diff --git "a/dev.json" "b/dev.json" new file mode 100644--- /dev/null +++ "b/dev.json" @@ -0,0 +1,25962 @@ +{ + "p10/p10003412/s59172281.txt": { + "text": "FINAL REPORT EXAMINATION : Chest : Frontal and lateral views INDICATION : History : ___ M with dyspnea / / infiltrate TECHNIQUE : Chest : Frontal and Lateral COMPARISON : None . FINDINGS : The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . Partially imaged hardware in the lumbar spine . IMPRESSION : No acute cardiopulmonary process .", + "entities": { + "1": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [] + }, + "2": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "3": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "5": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "6": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "7": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 46, + "end_ix": 46, + "relations": [] + }, + "8": { + "tokens": "cardiac", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [] + }, + "9": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [] + }, + "10": { + "tokens": "silhouettes", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "8" + ], + [ + "modify", + "9" + ] + ] + }, + "11": { + "tokens": "unremarkable", + "label": "OBS-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "located_at", + "8" + ], + [ + "located_at", + "9" + ] + ] + }, + "12": { + "tokens": "hardware", + "label": "OBS-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "13": { + "tokens": "lumbar", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "spine", + "label": "ANAT-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "15": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "16": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "17": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "16" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": true + }, + "p18/p18001816/s54309228.txt": { + "text": "FINAL REPORT INDICATION : Chest pain , dyspnea . COMPARISON : None available . FINDINGS : Chest , PA and lateral . Lung volumes are low . The hilar and cardiomediastinal contours are within normal limits . No chf , focal infiltrate , effusion or pneumothorax is detected . IMPRESSION : No acute pulmonary process identified .", + "entities": { + "1": { + "tokens": "Lung", + "label": "ANAT-DP", + "start_ix": 22, + "end_ix": 22, + "relations": [] + }, + "2": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 23, + "end_ix": 23, + "relations": [ + [ + "modify", + "1" + ] + ] + }, + "3": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 25, + "end_ix": 25, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "4": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 28, + "end_ix": 28, + "relations": [] + }, + "5": { + "tokens": "cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 30, + "end_ix": 30, + "relations": [] + }, + "6": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "modify", + "4" + ], + [ + "modify", + "5" + ] + ] + }, + "7": { + "tokens": "within", + "label": "OBS-DP", + "start_ix": 33, + "end_ix": 33, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "located_at", + "4" + ], + [ + "located_at", + "5" + ] + ] + }, + "9": { + "tokens": "limits", + "label": "OBS-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "10": { + "tokens": "chf", + "label": "OBS-DA", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "11": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 40, + "end_ix": 40, + "relations": [] + }, + "12": { + "tokens": "infiltrate", + "label": "OBS-DA", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "13": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "14": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 45, + "end_ix": 45, + "relations": [] + }, + "15": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "16": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [] + }, + "17": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "located_at", + "16" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": true + }, + "p15/p15003878/s57380048.txt": { + "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Status post rib fracture , status post extubation . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , there is no relevant change . Bilateral basal parenchymal opacities . Small bilateral pleural effusions , slightly more extensive on the left than on the right . At the right lung bases , in the region of the known displaced rib fractures , there are subtle parenchymal opacities that might represent areas of lung contusion . Minimal fluid overload . Borderline size of the cardiac silhouette . Unchanged position and course of the PICC line .", + "entities": { + "1": { + "tokens": "Bilateral", + "label": "ANAT-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "2": { + "tokens": "basal", + "label": "ANAT-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "parenchymal", + "label": "ANAT-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [] + }, + "4": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "5": { + "tokens": "Small", + "label": "OBS-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "6": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "8": { + "tokens": "effusions", + "label": "OBS-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "9": { + "tokens": "extensive", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "8" + ], + [ + "located_at", + "10" + ] + ] + }, + "10": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "11": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "12": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [] + }, + "14": { + "tokens": "bases", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "15": { + "tokens": "region", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "16": { + "tokens": "known", + "label": "OBS-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "17": { + "tokens": "displaced", + "label": "OBS-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "18": { + "tokens": "rib", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "19": { + "tokens": "fractures", + "label": "OBS-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "located_at", + "18" + ] + ] + }, + "20": { + "tokens": "subtle", + "label": "OBS-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "21": { + "tokens": "parenchymal", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "22": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "located_at", + "21" + ], + [ + "suggestive_of", + "24" + ] + ] + }, + "23": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "24": { + "tokens": "contusion", + "label": "OBS-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "located_at", + "23" + ] + ] + }, + "25": { + "tokens": "Minimal", + "label": "OBS-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "26": { + "tokens": "fluid", + "label": "OBS-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "27": { + "tokens": "overload", + "label": "OBS-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "28": { + "tokens": "Borderline", + "label": "OBS-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [ + [ + "located_at", + "30" + ] + ] + }, + "29": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "cardiac", + "label": "ANAT-DP", + "start_ix": 92, + "end_ix": 92, + "relations": [] + }, + "31": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "32": { + "tokens": "Unchanged", + "label": "OBS-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "33": { + "tokens": "position", + "label": "OBS-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "34": { + "tokens": "course", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "35": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "36": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 102, + "end_ix": 102, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": true + }, + "p15/p15003878/s59424963.txt": { + "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Status post motor vehicle accident , difficult extubation . COMPARISON : ___ , 5:53a.m. FINDINGS : As compared to the previous radiograph , the patient has been extubated . In addition , the right chest tube has been removed . There is currently no evidence of pneumothorax . The lung volumes have slightly increased . Moderate cardiomegaly and bilateral areas of atelectasis , the presence of small bilateral pleural effusions cannot be excluded . No newly appeared opacities , no pneumonia , no pulmonary edema .", + "entities": { + "1": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [] + }, + "3": { + "tokens": "tube", + "label": "OBS-DA", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "4": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "5": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "6": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "7": { + "tokens": "slightly", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "9": { + "tokens": "Moderate", + "label": "OBS-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "cardiomegaly", + "label": "OBS-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [] + }, + "11": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "12": { + "tokens": "areas", + "label": "OBS-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "14": { + "tokens": "small", + "label": "OBS-U", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "15": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [] + }, + "17": { + "tokens": "effusions", + "label": "OBS-U", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "located_at", + "16" + ] + ] + }, + "18": { + "tokens": "newly", + "label": "OBS-DA", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "opacities", + "label": "OBS-DA", + "start_ix": 83, + "end_ix": 83, + "relations": [] + }, + "20": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 86, + "end_ix": 86, + "relations": [] + }, + "21": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [] + }, + "22": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 90, + "end_ix": 90, + "relations": [ + [ + "located_at", + "21" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": { + "1": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 234, + "end_ix": 239, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 240, + "end_ix": 245, + "relations": [] + }, + "3": { + "tokens": "tube", + "label": "OBS-DA", + "start_ix": 246, + "end_ix": 250, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "4": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 323, + "end_ix": 327, + "relations": [] + }, + "5": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 328, + "end_ix": 335, + "relations": [] + }, + "6": { + "tokens": "slightly", + "label": "OBS-DP", + "start_ix": 341, + "end_ix": 349, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "7": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 350, + "end_ix": 359, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "Moderate", + "label": "OBS-DP", + "start_ix": 362, + "end_ix": 370, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "9": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 388, + "end_ix": 397, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "areas", + "label": "OBS-DP", + "start_ix": 398, + "end_ix": 403, + "relations": [] + }, + "11": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 407, + "end_ix": 418, + "relations": [] + }, + "12": { + "tokens": "small", + "label": "OBS-U", + "start_ix": 437, + "end_ix": 442, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 443, + "end_ix": 452, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "14": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 453, + "end_ix": 460, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "15": { + "tokens": "effusions", + "label": "OBS-U", + "start_ix": 461, + "end_ix": 470, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "newly", + "label": "OBS-DA", + "start_ix": 495, + "end_ix": 500, + "relations": [] + }, + "17": { + "tokens": "opacities", + "label": "OBS-DA", + "start_ix": 510, + "end_ix": 519, + "relations": [ + [ + "located_at", + "16" + ] + ] + }, + "18": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 525, + "end_ix": 534, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 540, + "end_ix": 549, + "relations": [] + }, + "20": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 550, + "end_ix": 555, + "relations": [] + } + } + } + }, + "p15/p15003878/s54410100.txt": { + "text": "FINAL REPORT CLINICAL INFORMATION : ___ - year - old male with right - sided rib fractures and pneumothorax status post chest tube placement . COMPARISON : ___ at ___ hours . FINDINGS : Portable chest radiograph demonstrates interval placement of a right - sided chest tube , the tip of which approaches the midline mediastinum . The sidehole marker is not appreciated on this study . Bibasilar opacities remain , there appears to have been interval improvement in pneumothorax , though the evaluation of lung markings is limited on this study due to overlying soft tissue gas . There remains extensive soft tissue gas outlining the pectoralis muscles bilaterally , as well as right subcutaneous tissues . The remainder of support lines and tubes are stable in appearance . IMPRESSION : Interval placement of a right chest tube , with apparent improvement in right - sided pneumothorax . 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FINDINGS : Endotracheal tube ends approximately 7.4 cm from the carina positioned at the level of the clavicular head . Consider advancing the ETT by 2 cm for better seating . Bilateral lung volumes remain low . An orogastric tube is seen coursing below the diaphragm into the stomach ; however , the distal end is beyond radiographic review . Lower lung atelectasis and presumed small pleural effusions are unchanged . There are no other new interval changes . Heart size , mediastinal and hilar contours are stable . 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COMPARISON : Chest radiograph and CT torso on ___ . FINDINGS : One portable semi - erect AP view of the chest . Compared to most recent chest radiograph , the mediastinum is more widened . Given the patient 's manubrium fracture , this is concerning for a mediastinal bleed . Endotracheal tube ends 5 cm from the carina . There are low lung volumes and new right mid lung linear opacity probably representing atelectasis . No evidence of pneumonia . No pleural effusions . No pneumothorax . Increased vascular congestion . IMPRESSION : 1 . Increased widening of mediastinum is concerning for mediastinal bleed given the patient 's history of trauma and manubrium fracture . 2 . New right mid lung atelectasis . 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ET tube is in standard position . NG tube tip is out of view below the diaphragm . Right basal chest tube is in place in unchanged position . There is no evident pneumothorax . Small - to - mild left pleural effusion is unchanged with unchanged adjacent atelectasis . Right lower lobe opacities have increased , could be due to atelectasis or pneumonia in the appropriate clinical setting . Pulmonary edema has minimally increased . Subcutaneous emphysema has decreased . Increase in widened mediastinum could be just due to positioning or rotation , but attention should be paid in followup studies . There are persistent low lung volumes . Cardiomegaly is stable .", + "entities": { + "1": { + "tokens": "ET", + "label": "OBS-DP", + "start_ix": 18, + "end_ix": 18, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 19, + "end_ix": 19, + "relations": [] + }, + "3": { + "tokens": "standard", + "label": "OBS-DP", + "start_ix": 22, + "end_ix": 22, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "position", + "label": "OBS-DP", + "start_ix": 23, + "end_ix": 23, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "5": { + "tokens": "NG", + "label": "OBS-DP", + "start_ix": 25, + "end_ix": 25, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 26, + "end_ix": 26, + "relations": [] + }, + "7": { + "tokens": "tip", + "label": "OBS-DA", + "start_ix": 27, + "end_ix": 27, + "relations": [ + [ + "modify", + "6" + ], + [ + "located_at", + "9" + ] + ] + }, + "8": { + "tokens": "below", 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"unchanged", + "label": "OBS-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "24": { + "tokens": "adjacent", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "25": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "located_at", + "24" + ] + ] + }, + "26": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "27": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "28": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "29": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "28" + ], + [ + "suggestive_of", + "31" + ], + [ + "suggestive_of", + "32" + ] + ] + }, + "30": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "29" + ] + ] + }, + "31": { + "tokens": "atelectasis", + "label": "OBS-U", + "start_ix": 79, + "end_ix": 79, + "relations": [] + }, + "32": { + "tokens": "pneumonia", + "label": "OBS-U", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "33": { + "tokens": "Pulmonary", + "label": "ANAT-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [] + }, + "34": { + "tokens": "edema", + "label": "OBS-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [ + [ + "located_at", + "33" + ] + ] + }, + "35": { + "tokens": "minimally", + "label": "OBS-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "36": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 92, + "end_ix": 92, + "relations": [ + [ + "modify", + "34" + ] + ] + }, + "37": { + "tokens": "Subcutaneous", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [] + }, + "38": { + "tokens": "emphysema", + "label": "OBS-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [ + [ + "located_at", + "37" + ] + ] + }, + "39": { + "tokens": "decreased", + "label": "OBS-DP", + "start_ix": 97, + "end_ix": 97, + "relations": [ + [ + "modify", + "38" + ] + ] + }, + "40": { + "tokens": "Increase", + "label": "OBS-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [ + [ + "modify", + "41" + ] + ] + }, + "41": { + "tokens": "widened", + "label": "OBS-DP", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "located_at", + "42" + ] + ] + }, + "42": { + "tokens": "mediastinum", + "label": "ANAT-DP", + "start_ix": 102, + "end_ix": 102, + "relations": [] + }, + "43": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 124, + "end_ix": 124, + "relations": [ + [ + "located_at", + "44" + ] + ] + }, + "44": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 125, + "end_ix": 125, + "relations": [] + }, + "45": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 126, + "end_ix": 126, + "relations": [ + [ + "modify", + "44" + ] + ] + }, + "46": { + "tokens": "Cardiomegaly", + "label": "OBS-DP", + "start_ix": 128, + "end_ix": 128, + "relations": [] + }, + "47": { + "tokens": "stable", + "label": "OBS-DP", + "start_ix": 130, + "end_ix": 130, + "relations": [ + [ + "located_at", + "46" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15003878/s51651577.txt": { + "text": "FINAL REPORT PA AND LATERAL CHEST RADIOGRAPH ___ COMPARISON : Chest radiographs dating between ___ and ___ . FINDINGS : The ribs are ideally assessed on this conventional chest radiograph examination . With this limitation in mind , known right - sided rib fractures are healing , and several remain mildly displaced . No pneumothorax is identified , but there are persistent bilateral small pleural effusions present . Cardiomediastinal contours are within normal limits for technique . Right hemidiaphragm is elevated anteriorly without change . Lucency through the manubrium on the lateral chest radiograph corresponds to a fracture on the prior outside chest CT of ___ . IMPRESSION : 1 . Healing right rib fractures . Note that the ribs are not ideally assessed by chest radiography . If there is a clinical concern regarding new or displaced fractures , dedicated rib films may be considered . 2 . Healing manubrial fracture . 3 . Small bilateral pleural effusions . 4 . Persistent eventration right hemidiaphragm .", + "entities": { + "1": { + "tokens": "right - sided", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 41, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "rib", + "label": "ANAT-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [] + }, + "3": { + "tokens": "fractures", + "label": "OBS-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "4": { + "tokens": "healing", + "label": "OBS-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "5": { + "tokens": "several", + "label": "ANAT-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "6": { + "tokens": "mildly", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "displaced", + "label": "OBS-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "8": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "9": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "10": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "11": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "12": { + "tokens": "effusions", + "label": "OBS-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "13": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [] + }, + "14": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "15": { + "tokens": "within", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "17": { + "tokens": "limits", + "label": "OBS-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "18": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "hemidiaphragm", + "label": "ANAT-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [] + }, + "20": { + "tokens": "elevated", + "label": "OBS-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "located_at", + "19" + ] + ] + }, + "21": { + "tokens": "anteriorly", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "22": { + "tokens": "change", + "label": "OBS-DA", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "located_at", + "19" + ] + ] + }, + "23": { + "tokens": "Lucency", + "label": "OBS-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "located_at", + "24" + ], + [ + "suggestive_of", + "25" + ] + ] + }, + "24": { + "tokens": "manubrium", + "label": "ANAT-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [] + }, + "25": { + "tokens": "fracture", + "label": "OBS-DP", + "start_ix": 97, + "end_ix": 97, + "relations": [ + [ + "located_at", + "24" + ] + ] + }, + "26": { + "tokens": "Healing", + "label": "OBS-DP", + "start_ix": 111, + "end_ix": 111, + "relations": [ + [ + "modify", + "29" + ] + ] + }, + "27": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 112, + "end_ix": 112, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "28": { + "tokens": "rib", + "label": "ANAT-DP", + "start_ix": 113, + "end_ix": 113, + "relations": [] + }, + "29": { + "tokens": "fractures", + "label": "OBS-DP", + "start_ix": 114, + "end_ix": 114, + "relations": [ + [ + "located_at", + "28" + ] + ] + }, + "30": { + "tokens": "Healing", + "label": "OBS-DP", + "start_ix": 149, + "end_ix": 149, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "31": { + "tokens": "manubrial", + "label": "ANAT-DP", + "start_ix": 150, + "end_ix": 150, + "relations": [] + }, + "32": { + "tokens": "fracture", + "label": "OBS-DP", + "start_ix": 151, + "end_ix": 151, + "relations": [ + [ + "located_at", + "31" + ] + ] + }, + "33": { + "tokens": "Small", + "label": "OBS-DP", + "start_ix": 155, + "end_ix": 155, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "34": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 156, + "end_ix": 156, + "relations": [ + [ + "modify", + "35" + ] + ] + }, + "35": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 157, + "end_ix": 157, + "relations": [] + }, + "36": { + "tokens": "effusions", + "label": "OBS-DP", + "start_ix": 158, + "end_ix": 158, + "relations": [ + [ + "located_at", + "35" + ] + ] + }, + "37": { + "tokens": "eventration", + "label": "OBS-DP", + "start_ix": 163, + "end_ix": 163, + "relations": [ + [ + "located_at", + "39" + ] + ] + }, + "38": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 164, + "end_ix": 164, + "relations": [ + [ + "modify", + "39" + ] + ] + }, + "39": { + "tokens": "hemidiaphragm", + "label": "ANAT-DP", + "start_ix": 165, + "end_ix": 165, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15003878/s51266756.txt": { + "text": "FINAL REPORT HISTORY : Multiple injuries , to assess for change . FINDINGS : In comparison with study of ___ , there are again low lung volumes . Monitoring and support devices remain in place . Bilateral pulmonary opacifications again are consistent with pulmonary edema . Right chest tube remains in place without evidence of pneumothorax . Multiple right rib fractures are again present . An area of increased opacification at the left base is consistent with atelectasis and effusion . Dense streak of atelectasis is seen at the right base .", + "entities": { + "1": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 24, + "end_ix": 24, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "2": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 25, + "end_ix": 25, + "relations": [] + }, + "3": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 26, + "end_ix": 26, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "4": { + "tokens": "Monitoring", + "label": "OBS-DP", + "start_ix": 28, + "end_ix": 28, + "relations": [] + }, + "5": { + "tokens": "support", + "label": "OBS-DP", + "start_ix": 30, + "end_ix": 30, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "devices", + "label": "OBS-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [] + }, + "7": { + "tokens": "in place", + "label": "OBS-DP", + "start_ix": 33, + "end_ix": 34, + "relations": [ + [ + "modify", + "4" + ], + [ + "modify", + "6" + ] + ] + }, + "8": { + "tokens": "Bilateral", + "label": "ANAT-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [] + }, + "10": { + "tokens": "opacifications", + "label": "OBS-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [ + [ + "located_at", + "9" + ], + [ + "suggestive_of", + "12" + ] + ] + }, + "11": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "12": { + "tokens": "edema", + "label": "OBS-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "13": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "15": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "in place", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 51, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "17": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "18": { + "tokens": "Multiple", + "label": "OBS-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "modify", + "21" + ] + ] + }, + "19": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "20": { + "tokens": "rib", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [] + }, + "21": { + "tokens": "fractures", + "label": "OBS-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "located_at", + "20" + ] + ] + }, + "22": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "23": { + "tokens": "opacification", + "label": "OBS-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "located_at", + "25" + ], + [ + "suggestive_of", + "26" + ], + [ + "suggestive_of", + "27" + ] + ] + }, + "24": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "25": { + "tokens": "base", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [] + }, + "26": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "27": { + "tokens": "effusion", + "label": "OBS-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [] + }, + "28": { + "tokens": "Dense", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "29": { + "tokens": "streak", + "label": "OBS-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "located_at", + "32" + ] + ] + }, + "31": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "32": { + "tokens": "base", + "label": "ANAT-DP", + "start_ix": 90, + "end_ix": 90, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15003878/s58677239.txt": { + "text": "FINAL REPORT CLINICAL INFORMATION : ___ - year - old male with multiple rib fractures and new subcutaneous gas in the right chest wall , question pneumothorax . COMPARISON : ___ . FINDINGS : Semi - erect portable chest radiograph demonstrates extensive soft tissue gas outlining the pectoral muscles bilaterally , and in the subcutaneous tissues on the right . There is a moderate right - sided pneumothorax . Lung markings are not well appreciated due to overlying subcutaneous gas , there is a left base opacity . There is a discrepancy between the size of the lungs , with the right lung appearing larger . The trachea is midline , there is no shift of the cardiomediastinal silhouette to suggest tension . An endotracheal tube is in place , with its tip approximately 5 cm from the level of the carina . An orogastric tube is noted , the tip is not seen though it is below the level of the diaphragm . There is a left subclavian catheter , with its tip in the lower SVC . IMPRESSION : Right - sided pneumothorax with extensive subcutaneous gas . 