are unchanged. Stable right upper lobe scarring with pleural thickening. No XXXX consolidation. No visible pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2580_IM-1078/0.png"}, {"type": "image", "value": "train/CXR2580_IM-1078/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: 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.", "modalities": [{"type": "image", "value": "train/CXR2555_IM-1060/0.png"}, {"type": "image", "value": "train/CXR2555_IM-1060/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1912_IM-0594/0.png"}, {"type": "image", "value": "train/CXR1912_IM-0594/1.png"}]} {"text": "X-rays and show these chest observations: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures visualized. .", "modalities": [{"type": "image", "value": "train/CXR940_IM-2437/0.png"}, {"type": "image", "value": "train/CXR940_IM-2437/1.png"}]} {"text": "The chest X-rays in and display: The heart size is normal. The mediastinal contour is within normal limits. There are multiple calcified granulomas within the left lower lobe. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR3424_IM-1656/0.png"}, {"type": "image", "value": "train/CXR3424_IM-1656/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No pleural air collections. Heart and mediastinum normal. A vague lucency is present in left rib 7 anteriorly.", "modalities": [{"type": "image", "value": "train/CXR2951_IM-1349/0.png"}, {"type": "image", "value": "train/CXR2951_IM-1349/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear. The heart and pulmonary XXXX appear normal. Pleural spaces are clear. The mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.", "modalities": [{"type": "image", "value": "train/CXR1412_IM-0262/0.png"}, {"type": "image", "value": "train/CXR1412_IM-0262/1.png"}]} {"text": " and X-rays show chest observations as follows: PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mild nodular prominence of the right hilum, without significant change. Lung volumes are decreased, with crowding. There is no pneumothorax, pleural effusion, or focal air space consolidation.", "modalities": [{"type": "image", "value": "train/CXR1285_IM-0188/0.png"}, {"type": "image", "value": "train/CXR1285_IM-0188/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart size is moderately enlarged. There is evidence of previous aortic valve replacement. XXXX sternotomy XXXX are grossly intact. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There are chronically increased interstitial lung markings without superimposed focal airspace disease identified. There are degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR910_IM-2416/0.png"}, {"type": "image", "value": "train/CXR910_IM-2416/1.png"}]} {"text": "The chest X-rays in and display: Lungs are clear. Heart size normal. Scattered thoracic spine spurring.", "modalities": [{"type": "image", "value": "train/CXR254_IM-1051/0.png"}, {"type": "image", "value": "train/CXR254_IM-1051/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3138_IM-1476/0.png"}, {"type": "image", "value": "train/CXR3138_IM-1476/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size appears enlarged. Mediastinal contours are within normal limits. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR3414_IM-1650/0.png"}, {"type": "image", "value": "train/CXR3414_IM-1650/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: No evidence of airspace opacity. No effusion or noncalcified nodules. No evidence of pneumothorax. Normal heart size and mediastinum. Visualized XXXX of the chest are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR3252_IM-1542/0.png"}, {"type": "image", "value": "train/CXR3252_IM-1542/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Normal heart. Clear lungs. Trachea midline. Scoliosis of lower thoracic spine. Degenerative changes of thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1177_IM-0120/0.png"}, {"type": "image", "value": "train/CXR1177_IM-0120/1.png"}]} {"text": "X-ray images labeled and display the following findings: Heart size and mediastinal contour normal. Lungs are clear except for residuals of prior granulomatous infection. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR938_IM-2434/0.png"}, {"type": "image", "value": "train/CXR938_IM-2434/1.png"}]} {"text": " and provide chest images showing: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. scoliosis.", "modalities": [{"type": "image", "value": "train/CXR3478_IM-1690/0.png"}, {"type": "image", "value": "train/CXR3478_IM-1690/1.png"}]} {"text": " and depict chest X-rays with these findings: Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR3093_IM-1446/0.png"}, {"type": "image", "value": "train/CXR3093_IM-1446/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR3291_IM-1572/0.png"}, {"type": "image", "value": "train/CXR3291_IM-1572/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR3456_IM-1678/0.png"}, {"type": "image", "value": "train/CXR3456_IM-1678/1.png"}]} {"text": "X-rays and show these chest observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present.", "modalities": [{"type": "image", "value": "train/CXR1978_IM-0636/0.png"}, {"type": "image", "value": "train/CXR1978_IM-0636/1.png"}]} {"text": "Chest X-rays shown as and indicate: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR2225_IM-0829/0.png"}, {"type": "image", "value": "train/CXR2225_IM-0829/1.png"}]} {"text": " and show chest X-ray scans that indicate: Cardiomediastinal silhouette is unchanged with mild cardiomegaly. There is relative elevation of the right hemidiaphragm consistent with history of right lower lobectomy, without focal consolidation, pneumothorax, or effusion identified. Irregularity of the right fifth and sixth ribs stable since at XXXX XXXX and XXXX postsurgical/post traumatic in XXXX. Left shoulder rotator XXXX bone anchor noted. No acute osseous abnormality identified.", "modalities": [{"type": "image", "value": "train/CXR2755_IM-1204/0.png"}, {"type": "image", "value": "train/CXR2755_IM-1204/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR446_IM-2080/0.png"}, {"type": "image", "value": "train/CXR446_IM-2080/1.png"}]} {"text": "The chest scans and reveal: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3953_IM-2021/0.png"}, {"type": "image", "value": "train/CXR3953_IM-2021/1.png"}]} {"text": "The chest X-rays in and display: There is a approximately 4 cm opacity with one XXXX margin and the other ill-defined in the lateral lower left lung is seen on the PA view. This is not definitely seen on the lateral view. There is no pneumothorax or pleural effusion. The cardiac silhouette is within normal limits. There are T-spine osteophytes. There is no pneumothorax or pleural effusion. There are calcified hilar lymph XXXX there", "modalities": [{"type": "image", "value": "train/CXR463_IM-2091/0.png"}, {"type": "image", "value": "train/CXR463_IM-2091/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. XXXX scoliosis is unchanged. Visualized upper abdomen is grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1306_IM-0200/0.png"}, {"type": "image", "value": "train/CXR1306_IM-0200/1.png"}]} {"text": " and capture chest X-rays with these findings: The central airway is midline and is XXXX. The cardiomediastinal silhouette is within normal limits. There is no focal lung consolidation, pleural effusion, or pneumothorax seen. The osseous structures appear within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1826_IM-0535/0.png"}, {"type": "image", "value": "train/CXR1826_IM-0535/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. Right hilar calcifications XXXX sequela of prior granulomatous disease. No pneumothorax or large pleural effusion. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR837_IM-2361/0.png"}, {"type": "image", "value": "train/CXR837_IM-2361/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Heart size is upper limits of normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR359_IM-1768/0.png"}, {"type": "image", "value": "train/CXR359_IM-1768/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Cervical fusion XXXX. Degenerative changes of the spine and the acromioclavicular joints.", "modalities": [{"type": "image", "value": "train/CXR2989_IM-1376/0.png"}, {"type": "image", "value": "train/CXR2989_IM-1376/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: 2 images. Calcified granuloma left upper lobe. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1846_IM-0549/0.png"}, {"type": "image", "value": "train/CXR1846_IM-0549/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.", "modalities": [{"type": "image", "value": "train/CXR570_IM-2170/0.png"}, {"type": "image", "value": "train/CXR570_IM-2170/1.png"}]} {"text": " and exhibit chest X-rays showing: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2770_IM-1213/0.png"}, {"type": "image", "value": "train/CXR2770_IM-1213/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified mediastinal lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR2979_IM-1368-1001/0.png"}, {"type": "image", "value": "train/CXR2979_IM-1368-1001/1.png"}]} {"text": " and X-rays show chest observations as follows: The lungs are clear. The cardiomediastinal silhouette is within normal limits. A right-sided Mediport catheter is noted. No pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR2093_IM-0723/0.png"}, {"type": "image", "value": "train/CXR2093_IM-0723/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs and pleural spaces show no acute abnormality. Heart size is upper limits of normal, pulmonary vascularity within normal limits. .", "modalities": [{"type": "image", "value": "train/CXR3362_IM-1615/0.png"}, {"type": "image", "value": "train/CXR3362_IM-1615/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The cardiomediastinal silhouette is stable. Lung volumes remain low. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1074_IM-0054/0.png"}, {"type": "image", "value": "train/CXR1074_IM-0054/1.png"}]} {"text": "X-ray scans and display the following chest observations: Stable left chest cardiac XXXX generator with 2 distal leads in right atrium and right ventricle. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Emphysema. Stable calcified granulomas. Bony structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1232_IM-0156/0.png"}, {"type": "image", "value": "train/CXR1232_IM-0156/1.png"}]} {"text": "These chest X-rays ( and ) show the following: There is a calcified granuloma in the left upper lung zone. The lungs are otherwise clear. There is hyperinflation. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal for age.", "modalities": [{"type": "image", "value": "train/CXR783_IM-2325/0.png"}, {"type": "image", "value": "train/CXR783_IM-2325/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. Surgical clips overlying the left breast soft tissues. Multilevel degenerative changes of the thoracic spine. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2687_IM-1158/0.png"}, {"type": "image", "value": "train/CXR2687_IM-1158/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2788_IM-1222/0.png"}, {"type": "image", "value": "train/CXR2788_IM-1222/1.png"}]} {"text": " and depict chest X-rays with these findings: XXXX sternotomy XXXX are in XXXX and intact. Normal cardiomediastinal silhouette. The bilateral costophrenic XXXX are excluded from the image on the PA view. Lungs are clear without focal areas of consolidation, pleural effusion, or pneumothorax. XXXX XXXX are intact without acute osseous abnormality. Mild degenerative changes throughout the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR606_IM-2195/0.png"}, {"type": "image", "value": "train/CXR606_IM-2195/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3787_IM-1900/0.png"}, {"type": "image", "value": "train/CXR3787_IM-1900/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Scattered calcified pulmonary nodules, XXXX represents calcified granulomas. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Stable calcified hilar and mediastinal lymph XXXX, XXXX decreased in size from prior exam. Heart size is normal. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2949_IM-1348/0.png"}, {"type": "image", "value": "train/CXR2949_IM-1348/1.png"}]} {"text": " and show chest X-ray scans that indicate: Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR2103_IM-0734-0001/0.png"}, {"type": "image", "value": "train/CXR2103_IM-0734-0001/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Normal cardiac contour. Stable calcified granuloma left upper lobe. No pleural effusion or pneumothorax. Clear lungs bilaterally.", "modalities": [{"type": "image", "value": "train/CXR1665_IM-0439/0.png"}, {"type": "image", "value": "train/CXR1665_IM-0439/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Old right-sided rib deformities are noted.", "modalities": [{"type": "image", "value": "train/CXR2749_IM-1199/0.png"}, {"type": "image", "value": "train/CXR2749_IM-1199/1.png"}]} {"text": "The X-rays and show the following chest conditions: 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 on the lateral view which appear to represent small areas of scarring. Surgical clips are present in the right upper quadrant of the abdomen. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR1179_IM-0122/0.png"}, {"type": "image", "value": "train/CXR1179_IM-0122/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature noted.", "modalities": [{"type": "image", "value": "train/CXR1583_IM-0378/0.png"}, {"type": "image", "value": "train/CXR1583_IM-0378/1.png"}]} {"text": " and show chest X-ray scans that indicate: Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. No overt edema or confluent lobar pneumonia. No pleural effusion. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3159_IM-1487-1001/0.png"}, {"type": "image", "value": "train/CXR3159_IM-1487-1001/1.png"}]} {"text": "The chest X-rays in and display: The heart is normal in size. The mediastinum is unremarkable. Granulomatous sequela are noted. The lungs are otherwise clear.", "modalities": [{"type": "image", "value": "train/CXR2815_IM-1240/0.png"}, {"type": "image", "value": "train/CXR2815_IM-1240/1.png"}]} {"text": " and are images of chest X-rays showing: The cardiac silhouette is enlarged with no comparison studies. Findings are XXXX accentuated by low lung volumes and eventration of the anterior right hemidiaphragm, however, cardiomegaly or less XXXX, pericardial effusion is suspected. The lungs are hypoinflated with central bronchovascular crowding but no evidence of overt pulmonary edema. The lungs are grossly clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings. There are degenerative changes of the thoracic spine. Patient appears morbidly obese.", "modalities": [{"type": "image", "value": "train/CXR1449_IM-0290/0.png"}, {"type": "image", "value": "train/CXR1449_IM-0290/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There are T-spine osteophytes. There calcified costochondral cartilages. There is loss of disc XXXX of a midthoracic vertebral body. There are streaky opacities in both lung bases which may represent atelectasis or scarring. No pneumothorax. The heart is borderline enlarged.", "modalities": [{"type": "image", "value": "train/CXR594_IM-2187/0.png"}, {"type": "image", "value": "train/CXR594_IM-2187/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart and mediastinal contours are unchanged. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3591_IM-1770-1001/0.png"}, {"type": "image", "value": "train/CXR3591_IM-1770-1001/1.png"}]} {"text": " and depict chest X-rays with these findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated with XXXX XXXX opacities compatible with pleural-parenchymal scarring. There is no acute infiltrate or effusion.", "modalities": [{"type": "image", "value": "train/CXR2307_IM-0882/0.png"}, {"type": "image", "value": "train/CXR2307_IM-0882/1.png"}]} {"text": "Chest X-rays shown as and indicate: Soft tissue and bony structures unremarkable. Heart size is upper limit of normal. Lung XXXX are clear. No effusion or pneumothorax. Calcified lymph XXXX stable from prior exam.", "modalities": [{"type": "image", "value": "train/CXR3623_IM-1793/0.png"}, {"type": "image", "value": "train/CXR3623_IM-1793/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Lungs are clear. Heart size normal. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR654_IM-2231/0.png"}, {"type": "image", "value": "train/CXR654_IM-2231/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are free of acute infiltrates and expanded. Strandy scarring in the left lower lobe is unchanged. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2022_IM-0669/0.png"}, {"type": "image", "value": "train/CXR2022_IM-0669/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The lungs are hyperaerated suggestive of chronic obstructive pulmonary disease. No focal lung consolidation. No pleural effusion. No definite pneumothorax. Heart is not enlarged. Postsurgical changes with mediastinal clips and XXXX XXXX.", "modalities": [{"type": "image", "value": "train/CXR1958_IM-0625/0.png"}, {"type": "image", "value": "train/CXR1958_IM-0625/1.png"}]} {"text": " and show chest X-ray scans that indicate: Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. There are stable degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3635_IM-1802/0.png"}, {"type": "image", "value": "train/CXR3635_IM-1802/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: 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. Stable calcified granuloma within the right upper lung. No acute bone abnormality..", "modalities": [{"type": "image", "value": "train/CXR10_IM-0002/0.png"}, {"type": "image", "value": "train/CXR10_IM-0002/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Low lung volumes. No focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable", "modalities": [{"type": "image", "value": "train/CXR2356_IM-0920/0.png"}, {"type": "image", "value": "train/CXR2356_IM-0920/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Stable cardiomediastinal silhouette. Calcified granuloma in the left lower lobe. Minimal bibasilar airspace disease. No pneumothorax. Degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2417_IM-0961/0.png"}, {"type": "image", "value": "train/CXR2417_IM-0961/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3051_IM-1420/0.png"}, {"type": "image", "value": "train/CXR3051_IM-1420/1.png"}]} {"text": "X-rays and show these chest observations: The heart size is normal with stable appearance of the cardiomediastinal silhouette. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are stable calcified right peritracheal lymph XXXX. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3568_IM-1753/0.png"}, {"type": "image", "value": "train/CXR3568_IM-1753/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR781_IM-2323/0.png"}, {"type": "image", "value": "train/CXR781_IM-2323/1.png"}]} {"text": " and capture chest X-rays with these findings: The heart is normal in size with normal appearance of the cardiomediastinal silhouette. There is a hiatal hernia with soft tissue projecting behind the mediastinum. The lungs are clear without focal airspace opacity, pleural effusion, pneumothorax. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2296_IM-0876/0.png"}, {"type": "image", "value": "train/CXR2296_IM-0876/1.png"}]} {"text": " and capture chest X-rays with these findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR133_IM-0212/0.png"}, {"type": "image", "value": "train/CXR133_IM-0212/1.png"}]} {"text": " and capture chest X-rays with these findings: The heart size is stable. The aorta is ectatic and atherosclerotic but stable. XXXX sternotomy XXXX are again noted. The scarring in the left lower lobe is again noted and unchanged from prior exam. There are mild bilateral prominent lung interstitial opacities consistent with emphysematous disease. The calcified granulomas are stable.", "modalities": [{"type": "image", "value": "train/CXR75_IM-2303/0.png"}, {"type": "image", "value": "train/CXR75_IM-2303/1.png"}]} {"text": " and show chest X-ray scans that indicate: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2106_IM-0736/0.png"}, {"type": "image", "value": "train/CXR2106_IM-0736/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No change in a small calcified right apical granuloma. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3322_IM-1588/0.png"}, {"type": "image", "value": "train/CXR3322_IM-1588/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3400_IM-1644/0.png"}, {"type": "image", "value": "train/CXR3400_IM-1644/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: CHEST. The heart, 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 minimal degenerative changes of the spine. There is flattening of the hemidiaphragms. ABDOMEN. There is a normal bowel XXXX pattern. There is an IVC XXXX identified. There are phleboliths in pelvis. There mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2581_IM-1079/0.png"}, {"type": "image", "value": "train/CXR2581_IM-1079/1.png"}]} {"text": "The X-rays and show the following chest conditions: Heart size is unchanged. Aortic calcification is noted. No pneumothorax. No large pleural effusions. There are unchanged XXXX opacities throughout the lungs which XXXX represent scarring. Lungs are hyperexpanded.", "modalities": [{"type": "image", "value": "train/CXR218_IM-0792/0.png"}, {"type": "image", "value": "train/CXR218_IM-0792/1.png"}]} {"text": "The images and are chest X-rays with the following noted: This is an apical lordotic view the chest. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR193_IM-0601/0.png"}, {"type": "image", "value": "train/CXR193_IM-0601/1.png"}]} {"text": " and X-rays show chest observations as follows: There are XXXX sternotomy XXXX identified. The heart is within normal limits in size. The aorta is calcified and tortuous. There are scattered calcified granulomas throughout both lungs. No focal infiltrate, pleural effusion, or pneumothorax. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1900_IM-0584/0.png"}, {"type": "image", "value": "train/CXR1900_IM-0584/1.png"}]} {"text": "The X-rays and show the following chest conditions: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3726_IM-1862/0.png"}, {"type": "image", "value": "train/CXR3726_IM-1862/1.png"}]} {"text": "The X-rays and show the following chest conditions: Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Probable old lateral right rib fractures.", "modalities": [{"type": "image", "value": "train/CXR788_IM-2328/0.png"}, {"type": "image", "value": "train/CXR788_IM-2328/1.png"}]} {"text": "X-rays and show chest details with these impressions: Exam limited by patient rotation. Mild rightward deviation of the trachea. Stable cardiomegaly. Unfolding of the thoracic aorta. Persistent right pleural effusion with adjacent atelectasis. Low lung volumes. No focal airspace consolidation. There is severe degenerative changes of the right shoulder.", "modalities": [{"type": "image", "value": "train/CXR576_IM-2174/0.png"}, {"type": "image", "value": "train/CXR576_IM-2174/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Heart size normal. Mild tortuosity of the thoracic aorta. There is no focal consolidation, pneumothorax, or pleural effusion identified. A bullet is noted in the soft tissues of the inferior right chest wall. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2677_IM-1151/0.png"}, {"type": "image", "value": "train/CXR2677_IM-1151/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1254_IM-0172/0.png"}, {"type": "image", "value": "train/CXR1254_IM-0172/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiomediastinal silhouette stable and unremarkable. Stable eventration of the right hemidiaphragm. There is redemonstration without significant interval change of mild subsegmental atelectasis of the left base. Pneumonia seen on CT examination dated XXXX, XXXX (not seen on prior chest x-XXXX) is not seen either on XXXX chest x-XXXX.", "modalities": [{"type": "image", "value": "train/CXR3103_IM-1454/0.png"}, {"type": "image", "value": "train/CXR3103_IM-1454/1.png"}]} {"text": " and show chest X-ray scans that indicate: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. Limbus vertebra noted within the partial visualized lumbar vertebral body.", "modalities": [{"type": "image", "value": "train/CXR358_IM-1759/0.png"}, {"type": "image", "value": "train/CXR358_IM-1759/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is a thin right apical pneumothorax measuring approximately 5 mm in thickness. There is extensive subcutaneous emphysema in the right chest wall and neck. There are fractures of the right anterior 5th through 9th anterior ribs with mild displacement. Additional fractures cannot entirely be excluded. There is mild streaky airspace disease in the right lung base. Left lung is clear. There is a small hiatal hernia. There is an intrathecal catheter terminating in the lower thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1874_IM-0565/0.png"}, {"type": "image", "value": "train/CXR1874_IM-0565/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3067_IM-1430/0.png"}, {"type": "image", "value": "train/CXR3067_IM-1430/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs appear clear. No evidence of focal pneumonia. The heart and pulmonary XXXX are normal. There is suture material at the left apex suggesting prior lung surgery. In the pleural spaces are clear. Mediastinal contours appear normal.", "modalities": [{"type": "image", "value": "train/CXR452_IM-2083/0.png"}, {"type": "image", "value": "train/CXR452_IM-2083/1.png"}]} {"text": " and provide chest images showing: The patchy right lower lobe and left lower lobe interstitial infiltrates are largely unchanged in the interval. No XXXX infiltrates. Heart size remains large. Tracheostomy tube remains in the trachea. A right central line has its tip at the superior XXXX XXXX.", "modalities": [{"type": "image", "value": "train/CXR3342_IM-1603/0.png"}, {"type": "image", "value": "train/CXR3342_IM-1603/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The previously seen right-sided PICC has been removed. The heart size is normal. Lungs are clear. There is no pneumothorax or large pleural effusion. Bony structures are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1674_IM-0445/0.png"}, {"type": "image", "value": "train/CXR1674_IM-0445/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart is normal in size. The mediastinum is stable. XXXX sternotomy changes are again noted. The lungs are clear of focal infiltrates. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR125_IM-0169/0.png"}, {"type": "image", "value": "train/CXR125_IM-0169/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: 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. Oval sclerotic density projecting over the inferior right glenoid may represent synovial osteochondromatosis or cortical XXXX XXXX. This is unchanged 31 17 XXXX. The remaining osseous structures and visualized upper abdomen are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR793_IM-2330/0.png"}, {"type": "image", "value": "train/CXR793_IM-2330/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: In the interval, consolidation and atelectasis have developed in the right lower lobe. Costophrenic XXXX blunted on the right. Left lung clear. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR2370_IM-0931/0.png"}, {"type": "image", "value": "train/CXR2370_IM-0931/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The lungs appear clear. There are no suspicious appearing pulmonary nodules or masses. There is no evidence of pneumonia. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR2464_IM-0997/0.png"}, {"type": "image", "value": "train/CXR2464_IM-0997/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is mild prominence of the interstitial markings which are unchanged.", "modalities": [{"type": "image", "value": "train/CXR2763_IM-1209/0.png"}, {"type": "image", "value": "train/CXR2763_IM-1209/1.png"}]} {"text": "X-rays and show these chest observations: Borderline enlarged heart. Pulmonary vasculature appears within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Possible right shoulder calcific tendinitis. Calcifications of the abdominal aorta are seen.", "modalities": [{"type": "image", "value": "train/CXR2003_IM-0654/0.png"}, {"type": "image", "value": "train/CXR2003_IM-0654/1.png"}]} {"text": " and are images of chest X-rays showing: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3389_IM-1634/0.png"}, {"type": "image", "value": "train/CXR3389_IM-1634/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart and mediastinum are normal. No focal consolidation. No pleural effusion or pneumothorax. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR544_IM-2148/0.png"}, {"type": "image", "value": "train/CXR544_IM-2148/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: There is right basilar opacity with associated blunting of the costophrenic XXXX seen on lateral view. In addition, there is a interface along the left hemidiaphragm. This may represent attenuation artifact however further evaluation with right lateral decubitus views would better evaluate. There is no pneumothorax. The XXXX lungs are clear. Cardiac silhouette and mediastinal contours are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1725_IM-0478/0.png"}, {"type": "image", "value": "train/CXR1725_IM-0478/1.png"}]} {"text": "The X-rays and show the following chest conditions: Normal cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.", "modalities": [{"type": "image", "value": "train/CXR2539_IM-1050/0.png"}, {"type": "image", "value": "train/CXR2539_IM-1050/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacity in left midlung. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1567_IM-0370/0.png"}, {"type": "image", "value": "train/CXR1567_IM-0370/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The cardiomediastinal silhouette is normal in size in appearance and stable from XXXX. The lungs are clear. Soft tissues and bony structures are unremarkable. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2655_IM-1137/0.png"}, {"type": "image", "value": "train/CXR2655_IM-1137/1.png"}]} {"text": " and exhibit chest X-rays showing: Rounded 1.4 cm projecting retrosternally on lateral view only. No focal consolidation, effusion, or pneumothorax. Normal heart size. Minimal degenerative changes of the thoracic spine. Negative for pneumoperitoneum.", "modalities": [{"type": "image", "value": "train/CXR2837_IM-1252/0.png"}, {"type": "image", "value": "train/CXR2837_IM-1252/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. There is right upper lobe airspace disease.. There is a rounded nodular opacity in the left upper lung measuring approximately 7 mm which may represent further sequela of infectious process versus other pathology. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR564_IM-2165/0.png"}, {"type": "image", "value": "train/CXR564_IM-2165/1.png"}]} {"text": " and are images of chest X-rays showing: Heart and mediastinal contour normal. Pulmonary vascularity normal. Lungs clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR2880_IM-1284/0.png"}, {"type": "image", "value": "train/CXR2880_IM-1284/1.png"}]} {"text": " and show chest X-ray scans that indicate: Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2629_IM-1116/0.png"}, {"type": "image", "value": "train/CXR2629_IM-1116/1.png"}]} {"text": "The X-rays and show the following chest conditions: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR644_IM-2223/0.png"}, {"type": "image", "value": "train/CXR644_IM-2223/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal. No change calcified left hilar XXXX and left small granuloma.", "modalities": [{"type": "image", "value": "train/CXR3410_IM-1648/0.png"}, {"type": "image", "value": "train/CXR3410_IM-1648/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Bilateral emphysematous again noted and lower lobe fibrotic changes. Postsurgical changes of the chest including CABG procedure, stable. Stable valve artifact. There are no focal areas of consolidation. No large pleural effusions. No evidence of pneumothorax. Degenerative changes noted of the visualized thoracic spine. Nodular right lower lobe opacity, XXXX nipple XXXX. Contour abnormality of the posterior aspect of the right 7th rib again noted, stable.", "modalities": [{"type": "image", "value": "train/CXR412_IM-2056/0.png"}, {"type": "image", "value": "train/CXR412_IM-2056/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The XXXX are grossly intact. Interval removal of right PICC. Persistent elevation of the left hemidiaphragm.", "modalities": [{"type": "image", "value": "train/CXR2283_IM-0870/0.png"}, {"type": "image", "value": "train/CXR2283_IM-0870/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and XXXX.", "modalities": [{"type": "image", "value": "train/CXR3539_IM-1731/0.png"}, {"type": "image", "value": "train/CXR3539_IM-1731/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Left-sided PICC line has been placed in the interval with tip XXXX in the innominate vein.", "modalities": [{"type": "image", "value": "train/CXR3921_IM-1995/0.png"}, {"type": "image", "value": "train/CXR3921_IM-1995/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Mild lung hyperinflation. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Degenerative changes seen within the midthoracic spine. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR2113_IM-0742/0.png"}, {"type": "image", "value": "train/CXR2113_IM-0742/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified.", "modalities": [{"type": "image", "value": "train/CXR67_IM-2243/0.png"}, {"type": "image", "value": "train/CXR67_IM-2243/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: There is significant interval decrease in right middle and right lower lobe opacification. Persistent small right pleural effusion and XXXX XXXX atelectasis. No pneumothorax. Stable appearance of the cardiomediastinal silhouette. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1383_IM-0245/0.png"}, {"type": "image", "value": "train/CXR1383_IM-0245/1.png"}]} {"text": " and exhibit chest X-rays showing: The cardiomediastinal silhouette is normal in size and contour. Stable right lower lobe calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Spurring of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1892_IM-0580/0.png"}, {"type": "image", "value": "train/CXR1892_IM-0580/1.png"}]} {"text": " and provide chest images showing: 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 bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR3948_IM-2017/0.png"}, {"type": "image", "value": "train/CXR3948_IM-2017/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart and mediastinal contours are stable. The lungs are clear without focal infiltrate. There is no pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3413_IM-1650/0.png"}, {"type": "image", "value": "train/CXR3413_IM-1650/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. The mediastinal contours are normal. There is calcification of the thoracic aorta.", "modalities": [{"type": "image", "value": "train/CXR3467_IM-1684-0001/0.png"}, {"type": "image", "value": "train/CXR3467_IM-1684-0001/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR331_IM-1584/0.png"}, {"type": "image", "value": "train/CXR331_IM-1584/1.png"}]} {"text": "X-ray scans and indicate the following in the 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR477_IM-2101/0.png"}, {"type": "image", "value": "train/CXR477_IM-2101/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: 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. Calcified granuloma is identified.", "modalities": [{"type": "image", "value": "train/CXR1349_IM-0227/0.png"}, {"type": "image", "value": "train/CXR1349_IM-0227/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is large. In the interval, pulmonary venous engorgement has developed. Also, bibasilar interstitial infiltrates are present.", "modalities": [{"type": "image", "value": "train/CXR2673_IM-1149/0.png"}, {"type": "image", "value": "train/CXR2673_IM-1149/1.png"}]} {"text": "Chest X-rays shown as and indicate: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3223_IM-1523/0.png"}, {"type": "image", "value": "train/CXR3223_IM-1523/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: There is minimal XXXX opacity in the left lung base, XXXX representing atelectasis. The lungs are otherwise clear. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1063_IM-0044/0.png"}, {"type": "image", "value": "train/CXR1063_IM-0044/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1468_IM-0303/0.png"}, {"type": "image", "value": "train/CXR1468_IM-0303/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The heart is borderline in size. The mediastinum is stable with changes of XXXX sternotomy and bypass graft. Aorta is atherosclerotic. There are postsurgical changes of the left hemithorax with mild left-sided volume loss as evidenced by diaphragm elevation. Left post thoracotomy rib changes are noted. The right lung is clear. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2390_IM-0944/0.png"}, {"type": "image", "value": "train/CXR2390_IM-0944/1.png"}]} {"text": " and capture chest X-rays with these findings: Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1663_IM-0439/0.png"}, {"type": "image", "value": "train/CXR1663_IM-0439/1.png"}]} {"text": "X-ray images labeled and display the following findings: The lungs and pleural spaces show no acute abnormality. Hyperexpanded lungs. Calcified right upper lobe granuloma, unchanged. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures.", "modalities": [{"type": "image", "value": "train/CXR2824_IM-1245/0.png"}, {"type": "image", "value": "train/CXR2824_IM-1245/1.png"}]} {"text": "The X-rays labeled and show chest conditions: There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3946_IM-2015/0.png"}, {"type": "image", "value": "train/CXR3946_IM-2015/1.png"}]} {"text": "X-ray scans and display the following chest observations: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1980_IM-0637/0.png"}, {"type": "image", "value": "train/CXR1980_IM-0637/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The cardiac silhouette and pulmonary vascularity are normal. The lungs are clear. There is no evidence of pleural effusion. Postoperative changes are noted in the mediastinum and lower cervical spine.", "modalities": [{"type": "image", "value": "train/CXR694_IM-2260/0.png"}, {"type": "image", "value": "train/CXR694_IM-2260/1.png"}]} {"text": " and depict chest X-rays with these findings: No focal consolidation, suspicious pulmonary opacity or definite pleural effusion. Heart size and pulmonary vascularity within normal limits. Stable mediastinal contour. Calcified hilar lymph XXXX. Visualized osseous structures unremarkable.", "modalities": [{"type": "image", "value": "train/CXR660_IM-2237-0001/0.png"}, {"type": "image", "value": "train/CXR660_IM-2237-0001/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3818_IM-1925/0.png"}, {"type": "image", "value": "train/CXR3818_IM-1925/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR168_IM-0448/0.png"}, {"type": "image", "value": "train/CXR168_IM-0448/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.", "modalities": [{"type": "image", "value": "train/CXR1374_IM-0240/0.png"}, {"type": "image", "value": "train/CXR1374_IM-0240/1.png"}]} {"text": " and provide chest images showing: The heart size is normal. The mediastinal contour is within normal limits. There is a streaky opacity within the right upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR3961_IM-2026/0.png"}, {"type": "image", "value": "train/CXR3961_IM-2026/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: There are postoperative changes of sternotomy. There is cardiomegaly. The contour of the ascending aorta is prominent, consistent with known ascending aortic aneurysm. The lungs appear clear. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR437_IM-2077/0.png"}, {"type": "image", "value": "train/CXR437_IM-2077/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR958_IM-2449/0.png"}, {"type": "image", "value": "train/CXR958_IM-2449/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Heart size, aortic and mediastinal contours are within normal limits. The lungs are clear. No visible pneumothorax or large pleural effusion. 6 mm nodular opacity overlies the left anterior 5th rib on the frontal view. No focal bony abnormality identified.", "modalities": [{"type": "image", "value": "train/CXR3794_IM-1908/0.png"}, {"type": "image", "value": "train/CXR3794_IM-1908/1.png"}]} {"text": " and capture chest X-rays with these findings: Chest. No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size is normal. No focal thoracic bony findings. Hand. There is also cortical and trabecular irregularity through the XXXX of the scaphoid. There is a small cortical lucency through the base of the fourth metacarpal that may be a vascular XXXX.", "modalities": [{"type": "image", "value": "train/CXR1350_IM-0227/0.png"}, {"type": "image", "value": "train/CXR1350_IM-0227/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal infiltrate. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable. No displaced rib fractures. Right nipple ring noted.", "modalities": [{"type": "image", "value": "train/CXR664_IM-2240/0.png"}, {"type": "image", "value": "train/CXR664_IM-2240/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1926_IM-0600/0.png"}, {"type": "image", "value": "train/CXR1926_IM-0600/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The heart and cardiomediastinal silhouette are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3648_IM-1810/0.png"}, {"type": "image", "value": "train/CXR3648_IM-1810/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Stable cardiomegaly. Thoracic aortic atherosclerotic calcifications are noted. There is a prominence of the pulmonary vasculature. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR627_IM-2207/0.png"}, {"type": "image", "value": "train/CXR627_IM-2207/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The XXXX examination consists of frontal and lateral radiographs of the chest. External monitor leads XXXX the thorax. 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.", "modalities": [{"type": "image", "value": "train/CXR3044_IM-1418/0.png"}, {"type": "image", "value": "train/CXR3044_IM-1418/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size and mediastinal contours are stable. Stable calcification of the thoracic aorta. Pulmonary vasculature is within normal limits. There is no focal air space opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is demonstrated.", "modalities": [{"type": "image", "value": "train/CXR2970_IM-1362/0.png"}, {"type": "image", "value": "train/CXR2970_IM-1362/1.png"}]} {"text": " and exhibit chest X-rays showing: Lung volumes are low. In the interval, a patchy infiltrate has developed in the right lower lobe. Heart and pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR2812_IM-1239/0.png"}, {"type": "image", "value": "train/CXR2812_IM-1239/1.png"}]} {"text": "The chest X-rays in and display: The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR792_IM-2330/0.png"}, {"type": "image", "value": "train/CXR792_IM-2330/1.png"}]} {"text": " and show chest X-ray scans that indicate: Heart size is upper limits of normal but stable. Mediastinal contours are within normal limits.. Chronically increased interstitial markings without focal airspace consolidation, pleural effusion, pneumothorax. Degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2908_IM-1312/0.png"}, {"type": "image", "value": "train/CXR2908_IM-1312/1.png"}]} {"text": "The chest scans and reveal: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3037_IM-1410/0.png"}, {"type": "image", "value": "train/CXR3037_IM-1410/1.png"}]} {"text": "These chest X-rays ( and ) show the following: There is some minimal patchy opacity in left base which may represent atelectasis or scarring. The lungs are otherwise clear. The heart and mediastinum are normal for age. There is some arthritic changes of the skeletal structures and there has been previous rotator XXXX repair on the right.", "modalities": [{"type": "image", "value": "train/CXR411_IM-2056/0.png"}, {"type": "image", "value": "train/CXR411_IM-2056/1.png"}]} {"text": "The chest X-rays in and display: Normal heart size mediastinal contours. Eventration of the right hemidiaphragm. No focal airspace consolidation. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR181_IM-0524/0.png"}, {"type": "image", "value": "train/CXR181_IM-0524/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There are are streaky retrocardiac left lower lobe opacities, in the correct clinical setting this could represent a pneumonia. There is no pneumothorax or pleural effusion. The cardiac silhouette is within normal limits.", "modalities": [{"type": "image", "value": "train/CXR332_IM-1588/0.png"}, {"type": "image", "value": "train/CXR332_IM-1588/1.png"}]} {"text": " and exhibit chest X-rays showing: Lungs are clear without focal consolidation. No suspicious pulmonary nodules identified. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR2572_IM-1073/0.png"}, {"type": "image", "value": "train/CXR2572_IM-1073/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR18_IM-0520/0.png"}, {"type": "image", "value": "train/CXR18_IM-0520/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Mild cardiomegaly. Lungs are clear. Calcified hilar XXXX. No pleural effusion or pneumothorax. Soft tissues and showed unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2848_IM-1256/0.png"}, {"type": "image", "value": "train/CXR2848_IM-1256/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Feeding tube passes below the left hemidiaphragm. Left subclavian central line tip is at the upper SVC. Shunt tubing courses along the anterior left hemithorax. There is grossly stable left lower lobe consolidation. Stable mild residual medial right basilar airspace disease. There is no pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are diffuse degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1240_IM-0162/0.png"}, {"type": "image", "value": "train/CXR1240_IM-0162/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The heart, 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 is a calcified granuloma in the left lung base.", "modalities": [{"type": "image", "value": "train/CXR1464_IM-0301/0.png"}, {"type": "image", "value": "train/CXR1464_IM-0301/1.png"}]} {"text": " and show chest X-ray scans that indicate: Right upper lobe airspace disease consistent with pneumonia given patient's history. The lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR3069_IM-1432/0.png"}, {"type": "image", "value": "train/CXR3069_IM-1432/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. XXXX XXXX foreign body is noted in the soft tissues of the left chest wall.", "modalities": [{"type": "image", "value": "train/CXR1223_IM-0150/0.png"}, {"type": "image", "value": "train/CXR1223_IM-0150/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR90_IM-2407/0.png"}, {"type": "image", "value": "train/CXR90_IM-2407/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Mild dextro curvature of the thoracic spine, possibly positional.", "modalities": [{"type": "image", "value": "train/CXR2986_IM-1374/0.png"}, {"type": "image", "value": "train/CXR2986_IM-1374/1.png"}]} {"text": "The chest scans and reveal: The heart size and mediastinal contours appear within normal limits. Low lung volumes on the AP view with bronchovascular crowding and bibasilar atelectasis. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1184_IM-0124/0.png"}, {"type": "image", "value": "train/CXR1184_IM-0124/1.png"}]} {"text": "X-ray images labeled and display the following findings: Normal heart size and pulmonary vascularity. There are changes of chronic lung disease noticed by hyperinflated lungs and streaky opacities compatible with scar. Interval placement of the chest XXXX with the tip in the superior XXXX XXXX. No focal infiltrate, pneumothorax or pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR3469_IM-1685/0.png"}, {"type": "image", "value": "train/CXR3469_IM-1685/1.png"}]} {"text": " and provide chest images showing: There is hyperinflation of the lungs but they are clear. The heart and mediastinum are normal. The skeletal structures are normal. There are bilateral breast prostheses.", "modalities": [{"type": "image", "value": "train/CXR2253_IM-0845/0.png"}, {"type": "image", "value": "train/CXR2253_IM-0845/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR1540_IM-0351/0.png"}, {"type": "image", "value": "train/CXR1540_IM-0351/1.png"}]} {"text": " and are images of chest X-rays showing: Low lung volumes with magnified appearance of the heart, XXXX normal heart size. Negative for consolidation, effusion, or pneumothorax. Bony thorax and soft tissues grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1562_IM-0367/0.png"}, {"type": "image", "value": "train/CXR1562_IM-0367/1.png"}]} {"text": "Chest X-rays shown as and indicate: Low lung volumes. Normal heart size. The trachea is midline. Lungs are clear. No pneumothorax. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR314_IM-1477/0.png"}, {"type": "image", "value": "train/CXR314_IM-1477/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Chest: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Hyperlucent apices. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Healed remote left 9th rib fracture. Right shoulder: Negative for fracture or dislocation.", "modalities": [{"type": "image", "value": "train/CXR212_IM-0746-1001/0.png"}, {"type": "image", "value": "train/CXR212_IM-0746-1001/1.png"}]} {"text": "The images and are chest X-rays with the following noted: 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.", "modalities": [{"type": "image", "value": "train/CXR3253_IM-1542/0.png"}, {"type": "image", "value": "train/CXR3253_IM-1542/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR3827_IM-1932/0.png"}, {"type": "image", "value": "train/CXR3827_IM-1932/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Mild cardiomegaly. Tortuous aorta. No focal infiltrate. No pneumothorax or large pleural effusion. Soft tissue density identified in the medial right apex which is asymmetric compared to left.", "modalities": [{"type": "image", "value": "train/CXR123_IM-0153/0.png"}, {"type": "image", "value": "train/CXR123_IM-0153/1.png"}]} {"text": " and provide chest images showing: The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is bilateral basilar XXXX opacity compatible with atelectasis. There are somewhat low lung volumes. There is a calcified right hilar lymph node.", "modalities": [{"type": "image", "value": "train/CXR723_IM-2283/0.png"}, {"type": "image", "value": "train/CXR723_IM-2283/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2341_IM-0907/0.png"}, {"type": "image", "value": "train/CXR2341_IM-0907/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Status post XXXX sternotomy and CABG. Heart size is normal. Coronary vascular stent. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Calcified mediastinal lymph XXXX. Normal pulmonary vascularity. Degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR62_IM-2202/0.png"}, {"type": "image", "value": "train/CXR62_IM-2202/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Previous lower spine cervical fusion. Lungs are overall hyperexpanded with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR112_IM-0080/0.png"}, {"type": "image", "value": "train/CXR112_IM-0080/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Lungs are clear. Heart and mediastinum appear normal. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3731_IM-1865/0.png"}, {"type": "image", "value": "train/CXR3731_IM-1865/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: 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.", "modalities": [{"type": "image", "value": "train/CXR2486_IM-1014/0.png"}, {"type": "image", "value": "train/CXR2486_IM-1014/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Right dual-lumen internal jugular central venous catheter seen with tip overlying the cavoatrial junction. Heart size at the upper limits of normal. Low lung volumes with bronchovascular crowding. Patchy bibasilar air airspace opacities right greater than left. No visualized pneumothorax. Prominence of the mediastinum consistent with history of sarcoid.", "modalities": [{"type": "image", "value": "train/CXR601_IM-2192/0.png"}, {"type": "image", "value": "train/CXR601_IM-2192/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The cardiomediastinal silhouette is normal in size and contour. Lungs are clear without focal areas of consolidation. No pneumothorax or large pleural effusion. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR247_IM-1000/0.png"}, {"type": "image", "value": "train/CXR247_IM-1000/1.png"}]} {"text": "The chest scans and reveal: Heart size normal. Tortuous aorta. Sequela primary granulomatous disease. Lungs clear. Minimal spurring in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2858_IM-1265/0.png"}, {"type": "image", "value": "train/CXR2858_IM-1265/1.png"}]} {"text": " and show chest X-ray scans that indicate: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1192_IM-0129/0.png"}, {"type": "image", "value": "train/CXR1192_IM-0129/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR19_IM-0583/0.png"}, {"type": "image", "value": "train/CXR19_IM-0583/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Heart size mildly enlarged, stable mediastinal and hilar contours. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR2326_IM-0897/0.png"}, {"type": "image", "value": "train/CXR2326_IM-0897/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR89_IM-2402/0.png"}, {"type": "image", "value": "train/CXR89_IM-2402/1.png"}]} {"text": " and capture X-rays of the chest with these observations: No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR17_IM-0460/0.png"}, {"type": "image", "value": "train/CXR17_IM-0460/1.png"}]} {"text": " and are images of chest X-rays showing: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Multilevel cervical XXXX arthritis.", "modalities": [{"type": "image", "value": "train/CXR3034_IM-1408/0.png"}, {"type": "image", "value": "train/CXR3034_IM-1408/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No interval change in the appearance of the XXXX opacities in the bilateral lower lobes. No pneumothorax. No pleural effusion. The thoracic spine appears intact.", "modalities": [{"type": "image", "value": "train/CXR587_IM-2182/0.png"}, {"type": "image", "value": "train/CXR587_IM-2182/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1648_IM-0425-0001/0.png"}, {"type": "image", "value": "train/CXR1648_IM-0425-0001/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Thoracic spondylosis. Bilateral breast prostheses with XXXX calcification.", "modalities": [{"type": "image", "value": "train/CXR1246_IM-0167/0.png"}, {"type": "image", "value": "train/CXR1246_IM-0167/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not enlarged. There are calcified mediastinal lymph XXXX. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR3832_IM-1935/0.png"}, {"type": "image", "value": "train/CXR3832_IM-1935/1.png"}]} {"text": "Chest X-rays shown as and indicate: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Mild degenerative change is seen within the midthoracic spine. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR750_IM-2304/0.png"}, {"type": "image", "value": "train/CXR750_IM-2304/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No pleural effusion or pneumothorax. XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3978_IM-2037-0001/0.png"}, {"type": "image", "value": "train/CXR3978_IM-2037-0001/1.png"}]} {"text": " and show chest X-ray scans that indicate: The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR42_IM-2063/0.png"}, {"type": "image", "value": "train/CXR42_IM-2063/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Left axillary surgical clips. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR33_IM-1576/0.png"}, {"type": "image", "value": "train/CXR33_IM-1576/1.png"}]} {"text": " and depict chest X-rays with these findings: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR280_IM-1232/0.png"}, {"type": "image", "value": "train/CXR280_IM-1232/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The aortic XXXX, cardiac apex, and stomach are left-sided. Cardiomediastinal silhouette is within normal limits in overall size and appearance. Pulmonary vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1392_IM-0251/0.png"}, {"type": "image", "value": "train/CXR1392_IM-0251/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Right lower lobe XXXX calcified granuloma. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR843_IM-2366/0.png"}, {"type": "image", "value": "train/CXR843_IM-2366/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Mild degenerative changes throughout the thoracic spine. Right knee. There has been prior ligamentous repair. There is tricompartmental joint space narrowing and marginal osteophyte formation which is severe in the medial compartment. No knee joint effusion. No fractures or dislocations.", "modalities": [{"type": "image", "value": "train/CXR2451_IM-0987/0.png"}, {"type": "image", "value": "train/CXR2451_IM-0987/1.png"}]} {"text": " and show chest X-ray scans that indicate: Lungs are hyperinflated with flattening of the diaphragms and increased AP chest diameter, compatible with emphysema. There is no evidence of focal infiltrate, pneumothorax, pleural effusion, or identified mass lesion. There is normal cardiomediastinal contours.", "modalities": [{"type": "image", "value": "train/CXR551_IM-2154/0.png"}, {"type": "image", "value": "train/CXR551_IM-2154/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is normal in size. The mediastinum is unremarkable. XXXX scarring and emphysematous changes noted. The lungs are grossly clear.", "modalities": [{"type": "image", "value": "train/CXR827_IM-2356/0.png"}, {"type": "image", "value": "train/CXR827_IM-2356/1.png"}]} {"text": "Chest X-rays shown as and indicate: Normal heart size. Stable tortuous aorta. No pneumothorax or pleural effusion. No suspicious focal air space opacities. Levoscoliosis of the thoracolumbar spine. Hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes. Prior granulomatous disease.", "modalities": [{"type": "image", "value": "train/CXR1056_IM-0040/0.png"}, {"type": "image", "value": "train/CXR1056_IM-0040/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The cardiomediastinal silhouette is within normal limits for appearance. There are low lung volumes with bronchovascular crowding and scattered XXXX opacities in the bilateral lung bases. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. No acute, displaced rib fractures identified.", "modalities": [{"type": "image", "value": "train/CXR984_IM-2471/0.png"}, {"type": "image", "value": "train/CXR984_IM-2471/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Cardiomegaly is present. The upper lobe pulmonary vascularity appears mildly prominent consistent with pulmonary venous hypertension. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Bony changes of renal osteodystrophy are noted.", "modalities": [{"type": "image", "value": "train/CXR669_IM-2242/0.png"}, {"type": "image", "value": "train/CXR669_IM-2242/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2156_IM-0775/0.png"}, {"type": "image", "value": "train/CXR2156_IM-0775/1.png"}]} {"text": "Chest X-rays shown as and indicate: There is a XXXX 7 XXXX nodular density at the left lung base. Lungs are otherwise clear. The CT scan without IV contrast could be performed for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR397_IM-2030/0.png"}, {"type": "image", "value": "train/CXR397_IM-2030/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact.", "modalities": [{"type": "image", "value": "train/CXR3692_IM-1843/0.png"}, {"type": "image", "value": "train/CXR3692_IM-1843/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The lungs appear clear. Heart and pulmonary XXXX appear normal. Mediastinal contours are normal. Pleural spaces are clear. There appears to the contrast XXXX within small colonic diverticula in the splenic flexure region.", "modalities": [{"type": "image", "value": "train/CXR965_IM-2455/0.png"}, {"type": "image", "value": "train/CXR965_IM-2455/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2807_IM-1237/0.png"}, {"type": "image", "value": "train/CXR2807_IM-1237/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Patient is status post CABG. 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. Calcified granuloma is noted.", "modalities": [{"type": "image", "value": "train/CXR3659_IM-1819/0.png"}, {"type": "image", "value": "train/CXR3659_IM-1819/1.png"}]} {"text": " and depict chest X-rays with these findings: Stable chronic appearing left basilar opacities. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact. Degenerative changes of the visualized thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1645_IM-0422/0.png"}, {"type": "image", "value": "train/CXR1645_IM-0422/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild basilar atelectasis. Increased density the lung bases, favored this attenuation from overlying breast shadows.", "modalities": [{"type": "image", "value": "train/CXR1565_IM-0368/0.png"}, {"type": "image", "value": "train/CXR1565_IM-0368/1.png"}]} {"text": " and capture chest X-rays with these findings: Mild dextroscoliosis of the lower thoracic spine. Cardiomediastinal silhouette is within normal in size and appearance. Pulmonary vascular is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation of the XXXX XXXX to be grossly intact", "modalities": [{"type": "image", "value": "train/CXR3440_IM-1665/0.png"}, {"type": "image", "value": "train/CXR3440_IM-1665/1.png"}]} {"text": " and show chest X-ray scans that indicate: The heart is normal in size. The mediastinum is unremarkable. Small nodule seen in the left upper lung, possibly granuloma. The lungs are otherwise clear.", "modalities": [{"type": "image", "value": "train/CXR2150_IM-0770/0.png"}, {"type": "image", "value": "train/CXR2150_IM-0770/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. There are diminished lung volumes with central bronchovascular crowding. Minimal atelectasis versus scarring seen in the left lung base. Right lung is clear. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR813_IM-2344/0.png"}, {"type": "image", "value": "train/CXR813_IM-2344/1.png"}]} {"text": " and present chest X-rays with the following impressions: There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR1833_IM-0539/0.png"}, {"type": "image", "value": "train/CXR1833_IM-0539/1.png"}]} {"text": " and show chest X-ray scans that indicate: Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1581_IM-0378/0.png"}, {"type": "image", "value": "train/CXR1581_IM-0378/1.png"}]} {"text": " and X-rays show chest observations as follows: There is a single calcified granuloma in the right lung base. The lungs are otherwise grossly clear bilaterally. There is no pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are normal. There are cholecystectomy clips in the right upper quadrant of the abdomen. Small T-spine osteophytes are noted.", "modalities": [{"type": "image", "value": "train/CXR95_IM-2445/0.png"}, {"type": "image", "value": "train/CXR95_IM-2445/1.png"}]} {"text": "Chest X-rays shown as and indicate: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1415_IM-0264/0.png"}, {"type": "image", "value": "train/CXR1415_IM-0264/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple XXXX sternotomy XXXX and surgical clips compatible with prior CABG. The most caudal XXXX sternotomy XXXX is fractured. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1619_IM-0400/0.png"}, {"type": "image", "value": "train/CXR1619_IM-0400/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size within normal limits. Mediastinal contours unremarkable. Pulmonary vascularity is normal. Right lung is clear. XXXX opacities left lung base may represent atelectasis versus scarring. No focal consolidation. No pleural effusion, no pneumothorax. Bony structures unremarkable.", "modalities": [{"type": "image", "value": "train/CXR494_IM-2114/0.png"}, {"type": "image", "value": "train/CXR494_IM-2114/1.png"}]} {"text": "Chest X-rays shown as and indicate: Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Postsurgical changes of the cervical spine are present.", "modalities": [{"type": "image", "value": "train/CXR1520_IM-0336/0.png"}, {"type": "image", "value": "train/CXR1520_IM-0336/1.png"}]} {"text": " and provide chest images showing: The trachea is midline. Cardiomediastinal silhouette is normal and unchanged from prior examination. There are round calcific densities in the right lung consistent with prior granulomatous disease. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2255_IM-0847/0.png"}, {"type": "image", "value": "train/CXR2255_IM-0847/1.png"}]} {"text": "X-rays and show chest details with these impressions: The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion. XXXX foreign body in the posterior soft tissues appear stable.", "modalities": [{"type": "image", "value": "train/CXR2647_IM-1132/0.png"}, {"type": "image", "value": "train/CXR2647_IM-1132/1.png"}]} {"text": " and are images of chest X-rays showing: Hyperexpanded lungs. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Multiple surgical clips overlie the midabdomen.", "modalities": [{"type": "image", "value": "train/CXR2802_IM-1234/0.png"}, {"type": "image", "value": "train/CXR2802_IM-1234/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3157_IM-1487/0.png"}, {"type": "image", "value": "train/CXR3157_IM-1487/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hyperlucent but clear. There is denser lumbar scoliosis.", "modalities": [{"type": "image", "value": "train/CXR2934_IM-1337/0.png"}, {"type": "image", "value": "train/CXR2934_IM-1337/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR2938_IM-1339/0.png"}, {"type": "image", "value": "train/CXR2938_IM-1339/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1511_IM-0331/0.png"}, {"type": "image", "value": "train/CXR1511_IM-0331/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild cardiomegaly without acute cardiac abnormality. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3917_IM-1992/0.png"}, {"type": "image", "value": "train/CXR3917_IM-1992/1.png"}]} {"text": "X-ray images labeled and display the following findings: Overall low lung lines. There is scarring or subsegmental atelectasis at the right lung base. In the left lower lobe there is airspace disease consistent with pneumonia. No pneumothorax. Heart and mediastinum are stable given the lung volumes. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR808_IM-2341/0.png"}, {"type": "image", "value": "train/CXR808_IM-2341/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3350_IM-1607-0001/0.png"}, {"type": "image", "value": "train/CXR3350_IM-1607-0001/1.png"}]} {"text": " and show chest images with these observations: Chronic bilateral emphysematous changes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR1729_IM-0480/0.png"}, {"type": "image", "value": "train/CXR1729_IM-0480/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR3313_IM-1586/0.png"}, {"type": "image", "value": "train/CXR3313_IM-1586/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The heart is normal in size. The mediastinum is stable with tortuous aorta. There are chronic changes particularly noted in the lung apices. The XXXX are mildly prominent but stable. No acute infiltrate is seen. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1242_IM-0164/0.png"}, {"type": "image", "value": "train/CXR1242_IM-0164/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, pulmonary vascularity within normal limits. Straightening of the normal thoracic kyphosis. Levocurvature the lumbar spine, incompletely imaged.", "modalities": [{"type": "image", "value": "train/CXR3820_IM-1928/0.png"}, {"type": "image", "value": "train/CXR3820_IM-1928/1.png"}]} {"text": " and present chest X-rays with the following impressions: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1896_IM-0581/0.png"}, {"type": "image", "value": "train/CXR1896_IM-0581/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are moderate degenerative changes in the thoracic spine. There are postsurgical clips in the right upper quadrant.", "modalities": [{"type": "image", "value": "train/CXR1358_IM-0232/0.png"}, {"type": "image", "value": "train/CXR1358_IM-0232/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR464_IM-2092/0.png"}, {"type": "image", "value": "train/CXR464_IM-2092/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Cardiomegaly. No focal consolidation. No pleural effusions. No evidence of pneumothorax. Osseous structures intact. Levocurvature of the thoracic spine. Lumbar vertebral body stabilization XXXX.", "modalities": [{"type": "image", "value": "train/CXR3941_IM-2012-0001/0.png"}, {"type": "image", "value": "train/CXR3941_IM-2012-0001/1.png"}]} {"text": " and show chest images with these observations: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR479_IM-2102/0.png"}, {"type": "image", "value": "train/CXR479_IM-2102/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR27_IM-1168/0.png"}, {"type": "image", "value": "train/CXR27_IM-1168/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart is top normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but grossly clear. Significant degenerative changes of the XXXX are again noted bilaterally.", "modalities": [{"type": "image", "value": "train/CXR2929_IM-1331/0.png"}, {"type": "image", "value": "train/CXR2929_IM-1331/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Chest. Lungs are clear and expanded. Heart size normal. A calcified pleural plaque in the right subpulmonic area has not XXXX since the abdomen CT. Left and right knees. XXXX, XXXX spaces, and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR3337_IM-1598/0.png"}, {"type": "image", "value": "train/CXR3337_IM-1598/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3764_IM-1884/0.png"}, {"type": "image", "value": "train/CXR3764_IM-1884/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Heart size is within normal limits. Low lung volumes. No focal airspace consolidations. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2835_IM-1251/0.png"}, {"type": "image", "value": "train/CXR2835_IM-1251/1.png"}]} {"text": "The chest scans and reveal: The lungs focal airspace consolidation. There is atelectasis of the left lung base. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. Cervical vertebral XXXX is partially visible at the top of the radiographs.", "modalities": [{"type": "image", "value": "train/CXR3241_IM-1534/0.png"}, {"type": "image", "value": "train/CXR3241_IM-1534/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph XXXX are present.", "modalities": [{"type": "image", "value": "train/CXR762_IM-2310/0.png"}, {"type": "image", "value": "train/CXR762_IM-2310/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Interval performance of anterior cervical spinal fusion, XXXX intact without complicating features. There is stable cardiomegaly, with persistent bibasilar opacities XXXX atelectasis and/or infiltrate. No XXXX focal consolidations, pneumothorax, or pleural effusions. The visualized osseous structures demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine, without acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR612_IM-2199/0.png"}, {"type": "image", "value": "train/CXR612_IM-2199/1.png"}]} {"text": " and X-rays show chest observations as follows: Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. No cavitary lesions. XXXX are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2288_IM-0872/0.png"}, {"type": "image", "value": "train/CXR2288_IM-0872/1.png"}]} {"text": "The chest X-rays in and display: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3370_IM-1622/0.png"}, {"type": "image", "value": "train/CXR3370_IM-1622/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is normal in size. The mediastinum is stable. Granulomatous sequela are noted. The previously visualized nodular density in the right upper lobe is not well-seen on today's study. There is no acute infiltrate or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1839_IM-0543/0.png"}, {"type": "image", "value": "train/CXR1839_IM-0543/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Interval removal of cardiac XXXX generator. Cardiomegaly. Left base streaky opacities again noted. No large focal areas of consolidation. No pleural effusions. Osseous structures intact. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1832_IM-0538/0.png"}, {"type": "image", "value": "train/CXR1832_IM-0538/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2368_IM-0928/0.png"}, {"type": "image", "value": "train/CXR2368_IM-0928/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Mediastinal contours are normal. Unchanged XXXX opacity in the left lung base, XXXX scarring. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3756_IM-1880/0.png"}, {"type": "image", "value": "train/CXR3756_IM-1880/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Low lung volumes are present. 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. There has been interval development of multiple healed left rib fractures. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR907_IM-2412/0.png"}, {"type": "image", "value": "train/CXR907_IM-2412/1.png"}]} {"text": "The chest X-rays in and display: The lungs are clear. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1656_IM-0431/0.png"}, {"type": "image", "value": "train/CXR1656_IM-0431/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Normal heart size and mediastinal contours. Low lung volumes mild bibasilar atelectasis. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. The lateral views are limited by patient positioning and motion. Large cervical spine osteophytes.", "modalities": [{"type": "image", "value": "train/CXR3566_IM-1751/0.png"}, {"type": "image", "value": "train/CXR3566_IM-1751/1.png"}]} {"text": "X-rays and show these chest observations: Calcified lymph XXXX in both XXXX. XXXX amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR1609_IM-0394/0.png"}, {"type": "image", "value": "train/CXR1609_IM-0394/1.png"}]} {"text": "The chest X-rays in and display: Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.", "modalities": [{"type": "image", "value": "train/CXR3168_IM-1492/0.png"}, {"type": "image", "value": "train/CXR3168_IM-1492/1.png"}]} {"text": " and provide chest images showing: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR2069_IM-0702/0.png"}, {"type": "image", "value": "train/CXR2069_IM-0702/1.png"}]} {"text": " and exhibit chest X-rays showing: XXXX opacities in the lung bases are slightly worse XXXX compared to prior study. Lung volumes are low. Heart size and pulmonary XXXX are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post XXXX sternotomy. There calcifications of the thoracic aorta.", "modalities": [{"type": "image", "value": "train/CXR3545_IM-1737/0.png"}, {"type": "image", "value": "train/CXR3545_IM-1737/1.png"}]} {"text": " and X-rays show chest observations as follows: The tracheostomy tube tip is 5 cm above the carina. There are prominent diffuse bilateral interstitial opacities, stable from prior radiographs. There is no focal airspace consolidation. No pleural effusion. No pneumothorax. Heart size is within normal limits. There are mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR57_IM-2170-1001/0.png"}, {"type": "image", "value": "train/CXR57_IM-2170-1001/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Postoperative changes seen in the left humerus. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR794_IM-2331/0.png"}, {"type": "image", "value": "train/CXR794_IM-2331/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Lungs are free of infiltrates. However, in the left lower lobe there is a 1 cm diameter nodule that is not calcified. The right lung is clear. The heart, XXXX, and mediastinum are normal.", "modalities": [{"type": "image", "value": "train/CXR3374_IM-1624/0.png"}, {"type": "image", "value": "train/CXR3374_IM-1624/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The heart, 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 is mild biapical pleural thickening which is smooth. There is evidence of previous anterior cervical spine fusion. There are degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3670_IM-1826/0.png"}, {"type": "image", "value": "train/CXR3670_IM-1826/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.", "modalities": [{"type": "image", "value": "train/CXR1462_IM-0299/0.png"}, {"type": "image", "value": "train/CXR1462_IM-0299/1.png"}]} {"text": " and provide chest images showing: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR407_IM-2054/0.png"}, {"type": "image", "value": "train/CXR407_IM-2054/1.png"}]} {"text": " and depict chest X-rays with these findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3163_IM-1488/0.png"}, {"type": "image", "value": "train/CXR3163_IM-1488/1.png"}]} {"text": "The chest X-rays in and display: Heart size within normal limits, stable mediastinal contours, mediastinal clips, left base pleural-parenchymal irregularity compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing left rib contour irregularities may be posttraumatic or postsurgical.", "modalities": [{"type": "image", "value": "train/CXR3641_IM-1805/0.png"}, {"type": "image", "value": "train/CXR3641_IM-1805/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size and vascularity normal. Mediastinal contour normal. Lungs are clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR3045_IM-1418/0.png"}, {"type": "image", "value": "train/CXR3045_IM-1418/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Normal cardiomediastinal contours. Right lower lung patchy opacities. Small right pneumothorax. Small right pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR465_IM-2093-0001/0.png"}, {"type": "image", "value": "train/CXR465_IM-2093-0001/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Vascular calcification is noted. No adenopathy is seen.", "modalities": [{"type": "image", "value": "train/CXR942_IM-2438/0.png"}, {"type": "image", "value": "train/CXR942_IM-2438/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR1794_IM-0515/0.png"}, {"type": "image", "value": "train/CXR1794_IM-0515/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart size is within normal limits. There is ectasia/tortuosity of the thoracic aorta. Calcified hilar lymph XXXX. Irregular calcific density projecting over the left lower lobe, stable since XXXX and may represent mitral annular calcifications. No focal airspace consolidation, pleural effusions or pneumothorax. Degenerative changes of the thoracic spine. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2121_IM-0747/0.png"}, {"type": "image", "value": "train/CXR2121_IM-0747/1.png"}]} {"text": " and capture chest X-rays with these findings: Scoliosis and focal eventration of the posterior left hemidiaphragm. No focal alveolar consolidation. Rotated position, considering technical factors heart size XXXX within normal limits. No definite pleural effusion seen, left bronchovascular crowding without typical findings of pulmonary edema. Exaggerated kyphosis with increased AP dimension of the thorax.", "modalities": [{"type": "image", "value": "train/CXR2935_IM-1337/0.png"}, {"type": "image", "value": "train/CXR2935_IM-1337/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: There are diffuse increased interstitial markings, suggestive of pulmonary fibrosis in bilateral lung XXXX. The fibrosis appears to slightly increased XXXX compared to previous examination, in XXXX. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR2158_IM-0776/0.png"}, {"type": "image", "value": "train/CXR2158_IM-0776/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1597_IM-0388/0.png"}, {"type": "image", "value": "train/CXR1597_IM-0388/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally without pleural effusion or pneumothorax. No pulmonary nodules. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1378_IM-0242/0.png"}, {"type": "image", "value": "train/CXR1378_IM-0242/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size is within normal limits. Trachea is midline. The lung volumes are slightly on the low side. Lungs are otherwise clear without pleural effusion or pneumothorax. No focal consolidations. No bony or soft tissue abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3493_IM-1698/0.png"}, {"type": "image", "value": "train/CXR3493_IM-1698/1.png"}]} {"text": " and depict chest X-rays with these findings: 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.", "modalities": [{"type": "image", "value": "train/CXR336_IM-1613/0.png"}, {"type": "image", "value": "train/CXR336_IM-1613/1.png"}]} {"text": " and X-rays show chest observations as follows: The lungs are clear. Heart size is normal. No pneumothorax. Calcified left hilar node.", "modalities": [{"type": "image", "value": "train/CXR3296_IM-1575-1001/0.png"}, {"type": "image", "value": "train/CXR3296_IM-1575-1001/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta. XXXX sternotomy XXXX noted. Inferior sternotomy XXXX is disrupted.", "modalities": [{"type": "image", "value": "train/CXR3757_IM-1881/0.png"}, {"type": "image", "value": "train/CXR3757_IM-1881/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The heart size is normal. Tortuous aorta. Otherwise the mediastinal contour is within normal limits. Low lung volumes. Mild elevation of the right hemidiaphragm. There is streaky opacity within the right lower lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR2594_IM-1085/0.png"}, {"type": "image", "value": "train/CXR2594_IM-1085/1.png"}]} {"text": "The chest X-rays in and display: The trachea is midline. The heart XXXX is slightly large. There are low lung volumes causing bronchovascular crowding. Otherwise the lungs appear clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR847_IM-2369/0.png"}, {"type": "image", "value": "train/CXR847_IM-2369/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: No acute osseous abnormalities. Left midlung, and basilar streaky opacity. There is elevation of the left hemidiaphragm. No pneumothorax. Small calcified 8 cm granuloma adjacent to the right diaphragm within the right chest. Cardiomediastinal silhouette is within normal limits.", "modalities": [{"type": "image", "value": "train/CXR3988_IM-2041/0.png"}, {"type": "image", "value": "train/CXR3988_IM-2041/1.png"}]} {"text": " and show chest images with these observations: No focal lung opacity, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1938_IM-0608/0.png"}, {"type": "image", "value": "train/CXR1938_IM-0608/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The heart size is upper limits of normal. 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 minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3937_IM-2008/0.png"}, {"type": "image", "value": "train/CXR3937_IM-2008/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Cardiac and mediastinal contours are within normal limits. Atherosclerotic aorta. Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. No confluent lobar consolidation or large volume pleural effusion. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR221_IM-0817/0.png"}, {"type": "image", "value": "train/CXR221_IM-0817/1.png"}]} {"text": "X-rays and show these chest observations: The heart size and pulmonary vascular appear within normal limits. The lungs appear hyperexpanded consistent with emphysema. Calcified lymph XXXX and granuloma are noted. No acute appearing focal airspace disease is seen. No pleural effusion or pneumothorax is noted.", "modalities": [{"type": "image", "value": "train/CXR3485_IM-1694/0.png"}, {"type": "image", "value": "train/CXR3485_IM-1694/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: No pneumothorax. No large pleural effusions. Heart size is normal. No acute focal space opacities.", "modalities": [{"type": "image", "value": "train/CXR2041_IM-0685/0.png"}, {"type": "image", "value": "train/CXR2041_IM-0685/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The cardiomediastinal silhouette is normal in size and contour. Biapical fibronodular thickening/scarring. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2172_IM-0786/0.png"}, {"type": "image", "value": "train/CXR2172_IM-0786/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Negative for cardiac enlargement. Negative for vascular congestion. Negative for focal confluent airspace disease. Negative for pneumothorax. A few scattered calcified granulomas are identified.", "modalities": [{"type": "image", "value": "train/CXR2980_IM-1370/0.png"}, {"type": "image", "value": "train/CXR2980_IM-1370/1.png"}]} {"text": "The chest X-rays in and display: The heart, 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 is a 1 cm focal opacity in the right lung apex incompletely evaluated by this exam. There is minimal left basilar XXXX opacity compatible with scarring or atelectasis. There are degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR189_IM-0578/0.png"}, {"type": "image", "value": "train/CXR189_IM-0578/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.", "modalities": [{"type": "image", "value": "train/CXR271_IM-1176/0.png"}, {"type": "image", "value": "train/CXR271_IM-1176/1.png"}]} {"text": "X-rays and show chest details with these impressions: The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. There are minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR396_IM-2024/0.png"}, {"type": "image", "value": "train/CXR396_IM-2024/1.png"}]} {"text": " and capture chest X-rays with these findings: 2 images. Calcified granuloma, right lung base. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1131_IM-0088-0001/0.png"}, {"type": "image", "value": "train/CXR1131_IM-0088-0001/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3366_IM-1618/0.png"}, {"type": "image", "value": "train/CXR3366_IM-1618/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Bilateral pleural effusions, left small, right moderate in size, abnormal opacities in the adjacent lung bases. Limited assessment of heart size due to obscured margins, stable mediastinal contours.", "modalities": [{"type": "image", "value": "train/CXR1957_IM-0624/0.png"}, {"type": "image", "value": "train/CXR1957_IM-0624/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Mediastinal contours are normal. Heart size is upper limits of normal. Lungs are clear. There is no pneumothorax or large pleural effusion. No bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2230_IM-0831/0.png"}, {"type": "image", "value": "train/CXR2230_IM-0831/1.png"}]} {"text": " and present chest X-rays with the following impressions: Sternotomy sutures and bypass grafts have been placed in the interval. Both lungs remain clear and expanded with no infiltrates. Pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR995_IM-2478/0.png"}, {"type": "image", "value": "train/CXR995_IM-2478/1.png"}]} {"text": "The chest X-rays in and display: The heart is mildly enlarged. The lungs are hypoinflated with mildly elevated left hemidiaphragm. There is patchy opacity in the left lung base which may be secondary to atelectasis and/or possible infiltrate. Increased markings are noted throughout and were present on prior CT. The study is limited secondary to moderate XXXX motion. Underlying emphysematous changes are identified.", "modalities": [{"type": "image", "value": "train/CXR2415_IM-0961/0.png"}, {"type": "image", "value": "train/CXR2415_IM-0961/1.png"}]} {"text": "The chest X-rays in and display: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Minimal right basilar subsegmental atelectasis noted. Cardio mediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR54_IM-2145/0.png"}, {"type": "image", "value": "train/CXR54_IM-2145/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart is normal in size. The mediastinum is within normal limits. The study is somewhat limited. No focal consolidation is seen.", "modalities": [{"type": "image", "value": "train/CXR2726_IM-1186/0.png"}, {"type": "image", "value": "train/CXR2726_IM-1186/1.png"}]} {"text": "X-ray images labeled and display the following findings: There is an endotracheal tube at the level of the carina, recommend retraction. Heart size is normal. The mediastinal silhouette is unremarkable. XXXX shrapnel is overlying the right lower lobe. There is a round XXXX bullet overlying the T10 vertebral body. XXXX density is seen within the right lower lobe XXXX representing hemorrhage. There is a right-sided pneumothorax with 10 mm in maximal thickness. There is right axillary subcutaneous emphysema. Probable lateral right 8th rib fracture. The osseous structures are otherwise normal.", "modalities": [{"type": "image", "value": "train/CXR2827_IM-1246/0.png"}, {"type": "image", "value": "train/CXR2827_IM-1246/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: In the interval, consolidation has developed in the left upper lobe. Also, anterior segment XXXX opacity is present. Right lung remains clear. Heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR945_IM-2440/0.png"}, {"type": "image", "value": "train/CXR945_IM-2440/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process.", "modalities": [{"type": "image", "value": "train/CXR3551_IM-1740/0.png"}, {"type": "image", "value": "train/CXR3551_IM-1740/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Lungs appear clear. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3134_IM-1474/0.png"}, {"type": "image", "value": "train/CXR3134_IM-1474/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR662_IM-2238/0.png"}, {"type": "image", "value": "train/CXR662_IM-2238/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: 2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is XXXX dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3130_IM-1472/0.png"}, {"type": "image", "value": "train/CXR3130_IM-1472/1.png"}]} {"text": "X-ray scans and display the following chest observations: Mediastinal contours are normal. Blunting of the left costophrenic XXXX. Increased interstitial opacities.. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR401_IM-2051/0.png"}, {"type": "image", "value": "train/CXR401_IM-2051/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: PA and lateral views the chest were obtained. Heart size is upper limits normal or mildly enlarged. The thoracic aorta is mildly tortuous. Pulmonary XXXX are within normal limits. No pneumothorax, pleural effusion, or focal air space consolidation.", "modalities": [{"type": "image", "value": "train/CXR1204_IM-0138/0.png"}, {"type": "image", "value": "train/CXR1204_IM-0138/1.png"}]} {"text": "X-rays and show chest details with these impressions: Moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. A large calcified right mediastinal adenopathy, XXXX chronic fungal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3245_IM-1537/0.png"}, {"type": "image", "value": "train/CXR3245_IM-1537/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart, 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 is no pulmonary nodule identified. There is a left humerus prosthesis partly demonstrated.", "modalities": [{"type": "image", "value": "train/CXR618_IM-2201/0.png"}, {"type": "image", "value": "train/CXR618_IM-2201/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart is normal in size. The mediastinum is stable. Right chest XXXX tip is again seen at the cavoatrial junction. There is no pneumothorax. There is again elevation of right hemidiaphragm with right-sided pleural effusion. Vague opacities are noted in the right upper lobe, XXXX from prior study. These may be related to overlying rib lesions versus true pulmonary nodules. The left lung appears grossly clear. Drainage catheter seen overlying the right upper quadrant.", "modalities": [{"type": "image", "value": "train/CXR1678_IM-0447-0001/0.png"}, {"type": "image", "value": "train/CXR1678_IM-0447-0001/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR855_IM-2376/0.png"}, {"type": "image", "value": "train/CXR855_IM-2376/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Heart size is enlarged but stable. Stable sequela prior granulomatous disease. Stable XXXX sternotomy XXXX with fracture of the superior-most sternotomy XXXX.. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR901_IM-2409/0.png"}, {"type": "image", "value": "train/CXR901_IM-2409/1.png"}]} {"text": "X-rays and show chest details with these impressions: The cardiomediastinal silhouette is normal size and configuration. Tortuous aorta with atherosclerotic calcification. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There are multiple overlying leads at the level of the left lower chest, with overlying XXXX XXXX or clothing there is this is thought to account for mild increased density the left lung base on AP view, with correlate on lateral view. Degenerative spine.", "modalities": [{"type": "image", "value": "train/CXR3802_IM-1912-1001/0.png"}, {"type": "image", "value": "train/CXR3802_IM-1912-1001/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.", "modalities": [{"type": "image", "value": "train/CXR3208_IM-1515/0.png"}, {"type": "image", "value": "train/CXR3208_IM-1515/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR3315_IM-1586/0.png"}, {"type": "image", "value": "train/CXR3315_IM-1586/1.png"}]} {"text": "X-ray scans and display the following chest observations: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR3301_IM-1579/0.png"}, {"type": "image", "value": "train/CXR3301_IM-1579/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2016_IM-0665/0.png"}, {"type": "image", "value": "train/CXR2016_IM-0665/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild dextrocurvature the spine.", "modalities": [{"type": "image", "value": "train/CXR1060_IM-0042/0.png"}, {"type": "image", "value": "train/CXR1060_IM-0042/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2897_IM-1299/0.png"}, {"type": "image", "value": "train/CXR2897_IM-1299/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR943_IM-2439/0.png"}, {"type": "image", "value": "train/CXR943_IM-2439/1.png"}]} {"text": "X-rays and show chest details with these impressions: XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1985_IM-0642/0.png"}, {"type": "image", "value": "train/CXR1985_IM-0642/1.png"}]} {"text": " and capture chest X-rays with these findings: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. And scattered calcified granulomas. Left greater than right basilar opacity, probable atelectasis and/or scarring. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3004_IM-1388/0.png"}, {"type": "image", "value": "train/CXR3004_IM-1388/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart is normal in size. The mediastinum is unremarkable. Mild pectus excavatum deformity is noted. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR471_IM-2099/0.png"}, {"type": "image", "value": "train/CXR471_IM-2099/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Borderline cardiac enlargement. Enlarged calcified thoracic aorta. Emphysema. No acute pulmonary abnormality. Mild spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3191_IM-1505/0.png"}, {"type": "image", "value": "train/CXR3191_IM-1505/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The cardiac contours are normal. XXXX basilar atelectasis. The lungs are clear. Thoracic spondylosis. Lower cervical XXXX arthritis.", "modalities": [{"type": "image", "value": "train/CXR7_IM-2263/0.png"}, {"type": "image", "value": "train/CXR7_IM-2263/1.png"}]} {"text": " and provide chest images showing: Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted.", "modalities": [{"type": "image", "value": "train/CXR403_IM-2052/0.png"}, {"type": "image", "value": "train/CXR403_IM-2052/1.png"}]} {"text": "Chest X-rays shown as and indicate: Cardiac silhouette and mediastinal contours are within this. There is no opacity. There is no pneumothorax. No large pleural effusion. Hyperlucent right apex with hyperinflation consistent with emphysematous changes.", "modalities": [{"type": "image", "value": "train/CXR975_IM-2464/0.png"}, {"type": "image", "value": "train/CXR975_IM-2464/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: There are low lung volumes. The heart size and upper mediastinum have a normal appearance. There is no pulmonary vascular congestion. There is minimal right basilar atelectasis. There is no large effusion or pneumothorax. The osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1079_IM-0056/0.png"}, {"type": "image", "value": "train/CXR1079_IM-0056/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart size is upper limits of normal. Mediastinal contour appears normal and pulmonary vascularity is within normal limits. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR2161_IM-0779/0.png"}, {"type": "image", "value": "train/CXR2161_IM-0779/1.png"}]} {"text": " and capture chest X-rays with these findings: The heart is normal in size. The mediastinum is stable. The lungs are grossly clear. XXXX XXXX opacities in the lung bases. There are XXXX fragments overlying the posterior left chest, right neck base and XXXX fragments in the left costophrenic XXXX. There is no pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3363_IM-1616/0.png"}, {"type": "image", "value": "train/CXR3363_IM-1616/1.png"}]} {"text": " and provide chest images showing: The cardiomediastinal silhouette is stable in appearance. There is redemonstration of complete opacification of the right middle lobe no significant associated volume loss. The left lung appears clear. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.", "modalities": [{"type": "image", "value": "train/CXR3565_IM-1750/0.png"}, {"type": "image", "value": "train/CXR3565_IM-1750/1.png"}]} {"text": "The X-rays and show the following chest conditions: Low lung volumes with bronchovascular crowding. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits for technique, no typical mediastinal widening of vascular injury. No pleural line of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR521_IM-2132/0.png"}, {"type": "image", "value": "train/CXR521_IM-2132/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is mild eventration of right hemidiaphragm. No pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR2685_IM-1158/0.png"}, {"type": "image", "value": "train/CXR2685_IM-1158/1.png"}]} {"text": "X-rays and show chest details with these impressions: 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. PICC line is in XXXX. The tip is in the upper right atrium.", "modalities": [{"type": "image", "value": "train/CXR604_IM-2193/0.png"}, {"type": "image", "value": "train/CXR604_IM-2193/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1435_IM-0280/0.png"}, {"type": "image", "value": "train/CXR1435_IM-0280/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. First rib fracture not well demonstrated on XXXX study..", "modalities": [{"type": "image", "value": "train/CXR2226_IM-0830/0.png"}, {"type": "image", "value": "train/CXR2226_IM-0830/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR2956_IM-1353/0.png"}, {"type": "image", "value": "train/CXR2956_IM-1353/1.png"}]} {"text": " and show chest X-ray scans that indicate: Stable borderline enlarged cardiac contour. Calcified mediastinal lymph XXXX. Prominent right paratracheal stripe. Emphysema. No active pulmonary disease. Mild spondylosis.", "modalities": [{"type": "image", "value": "train/CXR329_IM-1571/0.png"}, {"type": "image", "value": "train/CXR329_IM-1571/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2863_IM-1271/0.png"}, {"type": "image", "value": "train/CXR2863_IM-1271/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: 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.", "modalities": [{"type": "image", "value": "train/CXR2536_IM-1049/0.png"}, {"type": "image", "value": "train/CXR2536_IM-1049/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. Left shoulder arthroplasty is noted. Old left rib fractures.", "modalities": [{"type": "image", "value": "train/CXR2844_IM-1254/0.png"}, {"type": "image", "value": "train/CXR2844_IM-1254/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3675_IM-1829-0001/0.png"}, {"type": "image", "value": "train/CXR3675_IM-1829-0001/1.png"}]} {"text": " and provide chest images showing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2842_IM-1254/0.png"}, {"type": "image", "value": "train/CXR2842_IM-1254/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.", "modalities": [{"type": "image", "value": "train/CXR2739_IM-1193/0.png"}, {"type": "image", "value": "train/CXR2739_IM-1193/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2524_IM-1042/0.png"}, {"type": "image", "value": "train/CXR2524_IM-1042/1.png"}]} {"text": "X-rays and show chest details with these impressions: Stable cardiomediastinal silhouette. There has been interval removal of right chest tube with increased elevation of the right hemidiaphragm and XXXX right basilar atelectasis. Left basilar consolidation and pleural effusions seen. No XXXX focal consolidation or pneumothorax. There is a stable left PICC with tip overlying the mid SVC and large XXXX feeding tube courses below the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR1445_IM-0287/0.png"}, {"type": "image", "value": "train/CXR1445_IM-0287/1.png"}]} {"text": "The chest scans and reveal: The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. The mediastinal contours are normal. There are mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2007_IM-0657-0001/0.png"}, {"type": "image", "value": "train/CXR2007_IM-0657-0001/1.png"}]} {"text": " and show chest images with these observations: 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.", "modalities": [{"type": "image", "value": "train/CXR2533_IM-1047/0.png"}, {"type": "image", "value": "train/CXR2533_IM-1047/1.png"}]} {"text": " and are images of chest X-rays showing: Normal cardiomediastinal silhouette. Interval improvement in lung volumes bilaterally. Improved aeration of the right and left lung bases. Bilateral small pleural effusions and left base atelectatic change, with interval improvement. Visualized XXXX of the chest XXXX are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1043_IM-0035-0001/0.png"}, {"type": "image", "value": "train/CXR1043_IM-0035-0001/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The lungs appear clear. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. These XXXX't contours appear normal. There is a XXXX fracture of the midthoracic vertebral body. This vertebral body does not appear sclerotic. The age of this fracture is unknown. There are healed fractures of several left anterior ribs. There is a healed left clavicle fracture.", "modalities": [{"type": "image", "value": "train/CXR854_IM-2376/0.png"}, {"type": "image", "value": "train/CXR854_IM-2376/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: There is persistent mild elevation right hemidiaphragm. There is suggestion of subtle patchy opacities in lower lung XXXX bilaterally. This is XXXX to be similar to XXXX scan. The heart is normal. The aorta is calcified and tortuous. The skeletal structures show scoliosis and arthritic changes.", "modalities": [{"type": "image", "value": "train/CXR695_IM-2261/0.png"}, {"type": "image", "value": "train/CXR695_IM-2261/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Mild cardiomegaly. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is thoracic kyphosis. There is XXXX deformity of T12 and L1, unchanged XXXX abdomen XXXX, XXXX. Aortic calcifications are noted. Fracture of right proximal humerus, incompletely evaluated.", "modalities": [{"type": "image", "value": "train/CXR2456_IM-0989/0.png"}, {"type": "image", "value": "train/CXR2456_IM-0989/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Clear lungs. Heart size is normal. No pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3420_IM-1656/0.png"}, {"type": "image", "value": "train/CXR3420_IM-1656/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal.", "modalities": [{"type": "image", "value": "train/CXR66_IM-2236/0.png"}, {"type": "image", "value": "train/CXR66_IM-2236/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2176_IM-0789/0.png"}, {"type": "image", "value": "train/CXR2176_IM-0789/1.png"}]} {"text": " and capture X-rays of the chest with these observations: 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. Scattered bilateral calcified pulmonary nodules. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR607_IM-2196/0.png"}, {"type": "image", "value": "train/CXR607_IM-2196/1.png"}]} {"text": "X-ray images labeled and display the following findings: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR475_IM-2101/0.png"}, {"type": "image", "value": "train/CXR475_IM-2101/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Stable appearance of previous XXXX sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3111_IM-1461/0.png"}, {"type": "image", "value": "train/CXR3111_IM-1461/1.png"}]} {"text": "X-rays and show chest details with these impressions: Right-sided internal jugular central venous catheter with tip approximating the right atrium. Postsurgical changes of the mediastinum including sternotomy XXXX. Left base opacities again noted, stable. There is a left lung opacity, not well appreciated on prior. There is no evidence of pneumothorax. Low lung volumes. Degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1727_IM-0479/0.png"}, {"type": "image", "value": "train/CXR1727_IM-0479/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Portable frontal view of the chest with overlying external cardiac monitor leads shows normal cardiomediastinal silhouette, central airways, pulmonary vasculature and lung volumes without focal air space consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1946_IM-0615/0.png"}, {"type": "image", "value": "train/CXR1946_IM-0615/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Heart size upper limit of normal. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1163_IM-0108/0.png"}, {"type": "image", "value": "train/CXR1163_IM-0108/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. Lateral views obscured by patient body habitus. There is no evidence of apical disease. XXXX are unchanged from previous exam and appear normal. Thoracic spine shows osteophyte formations at several levels.", "modalities": [{"type": "image", "value": "train/CXR431_IM-2072/0.png"}, {"type": "image", "value": "train/CXR431_IM-2072/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size is within normal limits. Aorta is tortuous. Remainder of the cardiomediastinal silhouette is normal. Lungs are clear bilaterally without pleural effusion or pneumothorax. No bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3677_IM-1830/0.png"}, {"type": "image", "value": "train/CXR3677_IM-1830/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Scattered calcified granuloma. Degenerative changes the spine.", "modalities": [{"type": "image", "value": "train/CXR810_IM-2343/0.png"}, {"type": "image", "value": "train/CXR810_IM-2343/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Normal heart size and hilar vascular markings. Evidence of prior granulomatous disease. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. There are no acute osseous abnormalities present. Mild degenerative changes of the thoracic spine. The soft tissues are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1189_IM-0128/0.png"}, {"type": "image", "value": "train/CXR1189_IM-0128/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: There is a calcified granuloma in the right midlung zone. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. Surgical clips are present in the right upper quadrant.", "modalities": [{"type": "image", "value": "train/CXR131_IM-0202/0.png"}, {"type": "image", "value": "train/CXR131_IM-0202/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: There is interval placement of a XXXX on the left chest with the catheter tip in the cavoatrial junction. The heart size is within normal limits. Lung volumes within normal limits. Slightly prominent pulmonary vascularity noted. Increased peribronchial cuffing. No large consolidation, effusion, or pneumothorax. There is subpleural edema outlining the right XXXX fissure.", "modalities": [{"type": "image", "value": "train/CXR1506_IM-0330/0.png"}, {"type": "image", "value": "train/CXR1506_IM-0330/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. There is a rounded lucency seen above the diaphragm on lateral view, suggestive of small hiatal hernia. Visualized osseous structures appear intact. Degenerative changes of the thoracic spine seen.", "modalities": [{"type": "image", "value": "train/CXR3471_IM-1687/0.png"}, {"type": "image", "value": "train/CXR3471_IM-1687/1.png"}]} {"text": "The chest X-rays in and display: Stable borderline cardiomegaly, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2021_IM-0668/0.png"}, {"type": "image", "value": "train/CXR2021_IM-0668/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: 3 images. Heart size is normal. There is mild tortuosity of the thoracic aorta. There are costochondral calcifications. The lungs are clear of focal infiltrate. No pleural effusion or pneumothorax. Old left clavicle fracture noted.", "modalities": [{"type": "image", "value": "train/CXR3858_IM-1953/0.png"}, {"type": "image", "value": "train/CXR3858_IM-1953/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: No focal areas of consolidation. No suspicious pulmonary opacities. Mild degenerative change thoracic spine. No pleural effusions. No evidence of pneumothorax. Heart size normal limits.", "modalities": [{"type": "image", "value": "train/CXR2350_IM-0916/0.png"}, {"type": "image", "value": "train/CXR2350_IM-0916/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR191_IM-0591/0.png"}, {"type": "image", "value": "train/CXR191_IM-0591/1.png"}]} {"text": " and present chest X-rays with the following impressions: There are low lung volumes with bronchovascular crowding. There is no focal consolidation. No visualized pneumothorax. Heart size is within normal limits. The cardiomediastinal contours is grossly normal in size and contour.", "modalities": [{"type": "image", "value": "train/CXR3494_IM-1699/0.png"}, {"type": "image", "value": "train/CXR3494_IM-1699/1.png"}]} {"text": "The chest X-rays in and display: Examination is somewhat limited, the costophrenic XXXX and posterior costophrenic sulci are excluded. Patient is rotated to the right. Heart size upper limits normal, but stable. Mediastinal contour is grossly unremarkable. Lung parenchyma is clear, no focal airspace consolidation. No large effusion, no visible pneumothorax within the limits of the study.", "modalities": [{"type": "image", "value": "train/CXR3912_IM-1988/0.png"}, {"type": "image", "value": "train/CXR3912_IM-1988/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1364_IM-0237/0.png"}, {"type": "image", "value": "train/CXR1364_IM-0237/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Cardiomediastinal silhouettes are within normal limits. The there is a diffuse reticulonodular pattern the lungs bilaterally. Pulmonary vasculature is within normal limits. Negative for pneumothorax or large pleural effusion. Bony thorax is unremarkable", "modalities": [{"type": "image", "value": "train/CXR2795_IM-1227/0.png"}, {"type": "image", "value": "train/CXR2795_IM-1227/1.png"}]} {"text": "The chest X-rays in and display: 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.", "modalities": [{"type": "image", "value": "train/CXR2377_IM-0937/0.png"}, {"type": "image", "value": "train/CXR2377_IM-0937/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size is mildly enlarged. Tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1863_IM-0558/0.png"}, {"type": "image", "value": "train/CXR1863_IM-0558/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR2877_IM-1283/0.png"}, {"type": "image", "value": "train/CXR2877_IM-1283/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR3486_IM-1695/0.png"}, {"type": "image", "value": "train/CXR3486_IM-1695/1.png"}]} {"text": " and provide chest images showing: Normal cardiac contours. No pleural effusion or pneumothorax. No acute bony abnormalities. Clear lung XXXX bilaterally. No intervertebral disc narrowing or loss of vertebral body XXXX.", "modalities": [{"type": "image", "value": "train/CXR2852_IM-1261/0.png"}, {"type": "image", "value": "train/CXR2852_IM-1261/1.png"}]} {"text": "X-rays and show these chest observations: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR3770_IM-1890/0.png"}, {"type": "image", "value": "train/CXR3770_IM-1890/1.png"}]} {"text": " and show chest images with these observations: The lungs are clear. No pleural effusion is seen. The heart is normal. Calcified right hilar and infracarinal lymph XXXX are seen. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR143_IM-0276/0.png"}, {"type": "image", "value": "train/CXR143_IM-0276/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Fracture deformity proximal right humerus. Hyperinflation lungs. No pulmonary consolidation. XXXX opacity left base compatible XXXX atelectasis or XXXX scarring. The cardiomediastinal silhouette appears unremarkable. Mild atherosclerotic calcification aorta. Prior chest surgery. Costophrenic XXXX clear. Visualized spine vertebrae appear normal in XXXX and alignment.", "modalities": [{"type": "image", "value": "train/CXR1929_IM-0600/0.png"}, {"type": "image", "value": "train/CXR1929_IM-0600/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3131_IM-1473/0.png"}, {"type": "image", "value": "train/CXR3131_IM-1473/1.png"}]} {"text": "The chest X-rays in and display: Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3216_IM-1520/0.png"}, {"type": "image", "value": "train/CXR3216_IM-1520/1.png"}]} {"text": " and depict chest X-rays with these findings: 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. Deformity of the right clavicle related to remote XXXX is again seen. Visualized upper abdomen grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR65_IM-2228/0.png"}, {"type": "image", "value": "train/CXR65_IM-2228/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Interstitial markings are diffusely prominent throughout both lungs. Heart size is normal. Pulmonary XXXX normal.", "modalities": [{"type": "image", "value": "train/CXR1001_IM-0004/0.png"}, {"type": "image", "value": "train/CXR1001_IM-0004/1.png"}]} {"text": "X-ray scans and display the following chest observations: 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.", "modalities": [{"type": "image", "value": "train/CXR2569_IM-1071/0.png"}, {"type": "image", "value": "train/CXR2569_IM-1071/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: There are no focal areas of consolidation. No pleural effusions. No pneumothorax. Heart size within normal limits. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR3661_IM-1821/0.png"}, {"type": "image", "value": "train/CXR3661_IM-1821/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is mild streaky perihilar opacity without confluent airspace opacity to suggest a bacterial pneumonia.", "modalities": [{"type": "image", "value": "train/CXR991_IM-2476/0.png"}, {"type": "image", "value": "train/CXR991_IM-2476/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified.", "modalities": [{"type": "image", "value": "train/CXR2718_IM-1182/0.png"}, {"type": "image", "value": "train/CXR2718_IM-1182/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung XXXX.", "modalities": [{"type": "image", "value": "train/CXR1593_IM-0385/0.png"}, {"type": "image", "value": "train/CXR1593_IM-0385/1.png"}]} {"text": " and show chest images with these observations: Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. The lungs remain grossly clear, aside from mild biapical pleural-peripheral scarring and minimal chronic interstitial changes. No focal airspace consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3437_IM-1663/0.png"}, {"type": "image", "value": "train/CXR3437_IM-1663/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Redemonstration of interstitial opacities, consistent with patient's history of pulmonary fibrosis. Unchanged calcified granulomas at the left greater than right hilum, and in the pretracheal region. No pneumothorax, pleural effusion or focal airspace consolidation. Cardiomediastinal size is the upper limits of normal. Pulmonary vasculature is normal . XXXX XXXX intact.", "modalities": [{"type": "image", "value": "train/CXR409_IM-2055/0.png"}, {"type": "image", "value": "train/CXR409_IM-2055/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. Calcified right upper lobe pulmonary granuloma and calcified right hilar lymph XXXX. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.", "modalities": [{"type": "image", "value": "train/CXR1865_IM-0558/0.png"}, {"type": "image", "value": "train/CXR1865_IM-0558/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The cardiac silhouette is mildly enlarged and appears mildly increased in size from the XXXX study. There is normal caliber pulmonary vasculature. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There is no evidence of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR3013_IM-1391-0001/0.png"}, {"type": "image", "value": "train/CXR3013_IM-1391-0001/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Heart size, mediastinal and aortic contours are within normal limits. Normal pulmonary vasculature. The lungs are clear. No visible pneumothorax or large pleural effusion. Elevated right hemidiaphragm. Mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3110_IM-1460/0.png"}, {"type": "image", "value": "train/CXR3110_IM-1460/1.png"}]} {"text": "X-rays and show these chest observations: The cardiomediastinal silhouette is normal in size and contour. Peripheral right basilar calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Apparent nodular opacity on lateral projection, immediately retrocardiac, is XXXX to represent confluence of overlapping silhouettes. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2299_IM-0878/0.png"}, {"type": "image", "value": "train/CXR2299_IM-0878/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The XXXX are grossly intact. Degenerative T-spine osteophytes.", "modalities": [{"type": "image", "value": "train/CXR3518_IM-1717/0.png"}, {"type": "image", "value": "train/CXR3518_IM-1717/1.png"}]} {"text": "The X-rays and show the following chest conditions: There are intact midline sternotomy XXXX and postsurgical changes of prior CABG. The aorta is unfolded. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3599_IM-1775/0.png"}, {"type": "image", "value": "train/CXR3599_IM-1775/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The trachea is midline. Cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1730_IM-0481/0.png"}, {"type": "image", "value": "train/CXR1730_IM-0481/1.png"}]} {"text": "X-ray images labeled and display the following findings: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. There is a mild anterior wedge XXXX deformity of L1, age-indeterminate.", "modalities": [{"type": "image", "value": "train/CXR2624_IM-1111/0.png"}, {"type": "image", "value": "train/CXR2624_IM-1111/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Heart size and mediastinal contour within normal limits. Aortic atherosclerotic calcifications. Emphysematous changes. Nodular densities projecting over right anterior fifth and six ribs. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR1676_IM-0445/0.png"}, {"type": "image", "value": "train/CXR1676_IM-0445/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: PA and lateral views. stable postoperative changes with midline sternotomy XXXX and myocardial revascularization. Cardiac size remains mildly enlarged but stable. There is mild vascular congestion. Small bilateral pleural effusions are present, which are XXXX.", "modalities": [{"type": "image", "value": "train/CXR3187_IM-1503/0.png"}, {"type": "image", "value": "train/CXR3187_IM-1503/1.png"}]} {"text": " and capture chest X-rays with these findings: PA and lateral views of the chest were obtained. The heart is normal in size. Mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2820_IM-1244/0.png"}, {"type": "image", "value": "train/CXR2820_IM-1244/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The cardiac and mediastinal contours are within normal limits. Lungs are well-inflated and clear. There is no focal consolidation, pneumothorax or effusion. No acute bony abnormalities are seen.", "modalities": [{"type": "image", "value": "train/CXR629_IM-2209/0.png"}, {"type": "image", "value": "train/CXR629_IM-2209/1.png"}]} {"text": " and exhibit chest X-rays showing: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR318_IM-1500/0.png"}, {"type": "image", "value": "train/CXR318_IM-1500/1.png"}]} {"text": "The chest X-rays in and display: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR373_IM-1864/0.png"}, {"type": "image", "value": "train/CXR373_IM-1864/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Patient is slightly rotated. Normal heart size. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR490_IM-2110/0.png"}, {"type": "image", "value": "train/CXR490_IM-2110/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Normal heart size. Stable tortuous aorta. No pneumothorax, pleural effusion or suspicious focal airspace opacity. Prior granulomatous disease.", "modalities": [{"type": "image", "value": "train/CXR187_IM-0563/0.png"}, {"type": "image", "value": "train/CXR187_IM-0563/1.png"}]} {"text": " and show chest X-ray scans that indicate: Normal heart size and mediastinal contours. No abnormal airspace opacities or large cavitary lung lesions. Visualized osseous structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR2538_IM-1050/0.png"}, {"type": "image", "value": "train/CXR2538_IM-1050/1.png"}]} {"text": " and capture chest X-rays with these findings: 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.", "modalities": [{"type": "image", "value": "train/CXR2542_IM-1053/0.png"}, {"type": "image", "value": "train/CXR2542_IM-1053/1.png"}]} {"text": " and are images of chest X-rays showing: Hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3918_IM-1992/0.png"}, {"type": "image", "value": "train/CXR3918_IM-1992/1.png"}]} {"text": "The chest X-rays in and display: The cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. There is mild midthoracic dextroscoliosis, with the XXXX XXXX otherwise grossly intact.", "modalities": [{"type": "image", "value": "train/CXR2639_IM-1124/0.png"}, {"type": "image", "value": "train/CXR2639_IM-1124/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The cardiomediastinal silhouette is within normal limits. The lungs are well expanded without consolidation or edema. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1199_IM-0133/0.png"}, {"type": "image", "value": "train/CXR1199_IM-0133/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Stable cardiomediastinal silhouette. Mild congestion without edema. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Redemonstrated are endplate depressions of the vertebral bodies, compatible with XXXX cell changes.", "modalities": [{"type": "image", "value": "train/CXR974_IM-2463/0.png"}, {"type": "image", "value": "train/CXR974_IM-2463/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The heart is normal in size and contour. There is no mediastinal widening. Streaky bibasilar opacities, XXXX atelectasis. Vague opacity in the right midlung. Scattered calcified granulomas. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3680_IM-1832/0.png"}, {"type": "image", "value": "train/CXR3680_IM-1832/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Low lung volumes. Heart size and mediastinal contour within normal limits. No focal air space consolidation, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.", "modalities": [{"type": "image", "value": "train/CXR192_IM-0598/0.png"}, {"type": "image", "value": "train/CXR192_IM-0598/1.png"}]} {"text": "Chest X-rays shown as and indicate: Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Osseous structures are grossly unremarkable. Unchanged degenerative changes to the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2173_IM-0786/0.png"}, {"type": "image", "value": "train/CXR2173_IM-0786/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1438_IM-0282/0.png"}, {"type": "image", "value": "train/CXR1438_IM-0282/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Lungs remain clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR361_IM-1783/0.png"}, {"type": "image", "value": "train/CXR361_IM-1783/1.png"}]} {"text": " and present chest X-rays with the following impressions: 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.", "modalities": [{"type": "image", "value": "train/CXR2870_IM-1276/0.png"}, {"type": "image", "value": "train/CXR2870_IM-1276/1.png"}]} {"text": "X-ray scans and display the following chest observations: The lungs are clear. There is no pneumonia. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours appear normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.", "modalities": [{"type": "image", "value": "train/CXR3412_IM-1650-1001/0.png"}, {"type": "image", "value": "train/CXR3412_IM-1650-1001/1.png"}]} {"text": " and capture chest X-rays with these findings: The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. Prominent pericardial fat XXXX is again noted. There is a stable granuloma overlying a lower thoracic vertebral body. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2094_IM-0724/0.png"}, {"type": "image", "value": "train/CXR2094_IM-0724/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Clear lungs. No pneumothorax. No pleural effusion. Normal heart. Mild degenerative changes of the thoracic spine without acute bony abnormality. Prominent right epicardial fat XXXX", "modalities": [{"type": "image", "value": "train/CXR769_IM-2314/0.png"}, {"type": "image", "value": "train/CXR769_IM-2314/1.png"}]} {"text": " and are images of chest X-rays showing: The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Surgical clips and suture material are noted in the right hilar region suggesting prior lung surgery. The mediastinal contours are stable.", "modalities": [{"type": "image", "value": "train/CXR682_IM-2253/0.png"}, {"type": "image", "value": "train/CXR682_IM-2253/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Central venous catheter tip in the right atrium. Heart size and shape are normal. Trachea and XXXX bronchi appear normal. The lungs are reasonably well expanded. There XXXX and patchy nodular densities in both lower lung XXXX more marked on the right than the left. There is scattered areas of bronchial wall thickening, well-seen in the left upper lobe. There is loss of definition of part of the left heart XXXX. No effusions no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR713_IM-2275/0.png"}, {"type": "image", "value": "train/CXR713_IM-2275/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Small 3.3 mm right-sided pneumothorax only visible on the left lateral decubitus film. Left lung is clear. Normal cardiac contour. No evidence of pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1339_IM-0218/0.png"}, {"type": "image", "value": "train/CXR1339_IM-0218/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The lungs appear clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. Patient status post XXXX sternotomy and CABG.", "modalities": [{"type": "image", "value": "train/CXR630_IM-2211/0.png"}, {"type": "image", "value": "train/CXR630_IM-2211/1.png"}]} {"text": "X-rays and show chest details with these impressions: Atrial septal occluder artifact. Rotated frontal position, overall heart size within normal limits, no typical findings of pulmonary edema. XXXX densities in the left base, small focal XXXX opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic XXXX. Biapical pleuroparenchymal irregularities most compatible with scarring, chronic appearing right 5th rib contour deformity. No pneumothorax seen.", "modalities": [{"type": "image", "value": "train/CXR233_IM-0899/0.png"}, {"type": "image", "value": "train/CXR233_IM-0899/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Heart size and mediastinal contours are stable. Atherosclerotic calcifications of the aorta. Moderate severe hyperexpansion of the lungs and decreased peripheral vascular markings, consistent with emphysema. Stable biapical pleural-parenchymal scarring. Scattered granulomas. No abnormal airspace consolidation. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2969_IM-1360/0.png"}, {"type": "image", "value": "train/CXR2969_IM-1360/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Normal heart size and mediastinal contours. No abnormal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR3089_IM-1444/0.png"}, {"type": "image", "value": "train/CXR3089_IM-1444/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size is mildly enlarged. Tortuous aorta. Lungs are normally inflated and clear. Mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3761_IM-1883/0.png"}, {"type": "image", "value": "train/CXR3761_IM-1883/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No pleural effusion. There are gastroesophageal junction and epigastric postsurgical changes.", "modalities": [{"type": "image", "value": "train/CXR1083_IM-0058/0.png"}, {"type": "image", "value": "train/CXR1083_IM-0058/1.png"}]} {"text": "X-rays and show these chest observations: No pneumothorax, pleural effusion , or focal airspace disease. Heart size within normal limits. Cardiomediastinal silhouette is clear. Bony structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3861_IM-1955/0.png"}, {"type": "image", "value": "train/CXR3861_IM-1955/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is mild blunting of the right costophrenic XXXX on the frontal view. There is also mild obscuration of the right cardiac XXXX. Airspace disease in expected location of right middle lobe also noted on the lateral view to No pleural effusion. Left lung clear. Degenerative changes spine. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2585_IM-1082/0.png"}, {"type": "image", "value": "train/CXR2585_IM-1082/1.png"}]} {"text": "X-rays and show these chest observations: Lung volumes are low. No infiltrates in the lungs. No pleural air collections. Sternotomy sutures and bypass graft markers are present. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR976_IM-2464/0.png"}, {"type": "image", "value": "train/CXR976_IM-2464/1.png"}]} {"text": "The chest X-rays in and display: Heart size is normal. Prior calcified granulomatous disease. On the lateral view in the anterior costophrenic XXXX, there is a 2.1 x 2 cm nodular density which seems to be present previously but is more nodular in appearance on this examination. No pleural effusion or pneumothorax. Endplate degenerative changes of the thoracolumbar spine and mild scoliosis are unchanged.", "modalities": [{"type": "image", "value": "train/CXR2633_IM-1120/0.png"}, {"type": "image", "value": "train/CXR2633_IM-1120/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3450_IM-1673/0.png"}, {"type": "image", "value": "train/CXR3450_IM-1673/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. There are degenerative changes of the midthoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3375_IM-1624/0.png"}, {"type": "image", "value": "train/CXR3375_IM-1624/1.png"}]} {"text": " and capture chest X-rays with these findings: Normal heart size. Tortuosity of the thoracic aorta. The lungs are free of any focal airspace disease. There is no pneumothorax or pleural effusion. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR426_IM-2069/0.png"}, {"type": "image", "value": "train/CXR426_IM-2069/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: 2 images. Small centrally calcified granuloma within the lateral right lung base. Otherwise the lungs are clear. Heart size is normal. No evidence for pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR680_IM-2251/0.png"}, {"type": "image", "value": "train/CXR680_IM-2251/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR275_IM-1200/0.png"}, {"type": "image", "value": "train/CXR275_IM-1200/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Sequelae of old granulomatous disease. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR70_IM-2264/0.png"}, {"type": "image", "value": "train/CXR70_IM-2264/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Clear lungs bilaterally. No pneumothorax or large pleural effusion. Normal cardiac contour.", "modalities": [{"type": "image", "value": "train/CXR3649_IM-1811/0.png"}, {"type": "image", "value": "train/CXR3649_IM-1811/1.png"}]} {"text": "The X-rays and show the following chest conditions: Mild cardiomegaly, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR2411_IM-0957-0001/0.png"}, {"type": "image", "value": "train/CXR2411_IM-0957-0001/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Stable normal cardiomediastinal silhouette. Bilateral calcified hilar/perihilar lymph XXXX. Left lateral lung calcified granuloma. Lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. Stable degenerative changes of the thoracic spine. No acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR3662_IM-1821/0.png"}, {"type": "image", "value": "train/CXR3662_IM-1821/1.png"}]} {"text": "X-ray images labeled and display the following findings: Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Atherosclerotic calcifications identified within the aortic XXXX. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Flowing thoracic spine osteophytes noted.", "modalities": [{"type": "image", "value": "train/CXR1599_IM-0389/0.png"}, {"type": "image", "value": "train/CXR1599_IM-0389/1.png"}]} {"text": " and show chest X-ray scans that indicate: The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR556_IM-2156-1001/0.png"}, {"type": "image", "value": "train/CXR556_IM-2156-1001/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR3352_IM-1608/0.png"}, {"type": "image", "value": "train/CXR3352_IM-1608/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. There has been interval development of bibasilar opacities. The appearance of the right base opacity XXXX atelectasis. The left base opacities could represent early pneumonia or areas of atelectasis. No pneumothorax or pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR2165_IM-0781-0001/0.png"}, {"type": "image", "value": "train/CXR2165_IM-0781-0001/1.png"}]} {"text": " and present chest X-rays with the following impressions: The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are multilevel degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR633_IM-2213/0.png"}, {"type": "image", "value": "train/CXR633_IM-2213/1.png"}]} {"text": " and provide chest images showing: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1380_IM-0245/0.png"}, {"type": "image", "value": "train/CXR1380_IM-0245/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. There are degenerative changes throughout the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR547_IM-2151/0.png"}, {"type": "image", "value": "train/CXR547_IM-2151/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart is normal in size and contour. There is a focal area of scarring or XXXX atelectasis identified in the lingula. The lungs are otherwise clear without focal infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR1214_IM-0144/0.png"}, {"type": "image", "value": "train/CXR1214_IM-0144/1.png"}]} {"text": " and present chest X-rays with the following impressions: There are changes of XXXX sternotomy and CABG. Heart size is within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1099_IM-0067/0.png"}, {"type": "image", "value": "train/CXR1099_IM-0067/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There is mild cardiomegaly. Mediastinal contours appear within normal limits. There are small bilateral pleural effusions, left greater than right with left basilar opacities. No pneumothorax. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3256_IM-1543/0.png"}, {"type": "image", "value": "train/CXR3256_IM-1543/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.", "modalities": [{"type": "image", "value": "train/CXR3120_IM-1466/0.png"}, {"type": "image", "value": "train/CXR3120_IM-1466/1.png"}]} {"text": " and depict chest X-rays with these findings: Chest. Lungs are clear and expanded. Heart normal. Left knee. No change marked narrowing, large osteophyte formation, multiple synovial osteochondromas.", "modalities": [{"type": "image", "value": "train/CXR496_IM-2114/0.png"}, {"type": "image", "value": "train/CXR496_IM-2114/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Lungs are clear without focal consolidation, effusion or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable", "modalities": [{"type": "image", "value": "train/CXR3704_IM-1851/0.png"}, {"type": "image", "value": "train/CXR3704_IM-1851/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. The mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR96_IM-2450/0.png"}, {"type": "image", "value": "train/CXR96_IM-2450/1.png"}]} {"text": "The chest scans and reveal: There is marked cardiomegaly. There is questionable dilation of the pulmonary arteries. Low lung volumes. No focal airspace consolidation. No pleural effusion or pneumothorax. Prominent interstitial markings are XXXX due to low lung volumes. Elevated right hemidiaphragm.", "modalities": [{"type": "image", "value": "train/CXR1870_IM-0563/0.png"}, {"type": "image", "value": "train/CXR1870_IM-0563/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Low lung volumes are present. 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. Mild degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR1295_IM-0194/0.png"}, {"type": "image", "value": "train/CXR1295_IM-0194/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Normal heart size and mediastinal contours. No focal airspace opacity. No pleural effusion or pneumothorax. Multiple healed posterior left rib fractures.", "modalities": [{"type": "image", "value": "train/CXR3202_IM-1513/0.png"}, {"type": "image", "value": "train/CXR3202_IM-1513/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3724_IM-1860/0.png"}, {"type": "image", "value": "train/CXR3724_IM-1860/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. There has been interval development of some XXXX bandlike opacities in left base. These appear to be located in the lingula. The remainder of the lungs appear clear. No pneumothorax or pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR1967_IM-0629/0.png"}, {"type": "image", "value": "train/CXR1967_IM-0629/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Minimal right sided perihilar atelectasis. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR2206_IM-0815/0.png"}, {"type": "image", "value": "train/CXR2206_IM-0815/1.png"}]} {"text": " and present chest X-rays with the following impressions: Low lung volumes with bronchovascular crowding. Sequela of prior granulomatous disease. Otherwise lungs clear. Heart size normal. Stable severe L1 XXXX deformity.", "modalities": [{"type": "image", "value": "train/CXR1119_IM-0080/0.png"}, {"type": "image", "value": "train/CXR1119_IM-0080/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart size is enlarged. The aorta is tortuous. The pulmonary vasculature appears normal. Lungs are otherwise clear bilaterally. No pleural effusions or pneumothorax. No bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR349_IM-1697/0.png"}, {"type": "image", "value": "train/CXR349_IM-1697/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: There is mild streakiness in the right base. No focal infiltrate or effusion. No pneumothorax. Calcified granulomatous disease noted. Heart and mediastinal contours within normal limits. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR1513_IM-0333/0.png"}, {"type": "image", "value": "train/CXR1513_IM-0333/1.png"}]} {"text": " and show chest X-ray scans that indicate: No acute osseous abnormality. The soft tissues are within normal limits. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR536_IM-2143/0.png"}, {"type": "image", "value": "train/CXR536_IM-2143/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Interval resolution of the left pleural effusion. Lungs are grossly clear. Postsurgical changes from CABG are noted. No pneumothorax or pleural effusion. No acute bony abnormalities are visualized.", "modalities": [{"type": "image", "value": "train/CXR3579_IM-1759/0.png"}, {"type": "image", "value": "train/CXR3579_IM-1759/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Normal cardiac size and contour unremarkable mediastinal silhouette. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.", "modalities": [{"type": "image", "value": "train/CXR2564_IM-1067/0.png"}, {"type": "image", "value": "train/CXR2564_IM-1067/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .", "modalities": [{"type": "image", "value": "train/CXR3487_IM-1696/0.png"}, {"type": "image", "value": "train/CXR3487_IM-1696/1.png"}]} {"text": " and present chest X-rays with the following impressions: The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR428_IM-2070/0.png"}, {"type": "image", "value": "train/CXR428_IM-2070/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Some scattered XXXX opacities are present whose appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No pleural effusion is noted. No pneumothorax is identified. The left hemidiaphragm is elevated. Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.", "modalities": [{"type": "image", "value": "train/CXR3158_IM-1487/0.png"}, {"type": "image", "value": "train/CXR3158_IM-1487/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There is hyperinflation of the lungs appear to be clear. There is no pleural effusion or The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR1229_IM-0152/0.png"}, {"type": "image", "value": "train/CXR1229_IM-0152/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Biapical fibronodular pleural thickening/scarring. There is a XXXX like deformity of the anterior cortex of the XXXX body (lateral view). Negative for retrosternal density. Prior cholecystectomy. Critical result notification documented through Primordial.", "modalities": [{"type": "image", "value": "train/CXR3658_IM-1819/0.png"}, {"type": "image", "value": "train/CXR3658_IM-1819/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size upper normal but stable. Mediastinal contours within normal limits.. Minimal right middle lobe atelectasis. No focal airspace consolidation, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR567_IM-2167/0.png"}, {"type": "image", "value": "train/CXR567_IM-2167/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. No definite pneumothorax. No displaced fracture. Small rounded radiopaque density within the posterior superficial subcutaneous fat XXXX represents projectile fragment..", "modalities": [{"type": "image", "value": "train/CXR2890_IM-1293/0.png"}, {"type": "image", "value": "train/CXR2890_IM-1293/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is noted. Degenerative changes are noted in the spine. The descending thoracic aorta is mildly tortuous. The mediastinum appears somewhat prominent.", "modalities": [{"type": "image", "value": "train/CXR1884_IM-0573/0.png"}, {"type": "image", "value": "train/CXR1884_IM-0573/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3254_IM-1543/0.png"}, {"type": "image", "value": "train/CXR3254_IM-1543/1.png"}]} {"text": "X-ray images labeled and display the following findings: Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Grossly unchanged appearance of calcified hilar lymph XXXX and scattered calcified granulomas. Stable degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR693_IM-2259/0.png"}, {"type": "image", "value": "train/CXR693_IM-2259/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR2304_IM-0882/0.png"}, {"type": "image", "value": "train/CXR2304_IM-0882/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: There are XXXX opacities in the left lung, XXXX subsegmental atelectasis. XXXX opacities overlying the left lung base on the frontal XXXX XXXX reflect epicardial fat XXXX and overlying breast tissue. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. There are diffuse degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR321_IM-1516-0001/0.png"}, {"type": "image", "value": "train/CXR321_IM-1516-0001/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size borderline enlarged. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense nodule in the right lower lobe suggests a previous granulomatous process.", "modalities": [{"type": "image", "value": "train/CXR1864_IM-0558/0.png"}, {"type": "image", "value": "train/CXR1864_IM-0558/1.png"}]} {"text": "The X-rays and show the following chest conditions: Chest. Right hemidiaphragm remains elevated. Consolidation and atelectasis are present in the right lung base. Left lung is clear. No pleural air collections. Shoulder and clavicle. Fractures present in the right scapula the base of the glenoid process. It is attached to the coracoid process and a portion of the spine. The humeral head is located within the glenoid articular surface. Cutaneous air is present. Fracture is present in the posterior portion of the right 3rd rib. The acromioclavicular joint and coracoclavicular joints are widened.", "modalities": [{"type": "image", "value": "train/CXR1501_IM-0327/0.png"}, {"type": "image", "value": "train/CXR1501_IM-0327/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Cardiac and mediastinal contours are within normal limits. Large calcified granulomas in the right hilum. The lungs are otherwise clear. Prior anterior cervical fusion.", "modalities": [{"type": "image", "value": "train/CXR2039_IM-0683/0.png"}, {"type": "image", "value": "train/CXR2039_IM-0683/1.png"}]} {"text": "X-ray scans and display the following chest observations: There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary XXXX appear normal. There are calcified subcarinal and right hilar lymph XXXX. The pleural spaces are clear.", "modalities": [{"type": "image", "value": "train/CXR163_IM-0410/0.png"}, {"type": "image", "value": "train/CXR163_IM-0410/1.png"}]} {"text": "X-rays and show these chest observations: Heart size is normal. Mediastinal contour and pulmonary vascularity within normal limits. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1885_IM-0574/0.png"}, {"type": "image", "value": "train/CXR1885_IM-0574/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Mediastinal contours are normal. Opacity within the right middle and lower lobes. No displacement of the XXXX or XXXX fissure. No pneumothorax..", "modalities": [{"type": "image", "value": "train/CXR3292_IM-1572/0.png"}, {"type": "image", "value": "train/CXR3292_IM-1572/1.png"}]} {"text": "X-ray scans and display the following chest observations: There are prominent epicardial fat pads, unchanged from prior. 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 is atherosclerosis of the aortic XXXX. Unchanged streaky opacities in the bilateral costophrenic sulci XXXX represent chronic scarring or atelectasis.", "modalities": [{"type": "image", "value": "train/CXR585_IM-2181/0.png"}, {"type": "image", "value": "train/CXR585_IM-2181/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR2694_IM-1165/0.png"}, {"type": "image", "value": "train/CXR2694_IM-1165/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Right subclavian catheter, distal tip posterior to the head of the clavicle, the level of the subclavian vein. Low lung volumes. No pleural effusion. Left lower lobe airspace disease, XXXX atelectasis. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact.", "modalities": [{"type": "image", "value": "train/CXR2062_IM-0699-0001/0.png"}, {"type": "image", "value": "train/CXR2062_IM-0699-0001/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The XXXX examination consists of frontal and lateral radiographs of the chest. Again seen is evidence of prior CABG. The cardiomediastinal contours are unchanged. XXXX XXXX right and XXXX left pleural effusions. There is XXXX right greater than left bibasilar atelectasis. XXXX B-lines seen at the lung bases. No consolidation or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3249_IM-1539/0.png"}, {"type": "image", "value": "train/CXR3249_IM-1539/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or large pleural effusion. No acute bony abnormalities. Contrast is seen within the bilateral kidneys, from prior examination.", "modalities": [{"type": "image", "value": "train/CXR2011_IM-0661/0.png"}, {"type": "image", "value": "train/CXR2011_IM-0661/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but clear.", "modalities": [{"type": "image", "value": "train/CXR2473_IM-1003/0.png"}, {"type": "image", "value": "train/CXR2473_IM-1003/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1744_IM-0489/0.png"}, {"type": "image", "value": "train/CXR1744_IM-0489/1.png"}]} {"text": " and present chest X-rays with the following impressions: The lungs are clear. There is hyperinflation of the lungs. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR115_IM-0102/0.png"}, {"type": "image", "value": "train/CXR115_IM-0102/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The trachea is midline. Cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal consolidation or pleural effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2026_IM-0671/0.png"}, {"type": "image", "value": "train/CXR2026_IM-0671/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart size is upper limits of normal. Aorta is tortuous. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2738_IM-1192/0.png"}, {"type": "image", "value": "train/CXR2738_IM-1192/1.png"}]} {"text": "X-rays and show chest details with these impressions: Patchy airspace disease is noted within the right middle lobe. Subtle opacities are present within the lingula as well. There is no pneumothorax or pleural effusion. The heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR3866_IM-1959-0001/0.png"}, {"type": "image", "value": "train/CXR3866_IM-1959-0001/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.", "modalities": [{"type": "image", "value": "train/CXR87_IM-2390/0.png"}, {"type": "image", "value": "train/CXR87_IM-2390/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The lungs are grossly clear without focal pneumonic consolidation, large effusion or pneumothorax. Heart size is within normal limits.", "modalities": [{"type": "image", "value": "train/CXR135_IM-0227/0.png"}, {"type": "image", "value": "train/CXR135_IM-0227/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The trachea is midline. The heart size is normal. XXXX opacities are seen in the left lower lobe and left costodiaphragmatic XXXX, which could represent scarring or atelectasis. There is no pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2931_IM-1334/0.png"}, {"type": "image", "value": "train/CXR2931_IM-1334/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Pelvis. There are numerous clips overlying the pelvis and lower abdomen. Nonobstructive bowel XXXX pattern. No pathologic calcifications. Hip joint spaces are symmetric and normal. Sacroiliac joints are unremarkable. No fractures or dislocations.", "modalities": [{"type": "image", "value": "train/CXR871_IM-2391/0.png"}, {"type": "image", "value": "train/CXR871_IM-2391/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart is normal in size. There is bihilar prominence. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1925_IM-0599/0.png"}, {"type": "image", "value": "train/CXR1925_IM-0599/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The heart size and mediastinal contours appear within normal limits. There are low lung volumes with left basilar subsegmental atelectasis. No focal airspace consolidation, effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2402_IM-0951/0.png"}, {"type": "image", "value": "train/CXR2402_IM-0951/1.png"}]} {"text": " and depict chest X-rays with these findings: Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is XXXX airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. The XXXX fissure is convex upward. There is right base patchy airspace opacity. This appears chronic and may be due to scarring. There is no significant pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1740_IM-0488/0.png"}, {"type": "image", "value": "train/CXR1740_IM-0488/1.png"}]} {"text": "X-rays and show these chest observations: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3779_IM-1894/0.png"}, {"type": "image", "value": "train/CXR3779_IM-1894/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Cardiac silhouette, pulmonary vascular pattern within normal limits. No focal infiltrate, pneumothorax or pulmonary edema. No pleural effusion. Osseous structures within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2198_IM-0808/0.png"}, {"type": "image", "value": "train/CXR2198_IM-0808/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction.", "modalities": [{"type": "image", "value": "train/CXR159_IM-0382/0.png"}, {"type": "image", "value": "train/CXR159_IM-0382/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart is is at the upper limits of normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3903_IM-1982/0.png"}, {"type": "image", "value": "train/CXR3903_IM-1982/1.png"}]} {"text": " and depict chest X-rays with these findings: The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1481_IM-0312/0.png"}, {"type": "image", "value": "train/CXR1481_IM-0312/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. Interval development of mild patchy airspace opacities within the posterior aspect of the right upper lobe, concerning for underlying pneumonia. Stable mild background chronic interstitial changes. No evidence of associated pleural effusion or pneumothorax. Multilevel midthoracic degenerative changes, with prominent anterolateral marginal osteophytes.", "modalities": [{"type": "image", "value": "train/CXR2761_IM-1208/0.png"}, {"type": "image", "value": "train/CXR2761_IM-1208/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR2898_IM-1300-0001/0.png"}, {"type": "image", "value": "train/CXR2898_IM-1300-0001/1.png"}]} {"text": " and show chest images with these observations: Apparent cardiomegaly XXXX at XXXX partially accentuated by low lung volumes. Relative elevation right hemidiaphragm. Streaky left retrocardiac densities. No pneumothorax or large pleural effusion. Surgical clips near the gastroesophageal junction. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2696_IM-1166/0.png"}, {"type": "image", "value": "train/CXR2696_IM-1166/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR110_IM-0067/0.png"}, {"type": "image", "value": "train/CXR110_IM-0067/1.png"}]} {"text": " and show chest images with these observations: Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR722_IM-2282/0.png"}, {"type": "image", "value": "train/CXR722_IM-2282/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Mild cardiomegaly is unchanged. Stable superior mediastinal contour appear normal pulmonary vascularity. No XXXX airspace opacity, pleural effusion, or pneumothorax. No acute bony abnormalities. Right upper quadrant surgical clips.", "modalities": [{"type": "image", "value": "train/CXR3789_IM-1902/0.png"}, {"type": "image", "value": "train/CXR3789_IM-1902/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The heart is normal in size. The mediastinum is stable. Calcified right paratracheal lymph XXXX are seen. Aorta is atherosclerotic. The lungs are mildly hypoinflated without focal consolidation. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3612_IM-1785/0.png"}, {"type": "image", "value": "train/CXR3612_IM-1785/1.png"}]} {"text": " and provide chest images showing: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1077_IM-0054/0.png"}, {"type": "image", "value": "train/CXR1077_IM-0054/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1335_IM-0215/0.png"}, {"type": "image", "value": "train/CXR1335_IM-0215/1.png"}]} {"text": "Chest X-rays shown as and indicate: Low lung volumes. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is within normal limits. Lungs are clear airspace disease. Negative for pneumothorax or pleural effusion. XXXX XXXX are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR1558_IM-0365/0.png"}, {"type": "image", "value": "train/CXR1558_IM-0365/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiomediastinal silhouette is normal size and configuration. The thoracic aorta is tortuous. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There is no obvious displaced rib fracture. If there is concern for fracture consider rib series.", "modalities": [{"type": "image", "value": "train/CXR1268_IM-0180/0.png"}, {"type": "image", "value": "train/CXR1268_IM-0180/1.png"}]} {"text": "X-rays and show these chest observations: Low lung volumes. Elevation of the right hemidiaphragm. Patchy opacities right base again noted. Left lung clear. Heart size top normal. Aortic calcification. Granulomas. No evidence of pneumothorax. Blunting of the bilateral costophrenic XXXX. Degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3790_IM-1904-0001/0.png"}, {"type": "image", "value": "train/CXR3790_IM-1904-0001/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: 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. Mild degenerative endplate changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3967_IM-2028/0.png"}, {"type": "image", "value": "train/CXR3967_IM-2028/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The heart and cardiomediastinal silhouette are normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. There are multilevel degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3242_IM-1534/0.png"}, {"type": "image", "value": "train/CXR3242_IM-1534/1.png"}]} {"text": " and show chest images with these observations: The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.", "modalities": [{"type": "image", "value": "train/CXR3390_IM-1636/0.png"}, {"type": "image", "value": "train/CXR3390_IM-1636/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Unchanged cardiomegaly. Negative for pneumothorax or focal consolidation. No large effusion. Mildly prominent interstitial opacities.", "modalities": [{"type": "image", "value": "train/CXR3880_IM-1968/0.png"}, {"type": "image", "value": "train/CXR3880_IM-1968/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3606_IM-1781/0.png"}, {"type": "image", "value": "train/CXR3606_IM-1781/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart is normal in size. The mediastinum is Within normal limits the lungs are hypoinflated. There is mild increase in perihilar markings XXXX related to patient's history bronchitis. No acute infiltrate or pleural effusion are seen.", "modalities": [{"type": "image", "value": "train/CXR108_IM-0056/0.png"}, {"type": "image", "value": "train/CXR108_IM-0056/1.png"}]} {"text": "X-rays and show chest details with these impressions: Normal heart size. Tortuous calcified aorta. Scattered granulomas. No lobar pneumonia. Probable XXXX post your recess effusions. Kyphotic degenerated osteopenic thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR784_IM-2325-1001/0.png"}, {"type": "image", "value": "train/CXR784_IM-2325-1001/1.png"}]} {"text": " and exhibit chest X-rays showing: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Chronic appearing interstitial marking. Right upper lobe granuloma, stable The lungs are normally inflated and clear. Degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3398_IM-1642/0.png"}, {"type": "image", "value": "train/CXR3398_IM-1642/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Compared to prior chest radiograph from XXXX, there has been removal of right-sided tunneled dialysis catheter. The cardiomediastinal silhouette is stable and within normal limits for size and contour. Mildly increased atherosclerotic calcifications of the thoracic aorta. 1.0 cm nodular opacity in the left midlung is stable compared to prior examination from XXXX. No XXXX nodules, focal consolidation, or pneumothorax identified. There are XXXX bilateral pleural effusions posteriorly. There is mild central pulmonary vascular congestion without XXXX pulmonary edema. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3877_IM-1967/0.png"}, {"type": "image", "value": "train/CXR3877_IM-1967/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. Lung volumes are low normal. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1813_IM-0526/0.png"}, {"type": "image", "value": "train/CXR1813_IM-0526/1.png"}]} {"text": " and show chest X-ray scans that indicate: There are XXXX opacities within both lung bases, XXXX representing atelectasis. Heart size is upper limits of normal. No pneumothorax. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1360_IM-0234-0001/0.png"}, {"type": "image", "value": "train/CXR1360_IM-0234-0001/1.png"}]} {"text": "Chest X-rays shown as and indicate: There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3142_IM-1477/0.png"}, {"type": "image", "value": "train/CXR3142_IM-1477/1.png"}]} {"text": "The chest X-rays in and display: Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR865_IM-2385/0.png"}, {"type": "image", "value": "train/CXR865_IM-2385/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart is again mildly enlarged. Mediastinal contours are stable. Patient is somewhat rotated. The lungs are hypoinflated with elevated left hemidiaphragm. XXXX XXXX opacities compatible with atelectasis. No large effusion is seen. There is no focal consolidation. Pulmonary vascularity is mildly accentuated. There are bilateral degenerative changes of the XXXX with probable chronic dislocation of the left humerus. Correlate clinically.", "modalities": [{"type": "image", "value": "train/CXR101_IM-0011/0.png"}, {"type": "image", "value": "train/CXR101_IM-0011/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1841_IM-0545/0.png"}, {"type": "image", "value": "train/CXR1841_IM-0545/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: 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.", "modalities": [{"type": "image", "value": "train/CXR2568_IM-1070/0.png"}, {"type": "image", "value": "train/CXR2568_IM-1070/1.png"}]} {"text": "The chest scans and reveal: 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. There are XXXX multilevel degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3628_IM-1796/0.png"}, {"type": "image", "value": "train/CXR3628_IM-1796/1.png"}]} {"text": "The chest scans and reveal: There is no focal consolidation, pleural effusion, or pneumothorax. Stable left lower lobe scarring. Normal heart size and pulmonary vascularity. There are degenerative changes of the thoracic spine noted.", "modalities": [{"type": "image", "value": "train/CXR620_IM-2202/0.png"}, {"type": "image", "value": "train/CXR620_IM-2202/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart and mediastinum are at the upper limits of normal size. There is no focal consolidation, pneumothorax, or large pleural effusion. There is no acute, displaced rib fracture. Bony structures are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3010_IM-1389/0.png"}, {"type": "image", "value": "train/CXR3010_IM-1389/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiac contours are normal. Aortic calcification. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3928_IM-2000/0.png"}, {"type": "image", "value": "train/CXR3928_IM-2000/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart size is on the upper limits of normal. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR626_IM-2206/0.png"}, {"type": "image", "value": "train/CXR626_IM-2206/1.png"}]} {"text": " and capture chest X-rays with these findings: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Specifically, no evidence of rib fractures.", "modalities": [{"type": "image", "value": "train/CXR2282_IM-0869/0.png"}, {"type": "image", "value": "train/CXR2282_IM-0869/1.png"}]} {"text": " and show chest X-ray scans that indicate: No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Scattered bilateral granulomas. Patchy left basal airspace opacity. Bilateral small effusions.", "modalities": [{"type": "image", "value": "train/CXR2334_IM-0902/0.png"}, {"type": "image", "value": "train/CXR2334_IM-0902/1.png"}]} {"text": " and capture chest X-rays with these findings: Stable appearing bilateral calcified lymph XXXX. The cardiac silhouette and mediastinal contours are within normal limits. No focal opacity. No large pleural effusion. There is no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR493_IM-2113/0.png"}, {"type": "image", "value": "train/CXR493_IM-2113/1.png"}]} {"text": " and show chest X-ray scans that indicate: The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is at the upper limits of normal. Calcified granuloma in the right lower lobe is stable in appearance XXXX compared to the previous examinations.", "modalities": [{"type": "image", "value": "train/CXR1621_IM-0403/0.png"}, {"type": "image", "value": "train/CXR1621_IM-0403/1.png"}]} {"text": "These chest X-rays ( and ) show the following: There is blunting of the left costophrenic XXXX compatible with a moderate to large left pleural fluid collection. There are areas of airspace opacity within the left lung base which may represent atelectasis or infiltrate. Minimal bandlike atelectasis within the right lung base. Heart size is normal. Left-sided tunneled catheter terminates at the caval atrial junction. Right IJ venous catheter terminates at the proximal SVC.", "modalities": [{"type": "image", "value": "train/CXR1704_IM-0464/0.png"}, {"type": "image", "value": "train/CXR1704_IM-0464/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Heart size moderately enlarged, stable mediastinal contours. XXXX XXXX opacity in the left lung base. Otherwise, no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR2263_IM-0853/0.png"}, {"type": "image", "value": "train/CXR2263_IM-0853/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size, mediastinal contour, and pulmonary vasculature are within normal limits. Scattered granulomas and bilateral perihilar calcified lymph XXXX. Stable lingular scarring. No focal consolidation, large pleural effusion or pneumothorax is identified. No bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2224_IM-0828/0.png"}, {"type": "image", "value": "train/CXR2224_IM-0828/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The cardiomediastinal silhouette is within normal limits for appearance. Pulmonary hypoinflation with bronchovascular crowding. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.", "modalities": [{"type": "image", "value": "train/CXR611_IM-2198/0.png"}, {"type": "image", "value": "train/CXR611_IM-2198/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The heart is enlarged, stable compared to the previous exam. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3905_IM-1984/0.png"}, {"type": "image", "value": "train/CXR3905_IM-1984/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear.", "modalities": [{"type": "image", "value": "train/CXR3754_IM-1878/0.png"}, {"type": "image", "value": "train/CXR3754_IM-1878/1.png"}]} {"text": " and capture chest X-rays with these findings: The heart is normal in size. The mediastinum is unremarkable. Left perihilar scarring is noted in the upper lobe. Streaky opacities in the retrocardiac region XXXX reflect mild subsegmental atelectasis. There is no focal infiltrate or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR534_IM-2141/0.png"}, {"type": "image", "value": "train/CXR534_IM-2141/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities.", "modalities": [{"type": "image", "value": "train/CXR652_IM-2229/0.png"}, {"type": "image", "value": "train/CXR652_IM-2229/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: There is widening of the mediastinum. There is moderate cardiomegaly identified. The central pulmonary XXXX appear enlarged. Correlate for pulmonary vascular congestion. No focal infiltrate. No large effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1112_IM-0078/0.png"}, {"type": "image", "value": "train/CXR1112_IM-0078/1.png"}]} {"text": " and provide chest images showing: There is 1.9 cm interruption of the tunneled left central venous catheter, at the level of the overlap of the clavicle and first rib. Catheter tip may be within the proximal SVC or azygos vein. Normal heart size. XXXX left perihilar and midlung densities. No pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2112_IM-0742/0.png"}, {"type": "image", "value": "train/CXR2112_IM-0742/1.png"}]} {"text": "The chest X-rays in and display: Three images are available for review. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR1521_IM-0337/0.png"}, {"type": "image", "value": "train/CXR1521_IM-0337/1.png"}]} {"text": "These chest X-rays ( and ) show the following: There is a calcified granuloma left midlung. There is round density within the anterior segment of the right upper lobe. There are prominent interstitial opacities which may represent changes associated with fibrosis. Heart size is normal. No pneumothorax. anterior segment of upper lobe, rounded focal density. could be XXXX lung nodule.", "modalities": [{"type": "image", "value": "train/CXR457_IM-2088-1001/0.png"}, {"type": "image", "value": "train/CXR457_IM-2088-1001/1.png"}]} {"text": " and show chest X-ray scans that indicate: The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. No focal consolidation, pneumothorax, or effusion identified. The mediastinal silhouette is stable and within normal limits for size. There is redemonstration without significant change in right hilar calcified lymph XXXX. The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a XXXX right humerus consistent with distal humeral amputation. No acute bony abnormality identified.", "modalities": [{"type": "image", "value": "train/CXR1589_IM-0382/0.png"}, {"type": "image", "value": "train/CXR1589_IM-0382/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The heart is normal in size. The mediastinum is unremarkable. There is XXXX patchy opacity in the left upper lobe. Possibility of tuberculosis should be excluded. No pleural effusion is seen. There is no pneumothorax the lungs are hyperinflated.", "modalities": [{"type": "image", "value": "train/CXR1203_IM-0137/0.png"}, {"type": "image", "value": "train/CXR1203_IM-0137/1.png"}]} {"text": "The chest X-rays in and display: The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR2793_IM-1226/0.png"}, {"type": "image", "value": "train/CXR2793_IM-1226/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.", "modalities": [{"type": "image", "value": "train/CXR1861_IM-0558/0.png"}, {"type": "image", "value": "train/CXR1861_IM-0558/1.png"}]} {"text": "The chest X-rays in and display: There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. There is stable prominence of the right cardiac silhouette. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There are stable chronic degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR455_IM-2086/0.png"}, {"type": "image", "value": "train/CXR455_IM-2086/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Lung volumes are XXXX. XXXX opacities are present in the angulate. No focal infiltrates. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR1235_IM-0158/0.png"}, {"type": "image", "value": "train/CXR1235_IM-0158/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR3879_IM-1968/0.png"}, {"type": "image", "value": "train/CXR3879_IM-1968/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR833_IM-2359/0.png"}, {"type": "image", "value": "train/CXR833_IM-2359/1.png"}]} {"text": " and show chest X-ray scans that indicate: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3031_IM-1406/0.png"}, {"type": "image", "value": "train/CXR3031_IM-1406/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3954_IM-2021/0.png"}, {"type": "image", "value": "train/CXR3954_IM-2021/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Mild cardiomegaly. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2661_IM-1142/0.png"}, {"type": "image", "value": "train/CXR2661_IM-1142/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: One XXXX are low. Both costophrenic XXXX are blunted. Pulmonary XXXX are normal. No visible infiltrates in the aerated lungs.", "modalities": [{"type": "image", "value": "train/CXR1289_IM-0189/0.png"}, {"type": "image", "value": "train/CXR1289_IM-0189/1.png"}]} {"text": "Chest X-rays shown as and indicate: The heart is mildly enlarged. The aorta is atherosclerotic and ectatic. Chronic parenchymal changes are noted with mild scarring and/or subsegmental atelectasis in the right lung base. No focal consolidation or significant pleural effusion identified. Costophrenic XXXX are blunted.", "modalities": [{"type": "image", "value": "train/CXR666_IM-2241/0.png"}, {"type": "image", "value": "train/CXR666_IM-2241/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The XXXX and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic XXXX is on the left. The trachea is well seen and appears normal. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3132_IM-1473/0.png"}, {"type": "image", "value": "train/CXR3132_IM-1473/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR962_IM-2453/0.png"}, {"type": "image", "value": "train/CXR962_IM-2453/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR2994_IM-1380/0.png"}, {"type": "image", "value": "train/CXR2994_IM-1380/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: 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.", "modalities": [{"type": "image", "value": "train/CXR2501_IM-1027/0.png"}, {"type": "image", "value": "train/CXR2501_IM-1027/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: There is distortion of the right hilum which may be postsurgical versus neoplastic. Volume loss of the right hand side. There is no evidence of focal infiltrate. No pneumothorax. No pleural effusion. Normal heart size.", "modalities": [{"type": "image", "value": "train/CXR3014_IM-1392/0.png"}, {"type": "image", "value": "train/CXR3014_IM-1392/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR69_IM-2258/0.png"}, {"type": "image", "value": "train/CXR69_IM-2258/1.png"}]} {"text": "The chest X-rays in and display: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR562_IM-2163/0.png"}, {"type": "image", "value": "train/CXR562_IM-2163/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is an 8mm nodule in the left lower lobe, XXXX calcified granuloma. There is no pneumothorax or effusion. Bony structures of the thorax are intact with minimal early degenerative change.", "modalities": [{"type": "image", "value": "train/CXR48_IM-2103/0.png"}, {"type": "image", "value": "train/CXR48_IM-2103/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The lungs and pleural spaces show no acute abnormality. Lungs are hyperexpanded. Minimal XXXX scarring in both lower lobes. Heart size and pulmonary vascularity within normal limits. Stable mild tortuosity of the descending thoracic aorta.", "modalities": [{"type": "image", "value": "train/CXR351_IM-1712/0.png"}, {"type": "image", "value": "train/CXR351_IM-1712/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Surgical XXXX at the distal left clavicle. No acute osseous abnormality. Soft tissue structures are within normal limits. Stable normal cardio mediastinal silhouettes and hilar structures. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. .", "modalities": [{"type": "image", "value": "train/CXR941_IM-2438/0.png"}, {"type": "image", "value": "train/CXR941_IM-2438/1.png"}]} {"text": " and present chest X-rays with the following impressions: The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2774_IM-1215/0.png"}, {"type": "image", "value": "train/CXR2774_IM-1215/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR72_IM-2280/0.png"}, {"type": "image", "value": "train/CXR72_IM-2280/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: XXXX XXXX and lateral views of the chest were obtained XXXX/XXXX. The lung volumes are low normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.", "modalities": [{"type": "image", "value": "train/CXR739_IM-2296/0.png"}, {"type": "image", "value": "train/CXR739_IM-2296/1.png"}]} {"text": "X-ray scans and display the following chest observations: There is a left chest XXXX with tip in the mid SVC. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR1134_IM-0091/0.png"}, {"type": "image", "value": "train/CXR1134_IM-0091/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.", "modalities": [{"type": "image", "value": "train/CXR2450_IM-0986/0.png"}, {"type": "image", "value": "train/CXR2450_IM-0986/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: There are lower lung volumes. There is central bronchovascular crowding. Volume loss in the medial right upper lobe seen on XXXX is not as well-demonstrated on radiography. No lobar consolidation. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3681_IM-1833-0001/0.png"}, {"type": "image", "value": "train/CXR3681_IM-1833-0001/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. There is a right lower lobe pneumonia. No pleural effusion. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3078_IM-1438/0.png"}, {"type": "image", "value": "train/CXR3078_IM-1438/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. Hyperexpanded lungs. XXXX right perihilar/midlung density. Streaky bibasilar opacities, as well. Left upper lobe nodular opacity (anterior first rib interspace) may be exaggerated by overlapping bone silhouettes. Grossly similar midthoracic vertebral XXXX fracture.", "modalities": [{"type": "image", "value": "train/CXR1534_IM-0345/0.png"}, {"type": "image", "value": "train/CXR1534_IM-0345/1.png"}]} {"text": "The chest X-rays in and display: A XXXX XXXX lung volumes. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR50_IM-2118/0.png"}, {"type": "image", "value": "train/CXR50_IM-2118/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart is enlarged. There is prominence of the central pulmonary vasculature. Mild diffuse interstitial opacities bilaterally, predominantly in the bases, with no focal consolidation, pleural effusion, or pneumothoraces. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR227_IM-0859/0.png"}, {"type": "image", "value": "train/CXR227_IM-0859/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. Right paratracheal density is stable from prior radiographs and may reflect tortuous vasculature. There is aortic atherosclerotic vascular calcification. There are mild degenerative changes of the spine. Surgical clips are noted in the region of the left breast. There is mild diaphragm eventration.", "modalities": [{"type": "image", "value": "train/CXR1529_IM-0342-0001/0.png"}, {"type": "image", "value": "train/CXR1529_IM-0342-0001/1.png"}]} {"text": "The chest X-rays in and display: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR2053_IM-0691/0.png"}, {"type": "image", "value": "train/CXR2053_IM-0691/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Normal heart size is prominent left ventricular contour. Unfolding of the thoracic aorta. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.", "modalities": [{"type": "image", "value": "train/CXR1538_IM-0348/0.png"}, {"type": "image", "value": "train/CXR1538_IM-0348/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is normal in size. The mediastinum is unremarkable. Mild granulomatous sequela are noted. The lungs are grossly clear.", "modalities": [{"type": "image", "value": "train/CXR1787_IM-0513/0.png"}, {"type": "image", "value": "train/CXR1787_IM-0513/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: There is a stable closure device projected over the heart. The heart and mediastinum are otherwise normal. There is stable XXXX scarring of left mid lung. The lungs are otherwise clear. There is no infiltrate, effusion, mass or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3940_IM-2011/0.png"}, {"type": "image", "value": "train/CXR3940_IM-2011/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart size is within normal limits. The thoracic aorta is tortuous, stable from the prior radiograph. Aortic stent graft overlies the descending thoracic aorta and upper abdominal aorta, grossly stable from the prior chest radiograph. There are scattered calcified granulomas. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The left hemidiaphragm remains mildly elevated. There are mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2847_IM-1256/0.png"}, {"type": "image", "value": "train/CXR2847_IM-1256/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: There are low lung volumes. Cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no large pleural effusion. There is no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2235_IM-0833/0.png"}, {"type": "image", "value": "train/CXR2235_IM-0833/1.png"}]} {"text": "Chest X-rays shown as and indicate: Heart size within normal limits. Right hemidiaphragm eventration noted. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR3989_IM-2042/0.png"}, {"type": "image", "value": "train/CXR3989_IM-2042/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The heart size is normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. There are degenerative changes within the XXXX bilaterally and left acromioclavicular joint. XXXX XXXX in the soft tissues of the right upper extremity.", "modalities": [{"type": "image", "value": "train/CXR957_IM-2449/0.png"}, {"type": "image", "value": "train/CXR957_IM-2449/1.png"}]} {"text": " and exhibit chest X-rays showing: The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1023_IM-0018/0.png"}, {"type": "image", "value": "train/CXR1023_IM-0018/1.png"}]} {"text": " and present chest X-rays with the following impressions: Technically limited study secondary to patient XXXX. Decreased lung volumes with associated bronchopulmonary crowding without evidence of focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1050_IM-0038/0.png"}, {"type": "image", "value": "train/CXR1050_IM-0038/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes. There is no focal opacities. No pneumothorax. No large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1706_IM-0466/0.png"}, {"type": "image", "value": "train/CXR1706_IM-0466/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. XXXX and curvilinear XXXX densities over the breast shadows compatible with piercings.", "modalities": [{"type": "image", "value": "train/CXR1116_IM-0079/0.png"}, {"type": "image", "value": "train/CXR1116_IM-0079/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3330_IM-1594/0.png"}, {"type": "image", "value": "train/CXR3330_IM-1594/1.png"}]} {"text": "The chest scans and reveal: The cardiac and mediastinal contours are within normal limits. There are calcifications of the aortic XXXX. The lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms. There is haziness in the right lung apex. There is a 1.7 cm nodular density in the medial right lung base seen on the frontal view, not identified on the lateral view. This may represent a vessel on end. There is no consolidation, pneumothorax, or effusion. There are mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1436_IM-0280/0.png"}, {"type": "image", "value": "train/CXR1436_IM-0280/1.png"}]} {"text": "X-ray images labeled and display the following findings: Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR748_IM-2302/0.png"}, {"type": "image", "value": "train/CXR748_IM-2302/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size normal. No focal airspace disease. No pneumothorax or effusions. No bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2667_IM-1146/0.png"}, {"type": "image", "value": "train/CXR2667_IM-1146/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart and cardiomediastinal silhouette or normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR259_IM-1083/0.png"}, {"type": "image", "value": "train/CXR259_IM-1083/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Stable appearance of the right aortic XXXX. Normal heart size. No pneumothorax, pleural effusion or suspicious focal airspace opacity.", "modalities": [{"type": "image", "value": "train/CXR861_IM-2382/0.png"}, {"type": "image", "value": "train/CXR861_IM-2382/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Stable cardiomediastinal silhouette. There is mild haziness in the right lung and left base, which could represent infiltrate. No pleural effusion. No pneumothorax. Stable XXXX deformity of a midthoracic vertebra.", "modalities": [{"type": "image", "value": "train/CXR1370_IM-0239/0.png"}, {"type": "image", "value": "train/CXR1370_IM-0239/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Normal cardiac contours. No pneumothorax or pleural effusions. Clear left lung XXXX. Right middle lobe with increased opacities, XXXX representative of infiltrate.", "modalities": [{"type": "image", "value": "train/CXR1174_IM-0118/0.png"}, {"type": "image", "value": "train/CXR1174_IM-0118/1.png"}]} {"text": "The chest X-rays in and display: Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2839_IM-1252/0.png"}, {"type": "image", "value": "train/CXR2839_IM-1252/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3965_IM-2028-1001/0.png"}, {"type": "image", "value": "train/CXR3965_IM-2028-1001/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1213_IM-0144/0.png"}, {"type": "image", "value": "train/CXR1213_IM-0144/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3520_IM-1718/0.png"}, {"type": "image", "value": "train/CXR3520_IM-1718/1.png"}]} {"text": "The chest scans and reveal: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR2710_IM-1177/0.png"}, {"type": "image", "value": "train/CXR2710_IM-1177/1.png"}]} {"text": " and show chest images with these observations: Low lung volumes and patient rotation. Given differences in technique, heart size XXXX within normal limits. Persistent right basilar opacity, XXXX atelectasis. No suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Mild degenerative change of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3230_IM-1527/0.png"}, {"type": "image", "value": "train/CXR3230_IM-1527/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart and mediastinum are unremarkable. There is mild calcification of the aortic XXXX, consistent with atherosclerosis. The lung volumes are low, with bronchovascular crowding. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Moderate degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3874_IM-1966/0.png"}, {"type": "image", "value": "train/CXR3874_IM-1966/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart size is within normal limits. Mild streaky opacities are present in the left lung base. An accessory azygos fissure is noted. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR540_IM-2146/0.png"}, {"type": "image", "value": "train/CXR540_IM-2146/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Apical lordotic frontal view. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with mild cardiomegaly. No focal alveolar consolidation, no definite pleural effusion seen. Dense left lower lung nodule suggests a previous granulomatous process. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR3949_IM-2018/0.png"}, {"type": "image", "value": "train/CXR3949_IM-2018/1.png"}]} {"text": "The chest X-rays in and display: The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. There is right middle lobe airspace disease, may reflect atelectasis or pneumonia. No pleural effusion. No pneumothorax. Elevated right hemidiaphragm.", "modalities": [{"type": "image", "value": "train/CXR590_IM-2185/0.png"}, {"type": "image", "value": "train/CXR590_IM-2185/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "modalities": [{"type": "image", "value": "train/CXR1009_IM-0010/0.png"}, {"type": "image", "value": "train/CXR1009_IM-0010/1.png"}]} {"text": "The chest X-rays in and display: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are clear of focal airspace disease. There is no pneumothorax. There is mild blunting of the right costophrenic XXXX, without definite pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2946_IM-1346/0.png"}, {"type": "image", "value": "train/CXR2946_IM-1346/1.png"}]} {"text": " and capture chest X-rays with these findings: Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Streaky bibasilar airspace opacities. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR1166_IM-0111/0.png"}, {"type": "image", "value": "train/CXR1166_IM-0111/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Stable cardiomediastinal contour is mild cardiomegaly. No pneumothorax or significant pulmonary edema. Small left pleural effusion. No focal lung consolidation. Mildly low lung volumes.", "modalities": [{"type": "image", "value": "train/CXR3148_IM-1480/0.png"}, {"type": "image", "value": "train/CXR3148_IM-1480/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The trachea is midline. Cardiomediastinal silhouette is normal. The lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2097_IM-0727-1001/0.png"}, {"type": "image", "value": "train/CXR2097_IM-0727-1001/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: There are no acute osseous abnormalities. Soft tissues are within normal limits. There is stable enlargement of the heart. Calcific aorta. Stable bilateral calcified granulomas. The lungs are clear bilaterally without focal area of consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2589_IM-1083/0.png"}, {"type": "image", "value": "train/CXR2589_IM-1083/1.png"}]} {"text": "The X-rays and show the following chest conditions: Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR888_IM-2401/0.png"}, {"type": "image", "value": "train/CXR888_IM-2401/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size and mediastinal contour are within normal limits. There is no focal airspace consolidation or suspicious pulmonary opacity. No pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR6_IM-2192/0.png"}, {"type": "image", "value": "train/CXR6_IM-2192/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2453_IM-0988/0.png"}, {"type": "image", "value": "train/CXR2453_IM-0988/1.png"}]} {"text": " and provide chest images showing: Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR154_IM-0350/0.png"}, {"type": "image", "value": "train/CXR154_IM-0350/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. The visualized osseous structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR2029_IM-0674/0.png"}, {"type": "image", "value": "train/CXR2029_IM-0674/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: XXXX opacities projecting over the right apex and mediastinum on PA view are artifactual. Stable cardiomediastinal silhouette. Pulmonary vascularity is unremarkable. Stable chronic coarse interstitial markings, without focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact. XXXX right cervical rib.", "modalities": [{"type": "image", "value": "train/CXR1123_IM-0080/0.png"}, {"type": "image", "value": "train/CXR1123_IM-0080/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1775_IM-0508/0.png"}, {"type": "image", "value": "train/CXR1775_IM-0508/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size within normal limits. Cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. No focal consolidations. No pleural effusions. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3269_IM-1552/0.png"}, {"type": "image", "value": "train/CXR3269_IM-1552/1.png"}]} {"text": " and are images of chest X-rays showing: Interval removal of left-sided chest tube. Small residual left apical pneumothorax has increased slightly in size the prior exam, now measuring approximately 0.9 cm from the thoracic apex. Stable cardiomediastinal silhouette. No focal airspace consolidation. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3694_IM-1845/0.png"}, {"type": "image", "value": "train/CXR3694_IM-1845/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Heart size upper limits of normal. Pulmonary vascular engorgement appears within limits of normal. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. Bridging syndesmophytes are noted throughout visualized thoracolumbar spine. This could indicate diffuse idiopathic skeletal hyperostosis. This is similar to prior imaging.", "modalities": [{"type": "image", "value": "train/CXR3755_IM-1879/0.png"}, {"type": "image", "value": "train/CXR3755_IM-1879/1.png"}]} {"text": " and show chest images with these observations: Clear lungs bilaterally. No pneumothorax or pleural effusion. Normal cardiac contours", "modalities": [{"type": "image", "value": "train/CXR195_IM-0618/0.png"}, {"type": "image", "value": "train/CXR195_IM-0618/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3524_IM-1721/0.png"}, {"type": "image", "value": "train/CXR3524_IM-1721/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR2744_IM-1197/0.png"}, {"type": "image", "value": "train/CXR2744_IM-1197/1.png"}]} {"text": "The chest scans and reveal: The heart size and pulmonary vascularity appear within normal limits. There has been clearing of left base airspace opacities. The lungs now appear clear. No pneumothorax or pleural effusion is seen. The lungs appear hyperexpanded consistent with emphysema.", "modalities": [{"type": "image", "value": "train/CXR1044_IM-0036/0.png"}, {"type": "image", "value": "train/CXR1044_IM-0036/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size is normal in cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. No XXXX consolidations. No pleural effusion. No pneumothorax. XXXX and soft tissues are unremarkable. Lungs are hyperinflated.", "modalities": [{"type": "image", "value": "train/CXR1673_IM-0444/0.png"}, {"type": "image", "value": "train/CXR1673_IM-0444/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR79_IM-2329/0.png"}, {"type": "image", "value": "train/CXR79_IM-2329/1.png"}]} {"text": "The X-rays and show the following chest conditions: The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax, or effusion. The bony structures of the thorax are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR470_IM-2099/0.png"}, {"type": "image", "value": "train/CXR470_IM-2099/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There are calcified granulomas within the left lower lobe. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR2892_IM-1295/0.png"}, {"type": "image", "value": "train/CXR2892_IM-1295/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: No pleural effusions. No pneumothorax. No focal areas of consolidation. Heart size within normal limits. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR1138_IM-0094/0.png"}, {"type": "image", "value": "train/CXR1138_IM-0094/1.png"}]} {"text": " and depict chest X-rays with these findings: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1532_IM-0344/0.png"}, {"type": "image", "value": "train/CXR1532_IM-0344/1.png"}]} {"text": "The X-rays and show the following chest conditions: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3002_IM-1388/0.png"}, {"type": "image", "value": "train/CXR3002_IM-1388/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate left lower lobe air space opacity with XXXX atelectasis without significant change. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3797_IM-1910-0001/0.png"}, {"type": "image", "value": "train/CXR3797_IM-1910-0001/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR324_IM-1534/0.png"}, {"type": "image", "value": "train/CXR324_IM-1534/1.png"}]} {"text": " and capture chest X-rays with these findings: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR1042_IM-0034/0.png"}, {"type": "image", "value": "train/CXR1042_IM-0034/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: AP and lateral views were obtained. Bibasilar atelectasis and small left-sided pleural effusion. Stable cardiomegaly. No pneumothorax. Mild pulmonary vascular congestion.", "modalities": [{"type": "image", "value": "train/CXR3614_IM-1787/0.png"}, {"type": "image", "value": "train/CXR3614_IM-1787/1.png"}]} {"text": " and provide chest images showing: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3872_IM-1964/0.png"}, {"type": "image", "value": "train/CXR3872_IM-1964/1.png"}]} {"text": "Chest X-rays shown as and indicate: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR571_IM-2170/0.png"}, {"type": "image", "value": "train/CXR571_IM-2170/1.png"}]} {"text": "X-rays and show these chest observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2563_IM-1066/0.png"}, {"type": "image", "value": "train/CXR2563_IM-1066/1.png"}]} {"text": "X-ray images labeled and display the following findings: Right lower lobe patchy opacities noted. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2059_IM-0696/0.png"}, {"type": "image", "value": "train/CXR2059_IM-0696/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Negative for cardiac enlargement. Negative for vascular congestion. Bilateral granulomas are seen scattered throughout the lungs. Negative for pneumothorax. Negative for focal air space consolidation. Some minimal streaky opacity at the bilateral bases XXXX relates to subsegmental atelectasis.", "modalities": [{"type": "image", "value": "train/CXR749_IM-2302/0.png"}, {"type": "image", "value": "train/CXR749_IM-2302/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: There is mild cardiomegaly. Aorta is heavily calcified and tortuous, consistent with atherosclerotic disease. There are diffuse increased interstitial opacities identified. This may be secondary to edema, or alternatively atypical infection. No large effusion or visualized pneumothorax. Osteopenia of the spine is identified.", "modalities": [{"type": "image", "value": "train/CXR2688_IM-1159/0.png"}, {"type": "image", "value": "train/CXR2688_IM-1159/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The lungs are clear. Heart size is normal. No pneumothorax. Calcified granuloma within the right lung base.", "modalities": [{"type": "image", "value": "train/CXR2992_IM-1379/0.png"}, {"type": "image", "value": "train/CXR2992_IM-1379/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral XXXX and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR3543_IM-1735/0.png"}, {"type": "image", "value": "train/CXR3543_IM-1735/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Stable normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary XXXX and interstitium. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.", "modalities": [{"type": "image", "value": "train/CXR518_IM-2131/0.png"}, {"type": "image", "value": "train/CXR518_IM-2131/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The cavity and the left upper lobe has decreased in size. Bilateral apical bullae and parenchymal scars are unchanged. No XXXX infiltrates in the lower lobes. Heart size remains normal.", "modalities": [{"type": "image", "value": "train/CXR3080_IM-1440/0.png"}, {"type": "image", "value": "train/CXR3080_IM-1440/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Calcified granuloma, right base. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR1025_IM-0020/0.png"}, {"type": "image", "value": "train/CXR1025_IM-0020/1.png"}]} {"text": "The chest X-rays in and display: The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion or pneumothorax. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2038_IM-0682/0.png"}, {"type": "image", "value": "train/CXR2038_IM-0682/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart size is normal and cardiomediastinal silhouette is normal. There are scattered calcified granulomas throughout both lung XXXX. Lungs are clear bilaterally otherwise. No bony or soft tissue abnormalities.", "modalities": [{"type": "image", "value": "train/CXR51_IM-2125/0.png"}, {"type": "image", "value": "train/CXR51_IM-2125/1.png"}]} {"text": "X-ray images labeled and display the following findings: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3698_IM-1846/0.png"}, {"type": "image", "value": "train/CXR3698_IM-1846/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Calcified left hilar lymph XXXX. A calcified granuloma is seen in the left lower lobe. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3277_IM-1558/0.png"}, {"type": "image", "value": "train/CXR3277_IM-1558/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: No focal areas of consolidation. No pneumothorax. Heart size within normal limits. No pleural effusions. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR1545_IM-0355/0.png"}, {"type": "image", "value": "train/CXR1545_IM-0355/1.png"}]} {"text": "The X-rays and show the following chest conditions: No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size is normal. The cardiomediastinal silhouette is grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1428_IM-0274/0.png"}, {"type": "image", "value": "train/CXR1428_IM-0274/1.png"}]} {"text": " and X-rays show chest observations as follows: There are low lung volumes with bronchovascular crowding as a result. No pleural effusion, pneumothorax or focal airspace disease. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.", "modalities": [{"type": "image", "value": "train/CXR84_IM-2363/0.png"}, {"type": "image", "value": "train/CXR84_IM-2363/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Stable cardiomediastinal silhouette. Right hilar surgical clips. Stable right-sided volume loss. Increasing density in the superior segment of the left lower lobe, XXXX seen on lateral view. No pneumothorax. Severe degenerative disease of the XXXX.", "modalities": [{"type": "image", "value": "train/CXR1559_IM-0365/0.png"}, {"type": "image", "value": "train/CXR1559_IM-0365/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The cardiomediastinal silhouette is within normal limits for appearance. Calcified right hilar lymph XXXX are demonstrated. Atherosclerotic calcifications of the aortic XXXX. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild to moderate degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2447_IM-0983/0.png"}, {"type": "image", "value": "train/CXR2447_IM-0983/1.png"}]} {"text": " and show chest X-ray scans that indicate: Cardiomegaly. No focal consolidation, effusion, or pneumothorax. Mild unfolding of the thoracic aorta. Bony thorax and soft tissues grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3273_IM-1554/0.png"}, {"type": "image", "value": "train/CXR3273_IM-1554/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Postsurgical changes noted overlying the left axilla. No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1940_IM-0610/0.png"}, {"type": "image", "value": "train/CXR1940_IM-0610/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Heart size is within normal limits. 8mm calcified granuloma in the right base. No focal airspace consolidations. No pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR1849_IM-0550/0.png"}, {"type": "image", "value": "train/CXR1849_IM-0550/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings. No focal alveolar consolidation, no pleural effusion demonstrated. Considering technical factors heart size XXXX within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2258_IM-0849/0.png"}, {"type": "image", "value": "train/CXR2258_IM-0849/1.png"}]} {"text": "X-ray images labeled and display the following findings: Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR889_IM-2401/0.png"}, {"type": "image", "value": "train/CXR889_IM-2401/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Stable cardiomediastinal silhouette. Mild patchy right upper lobe opacities, similar to slightly improved from XXXX. Left lung clear. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3671_IM-1827/0.png"}, {"type": "image", "value": "train/CXR3671_IM-1827/1.png"}]} {"text": " and provide chest images showing: Normal heart size and mediastinal contours. Scattered calcified granulomas. Hyperexpanded lungs. No focal airspace disease. No pneumothorax or pleural effusion. Degenerative changes in the spine without acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR553_IM-2155/0.png"}, {"type": "image", "value": "train/CXR553_IM-2155/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Heart size is normal. There is mild tortuosity of the thoracic aorta. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1225_IM-0150/0.png"}, {"type": "image", "value": "train/CXR1225_IM-0150/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. There is minimal XXXX scarring or atelectasis in the right midlung. There is no XXXX focal airspace disease. There is no pneumothorax or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3995_IM-2046/0.png"}, {"type": "image", "value": "train/CXR3995_IM-2046/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The heart and mediastinum are unremarkable. Again identified are numerous calcified mediastinal lymph XXXX as well as large calcifications within the left upper and left lower lobes. These appear similar to the patient's previous chest CT and are XXXX the sequela of prior granulomatous disease. The lungs are otherwise clear without infiltrate. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1816_IM-0528/0.png"}, {"type": "image", "value": "train/CXR1816_IM-0528/1.png"}]} {"text": " and are images of chest X-rays showing: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Suspected XXXX artifact over the bilateral neck soft tissues and supraclavicular fossae. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR3574_IM-1756/0.png"}, {"type": "image", "value": "train/CXR3574_IM-1756/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Lungs are clear. blunting of the left costophrenic XXXX consistent with a small left pleural effusion and associated airspace disease. The right lung is clear. Sequelae of old granulomatous disease. Heart size is upper limits of normal. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR2289_IM-0873/0.png"}, {"type": "image", "value": "train/CXR2289_IM-0873/1.png"}]} {"text": "X-ray images labeled and display the following findings: Heart size mildly enlarged, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR906_IM-2411/0.png"}, {"type": "image", "value": "train/CXR906_IM-2411/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is minimal XXXX atelectasis or scar in the left lung base. The lungs are otherwise grossly clear. There is a small calcified granuloma in the left upper lobe. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated.", "modalities": [{"type": "image", "value": "train/CXR3620_IM-1791-1001/0.png"}, {"type": "image", "value": "train/CXR3620_IM-1791-1001/1.png"}]} {"text": " and capture chest X-rays with these findings: 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. Large hiatal hernia is present. Osteopenia and degenerative changes are present in the spine. Vascular calcification is noted. Degenerative changes are present in the right shoulder.", "modalities": [{"type": "image", "value": "train/CXR3601_IM-1777/0.png"}, {"type": "image", "value": "train/CXR3601_IM-1777/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: There is no focal consolidation, pleural effusions, or pneumothoraces. Scattered calcified nodules compatible with granulomatous disease. Cardiomediastinal silhouette is within normal limits. No masses or suspicious nodules. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR615_IM-2200/0.png"}, {"type": "image", "value": "train/CXR615_IM-2200/1.png"}]} {"text": " and show chest images with these observations: The trachea is midline. The cardiomediastinal silhouette is normal. Right lung calcified densities are unchanged from prior and indicate old granulomatous disease. Otherwise, the lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR323_IM-1526/0.png"}, {"type": "image", "value": "train/CXR323_IM-1526/1.png"}]} {"text": "The X-rays and show the following chest conditions: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are mildly hypoinflated with minimal streaky atelectasis or scar in the lung bases. Lungs are otherwise grossly clear of focal airspace disease. There is a stable calcified granuloma in the posterior left midlung. There is no pneumothorax or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2628_IM-1115/0.png"}, {"type": "image", "value": "train/CXR2628_IM-1115/1.png"}]} {"text": " and exhibit chest X-rays showing: Lung volumes are low. No infiltrates. Heart and mediastinum are normal.", "modalities": [{"type": "image", "value": "train/CXR2425_IM-0967/0.png"}, {"type": "image", "value": "train/CXR2425_IM-0967/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.", "modalities": [{"type": "image", "value": "train/CXR1274_IM-0183/0.png"}, {"type": "image", "value": "train/CXR1274_IM-0183/1.png"}]} {"text": " and provide chest images showing: Heart size is normal. No focal airspace disease. No pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR2028_IM-0673/0.png"}, {"type": "image", "value": "train/CXR2028_IM-0673/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Calcified mediastinal XXXX. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR997_IM-2479/0.png"}, {"type": "image", "value": "train/CXR997_IM-2479/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Sequelae of old granulomatous disease is again noted. Lungs are clear without focal air space disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR1376_IM-0242/0.png"}, {"type": "image", "value": "train/CXR1376_IM-0242/1.png"}]} {"text": " and capture chest X-rays with these findings: A right internal jugular XXXX this catheter has been exchanged for a large XXXX left internal jugular central venous catheter with the tip at the cavoatrial junction. No pneumothorax, pleural effusion or airspace consolidation. Stable thoracolumbar scoliosis. No acute bone findings. Stable cardiomegaly.", "modalities": [{"type": "image", "value": "train/CXR1936_IM-0606/0.png"}, {"type": "image", "value": "train/CXR1936_IM-0606/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax. Mild dextrocurvature of the spine again noted.", "modalities": [{"type": "image", "value": "train/CXR641_IM-2220/0.png"}, {"type": "image", "value": "train/CXR641_IM-2220/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR572_IM-2170/0.png"}, {"type": "image", "value": "train/CXR572_IM-2170/1.png"}]} {"text": " and X-rays show chest observations as follows: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3314_IM-1586/0.png"}, {"type": "image", "value": "train/CXR3314_IM-1586/1.png"}]} {"text": " and X-rays show chest observations as follows: 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.", "modalities": [{"type": "image", "value": "train/CXR2516_IM-1036/0.png"}, {"type": "image", "value": "train/CXR2516_IM-1036/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Mild scoliosis and degenerative changes of the thoracic spine noted.", "modalities": [{"type": "image", "value": "train/CXR58_IM-2177/0.png"}, {"type": "image", "value": "train/CXR58_IM-2177/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR829_IM-2358/0.png"}, {"type": "image", "value": "train/CXR829_IM-2358/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The lungs are clear. There is 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.", "modalities": [{"type": "image", "value": "train/CXR2748_IM-1198/0.png"}, {"type": "image", "value": "train/CXR2748_IM-1198/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Cardiomegaly. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2506_IM-1029/0.png"}, {"type": "image", "value": "train/CXR2506_IM-1029/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size and vascularity normal. Lungs are clear. No effusions. No pneumothorax. Visualized osseous structures unremarkable.", "modalities": [{"type": "image", "value": "train/CXR121_IM-0142/0.png"}, {"type": "image", "value": "train/CXR121_IM-0142/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The cardiac and mediastinal silhouettes are normal. The lungs are well-expanded and clear. There is no focal airspace opacity. There is no pneumothorax or effusion. There is irregularity of the 7th posterior right rib with underlying pleural thickening.", "modalities": [{"type": "image", "value": "train/CXR1667_IM-0441/0.png"}, {"type": "image", "value": "train/CXR1667_IM-0441/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Bilateral patchy pulmonary opacities noted. Interval improvement in left base consolidative opacity. Pulmonary vascular congestion again noted. Stable enlarged cardiomediastinal silhouette. Stable left XXXX. No evidence of pneumothorax. No large pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR28_IM-1231/0.png"}, {"type": "image", "value": "train/CXR28_IM-1231/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is bilateral hyperinflation, without focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3533_IM-1726/0.png"}, {"type": "image", "value": "train/CXR3533_IM-1726/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size is normal. 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.", "modalities": [{"type": "image", "value": "train/CXR946_IM-2441/0.png"}, {"type": "image", "value": "train/CXR946_IM-2441/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The cardiomediastinal silhouette appears irregular secondary to the diffuse bilateral pulmonary interstitial disease. The thoracic aorta is tortuous. Calcified lymph XXXX are demonstrated in the left hilum. No focal pulmonary consolidation. Diffuse increased bilateral pulmonary interstitial markings, consistent with the patient's history of known pulmonary fibrosis, with relative sparing of the bilateral lung apices. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.", "modalities": [{"type": "image", "value": "train/CXR3676_IM-1829-0001/0.png"}, {"type": "image", "value": "train/CXR3676_IM-1829-0001/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: This study is limited secondary to patient body habitus. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR696_IM-2261-1001/0.png"}, {"type": "image", "value": "train/CXR696_IM-2261-1001/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3854_IM-1950/0.png"}, {"type": "image", "value": "train/CXR3854_IM-1950/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Stable, nonenlarged cardiomediastinal silhouette. Left upper lobe calcified granuloma noted. Epigastric and right upper quadrant postsurgical changes. Interval increased bilateral interstitial opacities, with probable left lower lobe infiltrate.", "modalities": [{"type": "image", "value": "train/CXR2072_IM-0706/0.png"}, {"type": "image", "value": "train/CXR2072_IM-0706/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality.", "modalities": [{"type": "image", "value": "train/CXR2323_IM-0895/0.png"}, {"type": "image", "value": "train/CXR2323_IM-0895/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Stable cardiomediastinal silhouette. Elevated right hemidiaphragm. XXXX atelectasis in the right lung base. No focal pulmonary consolidation, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1889_IM-0577/0.png"}, {"type": "image", "value": "train/CXR1889_IM-0577/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: 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.", "modalities": [{"type": "image", "value": "train/CXR1424_IM-0271/0.png"}, {"type": "image", "value": "train/CXR1424_IM-0271/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The lungs are mildly hyperexpanded. There is no focal airspace consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.", "modalities": [{"type": "image", "value": "train/CXR712_IM-2274-0001/0.png"}, {"type": "image", "value": "train/CXR712_IM-2274-0001/1.png"}]} {"text": "The chest scans and reveal: The lungs are clear. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR676_IM-2248/0.png"}, {"type": "image", "value": "train/CXR676_IM-2248/1.png"}]} {"text": " and capture X-rays of the chest with these observations: No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette unremarkable. Stable bilateral calcified granulomas/lymph XXXX. A bullet is present in the posterior soft tissues of the left chest wall, stable compared to prior examination.", "modalities": [{"type": "image", "value": "train/CXR3401_IM-1645/0.png"}, {"type": "image", "value": "train/CXR3401_IM-1645/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: There are postsurgical and postradiation changes of the left lung with a spiculated, hyperdense scar in the left upper thorax. There is a loss of lung volume on the left due to postsurgical change. XXXX deviation towards the left. Right lung is hyperexpanded. The right lung is clear. Heart size and vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR701_IM-2266/0.png"}, {"type": "image", "value": "train/CXR701_IM-2266/1.png"}]} {"text": " and provide chest images showing: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Right apical pleural retraction. Hyperexpansion, flattening of diaphragms, and increased AP diameter consistent with history of COPD. Degenerative disease of the thoracic spine is present.", "modalities": [{"type": "image", "value": "train/CXR1876_IM-0567/0.png"}, {"type": "image", "value": "train/CXR1876_IM-0567/1.png"}]} {"text": "X-rays and show these chest observations: Normal cardiac contour. Clear lung XXXX bilaterally. No pleural effusion or pneumothorax. Degenerative seen throughout cervical spine.", "modalities": [{"type": "image", "value": "train/CXR3029_IM-1404/0.png"}, {"type": "image", "value": "train/CXR3029_IM-1404/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1834_IM-0539/0.png"}, {"type": "image", "value": "train/CXR1834_IM-0539/1.png"}]} {"text": "Chest X-rays shown as and indicate: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Note is XXXX of an XXXX closure device which appears grossly appropriate The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR1528_IM-0341/0.png"}, {"type": "image", "value": "train/CXR1528_IM-0341/1.png"}]} {"text": " and provide chest images showing: No focal consolidation. No visualized pneumothorax. The heart size is normal. There are no large pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR2310_IM-0885/0.png"}, {"type": "image", "value": "train/CXR2310_IM-0885/1.png"}]} {"text": " and depict chest X-rays with these findings: Lung volumes are decreased from XXXX, and there is resultant bronchovascular crowding. No evidence of focal airspace disease. No definite pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits given the low lung volumes. No free subdiaphragmatic air. Grossly stable mild degenerative changes of the right lower thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3708_IM-1852/0.png"}, {"type": "image", "value": "train/CXR3708_IM-1852/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Aortic atherosclerotic calcifications. Large hiatal hernia. No pleural effusion or pneumothorax. No focal opacity. Cardiomediastinal silhouette is stable in size and appearance.", "modalities": [{"type": "image", "value": "train/CXR3011_IM-1390/0.png"}, {"type": "image", "value": "train/CXR3011_IM-1390/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Stable scarring near the right lung apex along the lateral aspect. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR714_IM-2276/0.png"}, {"type": "image", "value": "train/CXR714_IM-2276/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperexpanded lungs. Normal heart size. Bony thorax and soft tissues grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1993_IM-0650/0.png"}, {"type": "image", "value": "train/CXR1993_IM-0650/1.png"}]} {"text": "The chest X-rays in and display: Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3258_IM-1544/0.png"}, {"type": "image", "value": "train/CXR3258_IM-1544/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Lungs are clear. There is no pneumothorax or pleural effusion. Calcified left suprahilar XXXX. The heart and mediastinum are within normal limits. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR286_IM-1267/0.png"}, {"type": "image", "value": "train/CXR286_IM-1267/1.png"}]} {"text": "X-rays and show these chest observations: Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperinflated lungs. Cardiomegaly. Bony thorax and soft tissues grossly unremarkable", "modalities": [{"type": "image", "value": "train/CXR1923_IM-0598/0.png"}, {"type": "image", "value": "train/CXR1923_IM-0598/1.png"}]} {"text": " and depict chest X-rays with these findings: Patchy airspace disease is present in the lateral view probably within the right lower lobe. There is severe underlying emphysema. The aorta is calcified. There is spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2111_IM-0741/0.png"}, {"type": "image", "value": "train/CXR2111_IM-0741/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Normal heart size. Clear lungs. Degenerative this disease within the spine. Prosthetic right shoulder. Possible XXXX body in the axillary recess of the left shoulder. Degenerative left glenohumeral osteoarthritis.", "modalities": [{"type": "image", "value": "train/CXR1154_IM-0104/0.png"}, {"type": "image", "value": "train/CXR1154_IM-0104/1.png"}]} {"text": "X-rays and show chest details with these impressions: Stable normal cardiac size and contour, normal mediastinal silhouette. Normal pulmonary XXXX. Lungs clear, no airspace disease. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2397_IM-0946/0.png"}, {"type": "image", "value": "train/CXR2397_IM-0946/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart is top normal in size. The mediastinum is stable. Surgical clips again seen overlying the superior mediastinum.There is an retrocardiac density compatible hiatal hernia. The lungs are mildly hypoinflated. No acute infiltrate or pleural effusion are seen.", "modalities": [{"type": "image", "value": "train/CXR3564_IM-1749-0001/0.png"}, {"type": "image", "value": "train/CXR3564_IM-1749-0001/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: There is increased size of left pneumothorax, with XXXX partial collapse of the left upper and lower lobes. This pneumothorax measures up to 3.5 cm in maximum width at the apex. There is no significant mediastinal shift. The right lung remains clear. Cardiomediastinal silhouette is within normal limits. There is a small left pleural effusion/hemothorax. No focal air space opacities. No free subdiaphragmatic air.", "modalities": [{"type": "image", "value": "train/CXR3945_IM-2014/0.png"}, {"type": "image", "value": "train/CXR3945_IM-2014/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size and pulmonary vascularity normal. The stomach contour normal. There is right hemidiaphragm elevation. Lungs are clear. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3571_IM-1754/0.png"}, {"type": "image", "value": "train/CXR3571_IM-1754/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Right basilar calcified granuloma noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR884_IM-2398/0.png"}, {"type": "image", "value": "train/CXR884_IM-2398/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Sequelae of old granulomatous disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR2808_IM-1238/0.png"}, {"type": "image", "value": "train/CXR2808_IM-1238/1.png"}]} {"text": "Chest X-rays shown as and indicate: Left PICC line and NG tube remain in XXXX. Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted.", "modalities": [{"type": "image", "value": "train/CXR3557_IM-1742-0001/0.png"}, {"type": "image", "value": "train/CXR3557_IM-1742-0001/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: 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 bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1473_IM-0306/0.png"}, {"type": "image", "value": "train/CXR1473_IM-0306/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph XXXX and granuloma are noted. Mild degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR166_IM-0435/0.png"}, {"type": "image", "value": "train/CXR166_IM-0435/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX opacity in the lung bases. The lungs are otherwise grossly clear. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1709_IM-0467/0.png"}, {"type": "image", "value": "train/CXR1709_IM-0467/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1802_IM-0521/0.png"}, {"type": "image", "value": "train/CXR1802_IM-0521/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality.", "modalities": [{"type": "image", "value": "train/CXR1218_IM-0146/0.png"}, {"type": "image", "value": "train/CXR1218_IM-0146/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Stable postoperative and degenerative changes of the XXXX. Stable degenerative disc disease of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR472_IM-2100/0.png"}, {"type": "image", "value": "train/CXR472_IM-2100/1.png"}]} {"text": " and present chest X-rays with the following impressions: The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.", "modalities": [{"type": "image", "value": "train/CXR2174_IM-0787/0.png"}, {"type": "image", "value": "train/CXR2174_IM-0787/1.png"}]} {"text": " and depict chest X-rays with these findings: Stable enlargement of the cardiac silhouette, lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases.", "modalities": [{"type": "image", "value": "train/CXR2532_IM-1046/0.png"}, {"type": "image", "value": "train/CXR2532_IM-1046/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart size is normal and cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. No bony or soft tissue abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3279_IM-1560/0.png"}, {"type": "image", "value": "train/CXR3279_IM-1560/1.png"}]} {"text": " and exhibit chest X-rays showing: Cardiomediastinal silhouette is within normal limits in overall size and appearance. Aortic XXXX, cardiac apex, and stomach are left-sided. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. Dextro-convex scoliotic curvature of the thoracic spine. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2270_IM-0859/0.png"}, {"type": "image", "value": "train/CXR2270_IM-0859/1.png"}]} {"text": "The chest X-rays in and display: AP and lateral view of the chest.", "modalities": [{"type": "image", "value": "train/CXR202_IM-0667/0.png"}, {"type": "image", "value": "train/CXR202_IM-0667/1.png"}]} {"text": " and present chest X-rays with the following impressions: The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal osteophytes of the thoracic spine. No acute, displaced rib fractures. A calcified granuloma is demonstrated in the left upper lobe.", "modalities": [{"type": "image", "value": "train/CXR2149_IM-0768-0001/0.png"}, {"type": "image", "value": "train/CXR2149_IM-0768-0001/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Cardiomediastinal contour stable and within normal limits. Changes of prior CABG again noted. Normal pulmonary vascularity. Streaky bibasilar opacities decreased from previous, possibly subsegmental atelectasis and/or scar. No pneumothorax or pleural effusion demonstrated. Redemonstrated severe L1 XXXX fracture. Slight interval increase in XXXX loss of T11 and there is XXXX mild to moderate anterior XXXX loss of T10. Degenerative changes of the spine. Abdominal aortic stent.", "modalities": [{"type": "image", "value": "train/CXR2408_IM-0955/0.png"}, {"type": "image", "value": "train/CXR2408_IM-0955/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The trachea is midline. The cardiomediastinal silhouette appears normal. There are no acute infiltrates, effusions. There is no evidence of pneumothorax. Visualized bony structures are intact with no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3386_IM-1633/0.png"}, {"type": "image", "value": "train/CXR3386_IM-1633/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR52_IM-2131/0.png"}, {"type": "image", "value": "train/CXR52_IM-2131/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR3986_IM-2041/0.png"}, {"type": "image", "value": "train/CXR3986_IM-2041/1.png"}]} {"text": "X-ray scans and display the following chest observations: Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen.", "modalities": [{"type": "image", "value": "train/CXR1578_IM-0376/0.png"}, {"type": "image", "value": "train/CXR1578_IM-0376/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Minimal XXXX opacities at the posterior sulci. A few septal lines of the left lateral sulcus. Otherwise, The lungs are clear with granulomas and XXXX sulci. Heart size upper normal thin LV contour.Unfolded calcified aorta. T-spine small osteophytes.", "modalities": [{"type": "image", "value": "train/CXR337_IM-1622/0.png"}, {"type": "image", "value": "train/CXR337_IM-1622/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Stable cardiomegaly, XXXX at XXXX partially accentuated by low lung volumes. Stable XXXX sternotomy XXXX, several of which are interrupted, and mediastinal clips. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.", "modalities": [{"type": "image", "value": "train/CXR2383_IM-0941/0.png"}, {"type": "image", "value": "train/CXR2383_IM-0941/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1092_IM-0063/0.png"}, {"type": "image", "value": "train/CXR1092_IM-0063/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. XXXX XXXX opacities XXXX reflecting atelectasis versus bronchovascular crowding.", "modalities": [{"type": "image", "value": "train/CXR3544_IM-1736/0.png"}, {"type": "image", "value": "train/CXR3544_IM-1736/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: There is some minimal biapical scarring. A calcified granuloma is present in the right middle lobe. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR165_IM-0427/0.png"}, {"type": "image", "value": "train/CXR165_IM-0427/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Both lungs remain clear and expanded. Heart and pulmonary XXXX are normal. No change in the large hiatus hernia.", "modalities": [{"type": "image", "value": "train/CXR2406_IM-0954/0.png"}, {"type": "image", "value": "train/CXR2406_IM-0954/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart is large. Pulmonary XXXX are engorged. Bibasilar interstitial infiltrates and bilateral costophrenic XXXX blunting are present.", "modalities": [{"type": "image", "value": "train/CXR1100_IM-0068/0.png"}, {"type": "image", "value": "train/CXR1100_IM-0068/1.png"}]} {"text": " and show chest images with these observations: The cardiomediastinal silhouette is stable in appearance. There are extensive fibrotic changes in the right lung with rightward shift of the trachea, similar to the previous exam. The left lung is well-aerated without focal airspace consolidation, pleural effusions or pneumothorax. There is left apical pleural-parenchymal scarring. No acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3697_IM-1846/0.png"}, {"type": "image", "value": "train/CXR3697_IM-1846/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: There is interstitial thickening bilaterally, more prominent in the bases. The cardiomediastinal silhouette is normal in size and appearance. There is hyperexpansion. No XXXX infiltrates. Two bullae are seen in the right upper lung. Small calcified granuloma stable from prior exam.", "modalities": [{"type": "image", "value": "train/CXR903_IM-2409/0.png"}, {"type": "image", "value": "train/CXR903_IM-2409/1.png"}]} {"text": "The chest scans and reveal: Tortuosity of the aorta. No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Unchanged eventration of the left hemidiaphragm versus small hernia (Bochdalek).", "modalities": [{"type": "image", "value": "train/CXR2102_IM-0733/0.png"}, {"type": "image", "value": "train/CXR2102_IM-0733/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Frontal and lateral views of the chest show normal size of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1707_IM-0466/0.png"}, {"type": "image", "value": "train/CXR1707_IM-0466/1.png"}]} {"text": " and depict chest X-rays with these findings: The XXXX examination consists of frontal and lateral radiographs of the chest. Sternotomy XXXX and surgical clips are again seen. The cardiomediastinal contours are unchanged. There is a background of marked centrilobular emphysema. Streaky opacities in the lung bases may represent atelectasis or scarring. There is no consolidation, pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR573_IM-2171/0.png"}, {"type": "image", "value": "train/CXR573_IM-2171/1.png"}]} {"text": "The chest scans and reveal: There extremely low lung volumes. there is right basilar opacity. There is no pneumothorax. There is no large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR53_IM-2138/0.png"}, {"type": "image", "value": "train/CXR53_IM-2138/1.png"}]} {"text": " and provide chest images showing: 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.", "modalities": [{"type": "image", "value": "train/CXR257_IM-1072/0.png"}, {"type": "image", "value": "train/CXR257_IM-1072/1.png"}]} {"text": "The chest scans and reveal: Severe emphysematous disease is again noted. Multifocal areas of scarring are unchanged in appearance. No pneumothorax. Heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR3482_IM-1692/0.png"}, {"type": "image", "value": "train/CXR3482_IM-1692/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3547_IM-1739/0.png"}, {"type": "image", "value": "train/CXR3547_IM-1739/1.png"}]} {"text": " and capture chest X-rays with these findings: The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Thoracic aorta is mildly ectatic, stable. Old right clavicular fracture is again noted.", "modalities": [{"type": "image", "value": "train/CXR1600_IM-0390/0.png"}, {"type": "image", "value": "train/CXR1600_IM-0390/1.png"}]} {"text": "Chest X-rays shown as and indicate: Heart size is mildly enlarged but stable.. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR2465_IM-0997/0.png"}, {"type": "image", "value": "train/CXR2465_IM-0997/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates.", "modalities": [{"type": "image", "value": "train/CXR1595_IM-0386/0.png"}, {"type": "image", "value": "train/CXR1595_IM-0386/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart size within normal limits and cardiomediastinal contours are normal. Lungs are clear bilaterally. No focal consolidations. No pleural effusions or pneumothorax. Bony structures and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR911_IM-2417/0.png"}, {"type": "image", "value": "train/CXR911_IM-2417/1.png"}]} {"text": " and present chest X-rays with the following impressions: Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. There is widening adjacent to the right paratracheal stripe, most XXXX represents the SVC with rotated position. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3835_IM-1938/0.png"}, {"type": "image", "value": "train/CXR3835_IM-1938/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.", "modalities": [{"type": "image", "value": "train/CXR3030_IM-1405/0.png"}, {"type": "image", "value": "train/CXR3030_IM-1405/1.png"}]} {"text": " and X-rays show chest observations as follows: Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR38_IM-1911/0.png"}, {"type": "image", "value": "train/CXR38_IM-1911/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3957_IM-2022/0.png"}, {"type": "image", "value": "train/CXR3957_IM-2022/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart, 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.", "modalities": [{"type": "image", "value": "train/CXR621_IM-2203/0.png"}, {"type": "image", "value": "train/CXR621_IM-2203/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.", "modalities": [{"type": "image", "value": "train/CXR1347_IM-0225/0.png"}, {"type": "image", "value": "train/CXR1347_IM-0225/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR2915_IM-1317/0.png"}, {"type": "image", "value": "train/CXR2915_IM-1317/1.png"}]} {"text": "The chest scans and reveal: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR34_IM-1644/0.png"}, {"type": "image", "value": "train/CXR34_IM-1644/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2590_IM-1083/0.png"}, {"type": "image", "value": "train/CXR2590_IM-1083/1.png"}]} {"text": "X-rays and show these chest observations: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .", "modalities": [{"type": "image", "value": "train/CXR1176_IM-0119/0.png"}, {"type": "image", "value": "train/CXR1176_IM-0119/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR738_IM-2296/0.png"}, {"type": "image", "value": "train/CXR738_IM-2296/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR2480_IM-1009/0.png"}, {"type": "image", "value": "train/CXR2480_IM-1009/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3222_IM-1522/0.png"}, {"type": "image", "value": "train/CXR3222_IM-1522/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1005_IM-0006/0.png"}, {"type": "image", "value": "train/CXR1005_IM-0006/1.png"}]} {"text": " and show chest X-ray scans that indicate: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3542_IM-1734/0.png"}, {"type": "image", "value": "train/CXR3542_IM-1734/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR325_IM-1539/0.png"}, {"type": "image", "value": "train/CXR325_IM-1539/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2785_IM-1220/0.png"}, {"type": "image", "value": "train/CXR2785_IM-1220/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3991_IM-2044/0.png"}, {"type": "image", "value": "train/CXR3991_IM-2044/1.png"}]} {"text": "Chest X-rays shown as and indicate: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3527_IM-1724/0.png"}, {"type": "image", "value": "train/CXR3527_IM-1724/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3460_IM-1681/0.png"}, {"type": "image", "value": "train/CXR3460_IM-1681/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR2784_IM-1220/0.png"}, {"type": "image", "value": "train/CXR2784_IM-1220/1.png"}]} {"text": "Chest X-rays shown as and indicate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1425_IM-0272/0.png"}, {"type": "image", "value": "train/CXR1425_IM-0272/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.", "modalities": [{"type": "image", "value": "train/CXR779_IM-2321/0.png"}, {"type": "image", "value": "train/CXR779_IM-2321/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1966_IM-0629/0.png"}, {"type": "image", "value": "train/CXR1966_IM-0629/1.png"}]} {"text": "The X-rays and show the following chest conditions: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR3765_IM-1884/0.png"}, {"type": "image", "value": "train/CXR3765_IM-1884/1.png"}]} {"text": " and show chest images with these observations: Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.", "modalities": [{"type": "image", "value": "train/CXR2686_IM-1158/0.png"}, {"type": "image", "value": "train/CXR2686_IM-1158/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.", "modalities": [{"type": "image", "value": "train/CXR2354_IM-0918/0.png"}, {"type": "image", "value": "train/CXR2354_IM-0918/1.png"}]} {"text": "The X-rays and show the following chest conditions: No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.", "modalities": [{"type": "image", "value": "train/CXR3445_IM-1668/0.png"}, {"type": "image", "value": "train/CXR3445_IM-1668/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3751_IM-1875/0.png"}, {"type": "image", "value": "train/CXR3751_IM-1875/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3734_IM-1866/0.png"}, {"type": "image", "value": "train/CXR3734_IM-1866/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR377_IM-1889/0.png"}, {"type": "image", "value": "train/CXR377_IM-1889/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR344_IM-1664/0.png"}, {"type": "image", "value": "train/CXR344_IM-1664/1.png"}]} {"text": "The chest X-rays in and display: The lungs are clear. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3646_IM-1808-0001/0.png"}, {"type": "image", "value": "train/CXR3646_IM-1808-0001/1.png"}]} {"text": "The X-rays and show the following chest conditions: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3335_IM-1598/0.png"}, {"type": "image", "value": "train/CXR3335_IM-1598/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2780_IM-1218/0.png"}, {"type": "image", "value": "train/CXR2780_IM-1218/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1997_IM-0651/0.png"}, {"type": "image", "value": "train/CXR1997_IM-0651/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1440_IM-0284/0.png"}, {"type": "image", "value": "train/CXR1440_IM-0284/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1259_IM-0175/0.png"}, {"type": "image", "value": "train/CXR1259_IM-0175/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.", "modalities": [{"type": "image", "value": "train/CXR658_IM-2234/0.png"}, {"type": "image", "value": "train/CXR658_IM-2234/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1812_IM-0525/0.png"}, {"type": "image", "value": "train/CXR1812_IM-0525/1.png"}]} {"text": "Chest X-rays shown as and indicate: Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR2357_IM-0921/0.png"}, {"type": "image", "value": "train/CXR2357_IM-0921/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2232_IM-0832/0.png"}, {"type": "image", "value": "train/CXR2232_IM-0832/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR993_IM-2478/0.png"}, {"type": "image", "value": "train/CXR993_IM-2478/1.png"}]} {"text": "The X-rays and show the following chest conditions: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR2734_IM-1189/0.png"}, {"type": "image", "value": "train/CXR2734_IM-1189/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.", "modalities": [{"type": "image", "value": "train/CXR461_IM-2090/0.png"}, {"type": "image", "value": "train/CXR461_IM-2090/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2098_IM-0728/0.png"}, {"type": "image", "value": "train/CXR2098_IM-0728/1.png"}]} {"text": " and show chest images with these observations: The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2277_IM-0864/0.png"}, {"type": "image", "value": "train/CXR2277_IM-0864/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2099_IM-0729/0.png"}, {"type": "image", "value": "train/CXR2099_IM-0729/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1633_IM-0414/0.png"}, {"type": "image", "value": "train/CXR1633_IM-0414/1.png"}]} {"text": "Chest X-rays shown as and indicate: No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3883_IM-1971/0.png"}, {"type": "image", "value": "train/CXR3883_IM-1971/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3041_IM-1415/0.png"}, {"type": "image", "value": "train/CXR3041_IM-1415/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.", "modalities": [{"type": "image", "value": "train/CXR269_IM-1161/0.png"}, {"type": "image", "value": "train/CXR269_IM-1161/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR3552_IM-1741/0.png"}, {"type": "image", "value": "train/CXR3552_IM-1741/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.", "modalities": [{"type": "image", "value": "train/CXR1854_IM-0555/0.png"}, {"type": "image", "value": "train/CXR1854_IM-0555/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR3745_IM-1872/0.png"}, {"type": "image", "value": "train/CXR3745_IM-1872/1.png"}]} {"text": "X-rays and show chest details with these impressions: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1467_IM-0302/0.png"}, {"type": "image", "value": "train/CXR1467_IM-0302/1.png"}]} {"text": "X-rays and show these chest observations: 2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1270_IM-0181/0.png"}, {"type": "image", "value": "train/CXR1270_IM-0181/1.png"}]} {"text": "X-ray images labeled and display the following findings: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3098_IM-1450/0.png"}, {"type": "image", "value": "train/CXR3098_IM-1450/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1603_IM-0391/0.png"}, {"type": "image", "value": "train/CXR1603_IM-0391/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1008_IM-0009/0.png"}, {"type": "image", "value": "train/CXR1008_IM-0009/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2916_IM-1318/0.png"}, {"type": "image", "value": "train/CXR2916_IM-1318/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1632_IM-0413/0.png"}, {"type": "image", "value": "train/CXR1632_IM-0413/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR3265_IM-1551/0.png"}, {"type": "image", "value": "train/CXR3265_IM-1551/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2851_IM-1260-0001/0.png"}, {"type": "image", "value": "train/CXR2851_IM-1260-0001/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR242_IM-0963/0.png"}, {"type": "image", "value": "train/CXR242_IM-0963/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3427_IM-1657/0.png"}, {"type": "image", "value": "train/CXR3427_IM-1657/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3220_IM-1522/0.png"}, {"type": "image", "value": "train/CXR3220_IM-1522/1.png"}]} {"text": "Chest X-rays shown as and indicate: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR2005_IM-0656/0.png"}, {"type": "image", "value": "train/CXR2005_IM-0656/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR1410_IM-0260/0.png"}, {"type": "image", "value": "train/CXR1410_IM-0260/1.png"}]} {"text": " and provide chest images showing: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR879_IM-2393/0.png"}, {"type": "image", "value": "train/CXR879_IM-2393/1.png"}]} {"text": " and X-rays show chest observations as follows: Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3020_IM-1395/0.png"}, {"type": "image", "value": "train/CXR3020_IM-1395/1.png"}]} {"text": "X-rays and show chest details with these impressions: Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR632_IM-2213/0.png"}, {"type": "image", "value": "train/CXR632_IM-2213/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2937_IM-1339/0.png"}, {"type": "image", "value": "train/CXR2937_IM-1339/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: 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.", "modalities": [{"type": "image", "value": "train/CXR328_IM-1560/0.png"}, {"type": "image", "value": "train/CXR328_IM-1560/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3817_IM-1925/0.png"}, {"type": "image", "value": "train/CXR3817_IM-1925/1.png"}]} {"text": "The chest scans and reveal: Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3059_IM-1425/0.png"}, {"type": "image", "value": "train/CXR3059_IM-1425/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: 2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2389_IM-0944/0.png"}, {"type": "image", "value": "train/CXR2389_IM-0944/1.png"}]} {"text": " and provide chest images showing: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR869_IM-2389/0.png"}, {"type": "image", "value": "train/CXR869_IM-2389/1.png"}]} {"text": "X-rays and show these chest observations: Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR751_IM-2305/0.png"}, {"type": "image", "value": "train/CXR751_IM-2305/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1209_IM-0142/0.png"}, {"type": "image", "value": "train/CXR1209_IM-0142/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR1588_IM-0382/0.png"}, {"type": "image", "value": "train/CXR1588_IM-0382/1.png"}]} {"text": "X-rays and show chest details with these impressions: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR487_IM-2110/0.png"}, {"type": "image", "value": "train/CXR487_IM-2110/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2940_IM-1341/0.png"}, {"type": "image", "value": "train/CXR2940_IM-1341/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1831_IM-0538/0.png"}, {"type": "image", "value": "train/CXR1831_IM-0538/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR717_IM-2279/0.png"}, {"type": "image", "value": "train/CXR717_IM-2279/1.png"}]} {"text": " and provide chest images showing: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1434_IM-0279/0.png"}, {"type": "image", "value": "train/CXR1434_IM-0279/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR931_IM-2429/0.png"}, {"type": "image", "value": "train/CXR931_IM-2429/1.png"}]} {"text": "These chest X-rays ( and ) show the following: 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.", "modalities": [{"type": "image", "value": "train/CXR735_IM-2294/0.png"}, {"type": "image", "value": "train/CXR735_IM-2294/1.png"}]} {"text": "X-rays and show these chest observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR870_IM-2391/0.png"}, {"type": "image", "value": "train/CXR870_IM-2391/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR588_IM-2183/0.png"}, {"type": "image", "value": "train/CXR588_IM-2183/1.png"}]} {"text": " and X-rays show chest observations as follows: Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1509_IM-0331/0.png"}, {"type": "image", "value": "train/CXR1509_IM-0331/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR2953_IM-1351/0.png"}, {"type": "image", "value": "train/CXR2953_IM-1351/1.png"}]} {"text": " and are images of chest X-rays showing: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2204_IM-0813/0.png"}, {"type": "image", "value": "train/CXR2204_IM-0813/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR43_IM-2070/0.png"}, {"type": "image", "value": "train/CXR43_IM-2070/1.png"}]} {"text": " and X-rays show chest observations as follows: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3446_IM-1669/0.png"}, {"type": "image", "value": "train/CXR3446_IM-1669/1.png"}]} {"text": "X-rays and show these chest observations: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR3495_IM-1700/0.png"}, {"type": "image", "value": "train/CXR3495_IM-1700/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR795_IM-2331/0.png"}, {"type": "image", "value": "train/CXR795_IM-2331/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3867_IM-1960/0.png"}, {"type": "image", "value": "train/CXR3867_IM-1960/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3720_IM-1859/0.png"}, {"type": "image", "value": "train/CXR3720_IM-1859/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1931_IM-0602/0.png"}, {"type": "image", "value": "train/CXR1931_IM-0602/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1771_IM-0505/0.png"}, {"type": "image", "value": "train/CXR1771_IM-0505/1.png"}]} {"text": " and present chest X-rays with the following impressions: 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.", "modalities": [{"type": "image", "value": "train/CXR3126_IM-1470/0.png"}, {"type": "image", "value": "train/CXR3126_IM-1470/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3105_IM-1456/0.png"}, {"type": "image", "value": "train/CXR3105_IM-1456/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2796_IM-1228/0.png"}, {"type": "image", "value": "train/CXR2796_IM-1228/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR1323_IM-0209/0.png"}, {"type": "image", "value": "train/CXR1323_IM-0209/1.png"}]} {"text": " and show chest images with these observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1309_IM-0201-1001/0.png"}, {"type": "image", "value": "train/CXR1309_IM-0201-1001/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2423_IM-0965/0.png"}, {"type": "image", "value": "train/CXR2423_IM-0965/1.png"}]} {"text": "The chest X-rays in and display: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3194_IM-1505/0.png"}, {"type": "image", "value": "train/CXR3194_IM-1505/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2136_IM-0758/0.png"}, {"type": "image", "value": "train/CXR2136_IM-0758/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3778_IM-1894/0.png"}, {"type": "image", "value": "train/CXR3778_IM-1894/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1726_IM-0479/0.png"}, {"type": "image", "value": "train/CXR1726_IM-0479/1.png"}]} {"text": "The X-ray images and highlight the following in the 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR2889_IM-1291/0.png"}, {"type": "image", "value": "train/CXR2889_IM-1291/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2786_IM-1221/0.png"}, {"type": "image", "value": "train/CXR2786_IM-1221/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR497_IM-2114/0.png"}, {"type": "image", "value": "train/CXR497_IM-2114/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR162_IM-0401/0.png"}, {"type": "image", "value": "train/CXR162_IM-0401/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3763_IM-1883/0.png"}, {"type": "image", "value": "train/CXR3763_IM-1883/1.png"}]} {"text": "X-rays and show these chest observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR485_IM-2109/0.png"}, {"type": "image", "value": "train/CXR485_IM-2109/1.png"}]} {"text": "The images and are chest X-rays with the following noted: No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR2020_IM-0668/0.png"}, {"type": "image", "value": "train/CXR2020_IM-0668/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality.", "modalities": [{"type": "image", "value": "train/CXR2623_IM-1111/0.png"}, {"type": "image", "value": "train/CXR2623_IM-1111/1.png"}]} {"text": "X-ray images labeled and display the following findings: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1190_IM-0128/0.png"}, {"type": "image", "value": "train/CXR1190_IM-0128/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1646_IM-0423/0.png"}, {"type": "image", "value": "train/CXR1646_IM-0423/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR1373_IM-0240/0.png"}, {"type": "image", "value": "train/CXR1373_IM-0240/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .", "modalities": [{"type": "image", "value": "train/CXR1627_IM-0408/0.png"}, {"type": "image", "value": "train/CXR1627_IM-0408/1.png"}]} {"text": "X-rays and show these chest observations: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR2592_IM-1084/0.png"}, {"type": "image", "value": "train/CXR2592_IM-1084/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR364_IM-1804/0.png"}, {"type": "image", "value": "train/CXR364_IM-1804/1.png"}]} {"text": "X-ray scans and display the following chest observations: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3890_IM-1973/0.png"}, {"type": "image", "value": "train/CXR3890_IM-1973/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.", "modalities": [{"type": "image", "value": "train/CXR1956_IM-0623/0.png"}, {"type": "image", "value": "train/CXR1956_IM-0623/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3902_IM-1981/0.png"}, {"type": "image", "value": "train/CXR3902_IM-1981/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1219_IM-0146/0.png"}, {"type": "image", "value": "train/CXR1219_IM-0146/1.png"}]} {"text": " and capture X-rays of the chest with these observations: No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.", "modalities": [{"type": "image", "value": "train/CXR932_IM-2430/0.png"}, {"type": "image", "value": "train/CXR932_IM-2430/1.png"}]} {"text": "X-rays and show chest details with these impressions: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1487_IM-0314/0.png"}, {"type": "image", "value": "train/CXR1487_IM-0314/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1454_IM-0293/0.png"}, {"type": "image", "value": "train/CXR1454_IM-0293/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1582_IM-0378/0.png"}, {"type": "image", "value": "train/CXR1582_IM-0378/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.", "modalities": [{"type": "image", "value": "train/CXR2413_IM-0959/0.png"}, {"type": "image", "value": "train/CXR2413_IM-0959/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR141_IM-0260/0.png"}, {"type": "image", "value": "train/CXR141_IM-0260/1.png"}]} {"text": "X-rays and show these chest observations: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR2910_IM-1314/0.png"}, {"type": "image", "value": "train/CXR2910_IM-1314/1.png"}]} {"text": " and show chest images with these observations: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3549_IM-1739-1001/0.png"}, {"type": "image", "value": "train/CXR3549_IM-1739-1001/1.png"}]} {"text": " and present chest X-rays with the following impressions: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3603_IM-1779/0.png"}, {"type": "image", "value": "train/CXR3603_IM-1779/1.png"}]} {"text": " and exhibit chest X-rays showing: 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.", "modalities": [{"type": "image", "value": "train/CXR1093_IM-0064/0.png"}, {"type": "image", "value": "train/CXR1093_IM-0064/1.png"}]} {"text": "The X-rays and show the following chest conditions: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR2862_IM-1270/0.png"}, {"type": "image", "value": "train/CXR2862_IM-1270/1.png"}]} {"text": " and provide chest images showing: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR12_IM-0133/0.png"}, {"type": "image", "value": "train/CXR12_IM-0133/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1535_IM-0346/0.png"}, {"type": "image", "value": "train/CXR1535_IM-0346/1.png"}]} {"text": " and provide chest images showing: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3063_IM-1428/0.png"}, {"type": "image", "value": "train/CXR3063_IM-1428/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.", "modalities": [{"type": "image", "value": "train/CXR771_IM-2316/0.png"}, {"type": "image", "value": "train/CXR771_IM-2316/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3532_IM-1726/0.png"}, {"type": "image", "value": "train/CXR3532_IM-1726/1.png"}]} {"text": "The chest scans and reveal: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR3845_IM-1945/0.png"}, {"type": "image", "value": "train/CXR3845_IM-1945/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.", "modalities": [{"type": "image", "value": "train/CXR3403_IM-1647/0.png"}, {"type": "image", "value": "train/CXR3403_IM-1647/1.png"}]} {"text": "X-rays and show these chest observations: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1188_IM-0127/0.png"}, {"type": "image", "value": "train/CXR1188_IM-0127/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3329_IM-1594/0.png"}, {"type": "image", "value": "train/CXR3329_IM-1594/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3587_IM-1765/0.png"}, {"type": "image", "value": "train/CXR3587_IM-1765/1.png"}]} {"text": " and exhibit chest X-rays showing: Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1344_IM-0223/0.png"}, {"type": "image", "value": "train/CXR1344_IM-0223/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3962_IM-2027/0.png"}, {"type": "image", "value": "train/CXR3962_IM-2027/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1891_IM-0580/0.png"}, {"type": "image", "value": "train/CXR1891_IM-0580/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR1932_IM-0603/0.png"}, {"type": "image", "value": "train/CXR1932_IM-0603/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1510_IM-0331/0.png"}, {"type": "image", "value": "train/CXR1510_IM-0331/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR86_IM-2380/0.png"}, {"type": "image", "value": "train/CXR86_IM-2380/1.png"}]} {"text": "Chest X-rays shown as and indicate: Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR770_IM-2316/0.png"}, {"type": "image", "value": "train/CXR770_IM-2316/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1796_IM-0517/0.png"}, {"type": "image", "value": "train/CXR1796_IM-0517/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR1480_IM-0311/0.png"}, {"type": "image", "value": "train/CXR1480_IM-0311/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3203_IM-1513/0.png"}, {"type": "image", "value": "train/CXR3203_IM-1513/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR565_IM-2166/0.png"}, {"type": "image", "value": "train/CXR565_IM-2166/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR474_IM-2101/0.png"}, {"type": "image", "value": "train/CXR474_IM-2101/1.png"}]} {"text": " and capture chest X-rays with these findings: 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.", "modalities": [{"type": "image", "value": "train/CXR2861_IM-1269/0.png"}, {"type": "image", "value": "train/CXR2861_IM-1269/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3106_IM-1456/0.png"}, {"type": "image", "value": "train/CXR3106_IM-1456/1.png"}]} {"text": "The chest X-rays in and display: The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2061_IM-0698/0.png"}, {"type": "image", "value": "train/CXR2061_IM-0698/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR39_IM-1978/0.png"}, {"type": "image", "value": "train/CXR39_IM-1978/1.png"}]} {"text": "X-rays and show these chest observations: The cardiomediastinal silhouette is normal in size and contour. Streaky perihilar opacities. Peribronchial cuffing also noted. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR3466_IM-1683/0.png"}, {"type": "image", "value": "train/CXR3466_IM-1683/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No acute bony changes.", "modalities": [{"type": "image", "value": "train/CXR1191_IM-0128/0.png"}, {"type": "image", "value": "train/CXR1191_IM-0128/1.png"}]} {"text": " and show chest images with these observations: Lungs are clear. No pleural effusions or pneumothoraces. heart size is upper limits of normal.", "modalities": [{"type": "image", "value": "train/CXR3844_IM-1945/0.png"}, {"type": "image", "value": "train/CXR3844_IM-1945/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Normal heart size. Clear lungs without pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1205_IM-0138/0.png"}, {"type": "image", "value": "train/CXR1205_IM-0138/1.png"}]} {"text": " and exhibit chest X-rays showing: 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.", "modalities": [{"type": "image", "value": "train/CXR2948_IM-1348/0.png"}, {"type": "image", "value": "train/CXR2948_IM-1348/1.png"}]} {"text": "The X-rays and show the following chest conditions: Normal cardiomediastinal silhouette and hilar contours. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. Findings compatible with prior granulomatous disease. The visualized XXXX XXXX are intact without acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR578_IM-2176/0.png"}, {"type": "image", "value": "train/CXR578_IM-2176/1.png"}]} {"text": " and exhibit chest X-rays showing: Heart size is within normal limits. Tortuous aorta. Clear lungs. No pneumothorax. No pleural effusion. Atherosclerotic calcification within the aorta. Right lower lung granuloma.", "modalities": [{"type": "image", "value": "train/CXR3774_IM-1892/0.png"}, {"type": "image", "value": "train/CXR3774_IM-1892/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart is normal in size. Mild fullness of the left hilum, small interval change from prior exam. Lucencies throughout the chest XXXX representing emphysematous change. Scattered bilateral calcified granulomas. No pneumothorax. Large hiatal hernia, increased from prior exam.", "modalities": [{"type": "image", "value": "train/CXR3192_IM-1505/0.png"}, {"type": "image", "value": "train/CXR3192_IM-1505/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm. Surgical clips are seen the right upper quadrant.", "modalities": [{"type": "image", "value": "train/CXR2229_IM-0831/0.png"}, {"type": "image", "value": "train/CXR2229_IM-0831/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR785_IM-2325/0.png"}, {"type": "image", "value": "train/CXR785_IM-2325/1.png"}]} {"text": " and X-rays show chest observations as follows: Cardiomediastinal silhouettes are within normal limits. Lungs are hyperexpanded. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3355_IM-1609/0.png"}, {"type": "image", "value": "train/CXR3355_IM-1609/1.png"}]} {"text": " and present chest X-rays with the following impressions: Normal heart. Clear lungs. No pneumothorax. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1544_IM-0354/0.png"}, {"type": "image", "value": "train/CXR1544_IM-0354/1.png"}]} {"text": " and present chest X-rays with the following impressions: The XXXX examination consists of frontal and lateral radiographs of the chest. A total of 3 images were obtained. The cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation. There is XXXX XXXX atelectasis. No consolidation, pleural effusion or pneumothorax. Calcified right infrahilar lymph XXXX again seen. Partially visualized lower cervical spine fusion XXXX.", "modalities": [{"type": "image", "value": "train/CXR304_IM-1413/0.png"}, {"type": "image", "value": "train/CXR304_IM-1413/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax. There are endplate changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR692_IM-2258/0.png"}, {"type": "image", "value": "train/CXR692_IM-2258/1.png"}]} {"text": "X-ray images labeled and display the following findings: Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR435_IM-2075/0.png"}, {"type": "image", "value": "train/CXR435_IM-2075/1.png"}]} {"text": " and are images of chest X-rays showing: The cardiac and mediastinal silhouettes are normal. The lungs are well-expanded and clear. There is no focal airspace opacity. There is no pneumothorax or effusion. There is dextrocurvature of the thoracic spine. There is XXXX deformity of the T9 vertebral body. Levocurvature of the lumbar spine with significant degenerative change is also noted.", "modalities": [{"type": "image", "value": "train/CXR1860_IM-0558/0.png"}, {"type": "image", "value": "train/CXR1860_IM-0558/1.png"}]} {"text": " and are images of chest X-rays showing: Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3136_IM-1475/0.png"}, {"type": "image", "value": "train/CXR3136_IM-1475/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Heart size and mediastinal contours are within normal limits given AP projection. The right lung appears clear. There is minimal patchy atelectasis or early infiltrate in left lung base. No visible pleural effusion or pneumothorax. There is a partially visualized IVC XXXX on the lateral view. There are partially visualized surgical changes the cervical spine compatible with prior fusion procedure.", "modalities": [{"type": "image", "value": "train/CXR3687_IM-1838/0.png"}, {"type": "image", "value": "train/CXR3687_IM-1838/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart is normal in size. The mediastinal contours are stable. Aortic calcifications are noted. There are small calcified lymph XXXX. Emphysema and chronic changes are identified. There is XXXX opacity in the left perihilar upper lobe. There is questionable XXXX extension to the pleural surface. This may represent acute infiltrate or developing density. There is no pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3673_IM-1828/0.png"}, {"type": "image", "value": "train/CXR3673_IM-1828/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The heart is normal in size and contour. There is mild calcification of the transverse XXXX. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Degenerative changes of the midthoracic spine are noted.", "modalities": [{"type": "image", "value": "train/CXR1256_IM-0173/0.png"}, {"type": "image", "value": "train/CXR1256_IM-0173/1.png"}]} {"text": "X-rays and show chest details with these impressions: A right-sided chest XXXX remains in XXXX with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3843_IM-1944/0.png"}, {"type": "image", "value": "train/CXR3843_IM-1944/1.png"}]} {"text": "X-rays and show these chest observations: Stable cardiomegaly and mediastinal contour. Increased interstitial lung markings are seen, possibly due to volume overload. There is improved aeration of the lung bases with small residual left basilar effusion. No XXXX focal consolidation or pneumothorax. Stable tunneled dialysis catheter. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3595_IM-1773-0001/0.png"}, {"type": "image", "value": "train/CXR3595_IM-1773-0001/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Lung volumes remain low. No infiltrates. Heart and pulmonary XXXX remain normal.", "modalities": [{"type": "image", "value": "train/CXR1675_IM-0445/0.png"}, {"type": "image", "value": "train/CXR1675_IM-0445/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes without focal consolidation. There is no pleural effusion. XXXX lingular scarring or atelectasis noted.", "modalities": [{"type": "image", "value": "train/CXR3066_IM-1430/0.png"}, {"type": "image", "value": "train/CXR3066_IM-1430/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The heart, 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 is a small stable XXXX foreign body noted over the left chest. There are vascular calcifications over the aortic XXXX. There are mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2681_IM-1154/0.png"}, {"type": "image", "value": "train/CXR2681_IM-1154/1.png"}]} {"text": "The X-rays and show the following chest conditions: Lungs are hyperinflated but clear. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. Calcified mediastinal XXXX identified.", "modalities": [{"type": "image", "value": "train/CXR2336_IM-0903/0.png"}, {"type": "image", "value": "train/CXR2336_IM-0903/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR3283_IM-1564/0.png"}, {"type": "image", "value": "train/CXR3283_IM-1564/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The heart size and pulmonary vascularity appear within normal limits. The left hemidiaphragm remains elevated. Right base densities are again noted which appear improved. Previously seen left pleural effusion has resolved. There continues to be some left base opacities which may represent atelectasis. Surgical clips and suture lines are noted in the mediastinum. An air-fluid level is seen in the upper right abdomen immediately below the right hemidiaphragm. Extensive pleural densities are present on the right which may represent localized fluid or pleural thickening. No definite pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR569_IM-2169-0001/0.png"}, {"type": "image", "value": "train/CXR569_IM-2169-0001/1.png"}]} {"text": "X-rays and show these chest observations: Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1030_IM-0024/0.png"}, {"type": "image", "value": "train/CXR1030_IM-0024/1.png"}]} {"text": "X-rays and show these chest observations: The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. No pulmonary nodules are identified.", "modalities": [{"type": "image", "value": "train/CXR1608_IM-0394/0.png"}, {"type": "image", "value": "train/CXR1608_IM-0394/1.png"}]} {"text": " and show chest images with these observations: The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta. There is again a pleural based density in the right lung base, XXXX related to subpleural fat. The appearance is stable from multiple previous studies. The lungs are clear. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR623_IM-2205/0.png"}, {"type": "image", "value": "train/CXR623_IM-2205/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Heart size within normal limits. No focal airspace disease. No pleural effusion. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2965_IM-1358/0.png"}, {"type": "image", "value": "train/CXR2965_IM-1358/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2876_IM-1282/0.png"}, {"type": "image", "value": "train/CXR2876_IM-1282/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR3922_IM-1996-0001/0.png"}, {"type": "image", "value": "train/CXR3922_IM-1996-0001/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Normal cardiomediastinal contours. Marrow pneumothorax, focal lung consolidation or pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR3085_IM-1444/0.png"}, {"type": "image", "value": "train/CXR3085_IM-1444/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size normal. Stable cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are in XXXX alignment without fracture.", "modalities": [{"type": "image", "value": "train/CXR913_IM-2417/0.png"}, {"type": "image", "value": "train/CXR913_IM-2417/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Crowded bronchovascular markings in the hilar and perihilar region, right lower lung zones. Low lung volumes. No noncalcified pulmonary nodules seen. No pleural effusion or pneumothorax. No small heart size. There is a right diaphragmatic hump. The soft tissues seen in the left cardiophrenic XXXX, could represent an ectatic descending aorta or hiatal hernia. Visualized XXXX of the chest XXXX are within normal limits. Degenerative changes demonstrated within the visualized thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3474_IM-1688/0.png"}, {"type": "image", "value": "train/CXR3474_IM-1688/1.png"}]} {"text": " and are images of chest X-rays showing: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2146_IM-0766/0.png"}, {"type": "image", "value": "train/CXR2146_IM-0766/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size mildly enlarged. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. S-shaped spine curvature noted.", "modalities": [{"type": "image", "value": "train/CXR1742_IM-0489/0.png"}, {"type": "image", "value": "train/CXR1742_IM-0489/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Lungs are clear. No pleural effusions or pneumothoraces. Heart size is normal with postoperative changes consistent with CABG. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1642_IM-0421/0.png"}, {"type": "image", "value": "train/CXR1642_IM-0421/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is right basilar air space opacity.", "modalities": [{"type": "image", "value": "train/CXR2363_IM-0926/0.png"}, {"type": "image", "value": "train/CXR2363_IM-0926/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The heart is normal in size. The cardiomediastinal contours are stable. There are stable bilateral pleural effusions with partial right-sided loculation. Biapical scarring and pleural thickening appears stable. There is again right-sided superior hilar retraction and mild rightward XXXX deviation. No acute infiltrate is appreciated.", "modalities": [{"type": "image", "value": "train/CXR3508_IM-1710/0.png"}, {"type": "image", "value": "train/CXR3508_IM-1710/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR2918_IM-1320/0.png"}, {"type": "image", "value": "train/CXR2918_IM-1320/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Compared to prior examination from XXXX, there has been extubation and removal of central line and enteric tube. Stable cardiomegaly and mild thoracolumbar dextroscoliosis. Left basilar opacity XXXX represents chronic fibrosis/scar. No focal consolidation, pneumothorax, or effusion. No acute osseous abnormality.", "modalities": [{"type": "image", "value": "train/CXR2088_IM-0719/0.png"}, {"type": "image", "value": "train/CXR2088_IM-0719/1.png"}]} {"text": "Chest X-rays shown as and indicate: The cardiomediastinal silhouette is within normal limits. There is rounded calcified density within the left lower lobe most consistent with granuloma. Remaining lungs are clear without evidence of focal opacification. No pneumothorax or large pleural effusion. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1765_IM-0499/0.png"}, {"type": "image", "value": "train/CXR1765_IM-0499/1.png"}]} {"text": "The chest scans and reveal: Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1470_IM-0303/0.png"}, {"type": "image", "value": "train/CXR1470_IM-0303/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR3775_IM-1893/0.png"}, {"type": "image", "value": "train/CXR3775_IM-1893/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3521_IM-1719/0.png"}, {"type": "image", "value": "train/CXR3521_IM-1719/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Prominent interstitial markings. There are small bilateral pleural effusions. No pneumothorax or focal consolidation. Normal heart size. Catheter tubing present in the upper midabdomen. There is bilateral acromioclavicular degenerative joint disease, right greater than left.", "modalities": [{"type": "image", "value": "train/CXR3382_IM-1629-0001/0.png"}, {"type": "image", "value": "train/CXR3382_IM-1629-0001/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with normal heart size.", "modalities": [{"type": "image", "value": "train/CXR1015_IM-0001/0.png"}, {"type": "image", "value": "train/CXR1015_IM-0001/1.png"}]} {"text": " and provide chest images showing: 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.", "modalities": [{"type": "image", "value": "train/CXR2537_IM-1049/0.png"}, {"type": "image", "value": "train/CXR2537_IM-1049/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1460_IM-0298/0.png"}, {"type": "image", "value": "train/CXR1460_IM-0298/1.png"}]} {"text": "These chest X-rays ( and ) show the following: 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.", "modalities": [{"type": "image", "value": "train/CXR1319_IM-0205/0.png"}, {"type": "image", "value": "train/CXR1319_IM-0205/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3993_IM-2044/0.png"}, {"type": "image", "value": "train/CXR3993_IM-2044/1.png"}]} {"text": "X-rays and show chest details with these impressions: Lungs are clear. No focal infiltrate. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.", "modalities": [{"type": "image", "value": "train/CXR988_IM-2474/0.png"}, {"type": "image", "value": "train/CXR988_IM-2474/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2445_IM-0981/0.png"}, {"type": "image", "value": "train/CXR2445_IM-0981/1.png"}]} {"text": " and depict chest X-rays with these findings: Stable enlarged cardiac silhouette. Persistent bilateral lower lobe airspace disease, not significantly XXXX compared to prior. No pleural effusion or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1193_IM-0129/0.png"}, {"type": "image", "value": "train/CXR1193_IM-0129/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR3472_IM-1688/0.png"}, {"type": "image", "value": "train/CXR3472_IM-1688/1.png"}]} {"text": "X-ray images labeled and display the following findings: Stable appearance of the cardiomediastinal silhouette. There is no pneumothorax, pleural effusion, or focal airspace consolidation.", "modalities": [{"type": "image", "value": "train/CXR850_IM-2373-0001/0.png"}, {"type": "image", "value": "train/CXR850_IM-2373-0001/1.png"}]} {"text": "The chest scans and reveal: 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 lobar air space consolidation. XXXX right middle lobe collapse appears less distinct than on prior study.", "modalities": [{"type": "image", "value": "train/CXR1277_IM-0185/0.png"}, {"type": "image", "value": "train/CXR1277_IM-0185/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax or pneumomediastinum. Visualized bony structures are normal.", "modalities": [{"type": "image", "value": "train/CXR2145_IM-0766/0.png"}, {"type": "image", "value": "train/CXR2145_IM-0766/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3016_IM-1392/0.png"}, {"type": "image", "value": "train/CXR3016_IM-1392/1.png"}]} {"text": " and depict chest X-rays with these findings: Stable appearing right-sided XXXX the opacities. There is persistent elevation of the right hemidiaphragm. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR308_IM-1439/0.png"}, {"type": "image", "value": "train/CXR308_IM-1439/1.png"}]} {"text": " and exhibit chest X-rays showing: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR1377_IM-0242/0.png"}, {"type": "image", "value": "train/CXR1377_IM-0242/1.png"}]} {"text": " and show chest images with these observations: The heart is normal in size. The mediastinum is unremarkable. Emphysematous changes are identified. The lungs are otherwise grossly clear.", "modalities": [{"type": "image", "value": "train/CXR2209_IM-0816/0.png"}, {"type": "image", "value": "train/CXR2209_IM-0816/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3221_IM-1522/0.png"}, {"type": "image", "value": "train/CXR3221_IM-1522/1.png"}]} {"text": "X-rays and show chest details with these impressions: Low lung volumes with bibasilar subsegmental atelectasis. No focal consolidations, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2433_IM-0975/0.png"}, {"type": "image", "value": "train/CXR2433_IM-0975/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes within the spine.", "modalities": [{"type": "image", "value": "train/CXR2575_IM-1075/0.png"}, {"type": "image", "value": "train/CXR2575_IM-1075/1.png"}]} {"text": " and depict chest X-rays with these findings: Lung volumes are low. No focal infiltrates. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR761_IM-2310/0.png"}, {"type": "image", "value": "train/CXR761_IM-2310/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: 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.", "modalities": [{"type": "image", "value": "train/CXR2531_IM-1045/0.png"}, {"type": "image", "value": "train/CXR2531_IM-1045/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: No acute osseous abnormality. Mild degenerative changes of the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Prominence of superior mediastinal, XXXX superimposed structures. No focal area of consolidation, pleural effusion, or pneumothorax. Mild bibasilar atelectasis.", "modalities": [{"type": "image", "value": "train/CXR3415_IM-1650/0.png"}, {"type": "image", "value": "train/CXR3415_IM-1650/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable left lower lobe calcified granuloma. Remote left clavicle fracture.", "modalities": [{"type": "image", "value": "train/CXR2378_IM-0938/0.png"}, {"type": "image", "value": "train/CXR2378_IM-0938/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR980_IM-2468/0.png"}, {"type": "image", "value": "train/CXR980_IM-2468/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .", "modalities": [{"type": "image", "value": "train/CXR2159_IM-0776/0.png"}, {"type": "image", "value": "train/CXR2159_IM-0776/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: XXXX sternotomy XXXX appear intact. Surgical clips overlying the mediastinum. Mitral valve replacement seen. Low lung volumes. The interstitial markings appear prominent, which may represent interstitial edema. There is mild blunting of the posterior sulcus on the lateral view, which could represent a small effusion. No pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR877_IM-2392/0.png"}, {"type": "image", "value": "train/CXR877_IM-2392/1.png"}]} {"text": " and show chest images with these observations: Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax, pleural effusion, or pneumoperitoneum. Limited bone evaluation reveals no acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2401_IM-0950/0.png"}, {"type": "image", "value": "train/CXR2401_IM-0950/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: There is S-shaped thoracolumbar scoliosis. There are T-spine osteophytes. XXXX opacity in the left lower lobe XXXX represents atelectasis or scarring. There is no pneumothorax. There is no large pleural effusion. The cardiomediastinal silhouette is within normal limits. There is no lobar pneumonia. There are calcified hilar lymph XXXX.", "modalities": [{"type": "image", "value": "train/CXR535_IM-2142/0.png"}, {"type": "image", "value": "train/CXR535_IM-2142/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Normal heart size. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Left nipple silhouette visualized. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR1269_IM-0181/0.png"}, {"type": "image", "value": "train/CXR1269_IM-0181/1.png"}]} {"text": "Chest X-rays shown as and indicate: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR427_IM-2070/0.png"}, {"type": "image", "value": "train/CXR427_IM-2070/1.png"}]} {"text": " and show chest X-ray scans that indicate: The lungs are XXXX. XXXX opacities are present in the right costophrenic XXXX. No focal infiltrates. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR2314_IM-0889/0.png"}, {"type": "image", "value": "train/CXR2314_IM-0889/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: 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.", "modalities": [{"type": "image", "value": "train/CXR891_IM-2403/0.png"}, {"type": "image", "value": "train/CXR891_IM-2403/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: XXXX sternotomy XXXX and mediastinal surgical clips remain in XXXX. The cardiomediastinal silhouette is stable in appearance. The thoracic aorta is tortuous and calcified with stable appearance since XXXX exam. No focal areas of pulmonary consolidation. Scattered right basilar subsegmental atelectasis. The left lung appears clear. No pneumothorax or pleural effusion present. Moderate degenerative changes of the thoracic spine. Osteopenia. Mild loss of XXXX of a mid thoracic vertebral body.", "modalities": [{"type": "image", "value": "train/CXR1126_IM-0082/0.png"}, {"type": "image", "value": "train/CXR1126_IM-0082/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR136_IM-0233/0.png"}, {"type": "image", "value": "train/CXR136_IM-0233/1.png"}]} {"text": "Chest X-rays shown as and indicate: XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2768_IM-1212/0.png"}, {"type": "image", "value": "train/CXR2768_IM-1212/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1950_IM-0618/0.png"}, {"type": "image", "value": "train/CXR1950_IM-0618/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Partial fusion of 2 vertebral bodies near the thoracolumbar junction.", "modalities": [{"type": "image", "value": "train/CXR1399_IM-0255/0.png"}, {"type": "image", "value": "train/CXR1399_IM-0255/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart is slightly large. Pulmonary XXXX are normal. No infiltrates.", "modalities": [{"type": "image", "value": "train/CXR922_IM-2423/0.png"}, {"type": "image", "value": "train/CXR922_IM-2423/1.png"}]} {"text": "X-rays and show these chest observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. The aorta is tortuous, but the heart and mediastinum otherwise normal.", "modalities": [{"type": "image", "value": "train/CXR2446_IM-0982/0.png"}, {"type": "image", "value": "train/CXR2446_IM-0982/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Cardiomediastinal silhouette is within normal limits. No focal consolidation. There is right lower lobe scarring. No pneumothorax or large pleural effusion. Granulomas present. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2983_IM-1371/0.png"}, {"type": "image", "value": "train/CXR2983_IM-1371/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3281_IM-1562/0.png"}, {"type": "image", "value": "train/CXR3281_IM-1562/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. Bilateral nipple jewelry.", "modalities": [{"type": "image", "value": "train/CXR3716_IM-1856/0.png"}, {"type": "image", "value": "train/CXR3716_IM-1856/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR3124_IM-1468/0.png"}, {"type": "image", "value": "train/CXR3124_IM-1468/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR2866_IM-1273/0.png"}, {"type": "image", "value": "train/CXR2866_IM-1273/1.png"}]} {"text": " and present chest X-rays with the following impressions: There has been interval development of a large right-sided pleural effusion. The left lung is clear. There is no pneumothorax. Heart size mediastinal contours are within normal limits. XXXX deformity is noted at the upper thoracic vertebral body.", "modalities": [{"type": "image", "value": "train/CXR2327_IM-0898/0.png"}, {"type": "image", "value": "train/CXR2327_IM-0898/1.png"}]} {"text": "The chest X-rays in and display: No pleural effusion, pneumothorax or focal airspace opacities. Cardiomediastinal silhouette is within normal limits. The trachea is midline. No free subdiaphragmatic air. The included osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR708_IM-2271/0.png"}, {"type": "image", "value": "train/CXR708_IM-2271/1.png"}]} {"text": " and exhibit chest X-rays showing: Unchanged cardiomegaly. There is continued interstitial prominence bilaterally. Unchanged vascular appearance. There is patchy retrocardiac opacity. Negative for pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3546_IM-1738/0.png"}, {"type": "image", "value": "train/CXR3546_IM-1738/1.png"}]} {"text": "X-rays and show chest details with these impressions: There may be a subtle airspace opacity in the right base near the midclavicular line. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR3707_IM-1851/0.png"}, {"type": "image", "value": "train/CXR3707_IM-1851/1.png"}]} {"text": " and provide chest images showing: The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR831_IM-2358/0.png"}, {"type": "image", "value": "train/CXR831_IM-2358/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta identified. There is no focal consolidation, pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.", "modalities": [{"type": "image", "value": "train/CXR3691_IM-1842/0.png"}, {"type": "image", "value": "train/CXR3691_IM-1842/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Artifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR404_IM-2052/0.png"}, {"type": "image", "value": "train/CXR404_IM-2052/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Heart size is normal. Cardiomediastinal silhouette stable. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Emphysema.", "modalities": [{"type": "image", "value": "train/CXR2727_IM-1187/0.png"}, {"type": "image", "value": "train/CXR2727_IM-1187/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1899_IM-0582/0.png"}, {"type": "image", "value": "train/CXR1899_IM-0582/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. The mediastinum is normal. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR2424_IM-0966/0.png"}, {"type": "image", "value": "train/CXR2424_IM-0966/1.png"}]} {"text": " and present chest X-rays with the following impressions: Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1530_IM-0344/0.png"}, {"type": "image", "value": "train/CXR1530_IM-0344/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2797_IM-1229/0.png"}, {"type": "image", "value": "train/CXR2797_IM-1229/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with normal sized heart. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR617_IM-2200/0.png"}, {"type": "image", "value": "train/CXR617_IM-2200/1.png"}]} {"text": " and depict chest X-rays with these findings: AP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3784_IM-1898/0.png"}, {"type": "image", "value": "train/CXR3784_IM-1898/1.png"}]} {"text": " and provide chest images showing: Heart size within normal limits. No focal airspace disease. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1799_IM-0519/0.png"}, {"type": "image", "value": "train/CXR1799_IM-0519/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The heart, 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.", "modalities": [{"type": "image", "value": "train/CXR3885_IM-1971/0.png"}, {"type": "image", "value": "train/CXR3885_IM-1971/1.png"}]} {"text": "Chest X-rays shown as and indicate: The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR3340_IM-1601/0.png"}, {"type": "image", "value": "train/CXR3340_IM-1601/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR2129_IM-0753/0.png"}, {"type": "image", "value": "train/CXR2129_IM-0753/1.png"}]} {"text": " and provide chest images showing: There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR584_IM-2181/0.png"}, {"type": "image", "value": "train/CXR584_IM-2181/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: 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.", "modalities": [{"type": "image", "value": "train/CXR251_IM-1032/0.png"}, {"type": "image", "value": "train/CXR251_IM-1032/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart, 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 mild degenerative changes of the thoracic spine. There is a slight XXXX deformity of the lower thoracic body which is age-indeterminate.", "modalities": [{"type": "image", "value": "train/CXR1210_IM-0142/0.png"}, {"type": "image", "value": "train/CXR1210_IM-0142/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No acute displaced rib fractures.", "modalities": [{"type": "image", "value": "train/CXR3025_IM-1400/0.png"}, {"type": "image", "value": "train/CXR3025_IM-1400/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The heart is normal in size and contour. The aorta is calcified and tortuous. The lung volumes are low. There is elevation of the right hemidiaphragm. Minimal streaky opacities in the lung bases, XXXX subsegmental atelectasis. No pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2713_IM-1180/0.png"}, {"type": "image", "value": "train/CXR2713_IM-1180/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size and mediastinal contours appear within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. There is levoscoliosis of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3088_IM-1444/0.png"}, {"type": "image", "value": "train/CXR3088_IM-1444/1.png"}]} {"text": " and are images of chest X-rays showing: The cardiomediastinal silhouette is within normal limits for appearance. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. Mild increased lung markings XXXX due to chronic changes. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. Calcified left perihilar granuloma redemonstrated.", "modalities": [{"type": "image", "value": "train/CXR1471_IM-0304/0.png"}, {"type": "image", "value": "train/CXR1471_IM-0304/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Heart size is normal. There is left hilar enlargement with partial opacification of the left upper lobe suggestive of hilar mass with obstructive atelectasis. Questionable small right midlung nodule. Negative for pneumothorax or pleural effusion. Bony thorax is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR387_IM-1962/0.png"}, {"type": "image", "value": "train/CXR387_IM-1962/1.png"}]} {"text": "X-rays and show these chest observations: Changes of renal osteodystrophy are noted. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR3712_IM-1854/0.png"}, {"type": "image", "value": "train/CXR3712_IM-1854/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: PA and lateral views were obtained. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. A 5 mm stable right apical nodule.", "modalities": [{"type": "image", "value": "train/CXR184_IM-0544/0.png"}, {"type": "image", "value": "train/CXR184_IM-0544/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1046_IM-0036/0.png"}, {"type": "image", "value": "train/CXR1046_IM-0036/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Normal pulmonary vascularity. Stable postsurgical changes of the lower cervical spine.", "modalities": [{"type": "image", "value": "train/CXR757_IM-2308/0.png"}, {"type": "image", "value": "train/CXR757_IM-2308/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: 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.", "modalities": [{"type": "image", "value": "train/CXR2559_IM-1063/0.png"}, {"type": "image", "value": "train/CXR2559_IM-1063/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Evaluation for pneumothorax is limited due to exclusion of the superior-most pulmonary apices. No visible pleural XXXX. No focal air space opacities or pleural effusion. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air. Mild degenerative changes of the thoracic spine. Included osseous structures are grossly intact.", "modalities": [{"type": "image", "value": "train/CXR1570_IM-0372/0.png"}, {"type": "image", "value": "train/CXR1570_IM-0372/1.png"}]} {"text": "The X-rays and show the following chest conditions: Heart size mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3155_IM-1486/0.png"}, {"type": "image", "value": "train/CXR3155_IM-1486/1.png"}]} {"text": "X-rays and show these chest observations: 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..", "modalities": [{"type": "image", "value": "train/CXR1622_IM-0404/0.png"}, {"type": "image", "value": "train/CXR1622_IM-0404/1.png"}]} {"text": " and capture X-rays of the chest with these observations: 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.", "modalities": [{"type": "image", "value": "train/CXR2545_IM-1054/0.png"}, {"type": "image", "value": "train/CXR2545_IM-1054/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The heart size is within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2168_IM-0784/0.png"}, {"type": "image", "value": "train/CXR2168_IM-0784/1.png"}]} {"text": " and present chest X-rays with the following impressions: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine. spinal stimulator is in XXXX with tip overlying the T9 vertebral body.", "modalities": [{"type": "image", "value": "train/CXR2190_IM-0800/0.png"}, {"type": "image", "value": "train/CXR2190_IM-0800/1.png"}]} {"text": "These chest X-rays ( and ) show the following: There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Stable left mid lung granuloma.", "modalities": [{"type": "image", "value": "train/CXR3391_IM-1637/0.png"}, {"type": "image", "value": "train/CXR3391_IM-1637/1.png"}]} {"text": " and capture chest X-rays with these findings: No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. No acute bony abnormalities. There are stable anterior wedge XXXX deformities of 2 midthoracic vertebral bodies.", "modalities": [{"type": "image", "value": "train/CXR1404_IM-0258/0.png"}, {"type": "image", "value": "train/CXR1404_IM-0258/1.png"}]} {"text": "X-ray images labeled and display the following findings: XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax. Bilateral prominent lung vascularity medially, unchanged.", "modalities": [{"type": "image", "value": "train/CXR1197_IM-0131/0.png"}, {"type": "image", "value": "train/CXR1197_IM-0131/1.png"}]} {"text": "The chest X-rays in and display: 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. Osseous structures are within normal limits for patient age..", "modalities": [{"type": "image", "value": "train/CXR356_IM-1744/0.png"}, {"type": "image", "value": "train/CXR356_IM-1744/1.png"}]} {"text": "X-ray images labeled and display the following findings: The lungs and pleural spaces show no acute abnormality. Heart size is enlarged, pulmonary vascularity within normal limits. Marked tortuosity of the thoracic aorta. There are advanced degenerative changes of the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. No displaced rib fractures are visualized. Diffuse osteopenia of the thoracic spine with a mid thoracic and several lower thoracic XXXX deformities, age-indeterminate. There is an air-fluid level in the middle mediastinum, most XXXX secondary to a large hiatal hernia.", "modalities": [{"type": "image", "value": "train/CXR800_IM-2334/0.png"}, {"type": "image", "value": "train/CXR800_IM-2334/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart is normal in size and contour. There is a vague area of airspace disease identified within the right midlung on the PA view. This is not well-demonstrated on the lateral view. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR292_IM-1322/0.png"}, {"type": "image", "value": "train/CXR292_IM-1322/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Stable cardiomegaly. The lungs are clear. Stable left lung base calcifications. No focal consolidations. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3348_IM-1605/0.png"}, {"type": "image", "value": "train/CXR3348_IM-1605/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is an old healed fracture through the right 8th rib.", "modalities": [{"type": "image", "value": "train/CXR608_IM-2196/0.png"}, {"type": "image", "value": "train/CXR608_IM-2196/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The parenchymal scar in the left lower lobe is unchanged in the interval. No XXXX infiltrates or masses in the lungs. Heart and mediastinum are normal.", "modalities": [{"type": "image", "value": "train/CXR862_IM-2383/0.png"}, {"type": "image", "value": "train/CXR862_IM-2383/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Bony thorax and soft tissue grossly unremarkable", "modalities": [{"type": "image", "value": "train/CXR30_IM-1385/0.png"}, {"type": "image", "value": "train/CXR30_IM-1385/1.png"}]} {"text": "The X-rays and show the following chest conditions: The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR3705_IM-1851-1001/0.png"}, {"type": "image", "value": "train/CXR3705_IM-1851-1001/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR2799_IM-1231/0.png"}, {"type": "image", "value": "train/CXR2799_IM-1231/1.png"}]} {"text": " and show chest images with these observations: The lungs are hypoventilated. There is no focal airspace opacity. The cardiomediastinal silhouette is normal in size. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3682_IM-1834/0.png"}, {"type": "image", "value": "train/CXR3682_IM-1834/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Normal heart size and mediastinal contours. Stable calcification in the left upper lobe, XXXX representing a granuloma. No focal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR3388_IM-1633/0.png"}, {"type": "image", "value": "train/CXR3388_IM-1633/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change right anterior soft tissue surgical clips. Configuration of breast shadows on the PA view suggests prior right lumpectomy.", "modalities": [{"type": "image", "value": "train/CXR3523_IM-1721/0.png"}, {"type": "image", "value": "train/CXR3523_IM-1721/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The heart size is normal. There is vascular congestion in bilateral hilar areas. The lungs are hyperexpanded with flattened diaphragms. No acute bony abnormalities. No effusion or infiltrate. No pneumothorax or pneumomediastinum.", "modalities": [{"type": "image", "value": "train/CXR3657_IM-1818/0.png"}, {"type": "image", "value": "train/CXR3657_IM-1818/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3271_IM-1552/0.png"}, {"type": "image", "value": "train/CXR3271_IM-1552/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.", "modalities": [{"type": "image", "value": "train/CXR1253_IM-0171-0001/0.png"}, {"type": "image", "value": "train/CXR1253_IM-0171-0001/1.png"}]} {"text": "X-ray images labeled and display the following findings: Heart size normal. No focal airspace disease. No pneumothorax or effusions.", "modalities": [{"type": "image", "value": "train/CXR3359_IM-1612/0.png"}, {"type": "image", "value": "train/CXR3359_IM-1612/1.png"}]} {"text": "The chest X-rays in and display: Heart size is normal. There are XXXX opacities which appear to XXXX XXXX above the right XXXX fissure. There is mild thickening in the fissure. No pneumothorax. No large pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR2197_IM-0807/0.png"}, {"type": "image", "value": "train/CXR2197_IM-0807/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1953_IM-0621/0.png"}, {"type": "image", "value": "train/CXR1953_IM-0621/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Blunting of the costophrenic XXXX XXXX represents scarring. No pleural effusion is identified on the lateral view. There is no focal consolidation. No pneumothorax is present. The cardiomediastinal silhouette is within normal limits are in the pulmonary vasculature is normal.", "modalities": [{"type": "image", "value": "train/CXR3651_IM-1813/0.png"}, {"type": "image", "value": "train/CXR3651_IM-1813/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart is normal in size and contour. There is a calcified granuloma in the right lower lung. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Osteopenia with mild degenerative changes of the thoracic spine is noted.", "modalities": [{"type": "image", "value": "train/CXR700_IM-2265/0.png"}, {"type": "image", "value": "train/CXR700_IM-2265/1.png"}]} {"text": "The chest scans and reveal: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3171_IM-1494/0.png"}, {"type": "image", "value": "train/CXR3171_IM-1494/1.png"}]} {"text": " and capture chest X-rays with these findings: There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view.", "modalities": [{"type": "image", "value": "train/CXR423_IM-2066-0001/0.png"}, {"type": "image", "value": "train/CXR423_IM-2066-0001/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are well-expanded and clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal contour is normal. No acute osseous lesions are identified.", "modalities": [{"type": "image", "value": "train/CXR2081_IM-0713/0.png"}, {"type": "image", "value": "train/CXR2081_IM-0713/1.png"}]} {"text": "The chest X-rays in and display: Heart size normal. Mediastinum unremarkable. Pulmonary vascularity within normal limits. Lungs symmetrically aerated without focal infiltrate or consolidation. Multiple scattered calcified granulomas are present bilaterally. No focal volume loss evident. No pneumothorax or pleural effusion. Bony thorax unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1943_IM-0612/0.png"}, {"type": "image", "value": "train/CXR1943_IM-0612/1.png"}]} {"text": "The images and are chest X-rays with the following noted: There has been interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse XXXX. XXXX airspace opacities are identified with bilateral pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR379_IM-1903/0.png"}, {"type": "image", "value": "train/CXR379_IM-1903/1.png"}]} {"text": " and depict chest X-rays with these findings: The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam.", "modalities": [{"type": "image", "value": "train/CXR1586_IM-0380/0.png"}, {"type": "image", "value": "train/CXR1586_IM-0380/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: There is moderate cardiomegaly. There are bilateral interstitial opacities, increased since the previous exam. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1965_IM-0629/0.png"}, {"type": "image", "value": "train/CXR1965_IM-0629/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is ectasia of the thoracic aorta. No pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR759_IM-2309/0.png"}, {"type": "image", "value": "train/CXR759_IM-2309/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality.", "modalities": [{"type": "image", "value": "train/CXR663_IM-2239/0.png"}, {"type": "image", "value": "train/CXR663_IM-2239/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity.", "modalities": [{"type": "image", "value": "train/CXR657_IM-2233-0001/0.png"}, {"type": "image", "value": "train/CXR657_IM-2233-0001/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: 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.", "modalities": [{"type": "image", "value": "train/CXR23_IM-0879/0.png"}, {"type": "image", "value": "train/CXR23_IM-0879/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Normal heart. Clear lungs. No pneumothorax. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1560_IM-0366/0.png"}, {"type": "image", "value": "train/CXR1560_IM-0366/1.png"}]} {"text": "The X-rays and show the following chest conditions: XXXX XXXX and lateral chest examination was obtained. There is improvement in bilateral pulmonary edema with mild residual. There is minimal right-sided pleural effusion. Heart silhouette is not enlarged. There is calcified mediastinal lymph XXXX. There is no pneumothorax", "modalities": [{"type": "image", "value": "train/CXR353_IM-1726/0.png"}, {"type": "image", "value": "train/CXR353_IM-1726/1.png"}]} {"text": " and depict chest X-rays with these findings: The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR3860_IM-1954/0.png"}, {"type": "image", "value": "train/CXR3860_IM-1954/1.png"}]} {"text": " and provide chest images showing: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3958_IM-2022/0.png"}, {"type": "image", "value": "train/CXR3958_IM-2022/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3889_IM-1973/0.png"}, {"type": "image", "value": "train/CXR3889_IM-1973/1.png"}]} {"text": "Chest X-rays shown as and indicate: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR1539_IM-0349/0.png"}, {"type": "image", "value": "train/CXR1539_IM-0349/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "modalities": [{"type": "image", "value": "train/CXR307_IM-1432/0.png"}, {"type": "image", "value": "train/CXR307_IM-1432/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: XXXX sternotomy XXXX and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings XXXX related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation.", "modalities": [{"type": "image", "value": "train/CXR2285_IM-0870/0.png"}, {"type": "image", "value": "train/CXR2285_IM-0870/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR3489_IM-1696/0.png"}, {"type": "image", "value": "train/CXR3489_IM-1696/1.png"}]} {"text": " and X-rays show chest observations as follows: 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.", "modalities": [{"type": "image", "value": "train/CXR2502_IM-1027-1001/0.png"}, {"type": "image", "value": "train/CXR2502_IM-1027-1001/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR2000_IM-0654/0.png"}, {"type": "image", "value": "train/CXR2000_IM-0654/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The heart is enlarged. There is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. The distribution XXXX pulmonary edema. There is no pneumothorax or large pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2082_IM-0714/0.png"}, {"type": "image", "value": "train/CXR2082_IM-0714/1.png"}]} {"text": " and show chest X-ray scans that indicate: There is a right chest XXXX with catheter tip at the cavoatrial junction. Heart size is at the upper limits of normal. Lungs are grossly clear. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR1346_IM-0224/0.png"}, {"type": "image", "value": "train/CXR1346_IM-0224/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1431_IM-0278/0.png"}, {"type": "image", "value": "train/CXR1431_IM-0278/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Mild hyperinflation. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3193_IM-1505/0.png"}, {"type": "image", "value": "train/CXR3193_IM-1505/1.png"}]} {"text": " and capture X-rays of the chest with these observations: There are no acute osseous abnormalities. Degenerative changes throughout the thoracic spine. Normal heart size. Calcific aorta. Normal vascular markings. No focal area of consolidation, pleural effusion, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2743_IM-1197/0.png"}, {"type": "image", "value": "train/CXR2743_IM-1197/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Flattening of the bilateral hemidiaphragms. Lungs are clear. Soft tissues and bony structures unremarkable. No pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR2179_IM-0791/0.png"}, {"type": "image", "value": "train/CXR2179_IM-0791/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: The cardiomediastinal silhouette is within normal limits. Lungs are clear without focal consolidation. No visualized pneumothorax or large pleural effusion. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR2086_IM-0717/0.png"}, {"type": "image", "value": "train/CXR2086_IM-0717/1.png"}]} {"text": "X-rays and show these chest observations: Three noncalcified lung nodules are present in the left lower lobe. The largest measures 3.5 mm in diameter. Another nodule is present near the right hilum. It is approximately 2 cm in diameter. The XXXX and mediastinum appear normal. Heart size normal.", "modalities": [{"type": "image", "value": "train/CXR689_IM-2257/0.png"}, {"type": "image", "value": "train/CXR689_IM-2257/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable", "modalities": [{"type": "image", "value": "train/CXR2552_IM-1058/0.png"}, {"type": "image", "value": "train/CXR2552_IM-1058/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. XXXX closure device demonstrated projecting over the right heart. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2865_IM-1273/0.png"}, {"type": "image", "value": "train/CXR2865_IM-1273/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Spinal stimulator in XXXX. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR661_IM-2238/0.png"}, {"type": "image", "value": "train/CXR661_IM-2238/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Lungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.", "modalities": [{"type": "image", "value": "train/CXR3250_IM-1540-1001/0.png"}, {"type": "image", "value": "train/CXR3250_IM-1540-1001/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. Arthritic changes are seen throughout the spine and both XXXX.", "modalities": [{"type": "image", "value": "train/CXR2706_IM-1172/0.png"}, {"type": "image", "value": "train/CXR2706_IM-1172/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes XXXX XXXX atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1591_IM-0384/0.png"}, {"type": "image", "value": "train/CXR1591_IM-0384/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The lungs demonstrate low lung volumes but are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild streaky opacities in the left upper lobe on frontal projection are XXXX atelectatic or scar. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1085_IM-0059/0.png"}, {"type": "image", "value": "train/CXR1085_IM-0059/1.png"}]} {"text": "X-ray scans and display the following chest observations: Stable appearance of aortic valve prosthesis. Sternotomy XXXX. Aortic calcifications. Mild interstitial edema. No focal infiltrate. No effusion or pneumothorax. Mild cardiomegaly.", "modalities": [{"type": "image", "value": "train/CXR3672_IM-1828/0.png"}, {"type": "image", "value": "train/CXR3672_IM-1828/1.png"}]} {"text": "The chest X-rays in and display: The heart is normal in size. The mediastinum is unremarkable. The lungs are slightly hypoinflated but clear. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3302_IM-1579/0.png"}, {"type": "image", "value": "train/CXR3302_IM-1579/1.png"}]} {"text": "X-ray scans and display the following chest observations: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Interval placement of right humeral prosthesis, incompletely evaluated. Incompletely evaluated the lumbar spine fusion XXXX. XXXX cholecystectomy.", "modalities": [{"type": "image", "value": "train/CXR2631_IM-1118/0.png"}, {"type": "image", "value": "train/CXR2631_IM-1118/1.png"}]} {"text": "X-ray scans and display the following chest observations: Cardiomediastinal silhouette is stable and within normal limits. There is improved lung volumes bilaterally with persistent bibasilar atelectatic opacities, without focal consolidation, pneumothorax, or effusion. No acute bony abnormality identified.", "modalities": [{"type": "image", "value": "train/CXR491_IM-2111/0.png"}, {"type": "image", "value": "train/CXR491_IM-2111/1.png"}]} {"text": " and capture chest X-rays with these findings: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR764_IM-2311/0.png"}, {"type": "image", "value": "train/CXR764_IM-2311/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart is normal in size. The mediastinum is unremarkable. Small nodular opacity left upper lobe may represent early infiltrate. The lungs are otherwise clear. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR605_IM-2194/0.png"}, {"type": "image", "value": "train/CXR605_IM-2194/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Stable normal cardiac size and contour with unremarkable mediastinal silhouette. Normal pulmonary XXXX. No active airspace disease/infiltrate. No pleural effusion or pneumothorax. Calcified granuloma right upper lobe.", "modalities": [{"type": "image", "value": "train/CXR710_IM-2273/0.png"}, {"type": "image", "value": "train/CXR710_IM-2273/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Small focal retrocardiac lung opacity.", "modalities": [{"type": "image", "value": "train/CXR2618_IM-1107/0.png"}, {"type": "image", "value": "train/CXR2618_IM-1107/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Normal heart size. Clear lungs. No pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3039_IM-1412/0.png"}, {"type": "image", "value": "train/CXR3039_IM-1412/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Streaky opacity is noted within the left lung base which may represent focal area of atelectasis. Right lung is grossly clear. Cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. No large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3721_IM-1859/0.png"}, {"type": "image", "value": "train/CXR3721_IM-1859/1.png"}]} {"text": " and capture X-rays of the chest with these observations: XXXX XXXX right-sided chest tube tip now projects outside the thoracic cavity. No definite residual pneumothorax. Stable cardiomediastinal silhouette. There are low lung volumes. No large pleural effusion. No focal airspace consolidation. Small amount of subdiaphragmatic free air.", "modalities": [{"type": "image", "value": "train/CXR1255_IM-0172-1001/0.png"}, {"type": "image", "value": "train/CXR1255_IM-0172-1001/1.png"}]} {"text": "Chest X-rays shown as and indicate: There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2558_IM-1062/0.png"}, {"type": "image", "value": "train/CXR2558_IM-1062/1.png"}]} {"text": "X-ray images labeled and display the following findings: Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR386_IM-1954/0.png"}, {"type": "image", "value": "train/CXR386_IM-1954/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The XXXX examination consists of supine and crosstable lateral radiographs of the chest. External monitor leads XXXX the thorax. 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.", "modalities": [{"type": "image", "value": "train/CXR380_IM-1911/0.png"}, {"type": "image", "value": "train/CXR380_IM-1911/1.png"}]} {"text": " and are images of chest X-rays showing: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1701_IM-0462/0.png"}, {"type": "image", "value": "train/CXR1701_IM-0462/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.", "modalities": [{"type": "image", "value": "train/CXR3964_IM-2028/0.png"}, {"type": "image", "value": "train/CXR3964_IM-2028/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR238_IM-0939/0.png"}, {"type": "image", "value": "train/CXR238_IM-0939/1.png"}]} {"text": " and provide chest images showing: The cardiomediastinal silhouette is normal in size and appearance. No pleural effusion or pneumothorax. Lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2247_IM-0844/0.png"}, {"type": "image", "value": "train/CXR2247_IM-0844/1.png"}]} {"text": " and depict chest X-rays with these findings: The lungs appear clear. There are calcified nodules projecting in the right upper lung. Mediastinal contours appear normal. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Surgical clips are identified in the right neck and left mediastinum.", "modalities": [{"type": "image", "value": "train/CXR908_IM-2413/0.png"}, {"type": "image", "value": "train/CXR908_IM-2413/1.png"}]} {"text": " and capture X-rays of the chest with these observations: Heart size is normal. Aorta is tortuous and ectatic. Cardiomediastinal contours are normal. Lungs are clear without evidence of fibrosis. Pleural effusions or pneumothorax. Endplate sclerotic changes are present in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3170_IM-1494/0.png"}, {"type": "image", "value": "train/CXR3170_IM-1494/1.png"}]} {"text": " and show chest X-ray scans that indicate: Normal heart size and mediastinal contours. No focal air space opacities. No pleural effusion. Visualized osseous structures are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR768_IM-2313/0.png"}, {"type": "image", "value": "train/CXR768_IM-2313/1.png"}]} {"text": " and capture X-rays of the chest with these observations: No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Cardiomediastinal silhouette stable. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3118_IM-1466/0.png"}, {"type": "image", "value": "train/CXR3118_IM-1466/1.png"}]} {"text": "X-ray scans and display the following chest observations: Cardiac and mediastinal contours are within normal limits. Mild aortic tortuosity. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1738_IM-0486/0.png"}, {"type": "image", "value": "train/CXR1738_IM-0486/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1109_IM-0076/0.png"}, {"type": "image", "value": "train/CXR1109_IM-0076/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR968_IM-2458/0.png"}, {"type": "image", "value": "train/CXR968_IM-2458/1.png"}]} {"text": " and depict chest X-rays with these findings: The cardiomediastinal silhouette is within normal limits. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality. Large hiatal hernia.", "modalities": [{"type": "image", "value": "train/CXR1543_IM-0353/0.png"}, {"type": "image", "value": "train/CXR1543_IM-0353/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR1960_IM-0627/0.png"}, {"type": "image", "value": "train/CXR1960_IM-0627/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Normal cardiac size. Normal pulmonary vasculature. No airspace disease. Negative for pneumothorax. Negative for acute osseous deformity. The thoracic spine has a normal appearance.", "modalities": [{"type": "image", "value": "train/CXR937_IM-2433/0.png"}, {"type": "image", "value": "train/CXR937_IM-2433/1.png"}]} {"text": " and exhibit chest X-rays showing: No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size is normal. The cardiomediastinal silhouette is grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR912_IM-2417/0.png"}, {"type": "image", "value": "train/CXR912_IM-2417/1.png"}]} {"text": " and show chest images with these observations: The heart size and pulmonary vascularity appear within normal limits. Right pleural effusion is present and appears increased. No pneumothorax is identified. Some scattered XXXX of right base atelectasis are seen. Surgical XXXX remain in XXXX. The left lung appears clear.", "modalities": [{"type": "image", "value": "train/CXR3509_IM-1711-0001/0.png"}, {"type": "image", "value": "train/CXR3509_IM-1711-0001/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: There is persistent cardiomegaly with suggestion of left atrial enlargement as evidenced by cardiac contour the lateral image and XXXX density on the frontal image. The lungs are clear. No visible pleural effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2211_IM-0818/0.png"}, {"type": "image", "value": "train/CXR2211_IM-0818/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size within normal limits. There is focal left lateral base airspace disease. There is a 6 mm nodular opacity in the right midlung. No pneumothorax. No pleural effusion. No displaced rib fractures. There is an apparent deformity of the right humeral surgical neck. This is not seen on the comparison. Correlate clinically with history of fracture.", "modalities": [{"type": "image", "value": "train/CXR1855_IM-0555/0.png"}, {"type": "image", "value": "train/CXR1855_IM-0555/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Chest. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Abdomen. No pneumoperitoneum. There is a normal bowel XXXX pattern. Air and stool visible throughout the entire large colon including the rectum. No abnormally dilated small bowel loops. No evidence for intussusception or small bowel obstruction. No pathologic calcifications XXXX over the abdomen or pelvis. XXXX XXXX are without fracture or destructive lesion, though there are mild degenerative changes throughout the lumbar spine. Small hiatal hernia is not as well demonstrated on this exam.", "modalities": [{"type": "image", "value": "train/CXR502_IM-2120/0.png"}, {"type": "image", "value": "train/CXR502_IM-2120/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Normal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation.", "modalities": [{"type": "image", "value": "train/CXR1623_IM-0405/0.png"}, {"type": "image", "value": "train/CXR1623_IM-0405/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Normal heart size. There is a round density in the AP XXXX. XXXX study performed in XXXX is not available for review at this time. Lungs are hyperinflated with flattened diaphragms. Calcified right lower lobe granuloma. No focal airspace consolidation, pneumothorax, or pleural effusion. No pulmonary edema. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1265_IM-0179/0.png"}, {"type": "image", "value": "train/CXR1265_IM-0179/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.", "modalities": [{"type": "image", "value": "train/CXR1598_IM-0389/0.png"}, {"type": "image", "value": "train/CXR1598_IM-0389/1.png"}]} {"text": "The X-rays labeled and show chest conditions: PA and lateral views the chest were obtained. There are low lung volumes on the frontal view, which accentuates heart size and lung markings. The heart size is upper limits normal or mildly enlarged. Mediastinum normal width. The pulmonary vasculature is within normal limits. There is left lung base atelectasis on frontal XXXX XXXX secondary to low volumes. No pneumothorax, pleural effusion, or focal air space consolidation.", "modalities": [{"type": "image", "value": "train/CXR2355_IM-0919/0.png"}, {"type": "image", "value": "train/CXR2355_IM-0919/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2290_IM-0874/0.png"}, {"type": "image", "value": "train/CXR2290_IM-0874/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Heart size is normal and the lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3505_IM-1707/0.png"}, {"type": "image", "value": "train/CXR3505_IM-1707/1.png"}]} {"text": "These chest X-rays ( and ) show the following: There is minimal scarring within the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2760_IM-1207/0.png"}, {"type": "image", "value": "train/CXR2760_IM-1207/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Heart size is normal. Stable right paratracheal prominence, consistent with known calcified lymph node, seen on prior CT chest dated XXXX. XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3534_IM-1727/0.png"}, {"type": "image", "value": "train/CXR3534_IM-1727/1.png"}]} {"text": "The chest X-rays in and display: Cardiomediastinal silhouette within normal limits. No acute bony abnormality. There are XXXX XXXX opacities, atelectasis versus airspace disease. No large effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR2577_IM-1077/0.png"}, {"type": "image", "value": "train/CXR2577_IM-1077/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Cardiomediastinal contours within normal limits. Pulmonary vascularity is normal. There are scattered calcified testes bilaterally, consistent with prior granulomatous infection, stable. No XXXX focal airspace consolidation. No pleural effusion, no pneumothorax. Bony structures unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1110_IM-0076/0.png"}, {"type": "image", "value": "train/CXR1110_IM-0076/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .", "modalities": [{"type": "image", "value": "train/CXR3083_IM-1442/0.png"}, {"type": "image", "value": "train/CXR3083_IM-1442/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size and pulmonary vascularity appear within normal limits. Calcified granuloma is present in the right base. No pneumothorax or pleural effusion is seen. In the lateral right base is identified an ill-defined somewhat oblong opacity. This was not present on the previous study. The remainder of the lungs appear clear.", "modalities": [{"type": "image", "value": "train/CXR1130_IM-0087/0.png"}, {"type": "image", "value": "train/CXR1130_IM-0087/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Heart size is normal. The lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3582_IM-1761/0.png"}, {"type": "image", "value": "train/CXR3582_IM-1761/1.png"}]} {"text": "Chest X-rays shown as and indicate: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR613_IM-2200/0.png"}, {"type": "image", "value": "train/CXR613_IM-2200/1.png"}]} {"text": "The chest X-rays in and display: The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. There is a calcified granuloma within the left lung base. There is suggestion of a deep sulcus sign on the right. No definite pleural line of pneumothorax visualized. There is age-indeterminate wedging of several midthoracic vertebral bodies.", "modalities": [{"type": "image", "value": "train/CXR591_IM-2186/0.png"}, {"type": "image", "value": "train/CXR591_IM-2186/1.png"}]} {"text": " and are images of chest X-rays showing: Right jugular XXXX catheter present with tip overlying the lower SVC. Curvilinear density projecting over the upper chest appears external on the lateral projection. Correlate clinically. Normal heart size and mediastinal contour appear normal pulmonary vascularity. XXXX scar/subsegmental atelectasis in the lingula. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous findings. Mild degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2077_IM-0710/0.png"}, {"type": "image", "value": "train/CXR2077_IM-0710/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The trachea is midline. Negative for pneumothorax, pleural effusion, or focal airspace consolidation. The heart size is normal.", "modalities": [{"type": "image", "value": "train/CXR1788_IM-0513/0.png"}, {"type": "image", "value": "train/CXR1788_IM-0513/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "modalities": [{"type": "image", "value": "train/CXR3981_IM-2039/0.png"}, {"type": "image", "value": "train/CXR3981_IM-2039/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart size and mediastinal contours appear within normal limits. Atherosclerotic calcification of the aorta. No focal airspace consolidation, pleural effusions or pneumothorax. Questionable thin-walled cavitary lesion in the right lower lobe, only seen on the AP view and may represent artifact. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR2100_IM-0731/0.png"}, {"type": "image", "value": "train/CXR2100_IM-0731/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Low lung volumes bilaterally, with lungs otherwise grossly clear. No focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette is unremarkable. No acute osseous abnormalities identified.", "modalities": [{"type": "image", "value": "train/CXR3282_IM-1563/0.png"}, {"type": "image", "value": "train/CXR3282_IM-1563/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3321_IM-1588/0.png"}, {"type": "image", "value": "train/CXR3321_IM-1588/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart is top normal in size. The mediastinum is Stable. The aorta is atherosclerotic. There are mild chronic changes without focal consolidation. No pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR670_IM-2244/0.png"}, {"type": "image", "value": "train/CXR670_IM-2244/1.png"}]} {"text": " and are images of chest X-rays showing: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR2660_IM-1142/0.png"}, {"type": "image", "value": "train/CXR2660_IM-1142/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities.", "modalities": [{"type": "image", "value": "train/CXR3933_IM-2004/0.png"}, {"type": "image", "value": "train/CXR3933_IM-2004/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Normal heart size and mediastinal contours. Patchy right lower lobe airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR1282_IM-0188/0.png"}, {"type": "image", "value": "train/CXR1282_IM-0188/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Left basilar subsegmental atelectasis versus scar noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR3360_IM-1613/0.png"}, {"type": "image", "value": "train/CXR3360_IM-1613/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1517_IM-0335/0.png"}, {"type": "image", "value": "train/CXR1517_IM-0335/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits.", "modalities": [{"type": "image", "value": "train/CXR367_IM-1826/0.png"}, {"type": "image", "value": "train/CXR367_IM-1826/1.png"}]} {"text": " and present chest X-rays with the following impressions: The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes with XXXX XXXX atelectasis. The cardiac silhouette is unchanged. There is mild to moderate tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax identified. Thoracic spondylosis is again seen.", "modalities": [{"type": "image", "value": "train/CXR3653_IM-1815/0.png"}, {"type": "image", "value": "train/CXR3653_IM-1815/1.png"}]} {"text": " and provide chest images showing: Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1911_IM-0593/0.png"}, {"type": "image", "value": "train/CXR1911_IM-0593/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is ill-defined airspace opacity in the posterior left lower lobe. There is focal opacity in the right upper lobe which suggests scar and/or granulomatous calcification. There is no pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1117_IM-0079/0.png"}, {"type": "image", "value": "train/CXR1117_IM-0079/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or large pleural effusion. No acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR3576_IM-1757/0.png"}, {"type": "image", "value": "train/CXR3576_IM-1757/1.png"}]} {"text": " and are images of chest X-rays showing: No focal consolidation. No visualized pneumothorax. No pleural effusions. Heart size normal. The cardiomediastinal silhouette is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2008_IM-0658/0.png"}, {"type": "image", "value": "train/CXR2008_IM-0658/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Compared to prior examination, XXXX stent has been removed. Cardiomediastinal silhouette is stable and within normal limits. Stable mild atherosclerotic calcifications of the aortic XXXX are noted. There are mildly low lung volumes without focal consolidation, pneumothorax, or effusion identified. No acute bony abnormality seen.", "modalities": [{"type": "image", "value": "train/CXR3746_IM-1872/0.png"}, {"type": "image", "value": "train/CXR3746_IM-1872/1.png"}]} {"text": " and provide chest images showing: No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size normal. Cardiomediastinal silhouette is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3975_IM-2035/0.png"}, {"type": "image", "value": "train/CXR3975_IM-2035/1.png"}]} {"text": " and exhibit chest X-rays showing: The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1280_IM-0187/0.png"}, {"type": "image", "value": "train/CXR1280_IM-0187/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The heart, 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 minimal degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3426_IM-1656/0.png"}, {"type": "image", "value": "train/CXR3426_IM-1656/1.png"}]} {"text": "The X-rays and show the following chest conditions: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1466_IM-0302/0.png"}, {"type": "image", "value": "train/CXR1466_IM-0302/1.png"}]} {"text": " and X-rays show chest observations as follows: The lungs are clear. Heart size is normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3722_IM-1859/0.png"}, {"type": "image", "value": "train/CXR3722_IM-1859/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1574_IM-0374/0.png"}, {"type": "image", "value": "train/CXR1574_IM-0374/1.png"}]} {"text": " and show chest X-ray scans that indicate: The cardiac contours are normal. The lungs are hyperinflated with flattened diaphragms. No acute pulmonary findings. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR2695_IM-1166/0.png"}, {"type": "image", "value": "train/CXR2695_IM-1166/1.png"}]} {"text": "The X-rays and show the following chest conditions: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1175_IM-0119/0.png"}, {"type": "image", "value": "train/CXR1175_IM-0119/1.png"}]} {"text": "The chest scans and reveal: There is a calcified granuloma in the lateral left base. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified left hilar lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted as well as scoliosis and lumbar region.", "modalities": [{"type": "image", "value": "train/CXR814_IM-2345/0.png"}, {"type": "image", "value": "train/CXR814_IM-2345/1.png"}]} {"text": "The images and are chest X-rays with the following noted: The lungs remain hyperexpanded. No XXXX infiltrates or masses. Heart and mediastinum are normal.", "modalities": [{"type": "image", "value": "train/CXR442_IM-2078/0.png"}, {"type": "image", "value": "train/CXR442_IM-2078/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Lungs are hyperexpanded. No infiltrates or masses. The eventration of the left hemidiaphragm identified previously is largely unchanged since the previous computed tomogram. Pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR1133_IM-0090/0.png"}, {"type": "image", "value": "train/CXR1133_IM-0090/1.png"}]} {"text": "X-ray scans and display the following chest observations: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR1601_IM-0390/0.png"}, {"type": "image", "value": "train/CXR1601_IM-0390/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is surgical clips projected over the left lung apex, as well as, over the right upper quadrant of the abdomen.", "modalities": [{"type": "image", "value": "train/CXR3810_IM-1920/0.png"}, {"type": "image", "value": "train/CXR3810_IM-1920/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes. Right greater than left bilateral hilar and subcarinal adenopathy is again seen. The cardiac silhouette is prominent but probably artifactually large due to diminished lung volumes. No focal consolidation, pleural effusion, or pneumothorax identified. There is a deformity of the left clavicle compatible with remote XXXX.", "modalities": [{"type": "image", "value": "train/CXR1683_IM-0449/0.png"}, {"type": "image", "value": "train/CXR1683_IM-0449/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. XXXX right lower lung opacity XXXX represents combination of soft tissue overlay and minimal atelectasis. No focal airspace consolidation, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age.", "modalities": [{"type": "image", "value": "train/CXR859_IM-2380/0.png"}, {"type": "image", "value": "train/CXR859_IM-2380/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: 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..", "modalities": [{"type": "image", "value": "train/CXR2210_IM-0817/0.png"}, {"type": "image", "value": "train/CXR2210_IM-0817/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: No acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe XXXX density XXXX representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1094_IM-0065/0.png"}, {"type": "image", "value": "train/CXR1094_IM-0065/1.png"}]} {"text": " and provide chest images showing: 2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR539_IM-2145/0.png"}, {"type": "image", "value": "train/CXR539_IM-2145/1.png"}]} {"text": "X-ray scans and display the following chest observations: Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR1964_IM-0629/0.png"}, {"type": "image", "value": "train/CXR1964_IM-0629/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Heart size remains slightly large. Aorta remains tortuous. Pulmonary XXXX remain normal. No infiltrates or masses in the lungs.", "modalities": [{"type": "image", "value": "train/CXR1158_IM-0107/0.png"}, {"type": "image", "value": "train/CXR1158_IM-0107/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiomediastinal silhouette is within normal limits for size and contour. There is a right middle lobe nodule which is denser than adjacent XXXX is most XXXX calcified. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2275_IM-0862/0.png"}, {"type": "image", "value": "train/CXR2275_IM-0862/1.png"}]} {"text": "X-rays and show these chest observations: Hyperaerated lungs with flattened hemidiaphragms. Normal heart size. Increased retrosternal airspace. No focal infiltrate. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR511_IM-2127/0.png"}, {"type": "image", "value": "train/CXR511_IM-2127/1.png"}]} {"text": " and present chest X-rays with the following impressions: Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR399_IM-2043/0.png"}, {"type": "image", "value": "train/CXR399_IM-2043/1.png"}]} {"text": " and are images of chest X-rays showing: Normal cardiomediastinal contours. Clear lungs bilaterally. No pneumothorax or large effusion.", "modalities": [{"type": "image", "value": "train/CXR301_IM-1389/0.png"}, {"type": "image", "value": "train/CXR301_IM-1389/1.png"}]} {"text": " and provide chest images showing: Low lung volumes. Heart size normal. No focal airspace consolidations. No pneumothorax or effusions.", "modalities": [{"type": "image", "value": "train/CXR391_IM-1986/0.png"}, {"type": "image", "value": "train/CXR391_IM-1986/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: There is a moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. There is a minimally displaced right lateral 8th rib fracture and probable nondisplaced right lateral 7th rib fracture. Cardiomediastinal silhouette is within normal limits. Left lung is clear.", "modalities": [{"type": "image", "value": "train/CXR3378_IM-1627/0.png"}, {"type": "image", "value": "train/CXR3378_IM-1627/1.png"}]} {"text": " and depict chest X-rays with these findings: There is minimal hyperexpansion and hyperlucency of the lungs suggestive of chronic lung disease, without focal consolidation, pneumothorax, or effusion identified. XXXX opacity in the left XXXX XXXX subsegmental atelectasis. Cardiomediastinal silhouette is grossly stable and within normal limits, with mild tortuosity and atherosclerosis of the thoracic aorta. Multilevel degenerative disc disease of the thoracolumbar spine noted without acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR760_IM-2310/0.png"}, {"type": "image", "value": "train/CXR760_IM-2310/1.png"}]} {"text": "The images and are chest X-rays with the following noted: No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury XXXX demonstrated.", "modalities": [{"type": "image", "value": "train/CXR3814_IM-1923/0.png"}, {"type": "image", "value": "train/CXR3814_IM-1923/1.png"}]} {"text": "The X-rays and show the following chest conditions: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "modalities": [{"type": "image", "value": "train/CXR3224_IM-1524/0.png"}, {"type": "image", "value": "train/CXR3224_IM-1524/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: No change lung XXXX. XXXX opacities are present in the right lower lobe. No focal infiltrates. Heart and mediastinum are unremarkable. Aorta normal.", "modalities": [{"type": "image", "value": "train/CXR929_IM-2427/0.png"}, {"type": "image", "value": "train/CXR929_IM-2427/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1697_IM-0458/0.png"}, {"type": "image", "value": "train/CXR1697_IM-0458/1.png"}]} {"text": "The X-rays and show the following chest conditions: Low lung volumes. Bibasilar atelectasis versus scarring. Stable left abdominal surgical clips. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR2200_IM-0811/0.png"}, {"type": "image", "value": "train/CXR2200_IM-0811/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiomediastinal silhouette is normal. No focal airspace consolidation. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR3594_IM-1772/0.png"}, {"type": "image", "value": "train/CXR3594_IM-1772/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax unremarkable.", "modalities": [{"type": "image", "value": "train/CXR2579_IM-1078/0.png"}, {"type": "image", "value": "train/CXR2579_IM-1078/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR3836_IM-1939/0.png"}, {"type": "image", "value": "train/CXR3836_IM-1939/1.png"}]} {"text": " and present chest X-rays with the following impressions: There is a prominent calcified head to the right anterior first rib. The aorta is tortuous. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "modalities": [{"type": "image", "value": "train/CXR3428_IM-1657/0.png"}, {"type": "image", "value": "train/CXR3428_IM-1657/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The heart size is within normal limits. Trachea is midline. No pleural effusions or pneumothorax. Cardiomediastinal contours are normal. There is focal consolidation in the posterior segment of the right lower lobe. No bony or soft tissue abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1226_IM-0150/0.png"}, {"type": "image", "value": "train/CXR1226_IM-0150/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR419_IM-2062/0.png"}, {"type": "image", "value": "train/CXR419_IM-2062/1.png"}]} {"text": "X-rays and show chest details with these impressions: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3196_IM-1507/0.png"}, {"type": "image", "value": "train/CXR3196_IM-1507/1.png"}]} {"text": " and capture chest X-rays with these findings: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR3976_IM-2035/0.png"}, {"type": "image", "value": "train/CXR3976_IM-2035/1.png"}]} {"text": "The chest X-rays in and display: The heart is normal in size. The aorta is tortuous and ectatic. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3081_IM-1440/0.png"}, {"type": "image", "value": "train/CXR3081_IM-1440/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with ectasia of the aorta. Heart size is upper limits of normal. Degenerative changes in the spine.", "modalities": [{"type": "image", "value": "train/CXR1302_IM-0198/0.png"}, {"type": "image", "value": "train/CXR1302_IM-0198/1.png"}]} {"text": " and capture chest X-rays with these findings: The cardiac and mediastinal silhouette is normal There is no evidence of pneumomediastinum or pneumothorax. Clear lungs There are no large pleural effusions No evidence of displaced fractures.", "modalities": [{"type": "image", "value": "train/CXR3639_IM-1804/0.png"}, {"type": "image", "value": "train/CXR3639_IM-1804/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The lungs are clear without evidence of focal airspace disease. There are calcified granulomas in the left lower lobe. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1249_IM-0169/0.png"}, {"type": "image", "value": "train/CXR1249_IM-0169/1.png"}]} {"text": " and show chest images with these observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no obvious lytic or destructive lesion. No displaced rib fracture is evident.", "modalities": [{"type": "image", "value": "train/CXR190_IM-0583/0.png"}, {"type": "image", "value": "train/CXR190_IM-0583/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, the typical findings of pulmonary edema. Mild spine dextrocurvature noted.", "modalities": [{"type": "image", "value": "train/CXR2151_IM-0771/0.png"}, {"type": "image", "value": "train/CXR2151_IM-0771/1.png"}]} {"text": " and exhibit chest X-rays showing: Cardiomediastinal silhouette is normal in size and contour. Pulmonary vasculature is normal in caliber. Lungs are clear of focal airspace disease, pneumothorax or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1920_IM-0598/0.png"}, {"type": "image", "value": "train/CXR1920_IM-0598/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR3112_IM-1461/0.png"}, {"type": "image", "value": "train/CXR3112_IM-1461/1.png"}]} {"text": "These chest X-rays ( and ) show the following: Heart size is normal. 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. Umbilical piercing.", "modalities": [{"type": "image", "value": "train/CXR2291_IM-0874/0.png"}, {"type": "image", "value": "train/CXR2291_IM-0874/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1610_IM-0395/0.png"}, {"type": "image", "value": "train/CXR1610_IM-0395/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: Both lungs are clear and expanded with no infiltrates. Basilar focal atelectasis is present in the lingula. Heart size normal. Calcified right hilar XXXX are present", "modalities": [{"type": "image", "value": "train/CXR1017_IM-0013/0.png"}, {"type": "image", "value": "train/CXR1017_IM-0013/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: 2 images. The cardiac silhouette is enlarged. Thoracic aortic atherosclerotic calcifications are present. There are finding status post sternotomy and CABG. XXXX atelectasis or scar is noted within the left midlung. There is blunting of the left costophrenic XXXX. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1234_IM-0157/0.png"}, {"type": "image", "value": "train/CXR1234_IM-0157/1.png"}]} {"text": " and show chest images with these observations: No pneumothorax or large pleural effusion. Mildly prominent perihilar opacities, XXXX due to bronchovascular crowding. Heart size within normal limits. Cardiomediastinal silhouette is XXXX. The bony structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3785_IM-1898/0.png"}, {"type": "image", "value": "train/CXR3785_IM-1898/1.png"}]} {"text": " and X-rays show chest observations as follows: Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR510_IM-2126/0.png"}, {"type": "image", "value": "train/CXR510_IM-2126/1.png"}]} {"text": "The X-rays and show the following chest conditions: There is a XXXX airspace opacity in the left upper lung. Heart size within normal limits. Mild calcification of the aortic XXXX. No pneumothorax or pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR1972_IM-0633/0.png"}, {"type": "image", "value": "train/CXR1972_IM-0633/1.png"}]} {"text": "The X-rays labeled and show chest conditions: 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.", "modalities": [{"type": "image", "value": "train/CXR1515_IM-0333/0.png"}, {"type": "image", "value": "train/CXR1515_IM-0333/1.png"}]} {"text": "X-rays and show these chest observations: The heart is enlarged. Changes of XXXX sternotomy and bypass graft are identified in the lungs are grossly clear. XXXX right pleural thickening versus XXXX pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.", "modalities": [{"type": "image", "value": "train/CXR3123_IM-1468/0.png"}, {"type": "image", "value": "train/CXR3123_IM-1468/1.png"}]} {"text": "The X-rays labeled and show chest conditions: XXXX sternotomy XXXX are intact and unchanged position from prior exam. Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR679_IM-2251/0.png"}, {"type": "image", "value": "train/CXR679_IM-2251/1.png"}]} {"text": "X-rays and show chest details with these impressions: Heart size is normal. No focal airspace consolidations. No pneumothorax or effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR1851_IM-0553/0.png"}, {"type": "image", "value": "train/CXR1851_IM-0553/1.png"}]} {"text": " and provide chest images showing: The lungs are clear. There is no pleural effusion. The heart is normal. There are atherosclerotic changes of the aorta. Senescent changes of the spine are seen.", "modalities": [{"type": "image", "value": "train/CXR3204_IM-1513/0.png"}, {"type": "image", "value": "train/CXR3204_IM-1513/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. No significant interval change compared to prior study, no XXXX infiltrates noted.", "modalities": [{"type": "image", "value": "train/CXR264_IM-1125/0.png"}, {"type": "image", "value": "train/CXR264_IM-1125/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "modalities": [{"type": "image", "value": "train/CXR2491_IM-1017/0.png"}, {"type": "image", "value": "train/CXR2491_IM-1017/1.png"}]} {"text": " and show chest images with these observations: Heart size, mediastinal contour, and pulmonary vascularity are similar to comparison exam and within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR94_IM-2436/0.png"}, {"type": "image", "value": "train/CXR94_IM-2436/1.png"}]} {"text": "X-ray images and show the chest with the following remarks: Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR2148_IM-0767/0.png"}, {"type": "image", "value": "train/CXR2148_IM-0767/1.png"}]} {"text": "X-rays and show these chest observations: No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Stable cardiomediastinal silhouette. Nodular opacities consistent with chronic granulomatous disease. Bony structures intact.", "modalities": [{"type": "image", "value": "train/CXR278_IM-1218/0.png"}, {"type": "image", "value": "train/CXR278_IM-1218/1.png"}]} {"text": " and present chest X-rays with the following impressions: Again seen are platelike horizontal opacities in both lung bases through this is consistent with scarring or subsegmental atelectasis. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There there is no lobar pneumonia. There are calcified right hilar granuloma. There are degenerative changes of the XXXX. There is a curvilinear density within and along the right costophrenic sulcus which most XXXX represents a skinfold. There is a unchanged fracture with callus at the left 9th lateral rib.", "modalities": [{"type": "image", "value": "train/CXR1485_IM-0313/0.png"}, {"type": "image", "value": "train/CXR1485_IM-0313/1.png"}]} {"text": "These chest X-rays ( and ) show the following: The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR164_IM-0419/0.png"}, {"type": "image", "value": "train/CXR164_IM-0419/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Mild degenerative changes at the lower thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2773_IM-1214/0.png"}, {"type": "image", "value": "train/CXR2773_IM-1214/1.png"}]} {"text": "Chest X-rays shown as and indicate: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the thoracic aorta, unchanged", "modalities": [{"type": "image", "value": "train/CXR460_IM-2090/0.png"}, {"type": "image", "value": "train/CXR460_IM-2090/1.png"}]} {"text": " and present chest X-rays with the following impressions: The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.", "modalities": [{"type": "image", "value": "train/CXR3898_IM-1978/0.png"}, {"type": "image", "value": "train/CXR3898_IM-1978/1.png"}]} {"text": "The X-rays and show the following chest conditions: No focal consolidation. No visualized pneumothorax. Heart size and cardiomediastinal silhouette are grossly unremarkable. No large pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR1409_IM-0260/0.png"}, {"type": "image", "value": "train/CXR1409_IM-0260/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.", "modalities": [{"type": "image", "value": "train/CXR2078_IM-0710/0.png"}, {"type": "image", "value": "train/CXR2078_IM-0710/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR1236_IM-0158/0.png"}, {"type": "image", "value": "train/CXR1236_IM-0158/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. Patchy right lower lung opacification is noted.", "modalities": [{"type": "image", "value": "train/CXR3798_IM-1911/0.png"}, {"type": "image", "value": "train/CXR3798_IM-1911/1.png"}]} {"text": " and depict chest X-rays with these findings: Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more XXXX represents a granuloma. No pneumothorax or effusions.", "modalities": [{"type": "image", "value": "train/CXR3997_IM-2048/0.png"}, {"type": "image", "value": "train/CXR3997_IM-2048/1.png"}]} {"text": " and capture X-rays of the chest with these observations: There your regular interstitial changes and possibly fibrosis in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present. No focal consolidation is seen. There is no evidence for pleural effusion. The heart is not enlarged. Mediastinum is normal. There are arthritic changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR2478_IM-1007/0.png"}, {"type": "image", "value": "train/CXR2478_IM-1007/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Heart size is within normal limits for AP technique. Low lung volumes with bronchovascular crowding. No focal infiltrate. No visible pneumothorax. No pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1413_IM-0263/0.png"}, {"type": "image", "value": "train/CXR1413_IM-0263/1.png"}]} {"text": " and provide chest images showing: No pneumothorax or large pleural effusion. Borderline cardiomegaly. Minimal retrocardiac airspace disease. Bony structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR3379_IM-1627/0.png"}, {"type": "image", "value": "train/CXR3379_IM-1627/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Normal cardiomediastinal contours. Low lung volumes with minimal left basilar opacities. No pneumothorax or pleural effusions.", "modalities": [{"type": "image", "value": "train/CXR3442_IM-1667/0.png"}, {"type": "image", "value": "train/CXR3442_IM-1667/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Right middle lobe calcified granuloma is unchanged. Heart and mediastinum unchanged. No change hiatus hernia.", "modalities": [{"type": "image", "value": "train/CXR1034_IM-0028/0.png"}, {"type": "image", "value": "train/CXR1034_IM-0028/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size and pulmonary vascularity appear within normal limits. Right PICC line is in XXXX. The tip has moved into the left innominate vein. There has been interval development of several ill-defined focal opacities in the left and right mid lung zones. No pneumothorax or pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR681_IM-2252-0001/0.png"}, {"type": "image", "value": "train/CXR681_IM-2252-0001/1.png"}]} {"text": "The chest scans and reveal: Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR721_IM-2282/0.png"}, {"type": "image", "value": "train/CXR721_IM-2282/1.png"}]} {"text": " and depict chest X-rays with these findings: Stable heart size. Diffuse bilateral interstitial opacities. No pneumothorax. No effusions. No acute bony abnormalities.", "modalities": [{"type": "image", "value": "train/CXR1914_IM-0595/0.png"}, {"type": "image", "value": "train/CXR1914_IM-0595/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. Cardiac silhouette at the upper limits of normal in size. Tortuous ectatic aorta. The aortic XXXX is near 5 cm in diameter. There is a retrocardiac left paraspinal bulge concerning for a descending thoracic aortic aneurysm. There is biapical scarring. No XXXX focal airspace consolidation or pleural effusion. XXXX spine spondylitic changes.", "modalities": [{"type": "image", "value": "train/CXR628_IM-2208/0.png"}, {"type": "image", "value": "train/CXR628_IM-2208/1.png"}]} {"text": "X-rays and show these chest observations: Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.", "modalities": [{"type": "image", "value": "train/CXR368_IM-1832/0.png"}, {"type": "image", "value": "train/CXR368_IM-1832/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: The heart is normal in size. There is right paratracheal density concerning for lymphadenopathy. There are patchy right upper lobe streaky opacities. The remainder of the lungs are clear. There is no pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2843_IM-1254-1001/0.png"}, {"type": "image", "value": "train/CXR2843_IM-1254-1001/1.png"}]} {"text": "The X-rays labeled and show chest conditions: Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. Anterior osteophytes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR383_IM-1932/0.png"}, {"type": "image", "value": "train/CXR383_IM-1932/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Right central venous line has been removed. Heart size and pulmonary vascularity appear within normal limits. A few bandlike opacities are present at the lateral left base. The appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No discrete nodules are identified. No pneumothorax or pleural effusion is seen.", "modalities": [{"type": "image", "value": "train/CXR1393_IM-0251/0.png"}, {"type": "image", "value": "train/CXR1393_IM-0251/1.png"}]} {"text": "The chest X-rays labeled and highlight these observations: Heart size is at the upper limits of normal. The pulmonary vascularity appears within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. No non-calcified nodules are identified.", "modalities": [{"type": "image", "value": "train/CXR3816_IM-1925/0.png"}, {"type": "image", "value": "train/CXR3816_IM-1925/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.", "modalities": [{"type": "image", "value": "train/CXR3522_IM-1720/0.png"}, {"type": "image", "value": "train/CXR3522_IM-1720/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: There is a cortical irregularity along the anterior margin of the sternum. In addition, there is a focal retrosternal hypodense convexity. The cardiac silhouette is within normal limits. The thoracic aorta is torturous however the mediastinal contours are within normal limits. There is no pneumothorax. There is no large pleural effusion. There is streaky XXXX opacity within the left lung base XXXX representing atelectasis. Otherwise, the lungs are clear. There is thoracic kyphosis. There is hyperinflation of the lungs.", "modalities": [{"type": "image", "value": "train/CXR1739_IM-0487/0.png"}, {"type": "image", "value": "train/CXR1739_IM-0487/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Heart size within normal limits. Tortuous aorta. Low lung volumes with no focal consolidations. No pneumothorax or effusion. Moderate degenerative disc disease in the midthoracic spine.", "modalities": [{"type": "image", "value": "train/CXR659_IM-2235/0.png"}, {"type": "image", "value": "train/CXR659_IM-2235/1.png"}]} {"text": " and are images of chest X-rays showing: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3578_IM-1758/0.png"}, {"type": "image", "value": "train/CXR3578_IM-1758/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: Cardiomegaly is present. There is interstitial pulmonary edema with the presence of XXXX B-lines. There is no pneumothorax. There is an oval, 17 mm nodular opacity projecting between the posterior left 5th and 6th ribs. There is a 10 mm nodular density projecting over the right posterior 4th rib. There is a XXXX posterior effusion. Normal mediastinal silhouette. T-spine osteophytes.", "modalities": [{"type": "image", "value": "train/CXR2130_IM-0755/0.png"}, {"type": "image", "value": "train/CXR2130_IM-0755/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: There is borderline cardiomegaly. Mediastinum and pulmonary vasculature are unremarkable. Lungs are clear. No pleural fluid or pneumothorax is appreciated.", "modalities": [{"type": "image", "value": "train/CXR3609_IM-1782/0.png"}, {"type": "image", "value": "train/CXR3609_IM-1782/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR1523_IM-0339/0.png"}, {"type": "image", "value": "train/CXR1523_IM-0339/1.png"}]} {"text": "The X-rays and show the following chest conditions: Normal heart size. Stable tortuous thoracic aorta. Prior granulomatous disease. Healed rib fractures appear stable. Focal opacity is noted in the left midlung overlying the 9th posterior rib which XXXX represents healing rib callus. No pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR2138_IM-0760/0.png"}, {"type": "image", "value": "train/CXR2138_IM-0760/1.png"}]} {"text": " and X-rays show chest observations as follows: No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact.", "modalities": [{"type": "image", "value": "train/CXR261_IM-1100/0.png"}, {"type": "image", "value": "train/CXR261_IM-1100/1.png"}]} {"text": " and X-rays show chest observations as follows: The heart is normal in size. The mediastinum is unremarkable. Small nodule in the right upper lung is stable. The lungs are otherwise clear.", "modalities": [{"type": "image", "value": "train/CXR1640_IM-0420/0.png"}, {"type": "image", "value": "train/CXR1640_IM-0420/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms suggestive of chronic emphysematous lung disease. Heart size within normal limits. Bibasilar, right greater than left atelectasis/airspace disease noted. No pneumothorax or large pleural effusion. No acute bony abnormality.", "modalities": [{"type": "image", "value": "train/CXR1919_IM-0598/0.png"}, {"type": "image", "value": "train/CXR1919_IM-0598/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Negative for pneumoperitoneum.", "modalities": [{"type": "image", "value": "train/CXR421_IM-2064/0.png"}, {"type": "image", "value": "train/CXR421_IM-2064/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR1853_IM-0555/0.png"}, {"type": "image", "value": "train/CXR1853_IM-0555/1.png"}]} {"text": " and show chest images with these observations: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR97_IM-2460/0.png"}, {"type": "image", "value": "train/CXR97_IM-2460/1.png"}]} {"text": "X-rays and show chest details with these impressions: No pneumothorax, pleural effusion or airspace consolidation. Heart size is upper limits of normal. Pulmonary vasculature appear within normal limits. XXXX XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR2787_IM-1222/0.png"}, {"type": "image", "value": "train/CXR2787_IM-1222/1.png"}]} {"text": " and are images of chest X-rays showing: Consolidation and costophrenic XXXX blunting persists in both lower lobes. Heart and pulmonary XXXX remain normal. No XXXX infiltrates.", "modalities": [{"type": "image", "value": "train/CXR2608_IM-1098/0.png"}, {"type": "image", "value": "train/CXR2608_IM-1098/1.png"}]} {"text": "X-ray scans and display the following chest observations: The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR2108_IM-0738/0.png"}, {"type": "image", "value": "train/CXR2108_IM-0738/1.png"}]} {"text": "Chest X-ray scans ( and ) reveal: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. The right lung is clear. There is a recurrence moderate-sized left pleural effusion. No pneumothorax. Limited right base stringy density compatible with atelectasis. Dextroscoliosis of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3846_IM-1946/0.png"}, {"type": "image", "value": "train/CXR3846_IM-1946/1.png"}]} {"text": " and present chest X-rays with the following impressions: No focal consolidation. No pneumothorax. No pleural effusions. Heart size normal. Cardio mediastinal silhouette is unremarkable.", "modalities": [{"type": "image", "value": "train/CXR450_IM-2082/0.png"}, {"type": "image", "value": "train/CXR450_IM-2082/1.png"}]} {"text": "The chest scans and reveal: Lungs are clear. Heart size normal. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR3173_IM-1495/0.png"}, {"type": "image", "value": "train/CXR3173_IM-1495/1.png"}]} {"text": "The X-rays and show the following chest conditions: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR1681_IM-0448/0.png"}, {"type": "image", "value": "train/CXR1681_IM-0448/1.png"}]} {"text": "X-rays and show chest details with these impressions: The cardiomediastinal silhouette is within normal limits for appearance. The trachea is midline. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR352_IM-1718/0.png"}, {"type": "image", "value": "train/CXR352_IM-1718/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR3519_IM-1717/0.png"}, {"type": "image", "value": "train/CXR3519_IM-1717/1.png"}]} {"text": "The chest scans and reveal: Cardiomediastinal contour and pulmonary vascularity stable and within normal limits. Lung volumes are slightly low. There are streaky left basal opacities. No pleural effusion or pneumothorax. No acute osseous findings. No free air is demonstrated.", "modalities": [{"type": "image", "value": "train/CXR3589_IM-1767/0.png"}, {"type": "image", "value": "train/CXR3589_IM-1767/1.png"}]} {"text": "The chest scans and reveal: Hyperinflated lungs with mildly flattened posterior diaphragm. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, no typical findings of pulmonary edema.", "modalities": [{"type": "image", "value": "train/CXR1685_IM-0449/0.png"}, {"type": "image", "value": "train/CXR1685_IM-0449/1.png"}]} {"text": " and depict chest X-rays with these findings: The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.", "modalities": [{"type": "image", "value": "train/CXR3180_IM-1500/0.png"}, {"type": "image", "value": "train/CXR3180_IM-1500/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Bibasilar airspace opacities, right greater than left. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.", "modalities": [{"type": "image", "value": "train/CXR2733_IM-1189/0.png"}, {"type": "image", "value": "train/CXR2733_IM-1189/1.png"}]} {"text": " and represent X-ray images of the chest with these findings: Stable enlargement of the cardiac silhouette, stable mediastinal contours. Increased interstitial markings in the central lungs and bases, right greater than left. XXXX opacity on the lateral view over the heart also present on the previous exam suggesting chronic subsegmental atelectasis or scarring. No definite pleural effusion seen.", "modalities": [{"type": "image", "value": "train/CXR699_IM-2263/0.png"}, {"type": "image", "value": "train/CXR699_IM-2263/1.png"}]} {"text": " and are chest X-ray scans with the following impressions: Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Degenerative disease is seen in the thoracic spine and left XXXX XXXX.", "modalities": [{"type": "image", "value": "train/CXR3849_IM-1947/0.png"}, {"type": "image", "value": "train/CXR3849_IM-1947/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. The right costophrenic sulcus is blunted. There is an the right base XXXX/fluid level. The left lung is clear.", "modalities": [{"type": "image", "value": "train/CXR2616_IM-1106/0.png"}, {"type": "image", "value": "train/CXR2616_IM-1106/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "modalities": [{"type": "image", "value": "train/CXR745_IM-2299/0.png"}, {"type": "image", "value": "train/CXR745_IM-2299/1.png"}]} {"text": "The chest scans and reveal: The heart is top normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR1011_IM-0013/0.png"}, {"type": "image", "value": "train/CXR1011_IM-0013/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Scattered granulomatous changes. Mild unfolding of the thoracic aorta. Bony thorax is unremarkable", "modalities": [{"type": "image", "value": "train/CXR2052_IM-0690/0.png"}, {"type": "image", "value": "train/CXR2052_IM-0690/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR2529_IM-1044/0.png"}, {"type": "image", "value": "train/CXR2529_IM-1044/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Low lung volumes. Stable ectasia of the thoracic aorta. Stable right upper mediastinal Bilateral small pleural effusions and bibasilar airspace opacities. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax. Stable wedging of the anterior thoracic vertebral bodies.", "modalities": [{"type": "image", "value": "train/CXR2074_IM-0708/0.png"}, {"type": "image", "value": "train/CXR2074_IM-0708/1.png"}]} {"text": "X-ray images labeled and display the following findings: The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. A calcified granuloma is identified in the right middle lobe. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute displaced rib fractures.", "modalities": [{"type": "image", "value": "train/CXR3294_IM-1573/0.png"}, {"type": "image", "value": "train/CXR3294_IM-1573/1.png"}]} {"text": "Chest X-rays displayed as and reveal the following observations: The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.", "modalities": [{"type": "image", "value": "train/CXR543_IM-2148/0.png"}, {"type": "image", "value": "train/CXR543_IM-2148/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: There are multiple bilateral pulmonary nodules. For example, there is a 12 mm left lower lobe nodule, XXXX seen on the frontal view. There is no pleural effusion or pneumothorax. Heart size is within normal limits. The left hilar contour is prominent. There are diffuse degenerative changes of the spine.", "modalities": [{"type": "image", "value": "train/CXR3000_IM-1386-0001/0.png"}, {"type": "image", "value": "train/CXR3000_IM-1386-0001/1.png"}]} {"text": "The images and are chest X-rays with the following noted: Bilateral glenohumeral degenerative joint disease. Scattered degenerative changes of the thoracic spine. Stable mild heart enlargement.Prominence of soft tissue density in the upper mediastinum. It is increased from most recent prior exam on XXXX. However, it appears similar compared to XXXX exams performed in XXXX. No focal area of consolidation, pleural effusion, or pneumothorax. Focal opacity in the left upper lobe XXXX represents scarring or related to overlying rib opacity.", "modalities": [{"type": "image", "value": "train/CXR2259_IM-0850/0.png"}, {"type": "image", "value": "train/CXR2259_IM-0850/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Heart size and pulmonary vascularity appear within normal limits. There is mild tortuosity to the descending thoracic aorta. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR1180_IM-0123/0.png"}, {"type": "image", "value": "train/CXR1180_IM-0123/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR106_IM-0042/0.png"}, {"type": "image", "value": "train/CXR106_IM-0042/1.png"}]} {"text": " and provide X-rays of the chest, demonstrating: The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is a stable calcified granuloma within the left lower lobe. There are stable chronic degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR2243_IM-0840/0.png"}, {"type": "image", "value": "train/CXR2243_IM-0840/1.png"}]} {"text": " and are images of chest X-rays showing: Apparent scarring within the lingula. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.", "modalities": [{"type": "image", "value": "train/CXR76_IM-2309/0.png"}, {"type": "image", "value": "train/CXR76_IM-2309/1.png"}]} {"text": "X-ray scans, shown as and , display the chest of a patient with: Normal heart size mediastinal contours. Subsegmental atelectasis versus scarring in the right midlung and left lower lobe. No focal airspace disease. No pleural effusion or pneumothorax. Low lung volumes. Visualized bony structures are unremarkable in appearance.", "modalities": [{"type": "image", "value": "train/CXR3570_IM-1754/0.png"}, {"type": "image", "value": "train/CXR3570_IM-1754/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.", "modalities": [{"type": "image", "value": "train/CXR3139_IM-1476/0.png"}, {"type": "image", "value": "train/CXR3139_IM-1476/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Heart is mildly enlarged stable. Mediastinal contour is normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces.", "modalities": [{"type": "image", "value": "train/CXR1273_IM-0183/0.png"}, {"type": "image", "value": "train/CXR1273_IM-0183/1.png"}]} {"text": "The X-rays labeled and show chest conditions: The XXXX examination consists of frontal and lateral radiographs of the chest. External monitor leads XXXX the thorax. 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.", "modalities": [{"type": "image", "value": "train/CXR3449_IM-1672/0.png"}, {"type": "image", "value": "train/CXR3449_IM-1672/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR3384_IM-1631/0.png"}, {"type": "image", "value": "train/CXR3384_IM-1631/1.png"}]} {"text": " and depict chest X-rays with these findings: Both lungs are clear and expanded. Heart and mediastinum normal.", "modalities": [{"type": "image", "value": "train/CXR622_IM-2204/0.png"}, {"type": "image", "value": "train/CXR622_IM-2204/1.png"}]} {"text": "The scans and are X-rays of the chest revealing: Cardiomediastinal silhouette is within normal limits. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormalities. Degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR1873_IM-0565/0.png"}, {"type": "image", "value": "train/CXR1873_IM-0565/1.png"}]} {"text": "The images and are chest X-rays with the following noted: There are low lung volumes with bronchovascular crowding. There is patchy left lower lobe airspace disease. There are XXXX opacities in the right mid lung, XXXX subsegmental atelectasis. No significant pleural effusion. No pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification.", "modalities": [{"type": "image", "value": "train/CXR3411_IM-1649-0001/0.png"}, {"type": "image", "value": "train/CXR3411_IM-1649-0001/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Normal cardiac contour. Clear hyperexpanded lungs bilaterally with no pneumothorax or pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1472_IM-0305/0.png"}, {"type": "image", "value": "train/CXR1472_IM-0305/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. There is a stable the electronic device any left anterior chest wall. There are advanced degenerative changes in the XXXX bilaterally. There is a 38 mm lucency in the right humeral head with geographic 1A margins.", "modalities": [{"type": "image", "value": "train/CXR260_IM-1090/0.png"}, {"type": "image", "value": "train/CXR260_IM-1090/1.png"}]} {"text": "X-rays and show these chest observations: No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette is grossly unremarkable. There is motion artifact on the lateral radiograph.", "modalities": [{"type": "image", "value": "train/CXR1526_IM-0341/0.png"}, {"type": "image", "value": "train/CXR1526_IM-0341/1.png"}]} {"text": "The chest scans and reveal: Right costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.", "modalities": [{"type": "image", "value": "train/CXR145_IM-0290/0.png"}, {"type": "image", "value": "train/CXR145_IM-0290/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Mild degenerative changes of the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR93_IM-2428/0.png"}, {"type": "image", "value": "train/CXR93_IM-2428/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There is no definite evidence of acute fracture.", "modalities": [{"type": "image", "value": "train/CXR429_IM-2070/0.png"}, {"type": "image", "value": "train/CXR429_IM-2070/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.", "modalities": [{"type": "image", "value": "train/CXR13_IM-0198/0.png"}, {"type": "image", "value": "train/CXR13_IM-0198/1.png"}]} {"text": "The X-rays and show the following chest conditions: Previous sulcal is normal in size and contour. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion. Interval resolution of previously described right midlung opacity suggesting resolved inflammatory/infectious process. Lungs are hyperexpanded with flattened diaphragms. XXXX and soft tissue are unremarkable.", "modalities": [{"type": "image", "value": "train/CXR1113_IM-0078/0.png"}, {"type": "image", "value": "train/CXR1113_IM-0078/1.png"}]} {"text": "The X-ray images and highlight the following in the chest: the heart size is normal. There is tortuosity of aorta. Pulmonary vascularity is normal. No focal airspace disease or effusion. Degenerative changes in the thoracic spine.", "modalities": [{"type": "image", "value": "train/CXR3423_IM-1656/0.png"}, {"type": "image", "value": "train/CXR3423_IM-1656/1.png"}]} {"text": " and are X-ray scans of the chest of a patient, with the following observations: Postop changes of CABG with mild cardiomegaly. There is an infiltrate in the right lower lobe. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR3878_IM-1968/0.png"}, {"type": "image", "value": "train/CXR3878_IM-1968/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "modalities": [{"type": "image", "value": "train/CXR3422_IM-1656/0.png"}, {"type": "image", "value": "train/CXR3422_IM-1656/1.png"}]} {"text": "X-ray images labeled and display the following findings: Mediastinal contours are normal. Heart size is within normal limits. Lungs are clear. There is no pneumothorax or large pleural effusion.", "modalities": [{"type": "image", "value": "train/CXR1429_IM-0275/0.png"}, {"type": "image", "value": "train/CXR1429_IM-0275/1.png"}]} {"text": " and exhibit chest X-rays showing: The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "modalities": [{"type": "image", "value": "train/CXR107_IM-0049/0.png"}, {"type": "image", "value": "train/CXR107_IM-0049/1.png"}]} {"text": " and capture X-rays of the chest with these observations: The heart, 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.", "modalities": [{"type": "image", "value": "train/CXR753_IM-2306/0.png"}, {"type": "image", "value": "train/CXR753_IM-2306/1.png"}]} {"text": "Chest X-rays presented as and reveal the following: The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is a small calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "modalities": [{"type": "image", "value": "train/CXR2924_IM-1327/0.png"}, {"type": "image", "value": "train/CXR2924_IM-1327/1.png"}]} {"text": " and show chest X-rays of a patient, with these findings: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "modalities": [{"type": "image", "value": "train/CXR950_IM-2446/0.png"}, {"type": "image", "value": "train/CXR950_IM-2446/1.png"}]} {"text": "Chest X-ray scans in and demonstrate: Heart size mildly to moderately enlarged, distal tip dual-lumen catheter near the caval atrial junction. Mild vascular cephalization, no definite interstitial changes of pulmonary edema, no focal alveolar consolidation. No pleural effusion XXXX demonstrated.", "modalities": [{"type": "image", "value": "train/CXR3430_IM-1659/0.png"}, {"type": "image", "value": "train/CXR3430_IM-1659/1.png"}]} {"text": " and show chest X-ray scans that indicate: 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. Calcified granuloma are present. Degenerative changes are present in the spine.", "modalities": [{"type": "image", "value": "train/CXR3772_IM-1891/0.png"}, {"type": "image", "value": "train/CXR3772_IM-1891/1.png"}]} {"text": "X-ray scans and indicate the following in the chest: The lungs are clear. There are multiple surgical XXXX seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal.", "modalities": [{"type": "image", "value": "train/CXR290_IM-1303/0.png"}, {"type": "image", "value": "train/CXR290_IM-1303/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.", "modalities": [{"type": "image", "value": "train/CXR458_IM-2089/0.png"}, {"type": "image", "value": "train/CXR458_IM-2089/1.png"}]} {"text": "Two chest X-rays ( and ) reveal these observations: Borderline cardiomegaly. Midline sternotomy XXXX. Enlarged pulmonary arteries. Clear lungs. Inferior XXXX XXXX XXXX.", "modalities": [{"type": "image", "value": "train/CXR2_IM-0652/0.png"}, {"type": "image", "value": "train/CXR2_IM-0652/1.png"}]} {"text": "X-ray images labeled and display the following findings: 2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX.", "modalities": [{"type": "image", "value": "train/CXR64_IM-2218/0.png"}, {"type": "image", "value": "train/CXR64_IM-2218/1.png"}]} {"text": "The X-ray scans ( and ) show chest findings as follows: The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.", "modalities": [{"type": "image", "value": "train/CXR2612_IM-1103/0.png"}, {"type": "image", "value": "train/CXR2612_IM-1103/1.png"}]} {"text": " and present chest X-rays with the following impressions: The heart, 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. The aorta is tortuous and ectatic. There are degenerative changes of the acromioclavicular joints. There degenerative changes of the spine. There is an IVC XXXX identified.", "modalities": [{"type": "image", "value": "train/CXR1004_IM-0005/0.png"}, {"type": "image", "value": "train/CXR1004_IM-0005/1.png"}]} {"text": " and show chest images with these observations: The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.", "modalities": [{"type": "image", "value": "train/CXR226_IM-0851/0.png"}, {"type": "image", "value": "train/CXR226_IM-0851/1.png"}]} {"text": "Chest X-ray scans and highlight these findings: The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. Calcified lymph XXXX are identified in the left infrahilar region. No pneumothorax. No pleural effusion. No acute, displaced rib fractures identified.", "modalities": [{"type": "image", "value": "train/CXR1708_IM-0466/0.png"}, {"type": "image", "value": "train/CXR1708_IM-0466/1.png"}]} {"text": "X-ray images labeled and display the following findings: The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "modalities": [{"type": "image", "value": "train/CXR2312_IM-0887/0.png"}, {"type": "image", "value": "train/CXR2312_IM-0887/1.png"}]} {"text": "The X-rays labeled and display the following chest findings: The heart, 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 degenerative changes of the thoracic spine. There is a calcified granuloma identified in the right suprahilar region. The aorta is mildly tortuous and ectatic. There is asymmetric right apical smooth pleural thickening. There are severe degenerative changes of the XXXX.", "modalities": [{"type": "image", "value": "train/CXR49_IM-2110/0.png"}, {"type": "image", "value": "train/CXR49_IM-2110/1.png"}]}