{ "p18/p18004941/s58821758.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with SAH / / Fever workup Fever workup IMPRESSION : Compared to chest radiographs ___ . Patient has been extubated . Lungs are clear . Normal cardiomediastinal and hilar silhouettes and pleural surfaces .", "entities": { "1": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ], [ "located_at", "7" ] ] }, "4": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "5": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "6": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "8": { "tokens": "surfaces", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "7" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18004941/s58034164.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : History : ___ F with ett placement TECHNIQUE : Upright AP view of the chest COMPARISON : None . Patient is currently listed as EU critical . FINDINGS : Endotracheal tube tip terminates approximately a 4.6 cm from the carina . Enteric tube tip terminates within the distal esophagus and should be advanced by at least 11 cm . Heart size is normal . The mediastinal and hilar contours are grossly unremarkable . Pulmonary vasculature is not engorged . Apart from minimal atelectasis in the lung bases , the lungs appear clear . No large pleural effusion or pneumothorax is present though the extreme right apex is slightly obscured by the patient 's chin projecting over this area . No displaced fractures are present . No acute osseous abnormality is seen . Gaseous distension of the stomach is noted . IMPRESSION : 1 . Standard positioning of the endotracheal tube . 2 . Enteric tube tip is suboptimally located within the distal esophagus and should be advanced by at least 11 cm . Gaseous distention of the stomach is also noted . 3 . No focal consolidation .", "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "2" ], [ "located_at", "5" ] ] }, "4": { "tokens": "approximately a 4.6 cm", "label": "ANAT-DP", "start_ix": 44, "end_ix": 47, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "6": { "tokens": "Enteric", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "tube", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "8": { "tokens": "tip", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "7" ], [ "located_at", "10" ] ] }, "9": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "12": { "tokens": "advanced by at least 11 cm", "label": "OBS-DP", "start_ix": 63, "end_ix": 68, "relations": [ [ "modify", "8" ] ] }, "13": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "14": { "tokens": "size", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "normal", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "17": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "18": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "16" ], [ "modify", "17" ] ] }, "19": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "16" ], [ "located_at", "17" ] ] }, "21": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "22": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "engorged", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "21" ] ] }, "24": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "26" ] ] }, "26": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "27": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "29": { "tokens": "clear", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "large", "label": "OBS-DA", "start_ix": 105, "end_ix": 105, "relations": [] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "32": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 109, "end_ix": 109, "relations": [] }, "34": { "tokens": "extreme", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "right", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "37": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "36" ] ] }, "39": { "tokens": "patient 's chin", "label": "OBS-DP", "start_ix": 122, "end_ix": 124, "relations": [ [ "modify", "38" ] ] }, "40": { "tokens": "displaced", "label": "OBS-DA", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "fractures", "label": "OBS-DA", "start_ix": 132, "end_ix": 132, "relations": [] }, "42": { "tokens": "acute", "label": "OBS-DA", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [] }, "44": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "43" ] ] }, "45": { "tokens": "Gaseous", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "distension", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "located_at", "47" ] ] }, "47": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [] }, "48": { "tokens": "Standard", "label": "OBS-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "positioning", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "51" ] ] }, "50": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "tube", "label": "OBS-DP", "start_ix": 160, "end_ix": 160, "relations": [] }, "52": { "tokens": "Enteric", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "53" ] ] }, "53": { "tokens": "tube", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [] }, "54": { "tokens": "tip", "label": "OBS-DP", "start_ix": 166, "end_ix": 166, "relations": [ [ "modify", "53" ], [ "located_at", "56" ] ] }, "55": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 172, "end_ix": 172, "relations": [ [ "modify", "56" ] ] }, "56": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 173, "end_ix": 173, "relations": [] }, "57": { "tokens": "advanced by at least 11 cm", "label": "OBS-DP", "start_ix": 177, "end_ix": 182, "relations": [ [ "modify", "54" ] ] }, "58": { "tokens": "Gaseous", "label": "OBS-DP", "start_ix": 184, "end_ix": 184, "relations": [ [ "modify", "59" ] ] }, "59": { "tokens": "distention", "label": "OBS-DP", "start_ix": 185, "end_ix": 185, "relations": [ [ "located_at", "60" ] ] }, "60": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 188, "end_ix": 188, "relations": [] }, "61": { "tokens": "focal", "label": "OBS-DA", "start_ix": 196, "end_ix": 196, "relations": [ [ "modify", "62" ] ] }, "62": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 197, "end_ix": 197, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18004941/s57101461.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with OGT / / OGT placement OGT placement IMPRESSION : In comparison with the earlier study of this date , the nasogastric tube is been pushed forward so that the tip extends at least to the mid portion of the body of the stomach were crosses the lower margin of the image . The side - port is definitely distal to the esophagogastric junction . Otherwise little change .", "entities": { "1": { "tokens": "nasogastric", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "2" ], [ "located_at", "7" ] ] }, "4": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "portion", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "body", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "8": { "tokens": "The side - port", "label": "OBS-DP", "start_ix": 68, "end_ix": 71, "relations": [ [ "located_at", "10" ] ] }, "9": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "esophagogastric", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "11": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "Otherwise", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "13": { "tokens": "little", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "change", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18004941/s52289350.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman with OGT / / OGT placement TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph from ___ from earlier today FINDINGS : The lung volumes are stable . The mediastinal and hilar contours are normal . The pleural surfaces are normal . The ET tube terminates approximately 4.3 cm from the carina . The NG tube is still malpositioned and is located near the distal esophagus / esophagogastric junction . IMPRESSION : ET tube is in appropriate position . The enteric tube is still malpositioned and should be advanced approximately 12 cm .", "entities": { "1": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "stable", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "1" ] ] }, "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": "normal", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "9": { "tokens": "surfaces", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "ET", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "tube", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "13" ] ] }, "13": { "tokens": "4.3 cm", "label": "ANAT-DP", "start_ix": 56, "end_ix": 57, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "15": { "tokens": "NG", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "tube", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "18" ] ] }, "17": { "tokens": "malpositioned", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "near", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "19" ], [ "modify", "21" ] ] }, "19": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "21": { "tokens": "esophagogastric", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "22": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "ET", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "tube", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "25": { "tokens": "appropriate", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "position", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "24" ] ] }, "27": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "tube", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "29": { "tokens": "malpositioned", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "28" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18004941/s55426484.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with SAH in ICU . / / Interval pulm changes Interval pulm changes IMPRESSION : In comparison with the study of ___ , there is no change or evidence of acute cardiopulmonary disease . No pneumonia , vascular congestion , or pleural effusion . ___ sixth", "entities": { "1": { "tokens": "acute", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "3": { "tokens": "disease", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [] }, "5": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "6": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "7" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18004941/s55576421.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman with SAH , intubated / / serial exam TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph from ___ FINDINGS : The lung volumes are stable . The cardiomediastinal and hilar contours are normal . The pleural surfaces are normal . The ET tube terminates approximately 1.8 cm from the carina . The NG tube appears to be near the esophagogastric junction or barely in the proximal stomach and the side ports are approximately 12 cm from the mid stomach . IMPRESSION : ET tube is approximately 2 cm from the carina and should be withdrawn approximately 3 cm . NG tube is malpositioned and should be advanced approximately 12 cm .", "entities": { "1": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "stable", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "5": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "6": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "7": { "tokens": "normal", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "9": { "tokens": "surfaces", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "ET", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "12": { "tokens": "tube", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "11" ], [ "located_at", "14" ] ] }, "13": { "tokens": "approximately 1.8 cm", "label": "ANAT-DP", "start_ix": 54, "end_ix": 56, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "15": { "tokens": "NG", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "tube", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "18" ] ] }, "17": { "tokens": "near", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "esophagogastric", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "19": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "barely", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "23": { "tokens": "side ports", "label": "OBS-DP", "start_ix": 79, "end_ix": 80, "relations": [ [ "modify", "16" ], [ "located_at", "26" ] ] }, "24": { "tokens": "approximately 12 cm", "label": "ANAT-DP", "start_ix": 82, "end_ix": 84, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "27": { "tokens": "ET", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "tube", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "30" ] ] }, "29": { "tokens": "approximately 2 cm", "label": "ANAT-DP", "start_ix": 95, "end_ix": 97, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "31": { "tokens": "NG", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "32": { "tokens": "tube", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "malpositioned", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "32" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s57007000.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( AP AND LAT ) INDICATION : ___ M with increased seizure frequency / / eval for infiltrate COMPARISON : ___ P FINDINGS : AP supine and lateral views of the chest provided . Lung volumes are low . Allowing for this , no definite evidence of pneumonia or overt CHF . No supine evidence for effusion or pneumothorax . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . IMPRESSION : Limited , negative .", "entities": { "1": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "low", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [] }, "5": { "tokens": "overt", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "CHF", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [] }, "7": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [] }, "8": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [] }, "9": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "10": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "normal", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "13": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "intact", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "Limited", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "16": { "tokens": "negative", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s51239857.txt": { "text": "FINAL REPORT HISTORY : Fever . TECHNIQUE : Single AP view of the chest . COMPARISON : Chest radiograph ___ . FINDINGS : Low lung volumes are present . This accentuates the size of the cardiac silhouette which is mildly enlarged but unchanged . The mediastinal and hilar contours are stable . There is crowding of the bronchovascular structures but no pulmonary edema is demonstrated . Minimal patchy bibasilar opacities may reflect atelectasis though infection is difficult to exclude . No pleural effusion or pneumothorax is seen . No acute osseous abnormalities present . IMPRESSION : Low lung volumes . Patchy bibasilar opacities could reflect atelectasis but infection cannot be completely excluded . Repeat PA and lateral views with improved inspiratory effort may be helpful for further assessment of the lung bases .", "entities": { "1": { "tokens": "Low", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "This", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "1" ], [ "suggestive_of", "9" ] ] }, "5": { "tokens": "size", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "7": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "9": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "6" ] ] }, "10": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "6" ] ] }, "11": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "12": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "13": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "11" ], [ "modify", "12" ] ] }, "14": { "tokens": "stable", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "11" ], [ "located_at", "12" ] ] }, "15": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "16" ] ] }, "16": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "17": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "19": { "tokens": "edema", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "patchy", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "23": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "22" ], [ "suggestive_of", "24" ], [ "suggestive_of", "25" ] ] }, "24": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 72, "end_ix": 72, "relations": [] }, "25": { "tokens": "infection", "label": "OBS-U", "start_ix": 74, "end_ix": 74, "relations": [] }, "26": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "27": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [] }, "29": { "tokens": "acute", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "31": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "Low", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "33" ] ] }, "33": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "34": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "Patchy", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "37": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "36" ], [ "suggestive_of", "38" ], [ "suggestive_of", "39" ] ] }, "38": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 105, "end_ix": 105, "relations": [] }, "39": { "tokens": "infection", "label": "OBS-U", "start_ix": 107, "end_ix": 107, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s56557601.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Seizure disorder , leukocytosis , evaluation for pneumonia . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , there is no relevant change . Borderline size of the cardiac silhouette . No pneumonia , no pulmonary edema , no pleural effusions . No pneumothorax .", "entities": { "1": { "tokens": "Borderline", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "3" ] ] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "4": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "7": { "tokens": "edema", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "9": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s59630984.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with recent pneumonia . Patient continues having productive cough . / / F / U COMPARISON : ___ . IMPRESSION : As compared to the previous radiograph , a pre - existing left basal parenchymal opacity has completely cleared . No evidence of remnant opacities or of complications . Both the frontal and the lateral radiograph appear unremarkable . No pleural effusions . No pulmonary edema . Moderate scoliosis , causing asymmetry of the ribcage .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "3": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "opacity", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "remnant", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "opacities", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [] }, "7": { "tokens": "complications", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [] }, "8": { "tokens": "frontal", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "lateral", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "radiograph", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "11": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "13": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "15": { "tokens": "edema", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "suggestive_of", "18" ] ] }, "18": { "tokens": "asymmetry", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "19" ] ] }, "19": { "tokens": "ribcage", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s52532534.txt": { "text": "WET READ : ___ ___ ___ 9:28AM Mildly underinflated lungs , but no evidence of pneumonia . ______________________________________________________________________________ FINAL REPORT INDICATION : History : ___ M with fever , wbc count , non - verbal / / eval for PNA TECHNIQUE : Portable supine chest radiograph COMPARISON : ___ FINDINGS : The lungs are mildly underinflated , but largely clear . Heart size and mediastinal contours are normal . There is no pleural effusion or pneumothorax . Osseous structures are intact . IMPRESSION : Mildly underinflated lungs , but no evidence of pneumonia .", "entities": { "1": { "tokens": "Mildly", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "underinflated", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 9, "end_ix": 9, "relations": [] }, "4": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 15, "end_ix": 15, "relations": [] }, "5": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "6": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "underinflated", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "largely", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "clear", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "5" ] ] }, "10": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "11": { "tokens": "size", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "13": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "normal", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "10" ], [ "located_at", "12" ] ] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "18": { "tokens": "Osseous", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "19": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "intact", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "18" ] ] }, "21": { "tokens": "Mildly", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "underinflated", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "23" ] ] }, "23": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "24": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s51438902.txt": { "text": "FINAL REPORT INDICATION : ___ M with hx of MR with ___ / V , confusion / / r / o infiltrate TECHNIQUE : AP and lateral views of the chest . COMPARISON : Multiple prior chest x - rays dating back to ___ with most recent from ___ . FINDINGS : The lateral view is limited secondary to patient 's arms being down by his side . Best seen on the frontal view is increased opacity in left mid to lower lung . They appear more conspicuous compared to recent exam from ___ for similar compared to previous exams from ___ . There is no effusion . The cardiomediastinal silhouette is stable . No acute osseous abnormalities identified . Old left rib fractures are again noted . IMPRESSION : Left mid to lower lung opacity best seen on the frontal exam which could be any combination of aspiration or infection and possible component of atelectasis .", "entities": { "1": { "tokens": "The lateral view is limited", "label": "OBS-DP", "start_ix": 52, "end_ix": 56, "relations": [] }, "2": { "tokens": "patient 's arms", "label": "OBS-DP", "start_ix": 59, "end_ix": 61, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "increased", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "8" ] ] }, "5": { "tokens": "left", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "9": { "tokens": "They", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "4" ] ] }, "10": { "tokens": "more", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "conspicuous", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "9" ] ] }, "12": { "tokens": "recent exam from ___", "label": "OBS-DP", "start_ix": 90, "end_ix": 93, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "similar", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "9" ] ] }, "14": { "tokens": "previous exams from ___", "label": "OBS-DP", "start_ix": 98, "end_ix": 101, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [] }, "16": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "17": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "stable", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "acute", "label": "OBS-DA", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "21": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "Old", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "25" ] ] }, "23": { "tokens": "left", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "25": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "30": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "29" ], [ "suggestive_of", "31" ], [ "suggestive_of", "32" ], [ "suggestive_of", "33" ] ] }, "31": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 148, "end_ix": 148, "relations": [] }, "32": { "tokens": "infection", "label": "OBS-U", "start_ix": 150, "end_ix": 150, "relations": [] }, "33": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 155, "end_ix": 155, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s52648242.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with cough , rhinnorhea . / / eval for pneumonia TECHNIQUE : CHEST ( PA AND LAT ) COMPARISON : ___ IMPRESSION : Heart size and mediastinum are difficult to assess due to low lung volumes but overall the appearance is unremarkable . There is potentially left basal pneumonia versus atelectasis . Patient has had is obscuring upper chest . The cannot be assessed . Overall findings are concerning for left lower lobe pneumonia", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "4": { "tokens": "difficult to assess", "label": "OBS-DP", "start_ix": 44, "end_ix": 46, "relations": [ [ "located_at", "1" ], [ "located_at", "3" ] ] }, "5": { "tokens": "low", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "4" ], [ "located_at", "6" ] ] }, "6": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "7": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "overall", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "appearance", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "1" ], [ "located_at", "3" ] ] }, "11": { "tokens": "potentially", "label": "OBS-U", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "14" ], [ "modify", "15" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "14": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "obscuring", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "18" ], [ "suggestive_of", "19" ] ] }, "17": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "19": { "tokens": "cannot be assessed", "label": "OBS-DP", "start_ix": 77, "end_ix": 79, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "Overall", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "findings", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "suggestive_of", "25" ] ] }, "22": { "tokens": "left", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "25": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "24" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s55159460.txt": { "text": "FINAL REPORT PORTABLE AP CHEST X - RAY INDICATION : Patient with mental retardation , fever with possible aspiration after seizure . Rule out pneumonia . COMPARISON : ___ . FINDINGS : New left lower lung opacities are compatible with aspiration or pneumonia . The right lung is unremarkable . The lung volumes are low . Mediastinal and cardiac contours are mildly enlarged . There is no significant pleural effusion . There is no pneumothorax . CONCLUSION : New left lower lung opacities are compatible with pneumonia or aspiration . The medical team has been verbally contacted for the results .", "entities": { "1": { "tokens": "New", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "5": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "4" ], [ "suggestive_of", "6" ], [ "suggestive_of", "7" ] ] }, "6": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 40, "end_ix": 40, "relations": [] }, "7": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 42, "end_ix": 42, "relations": [] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "10": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "12": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "low", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "15": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "16": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "14" ], [ "modify", "15" ] ] }, "17": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "14" ], [ "located_at", "15" ] ] }, "19": { "tokens": "significant", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] }, "23": { "tokens": "New", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "27" ] ] }, "24": { "tokens": "left", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "27": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "26" ], [ "suggestive_of", "28" ], [ "suggestive_of", "29" ] ] }, "28": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [] }, "29": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s50577366.txt": { "text": "FINAL REPORT INDICATION : ___ year old man with recent pneumonia . Follow - up chest radiograph for pneumonia . TECHNIQUE : PA and lateral chest radiographs were obtained . COMPARISON : Chest radiograph from ___ , ___ , ___ and ___ . FINDINGS : Evaluation is limited due to the patient 's head obscuring the lung apices . The visualized lungs are clear without focal consolidation , pleural effusion or pneumothorax . The heart is normal in size , and there is no pulmonary edema . The mediastinal contours are normal . IMPRESSION : No acute cardiopulmonary abnormality .", "entities": { "1": { "tokens": "Evaluation is limited", "label": "OBS-DP", "start_ix": 45, "end_ix": 47, "relations": [ [ "located_at", "5" ] ] }, "2": { "tokens": "patient 's head", "label": "OBS-DP", "start_ix": 51, "end_ix": 53, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "obscuring", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "5": { "tokens": "apices", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "visualized", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "7" ] ] }, "7": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "8": { "tokens": "clear", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "focal", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "7" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "12": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [] }, "14": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "15": { "tokens": "normal", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "14" ] ] }, "17": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "18": { "tokens": "edema", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "20": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "normal", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "19" ] ] }, "22": { "tokens": "acute", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "24": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "23" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003081/s53302126.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with hx of pneumonia and current productive cough . / / F / U on recent CXR F / U on recent CXR COMPARISON : Prior chest radiographs since ___ most recent ___ . IMPRESSION : Lungs are low in volume but grossly clear . Heart size is normal . There is no pleural abnormality .", "entities": { "1": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "2": { "tokens": "low", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "clear", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "1" ] ] }, "6": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "7": { "tokens": "size", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "normal", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "10": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "9" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15024484/s58597060.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with shortness of breath , crackles on lung exam / / please eval for PNA , pulm edema / effusions please eval for PNA , pulm edema / effusions IMPRESSION : In comparison with the study of ___ , there is increasing pulmonary edema with substantial layering effusions and bibasilar compressive atelectasis .", "entities": { "1": { "tokens": "increasing", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "3": { "tokens": "edema", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "layering", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "7": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "8": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "7" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15024484/s55162960.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with possible chronic PE . Planned V / Q scan . Evaluate for acute cardia process . TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiographs of ___ and ___ . FINDINGS : Bilateral pleural effusions are worse on the right , where there may be loculation . No new focal consolidation or pneumothorax . Cardiomediastinal silhouette is unchanged . A device projecting over the left heart border is presumably external to the patient . IMPRESSION : Possible right - sided loculated pleural effusions , which would have developed since ___ . If necessary , CT may be useful for further characterization .", "entities": { "1": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "3": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "worse", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "3" ], [ "located_at", "5" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "6": { "tokens": "loculation", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "3" ], [ "located_at", "5" ] ] }, "7": { "tokens": "new", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "focal", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [] }, "11": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "12": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "device", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "16" ] ] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "17": { "tokens": "border", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 95, "end_ix": 97, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "loculated", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "21": { "tokens": "effusions", "label": "OBS-U", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "20" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15024484/s59036766.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON : Prior exam from ___ . CLINICAL HISTORY : Cirrhosis with confusion , question pneumonia . FINDINGS : AP portable upright chest radiograph was provided . As seen previously , there are bilateral pleural effusions slightly increased on the left and stable on the right . The subjacent opacities in the lower lungs could represent atelectasis versus pneumonia . The upper lungs are well aerated . The cardiomediastinal silhouette is stable . Bony structures are intact . TIPS partially imaged in the right upper quadrant . IMPRESSION : Bilateral pleural effusions , subjacent consolidations , may represent atelectasis versus pneumonia .", "entities": { "1": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "3": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "increased", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "3" ], [ "located_at", "6" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "7": { "tokens": "stable", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "3" ], [ "located_at", "8" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "9": { "tokens": "subjacent", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "13" ], [ "suggestive_of", "14" ] ] }, "11": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "13": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 63, "end_ix": 63, "relations": [] }, "14": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 65, "end_ix": 65, "relations": [] }, "15": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "17": { "tokens": "well", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "aerated", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "20": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "stable", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "19" ] ] }, "22": { "tokens": "Bony", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "23": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "intact", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "22" ] ] }, "25": { "tokens": "TIPS", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "28" ] ] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "29": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "31": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "subjacent", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "consolidations", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "suggestive_of", "34" ], [ "suggestive_of", "35" ] ] }, "34": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 105, "end_ix": 105, "relations": [] }, "35": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 107, "end_ix": 107, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15024484/s59429123.txt": { "text": "FINAL REPORT HISTORY : Possible right rib fractures and history of hepatic hydrothorax . Rule out right rib fractures and evaluate hydrothorax . COMPARISON : Chest radiograph from ___ in conjunction with CT abdomen and pelvis from ___ . FINDINGS : A loculated effusion with associated atelectasis and areas of round atelectasis is slightly larger compared to scout film from ___ CT . Small left effusion with associated atelectasis is unchanged from ___ . Cardiomediastinal silhouette is unchanged . No pneumothorax . No displaced rib fractures .", "entities": { "1": { "tokens": "loculated", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "3": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "4": { "tokens": "areas", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "round", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "7": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "larger", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "6" ] ] }, "9": { "tokens": "Small", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "11" ], [ "modify", "12" ] ] }, "14": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "15": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [] }, "18": { "tokens": "displaced", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "20": { "tokens": "fractures", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "19" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15024484/s54809730.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with history of HCV Cirrhosis s / p syncope and fall with subarachoid hemorrage and question of recent PNA . / / PNA ? IMPRESSION : As compared to previous radiograph of earlier the same date , there has not been a relevant change in the appearance of the chest when consideration is given to differences in positioning and technique . .", "entities": { "1": { "tokens": "relevant", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "change", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15024484/s54162490.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with cirrhosis s / p TIPS , factor V leiden with h / o DVTs on fondaparinux , presenting s / p fall on anticoagulation with traumatic SAH and right shoulder fractures x 3 , now with afib with RVR , right upper extremity DVT , cough , and febrile to 100.8 . Question pneumonia . TECHNIQUE : Portable chest x - ray . COMPARISON : Chest x - ray dated ___ . FINDINGS : Appearance of bilateral pleural effusions and bibasilar atelectasis is unchanged . There are no new regions of opacity . Cardiomediastinal silhouette is unchanged . IMPRESSION : Unchanged bilateral pleural effusions and bibasilar atelectasis . Superimposed infection cannot be excluded .", "entities": { "1": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "3": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "5": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "3" ], [ "modify", "5" ] ] }, "7": { "tokens": "new", "label": "OBS-DA", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "opacity", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [] }, "9": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "10": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "15" ], [ "modify", "17" ] ] }, "13": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "15": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "Superimposed", "label": "OBS-U", "start_ix": 124, "end_ix": 124, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "infection", "label": "OBS-U", "start_ix": 125, "end_ix": 125, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15024484/s55357745.txt": { "text": "FINAL REPORT HISTORY : Hypotension , tachycardia . TECHNIQUE : Semi - upright AP view of the chest . COMPARISON : Chest radiograph ___ and chest CTA ___ . FINDINGS : The heart size is within normal limits . The aorta remains unfolded . Pulmonary vascularity is not engorged . A small to moderate size partially loculated right pleural effusion appears increased in size compared to the prior exam . Bibasilar airspace opacities could reflect atelectasis , but infection is not excluded . Small left pleural effusion may be present , though assessment of the left costophrenic angle is obscured due to overlying wires . No pneumothorax is identified . There are no acute osseous abnormalities . IMPRESSION : Interval increase in size of small to moderate size right pleural effusion , a component of which is loculated laterally . Possible small left pleural effusion , though the left costophrenic angle is not well assessed . Bibasilar airspace opacities could reflect atelectasis but infection cannot be excluded .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "within", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "limits", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "7": { "tokens": "unfolded", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "vascularity", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "10": { "tokens": "engorged", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "small", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "size", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "18" ] ] }, "14": { "tokens": "partially", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "loculated", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "18": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "increased", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "size", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "22": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "21" ], [ "suggestive_of", "24" ], [ "suggestive_of", "25" ] ] }, "24": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [] }, "25": { "tokens": "infection", "label": "OBS-U", "start_ix": 78, "end_ix": 78, "relations": [] }, "26": { "tokens": "Small", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "left", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "29": { "tokens": "effusion", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "32": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "32" ], [ "suggestive_of", "35" ] ] }, "34": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "wires", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "36": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [] }, "37": { "tokens": "acute", "label": "OBS-DA", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "39" ] ] }, "38": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "39": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "38" ] ] }, "40": { "tokens": "increase", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "47" ] ] }, "41": { "tokens": "size", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "40" ] ] }, "42": { "tokens": "small", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "size", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "47" ] ] }, "45": { "tokens": "right", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "47": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "located_at", "46" ] ] }, "48": { "tokens": "component", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "47" ] ] }, "49": { "tokens": "loculated", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "47" ], [ "located_at", "50" ] ] }, "50": { "tokens": "laterally", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [] }, "51": { "tokens": "small", "label": "OBS-U", "start_ix": 141, "end_ix": 141, "relations": [ [ "modify", "54" ] ] }, "52": { "tokens": "left", "label": "ANAT-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "53" ] ] }, "53": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 143, "end_ix": 143, "relations": [] }, "54": { "tokens": "effusion", "label": "OBS-U", "start_ix": 144, "end_ix": 144, "relations": [ [ "located_at", "53" ] ] }, "55": { "tokens": "left", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [ [ "modify", "56" ] ] }, "56": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 149, "end_ix": 149, "relations": [] }, "57": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "56" ] ] }, "58": { "tokens": "not well assessed", "label": "OBS-DP", "start_ix": 152, "end_ix": 154, "relations": [ [ "located_at", "56" ] ] }, "59": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 156, "end_ix": 156, "relations": [] }, "60": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 157, "end_ix": 157, "relations": [ [ "modify", "59" ] ] }, "61": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "located_at", "59" ], [ "suggestive_of", "62" ], [ "suggestive_of", "63" ] ] }, "62": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 161, "end_ix": 161, "relations": [] }, "63": { "tokens": "infection", "label": "OBS-U", "start_ix": 163, "end_ix": 163, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004457/s55439624.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Evaluation of pleural effusion . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , all monitoring and support devices have been removed . Bilateral pleural effusions of mild - to - moderate extent persist . Their extent is better visualized on the lateral than on the frontal image . No pneumothorax . Normal post - operative alignment of the sternal wires . Normal size of the cardiac silhouette . Mild retrocardiac atelectasis . No pneumothorax .", "entities": { "1": { "tokens": "monitoring", "label": "OBS-DA", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "support", "label": "OBS-DA", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "devices", "label": "OBS-DA", "start_ix": 28, "end_ix": 28, "relations": [] }, "4": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "6": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "mild", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "6" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [] }, "10": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "14" ] ] }, "11": { "tokens": "post - operative", "label": "OBS-DP", "start_ix": 63, "end_ix": 65, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "alignment", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "sternal", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "14": { "tokens": "wires", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "17" ] ] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "18": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "21": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005749/s54060141.txt": { "text": "WET READ : ___ ___ 5:15PM 1 . Stable small to moderate bilateral pleural effusions . 2 . Stable mild cardiomegaly and pulmonary artery enlargement . WET READ VERSION # ___ ___ ___ 5:07PM 1 . Stable small to moderate bilateral pleural effusions . 2 . Stable mild cardiomegaly . ______________________________________________________________________________ FINAL REPORT INDICATION : ___ F with L chest pain , c / f PE / / Eval for acute process TECHNIQUE : Upright PA and lateral chest COMPARISON : Chest radiographs ___ through ___ FINDINGS : Lung volumes are normal . Small to moderate bilateral pleural effusions are unchanged since yesterday . Left retrocardiac opacity likely reflects atelectasis . There is no new worrisome pulmonary opacity . Mild cardiomegaly is unchanged . As before the main pulmonary artery is enlarged . There is no pneumothorax . IMPRESSION : 1 . Stable small to moderate bilateral pleural effusions . 2 . Stable mild cardiomegaly and pulmonary artery enlargement .", "entities": { "1": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "6" ] ] }, "2": { "tokens": "small", "label": "OBS-DP", "start_ix": 9, "end_ix": 9, "relations": [ [ "modify", "6" ] ] }, "3": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 12, "end_ix": 12, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 13, "end_ix": 13, "relations": [] }, "6": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 14, "end_ix": 14, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "mild", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "artery", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [] }, "12": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "18" ] ] }, "14": { "tokens": "small", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "18" ] ] }, "15": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "18": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "mild", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "22": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "23": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "normal", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "22" ] ] }, "25": { "tokens": "Small", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "29" ] ] }, "26": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "29": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "33": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "34" ] ] }, "34": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 109, "end_ix": 109, "relations": [] }, "35": { "tokens": "new", "label": "OBS-DA", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "37": { "tokens": "opacity", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "36" ] ] }, "38": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "40": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "39" ] ] }, "41": { "tokens": "main", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "43" ] ] }, "42": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "artery", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "44": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "43" ] ] }, "45": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 136, "end_ix": 136, "relations": [] }, "46": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "51" ] ] }, "47": { "tokens": "small", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "51" ] ] }, "48": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "51" ] ] }, "49": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "50" ] ] }, "50": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [] }, "51": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 148, "end_ix": 148, "relations": [ [ "located_at", "50" ] ] }, "52": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "54" ] ] }, "53": { "tokens": "mild", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "modify", "54" ] ] }, "54": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [] }, "55": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "56" ] ] }, "56": { "tokens": "artery", "label": "ANAT-DP", "start_ix": 157, "end_ix": 157, "relations": [] }, "57": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "located_at", "56" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005749/s54040624.txt": { "text": "FINAL REPORT HISTORY : PICC placement . FINDINGS : The tip of the right subclavian PICC line is in the mid portion of the SVC . When compared to the study of ___ , there is continued enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure . The right heart border is now sharply seen , as is the hemidiaphragm , consistent with substantial decrease in pleural effusion . However , this could represent a more erect position of the patient rather than significant fluid decrease . There is opacification at the left base consistent with a small effusion on this side .", "entities": { "1": { "tokens": "tip", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "modify", "5" ], [ "located_at", "7" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 14, "end_ix": 14, "relations": [] }, "4": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 15, "end_ix": 15, "relations": [ [ "located_at", "3" ], [ "modify", "5" ] ] }, "5": { "tokens": "line", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [] }, "6": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "8": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "9" ] ] }, "9": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "10": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "elevated", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "14": { "tokens": "pressure", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "17": { "tokens": "border", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "sharply", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "20": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "decrease", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "26" ], [ "suggestive_of", "28" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "base", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "27": { "tokens": "small", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005749/s59735352.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman / / ___ F s / p renal transplant on immunosuprressives with cough - - r / o pneumonia ___ F s / p renal transplant on immunosuprressives with cough - - r / o pneumonia IMPRESSION : In comparison with the study of ___ , there is an increase in bilateral pleural effusions , more prominent on the left , with underlying compressive atelectasis . Cardiac silhouette is unchanged and there is no evidence of vascular congestion or acute focal", "entities": { "1": { "tokens": "an", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "increase", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "5": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "5" ], [ "located_at", "7" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "4" ] ] }, "8": { "tokens": "underlying", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "3" ] ] }, "11": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "12": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "15": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "focal", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005749/s57249718.txt": { "text": "FINAL REPORT EXAMINATION : PA and lateral chest radiograph INDICATION : ___ year old woman with on immunosuppressives for renal transplant with low grade fevers and left sided pleuritic chest pain / / eval for abnormality COMPARISON : Chest radiograph dated ___ . FINDINGS : No significant interval change . Bilateral small pleural effusions and adjacent atelectasis are overall unchanged . The heart is top - normal in size , unchanged . The pulmonary artery is enlarged , suggesting pulmonary hypertension . No demand , focal consolidation to suggest pneumonia , or pneumothorax . IMPRESSION : 1 . Stable bilateral small pleural effusions and atelectasis . 2 . Enlarged pulmonary artery , suggesting pulmonary hypertension . NOTIFICATION : The findings were conveyed by Dr . ___ to Dr . ___ ___ text ___ on ___ at 4:54PM.", "entities": { "1": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "small", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "4": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "adjacent", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "3" ] ] }, "6": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "overall", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "6" ] ] }, "9": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "10": { "tokens": "top - normal", "label": "OBS-DP", "start_ix": 64, "end_ix": 66, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "size", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "9" ] ] }, "12": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "9" ] ] }, "13": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "artery", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "15": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "14" ], [ "suggestive_of", "17" ] ] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "17": { "tokens": "hypertension", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "focal", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [ [ "suggestive_of", "20" ] ] }, "20": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [] }, "21": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [] }, "22": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "26" ] ] }, "23": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "small", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "26": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "28": { "tokens": "Enlarged", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "30" ], [ "suggestive_of", "32" ] ] }, "29": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "artery", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "31": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "32": { "tokens": "hypertension", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "31" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005749/s58865310.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Diabetes mellitus and low - grade fever . PA and lateral upright chest radiographs were reviewed in comparison to ___ . Heart size is enlarged with prominence of the main pulmonary artery and left atrium concerning for pulmonary hypertension with potentially mitral valve origin , correlation with echocardiography is required . Bilateral pleural effusions are noted , small . There is no evidence of focal consolidation to suggest infectious process . There is no pneumothorax .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "7" ], [ "located_at", "9" ], [ "suggestive_of", "11" ], [ "suggestive_of", "14" ] ] }, "5": { "tokens": "main", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "artery", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "atrium", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "11": { "tokens": "hypertension", "label": "OBS-U", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "mitral", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "valve", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "14": { "tokens": "origin", "label": "OBS-U", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "17": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "small", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "focal", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "suggestive_of", "21" ] ] }, "21": { "tokens": "infectious", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "process", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005749/s53170451.txt": { "text": "WET READ : ___ ___ ___ 8:49PM Moderate cardiomegaly , bilateral small pleural effusions with adjacent atelectasis , and engorgement of the pulmonary vasculature . These findings are suggestive of heart failure . ______________________________________________________________________________ FINAL REPORT PA AND LATERAL CHEST , ___ HISTORY : ___ - year - old woman with a renal transplant . Now with lower extremity edema and dyspnea . IMPRESSION : PA and lateral chest reviewed in the absence of prior chest imaging : Moderate bilateral pleural effusions layer dependently . Cardiac silhouette has a peculiar shape , and a larger than expected component to the right of midline . Whether this is due to cardiomegaly or pericardial effusion is indeterminate . There is no particular distention of either pulmonary or mediastinal vasculature to suggest one or the other . Bibasilar atelectasis is relatively mild , and there is no pulmonary edema . Aortic contour is normal . Dr . ___ was paged .", "entities": { "1": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "suggestive_of", "12" ] ] }, "3": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "small", "label": "OBS-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 12, "end_ix": 12, "relations": [] }, "6": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "located_at", "5" ], [ "suggestive_of", "12" ] ] }, "7": { "tokens": "adjacent", "label": "OBS-DP", "start_ix": 15, "end_ix": 15, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [] }, "9": { "tokens": "engorgement", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [] }, "12": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "13": { "tokens": "failure", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "17" ] ] }, "15": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "17": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "layer", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "dependently", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "21": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "22": { "tokens": "peculiar", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "shape", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "20" ] ] }, "24": { "tokens": "larger", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "20" ], [ "located_at", "25" ] ] }, "25": { "tokens": "right", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "26": { "tokens": "cardiomegaly", "label": "OBS-U", "start_ix": 109, "end_ix": 109, "relations": [] }, "27": { "tokens": "pericardial", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "28": { "tokens": "effusion", "label": "OBS-U", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "distention", "label": "OBS-DA", "start_ix": 120, "end_ix": 120, "relations": [ [ "located_at", "32" ] ] }, "30": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "33": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "34": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "relatively", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "mild", "label": "OBS-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "34" ] ] }, "37": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 144, "end_ix": 144, "relations": [] }, "38": { "tokens": "edema", "label": "OBS-DA", "start_ix": 145, "end_ix": 145, "relations": [ [ "located_at", "37" ] ] }, "39": { "tokens": "Aortic", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [] }, "40": { "tokens": "contour", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [ [ "modify", "39" ] ] }, "41": { "tokens": "normal", "label": "OBS-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "located_at", "39" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18023211/s50231046.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with pneumonia , intubated . / / Evaluate for interval change . COMPARISON : Chest radiograph from ___ . FINDINGS : AP view of the chest provided . Again seen is right lung base pneumonia , not significantly changed since prior study . The left retrocardiac opacity is more clear . However , the left hilus is not less distinct and there is more interstitial prominence , concerning for mild volume overload . Endotracheal tube is in appropriate position . Nasogastric tube is seen coursing into the stomach and out of review . Multiple right sided rib fracture and substantial scoliosis are again noted . IMPRESSION : New mild volume overload since prior study 1 day ago . No significant change with respect to right lower lobe pneumonia .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "3": { "tokens": "base", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "4": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "2" ] ] }, "5": { "tokens": "changed", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "8": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "more", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "clear", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "hilus", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "13": { "tokens": "not less distinct", "label": "OBS-DP", "start_ix": 72, "end_ix": 74, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "19" ] ] }, "14": { "tokens": "more", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "16": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "15" ], [ "suggestive_of", "19" ] ] }, "17": { "tokens": "mild", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "volume", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "19": { "tokens": "overload", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "tube", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "22": { "tokens": "appropriate", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "position", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "21" ] ] }, "24": { "tokens": "Nasogastric", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "tube", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "26" ] ] }, "26": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "27": { "tokens": "out of review", "label": "OBS-DP", "start_ix": 104, "end_ix": 106, "relations": [ [ "modify", "25" ] ] }, "28": { "tokens": "Multiple", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "30" ] ] }, "29": { "tokens": "right sided", "label": "ANAT-DP", "start_ix": 109, "end_ix": 110, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "31": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "34": { "tokens": "New", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "37" ] ] }, "35": { "tokens": "mild", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "volume", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "37": { "tokens": "overload", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "right", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "40" ] ] }, "39": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [] }, "41": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "located_at", "40" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18023211/s58130107.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with legionella pneumonia , recently extubated / / Please evaluate for pulmonary edema , interval change in other abnormalities COMPARISON : ___ . IMPRESSION : As compared to the previous radiograph , the patient was extubated and the nasogastric tube was removed . The lung volumes are lower than on the previous image . Unchanged atelectasis at the right lung bases . Unchanged multiple posttraumatic rib deformities on the right . No evidence of overt pulmonary edema . No larger pleural effusions . Massive scoliosis with asymmetry of the ribcage persists .", "entities": { "1": { "tokens": "nasogastric", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [] }, "2": { "tokens": "tube", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [] }, "3": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "4": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "lower", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "3" ] ] }, "6": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "9" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "10": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "15" ] ] }, "12": { "tokens": "multiple", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "13": { "tokens": "posttraumatic", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "15": { "tokens": "deformities", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "14" ] ] }, "17": { "tokens": "overt", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "19": { "tokens": "edema", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "larger", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "22": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "Massive", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "25": { "tokens": "asymmetry", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "26" ] ] }, "26": { "tokens": "ribcage", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18023211/s50873740.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with legionella PNA / / Please evaluate for worsening pulmonary edema or PNA IMPRESSION : As compared to ___ radiograph , pulmonary vascular congestion persists but interstitial edema has nearly resolved . Nonspecific bibasilar opacities are unchanged .", "entities": { "1": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "2": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "5": { "tokens": "edema", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "nearly", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "resolved", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "8": { "tokens": "Nonspecific", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "10": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "10" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18023211/s58462799.txt": { "text": "FINAL REPORT EXAM : Chest frontal and lateral views . CLINICAL INFORMATION : ___ - year - old female with history altered mental status and three falls . COMPARISON : None . FINDINGS : AP upright and lateral views of the chest were obtained . There is marked thoracic scoliosis convex to the right . Multiple old rib fractures / deformities are seen along the right ribs , involving at least the right second through fifith ribs . No definite focal consolidation is seen . Slight focal opacity projecting at the posterior right fourth rib is felt to relate to an old fracture . No large pleural effusion or pneumothorax . The aorta is calcified . The cardiac silhouette is not enlarged .", "entities": { "1": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "2": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "1" ], [ "located_at", "4" ] ] }, "3": { "tokens": "convex", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "5": { "tokens": "Multiple", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "6": { "tokens": "old", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "7": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "8": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "7" ], [ "located_at", "11" ] ] }, "9": { "tokens": "deformities", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "7" ], [ "located_at", "11" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "ribs", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "second", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "fifith", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "ribs", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "16": { "tokens": "focal", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [] }, "18": { "tokens": "Slight", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "focal", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "24" ], [ "suggestive_of", "26" ] ] }, "21": { "tokens": "posterior", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "24" ] ] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "fourth", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "25": { "tokens": "old", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "27": { "tokens": "large", "label": "OBS-DA", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "29": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 109, "end_ix": 109, "relations": [] }, "31": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "32": { "tokens": "calcified", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "34": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "enlarged", "label": "OBS-DA", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "33" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18023211/s58214470.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with RLL pneumonia . / / Evaluate for interval change . COMPARISON : ___ . IMPRESSION : As compared to the previous radiograph , no relevant change is seen . Stable right basal parenchymal opacity . No larger pleural effusions . Stable retrocardiac atelectasis . Severe scoliosis . Unchanged position of the right PICC line .", "entities": { "1": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "4": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "3" ] ] }, "6": { "tokens": "larger", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "8": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "11": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "14": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "position", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "17": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "line", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "16" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18023211/s59956583.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with legionella pneumonia , now s / p intubation / / ETT placement IMPRESSION : As compared to previous study from earlier the same date , the patient has been intubated , with endotracheal tube in standard position , and a nasogastric tube is been placed , coursing below the diaphragm . Cardiomediastinal contours are stable . Interval improved aeration at the right lung base with near resolution of recently described right lower lobe opacification . Persistent left retrocardiac opacity , possibly corresponding to the history of pneumonia .", "entities": { "1": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "3": { "tokens": "standard", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "position", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "2" ] ] }, "5": { "tokens": "nasogastric", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "tube", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "8" ] ] }, "7": { "tokens": "below", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "9": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "10": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "stable", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "Interval", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "improved", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "aeration", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "16" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "17": { "tokens": "base", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "resolution", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "22" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "22": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "left", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "25": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "24" ], [ "suggestive_of", "26" ] ] }, "26": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 102, "end_ix": 102, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18023211/s56555187.txt": { "text": "WET READ : ___ ___ ___ 5:43PM Right lower lobe pneumonia . ______________________________________________________________________________ FINAL REPORT EXAMINATION : PORTABLE CHEST RADIOGRAPH INDICATION : ___ - year - old female with hypoxia . TECHNIQUE : Frontal supine chest radiograph COMPARISON : Chest radiographs from ___ and ___ . FINDINGS : Lung volumes are low . Mild interstitial pulmonary edema is present . Compared with prior chest radiograph there is a new confluent opacity in the right lower lung , obscuring some portions of the right hemidiaphragm margin . The left lung is clear . There may be a small layering pleural effusion in the right and chronic pleural thickening is redemonstrated . There is no evidence of pneumothorax . Severe S type scoliosis is again seen and not significantly changed from prior . Cardiac size cannot be assessed in this AP view but appears stable compared with ___ . IMPRESSION : New right lower lobe opacity compatible with pneumonia vs atelectasis . Mild interstitial pulmonary edema unchanged from prior .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 9, "end_ix": 9, "relations": [] }, "4": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "6": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "low", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "11": { "tokens": "edema", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "new", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "confluent", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "17" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "18": { "tokens": "obscuring", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "14" ], [ "located_at", "20" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "21": { "tokens": "margin", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "left", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "24": { "tokens": "clear", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "small", "label": "OBS-U", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "28" ] ] }, "26": { "tokens": "layering", "label": "OBS-U", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "28": { "tokens": "effusion", "label": "OBS-U", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "right", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "27" ] ] }, "30": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "32": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 115, "end_ix": 115, "relations": [] }, "34": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "S type", "label": "OBS-DP", "start_ix": 118, "end_ix": 119, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "37": { "tokens": "changed", "label": "OBS-DA", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [] }, "39": { "tokens": "size", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [ [ "modify", "38" ] ] }, "40": { "tokens": "cannot be assessed", "label": "OBS-DP", "start_ix": 133, "end_ix": 135, "relations": [ [ "located_at", "38" ] ] }, "41": { "tokens": "stable", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "located_at", "38" ] ] }, "42": { "tokens": "New", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "46" ] ] }, "43": { "tokens": "right", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "45" ] ] }, "44": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 152, "end_ix": 152, "relations": [] }, "46": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "located_at", "45" ], [ "suggestive_of", "47" ], [ "suggestive_of", "48" ] ] }, "47": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [] }, "48": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [] }, "49": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "52" ] ] }, "50": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 161, "end_ix": 161, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 162, "end_ix": 162, "relations": [] }, "52": { "tokens": "edema", "label": "OBS-DP", "start_ix": 163, "end_ix": 163, "relations": [ [ "located_at", "51" ] ] }, "53": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "52" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001136/s50077246.txt": { "text": "FINAL REPORT INDICATION : History : ___ M with Afib w / RVR / / eval ? acute chest process COMPARISON : Multiple prior chest radiographs , most recently of ___ . TECHNIQUE : Single frontal view of the chest . FINDINGS : The heart has a left ventricular configuration , similar to prior . Mediastinal contours and tortuosity of the aorta are similar to prior . Elevation of the left hemidiaphragm appears chronic and bilateral basilar linear opacities may represent atelectasis or scarring . No focal consolidation or pneumothorax . IMPRESSION : No focal consolidation . Stable left hemidiaphragm elevation . Bibasilar atelectasis or scarring .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "ventricular", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "4": { "tokens": "configuration", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "1" ], [ "modify", "3" ] ] }, "5": { "tokens": "similar to prior", "label": "OBS-DP", "start_ix": 51, "end_ix": 53, "relations": [ [ "located_at", "1" ] ] }, "6": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "7": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "tortuosity", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "9" ] ] }, "9": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "10": { "tokens": "similar to prior", "label": "OBS-DP", "start_ix": 63, "end_ix": 65, "relations": [ [ "located_at", "6" ], [ "located_at", "9" ] ] }, "11": { "tokens": "Elevation", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "13" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "14": { "tokens": "chronic", "label": "OBS-U", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "11" ] ] }, "15": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "17": { "tokens": "linear", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "16" ], [ "suggestive_of", "19" ], [ "suggestive_of", "20" ] ] }, "19": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [] }, "20": { "tokens": "scarring", "label": "OBS-U", "start_ix": 83, "end_ix": 83, "relations": [] }, "21": { "tokens": "focal", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [] }, "24": { "tokens": "focal", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [] }, "26": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "left", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "29": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "31": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "30" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001136/s52592881.txt": { "text": "FINAL REPORT PORTABLE AP CHEST X - RAY . INDICATION : Patient with AFib , CHF , rule out cardiomegaly . COMPARISON : ___ . FINDINGS : There are new streaky left basal opacities which could represent only atelectasis ; however , superimposed pneumonia or aspiration cannot be excluded in the appropriate clinical setting . There is only mild vascular congestion without pulmonary edema . Cardiac contour is top normal . There is no pneumothorax . Air overlying the right basal lung chest wall is new since ___ and of indeterminate significance , could either be from surgery or even an infection of the skin . This was discussed with ___ , intern , at 11:26a.m. There is no abnormality of the chest wall on the physical exam .", "entities": { "1": { "tokens": "new", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "streaky", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "left", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "5": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "4" ], [ "suggestive_of", "6" ], [ "suggestive_of", "8" ], [ "suggestive_of", "9" ] ] }, "6": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 38, "end_ix": 38, "relations": [] }, "7": { "tokens": "superimposed", "label": "OBS-U", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 43, "end_ix": 43, "relations": [] }, "9": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 45, "end_ix": 45, "relations": [] }, "10": { "tokens": "mild", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "12": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "14": { "tokens": "edema", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "16": { "tokens": "contour", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "top", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "normal", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "15" ] ] }, "19": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] }, "20": { "tokens": "Air", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "25" ], [ "suggestive_of", "28" ], [ "suggestive_of", "29" ] ] }, "21": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "25": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "26": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "new", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "20" ] ] }, "28": { "tokens": "surgery", "label": "OBS-U", "start_ix": 97, "end_ix": 97, "relations": [] }, "29": { "tokens": "infection", "label": "OBS-U", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "30" ] ] }, "30": { "tokens": "skin", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001922/s57925491.txt": { "text": "WET READ : ___ ___ 7:43PM Mild pulmonary vascular congestion and pulmonary edema with slight interval increase in small bilateral pleural effusions . ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ F with weakness , new EKG changes , crackles at bases , evaluate for pulm edema . TECHNIQUE : PA and lateral view radiographs of the chest . COMPARISON : Prior chest radiographs dating back to ___ . FINDINGS : The lungs are hyperinflated . There is mild pulmonary vascular congestion . Mild cardiomegaly is unchanged from prior study . Left greater than right small bilateral pleural effusions have increased from the prior study . Sternotomy wires and extensive mediastinal clips are unchanged . There is no focal consolidation or pneumothorax . IMPRESSION : Mild pulmonary vascular congestion with slight interval increase in small bilateral pleural effusions .", "entities": { "1": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 6, "end_ix": 6, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 7, "end_ix": 7, "relations": [] }, "3": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 9, "end_ix": 9, "relations": [ [ "located_at", "2" ] ] }, "5": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 11, "end_ix": 11, "relations": [] }, "6": { "tokens": "edema", "label": "OBS-DP", "start_ix": 12, "end_ix": 12, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "slight", "label": "OBS-DP", "start_ix": 14, "end_ix": 14, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "interval", "label": "OBS-DP", "start_ix": 15, "end_ix": 15, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "increase", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "modify", "13" ] ] }, "10": { "tokens": "small", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 20, "end_ix": 20, "relations": [] }, "13": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "15": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "mild", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "18": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "22": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "24": { "tokens": "greater", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "right", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "26": { "tokens": "small", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "29": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "23" ], [ "located_at", "25" ], [ "located_at", "28" ] ] }, "30": { "tokens": "increased", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "Sternotomy", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "wires", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "33": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "34" ] ] }, "34": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "35": { "tokens": "clips", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "32" ], [ "modify", "35" ] ] }, "37": { "tokens": "focal", "label": "OBS-DA", "start_ix": 124, "end_ix": 124, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 125, "end_ix": 125, "relations": [] }, "39": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 127, "end_ix": 127, "relations": [] }, "40": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "43" ] ] }, "41": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "42": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "41" ] ] }, "43": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "located_at", "41" ] ] }, "44": { "tokens": "slight", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "46" ] ] }, "45": { "tokens": "interval", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "increase", "label": "OBS-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "50" ] ] }, "47": { "tokens": "small", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "50" ] ] }, "48": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 142, "end_ix": 142, "relations": [] }, "50": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "located_at", "49" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001922/s52638004.txt": { "text": "FINAL REPORT EXAM : Chest frontal and lateral views . CLINICAL INFORMATION : Nausea , vomiting . New RBBB . COMPARISON : ___ . FINDINGS : Frontal and lateral views of the chest were obtained . The patient is status post median sternotomy and CABG . Lungs remain hyperinflated , suggesting chronic obstructive pulmonary disease . The cardiac and mediastinal silhouettes are stable . Minimal basilar atelectasis is seen . No focal consolidation , pleural effusion or evidence of pneumothorax . Degenerative changes are seen along the spine . IMPRESSION : COPD with minimal left basilar atelectasis / scarring . No acute cardiopulmonary process .", "entities": { "1": { "tokens": "status", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "2": { "tokens": "post", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "1" ], [ "modify", "4" ], [ "modify", "5" ] ] }, "3": { "tokens": "median", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "5": { "tokens": "CABG", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "6": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "7": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "6" ], [ "suggestive_of", "11" ] ] }, "8": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "obstructive", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "disease", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "13": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "14": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "12" ], [ "modify", "13" ] ] }, "15": { "tokens": "stable", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "12" ], [ "located_at", "13" ] ] }, "16": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "18": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "focal", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "22": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [] }, "24": { "tokens": "Degenerative", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "27" ] ] }, "25": { "tokens": "changes", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "26": { "tokens": "along", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "24" ] ] }, "27": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "28": { "tokens": "COPD", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "29": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "32" ], [ "modify", "33" ] ] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "32": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "scarring", "label": "OBS-U", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "31" ] ] }, "34": { "tokens": "acute", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "cardiopulmonary", "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": "train" }, "p18/p18001922/s52288833.txt": { "text": "FINAL REPORT EXAMINATION : Chest : Frontal and lateral views INDICATION : History : ___ F with CHF , AS , CAD , who presents with presyncope / / E / o acute process , such as pulmonary edema ? TECHNIQUE : Chest : Frontal and Lateral COMPARISON : ___ FINDINGS : Lungs remain relatively hyperinflated . There is persistent blunting of the right costophrenic angle worrisome for trace pleural effusion . No new focal consolidation is seen . The patient is status post median sternotomy and CABG . Cardiac and mediastinal silhouettes are stable . No pulmonary edema is seen . IMPRESSION : Persistent slight blunting of the right costophrenic angle could be due to trace pleural effusion . No pulmonary edema .", "entities": { "1": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "2": { "tokens": "relatively", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "blunting", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "6" ], [ "suggestive_of", "10" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "7": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "trace", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "10": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "new", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "focal", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "14": { "tokens": "status", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "15": { "tokens": "post", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "median", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "15" ] ] }, "18": { "tokens": "CABG", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "15" ] ] }, "19": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "20": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "21": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "19" ], [ "modify", "20" ] ] }, "22": { "tokens": "stable", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "19" ], [ "located_at", "20" ] ] }, "23": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "24": { "tokens": "edema", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "slight", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "blunting", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "28" ], [ "suggestive_of", "32" ] ] }, "27": { "tokens": "right", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "29": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "28" ] ] }, "30": { "tokens": "trace", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "32": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "34": { "tokens": "edema", "label": "OBS-DA", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "33" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001922/s51753105.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : History : ___ F with shortness of breath TECHNIQUE : Chest PA and lateral COMPARISON : ___ FINDINGS : The patient is status post median sternotomy and CABG . Heart size is borderline enlarged . The mediastinal contours are unchanged . Aortic knob calcifications are re - demonstrated . Mild pulmonary vascular congestion is demonstrated . Small bilateral pleural effusions are new in the interval . Patchy bibasilar atelectasis is likely present . The lungs are hyperinflated suggestive of COPD . No focal consolidation or pneumothorax is present . There are multilevel degenerative changes in the thoracic spine . IMPRESSION : Mild pulmonary vascular congestion with small bilateral pleural effusions . COPD . Bibasilar atelectasis .", "entities": { "1": { "tokens": "status", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "2": { "tokens": "post", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "median", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "2" ] ] }, "5": { "tokens": "CABG", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "2" ] ] }, "6": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "7": { "tokens": "size", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "borderline", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "6" ] ] }, "10": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "11": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "Aortic", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "14": { "tokens": "knob", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "19": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "Small", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "23" ] ] }, "21": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "23": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "new", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "interval", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "Patchy", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "28": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "30": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "29" ], [ "suggestive_of", "31" ] ] }, "31": { "tokens": "COPD", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "32": { "tokens": "focal", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [] }, "34": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [] }, "35": { "tokens": "multilevel", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "degenerative", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "39" ] ] }, "37": { "tokens": "changes", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "40": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "43" ] ] }, "41": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "43": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "42" ] ] }, "44": { "tokens": "small", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "47" ] ] }, "45": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "47": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "46" ] ] }, "48": { "tokens": "COPD", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "49": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [] }, "50": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "located_at", "49" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001922/s52326539.txt": { "text": "FINAL REPORT INDICATION : Chest pain . COMPARISON : Chest radiograph from ___ . FINDINGS : The lungs are mildly hyperinflated but clear . The patient is status post CABG with intact median sternotomy wires . No fractures identified . IMPRESSION : Possible small airway obstruction . No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 17, "end_ix": 17, "relations": [] }, "2": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "clear", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "status", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [] }, "6": { "tokens": "post", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "modify", "5" ], [ "modify", "7" ] ] }, "7": { "tokens": "CABG", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "8": { "tokens": "intact", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "median", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "wires", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "7" ] ] }, "12": { "tokens": "fractures", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [] }, "13": { "tokens": "small", "label": "OBS-U", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "airway", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "15": { "tokens": "obstruction", "label": "OBS-U", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001922/s50114627.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ F with sudden onset ___ min episode of SOB . / / ? pneumonia TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph dated ___ . FINDINGS : The patient is status post CABG . Sternotomy wires are intact and appropriately aligned . There is moderate enlargement of the cardiomediastinal silhouette . There is vascular congestion and probable mild interstitial pulmonary edema . No focal consolidations to suggest pneumonia . There are small bilateral pleural effusions . No pneumothorax . There are no acute osseous abnormalities . IMPRESSION : 1 . Vascular congestion with probable mild interstitial pulmonary edema . 2 . No focal consolidations to suggest pneumonia . 3 . Small bilateral pleural effusions , improved compared to prior .", "entities": { "1": { "tokens": "status", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "2": { "tokens": "post CABG", "label": "OBS-DP", "start_ix": 46, "end_ix": 47, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "Sternotomy", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "wires", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "5": { "tokens": "intact", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "appropriately", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "aligned", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "4" ] ] }, "8": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "10" ] ] }, "10": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "11": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "13": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "mild", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "17" ] ] }, "15": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "17": { "tokens": "edema", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "15" ] ] }, "18": { "tokens": "focal", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "consolidations", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "suggestive_of", "20" ] ] }, "20": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [] }, "21": { "tokens": "small", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "24" ] ] }, "22": { "tokens": "bilateral", "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": "pneumothorax", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [] }, "26": { "tokens": "acute", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "28": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "Vascular", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "30": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "mild", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "34" ] ] }, "32": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "34": { "tokens": "edema", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "32" ] ] }, "35": { "tokens": "focal", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "consolidations", "label": "OBS-DA", "start_ix": 118, "end_ix": 118, "relations": [ [ "suggestive_of", "37" ] ] }, "37": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 121, "end_ix": 121, "relations": [] }, "38": { "tokens": "Small", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "41" ] ] }, "39": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "41": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "improved", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "41" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s59528885.txt": { "text": "FINAL REPORT INDICATION : Neutropenic fever . COMPARISON : ___ . FINDINGS : PA and lateral chest radiographs . The lungs are hyperinflated and the diaphragms are flattened , consistent with COPD . Mild to moderate cardiomegaly is stable . Mild increased interstitial markings appear new - - the ddx includes mild CHF versus an early institial infiltrate . No focal infiltrate or frank consolidation is detected . There is no pleural effusion or pneumothorax . IMPRESSION : Mild increased interstitial markings - - ? mild CHF versus early interstitial infiltrate .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 20, "end_ix": 20, "relations": [] }, "2": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "located_at", "1" ], [ "suggestive_of", "5" ] ] }, "3": { "tokens": "diaphragms", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "4": { "tokens": "flattened", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "3" ], [ "suggestive_of", "5" ] ] }, "5": { "tokens": "COPD", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "6": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "9": { "tokens": "stable", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "increased", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "13": { "tokens": "markings", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "16" ], [ "suggestive_of", "19" ] ] }, "14": { "tokens": "new", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "11" ] ] }, "15": { "tokens": "mild", "label": "OBS-U", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "CHF", "label": "OBS-U", "start_ix": 52, "end_ix": 52, "relations": [] }, "17": { "tokens": "early", "label": "OBS-U", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "institial", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "19": { "tokens": "infiltrate", "label": "OBS-U", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "focal", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "infiltrate", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [] }, "22": { "tokens": "frank", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "25": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] }, "27": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "increased", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "30": { "tokens": "markings", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "29" ], [ "suggestive_of", "32" ], [ "suggestive_of", "34" ] ] }, "31": { "tokens": "mild", "label": "OBS-U", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "CHF", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [] }, "33": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "34": { "tokens": "infiltrate", "label": "OBS-U", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "33" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s59056083.txt": { "text": "FINAL REPORT EXAMINATION : Chest : Frontal and lateral views INDICATION : History : ___ M with neutropenic fever ? / / acute process ? TECHNIQUE : Chest Frontal and Lateral COMPARISON : ___ FINDINGS : As compared to the prior study , there has been interval increase in interstitial markings , somewhat similar to that seen on ___ , which could represent mild interstitial edema versus atypical infection . No lobar consolidation is seen . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . IMPRESSION : As compared to the prior study , there has been interval increase in interstitial markings , somewhat similar to that seen on ___ , which could represent mild interstitial edema versus atypical infection .", "entities": { "1": { "tokens": "increase", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "3": { "tokens": "markings", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "2" ], [ "suggestive_of", "6" ], [ "suggestive_of", "8" ] ] }, "4": { "tokens": "mild", "label": "OBS-U", "start_ix": 63, "end_ix": 63, "relations": [] }, "5": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "6": { "tokens": "edema", "label": "OBS-U", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "atypical", "label": "OBS-U", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "infection", "label": "OBS-U", "start_ix": 68, "end_ix": 68, "relations": [] }, "9": { "tokens": "lobar", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "10": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "12": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [] }, "14": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "15": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "16": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "14" ], [ "modify", "15" ] ] }, "17": { "tokens": "stable", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "14" ], [ "located_at", "15" ] ] }, "18": { "tokens": "increase", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "20": { "tokens": "markings", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "19" ], [ "suggestive_of", "23" ], [ "suggestive_of", "25" ] ] }, "21": { "tokens": "mild", "label": "OBS-U", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "23": { "tokens": "edema", "label": "OBS-U", "start_ix": 123, "end_ix": 123, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "atypical", "label": "OBS-U", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "infection", "label": "OBS-U", "start_ix": 126, "end_ix": 126, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s56337929.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with MDS , c / o increasing shortness of breath with talking / activity , weakness , chills ; afebrile , low O 2 sat / / Assess for infectious process , heart failure TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph dated ___ . Chest radiograph dated ___ . FINDINGS : There is a subtle of opacification lateral to the right heart border , which has been present since ___ . There is also a 9 mm round opacity projecting over the left mid lung , which is stable since ___ . The lungs are otherwise clear . Moderate enlargement of the cardiac silhouette . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities . IMPRESSION : No evidence of pneumonia or CHF .", "entities": { "1": { "tokens": "subtle", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "5" ] ] }, "3": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "6": { "tokens": "border", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "9 mm", "label": "OBS-DP", "start_ix": 94, "end_ix": 95, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "round", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "12" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "13": { "tokens": "stable", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "9" ] ] }, "14": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "15": { "tokens": "otherwise", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "clear", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "19" ] ] }, "19": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "20": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [] }, "22": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "23": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "21" ], [ "modify", "22" ] ] }, "24": { "tokens": "normal", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "located_at", "21" ], [ "located_at", "22" ] ] }, "25": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "27": { "tokens": "normal", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "29": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 140, "end_ix": 140, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 142, "end_ix": 142, "relations": [] }, "31": { "tokens": "acute", "label": "OBS-DA", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "33" ] ] }, "32": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [] }, "33": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 151, "end_ix": 151, "relations": [ [ "located_at", "32" ] ] }, "34": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 158, "end_ix": 158, "relations": [] }, "35": { "tokens": "CHF", "label": "OBS-DA", "start_ix": 160, "end_ix": 160, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s54307084.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with MDS , on thalidomide / prednisone , reporting 2 days of cough , wheezing , DOE , increasing fatigue / / Pneumonia ? Acute changes ? COMPARISON : ___ IMPRESSION : The pre - existing right upper lobe pneumonia has almost completely cleared . No new parenchymal opacities . Minimal pleural thickening at the left lateral aspect of the chest wall . Moderate cardiomegaly without pulmonary edema . Mild elongation of the descending aorta . No pleural effusions .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "4": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "new", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "7": { "tokens": "opacities", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "10": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "aspect", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "15": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "18": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "19": { "tokens": "edema", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "elongation", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "23" ] ] }, "22": { "tokens": "descending", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "25": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "24" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s51659523.txt": { "text": "FINAL REPORT EXAMINATION : Chest radiograph PA and lateral INDICATION : ___ year old man with transfusion dependent anemia , MDS with chronic neutropenia , pulmonary hypertention , s / p recent hospitalization with fever . Reporting increasing fatigue , weakness , DOE . / / Assess for abnormalities . ? infiltrate , effusion TECHNIQUE : Chest PA and lateral COMPARISON : Chest x - ray ___ FINDINGS : The lungs are hyperinflated with flattening of bilateral hemidiaphragms , suggesting chronic pulmonary disease . The diffuse prominent interstitial markings which that were noted on the prior chest x - ray have improved , which likely suggests resolving interstitial edema . Lungs are otherwise free of consolidations , pleural effusions or pneumothorax . Mediastinum and hila are normal . Mild cardiomegaly , stable since ___ . No acute osseous abnormalities . IMPRESSION : Improving diffuse interstitial markings likely suggests resolving interstitial edema . Diffuse infectious process is unlikely .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "2": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "1" ], [ "suggestive_of", "8" ] ] }, "3": { "tokens": "flattening", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "5" ] ] }, "4": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "hemidiaphragms", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "6": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "8": { "tokens": "disease", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "12": { "tokens": "markings", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "11" ], [ "suggestive_of", "16" ] ] }, "13": { "tokens": "improved", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "resolving", "label": "OBS-U", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "16": { "tokens": "edema", "label": "OBS-U", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "18": { "tokens": "consolidations", "label": "OBS-DA", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "20": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 120, "end_ix": 120, "relations": [] }, "22": { "tokens": "Mediastinum", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "23": { "tokens": "hila", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "24": { "tokens": "normal", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "located_at", "22" ], [ "located_at", "23" ] ] }, "25": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "27": { "tokens": "stable", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "acute", "label": "OBS-DA", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 137, "end_ix": 137, "relations": [] }, "30": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 138, "end_ix": 138, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "Improving", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "34" ] ] }, "32": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 144, "end_ix": 144, "relations": [] }, "34": { "tokens": "markings", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "located_at", "33" ], [ "suggestive_of", "37" ] ] }, "35": { "tokens": "resolving", "label": "OBS-U", "start_ix": 148, "end_ix": 148, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 149, "end_ix": 149, "relations": [] }, "37": { "tokens": "edema", "label": "OBS-U", "start_ix": 150, "end_ix": 150, "relations": [ [ "located_at", "36" ] ] }, "38": { "tokens": "Diffuse", "label": "OBS-U", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "40" ] ] }, "39": { "tokens": "infectious", "label": "OBS-U", "start_ix": 153, "end_ix": 153, "relations": [] }, "40": { "tokens": "process", "label": "OBS-U", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "39" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s57194811.txt": { "text": "FINAL REPORT CHEST , TWO VIEWS : ___ . HISTORY : ___ - year - old male with dyspnea on exertion . COMPARISON : None . FINDINGS : The lungs are clear of focal consolidation or effusion . There is pulmonary vascular congestion without overt pulmonary edema . Cardiac silhouette is moderately enlarged . No acute osseous abnormality is identified . IMPRESSION : Moderate cardiomegaly . Pulmonary vascular congestion without overt pulmonary edema .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "focal", "label": "OBS-DA", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "1" ] ] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "7": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "overt", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "11": { "tokens": "edema", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "13": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "12" ] ] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "18": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "21": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "22": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "overt", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "26": { "tokens": "edema", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "25" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s54509771.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with MDS , on thalidomide and high dose prednisone . REporting increasing shorteness of breath with exertion / / Assess for infection , other possible causes for symptoms . COMPARISON : Chest radiograph dated ___ . Chest CTA dated ___ . FINDINGS : Persistent flattening of the diaphragms and increase in AP diameter , consistent with chronic pulmonary disease . New opacity in the right upper lobe . Stable appearance of the right lower lobe opacity . Scattered bilateral nodules , more clearly demonstrated on recent CT , but which appear unchanged . No pleural effusion , pulmonary edema , pneumothorax . Stable tortuosity of the descending aorta . Stable appearance of the cardiomediastinal silhouette and hila . IMPRESSION : New right upper lobe pneumonia . NOTIFICATION : The findings were discussed by Dr . ___ with ___ ___ , the referring provider , on the telephone on ___ at 2:45PM , 2 minutes after discovery of the findings .", "entities": { "1": { "tokens": "flattening", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "2" ], [ "suggestive_of", "8" ] ] }, "2": { "tokens": "diaphragms", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "3": { "tokens": "increase", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "5" ], [ "suggestive_of", "8" ] ] }, "4": { "tokens": "AP", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "diameter", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "2" ] ] }, "6": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "8": { "tokens": "disease", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "New", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "13" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "14": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "18" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "18": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Scattered", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "21": { "tokens": "nodules", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "24": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "26": { "tokens": "edema", "label": "OBS-DA", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 116, "end_ix": 116, "relations": [] }, "28": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "tortuosity", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "31" ] ] }, "30": { "tokens": "descending", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "32": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "located_at", "33" ], [ "located_at", "35" ] ] }, "33": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "34": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "hila", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "36": { "tokens": "New", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "40" ] ] }, "37": { "tokens": "right", "label": "ANAT-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "39" ] ] }, "38": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "40": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "located_at", "39" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s53383993.txt": { "text": "FINAL REPORT INDICATION : ___ M with wheezing and SOB after blood transfusion / / Eval for pneumonia or pulmonary edema TECHNIQUE : Single portable view of the chest . COMPARISON : ___ . FINDINGS : Given differences in technique from exam from earlier the same day , there has been no significant interval change . Lower lung volumes are seen with secondary crowding of the bronchovascular markings and accentuation of the cardiomediastinal silhouette . Right mid lung opacity is likely atelectasis . Tortuosity of descending thoracic aorta is unchanged . IMPRESSION : Cardiomegaly without definite acute cardiopulmonary process .", "entities": { "1": { "tokens": "Lower", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "2" ], [ "suggestive_of", "5" ], [ "suggestive_of", "10" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "secondary", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "6" ] ] }, "6": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "7": { "tokens": "markings", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "5" ] ] }, "8": { "tokens": "accentuation", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "9" ] ] }, "9": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "10": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "14": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "13" ], [ "suggestive_of", "15" ] ] }, "15": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [] }, "16": { "tokens": "Tortuosity", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "descending", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "20": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Cardiomegaly", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "22": { "tokens": "acute", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "24": { "tokens": "process", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "23" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s52468580.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : History : ___ M with sob / / evidence of pneumonia TECHNIQUE : Single frontal view of the chest COMPARISON : ___ FINDINGS : No focal consolidation is seen . Ovoid 9 mm opacity projecting over the left mid lung is again seen , stable . There is no pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "focal", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [] }, "3": { "tokens": "Ovoid", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "9 mm", "label": "OBS-DP", "start_ix": 42, "end_ix": 43, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "8" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "9": { "tokens": "stable", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "5" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [] }, "13": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "14": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "15": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "13" ], [ "modify", "14" ] ] }, "16": { "tokens": "stable", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "13" ], [ "located_at", "14" ] ] }, "17": { "tokens": "acute", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "19": { "tokens": "process", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "18" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s59506127.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with MDS with myelofibrosis , pulmonary hypertension , on thalidomide / prednisone . Reporting DOE over past several days w / o chest pain / / Assess for abnormalities . . ? infiltrate , heart failure COMPARISON : Chest radiographs dating back to ___ as well as CTA chest from ___ FINDINGS : Mild cardiomegaly and flattening of the hemidiaphragms are similar to prior . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . No focal consolidation , pleural effusion , or pneumothorax . Suggestion of nodules bilaterally , better seen on recent CTA . IMPRESSION : 1 . No infiltrates or signs of acute heart failure . 2 . Signs of chronic lung disease are similar to prior . NOTIFICATION : The findings were discussed with ___ on the telephone on ___ at 2:08PM.", "entities": { "1": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "3": { "tokens": "flattening", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "4" ] ] }, "4": { "tokens": "hemidiaphragms", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "5": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "6": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "7": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "5" ], [ "modify", "6" ] ] }, "8": { "tokens": "normal", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "5" ], [ "located_at", "6" ] ] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "10": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "normal", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "focal", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "15": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [] }, "17": { "tokens": "nodules", "label": "OBS-U", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "18" ] ] }, "18": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "19": { "tokens": "infiltrates", "label": "OBS-DA", "start_ix": 121, "end_ix": 121, "relations": [] }, "20": { "tokens": "acute", "label": "OBS-DA", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "22": { "tokens": "failure", "label": "OBS-DA", "start_ix": 127, "end_ix": 127, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "25": { "tokens": "disease", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "24" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15165563/s57008959.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Neutropenic fever . PA and lateral upright chest radiographs were reviewed in comparison to ___ . Cardiomegaly is unchanged . Mediastinal silhouette is stable . Diffuse interstitial opacities seen on the prior chest radiograph appear to be unchanged as compared to ___ . When compared to ___ , the findings appear to be new , thus consistent with new process , diffuse that although might potentially represent infectious process can also reflect interstitial lung disease of another source . Correlation with chest CT is required .", "entities": { "1": { "tokens": "Cardiomegaly", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "2": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "4": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "stable", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "3" ] ] }, "6": { "tokens": "Diffuse", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "8": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "7" ], [ "suggestive_of", "12" ], [ "suggestive_of", "15" ] ] }, "9": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "findings", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "new", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "infectious", "label": "OBS-U", "start_ix": 73, "end_ix": 73, "relations": [] }, "13": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "15": { "tokens": "disease", "label": "OBS-U", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "13" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003956/s53245562.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ M with fever / / pna ? COMPARISON : None FINDINGS : PA and lateral views of the chest provided . No lobar consolidation , effusion or pneumothorax . No convincing signs of pneumonia . The heart and mediastinal contours are normal . Bony structures are intact . No free air below the right hemidiaphragm . IMPRESSION : No definite signs of pneumonia .", "entities": { "1": { "tokens": "lobar", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "2": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 38, "end_ix": 38, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 40, "end_ix": 40, "relations": [] }, "5": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 46, "end_ix": 46, "relations": [] }, "6": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "7": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "8": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "6" ], [ "modify", "7" ] ] }, "9": { "tokens": "normal", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "6" ], [ "located_at", "7" ] ] }, "10": { "tokens": "Bony", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "11": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "intact", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "free", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "air", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "17" ] ] }, "15": { "tokens": "below", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "18": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15004061/s50854153.txt": { "text": "WET READ : ___ ___ ___ 7:46AM Left lower lobe atelectasis with associated mild left pleural effusion . Supportive devices in appropriate position . WET READ VERSION # 1 ___ ___ 6:39PM Left lower lobe atelectasis with associated mild left pleural effusion . Supportive devices in appropriate position . ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man s / p chest closure / / eval for effusion , ptx eval for effusion , ptx IMPRESSION : In comparison with the study of ___ , the monitoring and support devices are essentially unchanged and there is no evidence of pneumothorax . Continued opacification at the left base consistent with volume loss in left lower lobe and small effusion .", "entities": { "1": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 9, "end_ix": 9, "relations": [] }, "4": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "mild", "label": "OBS-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 14, "end_ix": 14, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 15, "end_ix": 15, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "Supportive", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "devices", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "11": { "tokens": "appropriate", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "position", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "10" ] ] }, "13": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "16": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "mild", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Supportive", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "devices", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "23": { "tokens": "appropriate", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "position", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "22" ] ] }, "25": { "tokens": "monitoring", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "26": { "tokens": "support", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "devices", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "28": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "25" ], [ "modify", "27" ] ] }, "29": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [] }, "30": { "tokens": "Continued", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "33" ], [ "suggestive_of", "40" ] ] }, "32": { "tokens": "left", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "base", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "34": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "38" ] ] }, "35": { "tokens": "loss", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "38" ] ] }, "36": { "tokens": "left", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "39": { "tokens": "small", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15004061/s56845046.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with 3 vessel CAD requring CABG / / CABG workup Surg : ___ ( CABG ) CABG workup COMPARISON : Chest radiographs ___ . IMPRESSION : Lungs are fully expanded and clear . Cardiomediastinal and hilar silhouettes and pleural surfaces are normal . Previous mild mediastinal venous engorgement has improved .", "entities": { "1": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "2": { "tokens": "fully", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "clear", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "6": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "7": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "5" ], [ "modify", "6" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "9": { "tokens": "surfaces", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "5" ], [ "located_at", "6" ], [ "located_at", "8" ] ] }, "11": { "tokens": "mild", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "14": { "tokens": "engorgement", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "13" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15004061/s51985597.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man s / p CABG / / eval for effusion TECHNIQUE : Portable chest COMPARISON : ___ at 12 : 47 FINDINGS : Lung volumes are low . There is at dense device overlying the midline likely in the esophagus . This was not present on the followup film . There is a IJ line with tip in the SVC . There is fluid in the right major fissure . There is volume loss at both bases . Left - sided chest tube is unchanged compared to prior . There is a small left effusion .", "entities": { "1": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "low", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "dense", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "device", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "6" ], [ "located_at", "8" ] ] }, "6": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "midline", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "8": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "9": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "10" ] ] }, "10": { "tokens": "line", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "11": { "tokens": "tip", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "10" ], [ "located_at", "12" ] ] }, "12": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "13": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "16" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "major", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "fissure", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "17": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "loss", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "20" ] ] }, "19": { "tokens": "both", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "21": { "tokens": "Left - sided", "label": "ANAT-DP", "start_ix": 92, "end_ix": 94, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "23": { "tokens": "tube", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "22" ] ] }, "25": { "tokens": "small", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "left", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "27": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15004061/s50269894.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with s / p CABG - CTs d / c'd / / evaluate for pneumothorax evaluate for pneumothorax IMPRESSION : In comparison with the study of ___ , the left chest tube has been removed and there is no definite pneumothorax . Opacification at the left base is consistent with volume loss in the lower lobe and pleural effusion . Monitoring and support devices are otherwise essentially unchanged .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [] }, "5": { "tokens": "Opacification", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "7" ], [ "suggestive_of", "9" ], [ "suggestive_of", "13" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "base", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "8": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "loss", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "Monitoring", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "15": { "tokens": "support", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "devices", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "17": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "14" ], [ "modify", "16" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002183/s52341485.txt": { "text": "FINAL REPORT INDICATION : Evaluate for pneumonia in a patient with dyspnea and tachycardia . COMPARISON : Chest radiographs from ___ and ___ . FINDINGS : Frontal chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs , without focal consolidation or pneumothorax . There may be trace bilateral pleural effusions . There is a right chest port , with the catheter terminating in the right atrium . The visualized upper abdomen is unremarkable . IMPRESSION : No acute cardiopulmonary process . Hyperinflated lungs . Possible pleural effusions .", "entities": { "1": { "tokens": "normal", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "3": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "5" ] ] }, "5": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "6": { "tokens": "focal", "label": "OBS-DA", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 40, "end_ix": 40, "relations": [] }, "8": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [] }, "9": { "tokens": "trace", "label": "OBS-U", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "12": { "tokens": "effusions", "label": "OBS-U", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "15": { "tokens": "port", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "15" ], [ "located_at", "18" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "19": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "21": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "22": { "tokens": "acute", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "24": { "tokens": "process", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "Hyperinflated", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "26" ] ] }, "26": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "27": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "28": { "tokens": "effusions", "label": "OBS-U", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "27" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001073/s52168754.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH HISTORY : Chest pain . Question ST elevation myocardial infarction . COMPARISONS : ___ . TECHNIQUE : Chest , AP portable . FINDINGS : The cardiac , mediastinal and hilar contours appear stable . There is no evidence for mediastinal widening . There is mild elevation of the right hemidiaphragm . There is no pleural effusion . The lungs appear clear . IMPRESSION : No evidence of acute disease .", "entities": { "1": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "2": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "3": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "4": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "1" ], [ "modify", "2" ], [ "modify", "3" ] ] }, "5": { "tokens": "stable", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "1" ], [ "located_at", "2" ], [ "located_at", "3" ] ] }, "6": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "7": { "tokens": "widening", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "mild", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "15": { "tokens": "clear", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "disease", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s53214365.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old female with febrile neutropenia . TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph performed ___ . FINDINGS : PA and lateral chest radiographs demonstrates no focal lesion concerning for infectious process . There is no evidence of over pulmonary edema , pneumothorax or pleural effusion . A right chest port is identified , its tip which projects over the anticipated location of the low superior vena cava . Heart size and mediastinal contours are stable . Osseous structures are without acute abnormality . IMPRESSION : No acute intrathoracic abnormality . No focal consolidation to suggest infectious process .", "entities": { "1": { "tokens": "focal", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "lesion", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [ [ "suggestive_of", "3" ] ] }, "3": { "tokens": "infectious", "label": "OBS-DA", "start_ix": 40, "end_ix": 40, "relations": [] }, "4": { "tokens": "process", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "over", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "7": { "tokens": "edema", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [] }, "9": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "10": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "13": { "tokens": "port", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "tip", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "13" ], [ "located_at", "16" ] ] }, "15": { "tokens": "low", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "superior vena cava", "label": "ANAT-DP", "start_ix": 75, "end_ix": 77, "relations": [] }, "17": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "18": { "tokens": "size", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "20": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "stable", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "17" ], [ "located_at", "19" ] ] }, "22": { "tokens": "Osseous", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "23": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "acute", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "22" ] ] }, "26": { "tokens": "acute", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "28": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "focal", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [ [ "suggestive_of", "31" ] ] }, "31": { "tokens": "infectious", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [] }, "32": { "tokens": "process", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "31" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s55285875.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : AML / / pre bmt eval pre bmt eval IMPRESSION : In comparison with the study of ___ , the cardiac silhouette remains within upper limits of normal or mildly enlarged . No evidence of vascular congestion , pleural effusion , or acute focal pneumonia .", "entities": { "1": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "2": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "within", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "upper", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "limits", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "normal", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "1" ] ] }, "7": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "1" ] ] }, "9": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "10": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "12": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "acute", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "focal", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s53834915.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : History : ___ F with h / o AML s / p induction chemo c / b neutropenic fever , CT then showing RUL nodule c / f fungal infection / / ? pneumonia , bronchiectasis , worsening of RUL nodule TECHNIQUE : AP and lateral chest radiographs . COMPARISON : Chest radiograph ___ FINDINGS : There has been interval removal of the right - sided internal jugular catheter . The trachea is central . The cardiomediastinal contour is within normal limits . Lung volumes are unchanged . No evidence of pulmonary vascular congestion . No consolidation , pneumothorax or pleural effusion seen . There are moderate multilevel degenerative changes in the thoracic spine . IMPRESSION : No acute cardiopulmonary process seen .", "entities": { "1": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 75, "end_ix": 77, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "internal", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "jugular", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "4": { "tokens": "catheter", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "trachea", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "6": { "tokens": "central", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "8": { "tokens": "contour", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "within", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "7" ] ] }, "11": { "tokens": "limits", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "13": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "17": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 108, "end_ix": 108, "relations": [] }, "19": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 110, "end_ix": 110, "relations": [] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 113, "end_ix": 113, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "multilevel", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "degenerative", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "located_at", "27" ] ] }, "25": { "tokens": "changes", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [] }, "28": { "tokens": "acute", "label": "OBS-DA", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [] }, "30": { "tokens": "process", "label": "OBS-DA", "start_ix": 132, "end_ix": 132, "relations": [ [ "located_at", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s56357121.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman with wheezing . / / evaluate for source of wheezing . TECHNIQUE : AP portable chest radiograph COMPARISON : ___ FINDINGS : The tip of her right central venous catheter extends to the superior distal SVC . The left subclavian central venous catheter has been removed . Mildly increased pulmonary vascular congestion without overt pulmonary edema . No pleural effusion or pneumothorax identified . The size of the cardiomediastinal silhouette is enlarged but unchanged . IMPRESSION : Mild pulmonary vascular congestion . Interval removal of the left subclavian central venous catheter and placement of a new right internal jugular central venous catheter , the tip extending to the distal SVC .", "entities": { "1": { "tokens": "tip", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "5" ], [ "located_at", "8" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "central", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "5": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "superior", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "9": { "tokens": "left", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "central", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "13": { "tokens": "catheter", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "Mildly", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "increased", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "18": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "overt", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "21": { "tokens": "edema", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [] }, "25": { "tokens": "size", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "27": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "26" ] ] }, "29": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "26" ] ] }, "30": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "33" ] ] }, "31": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "33": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "32" ] ] }, "34": { "tokens": "left", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "37" ] ] }, "35": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "central", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "38": { "tokens": "catheter", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "37" ] ] }, "39": { "tokens": "new", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "45" ] ] }, "40": { "tokens": "right", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "44" ] ] }, "41": { "tokens": "internal", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "jugular", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "central", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "45": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "44" ] ] }, "46": { "tokens": "tip", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "45" ], [ "located_at", "48" ] ] }, "47": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "48" ] ] }, "48": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s56882127.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with AML . / / Workup for eligibility testing of allogenic transplant recipient . Workup for eligibility testing of allogenic transplant recipient . IMPRESSION : Comparison to ___ . The lung volumes are normal . Mild cardiomegaly without pulmonary edema . Right - sided PICC line in situ . The tip projects over the cavoatrial junction . No pleural effusions . No pneumonia . No pulmonary edema . No pneumothorax .", "entities": { "1": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "7": { "tokens": "edema", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "Right - sided", "label": "ANAT-DP", "start_ix": 56, "end_ix": 58, "relations": [] }, "9": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "tip", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "9" ], [ "located_at", "12" ] ] }, "11": { "tokens": "cavoatrial", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "14": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "17": { "tokens": "edema", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s59839693.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ f w Aml w neutropenic fever / / Signs of pneumonia , interval changes Signs of pneumonia , interval changes IMPRESSION : In comparison the study of ___ , the cardiac silhouette remains at the upper limits of normal or mildly enlarged . No evidence of acute pneumonia , vascular congestion , or pleural effusion . Left subclavian catheter is stable in position .", "entities": { "1": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "2": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "upper", "label": "OBS-U", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "limits", "label": "OBS-U", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "normal", "label": "OBS-U", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "2" ] ] }, "6": { "tokens": "mildly", "label": "OBS-U", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "enlarged", "label": "OBS-U", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "2" ] ] }, "8": { "tokens": "acute", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [] }, "10": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "11": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "16": { "tokens": "catheter", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "stable", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "16" ] ] }, "19": { "tokens": "in position", "label": "OBS-DP", "start_ix": 73, "end_ix": 74, "relations": [ [ "modify", "16" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s58166907.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with AML her for Allo D - 3 now with fever and transaminitis / / Eval fever Eval fever IMPRESSION : Compared to chest radiographs ___ through one ___ . Increase caliber to mediastinal veins and pulmonary vasculature , accompanying increased mild cardiomegaly , could be due to increased intravascular volume from transfusion . It is difficult therefore to distinguish mild interstitial edema from mild interstitial abnormality that could be due to TRALI or drug reaction . Left subclavian line ends in the mid SVC . No pneumothorax or appreciable pleural effusion .", "entities": { "1": { "tokens": "Increase", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "caliber", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "4" ], [ "located_at", "6" ] ] }, "3": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "4": { "tokens": "veins", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "6": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "increased", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "mild", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "10": { "tokens": "increased", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "suggestive_of", "1" ], [ "suggestive_of", "7" ], [ "located_at", "11" ] ] }, "11": { "tokens": "intravascular", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "12": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "mild", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "15": { "tokens": "edema", "label": "OBS-U", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "mild", "label": "OBS-U", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "18": { "tokens": "abnormality", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "21": { "tokens": "line", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "20" ], [ "located_at", "23" ] ] }, "22": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [] }, "25": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "26": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "25" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s51228277.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with AML s / p C 1 MiDAC aw axillary lump s / p I D . Febrile . / / Please evaluate for infiltrate . TECHNIQUE : CHEST ( PORTABLE AP ) COMPARISON : ___ IMPRESSION : Port - A - Cath catheter tip is at the level of cavoatrial junction . Heart size and mediastinum are stable . Lungs are essentially clear . No pleural effusion or pneumothorax is seen No definitive evidence of consolidation to suggest infection demonstrated but if symptoms of pneumonia present , correlation with chest CT is to be considered .", "entities": { "1": { "tokens": "Port - A - Cath", "label": "OBS-DP", "start_ix": 53, "end_ix": 57, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "2" ], [ "located_at", "4" ] ] }, "4": { "tokens": "cavoatrial junction", "label": "ANAT-DP", "start_ix": 65, "end_ix": 66, "relations": [] }, "5": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "6": { "tokens": "size", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "8": { "tokens": "stable", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "5" ], [ "located_at", "7" ] ] }, "9": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "10": { "tokens": "essentially", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "clear", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "9" ] ] }, "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": "pneumothorax", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [] }, "15": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "suggestive_of", "16" ] ] }, "16": { "tokens": "infection", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [] }, "17": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 100, "end_ix": 100, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s59479753.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman with subclavian line placed yesterday w / hematoma and hct drop / / Hemothorax ? TECHNIQUE : Single AP portable radiograph of the chest COMPARISON : ___ FINDINGS : The lungs are moderately well inflated and clear . No pleural effusions , hemothorax or pneumothorax . Cardiomediastinal silhouette is within normal limits with aortic knuckle calcification . Left - sided subclavian line terminates in the proximal SVC . Diffuse demineralization . IMPRESSION : 1 . Well inflated clear lungs . 2 . No pleural effusion / hemothorax or pneumothorax . 3 . Left subclavian line terminates in the proximal SVC", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "2": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "well", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "inflated", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "clear", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "1" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "7": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "hemothorax", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [] }, "10": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "11": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "normal", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "limits", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "aortic", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "15": { "tokens": "knuckle", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "calcification", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "Left - sided", "label": "ANAT-DP", "start_ix": 65, "end_ix": 67, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "19": { "tokens": "line", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "18" ], [ "located_at", "21" ] ] }, "20": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "22": { "tokens": "Diffuse", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "demineralization", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "24": { "tokens": "Well", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "inflated", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "27" ] ] }, "26": { "tokens": "clear", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "27" ] ] }, "27": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "28": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "29": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "hemothorax", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [] }, "31": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [] }, "32": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "34": { "tokens": "line", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "33" ], [ "located_at", "36" ] ] }, "35": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s58703686.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman with new diagnosis of AML with fever , not on chemotherapy yet . / / r / o PNA TECHNIQUE : Chest PA and lateral COMPARISON : None . FINDINGS : Heart size is normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . Lungs are clear except for a small linear opacity in the left lower lung at the level of the fifth anterior rib . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities . IMPRESSION : Linear opacity in left lower lung favors atelectasis , but an early focus of pneumonia is also possible in this immunosuppressed patient . Short - term followup radiographs may be helpful in this regard .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "5": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "6": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "7": { "tokens": "normal", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "8": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "9": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "12": { "tokens": "clear", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "small", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "linear", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "18" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "19": { "tokens": "fifth", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "anterior", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [] }, "25": { "tokens": "acute", "label": "OBS-DA", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "27": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "Linear", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "33" ], [ "suggestive_of", "36" ] ] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "33": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 113, "end_ix": 113, "relations": [] }, "34": { "tokens": "early", "label": "OBS-U", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "focus", "label": "OBS-U", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 120, "end_ix": 120, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s52859232.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with AML and worsening dyspnea ; bronchoscopy yesterday / / Edema / Effusion ? TECHNIQUE : Portable chest COMPARISON : ___ FINDINGS : There is moderate cardiomegaly . There is pulmonary vascular redistribution with hazy ill - defined vascularity . There is volume loss at the bases . Right IJ line is unchanged . There small bilateral pleural effusions . IMPRESSION : Increased fluid overload .", "entities": { "1": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "4": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "5": { "tokens": "redistribution", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "hazy", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "ill - defined", "label": "OBS-DP", "start_ix": 50, "end_ix": 52, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "vascularity", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "9": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "loss", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "11" ] ] }, "11": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "12": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "13": { "tokens": "IJ", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "line", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "small", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "19": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "22": { "tokens": "overload", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "21" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15078112/s56824160.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman with AML recently started chemo , now w / recurent neutropenic fevers / / eval for infiltrates EXAMINATION : CHEST ( PA AND LAT ) TECHNIQUE : Chest radiograph , PA and lateral view COMPARISON : Chest radiograph ___ , CT chest ___ FINDINGS : Right subclavian venous catheter terminates in mid SVC . Small lingular opacity is similar to ___ . Small Left pleural effusion is new since ___ . There is faint right upper lung perihilar opacity , which was better visualized the CT from same day . There is no pneumothorax . Cardiac silhouette is mildly enlarged . IMPRESSION : Small left pleural effusion is new since ___ . Multifocal infection was better evaluated on the CT from same day . Some findings seen on CT are not obvious on the radiograph . Initial followup imaging should start with a conventional radiograph , however if there is discordance between the clinical and radiological findings , CT should be considered for better evaluation .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "4": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "3" ], [ "located_at", "6" ] ] }, "5": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "7": { "tokens": "Small", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "lingular", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "9": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "Small", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "new", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "faint", "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": "upper", "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": "perihilar", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "18" ] ] }, "21": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [] }, "22": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "23": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "22" ] ] }, "26": { "tokens": "Small", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "left", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "29": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "new", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "Multifocal", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "infection", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18026902/s53920289.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) CHEST ( PA AND LAT ) i INDICATION : ___ year old man s / p Bentall / / eval effusions COMPARISON : Chest radiographs ___ through ___ IMPRESSION : Small bilateral pleural effusion has probably decreased since ___ , not evaluated previously with the lateral chest radiograph . Mild cardiomegaly stable . Lungs clear . No pneumothorax .", "entities": { "1": { "tokens": "Small", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "8": { "tokens": "stable", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "10": { "tokens": "clear", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18026902/s55810062.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with s / p asc aorta replacement / / hypoxia COMPARISON : ___ IMPRESSION : As compared to the previous radiograph , the pre - existing parenchymal opacities on the right have slightly increased in extent and severity . They are now located in the right perihilar regions . Retrocardiac atelectasis is unchanged . Moderate cardiomegaly . Status post valvular replacement . The right internal jugular vein catheter is of unchanged position .", "entities": { "1": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "2": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "1" ], [ "located_at", "9" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "increased", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "2" ] ] }, "6": { "tokens": "in extent", "label": "OBS-DP", "start_ix": 49, "end_ix": 50, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "severity", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "5" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "10": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "11": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "15": { "tokens": "valvular", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "16": { "tokens": "replacement", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "right internal jugular vein", "label": "OBS-DP", "start_ix": 78, "end_ix": 81, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "19": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "18" ], [ "located_at", "20" ] ] }, "20": { "tokens": "position", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18026902/s58219787.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) CHEST ( PORTABLE AP ) i INDICATION : ___ year old man with aortic dissection / / ? pleural effusion COMPARISON : Chest radiographs ___ through ___ : 33 . IMPRESSION : Discrete consolidation , right lower lobe , worsened since ___ , pneumonia into approved otherwise . Left infrahilar consolidation is typically due to atelectasis . No pneumothorax or left pleural effusion following removal of left pleural drain . Right internal jugular line ends in the low SVC . Normal postoperative cardiomediastinal silhouette . NOTIFICATION : Dr . ___ reported the findings to ___ by telephone on ___ at 12:02PM , 10 minutes the initial attempt at paging the referring physician following discovery of the findings .", "entities": { "1": { "tokens": "Discrete", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "5" ], [ "suggestive_of", "7" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "6": { "tokens": "worsened", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "2" ] ] }, "7": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "8": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "infrahilar", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "10": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "suggestive_of", "10" ] ] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "15": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "18": { "tokens": "drain", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "internal jugular", "label": "ANAT-DP", "start_ix": 80, "end_ix": 81, "relations": [] }, "21": { "tokens": "line", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "20" ], [ "located_at", "23" ] ] }, "22": { "tokens": "low", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "24": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "26" ] ] }, "25": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "26" ] ] }, "26": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "27": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18026902/s51741672.