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Patient with rib fractures . Lung contusion , right pneumothorax . Comparison is made to prior study performed the day before . ET tube tip is 6.6 cm above the carina . Left subclavian catheter tip is in the mid to lower SVC . NG tube tip is in the stomach . There are persistent low lung volumes . Cardiomediastinal contours are unchanged . Bibasilar opacities have increased due to worsening atelectasis , left greater than right . Small left pleural effusion has increased . Previously seen right pneumothorax is no longer visualized . Right basal chest tube is in place . Widespread lung opacities otherwise have improved . 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"27" + ], + [ + "located_at", + "28" + ] + ] + }, + "30": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "31": { + "tokens": "Small", + "label": "OBS-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "34" + ] + ] + }, + "32": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "33": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [] + }, + "34": { + "tokens": "effusion", + "label": "OBS-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "located_at", + "33" + ] + ] + }, + "35": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "modify", + "34" + ] + ] + }, + "36": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 102, + "end_ix": 102, + "relations": [] + }, + "37": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 103, + "end_ix": 103, + "relations": [ + [ + "located_at", + "36" + ] + ] + }, + "38": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 109, + "end_ix": 109, + "relations": [ + [ + "modify", + "40" + ] + ] + }, + "39": { + "tokens": "basal", + "label": "ANAT-DP", + "start_ix": 110, + "end_ix": 110, + "relations": [ + [ + "modify", + "40" + ] + ] + }, + "40": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 111, + "end_ix": 111, + "relations": [] + }, + "41": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 112, + "end_ix": 112, + "relations": [ + [ + "located_at", + "40" + ] + ] + }, + "42": { + "tokens": "in place", + "label": "OBS-DP", + "start_ix": 114, + "end_ix": 115, + "relations": [ + [ + "modify", + "41" + ] + ] + }, + "43": { + "tokens": "Widespread", + "label": "OBS-DP", + "start_ix": 117, + "end_ix": 117, + "relations": [ + [ + "modify", + "45" + ] + ] + }, + "44": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 118, + "end_ix": 118, + "relations": [] + }, + "45": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 119, + "end_ix": 119, + "relations": [ + [ + "located_at", + "44" + ] + ] + }, + "46": { + "tokens": "otherwise", + "label": "OBS-DP", + "start_ix": 120, + "end_ix": 120, + "relations": [ + [ + "modify", + "47" + ] + ] + }, + "47": { + "tokens": "improved", + "label": "OBS-DP", + "start_ix": 122, + "end_ix": 122, + "relations": [ + [ + "modify", + "45" + ] + ] + }, + "48": { + "tokens": "Extensive", + "label": "OBS-DP", + "start_ix": 124, + "end_ix": 124, + "relations": [ + [ + "modify", + "50" + ] + ] + }, + "49": { + "tokens": "subcutaneous", + "label": "ANAT-DP", + "start_ix": 125, + "end_ix": 125, + "relations": [ + [ + "modify", + "51" + ] + ] + }, + "50": { + "tokens": "gas", + "label": "OBS-DP", + "start_ix": 126, + "end_ix": 126, + "relations": [ + [ + "located_at", + "49" + ] + ] + }, + "51": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 129, + "end_ix": 129, + "relations": [] + }, + "52": { + "tokens": "wall", + "label": "ANAT-DP", + "start_ix": 130, + "end_ix": 130, + "relations": [ + [ + "modify", + "51" + ] + ] + }, + "53": { + "tokens": "bilaterally", + "label": "ANAT-DP", + "start_ix": 131, + "end_ix": 131, + "relations": [ + [ + "modify", + "51" + ] + ] + }, + "54": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 133, + "end_ix": 133, + "relations": [ + [ + "located_at", + "51" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15003878/s58807789.txt": { + "text": "FINAL REPORT CHEST RADIOGRAPH TECHNIQUE : Semi - erect portable chest view was read in comparison with prior chest radiographs through ___ with the most recent from ___ . FINDINGS : Bilateral lung volumes are very low . An endotracheal tube terminates at the level of the clavicle approximately 6 cm above the carina . Consider advancing ET tube by additional 2-3 cm for better seating . Left subclavian line ends at the right upper or mid atrium . Bilateral lung opacity may reflect pulmonary edema ; however , given the low lung volumes , this appearance may be exaggerated . A single right chest tube ends at right lung base . Multiple rib fractures on the right side are seen . Cardiomediastinal silhouette is stable . Subcutaneous emphysema persists along the right chest and in the axillary region , minimally improve 3 d . Bibasilar atelectasis are similar .", + "entities": { + "1": { + "tokens": "Bilateral", + "label": "ANAT-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [] + }, + "3": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 33, + "end_ix": 33, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "4": { + "tokens": "very", + "label": "OBS-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "6": { + "tokens": "endotracheal", + "label": "OBS-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "located_at", + "9" + ] + ] + 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"label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "16": { + "tokens": "mid", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "17": { + "tokens": "atrium", + "label": "ANAT-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "18": { + "tokens": "Bilateral", + "label": "ANAT-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [] + }, + "20": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "located_at", + "19" + ], + [ + "suggestive_of", + "22" + ] + ] + }, + "21": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [] + }, + "22": { + "tokens": "edema", + "label": "OBS-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "located_at", + "21" + ] + ] + }, + "23": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "suggestive_of", + "22" + ], + [ + "located_at", + "24" + ] + ] + }, + "24": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 92, + "end_ix": 92, + "relations": [] + }, + "25": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "26": { + "tokens": "single", + "label": "OBS-DP", + "start_ix": 102, + "end_ix": 102, + "relations": [ + [ + "modify", + "29" + ] + ] + }, + "27": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 103, + "end_ix": 103, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "28": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 104, + "end_ix": 104, + "relations": [] + }, + "29": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 105, + "end_ix": 105, + "relations": [ + [ + "located_at", + "28" + ], + [ + "located_at", + "32" + ] + ] + }, + "30": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 108, + "end_ix": 108, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "31": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 109, + "end_ix": 109, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "32": { + "tokens": "base", + "label": "ANAT-DP", + "start_ix": 110, + "end_ix": 110, + "relations": [] + }, + "33": { + "tokens": "Multiple", + "label": "OBS-DP", + "start_ix": 112, + "end_ix": 112, + "relations": [ + [ + "modify", + "35" + ] + ] + }, + "34": { + "tokens": "rib", + "label": "ANAT-DP", + "start_ix": 113, + "end_ix": 113, + "relations": [] + }, + "35": { + "tokens": "fractures", + "label": "OBS-DP", + "start_ix": 114, + "end_ix": 114, + "relations": [ + [ + "located_at", + "34" + ] + ] + }, + "36": { + "tokens": "right side", + "label": "ANAT-DP", + "start_ix": 117, + "end_ix": 118, + "relations": [ + [ + "modify", + "34" + ] 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"relations": [ + [ + "modify", + "44" + ] + ] + }, + "44": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 133, + "end_ix": 133, + "relations": [] + }, + "45": { + "tokens": "axillary", + "label": "ANAT-DP", + "start_ix": 137, + "end_ix": 137, + "relations": [ + [ + "modify", + "46" + ] + ] + }, + "46": { + "tokens": "region", + "label": "ANAT-DP", + "start_ix": 138, + "end_ix": 138, + "relations": [] + }, + "47": { + "tokens": "minimally", + "label": "OBS-DP", + "start_ix": 140, + "end_ix": 140, + "relations": [ + [ + "modify", + "48" + ] + ] + }, + "48": { + "tokens": "improve", + "label": "OBS-DP", + "start_ix": 141, + "end_ix": 141, + "relations": [ + [ + "modify", + "41" + ] + ] + }, + "49": { + "tokens": "Bibasilar", + "label": "ANAT-DP", + "start_ix": 145, + "end_ix": 145, + "relations": [] + }, + "50": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 146, + "end_ix": 146, + "relations": [ + [ + "located_at", + "49" + ] + ] + }, + "51": { + "tokens": "similar", + "label": "OBS-DP", + "start_ix": 148, + "end_ix": 148, + "relations": [ + [ + "modify", + "50" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15003878/s55611254.txt": { + "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Patient with history of trauma , multiple rib fractures and pulmonary contusion , in followup . Comparison is made with prior study performed a day earlier . Lines and tubes are in place in standard position , unchanged . There are persistent low lung volumes . Bibasilar opacities have increased . This could be due to worsening atelectasis and / or worsening still mild - to - moderate pulmonary edema and increasing small left and right pleural effusions . Extensive subcutaneous bilateral gas has decreased . Cardiomediastinal contours are unchanged allowing the difference in positioning of the patient .", + "entities": { + "1": { + "tokens": "Lines", + "label": "OBS-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [] + }, + "2": { + "tokens": "tubes", + "label": "OBS-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "3": { + "tokens": "standard", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "position", + "label": "OBS-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "modify", + "1" + ], + [ + "modify", + "2" + ] + ] + }, + "5": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "1" + ], + [ + "modify", + "2" + ] + ] + }, + "6": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "7": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "8": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "9": { + "tokens": "Bibasilar", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [] + }, + "10": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "12": { + "tokens": "worsening", + "label": "OBS-U", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "atelectasis", + "label": "OBS-U", + "start_ix": 69, + "end_ix": 69, + "relations": [] + }, + "14": { + "tokens": "worsening", + "label": "OBS-U", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "15": { + "tokens": "mild", + "label": "OBS-U", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "16": { + "tokens": "moderate", + "label": "OBS-U", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "17": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [] + }, + "18": { + "tokens": "edema", + "label": "OBS-U", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "located_at", + "17" + ] + ] + }, + "19": { + "tokens": "increasing", + "label": "OBS-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "20": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "21": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "22": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "23": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [] + }, + "24": { + "tokens": "effusions", + "label": "OBS-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [ + [ + "located_at", + "23" + ] + ] + }, + "25": { + "tokens": "Extensive", + "label": "OBS-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "26": { + "tokens": "subcutaneous", + "label": "ANAT-DP", + "start_ix": 92, + "end_ix": 92, + "relations": [] + }, + "27": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "28": { + "tokens": "gas", + "label": "OBS-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "located_at", + "26" + ] + ] + }, + "29": { + "tokens": "decreased", + "label": "OBS-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "30": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [] + }, + "31": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "32": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "located_at", + "30" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15003878/s58459817.txt": { + "text": "FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient with extremity fracture , pneumothorax and chest tube placement , followup . Portable AP radiograph of the chest was reviewed in comparison to prior studies obtained day before . There is interval development of pulmonary edema . Subcutaneous air is redemonstrated . Bibasilar areas of atelectasis have deteriorated in the interim in particular in the left lower lung . No definitive evidence of pneumothorax is demonstrated .", + "entities": { + "1": { + "tokens": "interval", + "label": "OBS-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "development", + "label": "OBS-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "3": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [] + }, + "4": { + "tokens": "edema", + "label": "OBS-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "5": { + "tokens": "Subcutaneous", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "6": { + "tokens": "air", + "label": "OBS-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "7": { + "tokens": "Bibasilar", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "8": { + "tokens": "areas", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "10": { + "tokens": "deteriorated", + "label": "OBS-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "modify", + "9" + ], + [ + "located_at", + "14" + ] + ] + }, + "11": { + "tokens": "interim", + "label": "OBS-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "12": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "13": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [] + }, + "15": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 73, + "end_ix": 73, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15003878/s54200261.txt": { + "text": "FINAL REPORT INDICATION : Multiple rib fractures , questionable pneumothorax , evaluation for interval change . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , there is no relevant change . Known multiple partially displaced right rib fractures . No evidence of right pneumothorax . Unchanged right basal opacities . Low lung volumes with borderline diameter of the vascular structures . Normal size of the cardiac silhouette . Normal course of a right PICC line .", + "entities": { + "1": { + "tokens": "multiple", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "2": { + "tokens": "partially", + "label": "OBS-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "displaced", + "label": "OBS-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "4": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "rib", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [] + }, + "6": { + "tokens": "fractures", + "label": "OBS-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "7": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [] + }, + "8": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "9": { + "tokens": "Unchanged", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "10": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "11": { + "tokens": "basal", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [] + }, + "12": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "13": { + "tokens": "Low", + "label": "OBS-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "14": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "15": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "16": { + "tokens": "borderline", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "located_at", + "18" + ] + ] + }, + "17": { + "tokens": "diameter", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "18": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [] + }, + "19": { + "tokens": "structures", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "20": { + "tokens": "Normal", + "label": "OBS-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "located_at", + "22" + ] + ] + }, + "21": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "cardiac", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [] + }, + "23": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "24": { + "tokens": "Normal", + "label": "OBS-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "25": { + "tokens": "course", + "label": "OBS-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "26": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [] + }, + "27": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "located_at", + "26" + ] + ] + }, + "28": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "modify", + "27" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15003878/s57167019.txt": { + "text": "FINAL REPORT REASON FOR EXAMINATION : NG tube placement . AP radiograph of the lung bases in the abdomen demonstrates the NG tube tip terminating in the stomach . Subcutaneous air is partially seen on the current study . Bibasilar atelectasis is noted . Overall , the study is extremely limited and designed for evaluation of NG tube placement .", + "entities": { + "1": { + "tokens": "NG", + "label": "OBS-DP", + "start_ix": 21, + "end_ix": 21, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 22, + "end_ix": 22, + "relations": [] + }, + "3": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 23, + "end_ix": 23, + "relations": [ + [ + "modify", + "2" + ], + [ + "located_at", + "4" + ] + ] + }, + "4": { + "tokens": "stomach", + "label": "ANAT-DP", + "start_ix": 27, + "end_ix": 27, + "relations": [] + }, + "5": { + "tokens": "Subcutaneous", + "label": "ANAT-DP", + "start_ix": 29, + "end_ix": 29, + "relations": [] + }, + "6": { + "tokens": "air", + "label": "OBS-DP", + "start_ix": 30, + "end_ix": 30, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "7": { + "tokens": "Bibasilar", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [] + }, + "8": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "located_at", + "7" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15003878/s50219548.txt": { + "text": "FINAL REPORT REASON FOR EXAMINATION : Respiratory failure , evaluation of the chest tube placement . Portable AP radiograph of the chest was reviewed in comparison to ___ . The current study is suboptimal from a technical standpoint . Within those limitations note is made of the presence of substantial subcutaneous air projecting over the entire chest . The right chest tube is in unchanged position at the lower right hemithorax . The left central venous line is projecting over the mid low SVC . Cardiomediastinal silhouette is unchanged as well as there is no change in bibasal areas of atelectasis . Pneumothorax cannot be assessed on this suboptimal study . The NG tube tip is in the stomach .", + "entities": { + "1": { + "tokens": "substantial", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "2": { + "tokens": "subcutaneous", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "3": { + "tokens": "air", + "label": "OBS-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "4": { + "tokens": "entire", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [] + }, + "6": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [] + }, + "8": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "located_at", + "7" + ], + [ + "located_at", + "13" + ] + ] + }, + "9": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "position", + "label": "OBS-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "11": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "hemithorax", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "14": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "15": { + "tokens": "central", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "venous", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [] + }, + "17": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "located_at", + "16" + ], + [ + "located_at", + "20" + ] + ] + }, + "18": { + "tokens": "mid", + "label": "ANAT-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "19": { + "tokens": "low", + "label": "ANAT-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "20": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [] + }, + "21": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "22": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "modify", + "21" + ] + ] + }, + "23": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [ + [ + "located_at", + "21" + ] + ] + }, + "24": { + "tokens": "bibasal", + "label": "ANAT-DP", + "start_ix": 97, + "end_ix": 97, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "25": { + "tokens": "areas", + "label": "ANAT-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [] + }, + "26": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 100, + "end_ix": 100, + "relations": [ + [ + "located_at", + "24" + ] + ] + }, + "27": { + "tokens": "Pneumothorax", + "label": "OBS-U", + "start_ix": 102, + "end_ix": 102, + "relations": [] + }, + "28": { + "tokens": "cannot be assessed", + "label": "OBS-DP", + "start_ix": 103, + "end_ix": 105, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "29": { + "tokens": "NG", + "label": "OBS-DP", + "start_ix": 112, + "end_ix": 112, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 113, + "end_ix": 113, + "relations": [] + }, + "31": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 114, + "end_ix": 114, + "relations": [ + [ + "modify", + "30" + ], + [ + "located_at", + "32" + ] + ] + }, + "32": { + "tokens": "stomach", + "label": "ANAT-DP", + "start_ix": 118, + "end_ix": 118, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p18/p18022558/s56125772.txt": { + "text": "FINAL REPORT HISTORY : Shortness of breath , inability to walk , not taking lasix . TECHNIQUE : Portable upright AP view of the chest . COMPARISON : None . FINDINGS : Study is limited due to patient rotation . Heart size is likely mildly enlarged . Mediastinal contours are difficult to assess given patient rotation . There is no pulmonary vascular congestion . Mild streaky left basilar opacity likely reflects atelectasis . No focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormality is seen . IMPRESSION : Minimal left basilar atelectasis .", + "entities": { + "1": { + "tokens": "Heart", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [] + }, + "2": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "1" + ] + ] + }, + "3": { + "tokens": "mildly", + "label": "OBS-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "enlarged", + "label": "OBS-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "5": { + "tokens": "Mediastinal", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "6": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "7": { + "tokens": "difficult to assess", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 52, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "8": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [] + }, + "10": { + "tokens": "congestion", + "label": "OBS-DA", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "Mild", + "label": "OBS-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "12": { + "tokens": "streaky", + "label": "OBS-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "13": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "basilar", + "label": "ANAT-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [] + }, + "15": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "located_at", + "14" + ], + [ + "suggestive_of", + "16" + ] + ] + }, + "16": { + "tokens": "atelectasis", + "label": "OBS-U", + "start_ix": 71, + "end_ix": 71, + "relations": [] + }, + "17": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "18": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 75, + "end_ix": 75, + "relations": [] + }, + "19": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "20": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "located_at", + "19" + ] + ] + }, + "21": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 80, + "end_ix": 80, + "relations": [] + }, + "22": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "23": { + "tokens": "osseous", + "label": "ANAT-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [] + }, + "24": { + "tokens": "abnormality", + "label": "OBS-DA", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "located_at", + "23" + ] + ] + }, + "25": { + "tokens": "Minimal", + "label": "OBS-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "26": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "27": { + "tokens": "basilar", + "label": "ANAT-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [] + }, + "28": { + "tokens": "atelectasis", + "label": "OBS-DA", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "located_at", + "27" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p18/p18022558/s51386008.txt": { + "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Morbid obesity , evaluation for CHF exacerbation . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , there is no relevant change . Moderate cardiomegaly with marked tortuosity of the thoracic aorta but without evidence of fluid overload or pulmonary edema . No pleural effusions . No areas of atelectasis . No pneumothorax .", + "entities": { + "1": { + "tokens": "relevant", + "label": "OBS-DA", + "start_ix": 30, + "end_ix": 30, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "change", + "label": "OBS-DA", + "start_ix": 31, + "end_ix": 31, + "relations": [] + }, + "3": { + "tokens": "Moderate", + "label": "OBS-DP", + "start_ix": 33, + "end_ix": 33, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "cardiomegaly", + "label": "OBS-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [] + }, + "5": { + "tokens": "marked", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "tortuosity", + "label": "OBS-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "7": { + "tokens": "thoracic", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "aorta", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "9": { + "tokens": "fluid", + "label": "OBS-DA", + "start_ix": 46, + "end_ix": 46, + "relations": [] + }, + "10": { + "tokens": "overload", + "label": "OBS-DA", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "11": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [] + }, + "12": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "13": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [] + }, + "14": { + "tokens": "effusions", + "label": "OBS-DA", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "15": { + "tokens": "atelectasis", + "label": "OBS-DA", + "start_ix": 59, + "end_ix": 59, + "relations": [] + }, + "16": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 62, + "end_ix": 62, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p18/p18022558/s53384995.txt": { + "text": "FINAL REPORT REASON FOR EXAMINATION : Morbid obesity , pulmonary hypertension , intubated . Portable AP radiograph of the chest was compared to ___ , ___ . The ET tube tip is 2.5 cm above the carina . The heart size and mediastinum are unchanged including cardiomegaly . There is interval improvement of interstitial pulmonary edema . No new consolidations have been developed in the interim .", + "entities": { + "1": { + "tokens": "ET", + "label": "OBS-DP", + "start_ix": 28, + "end_ix": 28, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 29, + "end_ix": 29, + "relations": [] + }, + "3": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 30, + "end_ix": 30, + "relations": [ + [ + "modify", + "2" + ], + [ + "located_at", + "4" + ] + ] + }, + "4": { + "tokens": "2.5 cm above", + "label": "ANAT-DP", + "start_ix": 32, + "end_ix": 34, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "carina", + "label": "ANAT-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [] + }, + "6": { + "tokens": "heart", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [] + }, + "7": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "8": { + "tokens": "mediastinum", + "label": "ANAT-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [] + }, + "9": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "located_at", + "6" + ], + [ + "located_at", + "8" + ] + ] + }, + "10": { + "tokens": "cardiomegaly", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [] + }, + "11": { + "tokens": "interval", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "improvement", + "label": "OBS-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "13": { + "tokens": "interstitial", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "15": { + "tokens": "edema", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "16": { + "tokens": "new", + "label": "OBS-DA", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "17": { + "tokens": "consolidations", + "label": "OBS-DA", + "start_ix": 59, + "end_ix": 59, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p18/p18022558/s52890708.txt": { + "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Evaluation for endotracheal tube position . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , the patient has been intubated . The tip of the endotracheal tube projects 2.5 cm above the carina . The right central venous access line projects over the inferior vena cava with its tip , there is no evidence of complications , notably no pneumothorax . The heart continues to be enlarged , with signs of mild fluid overload but without pleural effusions .", + "entities": { + "1": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [ + [ + "modify", + "3" + ], + [ + "located_at", + "4" + ] + ] + }, + "2": { + "tokens": "endotracheal", + "label": "OBS-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [] + }, + "4": { + "tokens": "2.5 cm above", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 40, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "carina", + "label": "ANAT-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [] + }, + "6": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [] + }, + "7": { + "tokens": "central", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "venous", + "label": "OBS-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "located_at", + "6" + ] + ] + }, + "10": { + "tokens": "inferior vena cava", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 55, + "relations": [] + }, + "11": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "9" + ], + [ + "located_at", + "10" + ] + ] + }, + "12": { + "tokens": "complications", + "label": "OBS-DA", + "start_ix": 65, + "end_ix": 65, + "relations": [] + }, + "13": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 69, + "end_ix": 69, + "relations": [] + }, + "14": { + "tokens": "heart", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [] + }, + "15": { + "tokens": "enlarged", + "label": "OBS-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "mild", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "17": { + "tokens": "fluid", + "label": "OBS-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [] + }, + "18": { + "tokens": "overload", + "label": "OBS-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "19": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [] + }, + "20": { + "tokens": "effusions", + "label": "OBS-DA", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "located_at", + "19" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p18/p18022558/s53174126.txt": { + "text": "FINAL REPORT HISTORY : Partial small - bowel obstruction , to assess for NG tube placement . FINDINGS : In comparison with the earlier study of this date , there has been placement of a nasogastric tube that extends to the upper body of the stomach where it crosses the lower margin of the image . Otherwise , little change .", + "entities": { + "1": { + "tokens": "nasogastric", + "label": "OBS-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "3": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "body", + "label": "ANAT-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "stomach", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [] + }, + "6": { + "tokens": "crosses the lower margin of the image", + "label": "OBS-DP", + "start_ix": 48, + "end_ix": 54, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "7": { + "tokens": "little", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "change", + "label": "OBS-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": { + "1": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 198, + "end_ix": 202, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 223, + "end_ix": 228, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "3": { + "tokens": "body", + "label": "ANAT-DP", + "start_ix": 229, + "end_ix": 233, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "stomach", + "label": "ANAT-DP", + "start_ix": 241, + "end_ix": 248, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "little", + "label": "OBS-DP", + "start_ix": 310, + "end_ix": 316, + "relations": [] + }, + "6": { + "tokens": "change", + "label": "OBS-DP", + "start_ix": 317, + "end_ix": 323, + "relations": [ + [ + "modify", + "2" + ] + ] + } + } + } + }, + "p18/p18022558/s56540780.txt": { + "text": "WET READ : ___ ___ 7:46PM Endotracheal tube 2.3 cm above carina . Enteric tube within the stomach . Right IJ catheter within central SVC . No pleural effusion or pneumothorax . Mediastinum and cardiomegaly unchanged . Mild pulmonary edema stable . ______________________________________________________________________________ FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient after exploratory laparotomy and ventral hernia repair . AP radiograph of the chest was reviewed in comparison to ___ . The endotracheal tube tip is 2.3 cm above the carina . The enteric tube tip is in the stomach . Right internal jugular line tip is at the level of mid SVC . There is no interval development of pleural effusion or pneumothorax . Heart size and mediastinum are unchanged including cardiomegaly and mediastinal widening . Interstitial pulmonary edema is moderate , unchanged . Lucency projecting over the right upper quadrant most likely represents free intraperitoneal air related to recent surgery .", + "entities": { + "1": { + "tokens": "Endotracheal", + "label": "OBS-DP", + "start_ix": 6, + "end_ix": 6, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 7, + "end_ix": 7, + "relations": [ + [ + "located_at", + "4" + ] + ] + }, + "3": { + "tokens": "2.3 cm above", + "label": "ANAT-DP", + "start_ix": 8, + "end_ix": 10, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "carina", + "label": "ANAT-DP", + "start_ix": 11, + "end_ix": 11, + "relations": [] + }, + "5": { + "tokens": "Enteric", + "label": "OBS-DP", + "start_ix": 13, + "end_ix": 13, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 14, + "end_ix": 14, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "7": { + "tokens": "stomach", + "label": 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"unchanged", + "label": "OBS-DP", + "start_ix": 135, + "end_ix": 135, + "relations": [ + [ + "modify", + "50" + ] + ] + }, + "53": { + "tokens": "Lucency", + "label": "OBS-DP", + "start_ix": 137, + "end_ix": 137, + "relations": [ + [ + "located_at", + "56" + ], + [ + "suggestive_of", + "59" + ] + ] + }, + "54": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 141, + "end_ix": 141, + "relations": [ + [ + "modify", + "56" + ] + ] + }, + "55": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 142, + "end_ix": 142, + "relations": [ + [ + "modify", + "56" + ] + ] + }, + "56": { + "tokens": "quadrant", + "label": "ANAT-DP", + "start_ix": 143, + "end_ix": 143, + "relations": [] + }, + "57": { + "tokens": "free", + "label": "OBS-U", + "start_ix": 147, + "end_ix": 147, + "relations": [ + [ + "modify", + "59" + ] + ] + }, + "58": { + "tokens": "intraperitoneal", + "label": "ANAT-DP", + "start_ix": 148, + "end_ix": 148, + "relations": [] + }, + "59": { + "tokens": "air", + "label": "OBS-U", + "start_ix": 149, + "end_ix": 149, + "relations": [ + [ + "located_at", + "58" + ] + ] + }, + "60": { + "tokens": "recent", + "label": "OBS-DP", + "start_ix": 152, + "end_ix": 152, + "relations": [ + [ + "modify", + "61" + ] + ] + }, + "61": { + "tokens": "surgery", + "label": "OBS-DP", + "start_ix": 153, + "end_ix": 153, + "relations": [ + [ + "modify", + "59" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15002877/s53670169.txt": { + "text": "WET READ : ___ ___ ___ 10:17PM Pneumomediastinum with subcutaneous gas in the right chest wall and neck as wall . ______________________________________________________________________________ FINAL REPORT HISTORY : ___ - year - old female with shortness of breath . COMPARISON : None . FINDINGS : PA and lateral views of the chest . The lungs are clear of focal consolidation , effusion or pneumothorax . There are linear lucencies projecting over the mediastinum , neck and right chest wall . Cardiomediastinal silhouette is otherwise unremarkable . No acute osseous abnormalities detected . IMPRESSION : Pneumomediastinum with subcutaneous gas in the right chest wall and neck as wall .", + "entities": { + "1": { + "tokens": "Pneumomediastinum", + "label": "OBS-DP", + "start_ix": 7, + "end_ix": 7, + "relations": [] + }, + "2": { + "tokens": "subcutaneous", + "label": "ANAT-DP", + "start_ix": 9, + "end_ix": 9, + "relations": [ + [ + "modify", + "5" + ], + [ + "modify", + "7" + ] + ] + }, + "3": { + "tokens": "gas", + "label": "OBS-DP", + "start_ix": 10, + "end_ix": 10, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "4": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 13, + "end_ix": 13, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 14, + "end_ix": 14, + "relations": [] + }, + "6": { + "tokens": "wall", + "label": "ANAT-DP", + "start_ix": 15, + "end_ix": 15, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "7": { + "tokens": "neck", + "label": "ANAT-DP", + "start_ix": 17, + "end_ix": 17, + "relations": [] + }, + "8": { + "tokens": "wall", + "label": "ANAT-DP", + "start_ix": 19, + "end_ix": 19, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "9": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "10": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "13": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "14": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 61, + "end_ix": 61, + "relations": [] + }, + "15": { + "tokens": "linear", + "label": "OBS-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "lucencies", + "label": "OBS-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "located_at", + "17" + ], + [ + "located_at", + "18" + ], + [ + "located_at", + "20" + ] + ] + }, + "17": { + "tokens": "mediastinum", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "18": { + "tokens": "neck", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [] + }, + "19": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "20": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [] + }, + "21": { + "tokens": "wall", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "22": { + "tokens": "Cardiomediastinal", + "label": 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"FINAL REPORT INDICATION : Cough and chills , evaluate for pneumonia . COMPARISON : ___ . Chest CT on ___ . FINDINGS : PA and lateral views of the chest . Moderate cardiomegaly is increased compared to ___ . No focal consolidation or pneumothorax . There is slight blunting of the costophrenic angles which may indicate small pleural effusion or scarring . There is increased density at the perihilar regions which may indicate pulmonary vascular congestion . IMPRESSION : Moderate cardiomegaly and mild pulmonary vascular congestion but no edema . Possible tiny small pleural effusions . No focal consolidation .", + "entities": { + "1": { + "tokens": "Moderate", + "label": "OBS-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "cardiomegaly", + "label": "OBS-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [] + }, + "3": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "4": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "6": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "7": { + "tokens": "slight", + "label": "OBS-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "blunting", + "label": "OBS-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "located_at", + "10" + ], + [ + "suggestive_of", + "13" + ], + [ + "suggestive_of", + "14" + ] + ] + }, + "9": { + "tokens": "costophrenic", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [] + }, + "10": { + "tokens": "angles", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "11": { + "tokens": "small", + "label": "OBS-U", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [] + }, + "13": { + "tokens": "effusion", + "label": "OBS-U", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "scarring", + "label": "OBS-U", + "start_ix": 60, + "end_ix": 60, + "relations": [] + }, + "15": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "density", + "label": "OBS-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "located_at", + "18" + ], + [ + "suggestive_of", + "21" + ] + ] + }, + "17": { + "tokens": "perihilar", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [] + }, + "18": { + "tokens": "regions", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "19": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "20": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [] + }, + "21": { + "tokens": "congestion", + "label": "OBS-U", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "located_at", + "20" + ] + ] + }, + "22": { + "tokens": "Moderate", + "label": "OBS-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "23": { + "tokens": "cardiomegaly", + "label": "OBS-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [] + }, + "24": { + "tokens": "mild", + "label": "OBS-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "25": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "26": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [] + }, + "27": { + "tokens": "congestion", + "label": "OBS-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "located_at", + "26" + ] + ] + }, + "28": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 88, + "end_ix": 88, + "relations": [] + }, + "29": { + "tokens": "tiny", + "label": "OBS-U", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "small", + "label": "OBS-U", + "start_ix": 92, + "end_ix": 92, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "31": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [] + }, + "32": { + "tokens": "effusions", + "label": "OBS-U", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "located_at", + "31" + ] + ] + }, + "33": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 97, + "end_ix": 97, + "relations": [ + [ + "modify", + "34" + ] + ] + }, + "34": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 98, + "end_ix": 98, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p10/p10003299/s57344656.txt": { + "text": "FINAL REPORT INDICATION : Possible CVA , evaluate for pneumonia . TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph ___ and ___ . FINDINGS : The lung volumes are hyperinflated and the lungs are clear . There is no pneumothorax or focal airspace consolidation . The heart is mild to moderately enlarged but unchanged from at least ___ . There is no evidence for pulmonary edema . Slight blunting of the costophrenic angles may reflect trace pleural effusions , unchanged . The mediastinal hilar structures are unremarkable . IMPRESSION : Unchanged , mild to moderate cardiomegaly without a superimposed acute intrathoracic process .", + "entities": { + "1": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 28, + "end_ix": 28, + "relations": [] + }, + "2": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 29, + "end_ix": 29, + "relations": [ + [ + "modify", + "1" + ] + ] + }, + "3": { + "tokens": "hyperinflated", + "label": "OBS-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "4": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [] + }, + "5": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "located_at", + "4" + ] + ] + }, + "6": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "7": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "8": { + "tokens": "airspace", + "label": "ANAT-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [] + }, + "9": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "10": { + "tokens": "heart", + "label": "ANAT-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [] + }, + "11": { + "tokens": "mild", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "moderately", + "label": "OBS-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "enlarged", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "located_at", + "10" + ] + ] + }, + "14": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "15": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "16": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "17": { + "tokens": "Slight", + "label": "OBS-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "18": { + "tokens": "blunting", + "label": "OBS-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "located_at", + "19" + ], + [ + "suggestive_of", + "23" + ] + ] + }, + "19": { + "tokens": "costophrenic", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [] + }, + "20": { + "tokens": "angles", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "21": { + "tokens": "trace", + "label": "OBS-U", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "22": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [] + }, + "23": { + "tokens": "effusions", + "label": "OBS-U", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "located_at", + "22" + ] + ] + }, + "24": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "25": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [] + }, + "26": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "27": { + "tokens": "structures", + "label": "ANAT-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "modify", + "25" + ], + [ + "modify", + "26" + ] + ] + }, + "28": { + "tokens": "unremarkable", + "label": "OBS-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [ + [ + "located_at", + "25" + ], + [ + "located_at", + "26" + ] + ] + }, + "29": { + "tokens": "Unchanged", + "label": "OBS-DP", + "start_ix": 92, + "end_ix": 92, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "30": { + "tokens": "mild", + "label": "OBS-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "31": { + "tokens": "moderate", + "label": "OBS-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "32": { + "tokens": "cardiomegaly", + "label": "OBS-DP", + "start_ix": 97, + "end_ix": 97, + "relations": [] + }, + "33": { + "tokens": "superimposed", + "label": "OBS-DA", + "start_ix": 100, + "end_ix": 100, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "34": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "35": { + "tokens": "intrathoracic", + "label": "ANAT-DP", + "start_ix": 102, + "end_ix": 102, + "relations": [] + }, + "36": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 103, + "end_ix": 103, + "relations": [ + [ + "located_at", + "35" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": {} + } + }, + "p15/p15002248/s55472062.txt": { + "text": "FINAL REPORT HISTORY : Cough and fever . COMPARISON : No relevant comparisons available . FINDINGS : Frontal and lateral views of the chest were obtained . The lungs are well expanded and clear without focal consolidation , pleural effusion or pneumothorax . Heart size is normal . Mediastinal silhouette and hilar contours are normal . IMPRESSION : Normal chest radiographs .", + "entities": { + "1": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 28, + "end_ix": 28, + "relations": [] + }, + "2": { + "tokens": "well", + "label": "OBS-DP", + "start_ix": 30, + "end_ix": 30, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "expanded", + "label": "OBS-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "4": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 33, + "end_ix": 33, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "5": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "7": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "8": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "9": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "10": { + "tokens": "Heart", + "label": "ANAT-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "11": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "12": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "located_at", + "10" + ] + ] + }, + "13": { + "tokens": "Mediastinal", + "label": "ANAT-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [] + }, + "14": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "15": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [] + }, + "16": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "17": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "located_at", + "13" + ], + [ + "located_at", + "15" + ] + ] + }, + "18": { + "tokens": "Normal", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "located_at", + "19" + ] + ] + }, + "19": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev", + "reviewed": { + "entities": { + "1": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 160, + "end_ix": 165, + "relations": [] + }, + "2": { + "tokens": "well", + "label": "OBS-DP", + "start_ix": 170, + "end_ix": 174, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "expanded", + "label": "OBS-DP", + "start_ix": 175, + "end_ix": 183, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "4": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 188, + "end_ix": 193, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "5": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 202, + "end_ix": 207, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 208, + "end_ix": 221, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "7": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 224, + "end_ix": 231, + "relations": [] + }, + "8": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 232, + "end_ix": 240, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "9": { + "tokens": "Heart", + "label": "ANAT-DP", + "start_ix": 259, + "end_ix": 264, + "relations": [] + }, + "10": { + "tokens": "Mediastinal", + "label": "ANAT-DP", + "start_ix": 282, + "end_ix": 293, + "relations": [] + }, + "11": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 294, + "end_ix": 304, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "12": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 328, + "end_ix": 334, + "relations": [ + [ + "located_at", + "10" + ] + ] + }, + "13": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 357, + "end_ix": 362, + "relations": [] + } + } + } + }, + "p15/p15003391/s51061393.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( AP AND LAT ) INDICATION : ___ F with AD , falls / / ? cpd COMPARISON : None FINDINGS : AP upright and lateral views of the chest provided . The lungs appear hyperinflated . No focal consolidation , effusion or pneumothorax . No signs of congestion or edema . Heart size is mildly prominent . Mediastinal contour is normal . No acute osseous abnormality . Widened right AC joint likely reflects old injury . No displaced rib fracture seen . No free air below the right hemidiaphragm . IMPRESSION : Hyperinflated lungs , mild cardiomegaly .", + "entities": { + "1": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "2": { + "tokens": "hyperinflated", + "label": "OBS-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "3": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 44, + "end_ix": 44, + "relations": [] + }, + "5": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 46, + "end_ix": 46, + "relations": [] + }, + "6": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 48, + "end_ix": 48, + "relations": [] + }, + "7": { + "tokens": "congestion", + "label": "OBS-DA", + "start_ix": 53, + "end_ix": 53, + "relations": [] + }, + "8": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "9": { + "tokens": "Heart", + "label": "ANAT-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [] + }, + "10": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "11": { + "tokens": "mildly", + "label": "OBS-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "prominent", + "label": "OBS-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "13": { + "tokens": "Mediastinal", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [] + }, + "14": { + "tokens": "contour", + "label": "ANAT-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "15": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "16": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "17": { + "tokens": "osseous", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "18": { + "tokens": "abnormality", + "label": "OBS-DA", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "17" + ] + ] + }, + "19": { + "tokens": ".", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [] + }, + "20": { + "tokens": "Widened", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "23" + ], + [ + "suggestive_of", + "25" + ] + ] + }, + "21": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "22": { + "tokens": "AC", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "23": { + "tokens": "joint", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [] + }, + "24": { + "tokens": "old", + "label": "OBS-U", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "25": { + "tokens": "injury", + "label": "OBS-U", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "located_at", + "23" + ] + ] + }, + "26": { + "tokens": "displaced", + "label": "OBS-DA", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "27": { + "tokens": "rib", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [] + }, + "28": { + "tokens": "fracture", + "label": "OBS-DA", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "located_at", + "27" + ] + ] + }, + "29": { + "tokens": "free", + "label": "OBS-DA", + "start_ix": 89, + "end_ix": 89, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "air", + "label": "OBS-DA", + "start_ix": 90, + "end_ix": 90, + "relations": [ + [ + "located_at", + "33" + ] + ] + }, + "31": { + "tokens": "below", + "label": "ANAT-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "32": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "33": { + "tokens": "hemidiaphragm", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [] + }, + "34": { + "tokens": "Hyperinflated", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "located_at", + "35" + ] + ] + }, + "35": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [] + }, + "36": { + "tokens": "mild", + "label": "OBS-DP", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "modify", + "37" + ] + ] + }, + "37": { + "tokens": "cardiomegaly", + "label": "OBS-DP", + "start_ix": 102, + "end_ix": 102, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15000170/s57532252.