{ "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 . Slight interval improvement in widespread airspace opacities .", "entities": { "1": { "tokens": "interval", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "placement", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 42, "end_ix": 44, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "5": { "tokens": "tube", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "tip", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "5" ], [ "located_at", "8" ] ] }, "7": { "tokens": "midline", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "9": { "tokens": "sidehole", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "marker", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [] }, "11": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "12": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "interval", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "16": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "soft tissue", "label": "ANAT-DP", "start_ix": 95, "end_ix": 96, "relations": [] }, "18": { "tokens": "gas", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "soft tissue", "label": "ANAT-DP", "start_ix": 102, "end_ix": 103, "relations": [] }, "21": { "tokens": "gas", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "20" ], [ "located_at", "22" ], [ "located_at", "26" ] ] }, "22": { "tokens": "pectoralis", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "23": { "tokens": "muscles", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "22" ] ] }, "25": { "tokens": "right", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "27": { "tokens": "tissues", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "support", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "29" ], [ "modify", "30" ] ] }, "29": { "tokens": "lines", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "30": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "31": { "tokens": "stable", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "29" ], [ "modify", "30" ] ] }, "32": { "tokens": "Interval", "label": "OBS-DP", "start_ix": 132, "end_ix": 132, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "placement", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "36" ] ] }, "34": { "tokens": "right", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 137, "end_ix": 137, "relations": [] }, "36": { "tokens": "tube", "label": "OBS-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "apparent", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "modify", "40" ] ] }, "38": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "41" ] ] }, "39": { "tokens": "in", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [] }, "40": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 144, "end_ix": 146, "relations": [] }, "41": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "Slight", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "interval", "label": "OBS-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "47" ] ] }, "45": { "tokens": "widespread", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "modify", "47" ] ] }, "46": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 154, "end_ix": 154, "relations": [] }, "47": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "located_at", "46" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "dev", "reviewed": { "entities": { "1": { "tokens": "interval", "label": "OBS-DP", "start_ix": 225, "end_ix": 233, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "placement", "label": "OBS-DP", "start_ix": 234, "end_ix": 243, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 249, "end_ix": 262, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 263, "end_ix": 268, "relations": [] }, "5": { "tokens": "tube", "label": "OBS-DP", "start_ix": 269, "end_ix": 273, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "tip", "label": "OBS-DP", "start_ix": 280, "end_ix": 283, "relations": [ [ "modify", "5" ], [ "located_at", "8" ] ] }, "7": { "tokens": "midline", "label": "ANAT-DP", "start_ix": 308, "end_ix": 315, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 316, "end_ix": 327, "relations": [] }, "9": { "tokens": "sidehole", "label": "OBS-DA", "start_ix": 334, "end_ix": 342, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "marker", "label": "OBS-DA", "start_ix": 343, "end_ix": 349, "relations": [] }, "11": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 385, "end_ix": 394, "relations": [] }, "12": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 395, "end_ix": 404, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "interval", "label": "OBS-DP", "start_ix": 441, "end_ix": 449, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 450, "end_ix": 461, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 465, "end_ix": 477, "relations": [] }, "16": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 551, "end_ix": 560, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "soft tissue", "label": "ANAT-DP", "start_ix": 561, "end_ix": 572, "relations": [] }, "18": { "tokens": "gas", "label": "OBS-DP", "start_ix": 573, "end_ix": 576, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 593, "end_ix": 602, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "soft tissue", "label": "ANAT-DP", "start_ix": 603, "end_ix": 614, "relations": [] }, "21": { "tokens": "gas", "label": "OBS-DP", "start_ix": 615, "end_ix": 618, "relations": [ [ "located_at", "20" ], [ "located_at", "22" ], [ "located_at", "26" ] ] }, "22": { "tokens": "pectoralis", "label": "ANAT-DP", "start_ix": 633, "end_ix": 643, "relations": [] }, "23": { "tokens": "muscles", "label": "ANAT-DP", "start_ix": 644, "end_ix": 651, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 652, "end_ix": 663, "relations": [ [ "modify", "22" ] ] }, "25": { "tokens": "right", "label": "ANAT-DP", "start_ix": 677, "end_ix": 682, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 683, "end_ix": 695, "relations": [] }, "27": { "tokens": "tissues", "label": "ANAT-DP", "start_ix": 696, "end_ix": 703, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "lines", "label": "OBS-DP", "start_ix": 731, "end_ix": 736, "relations": [ [ "modify", "29" ], [ "modify", "30" ] ] }, "29": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 741, "end_ix": 746, "relations": [] }, "30": { "tokens": "stable", "label": "OBS-DP", "start_ix": 751, "end_ix": 757, "relations": [] }, "31": { "tokens": "placement", "label": "OBS-DP", "start_ix": 796, "end_ix": 805, "relations": [ [ "modify", "29" ], [ "modify", "30" ] ] }, "32": { "tokens": "right", "label": "ANAT-DP", "start_ix": 811, "end_ix": 816, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 817, "end_ix": 822, "relations": [ [ "modify", "36" ] ] }, "34": { "tokens": "tube", "label": "OBS-DP", "start_ix": 823, "end_ix": 827, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "apparent", "label": "ANAT-DP", "start_ix": 835, "end_ix": 843, "relations": [] }, "36": { "tokens": "in", "label": "OBS-DP", "start_ix": 856, "end_ix": 858, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 859, "end_ix": 872, "relations": [ [ "modify", "40" ] ] }, "38": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 873, "end_ix": 885, "relations": [ [ "modify", "41" ] ] }, "39": { "tokens": "Slight", "label": "OBS-DP", "start_ix": 888, "end_ix": 894, "relations": [] }, "40": { "tokens": "interval", "label": "OBS-DP", "start_ix": 895, "end_ix": 903, "relations": [] }, "41": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 904, "end_ix": 915, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "widespread", "label": "OBS-DP", "start_ix": 919, "end_ix": 929, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 930, "end_ix": 938, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 939, "end_ix": 948, "relations": [ [ "modify", "47" ] ] } } } }, "p15/p15003878/s56836141.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH TECHNIQUE : AP semi - erect upright chest view was read in comparison to prior radiograph from ___ . 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 . Multiple rib fractures are redemonstrated .", "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "7.4 cm", "label": "ANAT-DP", "start_ix": 29, "end_ix": 30, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "5": { "tokens": "clavicular", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "head", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "7": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "9": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "low", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "tube", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "14" ] ] }, "12": { "tokens": "below", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "15": { "tokens": "distal", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "end", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "11" ] ] }, "17": { "tokens": "Lower", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "19": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "presumed", "label": "OBS-U", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "23" ] ] }, "21": { "tokens": "small", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "23": { "tokens": "effusions", "label": "OBS-U", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "19" ], [ "modify", "23" ] ] }, "25": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "26": { "tokens": "size", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "28": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "29": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "27" ], [ "modify", "28" ] ] }, "30": { "tokens": "stable", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "25" ], [ "located_at", "27" ], [ "located_at", "28" ] ] }, "31": { "tokens": "Multiple", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "33" ] ] }, "32": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "33": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "32" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "dev", "reviewed": { "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 142, "end_ix": 154, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 155, "end_ix": 159, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "7.4 cm", "label": "ANAT-DP", "start_ix": 179, "end_ix": 185, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 195, "end_ix": 201, "relations": [] }, "5": { "tokens": "clavicular", "label": "ANAT-DP", "start_ix": 233, "end_ix": 243, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "head", "label": "ANAT-DP", "start_ix": 244, "end_ix": 248, "relations": [ [ "modify", "3" ] ] }, "7": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 307, "end_ix": 316, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 317, "end_ix": 321, "relations": [] }, "9": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 322, "end_ix": 329, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "low", "label": "OBS-DP", "start_ix": 337, "end_ix": 340, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "tube", "label": "OBS-DP", "start_ix": 357, "end_ix": 361, "relations": [ [ "located_at", "14" ] ] }, "12": { "tokens": "below", "label": "ANAT-DP", "start_ix": 379, "end_ix": 384, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 389, "end_ix": 398, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 408, "end_ix": 415, "relations": [] }, "15": { "tokens": "distal", "label": "OBS-DA", "start_ix": 432, "end_ix": 438, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "end", "label": "OBS-DA", "start_ix": 439, "end_ix": 