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) CHEST ( PORTABLE AP ) i INDICATION : ___ year old man with as above / / s / p repair of aortic disection w / hypoxia r / o effusion COMPARISON : Chest radiographs pre and postoperatively ___ and ___ . IMPRESSION : Cardiomediastinal silhouette has a normal postoperative appearance unchanged since ___ . Lungs are low in volume but clear . Midline and left pleural drains in place . No pneumothorax or appreciable pleural effusion . No pulmonary edema . Swan - Ganz catheter ends in the region of the pulmonic valve . ET tube in standard placement . Nasogastric tube ends in the upper portion of the nondistended stomach .", "entities": { "1": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "2": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "appearance", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "3" ] ] }, "6": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "3" ] ] }, "7": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "8": { "tokens": "low", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "7" ] ] }, "10": { "tokens": "clear", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "7" ] ] }, "11": { "tokens": "Midline", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "14": { "tokens": "drains", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "in place", "label": "OBS-DP", "start_ix": 77, "end_ix": 78, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "18": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "20": { "tokens": "edema", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Swan - Ganz", "label": "OBS-DP", "start_ix": 91, "end_ix": 93, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "24" ] ] }, "23": { "tokens": "pulmonic", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "valve", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "25": { "tokens": "ET", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "tube", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "27": { "tokens": "standard", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "placement", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "26" ] ] }, "29": { "tokens": "Nasogastric", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "tube", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "34" ] ] }, "31": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "portion", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "nondistended", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "34" ] ] }, "34": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18026902/s57297476.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man s / p type A dissection repair / / interval change TECHNIQUE : Portable chest film COMPARISON : Radiographs dating back to ___ FINDINGS : Left chest tube remains in place . ET tube terminates 5 cm above the carina . Median sternotomy clips and drains are unchanged in position . NG tube has migrated proximally since the prior examination , terminating near the cardia of the stomach with the port in the mid esophagus . Right layering mild to moderate pleural effusion with blurring of the right hemidiaphragm . There are prominent vascularity with horizontal linear opacities corresponding to mild interstitial edema , and interval finding . There is also a consolidation in the right lower lung which could be atelectasis or aspiration . The heart is moderately enlarged . IMPRESSION : Interval mild right - sided interstitial edema and layering right - sided mild to moderate pleural effusion . NG tube migrating proximal since the prior examination with the side port at the mid - esophagus ; the NG tube can be advanced 15 cm . Right lower lung consolidation which could represent aspiration or atelectasis . NOTIFICATION : The findings were discussed by Dr . ___ with Dr . ___ on the telephone on ___ at 12:13PM , 1 minutes after discovery of the findings .", "entities": { "1": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "in place", "label": "OBS-DP", "start_ix": 44, "end_ix": 45, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "ET", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "tube", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "8" ] ] }, "7": { "tokens": "5 cm above", "label": "ANAT-DP", "start_ix": 50, "end_ix": 52, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "9": { "tokens": "Median", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "10": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "clips", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "drains", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "11" ], [ "modify", "12" ] ] }, "14": { "tokens": "position", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "NG", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "tube", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "21" ] ] }, "17": { "tokens": "migrated", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "16" ], [ "located_at", "18" ] ] }, "18": { "tokens": "proximally", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "19": { "tokens": "near", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "cardia", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "22": { "tokens": "port", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "16" ], [ "located_at", "24" ] ] }, "23": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "25": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "29" ] ] }, "26": { "tokens": "layering", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "30" ] ] }, "27": { "tokens": "mild", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "28": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "30": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "blurring", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "30" ], [ "located_at", "33" ] ] }, "32": { "tokens": "right", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "34": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "35" ] ] }, "35": { "tokens": "vascularity", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "36": { "tokens": "horizontal", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "linear", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "suggestive_of", "41" ] ] }, "39": { "tokens": "mild", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "41" ] ] }, "40": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "41": { "tokens": "edema", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "located_at", "45" ], [ "suggestive_of", "46" ], [ "suggestive_of", "47" ] ] }, "43": { "tokens": "right", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "45" ] ] }, "44": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "46": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 136, "end_ix": 136, "relations": [] }, "47": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 138, "end_ix": 138, "relations": [] }, "48": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [] }, "49": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "50" ] ] }, "50": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "located_at", "48" ] ] }, "51": { "tokens": "mild", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "54" ] ] }, "52": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 150, "end_ix": 152, "relations": [ [ "modify", "53" ] ] }, "53": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 153, "end_ix": 153, "relations": [] }, "54": { "tokens": "edema", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "located_at", "53" ] ] }, "55": { "tokens": "layering", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "60" ] ] }, "56": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 157, "end_ix": 159, "relations": [ [ "modify", "59" ] ] }, "57": { "tokens": "mild", "label": "OBS-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "60" ] ] }, "58": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 162, "end_ix": 162, "relations": [ [ "modify", "60" ] ] }, "59": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 163, "end_ix": 163, "relations": [] }, "60": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "located_at", "59" ] ] }, "61": { "tokens": "NG", "label": "OBS-DP", "start_ix": 166, "end_ix": 166, "relations": [ [ "modify", "62" ] ] }, "62": { "tokens": "tube", "label": "OBS-DP", "start_ix": 167, "end_ix": 167, "relations": [] }, "63": { "tokens": "proximal", "label": "OBS-DP", "start_ix": 169, "end_ix": 169, "relations": [] }, "64": { "tokens": "side port", "label": "OBS-DP", "start_ix": 176, "end_ix": 177, "relations": [ [ "modify", "62" ], [ "located_at", "66" ] ] }, "65": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 180, "end_ix": 180, "relations": [ [ "modify", "66" ] ] }, "66": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 182, "end_ix": 182, "relations": [] }, "67": { "tokens": "NG", "label": "OBS-DP", "start_ix": 185, "end_ix": 185, "relations": [ [ "modify", "68" ] ] }, "68": { "tokens": "tube", "label": "OBS-DP", "start_ix": 186, "end_ix": 186, "relations": [] }, "69": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 193, "end_ix": 193, "relations": [ [ "modify", "71" ] ] }, "70": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 194, "end_ix": 194, "relations": [ [ "modify", "71" ] ] }, "71": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 195, "end_ix": 195, "relations": [] }, "72": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 196, "end_ix": 196, "relations": [ [ "located_at", "71" ], [ "suggestive_of", "73" ], [ "suggestive_of", "74" ] ] }, "73": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 200, "end_ix": 200, "relations": [] }, "74": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 202, "end_ix": 202, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18026902/s55739083.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man s / p AAA repair / / eval for hypoxia etiology COMPARISON : ___ IMPRESSION : As compared to the previous radiograph , the Swan - Ganz catheter has been removed . The other monitoring and support devices , including the left chest tube , are in unchanged position . Minimal decrease in lung volumes with bilateral subtle homogeneous opacities at the lung bases , likely reflecting a combination of pleural effusions and atelectasis . Unchanged appearance of the mediastinum and the heart .", "entities": { "1": { "tokens": "the Swan - Ganz", "label": "OBS-DA", "start_ix": 38, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "catheter", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [] }, "3": { "tokens": "other", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "monitoring", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "support", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "devices", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "9": { "tokens": "tube", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "9" ], [ "located_at", "11" ] ] }, "11": { "tokens": "position", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "12": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "decrease", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "14" ] ] }, "14": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "15": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "20" ] ] }, "17": { "tokens": "subtle", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "homogeneous", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "20" ], [ "suggestive_of", "23" ], [ "suggestive_of", "24" ] ] }, "20": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "21": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "23": { "tokens": "effusions", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [] }, "25": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "26" ], [ "located_at", "27" ] ] }, "26": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "27": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18026902/s59872068.txt": { "text": "FINAL REPORT INDICATION : Status post ascending aorta replacement , evaluate perihilar opacity . TECHNIQUE : Bedside frontal chest radiograph . COMPARISON : Chest radiographs ___ and ___ . FINDINGS : There has been near complete of the right perihilar opacities over the last 3 days . No new areas of consolidation worrisome for infection . Retrocardiac atelectasis persists . Trace bilateral pleural effusions are unchanged . Heart remains moderately enlarged . No pulmonary edema and no pneumothorax . A right internal jugular catheter courses into the mid SVC . Sternotomy wires and an aortic valve replacement are constant . IMPRESSION : Resolving right perihilar opacities without new areas of consolidation .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "3": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "new", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "areas", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [ [ "suggestive_of", "8" ] ] }, "7": { "tokens": "worrisome", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "infection", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [] }, "9": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "10": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "Trace", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "14": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "17": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "20": { "tokens": "edema", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "23": { "tokens": "internal jugular", "label": "ANAT-DP", "start_ix": 81, "end_ix": 82, "relations": [] }, "24": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "23" ], [ "located_at", "26" ] ] }, "25": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "27": { "tokens": "Sternotomy", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "wires", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "29": { "tokens": "aortic", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "30": { "tokens": "valve", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "replacement", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "constant", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "28" ], [ "modify", "31" ] ] }, "34": { "tokens": "right", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "36": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "35" ], [ "suggestive_of", "39" ] ] }, "37": { "tokens": "new", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "areas", "label": "OBS-DA", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 110, "end_ix": 110, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003294/s51224077.txt": { "text": "FINAL REPORT CHEST TWO VIEWS : ___ . HISTORY : ___ - year - old female with cough . COMPARISON : ___ . FINDINGS : Frontal and lateral views of the chest . The lungs remain clear . The cardiomediastinal silhouette is within normal limits . Biapical scarring is again seen . No acute osseous abnormality is identified . Surgical clips in the neck likely related to prior thyroid surgery . 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": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "4": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "within", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "normal", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "3" ] ] }, "7": { "tokens": "limits", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "Biapical", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "9": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "acute", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "12": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "clips", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "15" ] ] }, "15": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003294/s51225513.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old female with pain with swallowing status post thyroidectomy . Evaluate for pneumonia and pneumomediastinum . COMPARISON : Multiple prior chest radiographs , most recently of ___ . FINDINGS : Frontal and lateral views of the chest . The heart size and cardiomediastinal contours are normal without pneumomediastinum . Biapical scarring is unchanged . The lungs are otherwise clear without focal consolidation , pleural effusion , or pneumothorax . IMPRESSION : No acute cardiopulmonary process . No focal consolidation or pneumomediastinum .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "4": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "normal", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "1" ], [ "located_at", "3" ] ] }, "6": { "tokens": "pneumomediastinum", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [] }, "7": { "tokens": "Biapical", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "8": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "7" ] ] }, "10": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "11": { "tokens": "clear", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "focal", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "10" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "15": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "17": { "tokens": "acute", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "19": { "tokens": "process", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "focal", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [] }, "22": { "tokens": "pneumomediastinum", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003294/s58755630.txt": { "text": "FINAL REPORT INDICATION : Chest pain . COMPARISON : ___ and ___ . FRONTAL AND LATERAL CHEST : 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 . Surgical clips in the neck are unchanged . Biapical scarring is again noted . IMPRESSION : No pneumonia , edema or effusion .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "2": { "tokens": "well", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "clear", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "focal", "label": "OBS-DA", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "1" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 30, "end_ix": 30, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 32, "end_ix": 32, "relations": [] }, "10": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "11": { "tokens": "size", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "normal", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "14": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "16": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "normal", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "13" ], [ "located_at", "15" ] ] }, "18": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "clips", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "20" ] ] }, "20": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "21": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "19" ] ] }, "22": { "tokens": "Biapical", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "23": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] }, "25": { "tokens": "edema", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [] }, "26": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003294/s50875241.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Cough and fatigue , evaluation . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , no relevant change is seen . Minimal bilateral symmetrical apical scarring . No acute changes in the lung parenchyma , in particular no evidence of pneumonia , pulmonary edema or pleural effusions . Unchanged size and shape of the cardiac silhouette .", "entities": { "1": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "symmetrical", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "5": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "acute", "label": "OBS-DA", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "changes", "label": "OBS-DA", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "8" ] ] }, "8": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "9": { "tokens": "parenchyma", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [] }, "11": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "12": { "tokens": "edema", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "14": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "18" ] ] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "shape", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "19": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "18" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003294/s54302152.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman with cough , shortness of breath / / r / o pneumonia TECHNIQUE : PA and lateral radiographs of the chest from ___ . COMPARISON : ___ . FINDINGS : Aside from stable mild biapical scarring , the lungs are clear . There is no pneumothorax . The heart and mediastinum are within normal limits . Upper paratracheal surgical clips are incidentally noted . IMPRESSION : No evidence of pneumonia .", "entities": { "1": { "tokens": "stable", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "mild", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "biapical", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "4": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "6": { "tokens": "clear", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [] }, "8": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "9": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "10": { "tokens": "within", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "normal", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "8" ], [ "located_at", "9" ] ] }, "12": { "tokens": "limits", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "Upper", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "paratracheal", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "15": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "clips", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003294/s55968942.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old female with chest pain . COMPARISON : PA and lateral chest radiograph ___ . PA AND LATERAL CHEST RADIOGRAPH : The cardiac silhouette is slightly increased since ___ with borderline cardiomegaly . Mild deviation of the trachea to the left consistent with right thyroid lobe enlargement . Right pleural thickening consistent with scarring atelectasis seen on previous T of ___ . No focal consolidation , pleural effusion or pneumothorax .", "entities": { "1": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "2": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "increased", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "borderline", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "7": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "deviation", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "9" ] ] }, "9": { "tokens": "trachea", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "10": { "tokens": "left", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "thyroid", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "13": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "17": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "20": { "tokens": "focal", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003294/s57007434.txt": { "text": "FINAL REPORT HISTORY : Cough , rule out pneumonia . COMPARISON : ___ . TECHNIQUE : PA and lateral views of the chest . FINDINGS : The lungs are clear . Cardiac silhouette is normal in size . A vessel on end is noted in the right lower lobe . Biapical scarring is unchanged . Mediastinal contours are within normal limits . There is no pleural effusion , pneumothorax or pulmonary edema . Surgical clips are noted within the neck , likely related to a thyroidectomy . IMPRESSION : No evidence of acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "4": { "tokens": "silhouette", "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" ], [ "modify", "6" ] ] }, "6": { "tokens": "size", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "7": { "tokens": "vessel on end", "label": "OBS-DP", "start_ix": 39, "end_ix": 41, "relations": [ [ "located_at", "10" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "11": { "tokens": "Biapical", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "12": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "15": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "normal", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "limits", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "19": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [] }, "21": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "22": { "tokens": "edema", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "clips", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "25" ], [ "suggestive_of", "26" ] ] }, "25": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "26": { "tokens": "thyroidectomy", "label": "OBS-U", "start_ix": 85, "end_ix": 85, "relations": [] }, "27": { "tokens": "acute", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "29": { "tokens": "process", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "28" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002035/s52843277.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) CHEST ( PA AND LAT ) i INDICATION : ___ year old woman with hx of positive ppd neg cough / / ? lesion COMPARISON : Chest radiographs since ___ most recently ___ . IMPRESSION : Normal heart , lungs , hila , mediastinum , and pleural surfaces . No evidence of intrathoracic malignancy or infection . Thoracic scoliosis is minimal , unchanged since ___ .", "entities": { "1": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "2" ], [ "located_at", "3" ], [ "located_at", "4" ], [ "located_at", "5" ], [ "located_at", "6" ] ] }, "2": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "3": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "4": { "tokens": "hila", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "5": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "7": { "tokens": "surfaces", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "9": { "tokens": "malignancy", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "infection", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "Thoracic", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "12": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "12" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18012427/s54748444.txt": { "text": "FINAL REPORT HISTORY : Fever and cough . TECHNIQUE : PA and lateral views of the chest . COMPARISON : ___ . FINDINGS : Cardiac , mediastinal and hilar contours are normal . Pulmonary vascularity is normal . Consolidative opacity in the left lower lobe is concerning for pneumonia . Right lung is clear . No pleural effusion or pneumothorax is seen . No acute osseous abnormality is detected . IMPRESSION : Left lower lobe pneumonia . Follow up radiographs after treatment are recommended to ensure resolution of this finding .", "entities": { "1": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "2": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "3": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "4": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "1" ], [ "modify", "2" ], [ "modify", "3" ] ] }, "5": { "tokens": "normal", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "1" ], [ "located_at", "2" ], [ "located_at", "3" ] ] }, "6": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "7": { "tokens": "vascularity", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "normal", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "Consolidative", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "13" ], [ "suggestive_of", "14" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "14": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "15": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "17": { "tokens": "clear", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "19": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [] }, "21": { "tokens": "acute", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "23": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "27": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18012427/s52470431.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman with cough and malaise . / / r / o infiltrate . COMPARISON : ___ IMPRESSION : AS COMPARED TO THE PREVIOUS RADIOGRAPH , NO RELEVANT CHANGE IS SEEN . NO PARENCHYMAL OPACITIES SUGGESTIVE OF PNEUMONIA . NO OTHER FOCAL PARENCHYMAL OPACITIES . NO DIFFUSE LUNG DISEASE . NORMAL SIZE OF THE CARDIAC SILHOUETTE . NORMAL HILAR AND MEDIASTINAL STRUCTURES . AZYGOS LOBE AS NORMAL ANATOMIC VARIANT PREOP", "entities": { "1": { "tokens": "RELEVANT", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "CHANGE", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [] }, "3": { "tokens": "PARENCHYMAL", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "4": { "tokens": "OPACITIES", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "3" ], [ "suggestive_of", "5" ] ] }, "5": { "tokens": "PNEUMONIA", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [] }, "6": { "tokens": "OTHER", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "9" ] ] }, "7": { "tokens": "FOCAL", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "PARENCHYMAL", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "9": { "tokens": "OPACITIES", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "DIFFUSE", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "LUNG", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "12": { "tokens": "DISEASE", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "NORMAL", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "15" ] ] }, "14": { "tokens": "SIZE", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "CARDIAC", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "16": { "tokens": "SILHOUETTE", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "NORMAL", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "18" ], [ "located_at", "19" ] ] }, "18": { "tokens": "HILAR", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "19": { "tokens": "MEDIASTINAL", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "20": { "tokens": "STRUCTURES", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "18" ], [ "modify", "19" ] ] }, "21": { "tokens": "AZYGOS", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "LOBE", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18012427/s55382203.txt": { "text": "FINAL REPORT HISTORY : Cough , supine dyspnea , and history of left lower lobe pneumonia ___ . TECHNIQUE : Frontal and lateral chest radiographs were obtained . COMPARISON : Comparison is made to radiographs dated ___ . FINDINGS : As compared to prior examination , the patient 's previous left lower lobe pneumonia has completely resolved . There is no additional focal consolidation . The remainder of the lungs are clear without pleural effusion , pneumothorax , or pulmonary edema . The heart size is normal . Mediastinal and hilar contours are normal . Findings were conveyed by Dr . ___ to Dr . ___ ___ telephone at 10 : 40 on ___ , 5 minutes after discovery .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "4": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "focal", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [] }, "7": { "tokens": "remainder", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "9": { "tokens": "clear", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [] }, "13": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "14": { "tokens": "edema", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "normal", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "15" ] ] }, "18": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "19": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "20": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "18" ], [ "modify", "19" ] ] }, "21": { "tokens": "normal", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "18" ], [ "located_at", "19" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18012427/s54022564.txt": { "text": "FINAL REPORT INDICATION : Cough and low - grade fever as well as wheezing in the right upper and left lower lungs . The patient is a nonsmoker . Assess for pneumonia . COMPARISON : Chest radiograph from ___ . Chest CT from ___ . FINDINGS : The lungs are clear . Note is made of an accessory azygos fissure , a normal anatomic variant . The heart size is normal . The mediastinal contours are normal . There are no pleural effusions . No pneumothorax is seen . IMPRESSION : No acute cardiac or pulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "accessory", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "azygos", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "fissure", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "6": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "7": { "tokens": "size", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "normal", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "10": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "normal", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "13": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [] }, "15": { "tokens": "acute", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "17": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "16" ], [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003296/s58126961.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman with a history of atrial fibrillation on Coumadin with bilateral leg swelling , evaluate for acute cardiopulmonary process . TECHNIQUE : Chest PA and lateral COMPARISON : Chest x - ray ___ . FINDINGS : There are low lung volumes . There is stable appearance of the cardiomediastinal silhouettes , including mild cardiomegaly . There is pulmonary vascular congestion and possibly mild pulmonary interstitial edema . There is bibasilar atelectasis . There is no focal lung consolidation . There is no pleural effusion or pneumothorax . IMPRESSION : Low lung volumes and bibasilar atelectasis . Mild cardiomegaly with pulmonary vascular congestion and likely mild pulmonary interstitial edema .", "entities": { "1": { "tokens": "low", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "stable", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "5" ] ] }, "5": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "6": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "mild", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "10": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "mild", "label": "OBS-U", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "14": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "edema", "label": "OBS-U", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "focal", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "20": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "22": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [] }, "24": { "tokens": "Low", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "25" ] ] }, "25": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "26": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "25" ] ] }, "28": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "31": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "32": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "32" ] ] }, "34": { "tokens": "mild", "label": "OBS-U", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "37" ] ] }, "35": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "36": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "35" ] ] }, "37": { "tokens": "edema", "label": "OBS-U", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "36" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003296/s52507068.txt": { "text": "FINAL REPORT EXAMINATION : Portable AP chest INDICATION : ___ year old woman with CHF w / fluid overload / / PNA vs edema TECHNIQUE : Portable AP chest . COMPARISON : Chest x - ray ___ . FINDINGS : Study is limited by low lung volumes . The cardiac silhouette remains mildly enlarged . The mediastinal contours are stable . There is new pulmonary vascular congestion . No definite focal consolidation is seen . No pleural effusion is seen . IMPRESSION : Low lung volumes . Pulmonary vascular congestion . No definite focal consolidation .", "entities": { "1": { "tokens": "low", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "5": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "4" ] ] }, "8": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "9": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "stable", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "new", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "14": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "focal", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "18": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Low", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "20" ] ] }, "20": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "21": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "24": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "focal", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003296/s54535760.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( AP AND LATERAL ) INDICATION : History : ___ F with shortness of breath TECHNIQUE : Upright AP and lateral views of the chest COMPARISON : ___ FINDINGS : There is persistent elevation of the right hemidiaphragm . Cardiac silhouette size remains mild to moderately enlarged . Aorta is tortuous and demonstrates atherosclerotic calcifications of the arch . Mediastinal and hilar contours are unchanged . Bibasilar atelectasis is noted without focal consolidation . Crowding of the bronchovascular structures is noted without overt pulmonary edema . No pleural effusion or pneumothorax is identified . IMPRESSION : Bibasilar atelectasis and chronic elevation of the right hemidiaphragm .", "entities": { "1": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "3" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "4": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "5": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "size", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "4" ] ] }, "7": { "tokens": "mild", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "4" ] ] }, "10": { "tokens": "Aorta", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "atherosclerotic", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "14" ] ] }, "13": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "arch", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "10" ] ] }, "15": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "16": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "17": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "15" ] ] }, "18": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "15" ], [ "located_at", "16" ] ] }, "19": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "20": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "focal", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "19" ] ] }, "23": { "tokens": "Crowding", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "25" ] ] }, "25": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "26": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "overt", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "29": { "tokens": "edema", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "31": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [] }, "33": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "34": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "38" ] ] }, "37": { "tokens": "right", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003296/s55100464.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ - year - old woman with lower extremity swelling , dyspnea on exertion , and a history of CHF . Evaluate for pulmonary edema . COMPARISON : Chest radiograph from ___ . FINDINGS : There is chronic elevation of the right hemidiaphragm . There is pulmonary vascular congestion and mild pulmonary edema . There is no focal airspace opacity . Cardiomegaly is chronic . There is no pneumothorax . IMPRESSION : Findings consistent with mild decompensated CHF . No focal airspace opacity .", "entities": { "1": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "4" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "5": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "7": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "mild", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "10": { "tokens": "edema", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "focal", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "13": { "tokens": "opacity", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "Cardiomegaly", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "15": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [] }, "17": { "tokens": "mild", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "decompensated", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "CHF", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "20": { "tokens": "focal", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "22": { "tokens": "opacity", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "21" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003296/s56457261.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old female with atrial fibrillation , increased peripheral edema and decreased breath sounds at bases . Evaluate for pulmonary edema . COMPARISON : ___ . CHEST , AP AND LATERAL : Left PICC has been removed . There are no pleural effusions or pneumothorax . Continued moderate elevation of the right hemidiaphragm . No focal consolidation or frank pulmonary edema . Mild cardiomegaly persists . IMPRESSION : Stable mild cardiomegaly . No evidence of pulmonary edema .", "entities": { "1": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "2": { "tokens": "PICC", "label": "OBS-DA", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "4": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [] }, "6": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "9" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "10": { "tokens": "focal", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "13" ] ] }, "12": { "tokens": "frank", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "14": { "tokens": "edema", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "17": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "mild", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "20": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "21": { "tokens": "edema", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "20" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003296/s51554855.txt": { "text": "FINAL REPORT INDICATION : ___ F with hypotension / / Eval for acute process TECHNIQUE : AP and lateral views of the chest . COMPARISON : ___ . FINDINGS : Lung volumes are low with secondary crowding of the bronchovascular structures . There is no obvious consolidation , effusion or evidence of edema . Linear left midlung opacity is likely atelectasis . Cardiac silhouette is within normal limits . No acute osseous abnormalities . Calcific densities in the right upper quadrant may be related to the gallbladder . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "low", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "1" ], [ "suggestive_of", "5" ] ] }, "4": { "tokens": "secondary", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "6" ] ] }, "6": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "7": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "obvious", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [] }, "10": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [] }, "11": { "tokens": "edema", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [] }, "12": { "tokens": "Linear", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "midlung", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "15": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "14" ], [ "suggestive_of", "16" ] ] }, "16": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 60, "end_ix": 60, "relations": [] }, "17": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "18": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "within", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "normal", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "17" ] ] }, "21": { "tokens": "limits", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "acute", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "24": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "Calcific", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "26": { "tokens": "densities", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "29" ], [ "suggestive_of", "30" ] ] }, "27": { "tokens": "right", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "30": { "tokens": "gallbladder", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "31": { "tokens": "acute", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "33" ] ] }, "32": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "33": { "tokens": "process", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "32" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003296/s55162880.txt": { "text": "FINAL REPORT EXAMINATION : Chest radiograph . INDICATION : History : ___ F with ___ ___ swelling , chf / / eval for fluid overload TECHNIQUE : Chest AP and lateral COMPARISON : Chest radiographs dated ___ . FINDINGS : Lung volumes are low leading to crowding of the bronchovascular structures . The right hemidiaphragm remains elevated . Moderate cardiomegaly and mild central vascular congestion are essentially unchanged . Possible small right pleural effusion . There is no lobar consolidation , left pleural effusion , or pneumothorax identified . IMPRESSION : Low lung volumes and moderate cardiomegaly , minimally changed from the prior examination . If ongoing clinical concern , can repeat with better inspiration .", "entities": { "1": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "low", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "1" ], [ "suggestive_of", "4" ] ] }, "4": { "tokens": "crowding of", "label": "OBS-DP", "start_ix": 46, "end_ix": 47, "relations": [ [ "located_at", "5" ] ] }, "5": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "6": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "9": { "tokens": "elevated", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "12": { "tokens": "mild", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "central", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "15": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "11" ], [ "modify", "15" ] ] }, "17": { "tokens": "small", "label": "OBS-U", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-U", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "lobar", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "22": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "left", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "25": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [] }, "27": { "tokens": "Low", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "29": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "32": { "tokens": "minimally", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "changed", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "31" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003296/s51481960.txt": { "text": "FINAL REPORT INDICATION : Bilateral swelling , new left bundle - branch block , question of pneumonia or CHF . COMPARISON : ___ chest radiographs . FINDINGS : AP and lateral views of the chest . Again seen is mild cardiomegaly . The mediastinal contours are normal . There are low lung volumes which crowd the pulmonary vasculature . Persistent elevation of the right hemidiaphragm is again seen . No focal consolidation , pleural effusion or pneumothorax . No evidence of pulmonary edema . IMPRESSION : Stable cardiomegaly ; no evidence of acute cardiopulmonary process .", "entities": { "1": { "tokens": "mild", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "3": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "4": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "normal", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "3" ] ] }, "6": { "tokens": "low", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "7" ] ] }, "7": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "8": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "crowd", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "11": { "tokens": "vasculature", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "14" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "15": { "tokens": "focal", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "consolidation", "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": "pneumothorax", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [] }, "20": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "21": { "tokens": "edema", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "24": { "tokens": "acute", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "26": { "tokens": "process", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "25" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003296/s58235657.txt": { "text": "FINAL REPORT INDICATION : History : ___ F with cough , CHF / / ? acute cardiopulm process TECHNIQUE : AP and lateral COMPARISON : Chest radiograph dated ___ FINDINGS : AP and lateral chest radiographs demonstrate low lung volumes . Relative to prior examination dated ___ , overall appearance of the chest was not significantly changed . Heart is moderately enlarged with mild central vascular congestion . There is no focal opacity convincing for pneumonia . Right basal atelectasis is unchanged . There is no pleural effusion or pneumothorax IMPRESSION : Cardiomegaly with mild vascular congestion . No overt pulmonary edema . Low lung volumes without evidence of pneumonia .", "entities": { "1": { "tokens": "low", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "overall", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "appearance", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "6" ] ] }, "6": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "7": { "tokens": "changed", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "5" ] ] }, "8": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "9": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "mild", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "central", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "14": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "focal", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "opacity", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "suggestive_of", "17" ] ] }, "17": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "18": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "20": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [] }, "25": { "tokens": "Cardiomegaly", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "26": { "tokens": "mild", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "28": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "overt", "label": "OBS-DA", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "31": { "tokens": "edema", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "Low", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "33" ] ] }, "33": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "34": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 109, "end_ix": 109, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022445/s55421520.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with possible asp pneumonia , febrile , on vanc / cefepime / / eval for pulm edema , infiltrates eval for pulm edema , infiltrates IMPRESSION : In comparison with the study of ___ , of the monitoring and support devices remain in place the left . Hemidiaphragm is slightly better seen , consistent with some resolution of the volume loss in the left lower lobe . Blunting of the left costophrenic angle is again seen . On the right , the hemidiaphragm is sharply seen and there is no evidence of atelectasis or pleural effusion .", "entities": { "1": { "tokens": "monitoring", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "support", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "devices", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "5" ] ] }, "4": { "tokens": "in place", "label": "OBS-DP", "start_ix": 57, "end_ix": 58, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "left", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "6": { "tokens": "Hemidiaphragm", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "7": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "better", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "some", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "resolution", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "15" ] ] }, "12": { "tokens": "loss", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "16": { "tokens": "Blunting", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "18" ] ] }, "17": { "tokens": "left", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "19": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "right", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "22": { "tokens": "sharply", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "atelectasis", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "25": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "24" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022445/s56006486.txt": { "text": "FINAL REPORT INDICATION : ___ F intubated . TECHNIQUE : AP view of the chest . COMPARISON : Outside hospital chest radiograph ___ at 0 : 42 and 2 : 07 . CT abdomen pelvis ___ . FINDINGS : The ET tube is present in standard position . An enteric tube is present with tip in the upper stomach and side holes at the GE junction . A left axillary dual lead pacemaker is noted with tips terminating in the right atrium and right ventricle . A 3.5 cm metallic foreign object with two linear components and two curvilinear components projects in the left mid lung just beneath the left mainstem bronchus . The lateral scout view from the outside hospital CT abdomen pelvis shows this object in an unexpected orientation for the left lower lobe bronchus . This object is definitely iatrogenic and suspected to be cardiac related . The heart size is top normal . The mediastinal and hilar contours are unremarkable . There is no pneumothorax . There is a layering moderate right pleural effusion . The lungs are well - expanded . Pulmonary edema is mild . There is no focal consolidation concerning for pneumonia . IMPRESSION : 1 . ET tube in acceptable position . Enteric tube should be advanced by several centimeters to ensure position of side holes within the stomach . 2 . Mild pulmonary edema with moderate right pleural effusion . 3 . Internal iatrogenic implement projecting over the left mid lung medially , suspected to be cardiac in location . Correlation with known cardiac history is advised .", "entities": { "1": { "tokens": "ET", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "3": { "tokens": "in standard position", "label": "OBS-DP", "start_ix": 44, "end_ix": 46, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "tube", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "6": { "tokens": "tip", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "5" ], [ "located_at", "8" ] ] }, "7": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "9": { "tokens": "side holes", "label": "OBS-DP", "start_ix": 60, "end_ix": 61, "relations": [ [ "located_at", "10" ] ] }, "10": { "tokens": "GE", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "11": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "axillary", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "14": { "tokens": "dual", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "lead", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pacemaker", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "13" ] ] }, "17": { "tokens": "tips", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "16" ], [ "located_at", "19" ], [ "located_at", "21" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "20": { "tokens": "right", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "22": { "tokens": "3.5 cm", "label": "OBS-DP", "start_ix": 87, "end_ix": 88, "relations": [ [ "modify", "25" ] ] }, "23": { "tokens": "metallic", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "foreign", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "object", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "34" ] ] }, "26": { "tokens": "two", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "linear", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "components", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "29": { "tokens": "two", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "curvilinear", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "components", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "32": { "tokens": "left", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "35": { "tokens": "beneath", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "38" ] ] }, "36": { "tokens": "left", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "mainstem", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "bronchus", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "39": { "tokens": "object", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "41" ] ] }, "40": { "tokens": "iatrogenic", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "39" ] ] }, "41": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [] }, "42": { "tokens": "related", "label": "OBS-U", "start_ix": 148, "end_ix": 148, "relations": [ [ "modify", "41" ] ] }, "43": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [] }, "44": { "tokens": "size", "label": "ANAT-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "43" ] ] }, "45": { "tokens": "top", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "normal", "label": "OBS-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "located_at", "43" ] ] }, "47": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 158, "end_ix": 158, "relations": [] }, "48": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [] }, "49": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 161, "end_ix": 161, "relations": [ [ "modify", "47" ], [ "modify", "48" ] ] }, "50": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 163, "end_ix": 163, "relations": [ [ "located_at", "47" ], [ "located_at", "48" ] ] }, "51": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 168, "end_ix": 168, "relations": [] }, "52": { "tokens": "layering", "label": "OBS-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "56" ] ] }, "53": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 174, "end_ix": 174, "relations": [ [ "modify", "56" ] ] }, "54": { "tokens": "right", "label": "ANAT-DP", "start_ix": 175, "end_ix": 175, "relations": [ [ "modify", "55" ] ] }, "55": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 176, "end_ix": 176, "relations": [] }, "56": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 177, "end_ix": 177, "relations": [ [ "located_at", "55" ] ] }, "57": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 180, "end_ix": 180, "relations": [] }, "58": { "tokens": "well - expanded", "label": "OBS-DP", "start_ix": 182, "end_ix": 184, "relations": [ [ "located_at", "57" ] ] }, "59": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 186, "end_ix": 186, "relations": [] }, "60": { "tokens": "edema", "label": "OBS-DP", "start_ix": 187, "end_ix": 187, "relations": [ [ "located_at", "59" ] ] }, "61": { "tokens": "mild", "label": "OBS-DP", "start_ix": 189, "end_ix": 189, "relations": [ [ "modify", "60" ] ] }, "62": { "tokens": "focal", "label": "OBS-DA", "start_ix": 194, "end_ix": 194, "relations": [ [ "modify", "63" ] ] }, "63": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 195, "end_ix": 195, "relations": [ [ "suggestive_of", "64" ] ] }, "64": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 198, "end_ix": 198, "relations": [] }, "65": { "tokens": "ET", "label": "OBS-DP", "start_ix": 204, "end_ix": 204, "relations": [ [ "modify", "66" ] ] }, "66": { "tokens": "tube", "label": "OBS-DP", "start_ix": 205, "end_ix": 205, "relations": [] }, "67": { "tokens": "in acceptable position", "label": "OBS-DP", "start_ix": 206, "end_ix": 208, "relations": [ [ "modify", "66" ] ] }, "68": { "tokens": "Enteric", "label": "OBS-DP", "start_ix": 210, "end_ix": 210, "relations": [ [ "modify", "69" ] ] }, "69": { "tokens": "tube", "label": "OBS-DP", "start_ix": 211, "end_ix": 211, "relations": [] }, "70": { "tokens": "advanced", "label": "OBS-DP", "start_ix": 214, "end_ix": 214, "relations": [ [ "modify", "69" ] ] }, "72": { "tokens": "by several centimeters", "label": "OBS-DP", "start_ix": 215, "end_ix": 217, "relations": [ [ "modify", "70" ] ] }, "73": { "tokens": "position", "label": "ANAT-DP", "start_ix": 220, "end_ix": 220, "relations": [ [ "modify", "75" ] ] }, "74": { "tokens": "side holes", "label": "OBS-DP", "start_ix": 222, "end_ix": 223, "relations": [ [ "located_at", "75" ] ] }, "75": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 226, "end_ix": 226, "relations": [] }, "76": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 230, "end_ix": 230, "relations": [ [ "modify", "78" ] ] }, "77": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 231, "end_ix": 231, "relations": [] }, "78": { "tokens": "edema", "label": "OBS-DP", "start_ix": 232, "end_ix": 232, "relations": [ [ "located_at", "77" ] ] }, "79": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 234, "end_ix": 234, "relations": [ [ "modify", "82" ] ] }, "80": { "tokens": "right", "label": "ANAT-DP", "start_ix": 235, "end_ix": 235, "relations": [ [ "modify", "81" ] ] }, "81": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 236, "end_ix": 236, "relations": [] }, "82": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 237, "end_ix": 237, "relations": [ [ "located_at", "81" ] ] }, "83": { "tokens": "iatrogenic", "label": "OBS-DP", "start_ix": 242, "end_ix": 242, "relations": [ [ "modify", "84" ] ] }, "84": { "tokens": "implement", "label": "OBS-DP", "start_ix": 243, "end_ix": 243, "relations": [ [ "located_at", "87" ], [ "located_at", "89" ] ] }, "85": { "tokens": "left", "label": "ANAT-DP", "start_ix": 247, "end_ix": 247, "relations": [ [ "modify", "87" ] ] }, "86": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 248, "end_ix": 248, "relations": [ [ "modify", "87" ] ] }, "87": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 249, "end_ix": 249, "relations": [] }, "88": { "tokens": "medially", "label": "ANAT-DP", "start_ix": 250, "end_ix": 250, "relations": [ [ "modify", "87" ] ] }, "89": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 255, "end_ix": 255, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022445/s58390274.txt": { "text": "FINAL REPORT HISTORY : Pneumonia . FINDINGS : In comparison with the study of ___ , the endotracheal tube has been removed . The pulmonary edema with bilateral pleural effusions and compressive basilar atelectasis has apparently improved , though some of this may be related to change in patient position .", "entities": { "1": { "tokens": "endotracheal", "label": "OBS-DA", "start_ix": 17, "end_ix": 17, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DA", "start_ix": 18, "end_ix": 18, "relations": [] }, "3": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "4": { "tokens": "edema", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "7": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "10": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "improved", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "4" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022445/s51773947.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with ICH , CAD and diastolic dysfunction , concern for pulmonary edema , s / p furosemide / / PLEASE OBTAIN AT ___ . evaluate pulmonary edema PLEASE OBTAIN AT ___ . evaluate pulmonary edema IMPRESSION : A in comparison with the earlier study of this date , the monitoring and support devices are essentially unchanged . Cardiac silhouette remains enlarged . The left hemidiaphragm is not seen , consistent with substantial volume loss in the left lower lobe . Pulmonary vascular congestion is again seen . The hazy opacification consistent with layering pleural effusion is less prominent . However , this could merely reflect a change in patient position", "entities": { "1": { "tokens": "monitoring", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "support", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "devices", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "4": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "1" ], [ "modify", "2" ] ] }, "5": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "6": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "10": { "tokens": "not seen", "label": "OBS-DP", "start_ix": 81, "end_ix": 82, "relations": [ [ "located_at", "9" ], [ "suggestive_of", "13" ] ] }, "11": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "16" ] ] }, "13": { "tokens": "loss", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "17": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "18": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "hazy", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "suggestive_of", "24" ], [ "suggestive_of", "27" ] ] }, "22": { "tokens": "layering", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "24": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "less", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "21" ] ] }, "27": { "tokens": "a change in patient position", "label": "OBS-U", "start_ix": 120, "end_ix": 124, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022445/s54402056.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with stroke , fever , cough , concern for PNA / / eval for PNA eval for PNA IMPRESSION : In comparison with the study of ___ , there is continued pulmonary edema with cardiomegaly . The hemidiaphragms are not well seen , consistent with layering pleural effusions and compressive atelectasis at the bases . The difference in appearance may merely reflect a more supine position of the patient . Pacer leads and nasogastric tube remain in place .", "entities": { "1": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "2": { "tokens": "edema", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "4": { "tokens": "hemidiaphragms", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "5": { "tokens": "not well seen", "label": "OBS-DP", "start_ix": 54, "end_ix": 56, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "layering", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "8": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "suggestive_of", "5" ], [ "located_at", "7" ] ] }, "9": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "suggestive_of", "5" ], [ "located_at", "11" ] ] }, "11": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "12": { "tokens": "Pacer", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "13": { "tokens": "leads", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "nasogastric", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "tube", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "16": { "tokens": "in place", "label": "OBS-DP", "start_ix": 91, "end_ix": 92, "relations": [ [ "modify", "13" ], [ "modify", "15" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022445/s52389030.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ F w / R basal ganglia bleed and ? aspiriation pna / / ? Interval change , please do on AM ICU rounds ? Interval change , please do on AM ICU rounds IMPRESSION : A in comparison with the study on ___ , there may be some improvement in the degree of pulmonary edema . The layering effusion on the right is less prominent , though this could merely reflect a more upright position of the patient . Bibasilar atelectatic changes are again seen .", "entities": { "1": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "3": { "tokens": "edema", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "layering", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "6" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "8": { "tokens": "less prominent", "label": "OBS-DP", "start_ix": 75, "end_ix": 76, "relations": [ [ "modify", "5" ] ] }, "9": { "tokens": "more", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "upright position", "label": "OBS-DP", "start_ix": 85, "end_ix": 86, "relations": [ [ "suggestive_of", "8" ] ] }, "11": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "12": { "tokens": "atelectatic", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "changes", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "12" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18010079/s52528967.txt": { "text": "FINAL REPORT HISTORY : Polytrauma with left chest tube for hemothorax , now on waterseal . FINDINGS : In comparison with study of ___ , with the left chest tube on waterseal there is a small pneumothorax on the left . Otherwise , little change . This information was telephoned to Dr . ___ .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [] }, "2": { "tokens": "chest", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "on waterseal", "label": "OBS-DP", "start_ix": 30, "end_ix": 31, "relations": [ [ "modify", "3" ] ] }, "6": { "tokens": "small", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "8" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "9": { "tokens": "little", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "change", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18010079/s59097048.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient with multiple rib fractures and pneumothorax . AP radiograph of the chest was compared to ___ . Left chest tube is in place . There is minimal amount of apical pleural effusion . No pneumothorax is seen . Rib fractures can be partially assessed on the current radiograph . Overall , there is no substantial change since prior examination .", "entities": { "1": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "in place", "label": "OBS-DP", "start_ix": 31, "end_ix": 32, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "amount", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "9" ] ] }, "7": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [] }, "11": { "tokens": "Rib", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "12": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "partially assessed", "label": "OBS-DP", "start_ix": 52, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "substantial", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "change", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18010079/s56436361.txt": { "text": "WET READ : ___ ___ ___ 8:12PM Interval removal of left chest tube , Low lung volumes . There may be a tiny residual left apical pneumothorax . Discussed with Dr . ___ by phone at 8 : 48 p . m . on ___ . ______________________________________________________________________________ FINAL REPORT HISTORY : Chest tube removed . FINDINGS : In comparison with the earlier study of this date , the left chest tube has been removed and there is no evidence of appreciable pneumothorax . Atelectatic changes are seen at the left base .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 11, "end_ix": 11, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DA", "start_ix": 12, "end_ix": 12, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "Low", "label": "OBS-DP", "start_ix": 14, "end_ix": 14, "relations": [ [ "located_at", "5" ] ] }, "5": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 15, "end_ix": 15, "relations": [] }, "6": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "tiny", "label": "OBS-U", "start_ix": 22, "end_ix": 22, "relations": [] }, "8": { "tokens": "residual", "label": "OBS-U", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "left", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "11": { "tokens": "pneumothorax", "label": "OBS-U", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "14": { "tokens": "tube", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "appreciable", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [] }, "17": { "tokens": "Atelectatic", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "20" ] ] }, "18": { "tokens": "changes", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "left", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "base", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18010079/s53957050.txt": { "text": "FINAL REPORT TYPE OF EXAMINATION : Chest PA and lateral . INDICATION : ___ - year - old male patient with rib fracture , evaluate rib fracture . FINDINGS : The patient was examined in sitting upright position . Analysis is performed in direct comparison with the next preceding similar chest examination of ___ . Previously suspected tiny residual of pneumothorax in the left apical area cannot be identified anymore . Also , the at that time existing pleural thickenings occurred in conjunction with the multiple rib injury has regressed . Left lung is now well aerated and no evidence of remaining pulmonary atelectasis . Heart size is unchanged and within normal limits . No new pulmonary abnormalities identified . No gross malalignment of the lateral structures in the thorax . Observed that the patient is still unable to elevate his left arm for the lateral view . With regard to the question concerning rib fractures , the previous torso CT examination of ___ is reviewed . Rib injuries consisted of minimally displaced right transverse process fractures involving L 2 through L 4 . In addition to bilateral first rib fractures , there were injuries in the medial posterior portions of the left second , third , and fourth rib . Mildly comminuted fractures existed also posteriorly in the eighth and ninth rib , with slight displacement . There was also a fracture of the scapula . All these injuries are impossible to identify in detail on the routine PA and lateral chest examination . Assessment for possible changes of these injuries would require performance of a followup CT examination . Gross changes in position cannot be identified .", "entities": { "1": { "tokens": "tiny", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "residual", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "5" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "6": { "tokens": "existing", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "8": { "tokens": "thickenings", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "multiple", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "11": { "tokens": "injury", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "regressed", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "8" ] ] }, "13": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "15": { "tokens": "well", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "aerated", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "18": { "tokens": "atelectasis", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "20": { "tokens": "size", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "19" ] ] }, "22": { "tokens": "within", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "normal", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "19" ] ] }, "24": { "tokens": "limits", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "new", "label": "OBS-DA", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "27": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "gross", "label": "OBS-DA", "start_ix": 121, "end_ix": 121, "relations": [] }, "29": { "tokens": "malalignment", "label": "OBS-DA", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "30" ] ] }, "30": { "tokens": "lateral structures", "label": "ANAT-DP", "start_ix": 125, "end_ix": 126, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "thorax", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "32": { "tokens": "elevate", "label": "OBS-DA", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "33" ] ] }, "33": { "tokens": "left arm", "label": "ANAT-DP", "start_ix": 141, "end_ix": 142, "relations": [] }, "34": { "tokens": "Rib", "label": "ANAT-DP", "start_ix": 167, "end_ix": 167, "relations": [] }, "35": { "tokens": "injuries", "label": "OBS-DA", "start_ix": 168, "end_ix": 168, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "minimally", "label": "OBS-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "displaced", "label": "OBS-DP", "start_ix": 172, "end_ix": 172, "relations": [ [ "modify", "41" ] ] }, "38": { "tokens": "right", "label": "ANAT-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "transverse", "label": "ANAT-DP", "start_ix": 174, "end_ix": 174, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "process", "label": "ANAT-DP", "start_ix": 175, "end_ix": 175, "relations": [ [ "modify", "43" ] ] }, "41": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 176, "end_ix": 176, "relations": [ [ "located_at", "40" ] ] }, "43": { "tokens": "L 2 through L 4", "label": "ANAT-DP", "start_ix": 178, "end_ix": 182, "relations": [] }, "44": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 187, "end_ix": 187, "relations": [ [ "modify", "46" ] ] }, "45": { "tokens": "first", "label": "ANAT-DP", "start_ix": 188, "end_ix": 188, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 189, "end_ix": 189, "relations": [] }, "47": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 190, "end_ix": 190, "relations": [ [ "located_at", "46" ] ] }, "48": { "tokens": "injuries", "label": "OBS-DP", "start_ix": 194, "end_ix": 194, "relations": [ [ "located_at", "51" ] ] }, "49": { "tokens": "medial", "label": "ANAT-DP", "start_ix": 197, "end_ix": 197, "relations": [ [ "modify", "51" ] ] }, "50": { "tokens": "posterior", "label": "ANAT-DP", "start_ix": 198, "end_ix": 198, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "portions", "label": "ANAT-DP", "start_ix": 199, "end_ix": 199, "relations": [ [ "modify", "56" ] ] }, "52": { "tokens": "left", "label": "ANAT-DP", "start_ix": 202, "end_ix": 202, "relations": [ [ "modify", "56" ] ] }, "53": { "tokens": "second", "label": "ANAT-DP", "start_ix": 203, "end_ix": 203, "relations": [ [ "modify", "56" ] ] }, "54": { "tokens": "third", "label": "ANAT-DP", "start_ix": 205, "end_ix": 205, "relations": [ [ "modify", "56" ] ] }, "55": { "tokens": "fourth", "label": "ANAT-DP", "start_ix": 208, "end_ix": 208, "relations": [ [ "modify", "56" ] ] }, "56": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 209, "end_ix": 209, "relations": [] }, "57": { "tokens": "Mildly", "label": "OBS-DP", "start_ix": 211, "end_ix": 211, "relations": [ [ "modify", "58" ] ] }, "58": { "tokens": "comminuted", "label": "OBS-DP", "start_ix": 212, "end_ix": 212, "relations": [ [ "modify", "59" ] ] }, "59": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 213, "end_ix": 213, "relations": [ [ "located_at", "60" ] ] }, "60": { "tokens": "posteriorly", "label": "ANAT-DP", "start_ix": 216, "end_ix": 216, "relations": [ [ "modify", "63" ] ] }, "61": { "tokens": "eighth", "label": "ANAT-DP", "start_ix": 219, "end_ix": 219, "relations": [ [ "modify", "63" ] ] }, "62": { "tokens": "ninth", "label": "ANAT-DP", "start_ix": 221, "end_ix": 221, "relations": [ [ "modify", "63" ] ] }, "63": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 222, "end_ix": 222, "relations": [] }, "64": { "tokens": "slight", "label": "OBS-DP", "start_ix": 225, "end_ix": 225, "relations": [ [ "modify", "65" ] ] }, "65": { "tokens": "displacement", "label": "OBS-DP", "start_ix": 226, "end_ix": 226, "relations": [ [ "modify", "59" ] ] }, "66": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 232, "end_ix": 232, "relations": [ [ "located_at", "67" ] ] }, "67": { "tokens": "scapula", "label": "ANAT-DP", "start_ix": 235, "end_ix": 235, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18010079/s52730761.txt": { "text": "FINAL REPORT HISTORY : Hemothorax and rib fractures . FINDINGS : In comparison with the study of ___ , there is more prominent hazy opacification in the left hemithorax consistent with layering fluid or blood in the left hemithorax . The right lung is essentially clear . There is apparent displacement of mediastinal contents to the right . However , much of this could reflect merely obliquity of the patient rather than true mediastinal shift . Evidence of several left rib fractures . No convincing evidence of pneumothorax or pneumomediastinum . Poor definition of the left hemidiaphragm is consistent with some basilar atelectasis . The apparent fractures of the distal clavicle and scapula are not as well seen on this study .", "entities": { "1": { "tokens": "more", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "hazy", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "located_at", "6" ], [ "suggestive_of", "8" ], [ "suggestive_of", "9" ] ] }, "5": { "tokens": "left", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "7": { "tokens": "layering", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "8": { "tokens": "fluid", "label": "OBS-U", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "11" ] ] }, "9": { "tokens": "blood", "label": "OBS-U", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "14": { "tokens": "essentially", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "clear", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "displacement", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "17" ] ] }, "17": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "18": { "tokens": "contents", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "to the right", "label": "OBS-DP", "start_ix": 54, "end_ix": 56, "relations": [ [ "modify", "16" ] ] }, "20": { "tokens": "obliquity of the patient", "label": "OBS-DP", "start_ix": 66, "end_ix": 69, "relations": [ [ "suggestive_of", "16" ] ] }, "21": { "tokens": "true", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "23": { "tokens": "shift", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "several", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "26" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "27": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [] }, "29": { "tokens": "pneumomediastinum", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [] }, "30": { "tokens": "Poor definition", "label": "OBS-DP", "start_ix": 91, "end_ix": 92, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "34" ] ] }, "31": { "tokens": "left", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "33": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "34": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "37" ], [ "located_at", "38" ] ] }, "36": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "clavicle", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "38": { "tokens": "scapula", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "40": { "tokens": "not as well seen on this study", "label": "OBS-DP", "start_ix": 114, "end_ix": 120, "relations": [ [ "modify", "35" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18010079/s55080309.