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with cough for 3 weeks . Smoker . / / assess lungs assess lungs IMPRESSION : Compared to chest radiographs since ___ , most recently ___ . Aside from the long - standing calcified granuloma , right lower lobe , lungs are clear . Cardiomediastinal and hilar silhouettes and pleural surfaces are normal .", + "entities": { + "1": { + "tokens": "long", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "standing", + "label": "OBS-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "3": { + "tokens": "calcified", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "granuloma", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "5": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "6": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "8": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [] + }, + "9": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [] + }, + "10": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [] + }, + "11": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [] + }, + "12": { + "tokens": "silhouettes", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "10" + ], + [ + "modify", + "11" + ] + ] + }, + "13": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [] + }, + "14": { + "tokens": "surfaces", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "15": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "located_at", + "10" + ], + [ + "located_at", + "11" + ], + [ + "located_at", + "13" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15000170/s56450978.txt": { + "text": "FINAL REPORT HISTORY : Smoker with cough , to assess for pneumonia . FINDINGS : In comparison with the study of ___ , there is no interval change or evidence of acute cardiopulmonary disease . There is some hyperexpansion of the lungs suggesting chronic pulmonary disease , but no evidence of acute pneumonia , vascular congestion , or pleural effusion .", + "entities": { + "1": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "2": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [] + }, + "3": { + "tokens": "disease", + "label": "OBS-DA", + "start_ix": 33, + "end_ix": 33, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "4": { + "tokens": "some", + "label": "OBS-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "hyperexpansion", + "label": "OBS-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [ + [ + "located_at", + "6" + ], + [ + "suggestive_of", + "9" + ] + ] + }, + "6": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "7": { + "tokens": "chronic", + "label": "OBS-U", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "8": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [] + }, + "9": { + "tokens": "disease", + "label": "OBS-U", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "10": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "11": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "12": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "13": { + "tokens": "congestion", + "label": "OBS-DA", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [] + }, + "15": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "located_at", + "14" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15000170/s54385701.txt": { + "text": "FINAL REPORT INDICATION : History : ___ M with epigastric pain / / evaluate for pleural effusion or pneumonia TECHNIQUE : Chest PA and lateral COMPARISON : ___ dating back to ___ FINDINGS : Unchanged heart size , mediastinal and hilar contours . No focal consolidation , pleural effusion or pneumothorax . A 5 mm dense nodule in the left lower lung is unchanged dating back to ___ compatible with a benign nodule . IMPRESSION : No acute process .", + "entities": { + "1": { + "tokens": "Unchanged", + "label": "OBS-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "located_at", + "2" + ], + [ + "located_at", + "4" + ], + [ + "located_at", + "5" + ] + ] + }, + "2": { + "tokens": "heart", + "label": "ANAT-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [] + }, + "3": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "4": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "5": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [] + }, + "6": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "4" + ], + [ + "modify", + "5" + ] + ] + }, + "7": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 45, + "end_ix": 45, + "relations": [] + }, + "9": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "10": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 50, + "end_ix": 50, + "relations": [] + }, + "12": { + "tokens": "5 mm", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 54, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "13": { + "tokens": "dense", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "nodule", + "label": "OBS-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "located_at", + "17" + ] + ] + }, + "15": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "16": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "17": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [] + }, + "18": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "14" + ], + [ + "suggestive_of", + "19" + ] + ] + }, + "19": { + "tokens": "benign", + "label": "OBS-U", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "20": { + "tokens": "nodule", + "label": "OBS-U", + "start_ix": 72, + "end_ix": 72, + "relations": [] + }, + "21": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 78, + "end_ix": 78, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18013971/s52981585.txt": { + "text": "FINAL REPORT HISTORY : Multiple sclerosis , chronic Foley , hypothermia , fatigue , lethargy , question pneumonia . CHEST , TWO VIEWS . There is patchy opacity in the left lower lobe seen on both frontal and lateral views , consistent with left lower lobe pneumonia . Aspiration is considered less likely . A small left effusion is present . Compared with ___ , 13:21p.m. and allowing for technical differences , the appearance is similar .", + "entities": { + "1": { + "tokens": "patchy", + "label": "OBS-DP", + "start_ix": 26, + "end_ix": 26, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 27, + "end_ix": 27, + "relations": [ + [ + "located_at", + "5" + ], + [ + "suggestive_of", + "9" + ], + [ + "suggestive_of", + "10" + ] + ] + }, + "3": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 30, + "end_ix": 30, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "4": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [] + }, + "6": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "7": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [] + }, + "9": { + "tokens": "pneumonia", + "label": "OBS-U", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "10": { + "tokens": "Aspiration", + "label": "OBS-U", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "11": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [] + }, + "13": { + "tokens": "effusion", + "label": "OBS-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "located_at", + "12" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18013971/s53353278.txt": { + "text": "FINAL REPORT SINGLE AP PORTABLE VIEW OF THE CHEST REASON FOR EXAM : Hypothermia and urosepsis . Comparison is made with prior study of ___ . There are low lung volumes . Worsening left perihilar , left lower lobe opacities are consistent with pneumonia . Right lower lobe opacities have improved . There is no pneumothorax or pleural effusion .", + "entities": { + "1": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 28, + "end_ix": 28, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "2": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 29, + "end_ix": 29, + "relations": [] + }, + "3": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 30, + "end_ix": 30, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "4": { + "tokens": "Worsening", + "label": "OBS-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "5": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 33, + "end_ix": 33, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "perihilar", + "label": "ANAT-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [] + }, + "7": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "8": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "10": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "located_at", + "6" + ], + [ + "located_at", + "9" + ], + [ + "suggestive_of", + "11" + ] + ] + }, + "11": { + "tokens": "pneumonia", + "label": "OBS-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "12": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "13": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "15": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "improved", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "17": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "18": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [] + }, + "19": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "located_at", + "18" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18013971/s50505009.txt": { + "text": "FINAL REPORT HISTORY : ___ - year - old male with altered mental status . STUDY : AP and lateral upright chest radiographs . COMPARISON : ___ . FINDINGS : The heart size is within normal limits . The mediastinal and hilar contours are unremarkable . The lungs show improvement of the previously described retrocardiac consolidation . There is no large pleural effusion or pneumothorax . A prominent gas and stool distended loop of colon is present in the region of the splenic flexure . IMPRESSION : Near - complete improvement of previous left lower lobe pneumonia .", + "entities": { + "1": { + "tokens": "heart", + "label": "ANAT-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [] + }, + "2": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [ + [ + "modify", + "1" + ] + ] + }, + "3": { + "tokens": "within", + "label": "OBS-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "4": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "5": { + "tokens": "limits", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "6": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [] + }, + "7": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "8": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "modify", + "6" + ], + [ + "modify", + "7" + ] + ] + }, + "9": { + "tokens": "unremarkable", + "label": "OBS-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "located_at", + "6" + ], + [ + "located_at", + "7" + ] + ] + }, + "10": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "11": { + "tokens": "improvement", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "retrocardiac", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "13": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "large", + "label": "OBS-DA", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "15": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [] + }, + "16": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "17": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "18": { + "tokens": "gas", + "label": "OBS-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "located_at", + "22" + ] + ] + }, + "19": { + "tokens": "stool", + "label": "OBS-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "located_at", + "22" + ] + ] + }, + "20": { + "tokens": "distended", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "22" + ] + ] + }, + "21": { + "tokens": "loop", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "colon", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [] + }, + "23": { + "tokens": "splenic", + "label": "ANAT-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "24": { + "tokens": "flexure", + "label": "ANAT-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "25": { + "tokens": "Near - complete", + "label": "OBS-DP", + "start_ix": 87, + "end_ix": 89, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "26": { + "tokens": "improvement", + "label": "OBS-DP", + "start_ix": 90, + "end_ix": 90, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "27": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "29" + ] + ] + }, + "28": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "modify", + "29" + ] + ] + }, + "29": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [] + }, + "30": { + "tokens": "pneumonia", + "label": "OBS-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "located_at", + "29" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18013971/s52061265.txt": { + "text": "FINAL REPORT INDICATION : ___ - year - old man with change in mental status . COMPARISON : PA and lateral chest radiograph , ___ . PA AND LATERAL CHEST RADIOGRAPH : The cardiac , mediastinal and hilar contours are normal . An opacity projecting over the right mid to upper lung on the frontal view may represent focal consolidation , unchanged from ___ . Interposition of bowel accounts for the lucency below the right hemidiaphragm .", + "entities": { + "1": { + "tokens": "cardiac", + "label": "ANAT-DP", + "start_ix": 33, + "end_ix": 33, + "relations": [] + }, + "2": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [] + }, + "3": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [] + }, + "4": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [ + [ + "modify", + "1" + ], + [ + "modify", + "2" + ], + [ + "modify", + "3" + ] + ] + }, + "5": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "located_at", + "1" + ], + [ + "located_at", + "2" + ], + [ + "located_at", + "3" + ] + ] + }, + "6": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "located_at", + "10" + ], + [ + "suggestive_of", + "12" + ] + ] + }, + "7": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "8": { + "tokens": "mid", + "label": "ANAT-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "9": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [] + }, + "11": { + "tokens": "focal", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [] + }, + "13": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "14": { + "tokens": "Interposition", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "15": { + "tokens": "bowel", + "label": "ANAT-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "16": { + "tokens": "lucency", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "17": { + "tokens": "below", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "18": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "hemidiaphragm", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18013971/s50960433.txt": { + "text": "FINAL REPORT INDICATION : ___ - year - old male with MS and hypotension . COMPARISON : ___ . TECHNIQUE : Single frontal chest radiograph was obtained portably with the patient in a semi - erect position . FINDINGS : There are low lung volumes . No focal consolidation is appreciated on this limited view . A small left pleural effusion would be difficult to exclude . Compared to prior exam , there is decreased prominence of the pulmonary vasculature . There has been interval removal of a left - sided PICC . Exam is otherwise unchanged . Slightly prominent loops of air - filled colon are again noted under the right hemidiaphragm .", + "entities": { + "1": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "2": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "3": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "4": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 48, + "end_ix": 48, + "relations": [] + }, + "6": { + "tokens": "small", + "label": "OBS-U", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "7": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [] + }, + "9": { + "tokens": "effusion", + "label": "OBS-U", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "10": { + "tokens": "decreased", + "label": "OBS-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "11": { + "tokens": "prominence", + "label": "OBS-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "12": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "vasculature", + "label": "ANAT-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [] + }, + "14": { + "tokens": "left - sided", + "label": "ANAT-DP", + "start_ix": 88, + "end_ix": 90, + "relations": [] + }, + "15": { + "tokens": "PICC", + "label": "OBS-DA", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "otherwise", + "label": "OBS-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [] + }, + "17": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "18": { + "tokens": "Slightly", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "prominent", + "label": "OBS-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [ + [ + "modify", + "21" + ] + ] + }, + "20": { + "tokens": "loops", + "label": "ANAT-DP", + "start_ix": 100, + "end_ix": 100, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "21": { + "tokens": "air - filled", + "label": "OBS-DP", + "start_ix": 102, + "end_ix": 104, + "relations": [ + [ + "located_at", + "22" + ] + ] + }, + "22": { + "tokens": "colon", + "label": "ANAT-DP", + "start_ix": 105, + "end_ix": 105, + "relations": [ + [ + "located_at", + "25" + ] + ] + }, + "23": { + "tokens": "under", + "label": "ANAT-DP", + "start_ix": 109, + "end_ix": 109, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "24": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 111, + "end_ix": 111, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "25": { + "tokens": "hemidiaphragm", + "label": "ANAT-DP", + "start_ix": 112, + "end_ix": 112, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18013971/s59812860.txt": { + "text": "FINAL REPORT HISTORY : ___ - year - old male with hypothermia , confusion , and lethargy . COMPARISON : Chest radiograph from ___ . AP PORTABLE FRONTAL CHEST RADIOGRAPH : There is new vague increased density within the left lung base . The remainder of the lungs appear clear . There is no vascular congestion , edema , or large pleural effusions . Cardiomediastinal and hilar contours are within normal limits . A PICC line terminates in the upper superior vena cava . IMPRESSION : New vague patchy left basilar opacity which could be seen with atelectasis or potentially pneumonia in the appropriate setting . Follow - up radiographs including PA and lateral views are recommended for further clarification .", + "entities": { + "1": { + "tokens": "new", + "label": "OBS-DP", + "start_ix": 33, + "end_ix": 33, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "2": { + "tokens": "vague", + "label": "OBS-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "3": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "density", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "located_at", + "6" + ] + ] + }, + "5": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [] + }, + "7": { + "tokens": "base", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "8": { + "tokens": "remainder", + "label": "ANAT-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "10": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "12": { + "tokens": "congestion", + "label": "OBS-DA", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "13": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 57, + "end_ix": 57, + "relations": [] + }, + "14": { + "tokens": "large", + "label": "OBS-DA", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "15": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [] + }, + "16": { + "tokens": "effusions", + "label": "OBS-DA", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "17": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "18": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "19": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "modify", + "17" + ], + [ + "modify", + "18" + ] + ] + }, + "20": { + "tokens": "within", + "label": "OBS-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "21" + ] + ] + }, + "21": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "located_at", + "17" + ], + [ + "located_at", + "18" + ] + ] + }, + "22": { + "tokens": "limits", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "21" + ] + ] + }, + "23": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [] + }, + "24": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "modify", + "23" + ], + [ + "located_at", + "26" + ] + ] + }, + "25": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "26": { + "tokens": "superior vena cava", + "label": "ANAT-DP", + "start_ix": 80, + "end_ix": 82, + "relations": [] + }, + "27": { + "tokens": "New", + "label": "OBS-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "28": { + "tokens": "vague", + "label": "OBS-DP", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "29": { + "tokens": "patchy", + "label": "OBS-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "30": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [] + }, + "31": { + "tokens": "basilar", + "label": "ANAT-DP", + "start_ix": 90, + "end_ix": 90, + "relations": [] + }, + "32": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "located_at", + "31" + ], + [ + "suggestive_of", + "33" + ], + [ + "suggestive_of", + "34" + ] + ] + }, + "33": { + "tokens": "atelectasis", + "label": "OBS-U", + "start_ix": 97, + "end_ix": 97, + "relations": [] + }, + "34": { + "tokens": "pneumonia", + "label": "OBS-U", + "start_ix": 100, + "end_ix": 100, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18013971/s54460033.txt": { + "text": "FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON : ___ . CLINICAL HISTORY : Lethargy , assess for pneumonia . FINDINGS : AP upright and lateral views of the chest were obtained . A vague opacity projects over the right mid - to - upper lung on the frontal view only and is more conspicuous compared with the prior exam , differential considerations include pneumonia versus overlying artifact . Otherwise , no definite consolidation , effusion , pneumothorax . Cardiomediastinal silhouette is normal . Bony structures are intact . Interposition of bowel accounts for the lucency below the right hemidiaphragm . IMPRESSION : Vague opacity in the right mid - to - upper lung , question early pneumonia . Recommend followup to resolution .", + "entities": { + "1": { + "tokens": "vague", + "label": "OBS-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "located_at", + "5" + ], + [ + "suggestive_of", + "8" + ], + [ + "suggestive_of", + "10" + ] + ] + }, + "3": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "4": { + "tokens": "mid - to - upper", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 44, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [] + }, + "6": { + "tokens": "on the frontal view only", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 50, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "7": { + "tokens": "more conspicuous compared with the prior exam", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 59, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "8": { + "tokens": "pneumonia", + "label": "OBS-U", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "9": { + "tokens": "overlying", + "label": "OBS-U", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "artifact", + "label": "OBS-U", + "start_ix": 67, + "end_ix": 67, + "relations": [] + }, + "11": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 73, + "end_ix": 73, + "relations": [] + }, + "12": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 75, + "end_ix": 75, + "relations": [] + }, + "13": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "14": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [] + }, + "15": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "16": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "17": { + "tokens": "Bony", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [] + }, + "18": { + "tokens": "structures", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "19": { + "tokens": "intact", + "label": "OBS-DP", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "located_at", + "17" + ] + ] + }, + "20": { + "tokens": "Interposition", + "label": "OBS-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [ + [ + "located_at", + "21" + ], + [ + "suggestive_of", + "22" + ] + ] + }, + "21": { + "tokens": "bowel", + "label": "ANAT-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [] + }, + "22": { + "tokens": "lucency", + "label": "OBS-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [ + [ + "located_at", + "25" + ] + ] + }, + "23": { + "tokens": "below", + "label": "ANAT-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "24": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "25": { + "tokens": "hemidiaphragm", + "label": "ANAT-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [] + }, + "26": { + "tokens": "Vague", + "label": "OBS-DP", + "start_ix": 103, + "end_ix": 103, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "27": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 104, + "end_ix": 104, + "relations": [ + [ + "located_at", + "30" + ], + [ + "suggestive_of", + "32" + ] + ] + }, + "28": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 107, + "end_ix": 107, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "29": { + "tokens": "mid - to - upper", + "label": "ANAT-DP", + "start_ix": 108, + "end_ix": 112, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 113, + "end_ix": 113, + "relations": [] + }, + "31": { + "tokens": "early", + "label": "OBS-U", + "start_ix": 116, + "end_ix": 116, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "32": { + "tokens": "pneumonia", + "label": "OBS-U", + "start_ix": 117, + "end_ix": 117, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18025609/s58765092.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with Hx of lymphoma , smoker , now cough / / Lung infiltrate , lymphadenopathy Lung infiltrate , lymphadenopathy IMPRESSION : In comparison with the study of ___ , there is little change and no evidence of acute cardiopulmonary disease . The Port - A - Cath tip again scans in the lower portion of the SVC . No pneumonia , vascular congestion , or pleural effusion . No convincing evidence of lymphadenopathy .", + "entities": { + "1": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "2": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "3": { + "tokens": "disease", + "label": "OBS-DA", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "4": { + "tokens": "Port - A - Cath", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 62, + "relations": [] + }, + "5": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "4" + ], + [ + "located_at", + "8" + ] + ] + }, + "6": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "portion", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [] + }, + "9": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 75, + "end_ix": 75, + "relations": [] + }, + "10": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "11": { + "tokens": "congestion", + "label": "OBS-DA", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "located_at", + "10" + ] + ] + }, + "12": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "13": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "lymphadenopathy", + "label": "OBS-U", + "start_ix": 88, + "end_ix": 88, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18025609/s53082573.txt": { + "text": "FINAL REPORT CHEST RADIOGRAPH . INDICATION : Bone marrow transplant . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , there is no relevant change . The lung volumes are normal . Normal size of the cardiac silhouette . Normal appearance of the lung parenchyma . No pneumothorax . No pleural effusions , no focal parenchymal opacity suggesting pneumonia . No pulmonary edema . A right pectoral Port - A - Cath system is in unchanged position .", + "entities": { + "1": { + "tokens": "relevant", + "label": "OBS-DA", + "start_ix": 27, + "end_ix": 27, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "change", + "label": "OBS-DA", + "start_ix": 28, + "end_ix": 28, + "relations": [] + }, + "3": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [] + }, + "4": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "5": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "6": { + "tokens": "Normal", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "7": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "cardiac", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [] + }, + "9": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "10": { + "tokens": "Normal", + "label": "OBS-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "11": { + "tokens": "appearance", + "label": "OBS-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "12": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "13": { + "tokens": "parenchyma", + "label": "ANAT-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "14": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 51, + "end_ix": 51, + "relations": [] + }, + "15": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "16": { + "tokens": "effusions", + "label": "OBS-DA", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "17": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "18": { + "tokens": "parenchymal", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [] + }, + "19": { + "tokens": "opacity", + "label": "OBS-DA", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "located_at", + "18" + ], + [ + "suggestive_of", + "20" + ] + ] + }, + "20": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 62, + "end_ix": 62, + "relations": [] + }, + "21": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [] + }, + "22": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "located_at", + "21" + ] + ] + }, + "23": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "24": { + "tokens": "pectoral", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "25": { + "tokens": "Port - A - Cath system", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 76, + "relations": [ + [ + "located_at", + "24" + ] + ] + }, + "26": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "27": { + "tokens": "position", + "label": "OBS-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "modify", + "25" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18025609/s58042512.txt": { + "text": "WET READ : ___ ___ 6:20PM No focal consolidation , pleural effusion , or pneumothorax . Stable positioning of right - sided Port - A - Cath and left - sided subclavian vein catheter . ______________________________________________________________________________ FINAL REPORT PORTABLE CHEST , ___ COMPARISON : Radiograph , ___ . FINDINGS : Overall similar appearance of the chest when allowances are made for slight patient rotation on the current study . No new areas of consolidation are identified within the lungs to suggest the presence of pneumonia .", + "entities": { + "1": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 7, + "end_ix": 7, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 8, + "end_ix": 8, + "relations": [] + }, + "3": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 10, + "end_ix": 10, + "relations": [] + }, + "4": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 11, + "end_ix": 11, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "5": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 14, + "end_ix": 14, + "relations": [] + }, + "6": { + "tokens": "Stable", + "label": "OBS-DP", + "start_ix": 16, + "end_ix": 16, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "positioning", + "label": "OBS-DP", + "start_ix": 17, + "end_ix": 17, + "relations": [ + [ + "modify", + "9" + ], + [ + "modify", + "13" + ] + ] + }, + "8": { + "tokens": "right - sided", + "label": "ANAT-DP", + "start_ix": 19, + "end_ix": 21, + "relations": [] + }, + "9": { + "tokens": "Port - A - Cath", + "label": "OBS-DP", + "start_ix": 22, + "end_ix": 26, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "10": { + "tokens": "left - sided", + "label": "ANAT-DP", + "start_ix": 28, + "end_ix": 30, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "11": { + "tokens": "subclavian", + "label": "ANAT-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "vein", + "label": "ANAT-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [] + }, + "13": { + "tokens": "catheter", + "label": "OBS-DP", + "start_ix": 33, + "end_ix": 33, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "new", + "label": "OBS-DA", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "15": { + "tokens": "areas", + "label": "OBS-DA", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "located_at", + "17" + ], + [ + "suggestive_of", + "18" + ] + ] + }, + "17": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [] + }, + "18": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 84, + "end_ix": 84, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18025609/s53196443.txt": { + "text": "FINAL REPORT EXAM : Chest frontal and lateral views . CLINICAL INFORMATION : Low - grade lymphoma and Waldenstrom , currently receiving chemotherapy , has rub and wheezing in left lower lobe . COMPARISON : None . FINDINGS : Frontal and lateral views of the chest were obtained . A right - sided Port - A - Cath is seen , with catheter terminating in the distal SVC . There are right axillary surgical clips . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . IMPRESSION : No acute cardiopulmonary process .", + "entities": { + "1": { + "tokens": "right - sided", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 52, + "relations": [] + }, + "2": { + "tokens": "Port - A - Cath", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 57, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "3": { + "tokens": "catheter", + "label": "OBS-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "modify", + "2" + ], + [ + "located_at", + "5" + ] + ] + }, + "4": { + "tokens": "distal", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [] + }, + "6": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "axillary", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [] + }, + "8": { + "tokens": "surgical", + "label": "OBS-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "clips", + "label": "OBS-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "10": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "11": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "located_at", + "10" + ] + ] + }, + "12": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "located_at", + "10" + ] + ] + }, + "14": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "15": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 88, + "end_ix": 88, + "relations": [] + }, + "17": { + "tokens": "cardiac", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [] + }, + "18": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [] + }, + "19": { + "tokens": "silhouettes", + "label": "ANAT-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "modify", + "17" + ], + [ + "modify", + "18" + ] + ] + }, + "20": { + "tokens": "unremarkable", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "located_at", + "17" + ], + [ + "located_at", + "18" + ] + ] + }, + "21": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 103, + "end_ix": 103, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "22": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 104, + "end_ix": 104, + "relations": [] + }, + "23": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 105, + "end_ix": 105, + "relations": [ + [ + "located_at", + "22" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18025609/s59507387.txt": { + "text": "FINAL REPORT HISTORY : Fever and cough . Evaluate for an acute cardiopulmonary process . TECHNIQUE : Frontal and lateral views of the chest . COMPARISON : Chest radiographs ___ and ___ . CT torso ___ . FINDINGS : A right MediPort terminates in the distal superior vena cava . Elevation of left hemidiaphragm is unchanged . There is no pleural effusion , pneumothorax or focal airspace consolidation . The cardiac mediastinal contour is are durable . Hilar structures are unremarkable . IMPRESSION : No acute cardiopulmonary process .", + "entities": { + "1": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [] + }, + "2": { + "tokens": "MediPort", + "label": "OBS-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "located_at", + "1" + ], + [ + "located_at", + "4" + ] + ] + }, + "3": { + "tokens": "distal", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "superior vena cava", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 48, + "relations": [] + }, + "5": { + "tokens": "Elevation", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "6": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "hemidiaphragm", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [] + }, + "8": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "9": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [] + }, + "10": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 63, + "end_ix": 63, + "relations": [] + }, + "12": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "13": { + "tokens": "airspace", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "14": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "15": { + "tokens": "cardiac", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "16": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [] + }, + "17": { + "tokens": "contour", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "modify", + "15" + ], + [ + "modify", + "16" + ] + ] + }, + "18": { + "tokens": "durable", + "label": "OBS-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "located_at", + "15" + ], + [ + "located_at", + "16" + ] + ] + }, + "19": { + "tokens": "Hilar", + "label": "ANAT-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "20": { + "tokens": "structures", + "label": "ANAT-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "21": { + "tokens": "unremarkable", + "label": "OBS-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "located_at", + "19" + ] + ] + }, + "22": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "23": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [] + }, + "24": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "located_at", + "23" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18025609/s54177048.txt": { + "text": "WET READ : ___ ___ 7:04PM Low lung volumes exaggerating bronchovascular markings . No focal consolidation . ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH INDICATION : Persistent febrile neutropenia , rule out infection . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , there is no relevant change . Bilateral central venous access lines are in constant position . Mild elevation of the left hemidiaphragm . Borderline size of the cardiac silhouette . No pulmonary edema . No pneumonia , no pneumothorax . Clips in the right axillary region .", + "entities": { + "1": { + "tokens": "Low", + "label": "OBS-DP", + "start_ix": 6, + "end_ix": 6, + "relations": [ + [ + "located_at", + "2" + ], + [ + "suggestive_of", + "6" + ] + ] + }, + "2": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 7, + "end_ix": 7, + "relations": [] + }, + "3": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 8, + "end_ix": 8, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "4": { + "tokens": "exaggerating", + "label": "OBS-DP", + "start_ix": 9, + "end_ix": 9, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "5": { + "tokens": "bronchovascular", + "label": "ANAT-DP", + "start_ix": 10, + "end_ix": 10, + "relations": [] + }, + "6": { + "tokens": "markings", + "label": "OBS-DP", + "start_ix": 11, + "end_ix": 11, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "7": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 14, + "end_ix": 14, + "relations": [] + }, + "8": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 15, + "end_ix": 15, + "relations": [] + }, + "9": { + "tokens": "Bilateral", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [] + }, + "10": { + "tokens": "central", + "label": "OBS-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "11": { + "tokens": "venous", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "access", + "label": "OBS-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "lines", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "14": { + "tokens": "constant", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "15": { + "tokens": "position", + "label": "OBS-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "16": { + "tokens": "Mild", + "label": "OBS-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "17": { + "tokens": "elevation", + "label": "OBS-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "located_at", + "19" + ] + ] + }, + "18": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "hemidiaphragm", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "20": { + "tokens": "Borderline", + "label": "OBS-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "located_at", + "22" + ] + ] + }, + "21": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "cardiac", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [] + }, + "23": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "24": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [] + }, + "25": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "located_at", + "24" + ] + ] + }, + "26": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 80, + "end_ix": 80, + "relations": [] + }, + "27": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 83, + "end_ix": 83, + "relations": [] + }, + "28": { + "tokens": "Clips", + "label": "OBS-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "located_at", + "30" + ] + ] + }, + "29": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "axillary", + "label": "ANAT-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [] + }, + "31": { + "tokens": "region", + "label": "ANAT-DP", + "start_ix": 90, + "end_ix": 90, + "relations": [ + [ + "modify", + "30" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18025609/s51524217.txt": { + "text": "FINAL REPORT HISTORY : Lymphoma on chemotherapy with nonfunctioning port . Confirm placement . COMPARISON : Chest radiograph ___ . UPRIGHT FRONTAL CHEST RADIOGRAPH : A right MediPort terminates in the low SVC . The course of the catheter is unchanged and there is no evidence of catheter fracture . Clips noted in the right axilla . The lungs are clear . No pleural effusion , pneumothorax or focal airspace consolidation . Cardiac and mediastinal contours are normal .", + "entities": { + "1": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 26, + "end_ix": 26, + "relations": [] + }, + "2": { + "tokens": "MediPort", + "label": "OBS-DP", + "start_ix": 27, + "end_ix": 27, + "relations": [ + [ + "located_at", + "1" + ], + [ + "located_at", + "4" + ] + ] + }, + "3": { + "tokens": "low", + "label": "ANAT-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 32, + "end_ix": 32, + "relations": [] + }, + "5": { + "tokens": "course", + "label": "OBS-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "catheter", + "label": "OBS-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "7": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "8": { + "tokens": "catheter", + "label": "OBS-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "9": { + "tokens": "fracture", + "label": "OBS-DA", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "10": { + "tokens": "Clips", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "11": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "axilla", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "13": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [] + }, + "14": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "15": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [] + }, + "16": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "17": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "18": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "19": { + "tokens": "airspace", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [] + }, + "20": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "located_at", + "19" + ] + ] + }, + "21": { + "tokens": "Cardiac", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [] + }, + "22": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [] + }, + "23": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "modify", + "21" + ], + [ + "modify", + "22" + ] + ] + }, + "24": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "located_at", + "21" + ], + [ + "located_at", + "22" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18025609/s50456354.txt": { + "text": "FINAL REPORT HISTORY : Altered mental status , lymphoma . TECHNIQUE : PA and lateral views of the chest . COMPARISON : ___ . FINDINGS : Right - sided Port - A - Cath tip terminates in the SVC . The cardiac , mediastinal and hilar contours are within normal limits . The pulmonary vascularity is normal . Lungs are clear . No pleural effusion or pneumothorax is present . Multiple clips are seen within the right axilla . There is mild gaseous distention of the stomach . No acute osseous abnormalities are detected . IMPRESSION : No acute cardiopulmonary process .", + "entities": { + "1": { + "tokens": "Right - sided", + "label": "ANAT-DP", + "start_ix": 26, + "end_ix": 28, + "relations": [] + }, + "2": { + "tokens": "Port - A - Cath", + "label": "OBS-DP", + "start_ix": 29, + "end_ix": 33, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "3": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "modify", + "2" + ], + [ + "located_at", + "4" + ] + ] + }, + "4": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "5": { + "tokens": "cardiac", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "6": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "7": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [] + }, + "8": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "5" + ], + [ + "modify", + "6" + ], + [ + "modify", + "7" + ] + ] + }, + "9": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "located_at", + "5" + ], + [ + "located_at", + "6" + ], + [ + "located_at", + "7" + ] + ] + }, + "10": { + "tokens": "limits", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "11": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [] + }, + "12": { + "tokens": "vascularity", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "13": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "Lungs", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [] + }, + "15": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [] + }, + "17": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "located_at", + "16" + ] + ] + }, + "18": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "19": { + "tokens": "Multiple", + "label": "OBS-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "20": { + "tokens": "clips", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "22" + ] + ] + }, + "21": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "axilla", + "label": "ANAT-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "23": { + "tokens": "mild", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "24": { + "tokens": "gaseous", + "label": "OBS-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "25": { + "tokens": "distention", + "label": "OBS-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "located_at", + "26" + ] + ] + }, + "26": { + "tokens": "stomach", + "label": "ANAT-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [] + }, + "27": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 89, + "end_ix": 89, + "relations": [ + [ + "modify", + "29" + ] + ] + }, + "28": { + "tokens": "osseous", + "label": "ANAT-DP", + "start_ix": 90, + "end_ix": 90, + "relations": [] + }, + "29": { + "tokens": "abnormalities", + "label": "OBS-DA", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "located_at", + "28" + ] + ] + }, + "30": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "31": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [] + }, + "32": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 100, + "end_ix": 100, + "relations": [ + [ + "located_at", + "31" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18025609/s57824342.txt": { + "text": "FINAL REPORT HISTORY : Fever , to assess for pneumonia . FINDINGS : In comparison with the study of ___ , there is little change and no evidence of acute cardiopulmonary disease . The patient has taken a better inspiration and there is no pneumonia , vascular congestion or pleural effusion . The left central catheter has been removed and the Port - A - Cath tip again lies in the lower portion of the SVC .", + "entities": { + "1": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 29, + "end_ix": 29, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "2": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 30, + "end_ix": 30, + "relations": [] + }, + "3": { + "tokens": "disease", + "label": "OBS-DA", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "located_at", + "2" + ] + ] + }, + "4": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 44, + "end_ix": 44, + "relations": [] + }, + "5": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [] + }, + "6": { + "tokens": "congestion", + "label": "OBS-DA", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "7": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [] + }, + "8": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "9": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [] + }, + "10": { + "tokens": "central", + "label": "OBS-DA", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "11": { + "tokens": "catheter", + "label": "OBS-DA", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "12": { + "tokens": "Port - A - Cath", + "label": "OBS-DP", + "start_ix": 61, + "end_ix": 65, + "relations": [] + }, + "13": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "12" + ], + [ + "located_at", + "15" + ] + ] + }, + "14": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "15": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18021018/s53836831.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman s / p Asc Ao repair / / eval for effusion / pneumo eval for effusion / pneumo COMPARISON : Prior chest radiographs ___ and ___ . IMPRESSION : Moderate postoperative widening of the upper mediastinum is stable , midline drains in place . Left lower lobe atelectasis mild . Heart size normal . No pulmonary edema . No appreciable pleural effusion or pneumothorax . ET tube , nasogastric drainage tube , right pleural drain in standard placements .", + "entities": { + "1": { + "tokens": "Moderate", + "label": "OBS-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "2": { + "tokens": "postoperative", + "label": "OBS-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "widening", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "4": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "mediastinum", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [] + }, + "6": { + "tokens": "stable", + "label": "OBS-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "7": { + "tokens": "midline", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "8": { + "tokens": "drains", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "9": { + "tokens": "in place", + "label": "OBS-DP", + "start_ix": 56, + "end_ix": 57, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "10": { + "tokens": "Left", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "11": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [] + }, + "13": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "mild", + "label": "OBS-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "15": { + "tokens": "Heart", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [] + }, + "16": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "17": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "18": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "19": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "18" + ] + ] + }, + "20": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [] + }, + "21": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "located_at", + "20" + ] + ] + }, + "22": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 78, + "end_ix": 78, + "relations": [] + }, + "23": { + "tokens": "ET", + "label": "OBS-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "24": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "25": { + "tokens": "nasogastric", + "label": "OBS-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "26": { + "tokens": "drainage", + "label": "OBS-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [] + }, + "27": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "28": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 87, + "end_ix": 87, + "relations": [] + }, + "29": { + "tokens": "pleural", + "label": "OBS-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "drain", + "label": "OBS-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [ + [ + "located_at", + "28" + ] + ] + }, + "31": { + "tokens": "standard", + "label": "OBS-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "32": { + "tokens": "placements", + "label": "OBS-DP", + "start_ix": 92, + "end_ix": 92, + "relations": [ + [ + "modify", + "24" + ], + [ + "modify", + "27" + ], + [ + "modify", + "30" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18021018/s52475088.