442, "relations": [ [ "modify", "11" ] ] }, "17": { "tokens": "Lower", "label": "ANAT-DP", "start_ix": 475, "end_ix": 480, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 481, "end_ix": 485, "relations": [] }, "19": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 486, "end_ix": 497, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "presumed", "label": "OBS-U", "start_ix": 502, "end_ix": 510, "relations": [ [ "modify", "23" ] ] }, "21": { "tokens": "small", "label": "OBS-U", "start_ix": 511, "end_ix": 516, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 517, "end_ix": 524, "relations": [] }, "23": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 539, "end_ix": 548, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 593, "end_ix": 598, "relations": [ [ "modify", "19" ], [ "modify", "23" ] ] }, "25": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 622, "end_ix": 627, "relations": [] }, "26": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 628, "end_ix": 636, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "stable", "label": "OBS-DP", "start_ix": 641, "end_ix": 647, "relations": [] }, "28": { "tokens": "Multiple", "label": "OBS-DP", "start_ix": 650, "end_ix": 658, "relations": [] }, "29": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 659, "end_ix": 662, "relations": [ [ "modify", "27" ], [ "modify", "28" ] ] } } } }, "p15/p15003878/s55982972.txt": { "text": "FINAL REPORT INDICATION : Status post surgery , intubated , please evaluate for pneumothorax . 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 . These findings were discussed with Dr . ___ ___ at 1p.m. on ___ by telephone .", "entities": { "1": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "2": { "tokens": "more", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "widened", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "manubrium", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "5": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "7": { "tokens": "bleed", "label": "OBS-U", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "tube", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "5 cm", "label": "ANAT-DP", "start_ix": 69, "end_ix": 70, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "12": { "tokens": "low", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "13" ] ] }, "13": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "14": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "new", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "20" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "19": { "tokens": "linear", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "18" ], [ "suggestive_of", "21" ] ] }, "21": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 89, "end_ix": 89, "relations": [] }, "22": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [] }, "23": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "24": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [] }, "26": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "28": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "widening", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "31" ] ] }, "31": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "32": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "33": { "tokens": "bleed", "label": "OBS-U", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "32" ] ] }, "34": { "tokens": "manubrium", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [] }, "35": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "suggestive_of", "33" ], [ "located_at", "34" ] ] }, "36": { "tokens": "New", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "40" ] ] }, "37": { "tokens": "right", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "39" ] ] }, "38": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [] }, "40": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "39" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "dev", "reviewed": { "entities": { "1": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 254, "end_ix": 265, "relations": [] }, "2": { "tokens": "more", "label": "OBS-DP", "start_ix": 269, "end_ix": 273, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "manubrium", "label": "ANAT-DP", "start_ix": 305, "end_ix": 314, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 315, "end_ix": 323, "relations": [] }, "5": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 351, "end_ix": 362, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 371, "end_ix": 383, "relations": [] }, "7": { "tokens": "tube", "label": "OBS-DP", "start_ix": 384, "end_ix": 388, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "5 cm", "label": "ANAT-DP", "start_ix": 394, "end_ix": 398, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 408, "end_ix": 414, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "low", "label": "OBS-DP", "start_ix": 427, "end_ix": 430, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 436, "end_ix": 443, "relations": [] }, "12": { "tokens": "new", "label": "OBS-DP", "start_ix": 448, "end_ix": 451, "relations": [ [ "located_at", "13" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 452, "end_ix": 457, "relations": [] }, "14": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 458, "end_ix": 461, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 462, "end_ix": 466, "relations": [ [ "modify", "20" ] ] }, "16": { "tokens": "linear", "label": "OBS-DP", "start_ix": 467, "end_ix": 473, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 474, "end_ix": 481, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 504, "end_ix": 515, "relations": [] }, "19": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 533, "end_ix": 542, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 548, "end_ix": 555, "relations": [ [ "located_at", "18" ], [ "suggestive_of", "21" ] ] }, "21": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 586, "end_ix": 595, "relations": [] }, "22": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 596, "end_ix": 604, "relations": [] }, "23": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 605, "end_ix": 615, "relations": [] }, "24": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 687, "end_ix": 698, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "bleed", "label": "OBS-U", "start_ix": 699, "end_ix": 704, "relations": [] }, "26": { "tokens": "manubrium", "label": "ANAT-DP", "start_ix": 748, "end_ix": 757, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 758, "end_ix": 766, "relations": [] }, "28": { "tokens": "New", "label": "OBS-DP", "start_ix": 773, "end_ix": 776, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "right", "label": "ANAT-DP", "start_ix": 777, "end_ix": 782, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 783, "end_ix": 786, "relations": [ [ "located_at", "31" ] ] }, "31": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 787, "end_ix": 791, "relations": [] }, "32": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 792, "end_ix": 803, "relations": [] } } } }, "p15/p15003878/s55991257.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : MVC with multiple rib fractures . 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", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "10": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "13": { "tokens": "tube", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "position", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "13" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [] }, "17": { "tokens": "Small", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "21" ] ] }, "18": { "tokens": "mild", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "left", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "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 . Findings were discussed with Dr . ___ at 10:20p.m. in person .", "entities": { "1": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "4" ] ] }, "3": { "tokens": "soft tissue", "label": "ANAT-DP", "start_ix": 42, "end_ix": 43, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "gas", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "9" ] ] }, "5": { "tokens": "pectoral", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "muscles", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "7": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "tissues", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "11": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 64, "end_ix": 66, "relations": [] }, "13": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "15": { "tokens": "markings", "label": "OBS-U", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "not well appreciated", "label": "OBS-DP", "start_ix": 72, "end_ix": 74, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "19": { "tokens": "gas", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "suggestive_of", "16" ], [ "located_at", "18" ] ] }, "20": { "tokens": "left", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "base", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "22": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "discrepancy", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "24" ] ] }, "24": { "tokens": "size", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "28": { "tokens": "larger", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "trachea", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "30": { "tokens": "midline", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "shift", "label": "OBS-DA", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "34" ] ] }, "32": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "33": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "32" ] ] }, "34": { "tokens": "tension", "label": "OBS-DA", "start_ix": 121, "end_ix": 121, "relations": [] }, "35": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "36": { "tokens": "tube", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "35" ] ] }, "37": { "tokens": "in place", "label": "OBS-DP", "start_ix": 127, "end_ix": 128, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "tip", "label": "OBS-DP", "start_ix": 132, "end_ix": 132, "relations": [ [ "modify", "36" ], [ "located_at", "39" ] ] }, "39": { "tokens": "5 cm", "label": "ANAT-DP", "start_ix": 134, "end_ix": 135, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [] }, "41": { "tokens": "orogastric", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "tube", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [] }, "43": { "tokens": "tip", "label": "OBS-U", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "42" ] ] }, "44": { "tokens": "it", "label": "OBS-U", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "43" ], [ "located_at", "46" ] ] }, "45": { "tokens": "below", "label": "ANAT-DP", "start_ix": 157, "end_ix": 157, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 162, "end_ix": 162, "relations": [] }, "47": { "tokens": "left", "label": "ANAT-DP", "start_ix": 167, "end_ix": 167, "relations": [ [ "modify", "48" ] ] }, "48": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 168, "end_ix": 168, "relations": [] }, "49": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "located_at", "48" ] ] }, "50": { "tokens": "tip", "label": "OBS-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "49" ], [ "located_at", "52" ] ] }, "51": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 176, "end_ix": 176, "relations": [ [ "modify", "52" ] ] }, "52": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 177, "end_ix": 177, "relations": [] }, "53": { "tokens": "Right - sided", "label": "ANAT-DP", "start_ix": 181, "end_ix": 183, "relations": [] }, "54": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 184, "end_ix": 184, "relations": [ [ "located_at", "53" ] ] }, "55": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 186, "end_ix": 186, "relations": [ [ "modify", "57" ] ] }, "56": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 187, "end_ix": 187, "relations": [] }, "57": { "tokens": "gas", "label": "OBS-DP", "start_ix": 188, "end_ix": 188, "relations": [ [ "located_at", "56" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "dev", "reviewed": { "entities": { "1": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 243, "end_ix": 252, "relations": [ [ "located_at", "4" ] ] }, "2": { "tokens": "soft tissue", "label": "ANAT-DP", "start_ix": 253, "end_ix": 264, "relations": [] }, "3": { "tokens": "gas", "label": "OBS-DP", "start_ix": 265, "end_ix": 268, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "pectoral", "label": "ANAT-DP", "start_ix": 283, "end_ix": 291, "relations": [ [ "located_at", "9" ] ] }, "5": { "tokens": "muscles", "label": "ANAT-DP", "start_ix": 292, "end_ix": 299, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 325, "end_ix": 337, "relations": [] }, "7": { "tokens": "tissues", "label": "ANAT-DP", "start_ix": 338, "end_ix": 345, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 353, "end_ix": 358, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 381, "end_ix": 394, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 395, "end_ix": 407, "relations": [] }, "11": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 410, "end_ix": 414, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "markings", "label": "OBS-U", "start_ix": 415, "end_ix": 423, "relations": [] }, "13": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 456, "end_ix": 465, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 466, "end_ix": 478, "relations": [] }, "15": { "tokens": "gas", "label": "OBS-DP", "start_ix": 479, "end_ix": 482, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 496, "end_ix": 500, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "discrepancy", "label": "OBS-DP", "start_ix": 527, "end_ix": 538, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "size", "label": "ANAT-DP", "start_ix": 551, "end_ix": 555, "relations": [] }, "19": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 563, "end_ix": 568, "relations": [ [ "suggestive_of", "16" ], [ "located_at", "18" ] ] }, "20": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 586, "end_ix": 590, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "larger", "label": "OBS-DP", "start_ix": 601, "end_ix": 607, "relations": [] }, "22": { "tokens": "trachea", "label": "ANAT-DP", "start_ix": 614, "end_ix": 621, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "midline", "label": "OBS-DP", "start_ix": 625, "end_ix": 632, "relations": [ [ "located_at", "24" ] ] }, "24": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 678, "end_ix": 688, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "tension", "label": "OBS-DA", "start_ix": 700, "end_ix": 707, "relations": [] }, "26": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 713, "end_ix": 725, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "tube", "label": "OBS-DP", "start_ix": 726, "end_ix": 730, "relations": [] }, "28": { "tokens": "tip", "label": "OBS-DP", "start_ix": 754, "end_ix": 757, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "5 cm", "label": "ANAT-DP", "start_ix": 772, "end_ix": 776, "relations": [] }, "30": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 799, "end_ix": 805, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "orogastric", "label": "OBS-DP", "start_ix": 811, "end_ix": 821, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "34" ] ] }, "32": { "tokens": "tube", "label": "OBS-DP", "start_ix": 822, "end_ix": 826, "relations": [] }, "33": { "tokens": "tip", "label": "OBS-U", "start_ix": 842, "end_ix": 845, "relations": [ [ "modify", "32" ] ] }, "34": { "tokens": "it", "label": "OBS-U", "start_ix": 865, "end_ix": 867, "relations": [] }, "35": { "tokens": "below", "label": "ANAT-DP", "start_ix": 871, "end_ix": 876, "relations": [] }, "36": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 894, "end_ix": 903, "relations": [ [ "modify", "35" ] ] }, "37": { "tokens": "left", "label": "ANAT-DP", "start_ix": 917, "end_ix": 921, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 922, "end_ix": 932, "relations": [ [ "modify", "36" ], [ "located_at", "39" ] ] }, "39": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 933, "end_ix": 941, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "tip", "label": "OBS-DP", "start_ix": 953, "end_ix": 956, "relations": [] }, "41": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 964, "end_ix": 969, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 970, "end_ix": 973, "relations": [] }, "43": { "tokens": "Right - sided", "label": "ANAT-DP", "start_ix": 989, "end_ix": 1002, "relations": [ [ "modify", "42" ] ] }, "44": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 1003, "end_ix": 1015, "relations": [ [ "modify", "43" ], [ "located_at", "46" ] ] }, "45": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 1021, "end_ix": 1030, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 1031, "end_ix": 1043, "relations": [] }, "47": { "tokens": "gas", "label": "OBS-DP", "start_ix": 1044, "end_ix": 1047, "relations": [ [ "modify", "48" ] ] } } } }, "p15/p15003878/s55391601.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Followup pneumothorax . 