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient after MVC with multiple rib fractures . COMPARISON : ___ . The left chest tube remains in place . The ET tube tip is 4 cm above the carina . Heart size and mediastinum are stable . There is slight interval increase in lucency over the left apex that might reflect residual pneumothorax . Subcutaneous air in the left chest wall is present . No appreciable pleural effusion is demonstrated . Minimal left basal atelectasis is seen . Apical effusion on the left is present , reflecting previously demonstrated effusion on chest CT from ___ .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "2": { "tokens": "chest", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "in place", "label": "OBS-DP", "start_ix": 26, "end_ix": 27, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "ET", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "tube", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "7": { "tokens": "tip", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "6" ], [ "located_at", "8" ] ] }, "8": { "tokens": "4 cm above", "label": "ANAT-DP", "start_ix": 34, "end_ix": 36, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "10": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "11": { "tokens": "size", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "13": { "tokens": "stable", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "10" ], [ "located_at", "12" ] ] }, "14": { "tokens": "slight", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "interval", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "increase", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lucency", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "19" ], [ "suggestive_of", "21" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "20": { "tokens": "residual", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "22": { "tokens": "Subcutaneous", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "25" ] ] }, "23": { "tokens": "air", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "left", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "26": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "28": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "32" ] ] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "32": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "Apical", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "34": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "left", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "33" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s54185768.txt": { "text": "FINAL REPORT HISTORY : Patient with pneumothorax status post chest tube placement , eval pneumothorax . COMPARISON : ___ . FINDINGS : Frontal and lateral chest radiographs were obtained . Extensive subcutaneous emphysema is again present within the chest wall and neck . A left chest tube remains in place . A small left medial pneumothorax persists , without evidence of tension . There is also a possible small right apical pneumothorax . The cardiomediastinal silhouette and hilar contours are stable . There is a persistent increased opacity at the left lower lobe . Multiple left sided rib fractures are again visualized . IMPRESSION : 1 . Persistent small medial left pneumothorax . 2 . Possible left lower lobe pneumonia and less likely pulmonary hemorrhage . 3 . Extensive subcutaneous emphysema in the chest and neck with multiple left - sided rib fractures .", "entities": { "1": { "tokens": "Extensive", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "3": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "2" ], [ "located_at", "5" ], [ "located_at", "7" ] ] }, "4": { "tokens": "within", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "5" ], [ "modify", "7" ] ] }, "5": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "6": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "10": { "tokens": "tube", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "in place", "label": "OBS-DP", "start_ix": 48, "end_ix": 49, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "small", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "14": { "tokens": "medial", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "tension", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "small", "label": "OBS-U", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "20": { "tokens": "pneumothorax", "label": "OBS-U", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "22": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "24": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "stable", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "21" ], [ "located_at", "23" ] ] }, "26": { "tokens": "increased", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "30" ] ] }, "28": { "tokens": "left", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "31": { "tokens": "Multiple", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "34" ] ] }, "32": { "tokens": "left sided", "label": "ANAT-DP", "start_ix": 95, "end_ix": 96, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "34": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "small", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "38" ] ] }, "36": { "tokens": "medial", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "left", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "38": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "37" ] ] }, "39": { "tokens": "left", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "41" ] ] }, "40": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "42": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "41" ] ] }, "43": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "44": { "tokens": "hemorrhage", "label": "OBS-U", "start_ix": 124, "end_ix": 124, "relations": [ [ "located_at", "43" ] ] }, "45": { "tokens": "Extensive", "label": "OBS-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "47" ] ] }, "46": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "47": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "located_at", "46" ], [ "located_at", "48" ], [ "located_at", "49" ] ] }, "48": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 133, "end_ix": 133, "relations": [] }, "49": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "50": { "tokens": "multiple", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "53" ] ] }, "51": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 138, "end_ix": 140, "relations": [ [ "modify", "52" ] ] }, "52": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [] }, "53": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "located_at", "52" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s59034151.txt": { "text": "FINAL REPORT HISTORY : The patient is status post fall with left rib fracture and pneumothorax . Assess pneumothorax . COMPARISON : ___ . FINDINGS : Frontal and lateral chest radiographs were obtained . Exam is technically limited . Extensive subcutaneous emphysema in the chest wall and neck is again demonstrated . A left chest tube tip remains in the apex . No pneumothorax is appreciated . Pneumomediastinum and pneumopericardium are also present . The left basilar opacity is unchanged and corresponds to high attenuation signal at level of severely fractured ribs on outside CT from ___ . The cardiomediastinal silhouette and hilar contours are stable . IMPRESSION : 1 . Technically limited exam . No appreciable pneumothorax . Pneumomediastinum and pneumopericardium are present . Repeat radiograph has been requested . 2 . Persistent left lower lobe opacity , likely secondary to pulmonary hemorrahge . Dr . ___ ___ findings with Dr . ___ at 1:45pm on ___ .", "entities": { "1": { "tokens": "Extensive", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ], [ "modify", "6" ] ] }, "3": { "tokens": "emphysema", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "5": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "9": { "tokens": "tube", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "tip", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "9" ], [ "located_at", "11" ] ] }, "11": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "8" ] ] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [] }, "13": { "tokens": "Pneumomediastinum", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "14": { "tokens": "pneumopericardium", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "17": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "severely", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "fractured", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "21" ] ] }, "21": { "tokens": "ribs", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "22": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "23": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "25": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "stable", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "22" ], [ "located_at", "24" ] ] }, "27": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [] }, "28": { "tokens": "Pneumomediastinum", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [] }, "29": { "tokens": "pneumopericardium", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [] }, "33": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "35" ] ] }, "34": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 142, "end_ix": 142, "relations": [] }, "35": { "tokens": "hemorrahge", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "located_at", "34" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s59926921.txt": { "text": "FINAL REPORT HISTORY : Patient status post fall with chest tube , eval pneumothorax . COMPARISON : Portable upright chest radiograph performed earlier on the same day on ___ . FINDINGS : Portable single frontal chest radiograph was obtained . A left chest tube remains in place . An inferior pneumothorax is present on the left . Persistent pneumopericardium and pneumopericardium are unchanged . A persistent left lower lobe opacity is again visualized . There is no pleural effusion . IMPRESSION : 1 . Left chest tube in place with a left inferior pneumothorax . 2 . Persistent left lower lobe opacity , likely infectious versus hemorrhage .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "in place", "label": "OBS-DP", "start_ix": 45, "end_ix": 46, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "inferior", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "8": { "tokens": "pneumopericardium", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "9": { "tokens": "pneumopericardium", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "10": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "14": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "19": { "tokens": "tube", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "in place", "label": "OBS-DP", "start_ix": 87, "end_ix": 88, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "left", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "22": { "tokens": "inferior", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "left", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "27": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "26" ], [ "suggestive_of", "28" ], [ "suggestive_of", "29" ] ] }, "28": { "tokens": "infectious", "label": "OBS-U", "start_ix": 104, "end_ix": 104, "relations": [] }, "29": { "tokens": "hemorrhage", "label": "OBS-U", "start_ix": 106, "end_ix": 106, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s52305139.txt": { "text": "FINAL REPORT HISTORY : Left chest tube , left pneumothorax . TECHNIQUE : Portable AP view of the chest . COMPARISON : Chest radiograph ___ at 13 32 . Chest CT ___ at 14 : 09 . FINDINGS : Extensive subcutaneous emphysema is seen within the chest wall and neck . A left chest tube tip projects over the medial mid lung field . A small left pneumothorax is demonstrated , though the assessment of this is limited by the overlying extensive subcutaneous emphysema . Heart size is normal . No rightward shift of the mediastinum is demonstrated . Focal opacity within the left lung base could reflect infection or aspiration . Multiple left - sided rib fractures are re - demonstrated . IMPRESSION : Extensive subcutaneous emphysema with pneumomediastinum and small left pneumothorax . Left basilar opacity is concerning for infection or aspiration .", "entities": { "1": { "tokens": "Extensive", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ], [ "modify", "6" ] ] }, "3": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "5": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "9": { "tokens": "tube", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "tip", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "9" ], [ "located_at", "13" ] ] }, "11": { "tokens": "medial", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "14": { "tokens": "field", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "small", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "17": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "assessment", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "limited", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "23" ] ] }, "21": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "23": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "25": { "tokens": "size", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "normal", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "24" ] ] }, "27": { "tokens": "rightward", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "shift", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "29" ] ] }, "29": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "30": { "tokens": "Focal", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "33" ], [ "suggestive_of", "35" ], [ "suggestive_of", "36" ] ] }, "32": { "tokens": "left", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "34": { "tokens": "base", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "infection", "label": "OBS-U", "start_ix": 108, "end_ix": 108, "relations": [] }, "36": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 110, "end_ix": 110, "relations": [] }, "37": { "tokens": "Multiple", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "40" ] ] }, "38": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 113, "end_ix": 115, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "40": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "39" ] ] }, "41": { "tokens": "Extensive", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "43" ] ] }, "42": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "43": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "located_at", "42" ] ] }, "44": { "tokens": "pneumomediastinum", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "45": { "tokens": "small", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "47" ] ] }, "46": { "tokens": "left", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "47": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "located_at", "46" ] ] }, "48": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [] }, "50": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "49" ], [ "suggestive_of", "51" ] ] }, "51": { "tokens": "infection", "label": "OBS-U", "start_ix": 141, "end_ix": 141, "relations": [] }, "52": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 143, "end_ix": 143, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s57478149.txt": { "text": "FINAL REPORT PATIENT HISTORY : ___ years old man with chest tube came outside and pushed back in . INDICATION : Evaluation for placement and interval change in pneumothorax . TECHNIQUE : Portable chest x - ray in AP single view and the requisition . COMPARISON : Exam is compared to ___ . FINDINGS : Left pleural drain has been pulled in slightly higher position . The lung volume is still low . The right lung base opacification is slightly improved . The left lung is still opacified at the base , might be atelectasis but pneumonia cannot be excluded . Severe subcutaneous emphysema is stable . Pneumomediastinum is slightly increased , especially alongside the left upper lobe , where minimal increase of pneumothorax cannot be excluded . Heart size is top normal . Aorta is mildly elongated with calcification in the aortic arch as for aortosclerosis . IMPRESSION : Stable subcutaneous emphysema , minimal increse of pneumomediastinum . Persistent bibasilar opacities , more prominent at the left base .", "entities": { "1": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "3": { "tokens": "drain", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "higher", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "position", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "3" ] ] }, "7": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "8": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "low", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "7" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "12": { "tokens": "base", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "improved", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "13" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "18": { "tokens": "opacified", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "19" ], [ "suggestive_of", "20" ], [ "suggestive_of", "21" ] ] }, "19": { "tokens": "base", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "17" ] ] }, "20": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 94, "end_ix": 94, "relations": [] }, "21": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 96, "end_ix": 96, "relations": [] }, "22": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "24": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "stable", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "Pneumomediastinum", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "32" ] ] }, "27": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "increased", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "26" ] ] }, "29": { "tokens": "alongside", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "26" ] ] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "lobe", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [] }, "33": { "tokens": "minimal", "label": "OBS-U", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "increase", "label": "OBS-U", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "pneumothorax", "label": "OBS-U", "start_ix": 123, "end_ix": 123, "relations": [ [ "located_at", "32" ] ] }, "36": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [] }, "37": { "tokens": "size", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "top", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "normal", "label": "OBS-DP", "start_ix": 132, "end_ix": 132, "relations": [ [ "located_at", "36" ] ] }, "40": { "tokens": "Aorta", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "41": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "elongated", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "40" ] ] }, "43": { "tokens": "calcification", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "45" ] ] }, "44": { "tokens": "aortic", "label": "ANAT-DP", "start_ix": 142, "end_ix": 142, "relations": [] }, "45": { "tokens": "arch", "label": "ANAT-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "44" ] ] }, "46": { "tokens": "aortosclerosis", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "located_at", "45" ] ] }, "47": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "49" ] ] }, "48": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [] }, "49": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "located_at", "48" ] ] }, "50": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "increse", "label": "OBS-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "52" ] ] }, "52": { "tokens": "pneumomediastinum", "label": "OBS-DP", "start_ix": 157, "end_ix": 157, "relations": [] }, "53": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [] }, "54": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 161, "end_ix": 161, "relations": [ [ "located_at", "53" ] ] }, "55": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "54" ], [ "located_at", "57" ] ] }, "56": { "tokens": "left", "label": "ANAT-DP", "start_ix": 167, "end_ix": 167, "relations": [] }, "57": { "tokens": "base", "label": "ANAT-DP", "start_ix": 168, "end_ix": 168, "relations": [ [ "modify", "56" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s59178897.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Repeat film as requested . Massive bilateral air collections in the soft tissues . The left chest tube is in unchanged position . As on the previous examination , there is a parenchymal left base opacity suspicious for pneumonia or parenchymal bleeding . The previously seen pleural , pericardial and potential mediastinal air inclusions on the lateral radiograph are not precisely identified on the current image . However , the very sharp right heart border might be interpreted as indirect sign for pneumopericardium . No other relevant changes .", "entities": { "1": { "tokens": "Massive", "label": "OBS-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 12, "end_ix": 12, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "air", "label": "OBS-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "located_at", "5" ] ] }, "4": { "tokens": "collections", "label": "OBS-DP", "start_ix": 14, "end_ix": 14, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "soft tissues", "label": "ANAT-DP", "start_ix": 17, "end_ix": 18, "relations": [] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "8": { "tokens": "tube", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "position", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "base", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "11" ] ] }, "14": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "11" ], [ "suggestive_of", "15" ], [ "suggestive_of", "17" ] ] }, "15": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 44, "end_ix": 44, "relations": [] }, "16": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "17": { "tokens": "bleeding", "label": "OBS-U", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "19": { "tokens": "pericardial", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "20": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "21": { "tokens": "air", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "18" ], [ "located_at", "19" ], [ "located_at", "20" ] ] }, "22": { "tokens": "very", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "sharp", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "25" ], [ "suggestive_of", "27" ] ] }, "24": { "tokens": "right", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "26": { "tokens": "border", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "pneumopericardium", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s53221126.txt": { "text": "FINAL REPORT HISTORY : ___ years old man with pneumothorax status post fall , chest tube fell out , saturation to ___ % at room air , tachycardic 140 SBP , question enlarging pneumothorax . TECHNIQUE : Portable AP single - view chest x - ray in semi - upright position . COMPARISON : Exam is compared to ___ at 8:10p.m. FINDINGS : Left pleural drain has been advanced to the left apex . The tube is following the course of the major fissure , where may not continue to work properly . Lung volume is normal , but with persistent left base opacities and new right base opacity likely for bibasilar atelectasis , more prominent on the left base . Persistent severe subcutaneus emphysema and stable pneumomediastinum . There is no pleural effusion . Cardiomediastinal silhouette is normal . IMPRESSION : Repositioning of the left pleural drain deeper in the major fissure . New right base opacities and increased left base opacities , for bibasilar atelectasis . Persistent severe subcutaneous emphysema and pneumo mediastinum . Findings were discussed by Dr ___ with Nurse ___ at 12.4 5pm.", "entities": { "1": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "3": { "tokens": "drain", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "2" ], [ "located_at", "5" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "6": { "tokens": "tube", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "8" ] ] }, "7": { "tokens": "major", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "fissure", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "9": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "10": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "normal", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "base", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "14": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "13" ], [ "suggestive_of", "20" ] ] }, "15": { "tokens": "new", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "base", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "18": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "17" ], [ "suggestive_of", "20" ] ] }, "19": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "20": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "20" ], [ "located_at", "23" ] ] }, "22": { "tokens": "left", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "base", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [] }, "24": { "tokens": "severe", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "subcutaneus", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "26": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "stable", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "pneumomediastinum", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "29": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "30": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 133, "end_ix": 133, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "32": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "normal", "label": "OBS-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "located_at", "31" ] ] }, "34": { "tokens": "left", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 146, "end_ix": 146, "relations": [] }, "36": { "tokens": "drain", "label": "OBS-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "located_at", "35" ], [ "located_at", "39" ] ] }, "37": { "tokens": "deeper", "label": "OBS-DP", "start_ix": 148, "end_ix": 148, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "major", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "fissure", "label": "ANAT-DP", "start_ix": 152, "end_ix": 152, "relations": [] }, "40": { "tokens": "New", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "43" ] ] }, "41": { "tokens": "right", "label": "ANAT-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "base", "label": "ANAT-DP", "start_ix": 156, "end_ix": 156, "relations": [] }, "43": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 157, "end_ix": 157, "relations": [ [ "located_at", "42" ], [ "suggestive_of", "49" ] ] }, "44": { "tokens": "increased", "label": "OBS-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "47" ] ] }, "45": { "tokens": "left", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "base", "label": "ANAT-DP", "start_ix": 161, "end_ix": 161, "relations": [] }, "47": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 162, "end_ix": 162, "relations": [ [ "located_at", "46" ], [ "suggestive_of", "49" ] ] }, "48": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 165, "end_ix": 165, "relations": [] }, "49": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 166, "end_ix": 166, "relations": [ [ "located_at", "48" ] ] }, "50": { "tokens": "severe", "label": "OBS-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "modify", "52" ] ] }, "51": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 170, "end_ix": 170, "relations": [] }, "52": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "located_at", "51" ] ] }, "54": { "tokens": "pneumo mediastinum", "label": "OBS-DP", "start_ix": 173, "end_ix": 174, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s59752695.txt": { "text": "FINAL REPORT INDICATION : Pneumomediastinum and diffuse subcutaneous emphysema . Evaluation for interval change after removal of left chest tube . COMPARISON : CT torso , ___ . Multiple prior chest radiographs from ___ . FINDINGS : Portable AP chest radiograph . The left - sided chest tube has been removed . Small left apical pneumothorax is new . Extensive subcutaneous emphysema is unchanged . Small amount of pneumomediastinum also is stable . The cardiomediastinal silhouette is normal . Left lower lobe opacity remains concerning for pneumonia . IMPRESSION : Small left apical pneumothorax after chest tube removal . No other significant interval change .", "entities": { "1": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 43, "end_ix": 45, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "Small", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "7" ] ] }, "5": { "tokens": "left", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "7": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "new", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "Extensive", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "11": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "Small", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "pneumomediastinum", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "15": { "tokens": "stable", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "17": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "normal", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "22": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "21" ], [ "suggestive_of", "23" ] ] }, "23": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [] }, "24": { "tokens": "Small", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "27" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "26" ], [ "modify", "28" ] ] }, "26": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "27": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "29": { "tokens": "tube", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "28" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s55512501.txt": { "text": "WET READ : ___ ___ ___ 10:37PM Stable small pneumothorax and minimal pneumomediastinum compared with exam performed 11hours prior . ______________________________________________________________________________ FINAL REPORT HISTORY : Patient with pneumothorax with chest tube in place , eval pneumothorax . COMPARISON : ___ . FINDINGS : Frontal and lateral chest radiographs were obtained . Left chest tube remains in place . There is a persistent small left pneumothorax , pneumomediastinum , and pneumopericardium . The left lower lung opacity is somewhat improved . The cardiomediastinal silhouette and hilar contours are stable . IMPRESSION : 1 . Persistent small left pneumothorax with pneumopericardium and pneumomediastinum . 2 . Persistent left lower lung opacity , likely secondary to infectious pulmonary hemorrhage .", "entities": { "1": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "3" ], [ "modify", "5" ] ] }, "2": { "tokens": "small", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 9, "end_ix": 9, "relations": [] }, "4": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "pneumomediastinum", "label": "OBS-DP", "start_ix": 12, "end_ix": 12, "relations": [] }, "6": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "8": { "tokens": "tube", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "in place", "label": "OBS-DP", "start_ix": 55, "end_ix": 56, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "small", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "12": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "pneumomediastinum", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "14": { "tokens": "pneumopericardium", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "18": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "improved", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "21": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "23": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "stable", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "20" ], [ "located_at", "22" ] ] }, "25": { "tokens": "small", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "left", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "27": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "pneumopericardium", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "29": { "tokens": "pneumomediastinum", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "33": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "36" ] ] }, "34": { "tokens": "infectious", "label": "OBS-U", "start_ix": 113, "end_ix": 113, "relations": [ [ "located_at", "35" ] ] }, "35": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "36": { "tokens": "hemorrhage", "label": "OBS-U", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "35" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s53197725.txt": { "text": "FINAL REPORT CHEST ON ___ HISTORY : Left pneumothorax . FINDINGS : Again seen is a large amount of subcutaneous emphysema , left greater than right . It is difficult to assess for small pneumothorax given the amount of subcutaneous emphysema ; however , again , the suggestion is seen of the pneumothorax , left apical lateral , the appearance of the lungs is unchanged compared to prior .", "entities": { "1": { "tokens": "large", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "amount", "label": "OBS-DP", "start_ix": 17, "end_ix": 17, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "4": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "located_at", "3" ], [ "located_at", "5" ], [ "located_at", "7" ] ] }, "5": { "tokens": "left", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "6": { "tokens": "greater", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "8": { "tokens": "difficult to assess", "label": "OBS-DP", "start_ix": 29, "end_ix": 31, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "small", "label": "OBS-U", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-U", "start_ix": 34, "end_ix": 34, "relations": [] }, "11": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "12": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "suggestive_of", "8" ], [ "located_at", "11" ] ] }, "13": { "tokens": "pneumothorax", "label": "OBS-U", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "15" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "16": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "18": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s58357685.txt": { "text": "FINAL REPORT HISTORY : Chest tube removal , to assess for pneumothorax . FINDINGS : In comparison with the earlier study , there may again be a small apical pneumothorax on the left . Otherwise , little overall change in the appearance of the heart and lungs .", "entities": { "1": { "tokens": "small", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "5": { "tokens": "little", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "overall", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "change", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "8" ], [ "located_at", "9" ] ] }, "8": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "9": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007487/s58025316.txt": { "text": "FINAL REPORT HISTORY : Patient status post fall with left rib fracture and pneumothorax , assess for pneumothorax , pneumomediastinum , chest tube placement . COMPARISON : ___ . FINDINGS : Frontal and lateral chest radiographs were obtained . Again , extensive subcutaneous emphysema in the chest and neck are demonstrated . A left chest tube remains in place . There is a tiny 1-2 mm left pneumothorax . Pneumomediastinum and pneumopericardium are unchanged . There is a persistent left basilar opacity . There is no pleural effusion . IMPRESSION : 1 . Left chest tube in place with a small left pneumothorax without tension . 2 . Persistent pneumomediastinum and pneumopericardium . 3 . Persistent left basilar opacity concerning for infection or parenchymal bleeding .", "entities": { "1": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "3": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "5": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "8": { "tokens": "tube", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "tiny", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "1-2 mm", "label": "OBS-DP", "start_ix": 64, "end_ix": 65, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "12": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "Pneumomediastinum", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "14": { "tokens": "pneumopericardium", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "13" ], [ "modify", "14" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "17": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "23": { "tokens": "tube", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "small", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "26": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "tension", "label": "OBS-DA", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "pneumomediastinum", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "29": { "tokens": "pneumopericardium", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "31": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "30" ] ] }, "32": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "31" ], [ "suggestive_of", "33" ], [ "suggestive_of", "35" ] ] }, "33": { "tokens": "infection", "label": "OBS-U", "start_ix": 121, "end_ix": 121, "relations": [] }, "34": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "35": { "tokens": "bleeding", "label": "OBS-U", "start_ix": 124, "end_ix": 124, "relations": [ [ "located_at", "34" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000735/s50785186.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : History : ___ F with chest pain / / eval for ptx TECHNIQUE : Chest PA and lateral COMPARISON : None FINDINGS : The cardiomediastinal silhouette and pulmonary vasculature are normal . There is no pleural effusion or pneumothorax . No consolidation is identified . IMPRESSION : Unremarkable examination of the chest .", "entities": { "1": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "2": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "5": { "tokens": "normal", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "1" ], [ "located_at", "4" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "7": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [] }, "9": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [] }, "10": { "tokens": "Unremarkable", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "examination", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "12" ] ] }, "12": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002538/s58326480.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old female with asthma exacerbation . Evaluate for infection . TECHNIQUE : PA and lateral chest radiographs were obtained . COMPARISON : Chest radiograph from ___ . FINDINGS : The lungs are clear without focal consolidation , pleural effusion or pneumothorax . There is no pulmonary edema . The heart is normal in size , and the mediastinal contours are normal . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "focal", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "6": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [] }, "8": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "9": { "tokens": "edema", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "11": { "tokens": "normal", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "size", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "10" ] ] }, "13": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "14": { "tokens": "contours", "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", "13" ] ] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002538/s51219765.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : History : ___ F with likely asthma exacerbation - fever , chills , cough , wheezing / / Rule out pneumonia TECHNIQUE : Chest PA and lateral COMPARISON : None available . FINDINGS : Lungs are clear of consolidation , pleural effusion or pneumothorax . Heart appears mildly enlarged , although this is likely exaggerated by low lung volumes . No acute osseous abnormalities identified . At least one surgical clip is incidentally noted in the right upper quadrant . IMPRESSION : Clear lungs . Heart size top - normal .", "entities": { "1": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "5": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [] }, "7": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "8": { "tokens": "mildly", "label": "OBS-U", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "enlarged", "label": "OBS-U", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "7" ] ] }, "10": { "tokens": "low", "label": "OBS-U", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "11" ] ] }, "11": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "suggestive_of", "9" ] ] }, "12": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "acute", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "15": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "clip", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "20" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "21": { "tokens": "Clear", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "22" ] ] }, "22": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "23": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "24": { "tokens": "size", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "top", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "normal", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "23" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001501/s55616331.txt": { "text": "FINAL REPORT HISTORY : MS flare . TECHNIQUE : Frontal and lateral views of the chest . COMPARISON : None . FINDINGS : There is mild left apical pleural thickening . No focal consolidation is seen . There is no pleural effusion or pneumothorax . Incidental note is made of nipple shadows . The cardiac silhouette is not enlarged . The mediastinal and hilar contours are unremarkable . IMPRESSION : No focal consolidation .", "entities": { "1": { "tokens": "mild", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "5": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "focal", "label": "OBS-DA", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 33, "end_ix": 33, "relations": [] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [] }, "11": { "tokens": "nipple", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "12": { "tokens": "shadows", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "14": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "enlarged", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "17": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "18": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "16" ], [ "modify", "17" ] ] }, "19": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "16" ], [ "located_at", "17" ] ] }, "20": { "tokens": "focal", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18019295/s57254021.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman with positive ppd 10 mm / / r / o tb TECHNIQUE : Chest PA and lateral COMPARISON : Chest CT dated ___ . Chest radiograph dated ___ . FINDINGS : Heart size is normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . Lungs are clear . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities . IMPRESSION : No evidence of active tuberculous .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "5": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "6": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "normal", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "8": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "12": { "tokens": "clear", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "14": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "18": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "active", "label": "OBS-DA", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "tuberculous", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18019295/s52492192.txt": { "text": "FINAL REPORT INDICATION : Shortness of breath and CHF , evaluate for pneumonia . COMPARISON : ___ . FINDINGS : Single portable AP upright chest radiograph demonstrates low lung volumes . Heart is mildly enlarged , but the cardiomediastinal silhouette is otherwise unremarkable . Lungs demonstrate mild basilar atelectasis without focal consolidation . No pleural effusion or pneumothorax . IMPRESSION : No evidence of pneumonia .", "entities": { "1": { "tokens": "low", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "5": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "8": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "otherwise", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "7" ] ] }, "10": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "7" ] ] }, "11": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "12": { "tokens": "mild", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "11" ] ] }, "14": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "focal", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "18": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [] }, "20": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18019295/s52794569.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old female with dyspnea . STUDY : PA and lateral chest radiograph . COMPARISON : ___ . FINDINGS : The cardiomediastinal and hilar contours are normal . The lungs are clear . There is no pleural effusion or pneumothorax . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "2": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "3": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "1" ], [ "modify", "2" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "1" ], [ "located_at", "2" ] ] }, "5": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "6": { "tokens": "clear", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [] }, "10": { "tokens": "acute", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "12": { "tokens": "process", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "11" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18002106/s56517301.txt": { "text": "WET READ : ___ ___ 3:07PM A rod overlies the T 5 through T 9 rib fractures and small pneumothorax that were seen on CT torso from today . Small area of subcutaneous air in the right lateral soft tissues . No mediastinal widening . No focal lung parenchymal opacities . ______________________________________________________________________________ FINAL REPORT INDICATION : Fall , right - sided chest pain , evaluate for pneumothorax or rib fracture . COMPARISON : CT torso from today . FINDINGS : The cardiac , mediastinal , and hilar contours are normal . There is no mediastinal widening . The lungs are clear . No pleural effusions . A rod overlies the right lateral ribs and the rib fractures seen on concurrent CT torso of T 5 through T 9 are not visible . There is a small amount of subcutaneous air in the right lateral soft tissues , likely from small right pneumothorax seen on CT torso . The small pneumothorax is not seen on this radiograph however probably due to overlying rod . No focal parenchymal opacities . IMPRESSION : A rod overlies the T 5 through T 9 rib fractures and small pneumothorax that were seen on CT torso from today . Small area of subcutaneous air in the right lateral soft tissues . No mediastinal widening . No focal lung parenchymal opacities .", "entities": { "1": { "tokens": "A", "label": "OBS-DP", "start_ix": 6, "end_ix": 6, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "rod", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "located_at", "5" ] ] }, "3": { "tokens": "overlies", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "T 5 through T 9", "label": "ANAT-DP", "start_ix": 10, "end_ix": 14, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 15, "end_ix": 15, "relations": [] }, "6": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "small", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "9": { "tokens": "Small", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "area", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "12": { "tokens": "air", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "11" ], [ "located_at", "15" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "soft tissues", "label": "ANAT-DP", "start_ix": 38, "end_ix": 39, "relations": [] }, "16": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "17": { "tokens": "widening", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "focal", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "20": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "opacities", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "19" ] ] }, "22": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "25" ] ] }, "23": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "26": { "tokens": "normal", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "22" ], [ "located_at", "23" ], [ "located_at", "24" ] ] }, "27": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "28": { "tokens": "widening", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "30": { "tokens": "clear", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "32": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "A", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "rod", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "38" ] ] }, "35": { "tokens": "overlies", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "34" ] ] }, "36": { "tokens": "right", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "ribs", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "39": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "40": { "tokens": "fractures", "label": "OBS-DA", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "39" ] ] }, "41": { "tokens": "of T 5 through T 9", "label": "ANAT-DP", "start_ix": 122, "end_ix": 127, "relations": [ [ "modify", "39" ] ] }, "42": { "tokens": "small", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "43": { "tokens": "amount", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "42" ] ] }, "44": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [] }, "45": { "tokens": "air", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "44" ], [ "located_at", "48" ] ] }, "46": { "tokens": "right", "label": "ANAT-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "48" ] ] }, "47": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "48" ] ] }, "48": { "tokens": "soft tissues", "label": "ANAT-DP", "start_ix": 144, "end_ix": 145, "relations": [] }, "49": { "tokens": "small", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "51" ] ] }, "50": { "tokens": "right", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [] }, "51": { "tokens": "pneumothorax", "label": "OBS-U", "start_ix": 151, "end_ix": 151, "relations": [ [ "located_at", "50" ] ] }, "52": { "tokens": "small", "label": "OBS-U", "start_ix": 158, "end_ix": 158, "relations": [ [ "modify", "53" ] ] }, "53": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 159, "end_ix": 159, "relations": [] }, "54": { "tokens": "overlying", "label": "OBS-U", "start_ix": 170, "end_ix": 170, "relations": [ [ "modify", "55" ] ] }, "55": { "tokens": "rod", "label": "OBS-U", "start_ix": 171, "end_ix": 171, "relations": [] }, "56": { "tokens": "focal", "label": "OBS-DA", "start_ix": 174, "end_ix": 174, "relations": [ [ "modify", "58" ] ] }, "57": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 175, "end_ix": 175, "relations": [] }, "58": { "tokens": "opacities", "label": "OBS-DA", "start_ix": 176, "end_ix": 176, "relations": [ [ "located_at", "57" ] ] }, "59": { "tokens": "A", "label": "OBS-DP", "start_ix": 180, "end_ix": 180, "relations": [ [ "modify", "60" ] ] }, "60": { "tokens": "rod", "label": "OBS-DP", "start_ix": 181, "end_ix": 181, "relations": [ [ "located_at", "63" ] ] }, "61": { "tokens": "overlies", "label": "OBS-DP", "start_ix": 182, "end_ix": 182, "relations": [ [ "modify", "60" ] ] }, "62": { "tokens": "T 5 through T 9", "label": "ANAT-DP", "start_ix": 184, "end_ix": 188, "relations": [ [ "modify", "63" ] ] }, "63": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 189, "end_ix": 189, "relations": [] }, "64": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 190, "end_ix": 190, "relations": [ [ "located_at", "63" ] ] }, "65": { "tokens": "small", "label": "OBS-DP", "start_ix": 192, "end_ix": 192, "relations": [ [ "modify", "66" ] ] }, "66": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 193, "end_ix": 193, "relations": [] }, "67": { "tokens": "Small", "label": "OBS-DP", "start_ix": 203, "end_ix": 203, "relations": [ [ "modify", "69" ] ] }, "68": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 206, "end_ix": 206, "relations": [] }, "69": { "tokens": "air", "label": "OBS-DP", "start_ix": 207, "end_ix": 207, "relations": [ [ "located_at", "68" ], [ "located_at", "72" ] ] }, "70": { "tokens": "right", "label": "ANAT-DP", "start_ix": 210, "end_ix": 210, "relations": [ [ "modify", "72" ] ] }, "71": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 211, "end_ix": 211, "relations": [ [ "modify", "72" ] ] }, "72": { "tokens": "soft tissues", "label": "ANAT-DP", "start_ix": 212, "end_ix": 213, "relations": [] }, "73": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 216, "end_ix": 216, "relations": [] }, "74": { "tokens": "widening", "label": "OBS-DA", "start_ix": 217, "end_ix": 217, "relations": [ [ "located_at", "73" ] ] }, "75": { "tokens": "focal", "label": "OBS-DA", "start_ix": 220, "end_ix": 220, "relations": [ [ "modify", "78" ] ] }, "76": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 221, "end_ix": 221, "relations": [] }, "77": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 222, "end_ix": 222, "relations": [ [ "modify", "76" ] ] }, "78": { "tokens": "opacities", "label": "OBS-DA", "start_ix": 223, "end_ix": 223, "relations": [ [ "located_at", "76" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18002106/s50559874.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Rib fracture , status post fall , liver and kidney laceration , evaluation of pneumothorax . COMPARISON : ___ . FINDINGS : As compared to the previous image , the known previously intrafissural right basal pneumothorax is now visible on the chest radiograph . It has a diameter of 1.5 cm , there is no evidence of tension . The non - displaced rib fractures seen on the CT examination from ___ are not apparent on the chest radiograph . Minimal atelectasis in the retrocardiac lung areas . Borderline size of the cardiac silhouette . No pleural effusions .", "entities": { "1": { "tokens": "intrafissural", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "3": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "diameter", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "1.5 cm", "label": "OBS-DP", "start_ix": 55, "end_ix": 56, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "tension", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "4" ] ] }, "8": { "tokens": "non - displaced", "label": "OBS-DA", "start_ix": 66, "end_ix": 68, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "10": { "tokens": "fractures", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "14" ] ] }, "13": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "15": { "tokens": "Borderline", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "16" ] ] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "18": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "20": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "19" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002804/s53422998.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with cough / / 3 wks cough 3 wks cough IMPRESSION : No previous images . The cardiac silhouette is within upper limits of normal in size and there is no evidence of vascular congestion , pleural effusion , or acute focal", "entities": { "1": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "2": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "within", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "upper", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "limits", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "normal", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "1" ] ] }, "7": { "tokens": "size", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "1" ] ] }, "8": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "9": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "acute", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "focal", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003255/s52843603.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ . COMPARISON : None . CLINICAL HISTORY : ___ - year - old man with elevated CPK , chest pain , question acute intrathoracic process . FINDINGS : PA and lateral views of the chest are obtained . There is a mild pectus deformity noted on the lateral view . The lungs appear well expanded without focal consolidation , effusion , or pneumothorax . No definite signs of CHF . The heart size appears slightly prominent , but this could be due to the aforementioned pectus excavatum deformity . Imaged osseous structures are intact . Clips in the right upper quadrant noted . IMPRESSION : Pectus excavatum deformity likely accounting for top normal heart size . Otherwise , unremarkable .", "entities": { "1": { "tokens": "mild", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "pectus", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "3": { "tokens": "deformity", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "5": { "tokens": "well", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "focal", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [] }, "11": { "tokens": "CHF", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [] }, "12": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "13": { "tokens": "size", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "12" ] ] }, "16": { "tokens": "aforementioned", "label": "OBS-U", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "pectus", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "18": { "tokens": "excavatum", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "deformity", "label": "OBS-U", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "21": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "intact", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "20" ] ] }, "23": { "tokens": "Clips", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "26" ] ] }, "24": { "tokens": "right", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "27": { "tokens": "Pectus", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "28": { "tokens": "excavatum", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "deformity", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "27" ] ] }, "30": { "tokens": "top", "label": "OBS-U", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "normal", "label": "OBS-U", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "32" ] ] }, "32": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "33": { "tokens": "size", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "32" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s50954658.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman s / p CABG . . . post - op bleeding / / eval for left pleural effusion COMPARISON : Radiographs from ___ IMPRESSION : Endotracheal tube and feeding tube have been removed . Swan - Ganz catheter , mediastinal drains , bilateral chest tubes are again seen . Heart size is prominent but unchanged . There has been improvement of the pulmonary edema . There is some atelectasis at the left lung base . No significant pleural effusion is seen . There are no pneumothoraces .", "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DA", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DA", "start_ix": 34, "end_ix": 34, "relations": [] }, "3": { "tokens": "feeding", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "tube", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [] }, "5": { "tokens": "Swan - Ganz", "label": "OBS-DP", "start_ix": 42, "end_ix": 44, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "7": { "tokens": "mediastinal", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "drains", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "9": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "10": { "tokens": "chest", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "13": { "tokens": "size", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "18": { "tokens": "edema", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "some", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "22" ] ] }, "21": { "tokens": "left", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "23": { "tokens": "base", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "25": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "pneumothoraces", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s58777551.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with cabg / / r / o ptx r / o ptx COMPARISON : Chest radiographs ___ through ___ . IMPRESSION : Small left apical pneumothorax is new or newly apparent . Small right apical pneumothorax stable since ___ and earlier in the day . Stable mild postoperative cardiomegaly . Mild to moderate left basal atelectasis . No appreciable pleural effusion . No pulmonary edema . Right jugular line ends in the right atrium . RECOMMENDATION ( S ) : Dr . ___ reported the findings to by telephone on ___ at 12:18PM , 2 minutes after discovery of the findings .", "entities": { "1": { "tokens": "Small", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "new", "label": "OBS-U", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "newly", "label": "OBS-U", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "apparent", "label": "OBS-U", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "4" ] ] }, "8": { "tokens": "Small", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "apical", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [] }, "11": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "stable", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "16" ] ] }, "14": { "tokens": "mild", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "17": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "21" ] ] }, "18": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "left", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "21": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "25": { "tokens": "edema", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "jugular", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "28": { "tokens": "line", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "27" ], [ "located_at", "30" ] ] }, "29": { "tokens": "right", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s53451407.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with s / p CABG - 3 of 4 CTs d / c'd / / evaluate for pneumothorax COMPARISON : Chest radiograph from ___ . FINDINGS : PA and lateral views of the chest provided . Left sided chest tube , mediastinal drain , and Swan ___ catheter have been removed . Right - sided chest tube and right IJ sheath are in unchanged positions . There is a minimal right apical pneumothorax . There is no mediastinal shift . IMPRESSION : Minimal right apical pneumothorax . No mediastinal shift .", "entities": { "1": { "tokens": "Left sided", "label": "ANAT-DP", "start_ix": 51, "end_ix": 52, "relations": [] }, "2": { "tokens": "chest", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "tube", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "5": { "tokens": "drain", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "Swan", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "catheter", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [] }, "8": { "tokens": "Right - sided", "label": "ANAT-DP", "start_ix": 67, "end_ix": 69, "relations": [] }, "9": { "tokens": "chest", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "tube", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "13": { "tokens": "sheath", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "positions", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "10" ], [ "located_at", "13" ] ] }, "16": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "19": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "21": { "tokens": "shift", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "25" ] ] }, "23": { "tokens": "right", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "24": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "25": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "26": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "27": { "tokens": "shift", "label": "OBS-DA", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s50244611.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman with s / p CABG x 2 / / eval hemothorax IMPRESSION : When compared to the prior study , the left - sided pleural effusion and consolidation appears relatively stable . No pneumothoraces are seen . The rest of the support lines and tubes are unchanged in position . There is likely mild pulmonary edema .", "entities": { "1": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 29, "end_ix": 31, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "3": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "relatively", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "stable", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "3" ], [ "modify", "4" ] ] }, "7": { "tokens": "pneumothoraces", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [] }, "8": { "tokens": "support", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "9" ], [ "modify", "10" ] ] }, "9": { "tokens": "lines", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "10": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "11": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "9" ], [ "modify", "10" ] ] }, "12": { "tokens": "in position", "label": "OBS-DP", "start_ix": 55, "end_ix": 56, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "mild", "label": "OBS-U", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "15": { "tokens": "edema", "label": "OBS-U", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "14" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s58464660.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman with s / p cabg / / eval for effusion or infiltrate COMPARISON : Chest radiograph from ___ FINDINGS : PA and lateral views of the chest provided . Biapical pneumothoraces have nearly resolved . Bibasilar atelectasis is again seen , otherwise lungs are clear . There is persistent apparent left hemidiaphragm elevation ; given the increase distance between the apex of left hemidiaphragm and stomach bubble , a subpulmonic effusion may contribute to this appearance . Otherwise , post - operative cardiomediastinal contour is stable . Right IJ line is in the right atrium . IMPRESSION : 1 . Apparent left hemidiaphragm elevation , possibly in part due to a subpulmonic effusion . Additional left lateral decubitus radiograph may be helpful . 2 . Resolving pneumothoraces . NOTIFICATION : The findings were discussed by Dr . ___ with ___ , RNon the telephone on ___ at 12:31PM , 15 minutes after discovery of the findings .", "entities": { "1": { "tokens": "Biapical", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "2": { "tokens": "pneumothoraces", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "4": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "6": { "tokens": "clear", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "9": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "8" ], [ "suggestive_of", "11" ] ] }, "10": { "tokens": "increase", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "distance", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "12": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "15": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "16": { "tokens": "bubble", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "subpulmonic", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "18": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "suggestive_of", "9" ], [ "located_at", "17" ] ] }, "19": { "tokens": "post - operative", "label": "OBS-DP", "start_ix": 95, "end_ix": 97, "relations": [ [ "located_at", "20" ] ] }, "20": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "21": { "tokens": "contour", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "stable", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "20" ] ] }, "23": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "25": { "tokens": "line", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "24" ], [ "located_at", "27" ] ] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "28": { "tokens": "left", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "30": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "subpulmonic", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "32": { "tokens": "effusion", "label": "OBS-U", "start_ix": 128, "end_ix": 128, "relations": [ [ "suggestive_of", "30" ], [ "located_at", "31" ] ] }, "33": { "tokens": "pneumothoraces", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s56902065.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman with hemothorax s / p new chest tube placement / / eval hemothorax and chest tube placement IMPRESSION : Since the previous study , there has been placement of a new left apical chest tube . The left - sided pleural effusion and consolidation of the mid to lower lung fields has increased . No pneumothoraces are seen . The rest of the support lines and tubes are stable . The right lung is grossly clear .", "entities": { "1": { "tokens": "new", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "apical", "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": "tube", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 45, "end_ix": 47, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "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": "lung", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "13": { "tokens": "increased", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "9" ] ] }, "14": { "tokens": "pneumothoraces", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [] }, "15": { "tokens": "support", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "16" ], [ "modify", "17" ] ] }, "16": { "tokens": "lines", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "17": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "18": { "tokens": "stable", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "16" ], [ "modify", "17" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "21": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "clear", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "20" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s58698611.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman with cabg x 2 hct ___ / / eval hemothorax COMPARISON : Compare prior radiograph from ___ . IMPRESSION : There has been enlargement of the left - sided pleural effusion since the prior study . The support lines and tubes are unchanged position . No pneumothoraces are seen .", "entities": { "1": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 34, "end_ix": 36, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "support", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "lines", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "7": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "8": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "position", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ], [ "modify", "7" ] ] }, "10": { "tokens": "pneumothoraces", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s57354591.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman s / p CABG . . postop bleeding / / eval for effusion left chest COMPARISON : Radiographs from ___ at 08 : 08 . IMPRESSION : Lines and tubes are unchanged in position . There has been decrease in the left - sided pleural effusion since the previous study . There is mild pulmonary interstitial edema and some atelectasis at the left lung base . There are no pneumothoraces .", "entities": { "1": { "tokens": "Lines", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "2": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "3": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "1" ], [ "modify", "2" ], [ "modify", "4" ] ] }, "4": { "tokens": "position", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "5": { "tokens": "decrease", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 49, "end_ix": 51, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "mild", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "11": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "edema", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "15" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "16": { "tokens": "base", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "pneumothoraces", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s56064707.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with cabg / / ct d / c , r / o ptx COMPARISON : ___ . IMPRESSION : As compared to the previous radiograph , the tip of the right internal jugular vein catheter continues to project over the right atrium . As noted in the previous report , retraction by 3-4 cm is required . Unchanged postoperative appearance of the cardiac silhouette . The sternal wires are in constant alignment . Minimal retrocardiac atelectasis . No larger pleural effusions . No pneumothorax . No pulmonary edema .", "entities": { "1": { "tokens": "tip", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "4" ], [ "located_at", "7" ] ] }, "3": { "tokens": "right internal jugular vein", "label": "OBS-DP", "start_ix": 45, "end_ix": 48, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "5": { "tokens": "over", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "8": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "10" ] ] }, "9": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "11": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "sternal", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "13": { "tokens": "wires", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "constant", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "alignment", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "13" ] ] }, "16": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "18": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "larger", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "21": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [] }, "23": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "24": { "tokens": "edema", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "23" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003894/s54842645.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman with s / p CABG on ___ , now readmit for SOB / / COMPARISON : Chest radiograph from ___ FINDINGS : PA and lateral views of the chest provided . Left lower lobe atelectasis and pleural effusion are stable . A small amount of pleural effusion is seen on the right . Post - operative cardiomediastinal structure is stable . IMPRESSION : Unchanged left lower lobe atelectasis and pleural effusion .", "entities": { "1": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "4": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "6": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "stable", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "4" ], [ "modify", "6" ] ] }, "8": { "tokens": "small", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "amount", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "10" ] ] }, "13": { "tokens": "Post - operative", "label": "OBS-DP", "start_ix": 69, "end_ix": 71, "relations": [ [ "located_at", "14" ] ] }, "14": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "15": { "tokens": "structure", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "stable", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "21" ], [ "modify", "23" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "21": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "22" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001942/s56433237.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( AP AND LAT ) INDICATION : History : ___ M with unwitnessed fall yesterday TECHNIQUE : Upright AP and lateral views of the chest COMPARISON : ___ FINDINGS : Cardiac silhouette size appears mildly enlarged with a left ventricular predominance . The aorta is markedly tortuous . The mediastinal and hilar contours are unchanged . The pulmonary vasculature is normal . Calcified nodules within the left lower lobe appear unchanged , likely granulomas . Streaky atelectasis is seen in the left lung base . No focal consolidation , pleural effusion or pneumothorax is identified . The osseous structures are diffusely demineralized with mild compression deformity of to vertebral bodies at the thoracolumbar junction . Soft tissue calcification adjacent to the left humeral head may reflect calcific tendinopathy . Deformity of the right eighth lateral rib appears to be new in the interval , likely a chronic rib fracture . IMPRESSION : No acute cardiopulmonary abnormality .", "entities": { "1": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "2": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "size", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "1" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "ventricular", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "8": { "tokens": "predominance", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "10": { "tokens": "markedly", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "13": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "14": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "12" ], [ "modify", "13" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "12" ], [ "located_at", "13" ] ] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "18": { "tokens": "normal", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Calcified", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "nodules", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "23" ], [ "suggestive_of", "25" ] ] }, "21": { "tokens": "left", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "24": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "20" ] ] }, "25": { "tokens": "granulomas", "label": "OBS-U", "start_ix": 78, "end_ix": 78, "relations": [] }, "26": { "tokens": "Streaky", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "29" ] ] }, "28": { "tokens": "left", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "30": { "tokens": "base", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "focal", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [] }, "33": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "34": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [] }, "36": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "37": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "diffusely", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "demineralized", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "36" ] ] }, "40": { "tokens": "mild", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "compression", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "43" ] ] }, "42": { "tokens": "deformity", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "41" ] ] }, "43": { "tokens": "vertebral", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "44": { "tokens": "bodies", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "43" ] ] }, "45": { "tokens": "thoracolumbar", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "43" ] ] }, "46": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "45" ] ] }, "47": { "tokens": "Soft tissue", "label": "ANAT-DP", "start_ix": 120, "end_ix": 121, "relations": [ [ "modify", "51" ] ] }, "48": { "tokens": "calcification", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "47" ], [ "suggestive_of", "54" ] ] }, "49": { "tokens": "adjacent", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "51" ] ] }, "50": { "tokens": "left", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "humeral", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "52": { "tokens": "head", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "51" ] ] }, "53": { "tokens": "calcific", "label": "OBS-U", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "54" ] ] }, "54": { "tokens": "tendinopathy", "label": "OBS-U", "start_ix": 132, "end_ix": 132, "relations": [] }, "55": { "tokens": "Deformity", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "located_at", "59" ], [ "suggestive_of", "63" ] ] }, "56": { "tokens": "right", "label": "ANAT-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "59" ] ] }, "57": { "tokens": "eighth", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "59" ] ] }, "58": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "59" ] ] }, "59": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [] }, "60": { "tokens": "new", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "55" ] ] }, "61": { "tokens": "chronic", "label": "OBS-U", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "63" ] ] }, "62": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 152, "end_ix": 152, "relations": [] }, "63": { "tokens": "fracture", "label": "OBS-U", "start_ix": 153, "end_ix": 153, "relations": [ [ "located_at", "62" ] ] }, "64": { "tokens": "acute", "label": "OBS-DA", "start_ix": 158, "end_ix": 158, "relations": [ [ "modify", "66" ] ] }, "65": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 159, "end_ix": 159, "relations": [] }, "66": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 160, "end_ix": 160, "relations": [ [ "located_at", "65" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s56528605.