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with s / p Asc . Aorta repair - CTs d / c'd / / evaluate for pneumothorax evaluate for pneumothorax IMPRESSION : In comparison with the study of ___ , the monitoring and support devices are stable . There is no evidence of pneumothorax . Continued opacification at the left base is consistent with some combination of pleural effusion and volume loss in the lower lobe . No definite vascular congestion .", + "entities": { + "1": { + "tokens": "monitoring", + "label": "OBS-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "2": { + "tokens": "support", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "devices", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [] + }, + "4": { + "tokens": "stable", + "label": "OBS-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "1" + ], + [ + "modify", + "2" + ] + ] + }, + "5": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 59, + "end_ix": 59, + "relations": [] + }, + "6": { + "tokens": "opacification", + "label": "OBS-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "located_at", + "8" + ], + [ + "suggestive_of", + "10" + ], + [ + "suggestive_of", + "12" + ] + ] + }, + "7": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "base", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "9": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [] + }, + "10": { + "tokens": "effusion", + "label": "OBS-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "volume", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "12": { + "tokens": "loss", + "label": "OBS-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "13": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "15": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "16": { + "tokens": "congestion", + "label": "OBS-DA", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "located_at", + "15" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18021018/s52679954.txt": { + "text": "FINAL REPORT INDICATION : ___ year old woman s / p AAA dissection repair / / * * please check film to allow for eval for effusion / edema and location of dobhoff tube tip location * * COMPARISON : Radiographs from ___ IMPRESSION : The Dobbhoff tube has been advanced with the distal tip below the diaphragm and off the field of view . Nasogastric tube is no longer visualized . There is an unchanged right IJ central line with the distal lead tip in the right atrium . This could be pulled back 3-4 cm for more optimal placement . Tip of the endotracheal tube is 7 cm above the carina . There is a persistent left retrocardiac opacity and small left - sided pleural effusion . There is also atelectasis at the lung bases , stable . There are no pneumothoraces .", + "entities": { + "1": { + "tokens": "Dobbhoff", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "located_at", + "6" + ] + ] + }, + "3": { + "tokens": "distal", + "label": "OBS-DA", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "tip", + "label": "OBS-DA", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "5": { + "tokens": "below", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "diaphragm", + "label": "ANAT-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [] + }, + "7": { + "tokens": "off the field of view", + "label": "OBS-DP", + "start_ix": 59, + "end_ix": 63, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "8": { + "tokens": "Nasogastric", + "label": "OBS-DA", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "tube", + "label": "OBS-DA", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "10": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "11": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "IJ", + "label": "ANAT-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "13": { + "tokens": "central", + "label": "OBS-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "15": { + "tokens": "distal", + "label": "OBS-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "16": { + "tokens": "lead", + "label": "OBS-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "17": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "14" + ], + [ + "located_at", + "19" + ] + ] + }, + "18": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "atrium", + "label": "ANAT-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [] + }, + "20": { + "tokens": "Tip", + "label": "OBS-DP", + "start_ix": 102, + "end_ix": 102, + "relations": [ + [ + "modify", + "22" + ], + [ + "located_at", + "23" + ] + ] + }, + "21": { + "tokens": "endotracheal", + "label": "OBS-DP", + "start_ix": 105, + "end_ix": 105, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 106, + "end_ix": 106, + "relations": [] + }, + "23": { + "tokens": "7 cm above", + "label": "ANAT-DP", + "start_ix": 108, + "end_ix": 110, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "24": { + "tokens": "carina", + "label": "ANAT-DP", + "start_ix": 112, + "end_ix": 112, + "relations": [] + }, + "25": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 118, + "end_ix": 118, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "26": { + "tokens": "retrocardiac", + "label": "ANAT-DP", + "start_ix": 119, + "end_ix": 119, + "relations": [] + }, + "27": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 120, + "end_ix": 120, + "relations": [ + [ + "located_at", + "26" + ] + ] + }, + "28": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 122, + "end_ix": 122, + "relations": [ + [ + "modify", + "31" + ] + ] + }, + "29": { + "tokens": "left - sided", + "label": "ANAT-DP", + "start_ix": 123, + "end_ix": 125, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 126, + "end_ix": 126, + "relations": [] + }, + "31": { + "tokens": "effusion", + "label": "OBS-DP", + "start_ix": 127, + "end_ix": 127, + "relations": [ + [ + "located_at", + "30" + ] + ] + }, + "32": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 132, + "end_ix": 132, + "relations": [ + [ + "located_at", + "34" + ] + ] + }, + "33": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 135, + "end_ix": 135, + "relations": [] + }, + "34": { + "tokens": "bases", + "label": "ANAT-DP", + "start_ix": 136, + "end_ix": 136, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "35": { + "tokens": "stable", + "label": "OBS-DP", + "start_ix": 138, + "end_ix": 138, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "36": { + "tokens": "pneumothoraces", + "label": "OBS-DA", + "start_ix": 143, + "end_ix": 143, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18021018/s52905288.txt": { + "text": "WET READ : ___ ___ 1:07AM Swan - Ganz catheter has been removed in the interim . A right IJ catheter has now been placed and the tip projects over the expected region of the right atrium . Recommend pulling back by approximately 5 cm to reposition in the SVC - RA junction . Lung volumes are low . A left costophrenic angle blunting probably from small pleural effusion with atelectasis . No pneumothorax . Other lines and tubes are unchanged . ___ , d / w ___ ___ from CC 7 B at 105am. ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman s / ptype A dissection - cvl change / / check line placement check line placement COMPARISON : Prior chest radiographs ___ through ___ . IMPRESSION : Normal postoperative cardiomediastinal silhouette , decreased in caliber substantially since ___ . Small left pleural effusion stable . Moderate left lower lobe atelectasis unchanged . Right lung grossly clear . No pneumothorax . ET tube in standard placement . Right IJ line ends in the right atrium . Esophageal drainage tube in standard position .", + "entities": { + "1": { + "tokens": "Swan - Ganz", + "label": "OBS-DA", + "start_ix": 6, + "end_ix": 8, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "catheter", + "label": "OBS-DA", + "start_ix": 9, + "end_ix": 9, + "relations": [] + }, + "3": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 18, + "end_ix": 18, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "IJ", + "label": "ANAT-DP", + "start_ix": 19, + "end_ix": 19, + "relations": [] + }, + "5": { + "tokens": "catheter", + "label": "OBS-DP", + "start_ix": 20, + "end_ix": 20, + "relations": [ + [ + "located_at", + "4" + ] + ] + }, + "6": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 27, + "end_ix": 27, + "relations": [ + [ + "modify", + "5" + ], + [ + "located_at", + "8" + ] + ] + }, + "7": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "atrium", + "label": "ANAT-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [] + }, + "9": { + "tokens": "Lung", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "10": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "11": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "12": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "costophrenic", + "label": "ANAT-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [] + }, + "14": { + "tokens": "angle", + "label": "ANAT-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "15": { + "tokens": "blunting", + "label": "OBS-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "located_at", + "13" + ], + [ + "suggestive_of", + "18" + ] + ] + }, + "16": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "17": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [] + }, + "18": { + "tokens": "effusion", + "label": "OBS-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "located_at", + "17" + ] + ] + }, + "19": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "20": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 73, + "end_ix": 73, + "relations": [] + }, + "21": { + "tokens": "Other lines", + "label": "OBS-DP", + "start_ix": 75, + "end_ix": 76, + "relations": [] + }, + "22": { + "tokens": "tubes", + "label": "OBS-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [] + }, + "23": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "modify", + "21" + ], + [ + "modify", + "22" + ] + ] + }, + "24": { + "tokens": "Normal", + "label": "OBS-DP", + "start_ix": 138, + "end_ix": 138, + "relations": [ + [ + "located_at", + "26" + ] + ] + }, + "25": { + "tokens": "postoperative", + "label": "OBS-DP", + "start_ix": 139, + "end_ix": 139, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "26": { + "tokens": "cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 140, + "end_ix": 140, + "relations": [] + }, + "27": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 141, + "end_ix": 141, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "28": { + "tokens": "decreased", + "label": "OBS-DP", + "start_ix": 143, + "end_ix": 143, + "relations": [ + [ + "located_at", + "29" + ] + ] + }, + "29": { + "tokens": "caliber", + "label": "ANAT-DP", + "start_ix": 145, + "end_ix": 145, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "30": { + "tokens": "substantially", + "label": "OBS-DP", + "start_ix": 146, + "end_ix": 146, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "31": { + "tokens": "Small", + "label": "OBS-DP", + "start_ix": 150, + "end_ix": 150, + "relations": [ + [ + "modify", + "34" + ] + ] + }, + "32": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 151, + "end_ix": 151, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "33": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 152, + "end_ix": 152, + "relations": [] + }, + "34": { + "tokens": "effusion", + "label": "OBS-DP", + "start_ix": 153, + "end_ix": 153, + "relations": [ + [ + "located_at", + "33" + ] + ] + }, + "35": { + "tokens": "stable", + "label": "OBS-DP", + "start_ix": 154, + "end_ix": 154, + "relations": [ + [ + "modify", + "34" + ] + ] + }, + "36": { + "tokens": "Moderate", + "label": "OBS-DP", + "start_ix": 156, + "end_ix": 156, + "relations": [ + [ + "modify", + "40" + ] + ] + }, + "37": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 157, + "end_ix": 157, + "relations": [ + [ + "modify", + "39" + ] + ] + }, + "38": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 158, + "end_ix": 158, + "relations": [ + [ + "modify", + "39" + ] + ] + }, + "39": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 159, + "end_ix": 159, + "relations": [] + }, + "40": { + "tokens": "atelectasis", + "label": "OBS-DP", + "start_ix": 160, + "end_ix": 160, + "relations": [ + [ + "located_at", + "39" + ] + ] + }, + "41": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 161, + "end_ix": 161, + "relations": [ + [ + "modify", + "40" + ] + ] + }, + "42": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 163, + "end_ix": 163, + "relations": [ + [ + "modify", + "43" + ] + ] + }, + "43": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 164, + "end_ix": 164, + "relations": [] + }, + "44": { + "tokens": "grossly", + "label": "ANAT-DP", + "start_ix": 165, + "end_ix": 165, + "relations": [ + [ + "modify", + "43" + ] + ] + }, + "45": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 166, + "end_ix": 166, + "relations": [ + [ + "located_at", + "43" + ] + ] + }, + "46": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 169, + "end_ix": 169, + "relations": [] + }, + "47": { + "tokens": "ET", + "label": "OBS-DP", + "start_ix": 171, + "end_ix": 171, + "relations": [ + [ + "modify", + "48" + ] + ] + }, + "48": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 172, + "end_ix": 172, + "relations": [] + }, + "49": { + "tokens": "standard", + "label": "OBS-DP", + "start_ix": 174, + "end_ix": 174, + "relations": [ + [ + "modify", + "50" + ] + ] + }, + "50": { + "tokens": "placement", + "label": "OBS-DP", + "start_ix": 175, + "end_ix": 175, + "relations": [ + [ + "modify", + "48" + ] + ] + }, + "51": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 177, + "end_ix": 177, + "relations": [ + [ + "modify", + "52" + ] + ] + }, + "52": { + "tokens": "IJ", + "label": "ANAT-DP", + "start_ix": 178, + "end_ix": 178, + "relations": [] + }, + "53": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 179, + "end_ix": 179, + "relations": [ + [ + "located_at", + "52" + ], + [ + "located_at", + "55" + ] + ] + }, + "54": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 183, + "end_ix": 183, + "relations": [ + [ + "modify", + "55" + ] + ] + }, + "55": { + "tokens": "atrium", + "label": "ANAT-DP", + "start_ix": 184, + "end_ix": 184, + "relations": [] + }, + "56": { + "tokens": "Esophageal", + "label": "OBS-DP", + "start_ix": 186, + "end_ix": 186, + "relations": [ + [ + "modify", + "58" + ] + ] + }, + "57": { + "tokens": "drainage", + "label": "OBS-DP", + "start_ix": 187, + "end_ix": 187, + "relations": [ + [ + "modify", + "58" + ] + ] + }, + "58": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 188, + "end_ix": 188, + "relations": [] + }, + "59": { + "tokens": "standard", + "label": "OBS-DP", + "start_ix": 190, + "end_ix": 190, + "relations": [ + [ + "modify", + "60" + ] + ] + }, + "60": { + "tokens": "position", + "label": "OBS-DP", + "start_ix": 191, + "end_ix": 191, + "relations": [ + [ + "modify", + "58" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18021018/s53832352.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with as above / / s / p chest closure w / dropping spo 2 , r / o PTX s / p chest closure w / dropping spo 2 , r / o PTX COMPARISON : ___ IMPRESSION : ET tube tip is 6 cm above the carinal . NG tube passes below the diaphragm terminating in the stomach . Bilateral chest tubes are in place . Cardiomediastinal silhouette is stable . There is no pneumothorax . Minimal left pleural effusion is noted .", + "entities": { + "1": { + "tokens": "ET", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [] + }, + "3": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "modify", + "2" + ], + [ + "located_at", + "4" + ] + ] + }, + "4": { + "tokens": "6 cm above", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 61, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "carinal", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [] + }, + "6": { + "tokens": "NG", + "label": "OBS-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "located_at", + "10" + ] + ] + }, + "8": { + "tokens": "below", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "diaphragm", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "10": { + "tokens": "stomach", + "label": "OBS-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [] + }, + "11": { + "tokens": "Bilateral", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [] + }, + "12": { + "tokens": "chest", + "label": "OBS-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "tubes", + "label": "OBS-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "14": { + "tokens": "in place", + "label": "OBS-DP", + "start_ix": 80, + "end_ix": 81, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "15": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [] + }, + "16": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "17": { + "tokens": "stable", + "label": "OBS-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "18": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 91, + "end_ix": 91, + "relations": [] + }, + "19": { + "tokens": "Minimal", + "label": "OBS-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "20": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "modify", + "21" + ] + ] + }, + "21": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [] + }, + "22": { + "tokens": "effusion", + "label": "OBS-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "located_at", + "21" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18021018/s57626068.txt": { + "text": "FINAL REPORT INDICATION : ___ year old woman s / p Ascending aorta repair / / eval for pleural effusions TECHNIQUE : Portable semi - upright AP chest COMPARISON : Chest radiographs ___ through ___ FINDINGS : Enteric tube again courses into the stomach . Left PICC line is in the mid SVC . Lung volumes are significantly lower with vascular crowding but no frank pulmonary edema . Heart size is exaggerated by low lung volumes and likely top normal . Apparent widening of the mediastinum likely relates to lordotic positioning . Bilateral pleural effusions of present are small . There is no pneumothorax . IMPRESSION : 1 . Significantly lower lung volumes and lordotic positioning limit the evaluation . 2 . Small if any bilateral pleural effusions .", + "entities": { + "1": { + "tokens": "Enteric", + "label": "OBS-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "tube", + "label": "OBS-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "3": { + "tokens": "stomach", + "label": "ANAT-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "4": { + "tokens": "Left", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "PICC", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "line", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "7": { + "tokens": "mid", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "9": { + "tokens": "Lung", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "10": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "11": { + "tokens": "significantly", + "label": "OBS-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "lower", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "located_at", + "9" + ], + [ + "suggestive_of", + "14" + ] + ] + }, + "13": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [] + }, + "14": { + "tokens": "crowding", + "label": "OBS-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "15": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [] + }, + "16": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "17": { + "tokens": "Heart", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [] + }, + "18": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "19": { + "tokens": "exaggerated", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "17" + ] + ] + }, + "20": { + "tokens": "low", + "label": "OBS-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "suggestive_of", + "19" + ], + [ + "located_at", + "21" + ] + ] + }, + "21": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [] + }, + "22": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "modify", + "21" + ] + ] + }, + "23": { + "tokens": "top", + "label": "OBS-U", + "start_ix": 78, + "end_ix": 78, + "relations": [] + }, + "24": { + "tokens": "normal", + "label": "OBS-U", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "located_at", + "17" + ], + [ + "located_at", + "21" + ] + ] + }, + "25": { + "tokens": "widening", + "label": "OBS-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "located_at", + "26" + ] + ] + }, + "26": { + "tokens": "mediastinum", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "27": { + "tokens": "lordotic", + "label": "OBS-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [ + [ + "suggestive_of", + "25" + ], + [ + "modify", + "28" + ] + ] + }, + "28": { + "tokens": "positioning", + "label": "OBS-DP", + "start_ix": 90, + "end_ix": 90, + "relations": [] + }, + "29": { + "tokens": "Bilateral", + "label": "ANAT-DP", + "start_ix": 92, + "end_ix": 92, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [] + }, + "31": { + "tokens": "effusions", + "label": "OBS-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "located_at", + "30" + ] + ] + }, + "32": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "modify", + "31" + ] + ] + }, + "33": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 103, + "end_ix": 103, + "relations": [] + }, + "34": { + "tokens": "Significantly", + "label": "OBS-DP", + "start_ix": 109, + "end_ix": 109, + "relations": [ + [ + "modify", + "35" + ] + ] + }, + "35": { + "tokens": "lower", + "label": "OBS-DP", + "start_ix": 110, + "end_ix": 110, + "relations": [ + [ + "located_at", + "36" + ] + ] + }, + "36": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 111, + "end_ix": 111, + "relations": [] + }, + "37": { + "tokens": "volumes", + "label": "ANAT-DP", + "start_ix": 112, + "end_ix": 112, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "38": { + "tokens": "lordotic", + "label": "OBS-DP", + "start_ix": 114, + "end_ix": 114, + "relations": [ + [ + "modify", + "39" + ] + ] + }, + "39": { + "tokens": "positioning", + "label": "OBS-DP", + "start_ix": 115, + "end_ix": 115, + "relations": [] + }, + "40": { + "tokens": "Small", + "label": "OBS-U", + "start_ix": 122, + "end_ix": 122, + "relations": [] + }, + "41": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 125, + "end_ix": 125, + "relations": [ + [ + "modify", + "42" + ] + ] + }, + "42": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 126, + "end_ix": 126, + "relations": [] + }, + "43": { + "tokens": "effusions", + "label": "OBS-U", + "start_ix": 127, + "end_ix": 127, + "relations": [ + [ + "located_at", + "42" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18012429/s57597557.txt": { + "text": "FINAL REPORT AP CHEST , 4:18A.M. , ___ HISTORY : Non - small cell lung cancer , admitted for acute hypoxia . IMPRESSION : PA and lateral chest compared to ___ through ___ : There has been marked acceleration of the extent of consolidative abnormality in the right lung since ___ , mild improvement on the left which has been more severely affected since ___ . No way to exclude concurrent pneumonia , but I suspect that the findings in both lungs are predominantly rapid progression of lung cancer .", + "entities": { + "1": { + "tokens": "marked", + "label": "OBS-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "acceleration", + "label": "OBS-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "3": { + "tokens": "consolidative", + "label": "OBS-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "located_at", + "6" + ], + [ + "suggestive_of", + "11" + ], + [ + "suggestive_of", + "18" + ] + ] + }, + "4": { + "tokens": "abnormality", + "label": "OBS-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "5": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [] + }, + "7": { + "tokens": "mild", + "label": "OBS-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "improvement", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "3" + ], + [ + "located_at", + "9" + ] + ] + }, + "9": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [] + }, + "10": { + "tokens": "concurrent", + "label": "OBS-U", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "11": { + "tokens": "pneumonia", + "label": "OBS-U", + "start_ix": 71, + "end_ix": 71, + "relations": [] + }, + "12": { + "tokens": "both", + "label": "ANAT-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "14": { + "tokens": "predominantly", + "label": "OBS-U", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "15": { + "tokens": "rapid", + "label": "OBS-U", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "progression", + "label": "OBS-U", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "17": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 87, + "end_ix": 87, + "relations": [] + }, + "18": { + "tokens": "cancer", + "label": "OBS-U", + "start_ix": 88, + "end_ix": 88, + "relations": [ + [ + "located_at", + "17" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18012429/s54385664.txt": { + "text": "FINAL REPORT INDICATION : ___ - year - old male with left upper lobe BAC , status post TBBx , rule out pneumothorax . COMPARISONS : Chest CT from ___ , ___ . TECHNIQUE : Single AP portable exam of the chest . FINDINGS : There appears to be near opacification of the left lung , likely secondary to patient 's known malignancy . The extent of the patient 's malignancy is better seen on the prior CT from ___ . The right lung also demonstrates nodules that are better evaluated on the prior CT . There is a focal opacity along the right minor fissure , which did not have a CT correlate , and may be a focal consolidative process , however malignancy cannot be ruled out . There is no pneumothorax . The heart size is normal . The hilar and mediastinal contours are otherwise unremarkable . IMPRESSION : 1 . No post - procedural pneumothorax . 2 . Right upper lobe infiltrate abutting the minor fissure without a definite prior CT correlate . This may be secondary to an infectious process , however malignancy cannot be ruled out . 3 . Right lung nodules better evaluated on prior CT .", + "entities": { + "1": { + "tokens": "near", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "opacification", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "located_at", + "4" + ] + ] + }, + "3": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "5": { + "tokens": "malignancy", + "label": "OBS-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "suggestive_of", + "2" + ] + ] + }, + "6": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [] + }, + "8": { + "tokens": "nodules", + "label": "OBS-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "9": { + "tokens": "focal", + "label": "OBS-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 100, + "end_ix": 100, + "relations": [ + [ + "located_at", + "14" + ], + [ + "suggestive_of", + "16" + ], + [ + "suggestive_of", + "18" + ] + ] + }, + "11": { + "tokens": "along", + "label": "OBS-DP", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "12": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 103, + "end_ix": 103, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "13": { + "tokens": "minor", + "label": "ANAT-DP", + "start_ix": 104, + "end_ix": 104, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "fissure", + "label": "ANAT-DP", + "start_ix": 105, + "end_ix": 105, + "relations": [] + }, + "15": { + "tokens": "focal", + "label": "OBS-U", + "start_ix": 119, + "end_ix": 119, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "consolidative", + "label": "OBS-U", + "start_ix": 120, + "end_ix": 120, + "relations": [] + }, + "17": { + "tokens": "process", + "label": "OBS-U", + "start_ix": 121, + "end_ix": 121, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "18": { + "tokens": "malignancy", + "label": "OBS-U", + "start_ix": 124, + "end_ix": 124, + "relations": [] + }, + "19": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 133, + "end_ix": 133, + "relations": [] + }, + "20": { + "tokens": "heart", + "label": "ANAT-DP", + "start_ix": 136, + "end_ix": 136, + "relations": [] + }, + "21": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 137, + "end_ix": 137, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "22": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 139, + "end_ix": 139, + "relations": [ + [ + "located_at", + "20" + ] + ] + }, + "23": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 142, + "end_ix": 142, + "relations": [] + }, + "24": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 144, + "end_ix": 144, + "relations": [] + }, + "25": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 145, + "end_ix": 145, + "relations": [ + [ + "modify", + "23" + ], + [ + "modify", + "24" + ] + ] + }, + "26": { + "tokens": "otherwise", + "label": "OBS-DP", + "start_ix": 147, + "end_ix": 147, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "27": { + "tokens": "unremarkable", + "label": "OBS-DP", + "start_ix": 148, + "end_ix": 148, + "relations": [ + [ + "located_at", + "23" + ], + [ + "located_at", + "24" + ] + ] + }, + "28": { + "tokens": "post - 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year - old man with dyspnea , history of lung adenocarcinoma . Rule out acute pulmonary disease , pulmonary edema , effusion or pneumonia . COMPARISON : Prior chest CT from ___ and chest radiograph from ___ . TECHNIQUE : Portable AP chest radiograph . FINDINGS : Again seen is extensive consolidation involving the left lung and right upper lobe . Since prior examination from ___ , there is improved areation of the left lung . There seems to be an increased area of opacity in the right lung base which could represent dissemination of known adenocarcinoma . However , in the appropriate clinical setting , an underlying infectious process is also possible . There is no definite pneumothorax . The heart cannot be evaluated . IMPRESSION : Increased density at the right lung base which could represent increased disseminated adenocarcinoma . However , in the appropriate clinical setting , an underlying infectious process is also possible . These findings were discussed with Dr . ___ by ___ via telephone on ___ at 3:30p.m. , at time of discovery .", + "entities": { + "1": { + "tokens": "extensive", + "label": "OBS-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "located_at", + "4" + ], + [ + "located_at", + "7" + ] + ] + }, + "3": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [] + }, + "5": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "6": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "lobe", + 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CLINICAL HISTORY : Fever , tachycardia , cancer , assess pneumonia . FINDINGS : Portable upright AP view of the chest provided . There is diffuse consolidation within the left lung , similar to prior study . Dense consolidation is seen within the right upper lobe , which is increased from prior exam . No pneumothorax . IMPRESSION : Persistent consolidation within the left lung and increasing confluence of right upper lobe consolidation is concerning for worsening pneumonia .", + "entities": { + "1": { + "tokens": "diffuse", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "located_at", + "4" + ] + ] + }, + "3": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "5": { + "tokens": "similar to prior study", + "label": "OBS-DP", + "start_ix": 57, + "end_ix": 60, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "6": { + "tokens": "Dense", + "label": "OBS-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "located_at", + "10" + ] + ] + }, + "8": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "9": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [] + }, + "11": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "12": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 80, + "end_ix": 80, + "relations": [] + }, + "13": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "14": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 88, + "end_ix": 88, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "15": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [] + }, + "16": { + "tokens": "increasing", + "label": "OBS-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "17": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "18": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [] + }, + "20": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 97, + "end_ix": 97, + "relations": [ + [ + "located_at", + "19" + ], + [ + "suggestive_of", + "22" + ] + ] + }, + "21": { + "tokens": "worsening", + "label": "OBS-DP", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "pneumonia", + "label": "OBS-DP", + "start_ix": 102, + "end_ix": 102, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18012429/s51316470.txt": { + "text": "FINAL REPORT INDICATION : ___ year old man with shortness of breath . Evaluate for evidence of consolidation or pneumothorax COMPARISON : Multiple prior chest radiographs most recent on ___ . Chest CT from ___ . TECHNIQUE : Portable upright chest radiograph . FINDINGS : Nearly complete opacification of the left hemithorax is of increasing density since the recent prior CT . A large area of opacity in the inferior segment of the right upper lobe as well as more patchy right middle lobe involvement were better assessed in recent chest CT from ___ and similar in appearance allowing for difference in techniques . Widespread opacification of the left mid to lower lung is increasingly dense , however . There is no evidence of pneumothorax . The cardiomediastinal contours are stable . IMPRESSION : Similar extensive alveolar opacities in the inferior segment of the right upper lobe and right middle lobe as well as increased confluent opacification of the left mid to lower lung . 