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 . Extensive subcutaneous gas in the chest wall bilaterally is unchanged .", "entities": { "1": { "tokens": "ET", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "2" ], [ "located_at", "5" ] ] }, "4": { "tokens": "6.6 cm above", "label": "ANAT-DP", "start_ix": 41, "end_ix": 43, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "6": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "8": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "tip", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "8" ], [ "located_at", "12" ] ] }, "10": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "13": { "tokens": "NG", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "tube", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "15": { "tokens": "tip", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "14" ], [ "located_at", "16" ] ] }, "16": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "17": { "tokens": "low", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "18" ] ] }, "18": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "19": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "21": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "20" ] ] }, "23": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "24": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "increased", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "24" ], [ "suggestive_of", "27" ] ] }, "26": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "28": { "tokens": "left", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "23" ] ] }, "29": { "tokens": "greater than", "label": "OBS-DP", "start_ix": 89, "end_ix": 90, "relations": [ [ "modify", "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" ] ] }, "8": { "tokens": "clavicle", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "6 cm above", "label": "ANAT-DP", "start_ix": 49, "end_ix": 51, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "13": { "tokens": "line", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "12" ], [ "located_at", "17" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "15": { "tokens": "upper", "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" ] ] }, "37": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "38": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "37" ] ] }, "39": { "tokens": "stable", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "located_at", "37" ] ] }, "40": { "tokens": "Subcutaneous", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "41": { "tokens": "emphysema", "label": "OBS-U", "start_ix": 128, "end_ix": 128, "relations": [ [ "located_at", "40" ], [ "located_at", "44" ], [ "located_at", "46" ] ] }, "42": { "tokens": "along", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "41" ] ] }, "43": { "tokens": "right", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "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": "ANAT-DP", "start_ix": 17, "end_ix": 17, "relations": [] }, "8": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "9": { "tokens": "IJ", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "located_at", "8" ], [ "located_at", "12" ] ] }, "11": { "tokens": "central", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [] }, "14": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 28, "end_ix": 28, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 30, "end_ix": 30, "relations": [] }, "16": { "tokens": "Mediastinum", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "17": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "18": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "16" ], [ "located_at", "17" ] ] }, "19": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "21": { "tokens": "edema", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "stable", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "tube", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "25": { "tokens": "tip", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "24" ], [ "located_at", "27" ] ] }, "26": { "tokens": "2.3 cm above", "label": "ANAT-DP", "start_ix": 78, "end_ix": 80, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "28": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "tube", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "30": { "tokens": "tip", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "29" ], [ "located_at", "31" ] ] }, "31": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "32": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "33": { "tokens": "internal jugular", "label": "OBS-DP", "start_ix": 94, "end_ix": 95, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "line", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "32" ] ] }, "35": { "tokens": "tip", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "34" ], [ "located_at", "37" ] ] }, "36": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "38": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "39": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 113, "end_ix": 113, "relations": [ [ "located_at", "38" ] ] }, "40": { "tokens": "pneumothorax .", "label": "OBS-DA", "start_ix": 115, "end_ix": 116, "relations": [] }, "41": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "42": { "tokens": "size", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "41" ] ] }, "43": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "44": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "41" ], [ "located_at", "43" ] ] }, "45": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "46": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "47": { "tokens": "widening", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "located_at", "46" ] ] }, "48": { "tokens": "Interstitial", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] }, "50": { "tokens": "edema", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "49" ] ] }, "51": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "50" ] ] }, "52": { "tokens": "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": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "23": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "22" ] ] }, "25": { "tokens": "acute", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "27": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "Pneumomediastinum", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "29": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "30": { "tokens": "gas", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "29" ], [ "located_at", "32" ], [ "located_at", "34" ] ] }, "31": { "tokens": "right", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "33": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "32" ] ] }, "34": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "35": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "34" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "dev", "reviewed": { "entities": {} } }, "p10/p10003299/s50536653.txt": { "text": "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 - procedural", "label": "OBS-DA", "start_ix": 155, "end_ix": 157, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 158, "end_ix": 158, "relations": [] }, "30": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 162, "end_ix": 162, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 163, "end_ix": 163, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 164, "end_ix": 164, "relations": [] }, "33": { "tokens": "infiltrate", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "37" ], [ "suggestive_of", "38" ] ] }, "34": { "tokens": "minor", "label": "ANAT-DP", "start_ix": 168, "end_ix": 168, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "fissure", "label": "ANAT-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "modify", "32" ] ] }, "36": { "tokens": "infectious", "label": "OBS-U", "start_ix": 183, "end_ix": 183, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "process", "label": "OBS-U", "start_ix": 184, "end_ix": 184, "relations": [] }, "38": { "tokens": "malignancy", "label": "OBS-U", "start_ix": 187, "end_ix": 187, "relations": [] }, "39": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 195, "end_ix": 195, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 196, "end_ix": 196, "relations": [] }, "41": { "tokens": "nodules", "label": "OBS-DP", "start_ix": 197, "end_ix": 197, "relations": [ [ "located_at", "40" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "dev" }, "p18/p18012429/s50784640.txt": { "text": "FINAL REPORT INDICATION : ___ - 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", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "8": { "tokens": "improved", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "areation", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "12": { "tokens": "increased", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "14" ], [ "suggestive_of", "18" ], [ "suggestive_of", "23" ] ] }, "13": { "tokens": "area", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "17" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "17": { "tokens": "base", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "dissemination", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "known", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "adenocarcinoma", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "21": { "tokens": "underlying", "label": "OBS-U", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "infectious", "label": "OBS-U", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "process", "label": "OBS-U", "start_ix": 115, "end_ix": 115, "relations": [] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 124, "end_ix": 124, "relations": [] }, "25": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "26": { "tokens": "cannot be evaluated", "label": "OBS-DP", "start_ix": 128, "end_ix": 130, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "28" ], [ "suggestive_of", "32" ], [ "suggestive_of", "37" ] ] }, "28": { "tokens": "density", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "31" ] ] }, "29": { "tokens": "right", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "31": { "tokens": "base", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "30" ] ] }, "32": { "tokens": "increased", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "disseminated", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "adenocarcinoma", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [] }, "35": { "tokens": "underlying", "label": "OBS-U", "start_ix": 157, "end_ix": 157, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "infectious", "label": "OBS-U", "start_ix": 158, "end_ix": 158, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "process", "label": "OBS-U", "start_ix": 159, "end_ix": 159, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "dev" }, "p18/p18012429/s59008059.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON : CT chest from ___ as well as a chest radiograph also from the same day . 