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old female with altered mental status . COMPARISON : ___ . FINDINGS : Single portable view of the chest . There is persistent indistinctness of the pulmonary vasculature which could be due to mild congestion or chronic underlying parenchymal changes without superimposed confluent consolidation . Blunting of the left costophrenic angle could be due to an effusion . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormality identified . IMPRESSION : Possible small left pleural effusion , otherwise no change .", "entities": { "1": { "tokens": "indistinctness", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "3" ], [ "suggestive_of", "5" ], [ "suggestive_of", "9" ] ] }, "2": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "3": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "mild", "label": "OBS-U", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "congestion", "label": "OBS-U", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "3" ] ] }, "6": { "tokens": "chronic", "label": "OBS-U", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "9" ] ] }, "7": { "tokens": "underlying", "label": "OBS-U", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "2" ] ] }, "9": { "tokens": "changes", "label": "OBS-U", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "superimposed", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "confluent", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "2" ] ] }, "13": { "tokens": "Blunting", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "16" ], [ "suggestive_of", "17" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "15": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "effusion", "label": "OBS-U", "start_ix": 64, "end_ix": 64, "relations": [] }, "18": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "19": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "normal", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "18" ] ] }, "21": { "tokens": "limits", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "23": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "small", "label": "OBS-U", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "27" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "27": { "tokens": "effusion", "label": "OBS-U", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s59989751.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Persistent oxygen requirement in the setting of volume overload despite diuresis . Portable AP radiograph of the chest was reviewed in comparison to ___ . Heart size is top normal . Mediastinum is stable . Right pleural effusion appears to be unchanged . There is interval progression of interstitial pulmonary edema . Minimal left pleural effusion cannot be excluded . Alternatively to pulmonary edema , diffuse infection is a possibility , although less likely , clinical correlation is advised .", "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": "top", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "Mediastinum", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "6": { "tokens": "stable", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "interval", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "progression", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "15": { "tokens": "edema", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "Minimal", "label": "OBS-U", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "left", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "19": { "tokens": "effusion", "label": "OBS-U", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "21": { "tokens": "edema", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "diffuse", "label": "OBS-U", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "infection", "label": "OBS-U", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "20" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s53430015.txt": { "text": "WET READ : ___ ___ ___ 7:27PM Interval increase in interstitial markings , compatible with worsening pulmonary edema or diffuse atypical infection . - ___ d / w ___ ___ via phone on ___ at ___ pm . ______________________________________________________________________________ FINAL REPORT HISTORY : Cirrhosis with hepatic encephalopathy and chronic cough . FINDINGS : In comparison with the study of ___ , the patient has taken a better inspiration . There is still some indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure . The area of suspected opacification in the right apical region is not clearly seen , though it could be superimposed by overlying clavicle and posterior rib . No definite focal consolidation is appreciated .", "entities": { "1": { "tokens": "Interval", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [] }, "2": { "tokens": "increase", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "interstitial", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [] }, "4": { "tokens": "markings", "label": "OBS-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 15, "end_ix": 15, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 16, "end_ix": 16, "relations": [] }, "7": { "tokens": "edema", "label": "OBS-DP", "start_ix": 17, "end_ix": 17, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "atypical", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "infection", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [] }, "11": { "tokens": "indistinctness", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "13" ] ] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "vessels", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "14": { "tokens": "elevated", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "17" ] ] }, "15": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "17": { "tokens": "pressure", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "opacification", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "20" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "21": { "tokens": "region", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "18" ], [ "located_at", "23" ], [ "located_at", "25" ] ] }, "23": { "tokens": "clavicle", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "24": { "tokens": "posterior", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "26": { "tokens": "focal", "label": "OBS-DA", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 114, "end_ix": 114, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s54137434.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Cough , rule out pneumonia . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , the lung volumes have decreased . The size of the cardiac silhouette is unchanged and borderline . Increased reticular markings and blunting of the right costophrenic sinus could suggest a small right pleural effusion , combined to signs of mild interstitial fluid overload . Short - term followup is recommended . At the time of observation and dictation , 9:12a.m. , on ___ , the referring physician , ___ . ___ was paged for notification .", "entities": { "1": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "size", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "6": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "borderline", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "5" ] ] }, "9": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "reticular", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "11": { "tokens": "markings", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "blunting", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "14" ], [ "suggestive_of", "19" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "15": { "tokens": "sinus", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "small", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "19": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "mild", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "22": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "overload", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "22" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s51324900.txt": { "text": "FINAL REPORT PA AND LATERAL VIEWS OF THE CHEST REASON FOR EXAM : Oxygen requirement status post RFA . Comparison is made with prior study ___ . Mild cardiomegaly is stable . Moderate right and small left pleural effusions are grossly unchanged . There is mild fluid overload , unchanged from prior .", "entities": { "1": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "3": { "tokens": "stable", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "5" ], [ "modify", "9" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "6": { "tokens": "small", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "7" ], [ "modify", "9" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "9": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "9" ] ] }, "12": { "tokens": "mild", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "14": { "tokens": "overload", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "13" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s54481740.txt": { "text": "FINAL REPORT PA AND LATERAL RIGHT DECUBITUS CHEST , ___ HISTORY : ___ - year - old woman with right pleural effusion . Decubitus view to assess volume . IMPRESSION : PA , lateral and decubitus view of the chest compared to ___ : There is minimal residual of previous moderate - sized right pleural effusion . A cluster of small nodules and peribronchial infiltration in the right lung apex laterally , projecting over the first anterior interspace , developed between ___ and ___ . They have not resolved . Most likely explanation is non - tuberculous mycobacterial infection , but tuberculosis is possible and should be considered from the clinical standpoint . Heart size is normal . Aside from granulomatous calcifications in the right hilus there is no suggestion of central lymph node enlargement . Heart size is normal .", "entities": { "1": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "residual", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "7" ] ] }, "3": { "tokens": "previous", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "moderate - sized", "label": "OBS-DP", "start_ix": 50, "end_ix": 52, "relations": [ [ "modify", "7" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "7": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "cluster", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "small", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "nodules", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "14" ] ] }, "11": { "tokens": "peribronchial", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "12": { "tokens": "infiltration", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "11" ], [ "located_at", "14" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "15": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "laterally", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "14" ] ] }, "17": { "tokens": "first", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "anterior", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "interspace", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "14" ] ] }, "20": { "tokens": "non - tuberculous", "label": "OBS-U", "start_ix": 94, "end_ix": 96, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "mycobacterial", "label": "OBS-U", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "infection", "label": "OBS-U", "start_ix": 98, "end_ix": 98, "relations": [] }, "23": { "tokens": "tuberculosis", "label": "OBS-U", "start_ix": 101, "end_ix": 101, "relations": [] }, "24": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "25": { "tokens": "size", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "normal", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "24" ] ] }, "27": { "tokens": "granulomatous", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "30" ] ] }, "29": { "tokens": "right", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "hilus", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [] }, "31": { "tokens": "central", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [] }, "32": { "tokens": "lymph node", "label": "OBS-DA", "start_ix": 132, "end_ix": 133, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "enlargement", "label": "OBS-DA", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "32" ] ] }, "34": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [] }, "35": { "tokens": "size", "label": "ANAT-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "34" ] ] }, "36": { "tokens": "normal", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "34" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s51171473.txt": { "text": "WET READ : ___ ___ ___ 8:58PM Study limited by poor penetration without evidence of pneumothorax and only minimal residual left effusion , with residual atelectasis or minimal reexpansion edema . WET READ VERSION # 1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH INDICATION : Hepatitis C , pleural effusion of unknown etiology , status post thoracocentesis . Evaluation for pneumothorax . COMPARISON : ___ , 6:42a.m. FINDINGS : As compared to the previous radiograph , the patient has undergone a left thoracocentesis . The extent of the pre - existing left pleural effusion has substantially decreased . No evidence of post - procedural pneumothorax . Moderate cardiomegaly . Otherwise unchanged chest radiograph .", "entities": { "1": { "tokens": "Study", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "suggestive_of", "4" ] ] }, "2": { "tokens": "limited", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "poor", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "penetration", "label": "OBS-DP", "start_ix": 11, "end_ix": 11, "relations": [] }, "5": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 15, "end_ix": 15, "relations": [] }, "6": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "9" ] ] }, "7": { "tokens": "residual", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 20, "end_ix": 20, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "residual", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "12": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "reexpansion", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "edema", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "16": { "tokens": "thoracocentesis", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "pre - existing", "label": "OBS-DP", "start_ix": 86, "end_ix": 88, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "substantially", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "20" ] ] }, "23": { "tokens": "post - procedural", "label": "OBS-DA", "start_ix": 99, "end_ix": 101, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [] }, "25": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s50618143.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old female with altered mental status . COMPARISON : Portable chest radiograph from ___ and PA and lateral chest radiographs from ___ . CT torso ___ . PORTABLE FRONTAL CHEST RADIOGRAPH : A small opacity within the right lung apex is unchanged . This could reflect an area of confluent consolidation , though also could be residual scarring at that site . Lung volumes are low resulting in bronchovascular crowding with mild pulmonary vascular congestion . However , no other confluent consolidations are identified . No large pleural effusions are identified . Cardiomediastinal and hilar contours are within normal limits . Surgical clips are seen within the right upper quadrant . IMPRESSION : 1 . Small focal opacity in the right lung apex , similar to prior . Findings could reflect focal pneumonia , though could also be related to scarring at the site of prior infection . 2 . Mild pulmonary vascular congestion .", "entities": { "1": { "tokens": "small", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "4" ], [ "suggestive_of", "9" ], [ "suggestive_of", "11" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "5": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "2" ] ] }, "7": { "tokens": "area", "label": "OBS-U", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "confluent", "label": "OBS-U", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "4" ] ] }, "10": { "tokens": "residual", "label": "OBS-U", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "scarring", "label": "OBS-U", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "4" ] ] }, "12": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "13": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "low", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "16" ] ] }, "15": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "16": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "mild", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "20": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "confluent", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "consolidations", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [] }, "23": { "tokens": "large", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "25": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "27": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "28": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "26" ], [ "modify", "27" ] ] }, "29": { "tokens": "within", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "normal", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "26" ], [ "located_at", "27" ] ] }, "31": { "tokens": "limits", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "30" ] ] }, "32": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "clips", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "36" ] ] }, "34": { "tokens": "right", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "37": { "tokens": "Small", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "39" ] ] }, "38": { "tokens": "focal", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "located_at", "41" ], [ "suggestive_of", "44" ], [ "suggestive_of", "45" ] ] }, "40": { "tokens": "right", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "42": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "41" ] ] }, "43": { "tokens": "focal", "label": "OBS-U", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 140, "end_ix": 140, "relations": [] }, "45": { "tokens": "scarring", "label": "OBS-U", "start_ix": 148, "end_ix": 148, "relations": [] }, "46": { "tokens": "prior", "label": "OBS-U", "start_ix": 153, "end_ix": 153, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "infection", "label": "OBS-U", "start_ix": 154, "end_ix": 154, "relations": [] }, "48": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "modify", "51" ] ] }, "49": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "50" ] ] }, "50": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [] }, "51": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 161, "end_ix": 161, "relations": [ [ "located_at", "50" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s50508258.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Followup of the patient with hepatitis C and cirrhosis , to assess pleural effusion . Ap chest radiograph . As compared to ___ , there is interval improvement of pulmonary edema as well as substantial improvement of bibasal opacities , most likely a part of the resolving edema . Small bilateral pleural effusions are noted , left more than right . Right PICC line tip is at the level of mid SVC .", "entities": { "1": { "tokens": "interval", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "4": { "tokens": "edema", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "bibasal", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "8": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "7" ], [ "suggestive_of", "10" ] ] }, "9": { "tokens": "resolving", "label": "OBS-U", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "edema", "label": "OBS-U", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "Small", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "14": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "13" ], [ "located_at", "15" ], [ "located_at", "17" ] ] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "16": { "tokens": "more", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "14" ], [ "located_at", "15" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "18": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "19": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "line", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "18" ] ] }, "21": { "tokens": "tip", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "20" ], [ "located_at", "23" ] ] }, "22": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002678/s54040323.txt": { "text": "FINAL ADDENDUM Updated attending radiologist interpretation and recommendations were reported to ___ by ___ by telephone at 8:27a.m. on ___ after attending radiologist review . Chest and abdominal CT were recommended . ______________________________________________________________________________ FINAL REPORT HISTORY : ___ - year - old female with shortness of breath . TECHNIQUE : Single frontal chest radiograph was obtained portably with the patient in an upright position . COMPARISON : ___ . FINDINGS : Increased , moderate left pleural effusion shifts the mediastinum rightward and obscures some of the left lung base , but atelectasis if any , is secondary to , not the cause of the effusion which could be empyema , other exudate , or under the appropriate circumstances , hemothorax . Mild edema is present in the left lung , but there is no appreciable right pleural effusion . Cardiac silhouette is larger and a pericardial effusion might be present . IMPRESSION : Given the history of cirrhosis and recent treatment to liver cancer , Abdomen CT is recommended to look for a cause of new left pleural effusion ; if that is not revealing , CT should be continued into the chest using CTA protocol to detect pulmonary embolus . New mild pulmonary edema . Possible pericardial effusion . Findings were discussed with ___ by ___ by telephone at 06 : 57 on ___ at the time of discovery .", "entities": { "1": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "left", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "5": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "7": { "tokens": "rightward", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "obscures", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "10" ] ] }, "9": { "tokens": "left", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "11": { "tokens": "base", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 91, "end_ix": 91, "relations": [] }, "13": { "tokens": "secondary", "label": "OBS-U", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "empyema", "label": "OBS-U", "start_ix": 108, "end_ix": 108, "relations": [] }, "15": { "tokens": "hemothorax", "label": "OBS-U", "start_ix": 119, "end_ix": 119, "relations": [] }, "16": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "edema", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "19" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [] }, "20": { "tokens": "right", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [] }, "22": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "24": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "larger", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "located_at", "23" ] ] }, "26": { "tokens": "pericardial", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [] }, "27": { "tokens": "effusion", "label": "OBS-U", "start_ix": 146, "end_ix": 146, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "new", "label": "OBS-DP", "start_ix": 175, "end_ix": 175, "relations": [ [ "modify", "31" ] ] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 176, "end_ix": 176, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 177, "end_ix": 177, "relations": [] }, "31": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 178, "end_ix": 178, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "New", "label": "OBS-DP", "start_ix": 201, "end_ix": 201, "relations": [ [ "modify", "35" ] ] }, "33": { "tokens": "mild", "label": "OBS-DP", "start_ix": 202, "end_ix": 202, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 203, "end_ix": 203, "relations": [] }, "35": { "tokens": "edema", "label": "OBS-DP", "start_ix": 204, "end_ix": 204, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "pericardial", "label": "ANAT-DP", "start_ix": 207, "end_ix": 207, "relations": [] }, "37": { "tokens": "effusion", "label": "OBS-U", "start_ix": 208, "end_ix": 208, "relations": [ [ "located_at", "36" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003502/s51180958.txt": { "text": "FINAL REPORT INDICATION : Altered mental status and headache . TECHNIQUE : Two views of the chest . COMPARISON : Multiple prior examinations , most recent dated ___ . FINDINGS : No evidence of consolidation to suggest pneumonia is seen . There is some retrocardiac atelectasis . A small left pleural effusion may be present . No pneumothorax is seen . No pulmonary edema . A right granuloma is unchanged . The heart is mildly enlarged , unchanged . There is tortuosity of the aorta .", "entities": { "1": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 34, "end_ix": 34, "relations": [ [ "suggestive_of", "2" ] ] }, "2": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [] }, "3": { "tokens": "some", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "5": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "small", "label": "OBS-U", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "9" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-U", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [] }, "11": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "12": { "tokens": "edema", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "right", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "granuloma", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "17": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "tortuosity", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "21" ] ] }, "21": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003502/s57641661.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old female with recent non ST elevation MI with shortness of breath . COMPARISON : ___ . FINDINGS : Frontal and lateral views of the chest . Size of the bilateral effusions , left greater than right has slightly decreased in size since prior exam . There is less pulmonary vascular congestion on the current exam as well . Cardiac silhouette which appears enlarged , is unchanged . No acute osseous abnormality is detected . IMPRESSION : Persistent small bilateral effusions , larger on the left which have decreased in size . Decreased pulmonary vascular congestion . No evidence of superimposed acute cardiopulmonary process .", "entities": { "1": { "tokens": "Size", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "3": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "5": { "tokens": "greater", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "2" ] ] }, "7": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "3" ] ] }, "9": { "tokens": "in size", "label": "OBS-DP", "start_ix": 48, "end_ix": 49, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "less", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "13": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "15": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "acute", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "20": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "small", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "23": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "larger", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "25" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "22" ] ] }, "26": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "23" ] ] }, "27": { "tokens": "in size", "label": "OBS-DP", "start_ix": 97, "end_ix": 98, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "Decreased", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "31" ] ] }, "29": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "31": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "superimposed", "label": "OBS-DA", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "35" ] ] }, "33": { "tokens": "acute", "label": "OBS-DA", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "35": { "tokens": "process", "label": "OBS-DA", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "34" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003502/s52309364.txt": { "text": "FINAL REPORT INDICATION : ___ F with new oxygen requirement / / evaluate for worsening pulmonary edema TECHNIQUE : AP portable view of the chest . COMPARISON : ___ at 13 : 06 . FINDINGS : Moderate to large bilateral pleural effusions are again seen , likely right greater than left . There is suspected superimposed pulmonary edema may have slightly improved since prior although detailed evaluation is limited given layering pleural effusions . Vasculature appears less engorged . Cardiac silhouette cannot be assessed . IMPRESSION : Mild to large bilateral , right greater than left pleural effusions . Degree of pulmonary edema may have slightly improved since prior exam although detailed evaluation is limited .", "entities": { "1": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "large", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "5": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "4" ], [ "located_at", "6" ], [ "located_at", "8" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "7": { "tokens": "greater", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "5" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "9": { "tokens": "superimposed", "label": "OBS-U", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "11": { "tokens": "edema", "label": "OBS-U", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "slightly", "label": "OBS-U", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "improved", "label": "OBS-U", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "11" ] ] }, "14": { "tokens": "layering", "label": "OBS-U", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "16": { "tokens": "effusions", "label": "OBS-U", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "Vasculature", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "18": { "tokens": "less", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "engorged", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "21": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "28" ] ] }, "23": { "tokens": "large", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "28" ] ] }, "24": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "25": { "tokens": "right", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "left", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "28": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "24" ], [ "located_at", "27" ] ] }, "29": { "tokens": "Degree", "label": "OBS-U", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "31": { "tokens": "edema", "label": "OBS-U", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "slightly", "label": "OBS-U", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "improved", "label": "OBS-U", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "31" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003502/s57812613.txt": { "text": "FINAL REPORT INDICATION : New atrial fibrillation and ankle swelling . COMPARISON : Chest radiograph ___ and multiple chest radiographs dating to ___ . FINDINGS : There is a moderate - sized left pleural effusion which is increased in size from the prior exam in ___ . There is no right pleural effusion . The lungs are clear without pulmonary edema , consolidation , or pneumothorax . A small calcified granuloma in the right mid - to - lower lung zone is unchanged from prior exams . The cardiac size is mildly enlarged , unchanged from prior exams . Mediastinal contours are normal . The aorta is tortuous with mild calcifications . Degenerative changes of the lower thoracic and upper lumbar spine are unchanged . IMPRESSION : 1 . Enlarging moderate left pleural effusion . 2 . Stable right calcified granuloma . 3 . Stable mild cardiomegaly .", "entities": { "1": { "tokens": "moderate - sized", "label": "OBS-DP", "start_ix": 29, "end_ix": 31, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "increased", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "size", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "4" ] ] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "11": { "tokens": "clear", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "13": { "tokens": "edema", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "10" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [] }, "16": { "tokens": "A", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "small", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "calcified", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "granuloma", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "23" ] ] }, "20": { "tokens": "right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "23" ] ] }, "21": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "24": { "tokens": "zone", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "19" ] ] }, "26": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "27": { "tokens": "size", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "26" ] ] }, "30": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "32": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "normal", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "31" ] ] }, "34": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "35": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "mild", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "34" ] ] }, "38": { "tokens": "Degenerative", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "44" ] ] }, "39": { "tokens": "changes", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "38" ] ] }, "40": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "44" ] ] }, "42": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "lumbar", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "45": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "38" ] ] }, "46": { "tokens": "Enlarging", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "50" ] ] }, "47": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "50" ] ] }, "48": { "tokens": "left", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "50": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "located_at", "49" ] ] }, "51": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "54" ] ] }, "52": { "tokens": "right", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [] }, "53": { "tokens": "calcified", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "54" ] ] }, "54": { "tokens": "granuloma", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "located_at", "52" ] ] }, "55": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "56" ] ] }, "56": { "tokens": "mild", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "57" ] ] }, "57": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003502/s52139270.txt": { "text": "FINAL REPORT HISTORY : Nausea and chllls . TECHNIQUE : Frontal and lateral views of the chest . COMPARISON : ___ . FINDINGS : There are moderate bilateral pleural effusions with overlying atelectasis , underlying consolidation not excluded . Mild prominence of the interstitial markings suggests mild pulmonary edema . The cardiac silhouette is mildly enlarged . The mediastinal contours are unremarkable . There is no evidence of pneumothorax . IMPRESSION : Bilateral pleural effusions , cardiomegaly and mild edema suggest fluid overload , however , given the clinical history , underlying consolidation due to pneumonia cannot be excluded at the lung bases .", "entities": { "1": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "4": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "2" ] ] }, "7": { "tokens": "underlying", "label": "OBS-U", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 35, "end_ix": 35, "relations": [] }, "9": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "11" ] ] }, "11": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "suggestive_of", "14" ] ] }, "12": { "tokens": "mild", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "14": { "tokens": "edema", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "16": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "15" ] ] }, "19": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "20": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "19" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [] }, "23": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "25": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "24" ], [ "suggestive_of", "30" ] ] }, "26": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "suggestive_of", "30" ] ] }, "27": { "tokens": "mild", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "edema", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "suggestive_of", "30" ] ] }, "29": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "overload", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "31": { "tokens": "underlying", "label": "OBS-U", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 92, "end_ix": 92, "relations": [ [ "suggestive_of", "33" ], [ "located_at", "34" ] ] }, "33": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "34" ] ] }, "34": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "35": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "34" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003502/s53836463.txt": { "text": "FINAL REPORT HISTORY : Dyspnea . COMPARISON : ___ . FINDINGS : The bilateral pleural effusions , lower lobe volume loss , and dense lower lobe opacity compatible with a combination of volume loss / infiltrate / effusion . The heart continues to be moderately enlarged . There is mild vascular redistribution . IMPRESSION : CHF , slightly worse than on the prior study .", "entities": { "1": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 14, "end_ix": 14, "relations": [] }, "3": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 15, "end_ix": 15, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 17, "end_ix": 17, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 18, "end_ix": 18, "relations": [] }, "6": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "loss", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "dense", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "11": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "10" ] ] }, "13": { "tokens": "loss", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "infiltrate", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "10" ] ] }, "15": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "10" ] ] }, "16": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "17": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "mild", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "21": { "tokens": "redistribution", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "CHF", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "23": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "worse", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "22" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003502/s53282957.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : History : ___ F status post fall , bradycardic / / ? effusion , infectious process TECHNIQUE : Semi - upright AP view of the chest COMPARISON : Chest radiograph ___ FINDINGS : Heart size is difficult to assess given the presence of moderate to large bilateral pleural effusions , but appears at least moderately enlarged . The mediastinal contours are grossly unremarkable . Perihilar haziness with vascular indistinctness and diffuse alveolar opacities are compatible with moderate pulmonary edema . Bibasilar compressive atelectasis is demonstrated . No pneumothorax is seen . Moderate multilevel degenerative changes are noted in the thoracic spine . IMPRESSION : Moderate pulmonary edema with moderate to large bilateral pleural effusions and bibasilar atelectasis .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "7" ] ] }, "4": { "tokens": "large", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "7" ] ] }, "5": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "7": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "moderately", "label": "OBS-U", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "enlarged", "label": "OBS-U", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "1" ] ] }, "10": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "11": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "10" ] ] }, "14": { "tokens": "Perihilar", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "15": { "tokens": "haziness", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "17": { "tokens": "indistinctness", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "16" ], [ "suggestive_of", "23" ] ] }, "18": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "alveolar", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "20": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "19" ], [ "suggestive_of", "23" ] ] }, "21": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "23" ] ] }, "22": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "23": { "tokens": "edema", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "25": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "24" ] ] }, "27": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [] }, "28": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "multilevel", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "degenerative", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "31": { "tokens": "changes", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "30" ], [ "located_at", "33" ] ] }, "32": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "34": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "36": { "tokens": "edema", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "41" ] ] }, "38": { "tokens": "large", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "41" ] ] }, "39": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "41": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "43": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003502/s50084553.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with heart failure , dyspnea / / Eval for pulmonary edema . Eval for pulmonary edema . IMPRESSION : Compared to chest radiographs since ___ , most recently ___ . Large right and moderate left pleural effusions and severe bibasilar atelectasis are unchanged . Cardiac silhouette is obscured . No pneumothorax . Pulmonary edema is mild , obscured radiographically by overlying abnormalities .", "entities": { "1": { "tokens": "Large", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "2" ], [ "modify", "6" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "3": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "4" ], [ "modify", "6" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "6": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "severe", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "9": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "12": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [] }, "15": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "16": { "tokens": "edema", "label": "OBS-U", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "mild", "label": "OBS-U", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "obscured", "label": "OBS-U", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "16" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028999/s56651721.txt": { "text": "FINAL REPORT EXAMINATION : CHEST RADIOGRAPH INDICATION : Sepsis . COMPARISON : None . TECHNIQUE : Chest , semi - upright AP portable . FINDINGS : The heart is borderline in size . The mediastinal and hilar contours are probably within normal limits within the limitations of technique . The left hemidiaphragm is obscured suggesting a retrocardiac opacity and there is an accompanying pleural effusion which is hard to quantify . IMPRESSION : Retrocardiac opacity , not specific ; although a pneumonia is difficult to exclude , commonly this type of appearance is associated with left basilar atelectasis . Coinciding pleural effusion on the left .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [] }, "2": { "tokens": "borderline", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "size", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "5": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "6": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "7": { "tokens": "within", "label": "OBS-U", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "normal", "label": "OBS-U", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "9": { "tokens": "limits", "label": "OBS-U", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "12": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "11" ], [ "suggestive_of", "14" ] ] }, "13": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "14": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "18": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "17" ], [ "suggestive_of", "19" ] ] }, "19": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [] }, "20": { "tokens": "left", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "22": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "24": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "23" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028999/s57987829.txt": { "text": "WET READ : ___ ___ ___ 8:45AM Right IJ catheter in low right atrium should be retracted 4.5 cm to place in low SVC . Discussed with MICU resident at 10:27pm on ___ via telephone by Dr . ___ . WET READ VERSION # 1 ___ ___ ___ 10:29PM Right IJ catheter in low right atrium should be retracted 4.5 cm to place in low SVC . Discussed with MICU resident at 10:27pm on ___ via telephone by Dr . ___ . ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with IJ CVL placed / / Assess IJ CVL placement Assess IJ CVL placement IMPRESSION : In comparison with the study of ___ , there has been placement of a right IJ , which extends to the right atrium . It could be pulled back about 5 cm if his desire to have the tip in the lower SVC . Otherwise little change . Continued extensive retrocardiac opacification consistent with substantial volume loss in the left lower lobe .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 8, "end_ix": 8, "relations": [] }, "3": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 9, "end_ix": 9, "relations": [ [ "located_at", "2" ], [ "located_at", "6" ], [ "located_at", "9" ] ] }, "4": { "tokens": "low", "label": "ANAT-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 12, "end_ix": 12, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 13, "end_ix": 13, "relations": [] }, "7": { "tokens": "retracted 4.5 cm", "label": "OBS-DP", "start_ix": 16, "end_ix": 18, "relations": [ [ "modify", "3" ] ] }, "8": { "tokens": "low", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [] }, "10": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "12": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "11" ], [ "located_at", "15" ], [ "located_at", "18" ] ] }, "13": { "tokens": "low", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "16": { "tokens": "retracted 4.5 cm", "label": "OBS-DP", "start_ix": 58, "end_ix": 60, "relations": [ [ "modify", "12" ] ] }, "17": { "tokens": "low", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "right", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [] }, "23": { "tokens": "pulled back about 5 cm", "label": "OBS-DP", "start_ix": 141, "end_ix": 145, "relations": [ [ "located_at", "20" ], [ "modify", "24" ] ] }, "24": { "tokens": "tip", "label": "OBS-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "located_at", "26" ] ] }, "25": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 156, "end_ix": 156, "relations": [] }, "27": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 163, "end_ix": 163, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 164, "end_ix": 164, "relations": [] }, "29": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [ [ "located_at", "28" ], [ "located_at", "35" ] ] }, "30": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 168, "end_ix": 168, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "modify", "35" ] ] }, "32": { "tokens": "loss", "label": "OBS-DP", "start_ix": 170, "end_ix": 170, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "left", "label": "ANAT-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 174, "end_ix": 174, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 175, "end_ix": 175, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028999/s58738737.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with new dob hoff / / confirm placement confirm placement COMPARISON : Chest radiographs ___ . IMPRESSION : Large left pleural effusion has increased , but there is no appreciable rightward mediastinal shift suggesting worsening collapse of the left lung except for the apex . Mild right basal atelectasis has increased and there may be a small right pleural effusion as well . Feeding tube with the wire stylet in place ends in the region of the pylorus . Right jugular line ends at the superior cavoatrial junction . Cardiac silhouette is obscured . There is no pneumothorax .", "entities": { "1": { "tokens": "Large", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "increased", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "rightward", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "8": { "tokens": "shift", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "collapse", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "12" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "13": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "17" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "increased", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "small", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "22" ] ] }, "20": { "tokens": "right", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "22": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "Feeding", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "tube", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "25": { "tokens": "wire", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "24" ], [ "located_at", "28" ] ] }, "26": { "tokens": "stylet", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "in place", "label": "OBS-DP", "start_ix": 84, "end_ix": 85, "relations": [ [ "modify", "25" ] ] }, "28": { "tokens": "pylorus", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "29": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "jugular", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "31": { "tokens": "line", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "30" ], [ "located_at", "32" ] ] }, "32": { "tokens": "superior cavoatrial junction", "label": "ANAT-DP", "start_ix": 100, "end_ix": 102, "relations": [] }, "33": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "34": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 112, "end_ix": 112, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028999/s53725346.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with RIJ CVL / / Assess RIJ CVL placement Assess RIJ CVL placement IMPRESSION : In comparison with the study of ___ , the right IJ PICC line has been pulled back so that the tip is in the lower SVC . Otherwise little change , with extensive retrocardiac opacification again consistent with volume loss in the left lower lobe .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "3": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "line", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "2" ] ] }, "5": { "tokens": "tip", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "4" ], [ "located_at", "7" ] ] }, "6": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "8": { "tokens": "little", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "change", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "10": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "12": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "11" ], [ "suggestive_of", "14" ] ] }, "13": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "17" ] ] }, "14": { "tokens": "loss", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000698/s53043743.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old with elevated white blood count . TECHNIQUE : Single frontal radiograph of the chest was obtained . COMPARISON : There are no comparison studies available . FINDINGS : Subtle opacity at the right lung base could represent early pneumonia . There is no pleural effusion and no pneumothorax . The mediastinal silhouette and hila are normal . IMPRESSION : Subtle opacity at the right base could represent early pneumonia .", "entities": { "1": { "tokens": "Subtle", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "5" ], [ "suggestive_of", "7" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "5": { "tokens": "base", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "early", "label": "OBS-U", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 47, "end_ix": 47, "relations": [] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [] }, "11": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "12": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "hila", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "14": { "tokens": "normal", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "11" ], [ "located_at", "13" ] ] }, "15": { "tokens": "Subtle", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "opacity", "label": "OBS-U", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "18" ], [ "suggestive_of", "20" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "base", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "19": { "tokens": "early", "label": "OBS-U", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 77, "end_ix": 77, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18020943/s56320518.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with inceasing shortness of breath and apparent lower lung volume on incentive spirometery . Please do chest xray at 12 noon / / Assess left effusion seen on portable xray done this morning . Received IV Lasix at 9AM TECHNIQUE : PA and lateral views of the chest provided . COMPARISON : Chest radiograph dated ___ . FINDINGS : Compared with radiograph from ___ , moderate right pleural effusion and right basal consolidation are unchanged . Mild pulmonary edema has improved . There is a small amount of fluid within the right minor fissure . No new focal consolidation or pneumothorax . Mediastinal and hilar contours are unchanged , as well as moderate cardiomegaly . IMPRESSION : 1 . Improved mild pulmonary edema . 2 . Unchanged moderate right pleural effusion and right basal consolidation .", "entities": { "1": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "7": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "4" ], [ "modify", "7" ] ] }, "9": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "11": { "tokens": "edema", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "improved", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "small", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "17" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "minor", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "fissure", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "18": { "tokens": "new", "label": "OBS-DA", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "focal", "label": "OBS-DA", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 114, "end_ix": 114, "relations": [] }, "21": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 116, "end_ix": 116, "relations": [] }, "22": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "23": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "24": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "22" ], [ "modify", "23" ] ] }, "25": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "located_at", "22" ], [ "located_at", "23" ] ] }, "26": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "28": { "tokens": "Improved", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "31" ] ] }, "29": { "tokens": "mild", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 137, "end_ix": 137, "relations": [] }, "31": { "tokens": "edema", "label": "OBS-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "36" ] ] }, "33": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "36" ] ] }, "34": { "tokens": "right", "label": "ANAT-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [] }, "36": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "right", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 149, "end_ix": 149, "relations": [] }, "39": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "located_at", "38" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18020943/s55270846.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with new R IJ CVL / / ? line placement Contact name : ___ , ___ : ___ TECHNIQUE : Single frontal view of the chest COMPARISON : ___ FINDINGS : Right internal jugular central venous catheter terminates in the proximal to mid SVC without evidence of pneumothorax . Cardiac and mediastinal silhouettes are stable with cardiac silhouette enlargement . No focal consolidation is seen . There is no pleural effusion or pneumothorax . Mild pulmonary vascular congestion appears slightly improved . IMPRESSION : Right internal jugular central venous catheter terminates in the proximal to mid SVC without evidence of pneumothorax .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "2": { "tokens": "internal jugular central venous", "label": "OBS-DP", "start_ix": 47, "end_ix": 50, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "1" ], [ "located_at", "6" ] ] }, "4": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "7": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [] }, "8": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "9": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "10": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "11": { "tokens": "stable", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "8" ], [ "located_at", "9" ] ] }, "12": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "13": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "focal", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "18": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [] }, "20": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "23" ] ] }, "21": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "23": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "improved", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "23" ] ] }, "26": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "27": { "tokens": "internal jugular central venous", "label": "OBS-DP", "start_ix": 100, "end_ix": 103, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "26" ], [ "located_at", "31" ] ] }, "29": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "32": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 115, "end_ix": 115, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18020943/s53949676.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man POD ___ s / p kidney transplant c / b persistent bleeding from urethra requiring multiple transfusions , now c / o new dyspnea / SOB . O 2 sats stable , afebrile . / / pls perform two - view CXR to evaluate any acute cardiopulmonary process causing new onset SOB . pls perform two - view CXR to evaluate any acute cardiopulmonary process causing new onset SOB . IMPRESSION : Compared to chest radiographs since ___ , most recently ___ . Moderate right pleural effusion and right basal consolidation are new . This could be pneumonia and an associated exudate . Lateral view shows a reasonably well defined lucency projecting over the descending thoracic aorta . There is no fluid level in this lucency so it is unclear whether this a composite shadow or cavitation in consolidation . If documentation of the cavity would influence management , than CT scanning should be performed . If pneumonia has been diagnosed , it is conceivable that documenting the cavity would have no clinical impact at this stage . Moderate enlarged of the cardiac silhouette and pulmonary vascular congestion are chronic . There is probably no edema . RECOMMENDATION ( S ) : Consider chest CT in light of the discussion above . NOTIFICATION : The findings were discussed with ___ ( In Hospital , On Page ) , ___ , M . D . by ___ , M . D . on the telephone on ___ at 8 : 17 AM , 1 minutes after discovery of the findings .", "entities": { "1": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "7": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "6" ], [ "suggestive_of", "9" ] ] }, "8": { "tokens": "new", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "4" ], [ "modify", "7" ] ] }, "9": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 113, "end_ix": 113, "relations": [] }, "10": { "tokens": "associated exudate", "label": "OBS-U", "start_ix": 116, "end_ix": 117, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "reasonably", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "well defined", "label": "OBS-DP", "start_ix": 124, "end_ix": 125, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lucency", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "located_at", "16" ] ] }, "14": { "tokens": "descending", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "17": { "tokens": "fluid level", "label": "OBS-DA", "start_ix": 137, "end_ix": 138, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lucency", "label": "OBS-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "modify", "13" ], [ "suggestive_of", "20" ], [ "suggestive_of", "21" ] ] }, "19": { "tokens": "composite", "label": "OBS-U", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "shadow", "label": "OBS-U", "start_ix": 150, "end_ix": 150, "relations": [] }, "21": { "tokens": "cavitation", "label": "OBS-U", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 154, "end_ix": 154, "relations": [] }, "23": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 194, "end_ix": 194, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 195, "end_ix": 195, "relations": [ [ "located_at", "25" ] ] }, "25": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 198, "end_ix": 198, "relations": [] }, "26": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 199, "end_ix": 199, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 201, "end_ix": 201, "relations": [] }, "28": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 202, "end_ix": 202, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 203, "end_ix": 203, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 205, "end_ix": 205, "relations": [ [ "modify", "24" ], [ "modify", "29" ] ] }, "31": { "tokens": "edema", "label": "OBS-DA", "start_ix": 211, "end_ix": 211, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18020943/s57074556.txt": { "text": "FINAL REPORT INDICATION : ___ year old man with ESRD for pre kidney transplant evaluation / / r / o cardiopulmonary abnormalities TECHNIQUE : Chest PA and lateral COMPARISON : None . FINDINGS : There is moderate cardiomegaly . The azygos vein is slightly prominent . The mediastinal and hilar contours are within normal limits . There is no pleural effusion or pneumothorax . The lungs are well - expanded without focal consolidation concerning for pneumonia . Cephalization of vessels is consistent with mild vascular congestion . Surgical clips are seen projecting near the left hemidiaphragm in the left upper quadrant . The visualized osseous structures are within normal limits . IMPRESSION : Mild vascular congestion with moderate cardiomegaly . No pneumonia .", "entities": { "1": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "3": { "tokens": "azygos", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "vein", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "5": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "8": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "9": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "7" ], [ "modify", "8" ] ] }, "10": { "tokens": "within", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "normal", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "7" ], [ "located_at", "8" ] ] }, "12": { "tokens": "limits", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "14": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [] }, "16": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "17": { "tokens": "well - expanded", "label": "OBS-DP", "start_ix": 67, "end_ix": 69, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "focal", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "16" ], [ "suggestive_of", "20" ] ] }, "20": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "21": { "tokens": "Cephalization", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "22" ], [ "suggestive_of", "25" ] ] }, "22": { "tokens": "vessels", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "23": { "tokens": "mild", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "25": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "clips", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "30" ], [ "located_at", "33" ] ] }, "28": { "tokens": "near", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "31": { "tokens": "left", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "33" ] ] }, "32": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "34": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "35": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "34" ] ] }, "36": { "tokens": "within", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "normal", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "34" ] ] }, "38": { "tokens": "limits", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "37" ] ] }, "39": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "41" ] ] }, "40": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "41": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "44": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 121, "end_ix": 121, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18020943/s56433279.txt": { "text": "FINAL REPORT EXAMINATION : Chest : Frontal and lateral views INDICATION : History : ___ M with dyspnea / / r / o acute process TECHNIQUE : Chest : Frontal and Lateral COMPARISON : ___ FINDINGS : Right mid lung linear atelectasis / scarring is seen . No new focal consolidation is seen . There is no pleural effusion or pneumothorax . Cardiac silhouette is top - normal in size . Mediastinal contours are unremarkable . Surgical clips are noted left upper quadrant . IMPRESSION : Right mid lung linear atelectasis / scarring .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "4": { "tokens": "linear", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "3" ] ] }, "6": { "tokens": "scarring", "label": "OBS-U", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "3" ] ] }, "7": { "tokens": "new", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "focal", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [] }, "13": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "14": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "top - normal", "label": "OBS-DP", "start_ix": 65, "end_ix": 67, "relations": [ [ "located_at", "16" ] ] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "13" ] ] }, "17": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "18": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "clips", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "24" ] ] }, "22": { "tokens": "left", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "25": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "28": { "tokens": "linear", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "27" ] ] }, "30": { "tokens": "scarring", "label": "OBS-U", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "27" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022983/s51605945.txt": { "text": "WET READ : ___ ___ ___ 8:00AM Comminuted sternal fracture , multiple bilateral rib fractures , and trace bilateral basilar pneumothoraces are better assessed on CT of the chest performed concurrently . WET READ VERSION # 1 ___ ___ ___ 1:55AM No acute displaced rib fracture identified . If concern remains for rib fracture , recommend dedicated rib films with a BB marker placed over the location of pain . ______________________________________________________________________________ FINAL REPORT INDICATION : History : ___ M with pain after mvc / / R sided chest pain after mvc s / p rib removed TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiographs dated ___ through ___ , and CT chest dated ___ . FINDINGS : Lung volumes are low , resulting in bronchovascular crowding . Atelectatic changes at the bilateral bases are presumed to be secondary to hypoventilation in the setting of splinting . Cardiomediastinal and hilar contours are unchanged . No pleural effusion or consolidation . Partially imaged spinal fusion hardware appears intact . Comminuted sternal fracture , multiple bilateral rib fractures , and trace bilateral basilar pneumothoraces are better assessed on CT of the chest performed concurrently . IMPRESSION : Comminuted sternal fracture , multiple bilateral rib fractures , and trace bilateral basilar pneumothoraces are better assessed on CT of the chest performed concurrently .", "entities": { "1": { "tokens": "Comminuted", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "sternal", "label": "ANAT-DP", "start_ix": 8, "end_ix": 8, "relations": [] }, "3": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 9, "end_ix": 9, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "multiple", "label": "OBS-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "7" ] ] }, "5": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 12, "end_ix": 12, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 13, "end_ix": 13, "relations": [] }, "7": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 14, "end_ix": 14, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "trace", "label": "OBS-DP", "start_ix": 17, "end_ix": 17, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "11": { "tokens": "pneumothoraces", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "acute", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "displaced", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "15": { "tokens": "fracture", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [] }, "17": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "low", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "16" ], [ "suggestive_of", "20" ] ] }, "19": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "20": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Atelectatic", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "located_at", "24" ] ] }, "22": { "tokens": "changes", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "25": { "tokens": "secondary", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "21" ] ] }, "26": { "tokens": "hypoventilation", "label": "OBS-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "suggestive_of", "21" ] ] }, "27": { "tokens": "setting of splinting", "label": "OBS-DP", "start_ix": 144, "end_ix": 146, "relations": [ [ "suggestive_of", "26" ] ] }, "28": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [] }, "29": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [] }, "30": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "28" ], [ "modify", "29" ] ] }, "31": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "located_at", "28" ], [ "located_at", "29" ] ] }, "32": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 156, "end_ix": 156, "relations": [] }, "33": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 157, "end_ix": 157, "relations": [ [ "located_at", "32" ] ] }, "34": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 159, "end_ix": 159, "relations": [] }, "35": { "tokens": "Partially imaged", "label": "OBS-DP", "start_ix": 161, "end_ix": 162, "relations": [ [ "modify", "38" ] ] }, "36": { "tokens": "spinal", "label": "ANAT-DP", "start_ix": 163, "end_ix": 163, "relations": [] }, "37": { "tokens": "fusion", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "hardware", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [ [ "located_at", "36" ] ] }, "39": { "tokens": "intact", "label": "OBS-DP", "start_ix": 167, "end_ix": 167, "relations": [ [ "modify", "38" ] ] }, "40": { "tokens": "Comminuted", "label": "OBS-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "modify", "42" ] ] }, "41": { "tokens": "sternal", "label": "ANAT-DP", "start_ix": 170, "end_ix": 170, "relations": [] }, "42": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "located_at", "41" ] ] }, "43": { "tokens": "multiple", "label": "OBS-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "46" ] ] }, "44": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 174, "end_ix": 174, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 175, "end_ix": 175, "relations": [] }, "46": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 176, "end_ix": 176, "relations": [ [ "located_at", "45" ] ] }, "47": { "tokens": "trace", "label": "OBS-DP", "start_ix": 179, "end_ix": 179, "relations": [ [ "modify", "50" ] ] }, "48": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 180, "end_ix": 180, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 181, "end_ix": 181, "relations": [] }, "50": { "tokens": "pneumothoraces", "label": "OBS-DP", "start_ix": 182, "end_ix": 182, "relations": [ [ "located_at", "49" ] ] }, "51": { "tokens": "Comminuted", "label": "OBS-DP", "start_ix": 196, "end_ix": 196, "relations": [ [ "modify", "53" ] ] }, "52": { "tokens": "sternal", "label": "ANAT-DP", "start_ix": 197, "end_ix": 197, "relations": [] }, "53": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 198, "end_ix": 198, "relations": [ [ "located_at", "52" ] ] }, "54": { "tokens": "multiple", "label": "OBS-DP", "start_ix": 200, "end_ix": 200, "relations": [ [ "modify", "57" ] ] }, "55": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 201, "end_ix": 201, "relations": [ [ "modify", "56" ] ] }, "56": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 202, "end_ix": 202, "relations": [] }, "57": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 203, "end_ix": 203, "relations": [ [ "located_at", "56" ] ] }, "58": { "tokens": "trace", "label": "OBS-DP", "start_ix": 206, "end_ix": 206, "relations": [ [ "modify", "61" ] ] }, "59": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 207, "end_ix": 207, "relations": [ [ "modify", "60" ] ] }, "60": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 208, "end_ix": 208, "relations": [] }, "61": { "tokens": "pneumothoraces", "label": "OBS-DP", "start_ix": 209, "end_ix": 209, "relations": [ [ "located_at", "60" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022983/s57985067.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( AP AND LAT ) INDICATION : ___ year old man status post MVC with sternal fracture , retrosternal hematoma , and multiple bilateral rib fractures . Assess interval change . TECHNIQUE : Upright AP and lateral views of the chest COMPARISON : ___ chest radiograph and ___ at 02 : 59 CT chest FINDINGS : Lung volumes are persistently low . Cardiac and mediastinal contours are unchanged with the heart size appearing mildly enlarged . Pulmonary vasculature is normal and the hilar contours are within normal limits . Linear opacities in the lung bases are compatible with subsegmental atelectasis . No large pneumothorax or pleural effusion is demonstrated . Previously noted bilateral rib fractures , some of which are acute , are better assessed on the recent CT . Displaced healed and acute sternal fractures are also noted , similar compared to the previous exams . Partially imaged is fusion hardware within the lumbar spine . IMPRESSION : No interval change from the previous exams . Bibasilar atelectasis with low lung volumes . Re - demonstration of sternal fractures . Known bilateral rib fractures are better assessed on previous CT .", "entities": { "1": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "persistently", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "low", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "6": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "7": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "5" ], [ "modify", "6" ] ] }, "8": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "5" ], [ "located_at", "6" ] ] }, "9": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "10": { "tokens": "size", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "9" ] ] }, "13": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "14": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "normal", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "17": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "within", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "normal", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "16" ] ] }, "20": { "tokens": "limits", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "Linear", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "23" ], [ "suggestive_of", "26" ] ] }, "23": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "24": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "subsegmental", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "26": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "large", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 108, "end_ix": 108, "relations": [] }, "29": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "30": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "33": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "32" ] ] }, "34": { "tokens": "some", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "acute", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "34" ] ] }, "36": { "tokens": "Displaced", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "40" ] ] }, "37": { "tokens": "healed", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "40" ] ] }, "38": { "tokens": "acute", "label": "OBS-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "40" ] ] }, "39": { "tokens": "sternal", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "40": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "located_at", "39" ] ] }, "41": { "tokens": "similar compared to the previous exams", "label": "OBS-DP", "start_ix": 145, "end_ix": 150, "relations": [ [ "modify", "40" ] ] }, "42": { "tokens": "fusion", "label": "OBS-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "hardware", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "located_at", "45" ] ] }, "44": { "tokens": "lumbar", "label": "ANAT-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [] }, "46": { "tokens": "interval", "label": "OBS-DA", "start_ix": 165, "end_ix": 165, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "change", "label": "OBS-DA", "start_ix": 166, "end_ix": 166, "relations": [] }, "48": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 172, "end_ix": 172, "relations": [] }, "49": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "located_at", "48" ], [ "suggestive_of", "50" ] ] }, "50": { "tokens": "low", "label": "OBS-DP", "start_ix": 175, "end_ix": 175, "relations": [ [ "located_at", "51" ] ] }, "51": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 176, "end_ix": 176, "relations": [] }, "52": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 177, "end_ix": 177, "relations": [ [ "modify", "51" ] ] }, "53": { "tokens": "sternal", "label": "ANAT-DP", "start_ix": 183, "end_ix": 183, "relations": [] }, "54": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 184, "end_ix": 184, "relations": [ [ "located_at", "53" ] ] }, "55": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 187, "end_ix": 187, "relations": [] }, "56": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 188, "end_ix": 188, "relations": [ [ "modify", "55" ] ] }, "57": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 189, "end_ix": 189, "relations": [ [ "located_at", "56" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022983/s52601618.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man s / p anterior / lateral T 11 - L 3 interbody fusion , chest tube placed intra - operatively , CXR to assess / / assess lungs and chest tube s / p surgery in PACU assess lungs and chest tube s / p surgery in PACU IMPRESSION : No previous images . Low lung volumes with atelectatic changes at the bases , especially on the right , following recent surgery . Right chest tube is in place and there is no evidence of pneumothorax . No vascular congestion or acute focal pneumonia .", "entities": { "1": { "tokens": "Low", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "atelectatic", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "6" ] ] }, "5": { "tokens": "changes", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "7": { "tokens": "especially", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "4" ], [ "located_at", "8" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "2" ] ] }, "9": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "10": { "tokens": "chest", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "tube", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "9" ] ] }, "13": { "tokens": "in place", "label": "OBS-DP", "start_ix": 92, "end_ix": 93, "relations": [ [ "modify", "11" ] ] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 100, "end_ix": 100, "relations": [] }, "15": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "16": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "acute", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "focal", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 108, "end_ix": 108, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18022983/s57381264.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man s / p traumatic fall with multiple rib fx and small ptx / / pls eval for any interval change TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph dated ___ . FINDINGS : Low lung volumes . There are bibasilar linear opacities , unchanged in comparison to the prior chest radiograph , which likely represent atelectasis . Heart size is top normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . No pleural effusion or pneumothorax is seen . The sternal fracture is visualized and appears unchanged in orientation in comparison to the prior radiograph . The rib fractures are not visualized on these images . There is lumbar fixation hardware , which is incompletely imaged . IMPRESSION : 1 . Bibasilar linear opacities representing atelectasis , which is unchanged . 