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COMPARISON : Chest radiographs from ___ , ___ and chest CT from ___ . TECHNIQUE : PA and lateral radiograph of the chest . FINDINGS : There is a small right apical pneumothorax . Extensive consolidation in the left upper lobe and left lower lobes are unchanged and consistent with patient 's known cancer . There has been an interval increase in the opacity in the right middle lobe which could be secondary to worsening malignancy or atelectasis . There has been an interval increase in the left lower lobe focal opacity likely secondary to atelectasis . IMPRESSION : Small right apical pneumothorax post biopsy . These findings were discussed with Dr . ___ at 1:40pm by Dr . ___ by telephone on the day of the exam .", + "entities": { + "1": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "2": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "apical", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "4": { + "tokens": "pneumothorax", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "5": { + "tokens": "Extensive", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "located_at", + "9" + ], + [ + "located_at", + "12" + ], + [ + "suggestive_of", + "14" + 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"label": "OBS-DP", + "start_ix": 123, + "end_ix": 123, + "relations": [ + [ + "located_at", + "35" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18012429/s57174730.txt": { + "text": "FINAL REPORT INDICATION : Fever , question pneumonia . COMPARISON : Chest radiograph on ___ . FINDINGS : A left PICC line has been removed . Again seen is the extensive consolidation involving the left lung and right upper lobe , without significant change since ___ , and consistent with disseminated adenocarcinoma . No pneumothoax . Heart not well evaluated . IMPRESSION : Extensive consolidation involving the left lung and right upper lobe , without significant change since ___ , and consistent with disseminated adenocarcinoma .", + "entities": { + "1": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 19, + "end_ix": 19, + "relations": [] + }, + "2": { + "tokens": "PICC", + "label": "OBS-DA", + "start_ix": 20, + "end_ix": 20, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "line", + "label": "OBS-DA", + "start_ix": 21, + "end_ix": 21, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "4": { + "tokens": "extensive", + "label": "OBS-DP", + "start_ix": 30, + "end_ix": 30, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "located_at", + "7" + ], + [ + "suggestive_of", + "12" + ] + ] + }, + "6": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [] + }, + "8": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "9": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "11": { + "tokens": "disseminated", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "adenocarcinoma", + "label": "OBS-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [] + }, + "13": { + "tokens": "pneumothoax", + "label": "OBS-DA", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "14": { + "tokens": "Heart", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [] + }, + "15": { + "tokens": "not well evaluated", + "label": "OBS-DP", + "start_ix": 57, + "end_ix": 59, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "Extensive", + "label": "OBS-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "17": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "located_at", + "19" + ], + [ + "located_at", + "22" + ], + [ + "suggestive_of", + "26" + ] + ] + }, + "18": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [] + }, + "20": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "21": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "23": { + "tokens": "significant", + "label": "OBS-DA", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "24": { + "tokens": "change", + "label": "OBS-DA", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "25": { + "tokens": "disseminated", + "label": "OBS-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "26": { + "tokens": "adenocarcinoma", + "label": "OBS-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18012429/s56346117.txt": { + "text": "FINAL REPORT PA AND LATERAL VIEWS OF THE CHEST REASON FOR EXAM : Low grade fever in patient with known lung cancer . Comparison is made with prior study of ___ , chest CT ___ . Cardiomediastinal contours are normal . Extensive consolidation in the left upper lobe and left lower lobe are unchanged consistent with patient 's known cancer . Right upper lobe and right lower lobe opacities have increased . These could be due to worsening malignancy or worsening pneumonia . Right lower lobe lung nodule is better seen in prior CT . Left lower lobe opacities have mildly improved . There is no pleural effusion or pneumothorax .", + "entities": { + "1": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [] + }, + "2": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [ + [ + "modify", + "1" + ] + ] + }, + "3": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "4": { + "tokens": "Extensive", + "label": "OBS-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "located_at", + "8" + ], + [ + "located_at", + "11" + ], + [ + "suggestive_of", + "13" + ] + ] + }, + "6": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "7": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "9": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "10": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "11": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [] + }, + "12": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "13": { + "tokens": "cancer", + "label": "OBS-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [] + }, + "14": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "15": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [] + }, + "17": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "18": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [] + }, + "20": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "located_at", + "16" + ], + [ + "located_at", + "19" + ], + [ + "suggestive_of", + "23" + ], + [ + "suggestive_of", + "25" + ] + ] + }, + "21": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "22": { + "tokens": "worsening", + "label": "OBS-U", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "23": { + "tokens": "malignancy", + "label": "OBS-U", + "start_ix": 78, + "end_ix": 78, + "relations": [] + }, + "24": { + "tokens": "worsening", + "label": "OBS-U", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "25": { + "tokens": "pneumonia", + "label": "OBS-U", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "26": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "27": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "28": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "modify", + "29" + ] + ] + }, + "29": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [] + }, + "30": { + "tokens": "nodule", + "label": "OBS-DP", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "located_at", + "29" + ] + ] + }, + "31": { + "tokens": "Left", + "label": "ANAT-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "32": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "33": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 97, + "end_ix": 97, + "relations": [] + }, + "34": { + "tokens": "opacities", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "located_at", + "33" + ] + ] + }, + "35": { + "tokens": "mildly", + "label": "OBS-DP", + "start_ix": 100, + "end_ix": 100, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "36": { + "tokens": "improved", + "label": "OBS-DP", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "modify", + "34" + ] + ] + }, + "37": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 106, + "end_ix": 106, + "relations": [] + }, + "38": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 107, + "end_ix": 107, + "relations": [ + [ + "located_at", + "37" + ] + ] + }, + "39": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 109, + "end_ix": 109, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p18/p18012429/s50714419.txt": { + "text": "FINAL REPORT INDICATION : ___ - year - old man status post right lung biopsy , presents for evaluation . COMPARISON : Chest radiograph from ___ performed at 12:08p.m. , ___ , ___ . TECHNIQUE : PA and lateral radiographs of the chest . FINDINGS : Again seen is a small right apical pneumothorax , unchanged compared to the prior exam . Extensive consolidation in the left upper lobe and left lower lobes are unchanged and consistent with patient 's known cancer . The right middle lobe opacity could be secondary to worsening malignancy or atelectasis and appears increased since the study from ___ . The cardiomediastinal contours are stable . IMPRESSION : Unchanged small right apical pneumothorax .", + "entities": { + "1": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "2": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "apical", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "4": { + "tokens": "pneumothorax", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "5": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "6": { + "tokens": "Extensive", + "label": "OBS-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "consolidation", + "label": "OBS-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "located_at", + "10" + ], + [ + "located_at", + "13" + ], + [ + "suggestive_of", + "15" + ] + ] + }, + "8": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "9": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [] + }, + "11": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "lobes", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [] + }, + "14": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "15": { + "tokens": "cancer", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "16": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "17": { + "tokens": "middle", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [ + [ + "modify", + "18" + ] + ] + }, + "18": { + "tokens": "lobe", + "label": "ANAT-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [] + }, + "19": { + "tokens": "opacity", + "label": "OBS-DP", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "located_at", + "18" + ], + [ + "suggestive_of", + "22" + ], + [ + "suggestive_of", + "23" + ] + ] + }, + "20": { + "tokens": "secondary", + "label": "OBS-U", + "start_ix": 90, + "end_ix": 90, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "21": { + "tokens": "worsening", + "label": "OBS-U", + "start_ix": 92, + "end_ix": 92, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "malignancy", + "label": "OBS-U", + "start_ix": 93, + "end_ix": 93, + "relations": [] + }, + "23": { + "tokens": "atelectasis", + "label": "OBS-U", + "start_ix": 95, + "end_ix": 95, + "relations": [] + }, + "24": { + "tokens": "increased", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "25": { + "tokens": "cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 106, + "end_ix": 106, + "relations": [] + }, + "26": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 107, + "end_ix": 107, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "27": { + "tokens": "stable", + "label": "OBS-DP", + "start_ix": 109, + "end_ix": 109, + "relations": [ + [ + "located_at", + "25" + ] + ] + }, + "28": { + "tokens": "Unchanged", + "label": "OBS-DP", + "start_ix": 113, + "end_ix": 113, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "29": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 114, + "end_ix": 114, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "30": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 115, + "end_ix": 115, + "relations": [ + [ + "modify", + "31" + ] + ] + }, + "31": { + "tokens": "apical", + "label": "ANAT-DP", + "start_ix": 116, + "end_ix": 116, + "relations": [] + }, + "32": { + "tokens": "pneumothorax", + "label": "OBS-DP", + "start_ix": 117, + "end_ix": 117, + "relations": [ + [ + "located_at", + "31" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15005501/s56051830.txt": { + "text": "FINAL REPORT INDICATION : ___ M with MM and ANC - 0 p / w fevers , evaluate for pneumonia . TECHNIQUE : Chest PA and lateral COMPARISON : Chest x - ray ___ . FINDINGS : The cardiomediastinal contours are within normal limits . The bilateral hila are unremarkable . The lungs are clear without focal consolidation . There is no evidence of pulmonary vascular congestion . There is no pneumothorax or pleural effusion . IMPRESSION : No acute cardiopulmonary process .", + "entities": { + "1": { + "tokens": "cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "2": { + "tokens": "contours", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "1" + ] + ] + }, + "3": { + "tokens": "within", + "label": "OBS-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "4": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "5": { + "tokens": "limits", + "label": "OBS-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "6": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "7": { + "tokens": "hila", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "8": { + "tokens": "unremarkable", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "located_at", + "7" + ] + ] + }, + "9": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "10": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 57, + "end_ix": 57, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "13": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "vascular", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [] + }, + "15": { + "tokens": "congestion", + "label": "OBS-DA", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 71, + "end_ix": 71, + "relations": [] + }, + "17": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [] + }, + "18": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "located_at", + "17" + ] + ] + }, + "19": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "modify", + "21" + ] + ] + }, + "20": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [] + }, + "21": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "located_at", + "20" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15005501/s59526909.txt": { + "text": "FINAL REPORT INDICATION : ___ yo man with a history of multiple myeloma now sp auto transplant . PICC line not drawing . Please evaluate for placement . / / ___ yo man with a history of multiple myeloma now sp auto transplant . PICC line not drawing . Please evaluate for placement . TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph from ___ FINDINGS : The lungs are fully expanded and clear . Cardiomediastinal and hilar silhouettes are normal . Pleural surfaces are normal . The left PICC line is stable in terminates at the cavoatrial junction . IMPRESSION : Left PICC line is stable and in appropriate position . No acute cardiopulmonary process .", + "entities": { + "1": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [] + }, + "2": { + "tokens": "fully", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "expanded", + "label": "OBS-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "4": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "5": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [] + }, + "6": { + "tokens": "hilar", + "label": "ANAT-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [] + }, + "7": { + "tokens": "silhouettes", + "label": "ANAT-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "modify", + "5" + ], + [ + "modify", + "6" + ] + ] + }, + "8": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "located_at", + "5" + ], + [ + "located_at", + "6" + ] + ] + }, + "9": { + "tokens": "Pleural", + "label": "ANAT-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [] + }, + "10": { + "tokens": "surfaces", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "11": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "12": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 89, + "end_ix": 89, + "relations": [] + }, + "13": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 90, + "end_ix": 90, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "14": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "located_at", + "12" + ], + [ + "located_at", + "16" + ] + ] + }, + "15": { + "tokens": "stable", + "label": "OBS-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "14" + ] + ] + }, + "16": { + "tokens": "cavoatrial", + "label": "ANAT-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [] + }, + "17": { + "tokens": "junction", + "label": "ANAT-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "18": { + "tokens": "Left", + "label": "ANAT-DP", + "start_ix": 103, + "end_ix": 103, + "relations": [] + }, + "19": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 104, + "end_ix": 104, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "20": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 105, + "end_ix": 105, + "relations": [ + [ + "located_at", + "18" + ] + ] + }, + "21": { + "tokens": "stable", + "label": "OBS-DP", + "start_ix": 107, + "end_ix": 107, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "22": { + "tokens": "appropriate", + "label": "OBS-DP", + "start_ix": 110, + "end_ix": 110, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "23": { + "tokens": "position", + "label": "OBS-DP", + "start_ix": 111, + "end_ix": 111, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "24": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 114, + "end_ix": 114, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "25": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 115, + "end_ix": 115, + "relations": [] + }, + "26": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 116, + "end_ix": 116, + "relations": [ + [ + "located_at", + "25" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15005501/s54469606.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with multiple myeloma / / new hypoxia , evaluate for PNA COMPARISON : Chest x - ray from ___ 18 : 26 FINDINGS : Lordotic positioning . Again seen is a right subclavian line , with tip over distal SVC . No pneumothorax is detected . There is probable mild cardiomegaly , without significant interval change . There is upper zone redistribution , but no overt CHF . Possible minimal retrocardiac atelectasis . Otherwise , no focal infiltrate , consolidation , or gross effusion . Incidental note is made of bilateral cervical ribs . There is pseudoarticulation of the right cervical rib . IMPRESSION : 1 . Mild cardiomegaly , unchanged . 2 . Upper zone redistribution , without overt CHF . No focal infiltrate or effusion . No pneumothorax detected . 3 . Bilateral cervical ribs noted .", + "entities": { + "1": { + "tokens": "Lordotic", + "label": "OBS-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [] + }, + "2": { + "tokens": "positioning", + "label": "OBS-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "modify", + "1" + ] + ] + }, + "3": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "subclavian", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [] + }, + "5": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "located_at", + "4" + ] + ] + }, + "6": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "modify", + "5" + ], + [ + "located_at", + "8" + ] + ] + }, + "7": { + "tokens": "distal", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [] + }, + "9": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 57, + "end_ix": 57, + "relations": [] + }, + "10": { + "tokens": "mild", + "label": "OBS-U", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "modify", + "11" + ] + ] + }, + "11": { + "tokens": "cardiomegaly", + "label": "OBS-U", + "start_ix": 65, + "end_ix": 65, + "relations": [] + }, + "12": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "zone", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [] + }, + "14": { + "tokens": "redistribution", + "label": "OBS-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "15": { + "tokens": "overt", + "label": "OBS-DA", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "CHF", + "label": "OBS-DA", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "17": { + "tokens": "minimal", + "label": "OBS-U", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "18": { + "tokens": "retrocardiac", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "19": { + "tokens": "atelectasis", + "label": "OBS-U", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "located_at", + "18" + ] + ] + }, + "20": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "modify", + "21" + ] + ] + }, + "21": { + "tokens": "infiltrate", + "label": "OBS-DA", + "start_ix": 92, + "end_ix": 92, + "relations": [] + }, + "22": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 94, + "end_ix": 94, + "relations": [] + }, + "23": { + "tokens": "gross", + "label": "OBS-DA", + "start_ix": 97, + "end_ix": 97, + "relations": [ + [ + "modify", + "24" + ] + ] + }, + "24": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 98, + "end_ix": 98, + "relations": [] + }, + "25": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 105, + "end_ix": 105, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "26": { + "tokens": "cervical", + "label": "ANAT-DP", + "start_ix": 106, + "end_ix": 106, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "27": { + "tokens": "ribs", + "label": "ANAT-DP", + "start_ix": 107, + "end_ix": 107, + "relations": [] + }, + "28": { + "tokens": "pseudoarticulation", + "label": "OBS-DP", + "start_ix": 111, + "end_ix": 111, + "relations": [ + [ + "located_at", + "31" + ] + ] + }, + "29": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 114, + "end_ix": 114, + "relations": [ + [ + "modify", + "31" + ] + ] + }, + "30": { + "tokens": "cervical", + "label": "ANAT-DP", + "start_ix": 115, + "end_ix": 115, + "relations": [ + [ + "modify", + "31" + ] + ] + }, + "31": { + "tokens": "rib", + "label": "ANAT-DP", + "start_ix": 116, + "end_ix": 116, + "relations": [] + }, + "32": { + "tokens": "Mild", + "label": "OBS-U", + "start_ix": 122, + "end_ix": 122, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "33": { + "tokens": "cardiomegaly", + "label": "OBS-U", + "start_ix": 123, + "end_ix": 123, + "relations": [] + }, + "34": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 125, + "end_ix": 125, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "35": { + "tokens": "Upper", + "label": "ANAT-DP", + "start_ix": 129, + "end_ix": 129, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "36": { + "tokens": "zone", + "label": "ANAT-DP", + "start_ix": 130, + "end_ix": 130, + "relations": [] + }, + "37": { + "tokens": "redistribution", + "label": "OBS-DP", + "start_ix": 131, + "end_ix": 131, + "relations": [ + [ + "located_at", + "36" + ] + ] + }, + "38": { + "tokens": "overt", + "label": "OBS-DA", + "start_ix": 134, + "end_ix": 134, + "relations": [ + [ + "modify", + "39" + ] + ] + }, + "39": { + "tokens": "CHF", + "label": "OBS-DA", + "start_ix": 135, + "end_ix": 135, + "relations": [ + [ + "located_at", + "36" + ] + ] + }, + "40": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 138, + "end_ix": 138, + "relations": [ + [ + "modify", + "41" + ] + ] + }, + "41": { + "tokens": "infiltrate", + "label": "OBS-DA", + "start_ix": 139, + "end_ix": 139, + "relations": [] + }, + "42": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 141, + "end_ix": 141, + "relations": [] + }, + "43": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 144, + "end_ix": 144, + "relations": [] + }, + "44": { + "tokens": "Bilateral", + "label": "ANAT-DP", + "start_ix": 149, + "end_ix": 149, + "relations": [ + [ + "modify", + "46" + ] + ] + }, + "45": { + "tokens": "cervical", + "label": "ANAT-DP", + "start_ix": 150, + "end_ix": 150, + "relations": [ + [ + "modify", + "46" + ] + ] + }, + "46": { + "tokens": "ribs", + "label": "ANAT-DP", + "start_ix": 151, + "end_ix": 151, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15005501/s51353768.txt": { + "text": "FINAL REPORT INDICATION : ___ year old man with hx of myeloma . Confusion with new neutropenia . Please further evaluation / / ___ year old man with hx of myeloma . Confusion with new neutropenia . Please further evaluation TECHNIQUE : PA and lateral views the chest . COMPARISON : ___ . FINDINGS : The lungs are clear . The cardiomediastinal silhouette is within normal limits . Incidentally noted are bilateral cervical ribs . No acute osseous abnormality identified . IMPRESSION : No acute cardiopulmonary process .", + "entities": { + "1": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [] + }, + "2": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "3": { + "tokens": "cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 61, + "end_ix": 61, + "relations": [] + }, + "4": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "5": { + "tokens": "within", + "label": "OBS-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "6": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "7": { + "tokens": "limits", + "label": "OBS-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "8": { + "tokens": "bilateral", + "label": "ANAT-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "9": { + "tokens": "cervical", + "label": "ANAT-DP", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "ribs", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [] + }, + "11": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "osseous", + "label": "ANAT-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "13": { + "tokens": "abnormality", + "label": "OBS-DA", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "15": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "16": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "located_at", + "15" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15005501/s52721839.txt": { + "text": "FINAL REPORT INDICATION : ___ M with seizure and immunocompromised on chemotherapy . / / ? pneumonia TECHNIQUE : PA and lateral views of the chest . COMPARISON : None . FINDINGS : The lungs are clear . There is no focal consolidation or effusion . Cardiomediastinal silhouette is within normal limits . Bilateral cervical ribs are incidentally noted . IMPRESSION : No acute cardiopulmonary process .", + "entities": { + "1": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [] + }, + "2": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "3": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 42, + "end_ix": 42, + "relations": [] + }, + "5": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 44, + "end_ix": 44, + "relations": [] + }, + "6": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [] + }, + "7": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 47, + "end_ix": 47, + "relations": [ + [ + "modify", + "6" + ] + ] + }, + "8": { + "tokens": "within", + "label": "OBS-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "located_at", + "6" + ] + ] + }, + "10": { + "tokens": "limits", + "label": "OBS-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "11": { + "tokens": "Bilateral", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "cervical", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "ribs", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "14": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "15": { + "tokens": "cardiopulmonary", + "label": "ANAT-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "16": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "located_at", + "15" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15005501/s53887580.