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 . The overall appearance suggests severe worsening multifocal pneumonia superimposed on known malignancy .", "entities": { "1": { "tokens": "Nearly", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "complete", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "5" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "6": { "tokens": "large", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "area", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "10" ] ] }, "9": { "tokens": "inferior", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "segment", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "14": { "tokens": "more", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "patchy", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "18" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "19": { "tokens": "similar", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "8" ], [ "modify", "15" ], [ "modify", "20" ] ] }, "20": { "tokens": "appearance", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "21": { "tokens": "Widespread", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "24" ], [ "located_at", "25" ] ] }, "23": { "tokens": "left", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "26" ] ] }, "24": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "27": { "tokens": "increasingly", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "dense", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "22" ] ] }, "29": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 124, "end_ix": 124, "relations": [] }, "30": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "31": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "30" ] ] }, "32": { "tokens": "stable", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "located_at", "30" ] ] }, "33": { "tokens": "Similar", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "alveolar", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "38" ], [ "modify", "44" ] ] }, "36": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "inferior", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "segment", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "modify", "41" ] ] }, "39": { "tokens": "right", "label": "ANAT-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "41" ] ] }, "40": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 146, "end_ix": 146, "relations": [] }, "42": { "tokens": "right", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 149, "end_ix": 149, "relations": [] }, "44": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [] }, "45": { "tokens": "increased", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "confluent", "label": "OBS-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "located_at", "49" ], [ "located_at", "50" ] ] }, "48": { "tokens": "left", "label": "ANAT-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "51" ] ] }, "49": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "51" ] ] }, "50": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 162, "end_ix": 162, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 163, "end_ix": 163, "relations": [] }, "52": { "tokens": "overall", "label": "OBS-DP", "start_ix": 166, "end_ix": 166, "relations": [ [ "modify", "53" ] ] }, "53": { "tokens": "appearance", "label": "OBS-DP", "start_ix": 167, "end_ix": 167, "relations": [ [ "suggestive_of", "57" ], [ "suggestive_of", "60" ] ] }, "54": { "tokens": "severe", "label": "OBS-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "modify", "55" ] ] }, "55": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 170, "end_ix": 170, "relations": [ [ "modify", "57" ] ] }, "56": { "tokens": "multifocal", "label": "OBS-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "modify", "57" ] ] }, "57": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 172, "end_ix": 172, "relations": [] }, "58": { "tokens": "superimposed", "label": "OBS-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "57" ] ] }, "59": { "tokens": "known", "label": "OBS-DP", "start_ix": 175, "end_ix": 175, "relations": [ [ "modify", "60" ] ] }, "60": { "tokens": "malignancy", "label": "OBS-DP", "start_ix": 176, "end_ix": 176, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "dev" }, "p18/p18012429/s51001738.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old man status post right lung biopsy , who presents for evaluation . 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" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lobes", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "6" ] ] }, "14": { "tokens": "cancer", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "15": { "tokens": "interval", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "increase", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "20" ], [ "suggestive_of", "23" ], [ "suggestive_of", "24" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "21": { "tokens": "secondary", "label": "OBS-U", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "worsening", "label": "OBS-U", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "malignancy", "label": "OBS-U", "start_ix": 96, "end_ix": 96, "relations": [] }, "24": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 98, "end_ix": 98, "relations": [] }, "25": { "tokens": "interval", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "increase", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "31" ] ] }, "27": { "tokens": "left", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "30": { "tokens": "focal", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "29" ], [ "suggestive_of", "32" ] ] }, "32": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 116, "end_ix": 116, "relations": [] }, "33": { "tokens": "Small", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "36" ] ] }, "34": { "tokens": "right", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "36": { "tokens": "pneumothorax", "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, "relations": [ [ "located_at", "28" ] ] }, "31": { "tokens": "free", "label": "OBS-DA", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "air", "label": "OBS-DA", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "35" ] ] }, "33": { "tokens": "below", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "right", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "36": { "tokens": "acute", "label": "OBS-DA", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "findings", "label": "OBS-DA", "start_ix": 115, "end_ix": 115, "relations": [] } }, "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" } }