2 . Sternal fracture again visualized , which is unchanged .", "entities": { "1": { "tokens": "Low", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "5": { "tokens": "linear", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "4" ], [ "suggestive_of", "8" ] ] }, "7": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 73, "end_ix": 73, "relations": [] }, "9": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "10": { "tokens": "size", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "top", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "normal", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "9" ] ] }, "13": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "14": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "15": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "13" ], [ "modify", "14" ] ] }, "16": { "tokens": "normal", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "13" ], [ "located_at", "14" ] ] }, "17": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "19": { "tokens": "normal", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 99, "end_ix": 99, "relations": [] }, "23": { "tokens": "sternal", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "24": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "orientation", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "28": { "tokens": "fractures", "label": "OBS-DA", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "lumbar", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "30": { "tokens": "fixation", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "hardware", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "located_at", "29" ] ] }, "32": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [] }, "33": { "tokens": "linear", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "35" ] ] }, "35": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [] }, "36": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "modify", "34" ] ] }, "37": { "tokens": "Sternal", "label": "ANAT-DP", "start_ix": 157, "end_ix": 157, "relations": [] }, "38": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "located_at", "37" ] ] }, "39": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "38" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15006483/s59006665.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ F with left IJ CVL / / assess line position , PX TECHNIQUE : Single supine view of the chest was obtained . COMPARISON : Supine portable view of the chest from 1 hour prior . FINDINGS : Again seen is an endotracheal tube with the tip terminating approximately 3 cm above the carina . A transesophageal tube is again noted with what appears to be the tip terminating in the stomach . Since the prior examination , there has been insertion of a left internal jugular catheter , with the tip terminating over the upper SVC . The cardiac silhouette and pulmonary vasculature are unremarkable . Since the prior examination , there is developing atelectasis in the right lung base . There is no pneumothorax or pleural effusion . IMPRESSION : 1 . Status post insertion of a left internal jugular central venous catheter with the tip terminating over the upper SVC . 2 . Developing right basilar atelectasis .", "entities": { "1": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "2" ], [ "located_at", "5" ] ] }, "5": { "tokens": "3 cm above", "label": "ANAT-DP", "start_ix": 61, "end_ix": 63, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "7": { "tokens": "transesophageal", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "tube", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "9": { "tokens": "tip", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "8" ], [ "located_at", "10" ] ] }, "10": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "internal", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "jugular", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "14": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "tip", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "14" ], [ "located_at", "18" ] ] }, "16": { "tokens": "over", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "upper", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "SVC", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "19": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "20": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "22": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "19" ], [ "located_at", "22" ] ] }, "24": { "tokens": "developing", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "located_at", "28" ] ] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [] }, "28": { "tokens": "base", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 137, "end_ix": 137, "relations": [] }, "30": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "31": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 140, "end_ix": 140, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "left", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "internal", "label": "ANAT-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "jugular", "label": "ANAT-DP", "start_ix": 153, "end_ix": 153, "relations": [] }, "35": { "tokens": "central", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "venous", "label": "OBS-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "located_at", "34" ] ] }, "38": { "tokens": "tip", "label": "OBS-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "37" ], [ "located_at", "41" ] ] }, "39": { "tokens": "over", "label": "OBS-DP", "start_ix": 161, "end_ix": 161, "relations": [ [ "modify", "38" ] ] }, "40": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 163, "end_ix": 163, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 164, "end_ix": 164, "relations": [] }, "42": { "tokens": "Developing", "label": "OBS-DP", "start_ix": 168, "end_ix": 168, "relations": [ [ "modify", "45" ] ] }, "43": { "tokens": "right", "label": "ANAT-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 170, "end_ix": 170, "relations": [] }, "45": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "located_at", "44" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15006483/s54362708.txt": { "text": "FINAL REPORT INDICATION : ___ F with PMH dementia , CKD , and HTN , who presented with altered mental status and shock likely secondary to sepsis . / / interval change FINDINGS : As compared to ___ interval development of widespread airspace opacity and central pulmonary vascular congestion with enlargement of the heart . There are likely bilateral layering pleural effusions . No pneumothorax . Support devices are in standard position . IMPRESSION : New widespread airspace opacity can be moderate interstitial edema , multifocal pneumonia or noncardiogenic edema .", "entities": { "1": { "tokens": "development", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "widespread", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "4": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "central", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "8": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "10" ] ] }, "10": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "layering", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "14": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] }, "16": { "tokens": "Support", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "devices", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "18": { "tokens": "in", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "standard", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "position", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "17" ] ] }, "21": { "tokens": "New", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "24" ] ] }, "22": { "tokens": "widespread", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "24": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "moderate", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "27": { "tokens": "edema", "label": "OBS-U", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "multifocal", "label": "OBS-U", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [] }, "30": { "tokens": "noncardiogenic", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "edema", "label": "OBS-U", "start_ix": 89, "end_ix": 89, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15006483/s57974872.txt": { "text": "FINAL REPORT CHEST , TWO VIEWS : ___ . HISTORY : Altered mental status . FINDINGS : AP and lateral views of the chest . No prior . The lungs are clear of focal consolidation or effusion . Cardiomediastinal silhouette is at upper limits of normal in size likely accentuated due to AP technique on the frontal . The osseous and soft tissue structures are unremarkable . Diffuse osteopenia however is noted . IMPRESSION : No definite acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "focal", "label": "OBS-DA", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "1" ] ] }, "6": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "7": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "upper", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "limits", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "size", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "6" ] ] }, "12": { "tokens": "Diffuse", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "osteopenia", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "14": { "tokens": "acute", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "16": { "tokens": "process", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "15" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15006483/s57012181.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ F with ett placed pls eval placement / / History : ___ F with ett placed pls eval placement TECHNIQUE : Chest PA and lateral COMPARISON : None available . FINDINGS : An endotracheal tube is seen with the tip terminating approximately 3 cm above the carina . A transesophageal tube is also seen , the tip of which is not definitively visualized . The lungs are grossly clear without confluent consolidation noting some mild motion . The cardiac silhouette is unremarkable . IMPRESSION : Endotracheal tube in appropriate position .", "entities": { "1": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "2" ], [ "located_at", "4" ] ] }, "4": { "tokens": "3 cm above", "label": "ANAT-DP", "start_ix": 54, "end_ix": 56, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "6": { "tokens": "transesophageal", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "tube", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "8": { "tokens": "tip", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "10": { "tokens": "grossly", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "clear", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "confluent", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "9" ] ] }, "14": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "15": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "18": { "tokens": "tube", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "appropriate", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "position", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "18" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000745/s53121171.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man getting RBCs for anemia , possible bleed . / / ? pulmonary edema , acute lung injury . IMPRESSION : As compared to ___ chest radiograph , confluent bilateral airspace opacities in the upper and mid lungs are new with sparing of lung periphery . Differential diagnosis includes pulmonary hemorrhage , edema , and massive aspiration . These are accompanied by underlying diffuse interstitial opacities as well as persistence of pre - existing bibasilar lung opacification and small pleural effusions .", "entities": { "1": { "tokens": "confluent", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "4": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "3" ], [ "located_at", "7" ], [ "suggestive_of", "13" ], [ "suggestive_of", "14" ], [ "suggestive_of", "16" ] ] }, "5": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "8": { "tokens": "new", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "4" ] ] }, "9": { "tokens": "sparing", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "8" ], [ "located_at", "11" ] ] }, "10": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "11": { "tokens": "periphery", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "13": { "tokens": "hemorrhage", "label": "OBS-U", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "edema", "label": "OBS-U", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "massive", "label": "OBS-U", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 70, "end_ix": 70, "relations": [] }, "17": { "tokens": "underlying", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "20": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "pre - existing", "label": "OBS-DP", "start_ix": 85, "end_ix": 87, "relations": [ [ "modify", "24" ] ] }, "22": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "24": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "small", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "27": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000745/s59579972.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with worsening hypoxia and decreased breath sounds on left / / please eval for pleural effusion please eval for pleural effusion COMPARISON : Chest radiograph ___ . IMPRESSION : Patient has had median sternotomy . Sternal wires are intact and aligned . Moderate to severe cardiomegaly is stable . Previous atelectasis and moderate right pleural effusion have decreased , but there is still mild pulmonary edema . Bilateral pleural effusions are now small . There is no pneumothorax .", "entities": { "1": { "tokens": "Sternal", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "2": { "tokens": "wires", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "intact", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "aligned", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "2" ] ] }, "5": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "severe", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "8": { "tokens": "stable", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "Previous", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "11": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "14": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "10" ], [ "modify", "14" ] ] }, "16": { "tokens": "mild", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "18": { "tokens": "edema", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "21": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "small", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000745/s59984925.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with cirrhosis , AVR , and MVR actively bleeding with worsening pulmonar edema after transfusion . / / interval change interval change COMPARISON : Comparison to ___ at 03 : 41 FINDINGS : Portable upright chest radiograph ___ at 03 : 59 is submitted . IMPRESSION : The bilateral diffuse airspace process does not appear to be significantly changed and relatively spares the left lower lung . Findings would be consistent with severe pulmonary edema or hemorrhage . Clinical correlation is advised . Right subclavian PICC line unchanged in position . Status post median sternotomy with stably enlarged heart . Stable probable small pleural effusions . No pneumothorax appreciated .", "entities": { "1": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "4": { "tokens": "process", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "3" ], [ "located_at", "9" ] ] }, "5": { "tokens": "significantly", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [] }, "6": { "tokens": "changed", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "4" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "10": { "tokens": "Findings", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "4" ], [ "suggestive_of", "13" ], [ "suggestive_of", "14" ] ] }, "11": { "tokens": "severe", "label": "OBS-U", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "13" ], [ "modify", "14" ] ] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "13": { "tokens": "edema", "label": "OBS-U", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "hemorrhage", "label": "OBS-U", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "17": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "line", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "position", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "18" ] ] }, "21": { "tokens": "post", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "median", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "24": { "tokens": "stably", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "26" ] ] }, "26": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "27": { "tokens": "Stable", "label": "OBS-U", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "30" ] ] }, "28": { "tokens": "small", "label": "OBS-U", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "30": { "tokens": "effusions", "label": "OBS-U", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 122, "end_ix": 122, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000745/s51763935.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with cirrhosis , AVR , and MVR actively bleeding with worsening pulmonar edema after transfusion . / / Evaluate pulmonary edema after transfusion IMPRESSION : In comparison to recent radiograph of 1 day earlier , widespread pulmonary alveolar opacities show slight interval improvement at the bases . This may be due to pulmonary edema or pulmonary hemorrhage . Remainder of examination is not appreciably changed when consideration is given to differences in technique between the exams .", "entities": { "1": { "tokens": "widespread", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "3": { "tokens": "alveolar", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "slight", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "interval", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "4" ], [ "located_at", "8" ] ] }, "8": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "9": { "tokens": "This", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "4" ], [ "suggestive_of", "11" ], [ "suggestive_of", "13" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "11": { "tokens": "edema", "label": "OBS-U", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "13": { "tokens": "hemorrhage", "label": "OBS-U", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "12" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000745/s52172170.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with cirrhosis , AVR , and MVR actively bleeding with worsening pulmonar edema after transfusion . / / interval change interval change COMPARISON : Comparison to ___ at 12 : 38 FINDINGS : Portable AP upright chest film ___ at 03 : 41 is submitted . IMPRESSION : Right subclavian PICC line unchanged in position . Status post median sternotomy with stably enlarged cardiac contour . Bilateral predominantly upper airspace opacities are stable and could be consistent with pulmonary hemorrhage or edema . Small bilateral effusions are again seen . No pneumothorax .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "3": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "line", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "2" ] ] }, "5": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "position", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "4" ] ] }, "7": { "tokens": "Status", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "8": { "tokens": "post", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "median", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "stably", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "13" ] ] }, "13": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "14": { "tokens": "contour", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "16": { "tokens": "predominantly", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "15" ] ] }, "18": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "18" ], [ "suggestive_of", "22" ], [ "suggestive_of", "23" ] ] }, "20": { "tokens": "stable", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "22": { "tokens": "hemorrhage", "label": "OBS-U", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "edema", "label": "OBS-U", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "21" ] ] }, "24": { "tokens": "Small", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "26": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000745/s59652189.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with heart failure / / pulmonary edema , effusions ? pulmonary edema , effusions ? COMPARISON : There are no prior chest radiographs . IMPRESSION : Patient has had median sternotomy , probably for coronary bypass . The heart is moderately to severely enlarged but partially obscured by fissural pleural effusion on the right . Atelectasis or consolidation at the right lung base is of uncertain chronicity as far mild pulmonary edema and pulmonary vascular congestion . There is no pneumothorax .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "2": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "severely", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "partially", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "1" ] ] }, "7": { "tokens": "fissural", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "suggestive_of", "6" ], [ "located_at", "8" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "Atelectasis", "label": "OBS-U", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "14" ] ] }, "12": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "14" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "15": { "tokens": "base", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "chronicity", "label": "OBS-U", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "11" ], [ "modify", "12" ] ] }, "17": { "tokens": "mild", "label": "OBS-U", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "19": { "tokens": "edema", "label": "OBS-U", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "22": { "tokens": "congestion", "label": "OBS-U", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002930/s55885481.txt": { "text": "WET READ : ___ ___ ___ 4:34PM No acute cardiopulmonary abnormality or fracture . ______________________________________________________________________________ FINAL REPORT EXAMINATION : Chest radiograph . INDICATION : ___ F with EtOH , repeat head strikes , mid thoracic spine pain TECHNIQUE : Chest AP upright and lateral COMPARISON : None FINDINGS : AP upright and lateral views the chest were provided . Mild left basal atelectasis . Lungs are otherwise clear . No signs of pneumonia or edema . No large effusion or pneumothorax . Cardiomediastinal silhouette is normal . Bony structures are intact . No free air below the right hemidiaphragm . IMPRESSION : 1 . Mild left basal atelectasis . Otherwise unremarkable . 2 . No definite displaced rib fracture though if there is continued concern dedicated rib series may be performed to further assess .", "entities": { "1": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "4": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "6": { "tokens": "otherwise", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "clear", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [] }, "9": { "tokens": "edema", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] }, "10": { "tokens": "large", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [] }, "13": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "14": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "normal", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "Bony", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "17": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "intact", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "free", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "air", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "23" ] ] }, "21": { "tokens": "below", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "24": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "27" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "27": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "displaced", "label": "OBS-U", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "30": { "tokens": "fracture", "label": "OBS-U", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10007795/s57491780.txt": { "text": "FINAL REPORT AP CHEST 11:23A.M. , ___ HISTORY : ___ - year - old woman after drain placement for pancreatic abscess . Evaluate general position and if the tube kinked . IMPRESSION : AP view of the torso centered at the diaphragm : Loops of catheter projecting over the midline abdomen cannot be traced for patency . Dedicated abdominal imaging should be requested , whether conventional radiographs or CT imaging , if that becomes necessary . Moderately severe bibasilar atelectasis has worsened in both lungs . The upper lungs are clear . The heart size is normal . There is no obvious pneumothorax .", "entities": { "1": { "tokens": "Loops", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "4" ] ] }, "3": { "tokens": "midline", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "5": { "tokens": "Moderately", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "severe", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "11" ] ] }, "8": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "11" ] ] }, "9": { "tokens": "worsened", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "both", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "12": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "14": { "tokens": "clear", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "normal", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "15" ] ] }, "18": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10007795/s54492585.txt": { "text": "FINAL REPORT INDICATION : Fever and cough . COMPARISON : Chest radiograph , ___ . FINDINGS : Again seen is a right PICC line with tip terminating in the mid SVC . Cardiomediastinal and hilar contours remain stable . There is improvement in the left basilar opacity . A small left pleural effusion persists . There is no right pleural effusion . There is no pneumothorax . A new right basilar opacity is present , likely atelectasis , although pneumonia cannot be excluded . IMPRESSION : New right basilar opacity , which may represent pneumonia in the correct clinical setting . Improvement in left basilar opacity , with persistent small left pleural effusion .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [] }, "2": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "line", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "tip", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "3" ], [ "located_at", "6" ] ] }, "5": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "7": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "8": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "9": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "7" ], [ "modify", "8" ] ] }, "10": { "tokens": "stable", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "7" ], [ "located_at", "8" ] ] }, "11": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "14": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "small", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "18": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "right", "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-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [] }, "23": { "tokens": "new", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "26" ] ] }, "24": { "tokens": "right", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "26": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "25" ], [ "suggestive_of", "27" ], [ "suggestive_of", "28" ] ] }, "27": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 76, "end_ix": 76, "relations": [] }, "28": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 79, "end_ix": 79, "relations": [] }, "29": { "tokens": "New", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "32" ] ] }, "30": { "tokens": "right", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "32": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "31" ], [ "suggestive_of", "33" ] ] }, "33": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "34": { "tokens": "Improvement", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "37" ] ] }, "35": { "tokens": "left", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "37": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "36" ] ] }, "38": { "tokens": "small", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "41" ] ] }, "39": { "tokens": "left", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "41": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "40" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10007795/s54317369.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman status post Dobbhoff placement . Evaluate NG tube location . COMPARISON : Chest radiograph from ___ . FINDINGS : Single portable chest radiograph was provided . A nasogastric tube courses below the diaphragm and terminates within the stomach . A right PICC terminates at the mid SVC . Again seen is plate - like atelectasis at the right base . Retrocardiac and left basilar opacity is similar to the prior radiographs and may represent a combination of pleural effusion and atelectasis . The heart remains enlarged . There is no pneumothorax . The imaged upper abdomen is unremarkable . The bones are intact . IMPRESSION : 1 . Nasogastric tube below the diaphragm , in the stomach . 2 . Persistant right basilar and retrocardiac atelectasis with possible left pleural effusion .", "entities": { "1": { "tokens": "nasogastric", "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", "4" ], [ "located_at", "6" ] ] }, "3": { "tokens": "below", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "5": { "tokens": "within", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "8": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "7" ], [ "located_at", "10" ] ] }, "9": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "11": { "tokens": "plate - like", "label": "OBS-DP", "start_ix": 61, "end_ix": 63, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "14" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "base", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "15": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "18": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "15" ], [ "located_at", "17" ], [ "suggestive_of", "20" ], [ "suggestive_of", "21" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 90, "end_ix": 90, "relations": [] }, "22": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "23": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 100, "end_ix": 100, "relations": [] }, "25": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "27": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "bones", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "29": { "tokens": "intact", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "Nasogastric", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "tube", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "33" ], [ "located_at", "35" ] ] }, "32": { "tokens": "below", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "34": { "tokens": "in", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "36": { "tokens": "right", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "38": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "39": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "37" ], [ "located_at", "38" ] ] }, "40": { "tokens": "left", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "42": { "tokens": "effusion", "label": "OBS-U", "start_ix": 140, "end_ix": 140, "relations": [ [ "located_at", "41" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10007795/s54581957.txt": { "text": "FINAL REPORT EXAM : Chest frontal and lateral views . CLINICAL INFORMATION : History of laparoscopic drainage of pancreatic abscess with severe abdominal pain . COMPARISON : ___ . Frontal and lateral views of the chest were obtained . Left mid lung and right mid - to - lower lung plate - like atelectasis is seen . There is no focal consolidation , pleural effusion , or evidence of pneumothorax . The cardiac and mediastinal silhouettes are unremarkable . No evidence of free air is seen beneath the diaphragms . IMPRESSION : Bilateral plate - like atelectasis , as above .", "entities": { "1": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "7" ] ] }, "5": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "8": { "tokens": "plate - like", "label": "OBS-DP", "start_ix": 50, "end_ix": 52, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "3" ], [ "located_at", "7" ] ] }, "10": { "tokens": "focal", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [] }, "15": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "16": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "17": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "15" ], [ "modify", "16" ] ] }, "18": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "15" ], [ "located_at", "16" ] ] }, "19": { "tokens": "free", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "air", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "22" ] ] }, "21": { "tokens": "beneath", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "diaphragms", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "23": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "24": { "tokens": "plate - like", "label": "OBS-DP", "start_ix": 93, "end_ix": 95, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "23" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10007795/s57677975.txt": { "text": "WET READ : ___ ___ 1:31AM Right PICC in lower SVC . Discussed with ___ from IV . Linear opacities in the right and left lower lung likely atelectasis . ______________________________________________________________________________ FINAL REPORT REASON FOR EXAMINATION : PICC line placement . Portable AP radiograph was reviewed in comparison to ___ . The right PICC line has been inserted with its tip at the level of low SVC . Heart size and mediastinum are unchanged . Bilateral atelectasis are noted , most likely in the lingula and right middle lobe . No pleural effusion or pneumothorax definitely seen , as well as no lung consolidations present .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 6, "end_ix": 6, "relations": [] }, "2": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "located_at", "1" ], [ "located_at", "4" ] ] }, "3": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 9, "end_ix": 9, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 10, "end_ix": 10, "relations": [] }, "5": { "tokens": "Linear", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "located_at", "10" ], [ "suggestive_of", "11" ] ] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "10" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "11": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 28, "end_ix": 28, "relations": [] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "13": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "line", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "tip", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "14" ], [ "located_at", "17" ] ] }, "16": { "tokens": "low", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "18": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "19": { "tokens": "size", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "21": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "18" ], [ "located_at", "20" ] ] }, "22": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "23": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "22" ], [ "located_at", "24" ], [ "located_at", "27" ] ] }, "24": { "tokens": "lingula", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "25": { "tokens": "right", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "28": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "29": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [] }, "31": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "32": { "tokens": "consolidations", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "31" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10007795/s58754452.txt": { "text": "WET READ : ___ ___ 7:20PM Increased retrocardiac opacification and left basilar hazy opacity likely representing layering pleural fluid and underlying atelectasis . Increased right basilar platelike atelectasis . ______________________________________________________________________________ FINAL REPORT STUDY : AP chest ; ___ . CLINICAL HISTORY : ___ - year - old woman with alcoholic pancreatitis , worsening shortness of breath . FINDINGS : Comparison is made to previous study from ___ . There is unchanged cardiomegaly . There is a right central line with the distal lead tip in the mid SVC . There is worsening of the left retrocardiac opacity and atelectasis at the lung bases . There is moderate pulmonary edema which is stable .", "entities": { "1": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 6, "end_ix": 6, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 7, "end_ix": 7, "relations": [] }, "3": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "located_at", "2" ], [ "suggestive_of", "10" ], [ "suggestive_of", "11" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 11, "end_ix": 11, "relations": [] }, "6": { "tokens": "hazy", "label": "OBS-DP", "start_ix": 12, "end_ix": 12, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "located_at", "5" ], [ "suggestive_of", "10" ], [ "suggestive_of", "11" ] ] }, "8": { "tokens": "layering", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 17, "end_ix": 17, "relations": [] }, "10": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [] }, "12": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "16" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "15": { "tokens": "platelike", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "19": { "tokens": "a", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "22" ] ] }, "20": { "tokens": "right", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "21": { "tokens": "central", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "line", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "20" ] ] }, "23": { "tokens": "distal", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "lead", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "tip", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "22" ], [ "located_at", "27" ] ] }, "26": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "28": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "31" ], [ "modify", "32" ] ] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "33" ] ] }, "30": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "31": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "33" ] ] }, "32": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "33" ] ] }, "33": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "34": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "37": { "tokens": "edema", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "36" ] ] }, "38": { "tokens": "stable", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "37" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10007795/s54054513.txt": { "text": "FINAL REPORT STUDY : AP chest , ___ . CLINICAL HISTORY : ___ - year - old woman with respiratory distress . Evaluate for interval change . FINDINGS : Comparison is made to prior study from ___ . The heart size is enlarged , but stable . There is a right - sided PICC line with lead tip at the proximal SVC . There is a persistent left retrocardiac opacity and right basilar opacity , which appear stable . There is improvement of the pulmonary edema . Left - sided pleural effusion , which is unchanged .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "stable", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 50, "end_ix": 52, "relations": [] }, "6": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "5" ], [ "modify", "7" ] ] }, "7": { "tokens": "line", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "8": { "tokens": "lead", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "tip", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "7" ], [ "located_at", "11" ] ] }, "10": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "12": { "tokens": "persistent", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "15" ], [ "modify", "18" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "15": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "18": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "stable", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "14" ], [ "located_at", "17" ] ] }, "20": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "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": "Left - sided", "label": "ANAT-DP", "start_ix": 87, "end_ix": 89, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "25": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "25" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10007795/s56375093.txt": { "text": "FINAL REPORT HISTORY : PICC line with fevers . COMPARISON : ___ . TECHNIQUE : PA and lateral chest radiograph , two views . FINDINGS : A right - sided PICC terminates in the low SVC , unchanged from prior examination . An upper enteric tube passes through the stomach and into the duodenum out of view . Cardiomediastinal silhouette and hilar contours are unremarkable . Plate - like atelectasis in the right middle lobe and lingula is unchanged compared to prior examination . Pleural surfaces are clear without effusion or pneumothorax . IMPRESSION : No acute cardiopulmonary abnormality .", "entities": { "1": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 27, "end_ix": 29, "relations": [] }, "2": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "located_at", "1" ], [ "located_at", "4" ] ] }, "3": { "tokens": "low", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "5": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "2" ] ] }, "6": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "7": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "tube", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "6" ], [ "located_at", "9" ], [ "located_at", "10" ] ] }, "9": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "10": { "tokens": "duodenum", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "12": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "14": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "11" ], [ "located_at", "13" ] ] }, "16": { "tokens": "Plate - like", "label": "OBS-DP", "start_ix": 66, "end_ix": 68, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "20" ], [ "located_at", "21" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "21": { "tokens": "lingula", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "22": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "17" ] ] }, "23": { "tokens": "Pleural", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "24": { "tokens": "surfaces", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "clear", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "23" ] ] }, "26": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "23" ] ] }, "27": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [] }, "28": { "tokens": "acute", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "30": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005866/s59391422.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with hep C / etoh cirrhosis s / p ex - lap LOA / / eval for interval changes eval for interval changes IMPRESSION : Comparison to ___ . In the interval , the patient has been extubated and 1 of the 2 feeding tubes has been removed . Stable size of the cardiac silhouette . Mild fluid overload . Minimal right pleural effusion . New left lower lobe retrocardiac atelectasis . No pneumothorax .", "entities": { "1": { "tokens": "patient", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "2": { "tokens": "extubated", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "1", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "feeding", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "tubes", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [] }, "6": { "tokens": "removed", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "9" ] ] }, "8": { "tokens": "size", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "10": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "13": { "tokens": "overload", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "17" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "17": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "New", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "23" ] ] }, "19": { "tokens": "left", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "22": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005866/s57648366.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : History : ___ M with xfer , SBO / / Eval for acute process / preop Eval for acute process / preop IMPRESSION : No comparison . Borderline size of the cardiac silhouette . No pleural effusions . Mild fluid overload but no overt pulmonary edema . Minimal increase in radiodensity at the bases of the right medial lung . The change should be radiographically monitored within 24 hr to exclude developing pneumonia .", "entities": { "1": { "tokens": "Borderline", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "3" ] ] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "4": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "6": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "9": { "tokens": "overload", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "11": { "tokens": "edema", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "increase", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "radiodensity", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "18" ] ] }, "15": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "medial", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005866/s55665483.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man POD 4 from ex lap and LOA for SBO now with increased breath sounds not yet back on diuretics . Assess for effusion , exudate , pulmonary edema . TECHNIQUE : PA and lateral chest COMPARISON : Chest radiographs of ___ and ___ . FINDINGS : Compared with the prior study , a right - sided pleural effusion , with right basilar atelectasis is new . However , pulmonary edema has improved . The prior retrocardiac consolidation has also resolved , suggesting clearing of a mucous plug . Mild cardiomegaly is unchanged . No pneumothorax . Interval removal of the NG tube . IMPRESSION : Improved pulmonary edema , with improvement of a prior retrocardiac consolidation , suggesting clearing of a prior mucous plug .", "entities": { "1": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 69, "end_ix": 71, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "3": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "6": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "new", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "9": { "tokens": "edema", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "improved", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "12": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "11" ], [ "suggestive_of", "13" ] ] }, "13": { "tokens": "mucous", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [] }, "14": { "tokens": "plug", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "17": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 110, "end_ix": 110, "relations": [] }, "19": { "tokens": "NG", "label": "OBS-DA", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "tube", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [] }, "21": { "tokens": "Improved", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "23": { "tokens": "edema", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] }, "25": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "24" ], [ "suggestive_of", "26" ] ] }, "26": { "tokens": "mucous", "label": "OBS-DA", "start_ix": 138, "end_ix": 138, "relations": [] }, "27": { "tokens": "plug", "label": "OBS-DA", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005866/s56175428.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ M with HCV , ETOH cirrhosis ( MELD ___ , MELD - Na ___ ) with small bowel obstruction now status post ex - lap TECHNIQUE : Portable supine AP view of the chest COMPARISON : Chest radiograph ___ at 07 : 31 FINDINGS : Endotracheal tube tip is slightly low lying , terminating approximately 2.3 cm from the carina . Two enteric tube tips terminate within the stomach . Heart size is borderline enlarged . Mediastinal and hilar contours are similar . There is mild upper zone vascular redistribution , which suggests mild pulmonary vascular congestion . Additionally , there is a persistent small right pleural effusion with adjacent right basilar opacity , which may reflect atelectasis . Left lung is grossly clear , however , the left costophrenic angle is excluded from the field of view . No large pneumothorax is seen . There are no acute osseous abnormalities . IMPRESSION : 1 . Endotracheal tube tip slightly low lying , terminating approximately 2.3 cm from the carina . 2 . 2 enteric tube tips within the stomach . 3 . Persistent small right pleural effusion with patchy right basilar opacity , potentially atelectasis . 4 . Mild pulmonary vascular congestion . 5 . No large pneumothorax identified on this supine limited exam .", "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "2" ], [ "located_at", "8" ] ] }, "4": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "low", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "lying", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "3" ] ] }, "7": { "tokens": "approximately 2.3 cm", "label": "ANAT-DP", "start_ix": 66, "end_ix": 68, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "9": { "tokens": "Two", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "tube", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "12": { "tokens": "tips", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "11" ], [ "located_at", "14" ] ] }, "13": { "tokens": "within", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "15": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "borderline", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "15" ] ] }, "19": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "20": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "21": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "19" ], [ "modify", "20" ] ] }, "22": { "tokens": "similar", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "19" ], [ "located_at", "20" ] ] }, "23": { "tokens": "mild", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "27" ] ] }, "24": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "zone", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "27": { "tokens": "redistribution", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "26" ], [ "suggestive_of", "31" ] ] }, "28": { "tokens": "mild", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "31" ] ] }, "29": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "31": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "small", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "35" ] ] }, "33": { "tokens": "right", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "35": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "adjacent", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "right", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "39": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "located_at", "38" ], [ "suggestive_of", "40" ] ] }, "40": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 129, "end_ix": 129, "relations": [] }, "41": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "43": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "clear", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "42" ] ] }, "45": { "tokens": "left", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [] }, "47": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "46" ] ] }, "48": { "tokens": "large", "label": "OBS-DA", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 153, "end_ix": 153, "relations": [] }, "50": { "tokens": "acute", "label": "OBS-DA", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "52" ] ] }, "51": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 161, "end_ix": 161, "relations": [] }, "52": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 162, "end_ix": 162, "relations": [ [ "located_at", "51" ] ] }, "53": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 168, "end_ix": 168, "relations": [ [ "modify", "54" ] ] }, "54": { "tokens": "tube", "label": "OBS-DP", "start_ix": 169, "end_ix": 169, "relations": [] }, "55": { "tokens": "tip", "label": "OBS-DP", "start_ix": 170, "end_ix": 170, "relations": [ [ "modify", "54" ], [ "located_at", "60" ] ] }, "56": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "modify", "57" ] ] }, "57": { "tokens": "low", "label": "OBS-DP", "start_ix": 172, "end_ix": 172, "relations": [ [ "modify", "58" ] ] }, "58": { "tokens": "lying", "label": "OBS-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "55" ] ] }, "59": { "tokens": "approximately 2.3 cm", "label": "ANAT-DP", "start_ix": 176, "end_ix": 178, "relations": [ [ "modify", "60" ] ] }, "60": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 181, "end_ix": 181, "relations": [] }, "61": { "tokens": "2", "label": "OBS-DP", "start_ix": 185, "end_ix": 185, "relations": [ [ "modify", "63" ] ] }, "62": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 186, "end_ix": 186, "relations": [ [ "modify", "63" ] ] }, "63": { "tokens": "tube", "label": "OBS-DP", "start_ix": 187, "end_ix": 187, "relations": [] }, "64": { "tokens": "tips", "label": "OBS-DP", "start_ix": 188, "end_ix": 188, "relations": [ [ "modify", "63" ], [ "located_at", "66" ] ] }, "65": { "tokens": "within", "label": "ANAT-DP", "start_ix": 189, "end_ix": 189, "relations": [ [ "modify", "66" ] ] }, "66": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 191, "end_ix": 191, "relations": [] }, "67": { "tokens": "small", "label": "OBS-DP", "start_ix": 196, "end_ix": 196, "relations": [ [ "modify", "70" ] ] }, "68": { "tokens": "right", "label": "ANAT-DP", "start_ix": 197, "end_ix": 197, "relations": [ [ "modify", "69" ] ] }, "69": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 198, "end_ix": 198, "relations": [] }, "70": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 199, "end_ix": 199, "relations": [ [ "located_at", "69" ] ] }, "71": { "tokens": "patchy", "label": "OBS-DP", "start_ix": 201, "end_ix": 201, "relations": [ [ "modify", "74" ] ] }, "72": { "tokens": "right", "label": "ANAT-DP", "start_ix": 202, "end_ix": 202, "relations": [ [ "modify", "73" ] ] }, "73": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 203, "end_ix": 203, "relations": [] }, "74": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 204, "end_ix": 204, "relations": [ [ "located_at", "73" ], [ "suggestive_of", "75" ] ] }, "75": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 207, "end_ix": 207, "relations": [] }, "76": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 211, "end_ix": 211, "relations": [ [ "modify", "79" ] ] }, "77": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 212, "end_ix": 212, "relations": [ [ "modify", "78" ] ] }, "78": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 213, "end_ix": 213, "relations": [] }, "79": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 214, "end_ix": 214, "relations": [ [ "located_at", "78" ] ] }, "80": { "tokens": "large", "label": "OBS-DA", "start_ix": 219, "end_ix": 219, "relations": [ [ "modify", "81" ] ] }, "81": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 220, "end_ix": 220, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007517/s59416262.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient with end - stage liver disease , now intubated with possible pneumonia . Portable AP radiograph of the chest was reviewed in comparison to ___ . The ET tube , the left subclavian line and the NG tube are in appropriate position . The ET tube tip has been pulled back and currently 3.5 cm above the carina . Extensive parenchymal consolidations are unchanged and may represent pulmonary edema , although infectious process obscured by pulmonary edema is another possibility . ARDS should also be considered .", "entities": { "1": { "tokens": "ET", "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": [] }, "3": { "tokens": "left", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "5": { "tokens": "line", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "NG", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "7": { "tokens": "tube", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "8": { "tokens": "appropriate", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "position", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "2" ], [ "modify", "5" ], [ "modify", "7" ] ] }, "10": { "tokens": "ET", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "tube", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "12": { "tokens": "tip", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "11" ], [ "located_at", "13" ] ] }, "13": { "tokens": "3.5 cm above", "label": "ANAT-DP", "start_ix": 63, "end_ix": 65, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "15": { "tokens": "Extensive", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "17": { "tokens": "consolidations", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "16" ], [ "suggestive_of", "20" ], [ "suggestive_of", "22" ] ] }, "18": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "20": { "tokens": "edema", "label": "OBS-U", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "infectious", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "process", "label": "OBS-U", "start_ix": 82, "end_ix": 82, "relations": [] }, "23": { "tokens": "obscured", "label": "OBS-U", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "25": { "tokens": "edema", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "ARDS", "label": "OBS-U", "start_ix": 91, "end_ix": 91, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007517/s58745793.txt": { "text": "FINAL REPORT INDICATION : Evaluate for pulmonary edema in patient with end - stage liver disease status post multiple blood transfusions . COMPARISONS : A series of portable chest radiograph , most recently from ___ and dating back to ___ . SEMI - UPRIGHT PORTABLE AP RADIOGRAPH OF THE CHEST : There is severe bilateral alveolar pulmonary edema , which is worse than on the most prior study from approximately 2 4hours ago . As a result , new central air bronchograms are apparent . A right - sided central catheter is in unchanged position , terminating approximately at the cavoatrial junction . Surgical clips are noted in the right upper quadrant . There is no pneumothorax . Cardiomediastinal contours are difficult to evaluate due to overlying edema . IMPRESSION : Severe , worsening alveolar pulmonary edema . Underlying infectious process cannot be ruled out .", "entities": { "1": { "tokens": "severe", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "alveolar", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "5": { "tokens": "edema", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "3" ] ] }, "6": { "tokens": "worse", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "new", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "central", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "air bronchograms", "label": "OBS-DP", "start_ix": 80, "end_ix": 81, "relations": [] }, "10": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 86, "end_ix": 88, "relations": [] }, "11": { "tokens": "central", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "10" ], [ "located_at", "16" ] ] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "position", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "12" ] ] }, "15": { "tokens": "cavoatrial", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "17": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "clips", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "21" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 116, "end_ix": 116, "relations": [] }, "23": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "24": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "edema", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "located_at", "23" ] ] }, "27": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "31" ] ] }, "28": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "31" ] ] }, "29": { "tokens": "alveolar", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "31": { "tokens": "edema", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "located_at", "29" ] ] }, "32": { "tokens": "Underlying", "label": "OBS-U", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "infectious", "label": "OBS-U", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "process", "label": "OBS-U", "start_ix": 140, "end_ix": 140, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007517/s50648100.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman with end - stage liver and renal disease with ARDS , assess for change . FINDINGS : Portable semi - upright radiograph is obtained . Endotracheal tube terminates 4.7 cm above the carina . Nasogastric tube courses into the stomach and appears to be curled within the fundus . Multiple right upper quadrant clips are seen . Bilateral central venous catheters are unchanged in satisfactory position . Diffuse bilateral opacities are slightly improved without definite effusions . Mild cardiomegaly persists along with mediastinal vascular engorgement . No pneumothorax is seen . IMPRESSION : Slight improvement in moderate to severe pulmonary edema which by radiographic appearance may be explained by left ventricular dysfunction . No imaging findings to support or exclude TRALI or ARDS .", "entities": { "1": { "tokens": "Endotracheal", "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", "4" ] ] }, "3": { "tokens": "4.7 cm above", "label": "ANAT-DP", "start_ix": 38, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "5": { "tokens": "Nasogastric", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "tube", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "7" ], [ "located_at", "9" ] ] }, "7": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "8": { "tokens": "curled", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "6" ] ] }, "9": { "tokens": "fundus", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "10": { "tokens": "Multiple", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "14" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "14": { "tokens": "clips", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "central", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "18": { "tokens": "catheters", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "satisfactory", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "position", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "18" ] ] }, "22": { "tokens": "Diffuse", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "24": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "improved", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "24" ] ] }, "27": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [] }, "28": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "30": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "32": { "tokens": "engorgement", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [] }, "34": { "tokens": "Slight", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "39" ] ] }, "36": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "39" ] ] }, "37": { "tokens": "severe", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "39" ] ] }, "38": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "39": { "tokens": "edema", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "38" ], [ "suggestive_of", "42" ] ] }, "40": { "tokens": "left", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "ventricular", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "42": { "tokens": "dysfunction", "label": "OBS-U", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "41" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007517/s55042886.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman with cirrhosis , hypertension , hyperlipidemia , increasing shoulder pain and labored breathing . COMPARISONS : None . FINDINGS : Single portable AP upright chest radiograph was obtained . Pulmonary edema is moderate to severe . A moderate left pleural effusion is moderate . Retrocardiac opacity obscures the left diaphragm contour . Surgical clips project over the right upper quadrant . IMPRESSION : Moderate to severe pulmonary edema . Retrocardiac opacity may represent atelectasis and / or consolidation .", "entities": { "1": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "2": { "tokens": "edema", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "severe", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "2" ] ] }, "5": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "11": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "obscures", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "15": { "tokens": "contour", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "clips", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "20" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "21": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "24" ] ] }, "22": { "tokens": "severe", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "24": { "tokens": "edema", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "26": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "25" ], [ "suggestive_of", "27" ], [ "suggestive_of", "28" ] ] }, "27": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 83, "end_ix": 83, "relations": [] }, "28": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 87, "end_ix": 87, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007517/s52317711.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Intubated patient . Comparison is made with prior study , ___ . ET tube tip is 2.8 cm above the carina . Moderate pulmonary edema has markedly improved . Small right and small - to - moderate left pleural effusions have decreased . Bilateral basilar opacities have improved . There is no pneumothorax .", "entities": { "1": { "tokens": "ET", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "2" ], [ "located_at", "5" ] ] }, "4": { "tokens": "2.8 cm above", "label": "ANAT-DP", "start_ix": 28, "end_ix": 30, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "6": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "8": { "tokens": "edema", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "markedly", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "improved", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "Small", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "12" ], [ "modify", "16" ] ] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "small - to - moderate", "label": "OBS-DP", "start_ix": 44, "end_ix": 48, "relations": [ [ "located_at", "14" ], [ "modify", "16" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "16": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "20": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "improved", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007517/s58608641.txt": { "text": "FINAL REPORT CHEST HISTORY : Emergent intubation for bleeding . REFERENCE EXAM : ___ . FINDINGS : The ET tube and right IJ line are unchanged . There is pulmonary vascular redistribution with perihilar haze and bilateral alveolar infiltrates , compatible with fluid overload . There are small pleural effusions . Compared to the prior study , the alveolar infiltrates are slightly worse . Right upper quadrant clips are again seen .", "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": "right", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "5": { "tokens": "line", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "2" ], [ "modify", "5" ] ] }, "7": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "8": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "redistribution", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "8" ], [ "suggestive_of", "15" ] ] }, "10": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "11": { "tokens": "haze", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "10" ], [ "suggestive_of", "15" ] ] }, "12": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "13": { "tokens": "alveolar", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "infiltrates", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "13" ], [ "suggestive_of", "15" ] ] }, "15": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "16": { "tokens": "overload", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "small", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "19": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "alveolar", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "21": { "tokens": "infiltrates", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "worse", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "21" ] ] }, "24": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "27": { "tokens": "clips", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007517/s59740051.txt": { "text": "FINAL REPORT STUDY : AP chest ___ . CLINICAL HISTORY : Patient with schistosomiasis cirrhosis and GI bleed . Evaluate for intrapulmonary process . FINDINGS : Comparison is made to previous study from ___ . There is a right - sided central line with distal lead tip in the proximal right atrium . Heart size is within normal limits . There are low lung volumes . There are diffuse airspace opacities bilaterally likely due to fluid overload ; however , overlying infection is not entirely excluded . Surgical clips in the right upper abdomen are seen .", "entities": { "1": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 38, "end_ix": 40, "relations": [] }, "2": { "tokens": "central", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "line", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "distal", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "lead", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "tip", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "3" ], [ "located_at", "9" ] ] }, "7": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "10": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "size", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "normal", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "limits", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "low", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "15" ] ] }, "15": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "16": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "19": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "18" ], [ "suggestive_of", "21" ], [ "suggestive_of", "24" ] ] }, "20": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "18" ] ] }, "21": { "tokens": "fluid", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [] }, "22": { "tokens": "overload", "label": "OBS-U", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "overlying", "label": "OBS-U", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "infection", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [] }, "25": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "clips", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "29" ] ] }, "27": { "tokens": "right", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007517/s51550673.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman , intubated with pneumonia , assess for interval change . COMPARISONS : ___ . FINDINGS : Endotracheal tube terminates in the mid trachea . Nasogastric tube is in satisfactory position within the stomach . Left and right central venous catheters are in unchanged position . Moderate - to - severe pulmonary edema is slightly increased from the previous day 's examination , unchanged from ___ . Accompanying bibasilar effusions are likely present . Mild cardiomegaly persists . IMPRESSION : Slight interval increase in moderate - to - severe pulmonary edema .", "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "4" ] ] }, "3": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "trachea", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "5": { "tokens": "Nasogastric", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "tube", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "7" ] ] }, "7": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "8": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "central", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "12": { "tokens": "catheters", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "position", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "15": { "tokens": "Moderate - to - severe", "label": "OBS-DP", "start_ix": 55, "end_ix": 59, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "17": { "tokens": "edema", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "increased", "label": "OBS-U", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "17" ] ] }, "20": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "17" ] ] }, "21": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "22": { "tokens": "effusions", "label": "OBS-U", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "25": { "tokens": "Slight", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "interval", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "increase", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "30" ] ] }, "28": { "tokens": "moderate - to - severe", "label": "OBS-DP", "start_ix": 93, "end_ix": 97, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "30": { "tokens": "edema", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002957/s50480029.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old female with pleuritic chest pain . COMPARISON : None . FINDINGS : PA and lateral views of the chest . The lungs are clear . The cardiomediastinal silhouette is within normal limits . Osseous structures demonstrate no acute abnormality . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "4": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "within", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "normal", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "3" ] ] }, "7": { "tokens": "limits", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "Osseous", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "9": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "acute", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "8" ] ] }, "12": { "tokens": "acute", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "14": { "tokens": "process", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "13" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002661/s53368584.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON : ___ . CLINICAL HISTORY : Cough for two months , palpitations , question pneumonia . FINDINGS : PA and lateral views of the chest were obtained demonstrating clear well - expanded lungs . There is no focal consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette is normal . Bony structures are intact . No free air below the right hemidiaphragm . IMPRESSION : No acute intrathoracic process .", "entities": { "1": { "tokens": "clear", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "3" ] ] }, "2": { "tokens": "well - expanded", "label": "OBS-DP", "start_ix": 37, "end_ix": 39, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "4": { "tokens": "focal", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [] }, "6": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [] }, "7": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [] }, "8": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "9": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "Bony", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "12": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "intact", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "free", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "air", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "18" ] ] }, "16": { "tokens": "below", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "19": { "tokens": "acute", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "21": { "tokens": "process", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "20" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003988/s51924979.txt": { "text": "FINAL REPORT EXAMINATION : PA and lateral chest radiographs INDICATION : ___ year old woman with see above . / / CXR at OSH with left patchy perihilar opacities , recommended f / u to assess for clearance . TECHNIQUE : Chest PA and lateral COMPARISON : ___ PA and lateral chest radiographs obtained at outside hospital FINDINGS : Indistinct superior segment left lower lobe opacities have resolved . Lungs are fully expanded and clear , excepting mild biapical scarring . No pleural effusion or pneumothorax . Heart size is normal . Cardiomediastinal and hilar silhouettes are unremarkable . IMPRESSION : Interval resolution of superior segment left lower lobe pneumonia . Normal chest .", "entities": { "1": { "tokens": "Indistinct", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "7" ] ] }, "2": { "tokens": "superior", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "segment", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "7": { "tokens": "opacities", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "resolved", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "10": { "tokens": "fully", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "clear", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "9" ] ] }, "13": { "tokens": "mild", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "biapical", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "15": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "17": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [] }, "19": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "20": { "tokens": "size", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "normal", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "19" ] ] }, "22": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "23": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "24": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "22" ], [ "modify", "23" ] ] }, "25": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "22" ], [ "located_at", "23" ] ] }, "26": { "tokens": "superior", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "segment", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "30" ] ] }, "28": { "tokens": "left", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "31": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "33" ] ] }, "33": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003988/s50511251.txt": { "text": "FINAL REPORT HISTORY : Dyspnea , to assess for parenchymal lesions . FINDINGS : No previous images . The heart is normal in size and there is no vascular congestion or pleural effusion . No acute focal pneumonia . Of incidental note is bilateral apical pleural thickening , suggestive of old granulomatous disease .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "2": { "tokens": "normal", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "size", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "5": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "7": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "acute", "label": "OBS-DA", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "focal", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [] }, "11": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "14": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "13" ], [ "suggestive_of", "17" ] ] }, "15": { "tokens": "old", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "granulomatous", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "disease", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003052/s58630288.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old man with advanced dementia and 3 falls in the last 24 hours . Evaluate for acute pathology . TECHNIQUE : Chest PA and lateral COMPARISON : None . FINDINGS : The lung volumes are low . The lungs are clear without pleural effusion or pneumothorax . The aorta is unfolded . The heart size is normal . IMPRESSION : Clear lungs .", "entities": { "1": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "low", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "5": { "tokens": "clear", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "7": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [] }, "9": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "10": { "tokens": "unfolded", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "12": { "tokens": "size", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "normal", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "Clear", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "15" ] ] }, "15": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009504/s55274948.