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ M with presyncope . Evaluate for infection . TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiographs of ___ and ___ . FINDINGS : The right PICC line tip projects in the region of the cavoatrial junction . There is no focal consolidation , pleural effusion , or pneumothorax . Cardiomediastinal silhouette is unremarkable . IMPRESSION : No focal consolidation concerning for pneumonia . Right PICC terminates at the cavoatrial junction .", + "entities": { + "1": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "2": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "located_at", + "1" + ] + ] + }, + "3": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "4": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "modify", + "2" + ], + [ + "located_at", + "5" + ] + ] + }, + "5": { + "tokens": "cavoatrial", + "label": "ANAT-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [] + }, + "6": { + "tokens": "junction", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "7": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 56, + "end_ix": 56, + "relations": [] + }, + "9": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [] + }, + "10": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 62, + "end_ix": 62, + "relations": [] + }, + "12": { + "tokens": "Cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "13": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "14": { + "tokens": "unremarkable", + "label": "OBS-DP", + "start_ix": 67, + "end_ix": 67, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "15": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 72, + "end_ix": 72, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 73, + "end_ix": 73, + "relations": [ + [ + "suggestive_of", + "17" + ] + ] + }, + "17": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 76, + "end_ix": 76, + "relations": [] + }, + "18": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "19": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "located_at", + "20" + ] + ] + }, + "20": { + "tokens": "cavoatrial", + "label": "ANAT-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [] + }, + "21": { + "tokens": "junction", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "20" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15005501/s53269520.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with multiple myeloma , currently day + 7 autotransplant with neutropenic fever / / eval for pneumonia TECHNIQUE : Chest single view COMPARISON : ___ FINDINGS : Venous catheter tip mid SVC . Decreased heart size , pulmonary vascularity . Cervical accessory ribs . Lungs clear . No pleural fluid . IMPRESSION : No infiltrates .", + "entities": { + "1": { + "tokens": "Venous", + "label": "OBS-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "catheter", + "label": "OBS-DP", + "start_ix": 43, + "end_ix": 43, + "relations": [] + }, + "3": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "2" + ], + [ + "located_at", + "5" + ] + ] + }, + "4": { + "tokens": "mid", + "label": "ANAT-DP", + "start_ix": 45, + "end_ix": 45, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [] + }, + "6": { + "tokens": "Decreased", + "label": "OBS-DP", + "start_ix": 48, + "end_ix": 48, + "relations": [ + [ + "located_at", + "7" + ], + [ + "located_at", + "9" + ] + ] + }, + "7": { + "tokens": "heart", + "label": "ANAT-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [] + }, + "8": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [ + [ + "modify", + "7" + ] + ] + }, + "9": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "10": { + "tokens": "vascularity", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "Cervical", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "12": { + "tokens": "accessory", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "ribs", + "label": "ANAT-DP", + "start_ix": 57, + "end_ix": 57, + "relations": [] + }, + "14": { + "tokens": "Lungs", + "label": "ANAT-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [] + }, + "15": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [] + }, + "17": { + "tokens": "fluid", + "label": "OBS-DA", + "start_ix": 64, + "end_ix": 64, + "relations": [ + [ + "located_at", + "16" + ] + ] + }, + "18": { + "tokens": "infiltrates", + "label": "OBS-DA", + "start_ix": 69, + "end_ix": 69, + "relations": [] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15005501/s57651699.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ M with AMS COMPARISON : Prior exam is dated ___ FINDINGS : PA and lateral views of the chest provided . A left upper extremity access PICC line is again seen with its tip in the low SVC . The lungs are clear bilaterally without focal consolidation , large effusion or pneumothorax . No signs of congestion or edema . The cardiomediastinal silhouette appears normal . The imaged bony structures are intact . No free air is seen below the right hemidiaphragm . IMPRESSION : PICC line positioned appropriately . No acute intrathoracic process .", + "entities": { + "1": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "2": { + "tokens": "upper", + "label": "ANAT-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "3": { + "tokens": "extremity", + "label": "ANAT-DP", + "start_ix": 37, + "end_ix": 37, + "relations": [] + }, + "4": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "6": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 46, + "end_ix": 46, + "relations": [ + [ + "modify", + "5" + ], + [ + "located_at", + "8" + ] + ] + }, + "7": { + "tokens": "low", + "label": "ANAT-DP", + "start_ix": 49, + "end_ix": 49, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "SVC", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 50, + "relations": [] + }, + "9": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [] + }, + "10": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "bilaterally", + "label": "ANAT-DP", + "start_ix": 56, + "end_ix": 56, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "12": { + "tokens": "focal", + "label": "OBS-DA", + "start_ix": 58, + "end_ix": 58, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "14": { + "tokens": "large", + "label": "OBS-DA", + "start_ix": 61, + "end_ix": 61, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "15": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 62, + "end_ix": 62, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "16": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "17": { + "tokens": "congestion", + "label": "OBS-DA", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "18": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "19": { + "tokens": "cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [] + }, + "20": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "21": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [ + [ + "located_at", + "19" + ] + ] + }, + "22": { + "tokens": "bony", + "label": "ANAT-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "23": { + "tokens": "structures", + "label": "ANAT-DP", + "start_ix": 82, + "end_ix": 82, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "24": { + "tokens": "intact", + "label": "OBS-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "located_at", + "22" + ] + ] + }, + "25": { + "tokens": "free", + "label": "OBS-DA", + "start_ix": 87, + "end_ix": 87, + "relations": [ + [ + "modify", + "26" + ] + ] + }, + "26": { + "tokens": "air", + "label": "OBS-DA", + "start_ix": 88, + "end_ix": 88, + "relations": [ + [ + "located_at", + "29" + ] + ] + }, + "27": { + "tokens": "below", + "label": "ANAT-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "modify", + "29" + ] + ] + }, + "28": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "29" + ] + ] + }, + "29": { + "tokens": "hemidiaphragm", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [] + }, + "30": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "modify", + "31" + ] + ] + }, + "31": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [] + }, + "32": { + "tokens": "positioned", + "label": "OBS-DP", + "start_ix": 100, + "end_ix": 100, + "relations": [ + [ + "modify", + "31" + ] + ] + }, + "33": { + "tokens": "appropriately", + "label": "OBS-DP", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "modify", + "32" + ] + ] + }, + "34": { + "tokens": "acute", + "label": "OBS-DA", + "start_ix": 104, + "end_ix": 104, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "35": { + "tokens": "intrathoracic", + "label": "ANAT-DP", + "start_ix": 105, + "end_ix": 105, + "relations": [] + }, + "36": { + "tokens": "process", + "label": "OBS-DA", + "start_ix": 106, + "end_ix": 106, + "relations": [ + [ + "located_at", + "35" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15005501/s56022932.txt": { + "text": "FINAL REPORT INDICATION : PICC line placement TECHNIQUE : Chest PA and lateral COMPARISON : ___ FINDINGS : PICC line in situ at the cavoatrial junction . The cardiomediastinal shadow is normal . No airspace consolidation . No pulmonary edema . No pleural effusion . No pneumothorax . IMPRESSION : Right - sided PICC line in situ with the tip at the cavoatrial junction .", + "entities": { + "1": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 18, + "end_ix": 18, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 19, + "end_ix": 19, + "relations": [ + [ + "located_at", + "3" + ] + ] + }, + "3": { + "tokens": "cavoatrial", + "label": "ANAT-DP", + "start_ix": 24, + "end_ix": 24, + "relations": [] + }, + "4": { + "tokens": "junction", + "label": "ANAT-DP", + "start_ix": 25, + "end_ix": 25, + "relations": [ + [ + "modify", + "3" + ] + ] + }, + "5": { + "tokens": "cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 28, + "end_ix": 28, + "relations": [] + }, + "6": { + "tokens": "shadow", + "label": "ANAT-DP", + "start_ix": 29, + "end_ix": 29, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "7": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 31, + "end_ix": 31, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "8": { + "tokens": "airspace", + "label": "ANAT-DP", + "start_ix": 34, + "end_ix": 34, + "relations": [] + }, + "9": { + "tokens": "consolidation", + "label": "OBS-DA", + "start_ix": 35, + "end_ix": 35, + "relations": [ + [ + "located_at", + "8" + ] + ] + }, + "10": { + "tokens": "pulmonary", + "label": "ANAT-DP", + "start_ix": 38, + "end_ix": 38, + "relations": [] + }, + "11": { + "tokens": "edema", + "label": "OBS-DA", + "start_ix": 39, + "end_ix": 39, + "relations": [ + [ + "located_at", + "10" + ] + ] + }, + "12": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [] + }, + "13": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 43, + "end_ix": 43, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 46, + "end_ix": 46, + "relations": [] + }, + "15": { + "tokens": "Right - sided", + "label": "ANAT-DP", + "start_ix": 50, + "end_ix": 52, + "relations": [] + }, + "16": { + "tokens": "PICC", + "label": "OBS-DP", + "start_ix": 53, + "end_ix": 53, + "relations": [ + [ + "modify", + "17" + ] + ] + }, + "17": { + "tokens": "line", + "label": "OBS-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "located_at", + "15" + ] + ] + }, + "18": { + "tokens": "tip", + "label": "OBS-DP", + "start_ix": 59, + "end_ix": 59, + "relations": [ + [ + "modify", + "17" + ], + [ + "located_at", + "19" + ] + ] + }, + "19": { + "tokens": "cavoatrial", + "label": "ANAT-DP", + "start_ix": 62, + "end_ix": 62, + "relations": [] + }, + "20": { + "tokens": "junction", + "label": "ANAT-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [ + [ + "modify", + "19" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15001233/s53301121.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman pacemaker generator change with old RV lead capped . A new RV lead was placed via axillary vein . / / r / o pneumothorax s / p placement of RV pacemaker lead via left axillary vein r / o pneumothorax s / p placement of RV pacemaker lead via left axillary vein IMPRESSION : Compared to chest radiograph ___ . New transvenous right ventricular pacer lead . Orphaned right ventricular lead separated and CT from the generator . Right atrial lead unchanged in position . No mediastinal widening , pneumothorax or pleural effusion . 2 small areas of irregular opacification project over the anterior right third rib and interspaces . I would recommend conventional chest radiographs supplemented by shallow oblique views . Radiologists should be consulted before the patient leaves the department to see if additional imaging is necessary . Aside from a calcified granuloma in the left lower lung , the lungs Are otherwise clear . Heart size normal . No pleural abnormality . RECOMMENDATION ( S ) : Conventional PA , lateral , shallow oblique chest radiographs should be shown to radiologist before the patient leaves the department .", + "entities": { + "1": { + "tokens": "New", + "label": "OBS-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "2": { + "tokens": "transvenous", + "label": "OBS-DP", + "start_ix": 77, + "end_ix": 77, + "relations": [] + }, + "3": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "ventricular", + "label": "ANAT-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [] + }, + "5": { + "tokens": "pacer", + "label": "OBS-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [] + }, + "6": { + "tokens": "lead", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [ + [ + "modify", + "2" + ], + [ + "located_at", + "4" + ], + [ + "modify", + "5" + ] + ] + }, + "7": { + "tokens": "Orphaned", + "label": "OBS-DP", + "start_ix": 83, + "end_ix": 83, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "8": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 84, + "end_ix": 84, + "relations": [ + [ + "modify", + "9" + ] + ] + }, + "9": { + "tokens": "ventricular", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "10": { + "tokens": "lead", + "label": "OBS-DP", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "Right", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "modify", + "12" + ] + ] + }, + "12": { + "tokens": "atrial", + "label": "ANAT-DP", + "start_ix": 95, + "end_ix": 95, + "relations": [] + }, + "13": { + "tokens": "lead", + "label": "OBS-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "located_at", + "12" + ] + ] + }, + "14": { + "tokens": "unchanged", + "label": "OBS-DP", + "start_ix": 97, + "end_ix": 97, + "relations": [ + [ + "modify", + "15" + ] + ] + }, + "15": { + "tokens": "position", + "label": "OBS-DP", + "start_ix": 99, + "end_ix": 99, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "16": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 102, + "end_ix": 102, + "relations": [] + }, + "17": { + "tokens": "widening", + "label": "OBS-DA", + "start_ix": 103, + "end_ix": 103, + "relations": [ + [ + "located_at", + "16" + ] + ] + }, + "18": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 105, + "end_ix": 105, + "relations": [] + }, + "19": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 107, + "end_ix": 107, + "relations": [] + }, + "20": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 108, + "end_ix": 108, + "relations": [ + [ + "located_at", + "19" + ] + ] + }, + "21": { + "tokens": "small", + "label": "OBS-DP", + "start_ix": 111, + "end_ix": 111, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "22": { + "tokens": "irregular", + "label": "OBS-DP", + "start_ix": 114, + "end_ix": 114, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "23": { + "tokens": "opacification", + "label": "OBS-DP", + "start_ix": 115, + "end_ix": 115, + "relations": [ + [ + "located_at", + "27" + ], + [ + "located_at", + "28" + ] + ] + }, + "24": { + "tokens": "anterior", + "label": "ANAT-DP", + "start_ix": 119, + "end_ix": 119, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "25": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 120, + "end_ix": 120, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "26": { + "tokens": "third", + "label": "ANAT-DP", + "start_ix": 121, + "end_ix": 121, + "relations": [ + [ + "modify", + "27" + ] + ] + }, + "27": { + "tokens": "rib", + "label": "ANAT-DP", + "start_ix": 122, + "end_ix": 122, + "relations": [] + }, + "28": { + "tokens": "interspaces", + "label": "ANAT-DP", + "start_ix": 124, + "end_ix": 124, + "relations": [] + }, + "29": { + "tokens": "calcified", + "label": "OBS-DP", + "start_ix": 159, + "end_ix": 159, + "relations": [ + [ + "modify", + "30" + ] + ] + }, + "30": { + "tokens": "granuloma", + "label": "OBS-DP", + "start_ix": 160, + "end_ix": 160, + "relations": [ + [ + "located_at", + "33" + ] + ] + }, + "31": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 163, + "end_ix": 163, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "32": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 164, + "end_ix": 164, + "relations": [ + [ + "modify", + "33" + ] + ] + }, + "33": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 165, + "end_ix": 165, + "relations": [] + }, + "34": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 168, + "end_ix": 168, + "relations": [] + }, + "35": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 171, + "end_ix": 171, + "relations": [ + [ + "located_at", + "34" + ] + ] + }, + "36": { + "tokens": "Heart", + "label": "ANAT-DP", + "start_ix": 173, + "end_ix": 173, + "relations": [] + }, + "37": { + "tokens": "size", + "label": "ANAT-DP", + "start_ix": 174, + "end_ix": 174, + "relations": [ + [ + "modify", + "36" + ] + ] + }, + "38": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 175, + "end_ix": 175, + "relations": [ + [ + "located_at", + "36" + ] + ] + }, + "39": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 178, + "end_ix": 178, + "relations": [] + }, + "40": { + "tokens": "abnormality", + "label": "OBS-DA", + "start_ix": 179, + "end_ix": 179, + "relations": [ + [ + "located_at", + "39" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15001233/s55068499.txt": { + "text": "FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON : None . CLINICAL HISTORY : Altered mental status , question pneumonia . FINDINGS : PA and lateral views of the chest provided demonstrate a dual - lead pacemaker projecting over the left chest wall with leads extending to the region of the right atrium and right ventricle . The lungs appear clear without signs of pneumonia or CHF . A hyperdense nodular structure overlying the left lower lung could represent a calcified granuloma . No effusion or pneumothorax is seen . The cardiomediastinal silhouette is normal . Bony structures are intact . There is no free air below the right hemidiaphragm . IMPRESSION : No acute findings .", + "entities": { + "1": { + "tokens": "dual - lead", + "label": "OBS-DP", + "start_ix": 33, + "end_ix": 35, + "relations": [ + [ + "modify", + "2" + ] + ] + }, + "2": { + "tokens": "pacemaker", + "label": "OBS-DP", + "start_ix": 36, + "end_ix": 36, + "relations": [ + [ + "located_at", + "4" + ] + ] + }, + "3": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 40, + "end_ix": 40, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "4": { + "tokens": "chest", + "label": "ANAT-DP", + "start_ix": 41, + "end_ix": 41, + "relations": [] + }, + "5": { + "tokens": "wall", + "label": "ANAT-DP", + "start_ix": 42, + "end_ix": 42, + "relations": [ + [ + "modify", + "4" + ] + ] + }, + "6": { + "tokens": "leads", + "label": "OBS-DP", + "start_ix": 44, + "end_ix": 44, + "relations": [ + [ + "modify", + "2" + ], + [ + "located_at", + "8" + ], + [ + "located_at", + "10" + ] + ] + }, + "7": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 51, + "end_ix": 51, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "atrium", + "label": "ANAT-DP", + "start_ix": 52, + "end_ix": 52, + "relations": [] + }, + "9": { + "tokens": "right", + "label": "ANAT-DP", + "start_ix": 54, + "end_ix": 54, + "relations": [ + [ + "modify", + "10" + ] + ] + }, + "10": { + "tokens": "ventricle", + "label": "ANAT-DP", + "start_ix": 55, + "end_ix": 55, + "relations": [] + }, + "11": { + "tokens": "lungs", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [] + }, + "12": { + "tokens": "clear", + "label": "OBS-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "located_at", + "11" + ] + ] + }, + "13": { + "tokens": "pneumonia", + "label": "OBS-DA", + "start_ix": 64, + "end_ix": 64, + "relations": [] + }, + "14": { + "tokens": "CHF", + "label": "OBS-DA", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "15": { + "tokens": "hyperdense", + "label": "OBS-DP", + "start_ix": 69, + "end_ix": 69, + "relations": [ + [ + "modify", + "16" + ] + ] + }, + "16": { + "tokens": "nodular", + "label": "OBS-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "suggestive_of", + "22" + ] + ] + }, + "17": { + "tokens": "structure", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "modify", + "16" + ], + [ + "located_at", + "20" + ] + ] + }, + "18": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "modify", + "19" + ] + ] + }, + "19": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 75, + "end_ix": 75, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "20": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 76, + "end_ix": 76, + "relations": [] + }, + "21": { + "tokens": "calcified", + "label": "OBS-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "granuloma", + "label": "OBS-DP", + "start_ix": 81, + "end_ix": 81, + "relations": [] + }, + "23": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 84, + "end_ix": 84, + "relations": [] + }, + "24": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 86, + "end_ix": 86, + "relations": [] + }, + "25": { + "tokens": "cardiomediastinal", + "label": "ANAT-DP", + "start_ix": 91, + "end_ix": 91, + "relations": [] + }, + "26": { + "tokens": "silhouette", + "label": "ANAT-DP", + "start_ix": 92, + "end_ix": 92, + "relations": [ + [ + "modify", + "25" + ] + ] + }, + "27": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [ + [ + "located_at", + "25" + ] + ] + }, + "28": { + "tokens": "Bony", + "label": "ANAT-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [] + }, + "29": { + "tokens": "structures", + "label": "ANAT-DP", + "start_ix": 97, + "end_ix": 97, + "relations": [ + [ + "modify", + "28" + ] + ] + }, + "30": { + "tokens": "intact", + "label": "OBS-DP", + "start_ix": 99, + "end_ix": 99, 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}, + "data_source": "MIMIC-CXR", + "data_split": "dev" + }, + "p15/p15001233/s54924087.txt": { + "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman s / p new RV lead placement and gen change . / / Assess leads placement and r / o PTx . Assess leads placement and r / o PTx . IMPRESSION : Compared to prior chest radiographs ___ and ___ . Lungs are hyperinflated , suggesting emphysema . Pulmonary vasculature is normal . Calcified granuloma or breast calcification projects over the left lower lung . There is no pleural effusion , pneumothorax or mediastinal widening . One atrial and 2 ventricular leads , one detached , follow their expected courses from the left pectoral generator .", + "entities": { + "1": { + "tokens": "Lungs", + "label": "ANAT-DP", + "start_ix": 58, + "end_ix": 58, + "relations": [] + }, + "2": { + "tokens": "hyperinflated", + "label": "OBS-DP", + "start_ix": 60, + "end_ix": 60, + "relations": [ + [ + "located_at", + "1" + ], + [ + "suggestive_of", + "3" + ] + ] + }, + "3": { + "tokens": "emphysema", + "label": "OBS-DP", + "start_ix": 63, + "end_ix": 63, + "relations": [] + }, + "4": { + "tokens": "Pulmonary", + "label": "ANAT-DP", + "start_ix": 65, + "end_ix": 65, + "relations": [ + [ + "modify", + "5" + ] + ] + }, + "5": { + "tokens": "vasculature", + "label": "ANAT-DP", + "start_ix": 66, + "end_ix": 66, + "relations": [] + }, + "6": { + "tokens": "normal", + "label": "OBS-DP", + "start_ix": 68, + "end_ix": 68, + "relations": [ + [ + "located_at", + "5" + ] + ] + }, + "7": { + "tokens": "Calcified", + "label": "OBS-DP", + "start_ix": 70, + "end_ix": 70, + "relations": [ + [ + "modify", + "8" + ] + ] + }, + "8": { + "tokens": "granuloma", + "label": "OBS-DP", + "start_ix": 71, + "end_ix": 71, + "relations": [ + [ + "located_at", + "13" + ] + ] + }, + "9": { + "tokens": "breast", + "label": "ANAT-DP", + "start_ix": 73, + "end_ix": 73, + "relations": [] + }, + "10": { + "tokens": "calcification", + "label": "OBS-DP", + "start_ix": 74, + "end_ix": 74, + "relations": [ + [ + "located_at", + "9" + ] + ] + }, + "11": { + "tokens": "left", + "label": "ANAT-DP", + "start_ix": 78, + "end_ix": 78, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "12": { + "tokens": "lower", + "label": "ANAT-DP", + "start_ix": 79, + "end_ix": 79, + "relations": [ + [ + "modify", + "13" + ] + ] + }, + "13": { + "tokens": "lung", + "label": "ANAT-DP", + "start_ix": 80, + "end_ix": 80, + "relations": [] + }, + "14": { + "tokens": "pleural", + "label": "ANAT-DP", + "start_ix": 85, + "end_ix": 85, + "relations": [] + }, + "15": { + "tokens": "effusion", + "label": "OBS-DA", + "start_ix": 86, + "end_ix": 86, + "relations": [ + [ + "located_at", + "14" + ] + ] + }, + "16": { + "tokens": "pneumothorax", + "label": "OBS-DA", + "start_ix": 88, + "end_ix": 88, + "relations": [] + }, + "17": { + "tokens": "mediastinal", + "label": "ANAT-DP", + "start_ix": 90, + "end_ix": 90, + "relations": [] + }, + "18": { + "tokens": "widening", + "label": "OBS-DA", + "start_ix": 91, + "end_ix": 91, + "relations": [ + [ + "located_at", + "17" + ] + ] + }, + "19": { + "tokens": "One", + "label": "ANAT-DP", + "start_ix": 93, + "end_ix": 93, + "relations": [ + [ + "modify", + "20" + ] + ] + }, + "20": { + "tokens": "atrial", + "label": "ANAT-DP", + "start_ix": 94, + "end_ix": 94, + "relations": [] + }, + "21": { + "tokens": "2", + "label": "ANAT-DP", + "start_ix": 96, + "end_ix": 96, + "relations": [ + [ + "modify", + "22" + ] + ] + }, + "22": { + "tokens": "ventricular", + "label": "ANAT-DP", + "start_ix": 97, + "end_ix": 97, + "relations": [] + }, + "23": { + "tokens": "leads", + "label": "OBS-DP", + "start_ix": 98, + "end_ix": 98, + "relations": [ + [ + "located_at", + "20" + ], + [ + "located_at", + "22" + ] + ] + }, + "24": { + "tokens": "one", + "label": "OBS-DP", + "start_ix": 100, + "end_ix": 100, + "relations": [ + [ + "modify", + "23" + ] + ] + }, + "25": { + "tokens": "detached", + "label": "OBS-DP", + "start_ix": 101, + "end_ix": 101, + "relations": [ + [ + "modify", + "24" + ] + ] + } + }, + "data_source": "MIMIC-CXR", + "data_split": "dev" + } +} \ No newline at end of file