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Patient with pulmonary ___ - ___ disease , pneumonia , and pulmonary edema . Comparison is made with prior study ___ . Cardiac size is top normal . Widened mediastinum is a combination of mediastinal lymphadenopathy and enlargement of the pulmonary arteries is unchanged from prior . Right IJ catheter tip remains in the right atrium , could be withdrawn approximately 2 cm for a more standard position . ET tube is in standard position . NG tube tip is out of view below the diaphragm . Bilateral extensive lung opacities have minimally worsened in the left upper lobe . The differential diagnosis still remains lung findings secondary of pulmonary ___ - ___ disease with pulmonary edema . These are associated with denser consolidations in the lower lobes and left upper lobe , likely due to pneumonia .", "entities": { "1": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "top", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "Widened", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "6" ] ] }, "6": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "7": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "8": { "tokens": "lymphadenopathy", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "arteries", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "12": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "5" ] ] }, "13": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "tip", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "15" ], [ "located_at", "18" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "19": { "tokens": "ET", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "tube", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "21": { "tokens": "standard", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "position", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "20" ] ] }, "23": { "tokens": "NG", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "tube", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "25": { "tokens": "tip", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "24" ], [ "located_at", "26" ] ] }, "26": { "tokens": "out of view", "label": "ANAT-DP", "start_ix": 92, "end_ix": 94, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "below", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "29": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "32": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "minimally", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "worsened", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "32" ], [ "located_at", "37" ] ] }, "35": { "tokens": "left", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "38": { "tokens": "denser", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "consolidations", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "41" ], [ "located_at", "44" ], [ "suggestive_of", "45" ] ] }, "40": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "lobes", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "42": { "tokens": "left", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 143, "end_ix": 143, "relations": [] }, "45": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 148, "end_ix": 148, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009504/s59292871.txt": { "text": "FINAL REPORT STUDY : AP chest , ___ . CLINICAL HISTORY : ___ - year - old man with pulmonary ___ - occlusive disease . FINDINGS : Comparison is made to the previous study from ___ . Endotracheal tube , feeding tube , and right IJ central line are unchanged in position . The distal tip of the right IJ line is again in the proximal right atrium and could be pulled back 1 to 2 cm for more optimal placement . There are no pneumothoraces . There remains minimal pulmonary edema .", "entities": { "1": { "tokens": "Endotracheal", "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": [] }, "3": { "tokens": "feeding", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "tube", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "IJ", "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": "line", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "2" ], [ "modify", "4" ], [ "modify", "8" ] ] }, "10": { "tokens": "position", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "distal", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "tip", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "15" ], [ "located_at", "18" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "15": { "tokens": "line", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "19": { "tokens": "pneumothoraces", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [] }, "20": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "22": { "tokens": "edema", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "21" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009504/s51227163.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Hypoxemic respiratory failure . Comparison is made with prior study ___ . Cardiac size is top normal . Widened mediastinum due to lymphadenopathy and enlargement of the pulmonary arteries is stable . Diffuse bilateral ground - glass opacities and bibasilar consolidations are stable and better seen in prior CT . A small right effusion is unchanged . Right IJ catheter tip is in the right atrium can be withdrawn 1 cm for a more standard position . ET tube tip is in standard position 2.9 cm above the carina . NG tube is in the stomach coiled .", "entities": { "1": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "top", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "Widened", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "located_at", "6" ], [ "suggestive_of", "7" ], [ "suggestive_of", "8" ] ] }, "6": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "7": { "tokens": "lymphadenopathy", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "8": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "10" ] ] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "arteries", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "11": { "tokens": "stable", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "5" ] ] }, "12": { "tokens": "Diffuse", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "14": { "tokens": "ground - glass", "label": "OBS-DP", "start_ix": 46, "end_ix": 48, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "17": { "tokens": "consolidations", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "stable", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "15" ], [ "modify", "17" ] ] }, "19": { "tokens": "small", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "right", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "25": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "tip", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "25" ], [ "located_at", "28" ] ] }, "27": { "tokens": "right", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "29": { "tokens": "withdrawn 1 cm", "label": "ANAT-DP", "start_ix": 80, "end_ix": 82, "relations": [] }, "30": { "tokens": "standard", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "position", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "26" ], [ "located_at", "29" ] ] }, "32": { "tokens": "ET", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "tube", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "34": { "tokens": "tip", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "33" ], [ "located_at", "36" ] ] }, "35": { "tokens": "2.9 cm above", "label": "ANAT-DP", "start_ix": 96, "end_ix": 98, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "37": { "tokens": "NG", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "tube", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "39" ] ] }, "39": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "40": { "tokens": "coiled", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "38" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009504/s58857907.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old man with pulmonary ___ - ___ disease and respiratory failure . COMPARISON : ___ , ___ , ___ , ___ . FINDINGS : Supine portable chest radiograph demonstrates an endotracheal tube tip positioned 3.4 cm from the level of the carina . An NG tube is in place , positioned over the stomach , but the tip is not seen . Retrocardiac and left lower lobe atelectasis is little changed and results in leftward mediastinal shift . There are small pleural effusions . Hilar adenopathy is unchanged . IMPRESSION : 1 . Expected position of support devices . 2 . Little change in left lower lobe and retrocardiac airspace opacity and small pleural effusions .", "entities": { "1": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ], [ "located_at", "4" ] ] }, "4": { "tokens": "3.4 cm", "label": "ANAT-DP", "start_ix": 42, "end_ix": 43, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "6": { "tokens": "NG", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "tube", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "9" ] ] }, "8": { "tokens": "in place", "label": "OBS-DP", "start_ix": 55, "end_ix": 56, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "10": { "tokens": "tip", "label": "OBS-U", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "7" ] ] }, "11": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "15": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "11" ], [ "located_at", "14" ], [ "suggestive_of", "20" ] ] }, "16": { "tokens": "little", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "changed", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "15" ] ] }, "18": { "tokens": "leftward", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "20": { "tokens": "shift", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "small", "label": "OBS-DP", "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-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "Hilar", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "25": { "tokens": "adenopathy", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "Expected", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "position", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "support", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "devices", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "31": { "tokens": "Little", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "change", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "38" ] ] }, "33": { "tokens": "left", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "36": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "37": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "35" ], [ "modify", "36" ] ] }, "38": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "37" ] ] }, "39": { "tokens": "small", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "41" ] ] }, "40": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "41": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "40" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009504/s53368774.txt": { "text": "WET READ : ___ ___ 8:21PM Status post extubation and NGT removal with improved aeration to bilateral lungs and resolution of small pleural effusions . R lateral pleural thickening likely by fat based on CT persists along with hilar adenopathy . WET READ VERSION # 1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH INDICATION : Questionable ___ - ___ disease , evaluation for interval change . COMPARISON : ___ . FINDINGS : As compared to the previous examination , the patient has been extubated and the nasogastric tube has been removed . The lung volumes remain relatively low . At the right lung bases , there is unchanged evidence of a parenchymal opacity with air bronchograms , obliterating the right heart border , and suspicious for a status post aspiration or pneumonia . A pre - existing effusion and opacity on the left have almost completely resolved . The size of the cardiac silhouette remains large , but there is no evidence for pleural effusion . No pneumothorax .", "entities": { "1": { "tokens": "post", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "extubation", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [] }, "3": { "tokens": "NGT", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [] }, "4": { "tokens": "removal", "label": "OBS-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "improved", "label": "OBS-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "aeration", "label": "OBS-DP", "start_ix": 14, "end_ix": 14, "relations": [ [ "located_at", "8" ] ] }, "7": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 17, "end_ix": 17, "relations": [] }, "9": { "tokens": "resolution", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "small", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "12": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "extubated", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "14": { "tokens": "nasogastric", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "tube", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [] }, "16": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "17": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "low", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "21": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "24": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "20" ], [ "located_at", "23" ], [ "suggestive_of", "32" ], [ "suggestive_of", "33" ] ] }, "25": { "tokens": "air", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "bronchograms", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "suggestive_of", "32" ], [ "suggestive_of", "33" ] ] }, "27": { "tokens": "obliterating", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "24" ], [ "modify", "26" ], [ "located_at", "29" ] ] }, "28": { "tokens": "right", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "30": { "tokens": "border", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "post", "label": "OBS-U", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 127, "end_ix": 127, "relations": [] }, "33": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 129, "end_ix": 129, "relations": [] }, "34": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "36" ] ] }, "35": { "tokens": "opacity", "label": "OBS-DA", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "36" ] ] }, "36": { "tokens": "left", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [] }, "37": { "tokens": "size", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [] }, "39": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "38" ] ] }, "40": { "tokens": "large", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "located_at", "38" ] ] }, "41": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 161, "end_ix": 161, "relations": [] }, "42": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 162, "end_ix": 162, "relations": [ [ "located_at", "41" ] ] }, "43": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 165, "end_ix": 165, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009504/s52538987.txt": { "text": "FINAL REPORT HISTORY : Intubated . COMPARISON : None . FINDINGS : A single portable chest radiograph was obtained . An endotracheal tube terminates approximately 3.6 cm above the carina . The orogastric tube extends inferiorly out of the field of view and may course upwards toward the fundus of the stomach . The lungs are diffusely opacified by airspace densities . A retrocardiac left lower lobe opacity obscures the left hemidiaphragm . A right pleural effusion is better seen on the subsequently acquired CT . Enlargement of the mediastinum is exaggerated by AP technique . There is no pneumothorax . IMPRESSION : 1 . Diffuse airspace opacities compatible with severe pulmonary edema , and or severe pneumonia . 2 . Moderate cardiomegally . 2 . Endotracheal tube in appropriate position .", "entities": { "1": { "tokens": "endotracheal", "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": [ [ "located_at", "4" ] ] }, "3": { "tokens": "3.6 cm above", "label": "ANAT-DP", "start_ix": 25, "end_ix": 27, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "5": { "tokens": "orogastric", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "tube", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "9" ] ] }, "7": { "tokens": "out of the field of view", "label": "OBS-DP", "start_ix": 36, "end_ix": 41, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "fundus", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "10": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "11": { "tokens": "diffusely", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "opacified", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "14": { "tokens": "densities", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "12" ], [ "located_at", "13" ] ] }, "15": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "19": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "left", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "24": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "Enlargement", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "26" ] ] }, "26": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "27": { "tokens": "exaggerated", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "25" ] ] }, "28": { "tokens": "AP technique", "label": "OBS-DP", "start_ix": 93, "end_ix": 94, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 99, "end_ix": 99, "relations": [] }, "30": { "tokens": "Diffuse", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "32": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "31" ], [ "suggestive_of", "35" ], [ "suggestive_of", "37" ] ] }, "33": { "tokens": "severe", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "35": { "tokens": "edema", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "severe", "label": "OBS-U", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 117, "end_ix": 117, "relations": [] }, "38": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "cardiomegally", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "40": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "tube", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009504/s56362726.txt": { "text": "FINAL REPORT STUDY : PA and lateral chest , ___ . CLINICAL HISTORY : ___ - year - old man with ___ - ___ disease and respiratory failure . Evaluate interval change . FINDINGS : Comparison is made to prior study from ___ . The endotracheal tube , feeding tube , and right IJ central line are unchanged in position . The distal tip of the right IJ line is again in the proximal right atrium . This could be pulled back 1-2 cm for more optimal placement . There are no pneumothoraces . There is small pleural effusion on the right side . There is some prominence of the pulmonary interstitial markings suggestive of pulmonary edema , stable .", "entities": { "1": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "3": { "tokens": "feeding", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "tube", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "6": { "tokens": "IJ", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "central", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "line", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "5" ] ] }, "9": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "2" ], [ "modify", "4" ], [ "modify", "8" ] ] }, "10": { "tokens": "distal", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "tip", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "14" ], [ "located_at", "17" ] ] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "14" ] ] }, "14": { "tokens": "line", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "15": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "18": { "tokens": "pneumothoraces", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [] }, "19": { "tokens": "small", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "20" ], [ "located_at", "23" ] ] }, "23": { "tokens": "right side", "label": "ANAT-DP", "start_ix": 101, "end_ix": 102, "relations": [] }, "24": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "27" ] ] }, "25": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "26": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "markings", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "25" ], [ "suggestive_of", "29" ] ] }, "28": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "29": { "tokens": "edema", "label": "OBS-U", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "stable", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "27" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009504/s54918382.txt": { "text": "FINAL REPORT AP CHEST , 4:15A.M. ON ___ . HISTORY : ___ - year - old man with pulmonary ___ - ___ disease and respiratory failure . IMPRESSION : AP chest compared to ___ : Moderately severe pulmonary edema occurred on ___ and has subsequently improved , though not cleared . Small right pleural effusion is still present . Moderate cardiomegaly stable . There is no lobar collapse or focus of consolidation in the lungs . ET tube at the thoracic inlet , right internal jugular line ends in the right atrium , and upper enteric tube passes into the mid stomach and out of view . No pneumothorax .", "entities": { "1": { "tokens": "Moderately", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "severe", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "4": { "tokens": "edema", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "improved", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "Small", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "9" ] ] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "12": { "tokens": "stable", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "lobar", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "14": { "tokens": "collapse", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "16" ] ] }, "16": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "17": { "tokens": "ET", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "tube", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "20" ] ] }, "19": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "inlet", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "21": { "tokens": "right", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "internal", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "jugular", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "24": { "tokens": "line", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "23" ], [ "located_at", "26" ] ] }, "25": { "tokens": "right", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "27": { "tokens": "upper", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "tube", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "31" ] ] }, "30": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "32": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 108, "end_ix": 108, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009504/s59050955.txt": { "text": "FINAL REPORT AP CHEST , 3:34A.M. ON ___ . HISTORY : ___ - year - old man with pulmonary ___ - ___ disease . Intubated . IMPRESSION : AP chest compared to ___ : Mild generalized edema has not worsened appreciably over the past two days , but there is greater consolidation in the left lower lobe , with some elevation of the left hemidiaphragm and leftward mediastinal shift suggesting a substantial component of atelectasis . This could be due to retained secretions or aspiration and puts the patient at risk for developing pneumonia . Moderate cardiomegaly is unchanged . Pleural effusion is minimal if any . There is no pneumothorax . ET tube is in standard placement , right internal jugular line ends in the right atrium and an upper enteric drain passes into a nondistended stomach and out of view .", "entities": { "1": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "generalized", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "edema", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "4": { "tokens": "worsened", "label": "OBS-DA", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "greater", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "9" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "10": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "17" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "13": { "tokens": "leftward", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "15": { "tokens": "shift", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "14" ], [ "suggestive_of", "17" ] ] }, "16": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "18": { "tokens": "This", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "6" ], [ "suggestive_of", "20" ], [ "suggestive_of", "21" ] ] }, "19": { "tokens": "retained", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "secretions", "label": "OBS-U", "start_ix": 82, "end_ix": 82, "relations": [] }, "21": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 84, "end_ix": 84, "relations": [] }, "22": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "24": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "Pleural", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "26": { "tokens": "effusion", "label": "OBS-U", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "minimal", "label": "OBS-U", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 110, "end_ix": 110, "relations": [] }, "29": { "tokens": "ET", "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": "standard", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "placement", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "30" ] ] }, "33": { "tokens": "right", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "internal", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "jugular", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "36": { "tokens": "line", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "35" ], [ "located_at", "38" ] ] }, "37": { "tokens": "right", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "39": { "tokens": "upper", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "41" ] ] }, "40": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "drain", "label": "OBS-DP", "start_ix": 132, "end_ix": 132, "relations": [ [ "located_at", "43" ] ] }, "42": { "tokens": "nondistended", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 137, "end_ix": 137, "relations": [] }, "44": { "tokens": "out of view", "label": "OBS-DP", "start_ix": 139, "end_ix": 141, "relations": [ [ "modify", "41" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017363/s53531162.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old female awoke this morning clutching chest . COMPARISON : Comparison is made with chest radiographs from ___ . FINDINGS : The lungs are well expanded and clear . There is mild cardiomegaly . Pacemaker leads are again seen in the right atrium and right ventricle . There is mild elevation of right hemidiaphragm , unchanged to prior exam . There is no pneumothorax or pleural effusion . Severe kyphosis of the thoracic spine is again noted . Mild compression deformities are seen lower thoracic spine . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "2": { "tokens": "well", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "clear", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "mild", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "7": { "tokens": "Pacemaker", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "8": { "tokens": "leads", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "7" ], [ "located_at", "10" ], [ "located_at", "12" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "13": { "tokens": "mild", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "16" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "17": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "14" ] ] }, "18": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "kyphosis", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "24" ] ] }, "23": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "25": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "compression", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "deformities", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "30" ] ] }, "28": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "31": { "tokens": "acute", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "33" ] ] }, "32": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "33": { "tokens": "process", "label": "OBS-DA", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "32" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017363/s54401973.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old female with shortness of breath . Please evaluate for cardiopulmonary disease . TECHNIQUE : AP frontal chest radiograph was obtained . COMPARISON : Chest radiograph from ___ and ___ . FINDINGS : Lung volumes are low , and there is a right upper lobe opacity concerning for pneumonia . There is mild pulmonary edema . There is a left pleural effusion , and a left retrocardiac opacity is also noted . A left cardiac device has its leads projecting over the right atrium and ventricle . IMPRESSION : 1 . Mild pulmonary edema and small left pleural effusion . Left retrocardiac opacity also noted . 2 . Right upper lobe opacity concerning for pneumonia .", "entities": { "1": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "low", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "7": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "6" ], [ "suggestive_of", "8" ] ] }, "8": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "9": { "tokens": "mild", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "11": { "tokens": "edema", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "14": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "17": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "19": { "tokens": "cardiac", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "device", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "18" ] ] }, "21": { "tokens": "leads", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "20" ], [ "located_at", "23" ], [ "located_at", "24" ] ] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "23" ], [ "modify", "24" ] ] }, "23": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "24": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "25": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "27": { "tokens": "edema", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "small", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "31" ] ] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "31": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "34": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "38": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "37" ], [ "suggestive_of", "39" ] ] }, "39": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017363/s55076850.txt": { "text": "FINAL REPORT INDICATION : Shortness of breath . COMPARISON : Chest radiographs from ___ and ___ . FINDINGS : A portable frontal chest radiograph again demonstrates a left chest pacer device with leads projecting over the right atrium and ventricle . Lung volumes are low , with bibasilar atelectasis and bronchovascular crowding . The cardiac silhouette is not well evaluated secondary to overlying opacity . There is mild pulmonary edema . Retrocardiac opacity may be due to a combination of atelectasis and edema , but superimposed pneumonia cannot be excluded . There may be a small left pleural effusion . No pneumothorax is identified . The visualized upper abdomen is unremarkable . IMPRESSION : 1 . Mild pulmonary edema and bibasilar atelectasis . Retrocardiac opacity . 2 . Possible small left pleural effusion .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "3": { "tokens": "pacer", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "device", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "located_at", "2" ] ] }, "5": { "tokens": "leads", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "4" ], [ "located_at", "7" ], [ "located_at", "8" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "7" ], [ "modify", "8" ] ] }, "7": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "8": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "9": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "10": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "low", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "13": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "15": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "17": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "not well evaluated", "label": "OBS-DP", "start_ix": 57, "end_ix": 59, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "suggestive_of", "18" ] ] }, "21": { "tokens": "mild", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "23": { "tokens": "edema", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "25": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "24" ], [ "suggestive_of", "26" ], [ "suggestive_of", "27" ], [ "suggestive_of", "28" ] ] }, "26": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 80, "end_ix": 80, "relations": [] }, "27": { "tokens": "edema", "label": "OBS-U", "start_ix": 82, "end_ix": 82, "relations": [] }, "28": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [] }, "29": { "tokens": "small", "label": "OBS-U", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "32" ] ] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "32": { "tokens": "effusion", "label": "OBS-U", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [] }, "34": { "tokens": "visualized", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "37": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "36" ] ] }, "38": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "40" ] ] }, "39": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "40": { "tokens": "edema", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "39" ] ] }, "41": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "42": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "41" ] ] }, "43": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "44": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "located_at", "43" ] ] }, "45": { "tokens": "small", "label": "OBS-U", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "48" ] ] }, "46": { "tokens": "left", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [] }, "48": { "tokens": "effusion", "label": "OBS-U", "start_ix": 132, "end_ix": 132, "relations": [ [ "located_at", "47" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002074/s52562523.txt": { "text": "FINAL REPORT PA AND LATERAL CHEST , ___ HISTORY : ___ - year - old woman after motor vehicle collision . Are there rib fractures ? IMPRESSION : PA and lateral chest compared to ___ : Healed fractures of posterior right middle ribs are chronic , accompanied by mild pleural thickening . I see no displaced acute fractures , pneumothorax or appreciable pleural effusion . The heart is normal size . If there are focal findings suggesting rib or other chest cage trauma , then detailed bone views of those regions , clearly marked , should be obtained . Heart size is normal . Atelectasis in the right upper lobe is new . Lungs are otherwise clear .", "entities": { "1": { "tokens": "Healed", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "6" ] ] }, "3": { "tokens": "posterior", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "ribs", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "7": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "2" ] ] }, "8": { "tokens": "mild", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "10": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "displaced", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "acute", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "fractures", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "18": { "tokens": "normal", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "size", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "17" ] ] }, "20": { "tokens": "focal", "label": "OBS-U", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "findings", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [ [ "suggestive_of", "25" ] ] }, "22": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "23": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "24": { "tokens": "cage", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "trauma", "label": "OBS-U", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "22" ], [ "located_at", "23" ] ] }, "26": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "27": { "tokens": "size", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "normal", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "26" ] ] }, "29": { "tokens": "Atelectasis", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "32" ] ] }, "30": { "tokens": "right", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "33": { "tokens": "new", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "29" ] ] }, "34": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "35": { "tokens": "clear", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "34" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005368/s56689183.txt": { "text": "FINAL REPORT INDICATION : Patient is status post Nissen fundoplication . Assess for right pneumothorax . COMPARISONS : ___ . FINDINGS : Semi - upright portable view of the chest demonstrates small right apical pneumothorax , which has decreased in size since study obtained four hours prior . No appreciable left pneumothorax . Subcutaneous gas of the chest wall is unchanged . Low lung volumes . No focal consolidation or pleural effusion . Hilar and mediastinal silhouettes are unchanged . Heart size is normal . Trace amount of free air is seen under the right hemidiaphragm . IMPRESSION : In comparison to study obtained four hours prior , there is interval decrease in right apical pneumothorax , now small .", "entities": { "1": { "tokens": "small", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "size", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "8": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "Subcutaneous", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "gas", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "11" ] ] }, "11": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "12": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "10" ] ] }, "14": { "tokens": "Low", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "15" ] ] }, "15": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "16": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "focal", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Hilar", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "22": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "23": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "21" ], [ "modify", "22" ] ] }, "24": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "21" ], [ "located_at", "22" ] ] }, "25": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "26": { "tokens": "size", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "normal", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "25" ] ] }, "28": { "tokens": "Trace", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "amount", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "free", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "air", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "34" ] ] }, "32": { "tokens": "under", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "right", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "35": { "tokens": "decrease", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "38" ] ] }, "36": { "tokens": "right", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "38": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "37" ] ] }, "39": { "tokens": "small", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "38" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005368/s57426090.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Status post Nissen procedure . COMPARISON : No comparison available at the time of dictation . FINDINGS : Minimal right subdiaphragmatic air . Right apical pneumothorax with a diameter of approximately 13 mm . No convincing evidence of a left pneumothorax . However , the left lung apex is equally hyperlucent . Bilateral cervical soft tissue air collections . No evidence of tension . Normal size of the cardiac silhouette .", "entities": { "1": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "subdiaphragmatic", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "4": { "tokens": "air", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "7": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "diameter", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "approximately", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "13 mm", "label": "OBS-DP", "start_ix": 37, "end_ix": 38, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "15": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "hyperlucent", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "cervical", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "19": { "tokens": "soft tissue", "label": "ANAT-DP", "start_ix": 60, "end_ix": 61, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "air", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "18" ] ] }, "21": { "tokens": "collections", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "tension", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [] }, "23": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "25" ] ] }, "24": { "tokens": "size", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "26": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "25" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005368/s54510564.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with sharp RUQ pain / / PTX or infiltrate ? TECHNIQUE : Portable chest COMPARISON : ___ . FINDINGS : The lungs are clear without infiltrate . The cardiac and mediastinal silhouettes are normal . There is minimal right CP angle blunting compatible with either a tiny effusion or is small amount of pleural thickening the bony thorax appears normal IMPRESSION : Blunting of the right CP angle otherwise normal chest .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "infiltrate", "label": "OBS-DA", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "5": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "6": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "7": { "tokens": "normal", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "8": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "12" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "CP", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "12": { "tokens": "blunting", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "11" ], [ "suggestive_of", "14" ], [ "suggestive_of", "18" ] ] }, "13": { "tokens": "tiny", "label": "OBS-U", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "effusion", "label": "OBS-U", "start_ix": 62, "end_ix": 62, "relations": [] }, "15": { "tokens": "small", "label": "OBS-U", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "amount", "label": "OBS-U", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "18": { "tokens": "thickening", "label": "OBS-U", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "bony", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "thorax", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "21": { "tokens": "normal", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "Blunting", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "25" ] ] }, "23": { "tokens": "right", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "CP", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "26": { "tokens": "normal", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "27" ] ] }, "27": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003122/s55694380.txt": { "text": "FINAL REPORT EXAMINATION : Chest radiograph INDICATION : ___ - year - old woman with a history of HIV , intravenous drug use , and hepatitis - C , now with fever . Evaluate for pneumonia . TECHNIQUE : Chest PA and lateral COMPARISON : No prior chest radiographs . FINDINGS : Normal cardiomediastinal and hilar contours . Fully expanded , clear lungs . No evidence of pneumonia , pleural effusion , or pneumothorax . No definite osseous or soft tissue abnormalities . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "2" ], [ "located_at", "3" ] ] }, "2": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "3": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "4": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "2" ], [ "modify", "3" ] ] }, "5": { "tokens": "Fully", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "8" ] ] }, "7": { "tokens": "clear", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "8" ] ] }, "8": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "9": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [] }, "13": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "14": { "tokens": "soft tissue", "label": "ANAT-DP", "start_ix": 79, "end_ix": 80, "relations": [] }, "15": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "13" ], [ "located_at", "14" ] ] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000291/s55388853.txt": { "text": "FINAL REPORT INDICATION : ___ M with cp , bandlike / / eval pneumonia vs pneumothorax TECHNIQUE : Frontal and lateral chest radiographs were obtained with the patient in the upright position . COMPARISON : None available . FINDINGS : The lungs are clear of focal consolidation , pleural effusion or pneumothorax . The heart size is normal . The mediastinal contours are normal . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "2": { "tokens": "focal", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "5": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [] }, "7": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "8": { "tokens": "size", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "normal", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "7" ] ] }, "10": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "11": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "normal", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "acute", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "15": { "tokens": "process", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "14" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004235/s52962553.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with GNR sepsis s / p cardiac arrest / / Interval change ? COMPARISON : Chest x - ray from ___ at 04 : 30 FINDINGS : Lines and tubes are grossly unchanged . The NG to cannot be traced through the lower most mediastinum due to underpenetration . The cardiomediastinal silhouette is unchanged . Extensive interstitial and alveolar opacity use in both lungs appear more confluent . Small effusions would be difficult to exclude . No pneumothorax detected . IMPRESSION : Progression of bilateral opacities , now more confluent , particularly on the left . suggesting progression of alveolar edema . In the appropriate clinical setting , underlying infectious infiltrate would be difficult to exclude .", "entities": { "1": { "tokens": "Lines", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "2": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "3": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "1" ], [ "modify", "2" ] ] }, "5": { "tokens": "NG", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "to", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "8" ] ] }, "7": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "9": { "tokens": "underpenetration", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "6" ] ] }, "10": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "11": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "Extensive", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "16" ] ] }, "14": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "18" ] ] }, "15": { "tokens": "alveolar", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "both", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "19": { "tokens": "confluent", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "16" ], [ "located_at", "18" ] ] }, "20": { "tokens": "Small", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [] }, "23": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "24": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "23" ], [ "suggestive_of", "29" ] ] }, "25": { "tokens": "confluent", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "23" ], [ "modify", "24" ], [ "located_at", "26" ] ] }, "26": { "tokens": "left", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "27": { "tokens": "progression", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "alveolar", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "29": { "tokens": "edema", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "infectious", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "31": { "tokens": "infiltrate", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "30" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004235/s54234360.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ M POD ___ s / p robotic CCY , RNY w / fevers / / evaluate for pneumonia IMPRESSION : As compared to ___ radiograph , cardiomediastinal contours are stable . Worsening bibasilar opacities favor atelectasis over infectious pneumonia . Probable very small pleural effusions bilaterally .", "entities": { "1": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "2": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "stable", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "Worsening", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "6": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "5" ], [ "suggestive_of", "7" ], [ "suggestive_of", "9" ] ] }, "7": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 48, "end_ix": 48, "relations": [] }, "8": { "tokens": "infectious", "label": "OBS-U", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 51, "end_ix": 51, "relations": [] }, "10": { "tokens": "small", "label": "OBS-U", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "12": { "tokens": "effusions", "label": "OBS-U", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "11" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004235/s52379321.txt": { "text": "WET READ : ___ ___ ___ 1:36PM 1 . Widened mediastinum may reflect low lung volumes and supine positioning , however mediastinal great vessel injury cannot be excluded . If concern exists , recommend chest CTA . 2 . Pulmonary vascular congestion and probable mild pulmonary edema . 3 . Bibasilar atelectasis . 4 . ET tube with tip 6 cm above carina . Enteric tube with tip projecting over stomach fundus . ______________________________________________________________________________ FINAL REPORT EXAMINATION : AP chest x - ray . INDICATION : A ___ - year - old man following a cardiac arrest status post intubation , evaluate ET tube placement . TECHNIQUE : Supine AP chest radiograph . COMPARISON : None . FINDINGS : An ET tube is seen with distal tip projecting 6 cm above the carina , in appropriate position . An enteric tube is seen coursing inferiorly , with distal tip projecting over the expected position of stomach fundus . There are low lung volumes . A widened mediastinum may reflect low lung volumes and supine positioning . Pulmonary vascular engorgement and diffuse airspace opacities likely relates to pulmonary vascular congestion and mild pulmonary edema in the setting of volume resuscitation . Linear opacities in the bilateral lower lungs likely represents bibasilar atelectasis . There is no pneumothorax or pleural effusion . IMPRESSION : 1 . Widened mediastinum may reflect low lung volumes and supine positioning , however mediastinal great vessel injury cannot be excluded . If concern exists , recommend chest CTA . 2 . Pulmonary vascular congestion and probable mild pulmonary edema . 3 . Bibasilar atelectasis . 4 . ET tube with tip 6 cm above carina . Enteric tube with tip projecting over stomach fundus .", "entities": { "1": { "tokens": "Widened", "label": "OBS-DP", "start_ix": 9, "end_ix": 9, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 10, "end_ix": 10, "relations": [] }, "3": { "tokens": "low", "label": "OBS-U", "start_ix": 13, "end_ix": 13, "relations": [ [ "located_at", "5" ] ] }, "4": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 14, "end_ix": 14, "relations": [] }, "5": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 15, "end_ix": 15, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "supine", "label": "OBS-DP", "start_ix": 17, "end_ix": 17, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "positioning", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [] }, "8": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "great", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "vessel", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [] }, "11": { "tokens": "injury", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "14": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "mild", "label": "OBS-U", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "17": { "tokens": "edema", "label": "OBS-U", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "19": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "ET", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "tube", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "22": { "tokens": "tip", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "21" ], [ "located_at", "24" ] ] }, "23": { "tokens": "6 cm above", "label": "ANAT-DP", "start_ix": 59, "end_ix": 61, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "25": { "tokens": "Enteric", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "tube", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "27": { "tokens": "tip", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "26" ], [ "located_at", "29" ] ] }, "28": { "tokens": "over", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "30": { "tokens": "fundus", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "ET", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "tube", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "33": { "tokens": "distal", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "tip", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "32" ], [ "located_at", "36" ] ] }, "35": { "tokens": "6 cm above", "label": "OBS-DP", "start_ix": 128, "end_ix": 130, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "37": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "38": { "tokens": "tube", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "37" ] ] }, "39": { "tokens": "coursing", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "located_at", "38" ] ] }, "40": { "tokens": "inferiorly", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "39" ] ] }, "41": { "tokens": "distal", "label": "OBS-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "tip", "label": "OBS-DP", "start_ix": 148, "end_ix": 148, "relations": [ [ "located_at", "46" ] ] }, "43": { "tokens": "over", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "46" ] ] }, "44": { "tokens": "expected", "label": "OBS-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "position", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [] }, "46": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 155, "end_ix": 155, "relations": [] }, "47": { "tokens": "fundus", "label": "ANAT-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "46" ] ] }, "48": { "tokens": "low", "label": "OBS-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "located_at", "50" ] ] }, "49": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 161, "end_ix": 161, "relations": [] }, "50": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 162, "end_ix": 162, "relations": [ [ "modify", "49" ] ] }, "51": { "tokens": "widened", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [ [ "located_at", "52" ] ] }, "52": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 166, "end_ix": 166, "relations": [ [ "suggestive_of", "55" ], [ "suggestive_of", "57" ] ] }, "53": { "tokens": "low", "label": "OBS-U", "start_ix": 169, "end_ix": 169, "relations": [ [ "located_at", "55" ] ] }, "54": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 170, "end_ix": 170, "relations": [] }, "55": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "modify", "54" ] ] }, "56": { "tokens": "supine", "label": "OBS-U", "start_ix": 173, "end_ix": 173, "relations": [] }, "57": { "tokens": "positioning", "label": "OBS-U", "start_ix": 174, "end_ix": 174, "relations": [ [ "modify", "56" ] ] }, "58": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 176, "end_ix": 176, "relations": [ [ "modify", "59" ] ] }, "59": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 177, "end_ix": 177, "relations": [] }, "60": { "tokens": "engorgement", "label": "OBS-DP", "start_ix": 178, "end_ix": 178, "relations": [ [ "located_at", "59" ] ] }, "61": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 180, "end_ix": 180, "relations": [ [ "located_at", "63" ] ] }, "62": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 181, "end_ix": 181, "relations": [] }, "63": { "tokens": "opacities", "label": "ANAT-DP", "start_ix": 182, "end_ix": 182, "relations": [ [ "modify", "62" ] ] }, "64": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 186, "end_ix": 186, "relations": [ [ "modify", "65" ] ] }, "65": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 187, "end_ix": 187, "relations": [] }, "66": { "tokens": "congestion", "label": "OBS-U", "start_ix": 188, "end_ix": 188, "relations": [ [ "located_at", "65" ] ] }, "67": { "tokens": "mild", "label": "OBS-U", "start_ix": 190, "end_ix": 190, "relations": [ [ "modify", "69" ] ] }, "68": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 191, "end_ix": 191, "relations": [] }, "69": { "tokens": "edema", "label": "OBS-U", "start_ix": 192, "end_ix": 192, "relations": [ [ "located_at", "68" ] ] }, "70": { "tokens": "Linear", "label": "OBS-DP", "start_ix": 200, "end_ix": 200, "relations": [ [ "modify", "71" ] ] }, "71": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 201, "end_ix": 201, "relations": [ [ "located_at", "74" ] ] }, "72": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 204, "end_ix": 204, "relations": [ [ "modify", "74" ] ] }, "73": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 205, "end_ix": 205, "relations": [ [ "modify", "74" ] ] }, "74": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 206, "end_ix": 206, "relations": [] }, "75": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 209, "end_ix": 209, "relations": [] }, "76": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 210, "end_ix": 210, "relations": [ [ "located_at", "74" ], [ "located_at", "75" ] ] }, "77": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 215, "end_ix": 215, "relations": [] }, "78": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 217, "end_ix": 217, "relations": [] }, "79": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 218, "end_ix": 218, "relations": [ [ "located_at", "78" ] ] }, "80": { "tokens": "Widened", "label": "OBS-DP", "start_ix": 224, "end_ix": 224, "relations": [ [ "located_at", "81" ] ] }, "81": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 225, "end_ix": 225, "relations": [ [ "suggestive_of", "84" ], [ "suggestive_of", "86" ] ] }, "82": { "tokens": "low", "label": "OBS-U", "start_ix": 228, "end_ix": 228, "relations": [ [ "located_at", "84" ] ] }, "83": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 229, "end_ix": 229, "relations": [] }, "84": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 230, "end_ix": 230, "relations": [ [ "modify", "83" ] ] }, "85": { "tokens": "supine", "label": "OBS-U", "start_ix": 232, "end_ix": 232, "relations": [] }, "86": { "tokens": "positioning", "label": "OBS-U", "start_ix": 233, "end_ix": 233, "relations": [ [ "modify", "85" ] ] }, "87": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 236, "end_ix": 236, "relations": [ [ "modify", "89" ] ] }, "88": { "tokens": "great", "label": "ANAT-DP", "start_ix": 237, "end_ix": 237, "relations": [ [ "modify", "89" ] ] }, "89": { "tokens": "vessel", "label": "ANAT-DP", "start_ix": 238, "end_ix": 238, "relations": [] }, "90": { "tokens": "injury", "label": "OBS-U", "start_ix": 239, "end_ix": 239, "relations": [ [ "located_at", "89" ] ] }, "91": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 254, "end_ix": 254, "relations": [ [ "modify", "92" ] ] }, "92": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 255, "end_ix": 255, "relations": [] }, "93": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 256, "end_ix": 256, "relations": [ [ "located_at", "92" ] ] }, "94": { "tokens": "mild", "label": "OBS-U", "start_ix": 259, "end_ix": 259, "relations": [ [ "modify", "96" ] ] }, "95": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 260, "end_ix": 260, "relations": [] }, "96": { "tokens": "edema", "label": "OBS-U", "start_ix": 261, "end_ix": 261, "relations": [ [ "located_at", "95" ] ] }, "97": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 265, "end_ix": 265, "relations": [] }, "98": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 266, "end_ix": 266, "relations": [ [ "located_at", "97" ] ] }, "99": { "tokens": "ET", "label": "OBS-DP", "start_ix": 270, "end_ix": 270, "relations": [ [ "modify", "100" ] ] }, "100": { "tokens": "tube", "label": "OBS-U", "start_ix": 271, "end_ix": 271, "relations": [] }, "101": { "tokens": "tip", "label": "OBS-DP", "start_ix": 273, "end_ix": 273, "relations": [ [ "modify", "100" ], [ "located_at", "103" ] ] }, "102": { "tokens": "6 cm above", "label": "ANAT-DP", "start_ix": 274, "end_ix": 276, "relations": [ [ "modify", "103" ] ] }, "103": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 277, "end_ix": 277, "relations": [] }, "104": { "tokens": "Enteric", "label": "OBS-DP", "start_ix": 279, "end_ix": 279, "relations": [ [ "modify", "105" ] ] }, "105": { "tokens": "tube", "label": "OBS-DP", "start_ix": 280, "end_ix": 280, "relations": [] }, "106": { "tokens": "tip", "label": "OBS-DP", "start_ix": 282, "end_ix": 282, "relations": [ [ "modify", "105" ], [ "located_at", "108" ] ] }, "107": { "tokens": "over", "label": "ANAT-DP", "start_ix": 284, "end_ix": 284, "relations": [ [ "modify", "108" ] ] }, "108": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 285, "end_ix": 285, "relations": [] }, "109": { "tokens": "fundus", "label": "ANAT-DP", "start_ix": 286, "end_ix": 286, "relations": [ [ "modify", "108" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004235/s52604377.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with GNR bacteremia who is s / p PEA arrest / / Placement of CVL Placement of CVL IMPRESSION : In comparison with the earlier study of this day , there has been placement of a left IJ catheter extends to the mid to lower portion of the SVC . Right IJ catheter extends to the upper portion of the SVC . No evidence of pneumothorax or other change .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "2": { "tokens": "IJ", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "1" ], [ "located_at", "7" ] ] }, "4": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "portion", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "8": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "9": { "tokens": "IJ", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "8" ], [ "located_at", "13" ] ] }, "11": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "portion", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004235/s57921415.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with new fever . / / r / o PNA r / o PNA IMPRESSION : In comparison with the study of ___ , the monitoring and support devices are essentially unchanged . The patient has taken a somewhat better inspiration . Nevertheless , there is enlargement of the cardiac silhouette with bibasilar opacifications .", "entities": { "1": { "tokens": "monitoring", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "support", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "devices", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "4": { "tokens": "essentially", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "3" ] ] }, "6": { "tokens": "patient", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "7": { "tokens": "better", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "inspiration", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "6" ] ] }, "9": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "10" ] ] }, "10": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "11": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "13": { "tokens": "opacifications", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "12" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004235/s57318275.txt": { "text": "FINAL REPORT INDICATION : History of diarrhea and malaise , now with cardiac arrest . Evaluate for of volume overload . TECHNIQUE : Single semi - upright AP view of the chest . COMPARISON : Chest radiograph from ___ at 12 : 37 . CTA of the torso from ___ . FINDINGS : The endotracheal tube is positioned high , approximately 7 cm from the carina . An enteric tube courses below the diaphragm with the tip out of the field of view . The lung volumes are low . Bibasilar atelectasis is unchanged . Since the prior exam , there has been a slight interval worsening of the vascular congestion and mild pulmonary edema . There is no opacity to suggest pneumonia . No pleural effusion or pneumothorax is identified . Widening of the mediastinal contours is unchanged , and likely due to mediastinal fat , as seen on the prior CT . The heart appears slightly larger . IMPRESSION : 1 . Slight interval worsening of vascular congestion and mild pulmonary edema . Additionally , the heart appears slightly larger . 2 . High position of the endotracheal tube , 7 cm from the carina . Advance 2-3 cm for more secure placement .", "entities": { "1": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "7" ] ] }, "3": { "tokens": "positioned", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "high", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "2" ] ] }, "5": { "tokens": "approximately", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "7 cm", "label": "ANAT-DP", "start_ix": 61, "end_ix": 62, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "8": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "tube", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "below", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "12": { "tokens": "tip", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "9" ] ] }, "13": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "14": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "low", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "slight", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "23" ] ] }, "20": { "tokens": "interval", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "23": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "mild", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "26": { "tokens": "edema", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "opacity", "label": "OBS-DA", "start_ix": 119, "end_ix": 119, "relations": [ [ "suggestive_of", "28" ] ] }, "28": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 122, "end_ix": 122, "relations": [] }, "29": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [] }, "30": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 126, "end_ix": 126, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 128, "end_ix": 128, "relations": [] }, "32": { "tokens": "Widening", "label": "OBS-DP", "start_ix": 132, "end_ix": 132, "relations": [ [ "located_at", "33" ], [ "suggestive_of", "37" ] ] }, "33": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "34": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "32" ] ] }, "36": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 144, "end_ix": 144, "relations": [] }, "37": { "tokens": "fat", "label": "OBS-U", "start_ix": 145, "end_ix": 145, "relations": [ [ "located_at", "36" ] ] }, "38": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 155, "end_ix": 155, "relations": [] }, "39": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 157, "end_ix": 157, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "larger", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "located_at", "38" ] ] }, "41": { "tokens": "Slight", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "45" ] ] }, "42": { "tokens": "interval", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 166, "end_ix": 166, "relations": [ [ "modify", "45" ] ] }, "44": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 168, "end_ix": 168, "relations": [] }, "45": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "located_at", "44" ] ] }, "46": { "tokens": "mild", "label": "OBS-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "modify", "48" ] ] }, "47": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 172, "end_ix": 172, "relations": [] }, "48": { "tokens": "edema", "label": "OBS-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "located_at", "47" ] ] }, "49": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 178, "end_ix": 178, "relations": [] }, "50": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 180, "end_ix": 180, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "larger", "label": "OBS-DP", "start_ix": 181, "end_ix": 181, "relations": [ [ "located_at", "49" ] ] }, "52": { "tokens": "High", "label": "OBS-DP", "start_ix": 185, "end_ix": 185, "relations": [ [ "modify", "55" ] ] }, "53": { "tokens": "position", "label": "OBS-DP", "start_ix": 186, "end_ix": 186, "relations": [ [ "modify", "52" ] ] }, "54": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 189, "end_ix": 189, "relations": [ [ "modify", "55" ] ] }, "55": { "tokens": "tube", "label": "OBS-DP", "start_ix": 190, "end_ix": 190, "relations": [ [ "located_at", "57" ] ] }, "56": { "tokens": "7 cm", "label": "ANAT-DP", "start_ix": 192, "end_ix": 193, "relations": [ [ "modify", "57" ] ] }, "57": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 196, "end_ix": 196, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004235/s58604118.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man s / p cardiac arrest / / eval for interval change COMPARISON : Chest x - ray from ___ at 16 : 08 . FINDINGS : Compared to the prior study , the right IJ line may have been exchanged . The tip overlies the proximal SVC . The ET tube , left IJ line and NG type tube appear unchanged . No pneumothorax is detected . There is some new subtle confluent opacity in the right perihilar region . Otherwise , I doubt significant interval change . Prominent cardiomediastinal silhouette is unchanged . Upper zone redistribution and diffuse vascular blurring is similar to the prior film , allowing for technique . Increased retrocardiac density with air bronchograms is also unchanged . No gross effusion . IMPRESSION : Subtle new confluent opacity in the right perihilar region , ? related to subtle progression of CHF findings . Otherwise , I doubt significant interval change . Attention to this area on followup films is requested .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "2": { "tokens": "IJ", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "line", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "exchanged", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "tip", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "3" ], [ "located_at", "7" ] ] }, "6": { "tokens": "proximal", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "8": { "tokens": "ET", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "tube", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "10": { "tokens": "left", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "IJ", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "line", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "13": { "tokens": "NG", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "type", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "tube", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "16": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "12" ], [ "modify", "15" ] ] }, "17": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [] }, "18": { "tokens": "some", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "22" ] ] }, "19": { "tokens": "new", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "22" ] ] }, "20": { "tokens": "subtle", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "confluent", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "24" ] ] }, "23": { "tokens": "right", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "25": { "tokens": "region", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "Prominent", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "28": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "27" ] ] }, "30": { "tokens": "Upper", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "zone", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "32": { "tokens": "redistribution", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "35": { "tokens": "blurring", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "similar", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "32" ], [ "modify", "35" ] ] }, "37": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "39" ] ] }, "38": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [] }, "39": { "tokens": "density", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "located_at", "38" ] ] }, "40": { "tokens": "air bronchograms", "label": "OBS-DP", "start_ix": 131, "end_ix": 132, "relations": [ [ "modify", "39" ] ] }, "41": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "39" ] ] }, "42": { "tokens": "gross", "label": "OBS-DA", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 139, "end_ix": 139, "relations": [] }, "44": { "tokens": "Subtle", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "47" ] ] }, "45": { "tokens": "new", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "47" ] ] }, "46": { "tokens": "confluent", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "located_at", "49" ], [ "suggestive_of", "53" ] ] }, "48": { "tokens": "right", "label": "ANAT-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [] }, "50": { "tokens": "region", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "49" ] ] }, "51": { "tokens": "subtle", "label": "OBS-U", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "54" ] ] }, "52": { "tokens": "progression", "label": "OBS-U", "start_ix": 157, "end_ix": 157, "relations": [ [ "modify", "54" ] ] }, "53": { "tokens": "CHF", "label": "OBS-U", "start_ix": 159, "end_ix": 159, "relations": [] }, "54": { "tokens": "findings", "label": "OBS-U", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "53" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004235/s59895508.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with sepsis / intubated / / interval change IMPRESSION : As compared to ___ radiograph , the patient has been extubated . Cardiomediastinal contours are stable , and pulmonary vascular congestion persists . Interval improved aeration in the left mid and lower lung but slight worsening of right juxta hilar and basilar opacities .", "entities": { "1": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "2": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "stable", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "6": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "Interval", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "improved", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "aeration", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "13" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "14": { "tokens": "slight", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "20" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "18" ], [ "modify", "19" ] ] }, "17": { "tokens": "juxta", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "13" ] ] }, "19": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "13" ] ] }, "20": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "18" ], [ "located_at", "19" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18015004/s57985812.txt": { "text": "WET READ : ___ ___ ___ 5:12AM There is a dense left retrocardiac opacity , which may represent a combination of pleural fluid and atelectasis . The right lung is grossly clear although volumes are low . A nasoenteric tube ends in the stomach with the tip at the GE junction . Apparent mediastinal widening and enlarged cardiac silhouette is likely related to semiupright projection , short - term followup radiograph is recommended . The findings were discussed with ___ , M . D . by ___ , M . D . on the telephone on ___ at 00 : 00 , 1 minutes after discovery of the findings . ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with ampulary Adeno ca / / atelectasis . post op CXR per pathway atelectasis . post op CXR per pathway IMPRESSION : Comparison to ___ . The lung volumes have decreased . The patient has received the new feeding tube . The tip projects over the central parts of the stomach . Moderate cardiomegaly . Mild to moderate pulmonary edema . No larger pleural effusions .", "entities": { "1": { "tokens": "dense", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 12, "end_ix": 12, "relations": [] }, "4": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "located_at", "3" ], [ "suggestive_of", "6" ], [ "suggestive_of", "7" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [] }, "6": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "10": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "clear", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "13": { "tokens": "low", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "nasoenteric", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "tube", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "16" ] ] }, "16": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "17": { "tokens": "tip", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "15" ], [ "located_at", "18" ] ] }, "18": { "tokens": "GE junction", "label": "ANAT-DP", "start_ix": 49, "end_ix": 50, "relations": [] }, "19": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "20": { "tokens": "widening", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "19" ], [ "suggestive_of", "25" ] ] }, "21": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "22" ], [ "suggestive_of", "25" ] ] }, "22": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "23": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "semiupright", "label": "OBS-U", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "projection", "label": "OBS-U", "start_ix": 64, "end_ix": 64, "relations": [] }, "26": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 153, "end_ix": 153, "relations": [] }, "27": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "located_at", "26" ] ] }, "29": { "tokens": "new", "label": "OBS-DP", "start_ix": 163, "end_ix": 163, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "feeding", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "tube", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [] }, "32": { "tokens": "tip", "label": "OBS-DP", "start_ix": 168, "end_ix": 168, "relations": [ [ "modify", "31" ], [ "located_at", "35" ] ] }, "33": { "tokens": "central", "label": "ANAT-DP", "start_ix": 172, "end_ix": 172, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "parts", "label": "ANAT-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 176, "end_ix": 176, "relations": [] }, "36": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 178, "end_ix": 178, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 179, "end_ix": 179, "relations": [] }, "38": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 181, "end_ix": 181, "relations": [ [ "modify", "41" ] ] }, "39": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 183, "end_ix": 183, "relations": [ [ "modify", "41" ] ] }, "40": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 184, "end_ix": 184, "relations": [] }, "41": { "tokens": "edema", "label": "OBS-DP", "start_ix": 185, "end_ix": 185, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "larger", "label": "OBS-DA", "start_ix": 188, "end_ix": 188, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 189, "end_ix": 189, "relations": [] }, "44": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 190, "end_ix": 190, "relations": [ [ "located_at", "43" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18015004/s52149254.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with s / p whipple likely PE / / serial exam serial exam IMPRESSION : Comparison to ___ . No relevant change . Low lung volumes with bilateral areas of atelectasis and small pleural effusions . Moderate cardiomegaly . No pulmonary edema .", "entities": { "1": { "tokens": "relevant", "label": "OBS-DA", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "change", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [] }, "3": { "tokens": "Low", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "4" ] ] }, "4": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "5": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "10" ] ] }, "7": { "tokens": "areas", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "small", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "11": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "14": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "15": { "tokens": "edema", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "14" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18015004/s53707447.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with NJT placed intraoperatively , may have been disrupted with removal of NGT today / / eval for change in position of NJT eval for change in position of NJT IMPRESSION : In comparison with the earlier study of this date , there is essentially no change in the appearance of the enteric tube . For evaluation of the tip of the tube , a special view of the abdomen would be necessary . Little change in the appearance of the heart and lungs . The nasogastric tube is been removed .", "entities": { "1": { "tokens": "change", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "4": { "tokens": "Little", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "change", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "6" ], [ "located_at", "7" ] ] }, "6": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "7": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "8": { "tokens": "nasogastric", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "tube", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18015004/s58110495.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with s / p whipple , likely PE / / interval exam interval exam IMPRESSION : Compared to chest radiographs ___ . Severe bibasilar atelectasis worsened since ___ . Upper lungs clear . No appreciable pleural effusion . Heart size normal . No pneumothorax .", "entities": { "1": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "3": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "worsened", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "Upper", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "7": { "tokens": "clear", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "size", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "normal", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18015004/s56533254.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : History : ___ M with fever , lethargy . < ___ m out from ___ . Increased drainage from JP / / ? infection ? infection IMPRESSION : Compared to chest radiographs ___ through ___ . Lung volumes have improved slightly since ___ , but the right middle lobe is still largely collapsed . Previous region of consolidation at the base of the left lung has improved . This could be either pneumonia , atelectasis , or chronic aspiration . Upper lungs clear . Heart size exaggerated by low lung volumes is probably top - normal size . No ancillary findings of cardiac decompensation . No pleural effusion .", "entities": { "1": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "improved", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "1" ] ] }, "7": { "tokens": "largely", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "collapsed", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "14" ], [ "suggestive_of", "15" ], [ "suggestive_of", "17" ] ] }, "10": { "tokens": "base", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "13": { "tokens": "improved", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "9" ] ] }, "14": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 84, "end_ix": 84, "relations": [] }, "15": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [] }, "16": { "tokens": "chronic", "label": "OBS-U", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 90, "end_ix": 90, "relations": [] }, "18": { "tokens": "Upper", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "20": { "tokens": "clear", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "22": { "tokens": "size", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "exaggerated", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "21" ] ] }, "24": { "tokens": "low", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "25" ] ] }, "25": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "26": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "top - normal", "label": "OBS-U", "start_ix": 105, "end_ix": 107, "relations": [ [ "located_at", "28" ] ] }, "28": { "tokens": "size", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "21" ] ] }, "29": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "30": { "tokens": "decompensation", "label": "OBS-DA", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "32": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "31" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18015004/s59622916.txt": { "text": "FINAL REPORT EXAMINATION : Chest : Frontal and lateral views INDICATION : ___ year old man with ampullary adenocarcinoma and recent biliary stent now presenting with fevers to 102 , also cough / / Assess for pneumonia TECHNIQUE : Chest : Frontal and Lateral COMPARISON : None . FINDINGS : Mild bibasilar atelectasis is seen . No definite focal consolidation . No pleural effusion or pneumothorax is seen . Mediastinal contours are unremarkable . Cardiac silhouette is top - normal to mildly enlarged . IMPRESSION : No focal consolidation to suggest pneumonia . Mild basilar atelectasis .", "entities": { "1": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "3": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "focal", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "7": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [] }, "9": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "10": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "13": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "top - normal", "label": "OBS-DP", "start_ix": 77, "end_ix": 79, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "12" ] ] }, "17": { "tokens": "focal", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [ [ "suggestive_of", "19" ] ] }, "19": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [] }, "20": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "22": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "21" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18015004/s54721527.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with recent whipple c / b GDA pseudoaneurysm s / p coil embolization and pRBC transfusion / / please assess for interval change , confirm NJT position please assess for interval change , confirm NJT position IMPRESSION : Compared to chest radiographs ___ . Pulmonary vascular congestion is new . Moderately severe bibasilar atelectasis persists . Pleural effusion small if any . No pneumothorax . Heart size normal . Feeding tube passes through the upper stomach and out of view . Its course into the left upper quadrant suggests either severe gastric distention or gastroenterostomy . Esophageal drainage tube ends in the upper stomach .", "entities": { "1": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "2": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "new", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "Moderately", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "severe", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "8": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "Pleural", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "10": { "tokens": "effusion", "label": "OBS-U", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "small", "label": "OBS-U", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [] }, "13": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "14": { "tokens": "size", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "normal", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "Feeding", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "tube", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "19" ] ] }, "18": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "20": { "tokens": "out of view", "label": "OBS-DP", "start_ix": 92, "end_ix": 94, "relations": [ [ "modify", "17" ] ] }, "21": { "tokens": "Its", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "17" ], [ "located_at", "24" ] ] }, "22": { "tokens": "left", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "25": { "tokens": "severe", "label": "OBS-U", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "gastric", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "27": { "tokens": "distention", "label": "OBS-U", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "gastroenterostomy", "label": "OBS-U", "start_ix": 109, "end_ix": 109, "relations": [] }, "29": { "tokens": "Esophageal", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "drainage", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "tube", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "located_at", "33" ] ] }, "32": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18015004/s51210113.txt": { "text": "WET READ : ___ ___ ___ 5:18PM Interval decrease in cardiac size . Lung volumes are low probable small bilateral pleural effusions . Retrocardiac consolidation may represent atelectasis , however pneumonia cannot be excluded . No pneumothorax . ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man s / p whipple with temp ___ . 3 , tachypnea / / eval for source of low - grade fever , tachypnea eval for source of low - grade fever , tachypnea IMPRESSION : Compared to chest radiographs ___ . Lung volumes remain quite low , with considerable atelectasis in the left lower lobe , milder on the right . There is no longer any pulmonary edema . Pleural effusion is small if any . Heart size normal . No pneumothorax .", "entities": { "1": { "tokens": "Interval", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "decrease", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 10, "end_ix": 10, "relations": [] }, "4": { "tokens": "size", "label": "ANAT-DP", "start_ix": 11, "end_ix": 11, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 13, "end_ix": 13, "relations": [] }, "6": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 14, "end_ix": 14, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "low", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "small", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 20, "end_ix": 20, "relations": [] }, "11": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [] }, "13": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "14" ], [ "suggestive_of", "15" ] ] }, "14": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 27, "end_ix": 27, "relations": [] }, "15": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 30, "end_ix": 30, "relations": [] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [] }, "17": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "18": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "quite", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "low", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "17" ] ] }, "21": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "24" ] ] }, "22": { "tokens": "left", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "25": { "tokens": "milder", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "21" ], [ "located_at", "26" ] ] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "27": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "28": { "tokens": "edema", "label": "OBS-DA", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "Pleural", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "30": { "tokens": "effusion", "label": "OBS-U", "start_ix": 124, "end_ix": 124, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "small", "label": "OBS-U", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "30" ] ] }, "32": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] }, "33": { "tokens": "size", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "32" ] ] }, "34": { "tokens": "normal", "label": "OBS-DP", "start_ix": 132, "end_ix": 132, "relations": [ [ "located_at", "32" ] ] }, "35": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 135, "end_ix": 135, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003637/s51461467.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : History : ___ M with hypotension / / ? infectious process TECHNIQUE : Upright AP view of the chest COMPARISON : Chest radiograph ___ . FINDINGS : Patient is status post median sternotomy and CABG . Left - sided AICD is noted with single lead terminating in the right ventricle . Heart size is normal . Mediastinal and hilar contours are normal . Lungs are clear . No pleural effusion or pneumothorax . No acute osseous abnormalities are detected . IMPRESSION : No acute cardiopulmonary abnormality .", "entities": { "1": { "tokens": "post", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ], [ "modify", "4" ] ] }, "2": { "tokens": "median", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "4": { "tokens": "CABG", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "5": { "tokens": "Left - sided", "label": "ANAT-DP", "start_ix": 47, "end_ix": 49, "relations": [] }, "6": { "tokens": "AICD", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "5" ], [ "modify", "8" ] ] }, "7": { "tokens": "single", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lead", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "10" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "11": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "12": { "tokens": "size", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "normal", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "15": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "16": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "normal", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "14" ], [ "located_at", "15" ] ] }, "18": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "19": { "tokens": "clear", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [] }, "23": { "tokens": "acute", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "25": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "acute", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "28": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "27" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003637/s51371378.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with fever / / r / o lung infection Surg : ___ ( perianal abscess I D ) r / o lung infection IMPRESSION : In comparison with the study of scratch then no previous images . Low lung volumes accentuate the enlargement of the cardiac silhouette . Indistinctness of engorged pulmonary vessels most likely reflects elevation of pulmonary venous pressure . No definite acute focal pneumonia , though the retrocardiac area is difficult to assess in the absence of a lateral view .", "entities": { "1": { "tokens": "Low", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "5" ] ] }, "5": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "6": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "Indistinctness", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "engorged", "label": "OBS-U", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "10" ], [ "suggestive_of", "14" ] ] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "vessels", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "11": { "tokens": "elevation", "label": "OBS-U", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "14": { "tokens": "pressure", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "acute", "label": "OBS-U", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "focal", "label": "OBS-U", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [] }, "18": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "19": { "tokens": "area", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "18" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003637/s57024735.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man s / p single chamber ICD / / ___ year old man s / p single chamber ICD ___ year old man s / p single chamber ICD IMPRESSION : In comparison with study of ___ , there has been placement of a single lead pacer that extends to the apex of the right ventricle . No evidence of post procedure pneumothorax . Cardiac silhouette is at the upper limits of normal or mildly enlarged . No evidence of appreciable vascular congestion , pleural effusion , or acute focal pneumonia .", "entities": { "1": { "tokens": "single", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "lead", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pacer", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "4": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "7": { "tokens": "post", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "procedure", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] }, "10": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "11": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "upper", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "limits", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "normal", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "10" ] ] }, "15": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "10" ] ] }, "17": { "tokens": "appreciable", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "19": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "acute", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "focal", "label": "OBS-DA", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 105, "end_ix": 105, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18002668/s52520031.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : Eval for pneumonia TECHNIQUE : Chest PA 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 . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "focal", "label": "OBS-DA", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "6": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 39, "end_ix": 39, "relations": [] }, "8": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "9": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "10": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "11": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "8" ], [ "located_at", "9" ] ] }, "12": { "tokens": "acute", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "14": { "tokens": "process", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "13" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s58365492.txt": { "text": "FINAL REPORT PA AND LATERAL CHEST , ___ COMPARISON : ___ chest radiograph . FINDINGS : The patient is status post right upper lobe wedge resection procedure , with postoperative volume loss and scarring . A 6 - mm diameter nodular opacity located medial to the inferior aspect of the suture line overlying the seventh posterior right rib is new from prior studies . Additionally , an area of consolidation has developed within the left retrocardiac region . Remainder of the lungs appear similar to the prior study including small nodules within the right mid and lower lobes , corresponding to nodules on prior PET - CT and standard chest CT from ___ and ___ . Bronchial wall thickening in the right upper lobe also appears unchanged . Cardiomediastinal contours are stable in appearance . No pleural effusion or acute skeletal findings . IMPRESSION : New left lower lobe consolidation concerning for acute pneumonia . Followup radiographs are recommended in four weeks after antibiotic therapy to ensure resolution . At that time , an apparently new 6 - mm diameter lung nodule adjacent to right upper lobe surgical chain sutures may also be reassessed for resolution . Findings entered into radiology communication dashboard on ___ .", "entities": { "1": { "tokens": "post", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "6" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [] }, "5": { "tokens": "wedge", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "resection", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "procedure", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "10" ], [ "modify", "11" ] ] }, "9": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "4" ] ] }, "10": { "tokens": "loss", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "4" ] ] }, "12": { "tokens": "A", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "16" ] ] }, "13": { "tokens": "6 - mm", "label": "OBS-DP", "start_ix": 36, "end_ix": 38, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "diameter", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "nodular", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "22" ] ] }, "17": { "tokens": "suture", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "4" ] ] }, "18": { "tokens": "line", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "seventh", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "22" ] ] }, "20": { "tokens": "posterior", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "right", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "23": { "tokens": "new", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "16" ] ] }, "24": { "tokens": "an", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "area", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "28" ] ] }, "27": { "tokens": "left", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "29": { "tokens": "region", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "28" ] ] }, "30": { "tokens": "Remainder", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "32": { "tokens": "small", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "nodules", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "37" ] ] }, "34": { "tokens": "right", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "37" ] ] }, "35": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "lobes", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "38": { "tokens": "Bronchial", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "43" ] ] }, "39": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "38" ] ] }, "40": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "39" ] ] }, "41": { "tokens": "right", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "43" ] ] }, "42": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "44": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "40" ] ] }, "45": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [] }, "46": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "45" ] ] }, "47": { "tokens": "stable", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "45" ] ] }, "48": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [] }, "49": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "48" ] ] }, "50": { "tokens": "acute", "label": "OBS-DA", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "52" ] ] }, "51": { "tokens": "skeletal", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [] }, "52": { "tokens": "findings", "label": "OBS-DA", "start_ix": 141, "end_ix": 141, "relations": [ [ "located_at", "51" ] ] }, "53": { "tokens": "New", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "57" ] ] }, "54": { "tokens": "left", "label": "ANAT-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "56" ] ] }, "55": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "modify", "56" ] ] }, "56": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [] }, "57": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "located_at", "56" ], [ "suggestive_of", "59" ] ] }, "58": { "tokens": "acute", "label": "OBS-U", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "59" ] ] }, "59": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 153, "end_ix": 153, "relations": [] }, "60": { "tokens": "new", "label": "OBS-DP", "start_ix": 175, "end_ix": 175, "relations": [ [ "modify", "65" ] ] }, "61": { "tokens": "6", "label": "OBS-DP", "start_ix": 176, "end_ix": 176, "relations": [ [ "modify", "62" ] ] }, "62": { "tokens": "mm", "label": "OBS-DP", "start_ix": 178, "end_ix": 178, "relations": [ [ "modify", "63" ] ] }, "63": { "tokens": "diameter", "label": "OBS-DP", "start_ix": 179, "end_ix": 179, "relations": [ [ "modify", "65" ] ] }, "64": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 180, "end_ix": 180, "relations": [] }, "65": { "tokens": "nodule", "label": "OBS-DP", "start_ix": 181, "end_ix": 181, "relations": [ [ "located_at", "64" ] ] }, "66": { "tokens": "right", "label": "ANAT-DP", "start_ix": 184, "end_ix": 184, "relations": [ [ "modify", "68" ] ] }, "67": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 185, "end_ix": 185, "relations": [ [ "modify", "68" ] ] }, "68": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 186, "end_ix": 186, "relations": [ [ "modify", "64" ] ] }, "69": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 187, "end_ix": 187, "relations": [ [ "modify", "71" ] ] }, "70": { "tokens": "chain", "label": "OBS-DP", "start_ix": 188, "end_ix": 188, "relations": [ [ "modify", "71" ] ] }, "71": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 189, "end_ix": 189, "relations": [ [ "located_at", "68" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s56635465.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ - year - old man with a fever and left - sided chest pain . The patient is asplenic . Evaluate for left - sided heart failure . COMPARISON : Chest radiograph dated ___ . FINDINGS : Right upper lung surgical chain sutures appear unchanged . The previously described possible left upper lung nodule is not seen today . The lungs are well - expanded and clear . IMPRESSION : Right upper lung surgical chain sutures appear unchanged . The previously described possible left upper lung nodule is not seen today . The lungs are well - expanded and clear .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "4": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "chain", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "3" ] ] }, "7": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "11": { "tokens": "nodule", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "13": { "tokens": "well - expanded", "label": "OBS-DP", "start_ix": 75, "end_ix": 77, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "clear", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "18": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "chain", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "17" ] ] }, "21": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "left", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "25": { "tokens": "nodule", "label": "OBS-DA", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "27": { "tokens": "well - expanded", "label": "OBS-DP", "start_ix": 108, "end_ix": 110, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "clear", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s59829602.txt": { "text": "WET READ : ___ ___ ___ 11:30AM Pneumoperitoneum . Widening of the vascular pedicle may be related to low lung volumes and intravascular volume status . ______________________________________________________________________________ FINAL REPORT HISTORY : ___ - year - old male with severe diffuse abdominal pain . Evaluate for free air . COMPARISON : Multiple prior chest radiographs , most recently of ___ . FINDINGS : Single frontal view of the chest was obtained . Free air is present underneath both hemidiaphragms . Lung volumes are low . The vascular pedicle is widened and there is slightly increased rightward shift of the trachea , which may be projectional . Multi focal ill - defined lung opacities are similar to prior and consistent with history of sarcoidosis although superimposed infection cannot be excluded . No pneumothorax or substantial pleural effusion . Chain sutures in the right mid lung are similar to prior . IMPRESSION : 1 . Pneumoperitoneum . 2 . Widening of the vascular pedicle may be related to low lung volumes and intravascular volume status .", "entities": { "1": { "tokens": "Pneumoperitoneum", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [] }, "2": { "tokens": "Widening", "label": "OBS-U", "start_ix": 9, "end_ix": 9, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 12, "end_ix": 12, "relations": [] }, "4": { "tokens": "pedicle", "label": "ANAT-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "low", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "suggestive_of", "2" ], [ "located_at", "7" ] ] }, "6": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "7": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "intravascular", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "9": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "status", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "suggestive_of", "2" ], [ "located_at", "9" ] ] }, "11": { "tokens": "Free", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "air", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "15" ] ] }, "13": { "tokens": "underneath", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "both", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "hemidiaphragms", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "16": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "17": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "low", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "20": { "tokens": "pedicle", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "widened", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "19" ] ] }, "22": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "increased", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "rightward", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "shift", "label": "OBS-U", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "26" ] ] }, "26": { "tokens": "trachea", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "27": { "tokens": "projectional", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "suggestive_of", "21" ], [ "suggestive_of", "25" ] ] }, "28": { "tokens": "Multi", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "focal", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "33" ] ] }, "30": { "tokens": "ill", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "defined", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "33" ] ] }, "32": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "33": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "35" ], [ "suggestive_of", "37" ] ] }, "34": { "tokens": "similar", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "sarcoidosis", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "36": { "tokens": "superimposed", "label": "OBS-U", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "infection", "label": "OBS-U", "start_ix": 124, "end_ix": 124, "relations": [] }, "38": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 130, "end_ix": 130, "relations": [] }, "39": { "tokens": "substantial", "label": "OBS-DA", "start_ix": 132, "end_ix": 132, "relations": [ [ "modify", "41" ] ] }, "40": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 133, "end_ix": 133, "relations": [] }, "41": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 134, "end_ix": 134, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "Chain", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "46" ] ] }, "44": { "tokens": "right", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "46" ] ] }, "45": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 142, "end_ix": 142, "relations": [] }, "47": { "tokens": "similar", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "43" ] ] }, "48": { "tokens": "Pneumoperitoneum", "label": "OBS-DP", "start_ix": 152, "end_ix": 152, "relations": [] }, "49": { "tokens": "Widening", "label": "OBS-U", "start_ix": 156, "end_ix": 156, "relations": [ [ "located_at", "51" ] ] }, "50": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 159, "end_ix": 159, "relations": [] }, "51": { "tokens": "pedicle", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "50" ] ] }, "52": { "tokens": "low", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [ [ "suggestive_of", "49" ], [ "located_at", "54" ] ] }, "53": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 166, "end_ix": 166, "relations": [] }, "54": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 167, "end_ix": 167, "relations": [ [ "modify", "53" ] ] }, "55": { "tokens": "intravascular", "label": "ANAT-DP", "start_ix": 169, "end_ix": 169, "relations": [] }, "56": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 170, "end_ix": 170, "relations": [ [ "modify", "55" ] ] }, "57": { "tokens": "status", "label": "OBS-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "suggestive_of", "49" ], [ "located_at", "56" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s51117233.txt": { "text": "FINAL REPORT EXAM : Chest , single frontal view . CLINICAL INFORMATION : Fall , hypotensive . COMPARISON : ___ . FINDINGS : Single AP supine portable view of the chest was obtained . Chain sutures are seen overlying the right upper hemithorax . There has been interval removal of a previously seen right - sided port . The cardiac and mediastinal silhouettes are stable . No definite focal consolidation is seen . Rounded opacities projecting over the lower hemithorax bilaterally on the left and right appear possibly external to the patient and could represent nipple shadows . They most likely represent nipple shadows . No discrete pulmonary nodules seen that would correspond at the lung bases on recent prior PET - CT from ___ . No pleural effusion or pneumothorax is seen . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "Chain", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "6" ] ] }, "3": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "7": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 53, "end_ix": 55, "relations": [] }, "8": { "tokens": "port", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "10": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "11": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "9" ], [ "modify", "10" ] ] }, "12": { "tokens": "stable", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "9" ], [ "located_at", "10" ] ] }, "13": { "tokens": "focal", "label": "OBS-U", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 69, "end_ix": 69, "relations": [] }, "15": { "tokens": "Rounded", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "18" ], [ "suggestive_of", "22" ] ] }, "17": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "19": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "left", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "18" ] ] }, "21": { "tokens": "right", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "18" ] ] }, "22": { "tokens": "nipple", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "23": { "tokens": "shadows", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "nipple", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "25": { "tokens": "shadows", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "discrete", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "28": { "tokens": "nodules", "label": "OBS-DA", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "27" ], [ "located_at", "29" ] ] }, "29": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "30": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "32": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 128, "end_ix": 128, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 130, "end_ix": 130, "relations": [] }, "34": { "tokens": "acute", "label": "OBS-DA", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [] }, "36": { "tokens": "process", "label": "OBS-DA", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "35" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s53098685.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with shortness of breath . / / please eval for pulmonary edema , pneumonia TECHNIQUE : Chest PA and lateral COMPARISON : Multiple chest radiographs most recent on ___ FINDINGS : A left - sided PICC is unchanged in position . Cardiac and mediastinal contours are unchanged from the prior exam . There is no evidence of pulmonary edema . No effusions are identified . There is no pneumothorax . Surgical chain sutures are again seen in the right upper lobe consistent with prior surgery . Again , fullness to the right suprahilar region likely corresponds to a consolidative fibrotic area seen on recent chest CT dated ___ . IMPRESSION : No evidence of pneumonia , edema or effusion .", "entities": { "1": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 47, "end_ix": 49, "relations": [] }, "2": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "position", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "2" ] ] }, "5": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "6": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "7": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "8": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "5" ], [ "located_at", "6" ] ] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "10": { "tokens": "edema", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [] }, "13": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "14": { "tokens": "chain", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "18" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "19": { "tokens": "prior", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "surgery", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "21": { "tokens": "fullness", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "23" ], [ "suggestive_of", "25" ], [ "suggestive_of", "26" ] ] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "suprahilar", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "24": { "tokens": "region", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "consolidative", "label": "OBS-U", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "fibrotic", "label": "OBS-U", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "area", "label": "OBS-U", "start_ix": 115, "end_ix": 115, "relations": [] }, "28": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 129, "end_ix": 129, "relations": [] }, "29": { "tokens": "edema", "label": "OBS-DA", "start_ix": 131, "end_ix": 131, "relations": [] }, "30": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 133, "end_ix": 133, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s55487822.txt": { "text": "FINAL REPORT AP CHEST , 3:34P.M , ___ HISTORY : ___ - year - old man with Hodgkin 's lymphoma , now with neutropenic fever . IMPRESSION : AP chest compared to ___ : Multifocal pulmonary consolidation is clearing . Heart is normal size . Right paratracheal mediastinal fullness , due in part to adenopathy is longstanding . No pleural effusion . Heart size normal . Right jugular line ends in the region of the superior cavoatrial junction .", "entities": { "1": { "tokens": "Multifocal", "label": "OBS-DA", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "3": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "5": { "tokens": "normal", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "size", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "4" ] ] }, "7": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "paratracheal", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "10": { "tokens": "fullness", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "9" ], [ "suggestive_of", "11" ] ] }, "11": { "tokens": "adenopathy", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "12": { "tokens": "longstanding", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "10" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "14": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "normal", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "15" ] ] }, "18": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "jugular", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "20": { "tokens": "line", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "19" ], [ "located_at", "22" ] ] }, "21": { "tokens": "superior", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "cavoatrial", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "23": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "22" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s52117631.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Fever and cough , evaluation for sarcoid . COMPARISON : Outside hospital films from ___ . FINDINGS : The exam is compared to an outside hospital film from ___ . The lung volumes are unchanged . The lung parenchyma shows bilateral areas of parenchymal scarring that are overall very subtle . There is no sign for micronodules and no indication for the presence of fibrotic lung disease . The aorta is tortuous and the heart is normal in size . No pulmonary edema . No pneumonia . The left hilus is high and slightly enlarged . This observation is made on both the frontal and the lateral radiograph . The hilus could be further evaluated with CT ( on old CT examination from ___ , mild hilar lymphadenopathy and an area of perihilar fibrosis is visualized ) . A preexisting vertebral collapse at the thoracolumbar junction has slightly increased in severity . A new area of vertebral collapse is seen at the level of two vertebral bodies in the thoracic spine . At the time of dictation and observation , 1:42p.m. , on the ___ , the findings were entered into the dashboard system .", "entities": { "1": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "5": { "tokens": "parenchyma", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "4" ], [ "modify", "7" ] ] }, "7": { "tokens": "areas", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "8": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "very", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "subtle", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "9" ] ] }, "12": { "tokens": "micronodules", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [] }, "13": { "tokens": "fibrotic", "label": "OBS-U", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "15": { "tokens": "disease", "label": "OBS-U", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "17": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "19": { "tokens": "normal", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "size", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "18" ] ] }, "21": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "22": { "tokens": "edema", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [] }, "24": { "tokens": "left", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "hilus", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "26": { "tokens": "high", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "25" ] ] }, "29": { "tokens": "hilus", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "30": { "tokens": "mild", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "32": { "tokens": "lymphadenopathy", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [] }, "34": { "tokens": "fibrosis", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "vertebral", "label": "ANAT-DP", "start_ix": 146, "end_ix": 146, "relations": [] }, "36": { "tokens": "collapse", "label": "OBS-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "thoracolumbar junction", "label": "ANAT-DP", "start_ix": 150, "end_ix": 151, "relations": [ [ "modify", "35" ] ] }, "38": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "increased", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "severity", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "36" ] ] }, "41": { "tokens": "new", "label": "OBS-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "area", "label": "OBS-DP", "start_ix": 160, "end_ix": 160, "relations": [] }, "43": { "tokens": "vertebral", "label": "ANAT-DP", "start_ix": 162, "end_ix": 162, "relations": [] }, "44": { "tokens": "collapse", "label": "OBS-DP", "start_ix": 163, "end_ix": 163, "relations": [ [ "modify", "42" ], [ "located_at", "43" ] ] }, "45": { "tokens": "two", "label": "OBS-DP", "start_ix": 170, "end_ix": 170, "relations": [ [ "modify", "47" ] ] }, "46": { "tokens": "vertebral", "label": "ANAT-DP", "start_ix": 171, "end_ix": 171, "relations": [] }, "47": { "tokens": "bodies", "label": "ANAT-DP", "start_ix": 172, "end_ix": 172, "relations": [ [ "modify", "46" ] ] }, "48": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 175, "end_ix": 175, "relations": [ [ "modify", "46" ], [ "modify", "49" ] ] }, "49": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 176, "end_ix": 176, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s53934356.txt": { "text": "FINAL REPORT INDICATION : Febrile neutropenia . Rule out pneumonia . COMPARISON : Chest radiographs ___ , ___ , ___ and ___ . CT chest ___ . TECHNIQUE : Upright PA and lateral radiographs of the chest . FINDINGS : Chain suture projects over the right upper hemithorax . There is persistent linear atelectasis in the left mid lung and worsening atelectasis at the left base . Opacity projecting just anterior to the spine at the lung base on the lateral radiograph is not appreciably changed since ___ . There is no airspace opacity worrisome for pneumonia . The cardiomediastinal silhouette and hilar contours are stable . The heart is not enlarged . There is no pleural effusion or pneumothorax . IMPRESSION : Increase , mild atelectasis at the left base but no convincing evidence of pneumonia .", "entities": { "1": { "tokens": "Chain", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "suture", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "5" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "6": { "tokens": "linear", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "10" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "11": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "14" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "base", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "10" ] ] }, "15": { "tokens": "Opacity", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "17" ], [ "located_at", "18" ] ] }, "16": { "tokens": "anterior", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "18": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "19": { "tokens": "base", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "not appreciably changed", "label": "OBS-DP", "start_ix": 83, "end_ix": 85, "relations": [ [ "modify", "15" ] ] }, "21": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "22": { "tokens": "opacity", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "21" ], [ "suggestive_of", "23" ] ] }, "23": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [] }, "24": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "25": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "27": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "stable", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "24" ], [ "located_at", "26" ] ] }, "29": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "30": { "tokens": "enlarged", "label": "OBS-DA", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "32": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 119, "end_ix": 119, "relations": [] }, "34": { "tokens": "Increase", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "mild", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "located_at", "38" ] ] }, "37": { "tokens": "left", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "base", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] }, "39": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 136, "end_ix": 136, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s59005604.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old man with dyspnea on exertion and history of sarcoid and Hodgkin 's . Evaluate for mass or infiltrate . COMPARISON : Radiographs of the chest dated ___ and ___ and ___ as well as CT of the chest dated ___ . FINDINGS : Frontal and lateral radiographs of the chest demonstrate well - expanded and clear lungs . There is slight bulging of the right superior mediastinum , which corresponds to focal fat and adjacent fibrosis versus chronic atelectasis seen on the CT from ___ . There is no pleural effusion or pneumothorax . IMPRESSION : No pneumonia .", "entities": { "1": { "tokens": "well", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "4" ] ] }, "3": { "tokens": "clear", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "4" ] ] }, "4": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "5": { "tokens": "slight", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "bulging", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "9" ], [ "suggestive_of", "11" ] ] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "superior", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "10": { "tokens": "focal", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "fat", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "adjacent", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "9" ] ] }, "13": { "tokens": "fibrosis", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "12" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "17": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [] }, "19": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s50543252.txt": { "text": "FINAL REPORT PA AND LATERAL CHEST RADIOGRAPHS , ___ COMPARISON : Portable chest x - ray of ___ . FINDINGS : Allowing for differences in technique and projection , there has been little interval change in the appearance of the chest since the previous radiograph , with no new focal areas of consolidation to suggest the presence of pneumonia . Multifocal linear areas of scarring appear unchanged , previously attributed to sarcoidosis . Band - like opacity at periphery of left lung base has slightly worsened and is attributed to localize atelectasis .", "entities": { "1": { "tokens": "new", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "focal", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "areas", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [] }, "5": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [] }, "6": { "tokens": "Multifocal", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "linear", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "areas", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "suggestive_of", "11" ] ] }, "10": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "sarcoidosis", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "12": { "tokens": "Band - like", "label": "OBS-DP", "start_ix": 73, "end_ix": 75, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "16" ], [ "suggestive_of", "20" ] ] }, "14": { "tokens": "periphery", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "17": { "tokens": "base", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "worsened", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "13" ] ] }, "20": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s59339276.txt": { "text": "FINAL REPORT PORTABLE CHEST FROM ___ AT 3:03A.M. CLINICAL INDICATION : ___ - year - old with tachycardia , rule out acute process . Comparison is made to the patient 's previous study dated ___ at ___ . Portable AP chest from ___ at 3:03a.m. is submitted . IMPRESSION : 1 . The left subclavian PICC line now has its tip in the distal SVC . Overall , cardiac and mediastinal contours are likely unchanged given differences in positioning . There is increased prominence of the pulmonary vasculature and indistinctness in the perihilar region consistent with interval appearance of mild interstitial and perihilar edema . No pleural effusions . No pneumothorax . Surgical chain sutures are again seen in the right upper lobe consistent with prior surgery . This is some fullness to the right suprahilar region which is unchanged and likely corresponds to a consolidative fibrotic area seen in the right upper lobe on a recent chest CT dated ___ .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "3": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "line", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "2" ] ] }, "5": { "tokens": "tip", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "4" ], [ "located_at", "7" ] ] }, "6": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "8": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "9": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "10": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "11": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "8" ], [ "located_at", "9" ] ] }, "12": { "tokens": "increased", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "13" ], [ "modify", "16" ] ] }, "13": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "15" ], [ "suggestive_of", "22" ] ] }, "14": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "16": { "tokens": "indistinctness", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "17" ], [ "suggestive_of", "22" ] ] }, "17": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "18": { "tokens": "region", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "mild", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "22" ] ] }, "20": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "21": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "22": { "tokens": "edema", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "20" ], [ "located_at", "21" ] ] }, "23": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "24": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 110, "end_ix": 110, "relations": [] }, "26": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "chain", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "31" ] ] }, "29": { "tokens": "right", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "32": { "tokens": "some", "label": "OBS-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "fullness", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "35" ], [ "suggestive_of", "38" ], [ "suggestive_of", "39" ] ] }, "34": { "tokens": "right", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "suprahilar", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "36": { "tokens": "region", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "35" ] ] }, "37": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "33" ] ] }, "38": { "tokens": "consolidative", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "40" ] ] }, "39": { "tokens": "fibrotic", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "area", "label": "OBS-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "located_at", "43" ] ] }, "41": { "tokens": "right", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "42" ], [ "modify", "43" ] ] }, "42": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 152, "end_ix": 152, "relations": [] }, "43": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 153, "end_ix": 153, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s55931751.txt": { "text": "FINAL REPORT CHEST , TWO VIEWS : ___ . HISTORY : ___ - year - old male with non - Hodgkin 's lymphoma on chemotherapy day ___ and has history of sarcoidosis , on steroids long - term , here with weakness . COMPARISON : ___ . PET - CT from ___ and chest CT from ___ . FINDINGS : AP and lateral views of the chest . Right upper lung surgical chain sutures are again identified . Linear left mid lung opacity is seen , as well as a nodule in the left upper lung , which was not clearly present on PET - CT from ___ . Left lung base nodular opacity is most likely a nipple shadow . Elsewhere , the lungs are clear . Cardiomediastinal silhouette is stable . Multiple thoracic compression deformities are identified as seen on prior chest CT from ___ . IMPRESSION : No definite acute cardiopulmonary process . Post - surgical changes on the right . Nodular opacity in the left upper lung , not clearly identified on prior exam , which should be followed on subsequent studies . No definite acute cardiopulmonary process .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "4": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "chain", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "3" ] ] }, "7": { "tokens": "Linear", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "11" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "11": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "nodule", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "15" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "16": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "18": { "tokens": "base", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "nodular", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "located_at", "17" ], [ "suggestive_of", "21" ] ] }, "21": { "tokens": "nipple", "label": "OBS-U", "start_ix": 118, "end_ix": 118, "relations": [] }, "22": { "tokens": "shadow", "label": "OBS-U", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "24": { "tokens": "clear", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [] }, "26": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "stable", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "25" ] ] }, "28": { "tokens": "Multiple", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "31" ] ] }, "29": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "30": { "tokens": "compression", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "deformities", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "located_at", "29" ] ] }, "32": { "tokens": "acute", "label": "OBS-DA", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 153, "end_ix": 153, "relations": [] }, "34": { "tokens": "process", "label": "OBS-DA", "start_ix": 154, "end_ix": 154, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "Post - surgical", "label": "OBS-DP", "start_ix": 156, "end_ix": 158, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "changes", "label": "OBS-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "located_at", "37" ] ] }, "37": { "tokens": "right", "label": "ANAT-DP", "start_ix": 162, "end_ix": 162, "relations": [] }, "38": { "tokens": "Nodular", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [ [ "located_at", "42" ] ] }, "40": { "tokens": "left", "label": "ANAT-DP", "start_ix": 168, "end_ix": 168, "relations": [ [ "modify", "42" ] ] }, "41": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 170, "end_ix": 170, "relations": [] }, "43": { "tokens": "acute", "label": "OBS-DA", "start_ix": 189, "end_ix": 189, "relations": [ [ "modify", "45" ] ] }, "44": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 190, "end_ix": 190, "relations": [] }, "45": { "tokens": "process", "label": "OBS-DA", "start_ix": 191, "end_ix": 191, "relations": [ [ "located_at", "44" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s59635047.txt": { "text": "FINAL REPORT PA AND LATERAL CHEST RADIOGRAPH DATED ___ Comparison to prior chest radiographs dating back to ___ as well as chest CT of ___ . FINDINGS : The patient is status post right upper lobe wedge resection , with similar post - operative scarring and volume loss . A confluent opacity in the right suprahilar region and scattered linear and reticular opacities in both lungs appear similar to the prior chest radiograph of ___ but are overall improved compared to an older chest radiograph of ___ . Subcentimeter nodular opacity in the periphery of the left upper lobe also appears similar to ___ radiograph . Heart size is normal , and there are no pleural effusions . Severe compression deformities in the mid and lower thoracic as well as upper lumbar spine appear similar to ___ thoracic spine radiograph exam . IMPRESSION : Similar radiographic appearance of the chest to ___ with no new abnormalities to suggest superimposed acute process such as CHF or pneumonia .", "entities": { "1": { "tokens": "post", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "5": { "tokens": "wedge resection", "label": "OBS-DP", "start_ix": 36, "end_ix": 37, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "post", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "operative", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "8" ], [ "modify", "10" ] ] }, "8": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "9": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "4" ] ] }, "10": { "tokens": "loss", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "confluent", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "14" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "suprahilar", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "15": { "tokens": "region", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "scattered", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "linear", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "reticular", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "21" ] ] }, "20": { "tokens": "both", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "22": { "tokens": "similar", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "12" ], [ "modify", "19" ] ] }, "23": { "tokens": "improved", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "12" ], [ "modify", "19" ] ] }, "24": { "tokens": "Subcentimeter", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "nodular", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "30" ] ] }, "27": { "tokens": "periphery", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "30" ] ] }, "28": { "tokens": "left", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "31": { "tokens": "similar", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "26" ] ] }, "32": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "33": { "tokens": "size", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "32" ] ] }, "34": { "tokens": "normal", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "32" ] ] }, "35": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "36": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "compression", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "39" ], [ "located_at", "45" ] ] }, "39": { "tokens": "deformities", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "40": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "42" ] ] }, "41": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "45" ] ] }, "43": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "lumbar", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "46": { "tokens": "similar", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "47": { "tokens": "new", "label": "OBS-DA", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "48" ] ] }, "48": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 155, "end_ix": 155, "relations": [ [ "suggestive_of", "51" ] ] }, "49": { "tokens": "superimposed", "label": "OBS-DA", "start_ix": 158, "end_ix": 158, "relations": [ [ "modify", "51" ] ] }, "50": { "tokens": "acute", "label": "OBS-DA", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "process", "label": "OBS-DA", "start_ix": 160, "end_ix": 160, "relations": [] }, "52": { "tokens": "CHF", "label": "OBS-DA", "start_ix": 163, "end_ix": 163, "relations": [ [ "modify", "51" ] ] }, "53": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 165, "end_ix": 165, "relations": [ [ "modify", "51" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s59607556.txt": { "text": "FINAL REPORT ___ in : Chest radiographs since ___ most recently ___ . EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with hx sarcoid , lymohoma , on prednisone ; cough , clear lungs / / ? pneumona HX SARCOID . LYPHOMA COUGH ? PNA IMPRESSION : Fullness in the right lower paratracheal region of the mediastinum is comparable to the appearance in ___ when a chest CT scan showed no appreciable adenopathy in the mediastinum , instead a distended azygos vein . There was adenopathy in the adjacent right hilus , and the appearance of that structure is stable over these 3 examinations . Aside from small areas of linear scarring , lungs are clear . There is no edema or pneumonia and no appreciable pleural effusion . Heart size is normal . COMPARISON : Chest radiographs since ___ , most recently ___ ___ . FINDINGS :", "entities": { "1": { "tokens": "Fullness", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "4" ], [ "suggestive_of", "8" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "paratracheal", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "6": { "tokens": "adenopathy", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "7" ] ] }, "7": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "8": { "tokens": "distended", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "10" ] ] }, "9": { "tokens": "azygos", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "vein", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "11": { "tokens": "adenopathy", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "14" ] ] }, "12": { "tokens": "adjacent", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "hilus", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "15": { "tokens": "stable", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "11" ] ] }, "16": { "tokens": "small", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "areas", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "linear", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [] }, "21": { "tokens": "clear", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "edema", "label": "OBS-DA", "start_ix": 126, "end_ix": 126, "relations": [] }, "23": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 128, "end_ix": 128, "relations": [] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "25": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 133, "end_ix": 133, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "27": { "tokens": "size", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "normal", "label": "OBS-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s58505074.txt": { "text": "FINAL REPORT EXAM : Chest , frontal and lateral views . CLINICAL INFORMATION : Fever , on chemotherapy . COMPARISON : ___ . FINDINGS : Frontal and lateral views of the chest were obtained . Left basilar atelectasis is seen . There is left basilar and left mid lung atelectasis / scarring . Chain sutures are noted overlying the right upper - to - mid hemithorax . There is subtle focal patchy opacity projecting over the right lateral lower chest , which in the same location on the lateral view , appeared to be a linear opacity dating back to ___ . Finding could represent atelectasis / scarring ; however , on the current study , it appears more amorphous and a small focus of infection is not excluded . The cardiac and mediastinal silhouettes are stable . There is no pleural effusion or pneumothorax . There is persistent moderate compression of multiple vertebral bodies including at least two mid thoracic and at least two in the thoracolumbar region , similar to the prior chest x - ray .", "entities": { "1": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "3": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "8" ] ] }, "5": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "9": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "Chain", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "17" ] ] }, "13": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "17" ] ] }, "15": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "18": { "tokens": "subtle", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "focal", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "patchy", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "25" ], [ "suggestive_of", "38" ] ] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "25" ] ] }, "23": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "26": { "tokens": "same", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "location", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "21" ], [ "modify", "31" ] ] }, "28": { "tokens": "lateral", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "view", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "27" ] ] }, "30": { "tokens": "linear", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "suggestive_of", "32" ], [ "suggestive_of", "33" ] ] }, "32": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 105, "end_ix": 105, "relations": [] }, "33": { "tokens": "scarring", "label": "OBS-U", "start_ix": 107, "end_ix": 107, "relations": [] }, "34": { "tokens": "it", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "21" ] ] }, "35": { "tokens": "amorphous", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "34" ] ] }, "36": { "tokens": "small", "label": "OBS-U", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "focus", "label": "OBS-U", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "infection", "label": "OBS-U", "start_ix": 125, "end_ix": 125, "relations": [] }, "39": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [] }, "40": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 133, "end_ix": 133, "relations": [] }, "41": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "39" ], [ "modify", "40" ] ] }, "42": { "tokens": "stable", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "located_at", "39" ], [ "located_at", "40" ] ] }, "43": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [] }, "44": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 142, "end_ix": 142, "relations": [ [ "located_at", "43" ] ] }, "45": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 144, "end_ix": 144, "relations": [] }, "46": { "tokens": "persistent", "label": "OBS-DP", "start_ix": 148, "end_ix": 148, "relations": [ [ "modify", "48" ] ] }, "47": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "48" ] ] }, "48": { "tokens": "compression", "label": "OBS-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "located_at", "50" ] ] }, "49": { "tokens": "multiple", "label": "OBS-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "48" ] ] }, "50": { "tokens": "vertebral", "label": "ANAT-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "modify", "54" ], [ "modify", "56" ] ] }, "51": { "tokens": "bodies", "label": "ANAT-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "50" ] ] }, "52": { "tokens": "two", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "modify", "49" ] ] }, "53": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "54" ] ] }, "54": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [] }, "55": { "tokens": "two", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "49" ] ] }, "56": { "tokens": "thoracolumbar", "label": "ANAT-DP", "start_ix": 167, "end_ix": 167, "relations": [] }, "57": { "tokens": "region", "label": "ANAT-DP", "start_ix": 168, "end_ix": 168, "relations": [ [ "modify", "54" ], [ "modify", "56" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s57194088.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ . COMPARISON : ___ . CLINICAL HISTORY : Altered mental status and fall in the shower ; assess for pneumonia or traumatic injury . FINDINGS : PA and lateral views of the chest are provided . Suture material is again noted in the right mid lung . Scattered ill - defined opacities in this patient with history of sarcoid could represent air or superimposed infection . Overall pattern is similar to prior exam from ___ . No large effusion or pneumothorax . Deformity of the lower thoracic spine on the lateral view is noted . Otherwise , the bony structures are intact . IMPRESSION : Scattered opacities in the lungs , as seen on prior chest radiographs , could represent pneumonia or sarcoidosis flair . Consider CT to further assess .", "entities": { "1": { "tokens": "Suture", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "5" ] ] }, "2": { "tokens": "material", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "6": { "tokens": "Scattered", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "ill - defined", "label": "OBS-DP", "start_ix": 55, "end_ix": 57, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "suggestive_of", "10" ], [ "suggestive_of", "12" ] ] }, "9": { "tokens": "sarcoid", "label": "OBS-U", "start_ix": 65, "end_ix": 65, "relations": [] }, "10": { "tokens": "air", "label": "OBS-U", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "superimposed", "label": "OBS-U", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "infection", "label": "OBS-U", "start_ix": 71, "end_ix": 71, "relations": [] }, "13": { "tokens": "large", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [] }, "15": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [] }, "16": { "tokens": "Deformity", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "19" ] ] }, "17": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "20": { "tokens": "bony", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "21": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "intact", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "20" ] ] }, "23": { "tokens": "Scattered", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "located_at", "25" ], [ "suggestive_of", "26" ], [ "suggestive_of", "27" ] ] }, "25": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "26": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 127, "end_ix": 127, "relations": [] }, "27": { "tokens": "sarcoidosis", "label": "OBS-U", "start_ix": 129, "end_ix": 129, "relations": [] }, "28": { "tokens": "flair", "label": "OBS-U", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "27" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10003019/s59730608.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with tachypnea / / new consolidation / change COMPARISON : ___ . IMPRESSION : As compared to the previous radiograph , the lung volumes have slightly decreased . There is minimal fluid overload in both the vascular and interstitial compartment . Normal size of the cardiac silhouette . Moderate tortuosity of the thoracic aorta . No pleural effusions . No pneumonia .", "entities": { "1": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "2" ] ] }, "5": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "9" ], [ "located_at", "10" ] ] }, "7": { "tokens": "overload", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "both", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "9" ], [ "modify", "10" ] ] }, "9": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "10": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "compartment", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "9" ], [ "modify", "10" ] ] }, "12": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "14" ] ] }, "13": { "tokens": "size", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "15": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "tortuosity", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "19" ] ] }, "18": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "21": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001529/s58906888.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old female with asthma and dyspnea . No prior examinations for comparison . CHEST , PA AND LATERAL : The lungs are clear . Cardiomediastinal and hilar contours are normal . There is no pleural effusion , pneumothorax , or pneumomediastinum . IMPRESSION : Normal chest .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "4": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "5": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "3" ], [ "modify", "4" ] ] }, "6": { "tokens": "normal", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "3" ], [ "located_at", "4" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [] }, "11": { "tokens": "pneumomediastinum", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [] }, "12": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "13" ] ] }, "13": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001649/s53184881.txt": { "text": "FINAL REPORT EXAMINATION : Chest : Frontal and lateral views INDICATION : History : ___ F with cough productive of thick amber sputum / / Please eval for pna TECHNIQUE : Chest : Frontal and Lateral COMPARISON : None . FINDINGS : The lungs are clear without focal consolidation . Trace pleural fluid is difficult to exclude but no large pleural effusion is seen . No pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . IMPRESSION : No focal consolidation . Trace pleural fluid is difficult to exclude but no large pleural effusion .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "focal", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "Trace", "label": "OBS-U", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "7": { "tokens": "fluid", "label": "OBS-U", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "large", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "10" ] ] }, "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": 66, "end_ix": 66, "relations": [] }, "12": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "13": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "14": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "12" ], [ "modify", "13" ] ] }, "15": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "12" ], [ "located_at", "13" ] ] }, "16": { "tokens": "focal", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [] }, "18": { "tokens": "Trace", "label": "OBS-U", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "20": { "tokens": "fluid", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "large", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "22" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001393/s54726934.txt": { "text": "FINAL REPORT INDICATION : History : ___ M with right sided chest pain / / r / o pna , ptx , rib injury COMPARISON : None . TECHNIQUE : Frontal and lateral views of the chest . FINDINGS : Heart size and cardiomediastinal contours are normal . Biapical scarring is noted without focal consolidation , pleural effusion , or pneumothorax . No displaced rib fracture identified . IMPRESSION : No acute cardiopulmonary process . No displaced rib fracture .", "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": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "4": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "normal", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "1" ], [ "located_at", "3" ] ] }, "6": { "tokens": "Biapical", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "7": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "focal", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "6" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [] }, "13": { "tokens": "displaced", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "15": { "tokens": "fracture", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "displaced", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "21": { "tokens": "fracture", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "20" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001157/s57119564.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior CT torso dated ___ . CLINICAL HISTORY : Tachycardia , assess for acute intrathoracic process . FINDINGS : Portable AP upright view of the chest provided . Additional history provided is that of hepatocellular carcinoma . Lung volumes are low with bibasilar atelectasis . Tiny pleural effusions are likely present . No pneumothorax . No convincing evidence of pneumonia . The heart size cannot be assessed . The mediastinal contour appears unremarkable with unfolded thoracic aorta noted . Calcified pulmonary nodule as seen on prior CT torso was seen along the lateral right mid lung . The imaged osseous structures appear intact . There is no sign of free air below the right hemidiaphragm . IMPRESSION : Bibasilar atelectasis with probable small pleural effusions . Limited exam without definite signs of pneumonia or overt CHF .", "entities": { "1": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "low", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "5": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "Tiny", "label": "OBS-U", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "8": { "tokens": "effusions", "label": "OBS-U", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [] }, "10": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [] }, "11": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "12": { "tokens": "size", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "cannot be assessed", "label": "OBS-DP", "start_ix": 76, "end_ix": 78, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "15": { "tokens": "contour", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "14" ] ] }, "17": { "tokens": "unfolded", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "19" ] ] }, "18": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "20": { "tokens": "Calcified", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "22": { "tokens": "nodule", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "21" ], [ "located_at", "26" ] ] }, "23": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "26" ] ] }, "24": { "tokens": "right", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "27": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "28": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "intact", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "27" ] ] }, "30": { "tokens": "free", "label": "OBS-DA", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "air", "label": "OBS-DA", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "34" ] ] }, "32": { "tokens": "below", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "right", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "35": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] }, "36": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "small", "label": "OBS-U", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "39" ] ] }, "38": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "39": { "tokens": "effusions", "label": "OBS-U", "start_ix": 136, "end_ix": 136, "relations": [ [ "located_at", "38" ] ] }, "40": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 144, "end_ix": 144, "relations": [] }, "41": { "tokens": "overt", "label": "OBS-DA", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "CHF", "label": "OBS-DA", "start_ix": 147, "end_ix": 147, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001157/s59771012.txt": { "text": "FINAL REPORT TYPE OF EXAMINATION : Chest PA and lateral . ___ - year - old male patient with cholangiocarcinoma and shortness of breath , pneumonia versus effusion . FINDINGS : Patient 's condition required examination in sitting semi - upright position using AP frontal and left lateral views . Comparison is made with the next preceding single AP chest view examination of ___ . Comparison of frontal views demonstrates grossly unchanged findings with relatively high - positioned diaphragms obscuring the heart size resulting in multiple plate atelectases on the bases . Lateral pleural sinuses remain free . No evidence of new acute infiltrates and no pneumothorax seen in the apical area . The lateral view demonstrates the patient in markedly reclined position . The linear atelectatic densities can be identified again . There is no evidence of significant fluid accumulation in the posterior dependent pleural sinuses . Heart size cannot be assessed as borders are obscured related to patient 's high - positioned diaphragms . Pulmonary vasculature is not demonstrating a congestive pattern . IMPRESSION : Bilateral basal atelectasis , infectious overlie cannot be excluded . There is , however , no evidence of pleural effusion and no pneumothorax is seen .", "entities": { "1": { "tokens": "high - positioned", "label": "OBS-DP", "start_ix": 75, "end_ix": 77, "relations": [ [ "located_at", "2" ], [ "suggestive_of", "3" ] ] }, "2": { "tokens": "diaphragms", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "3": { "tokens": "obscuring", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "4" ] ] }, "4": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "5": { "tokens": "size", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "multiple", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "plate", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "atelectases", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "suggestive_of", "1" ], [ "located_at", "9" ] ] }, "9": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "10": { "tokens": "Lateral", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "12": { "tokens": "sinuses", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "free", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "new", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "acute", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "infiltrates", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [] }, "17": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "18" ] ] }, "18": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "19": { "tokens": "area", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "linear", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "atelectatic", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "22": { "tokens": "densities", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "fluid", "label": "OBS-DA", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "27" ] ] }, "24": { "tokens": "accumulation", "label": "OBS-DA", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "posterior", "label": "ANAT-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "dependent", "label": "ANAT-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "suggestive_of", "27" ] ] }, "27": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [] }, "28": { "tokens": "sinuses", "label": "ANAT-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [] }, "30": { "tokens": "size", "label": "ANAT-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "borders", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "located_at", "29" ] ] }, "32": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "high - positioned", "label": "OBS-DP", "start_ix": 161, "end_ix": 163, "relations": [ [ "suggestive_of", "32" ], [ "located_at", "34" ] ] }, "34": { "tokens": "diaphragms", "label": "ANAT-DP", "start_ix": 164, "end_ix": 164, "relations": [] }, "35": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 166, "end_ix": 166, "relations": [] }, "36": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 167, "end_ix": 167, "relations": [ [ "modify", "35" ] ] }, "37": { "tokens": "congestive", "label": "OBS-DA", "start_ix": 172, "end_ix": 172, "relations": [ [ "located_at", "36" ] ] }, "38": { "tokens": "pattern", "label": "OBS-DA", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "37" ] ] }, "39": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 177, "end_ix": 177, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 178, "end_ix": 178, "relations": [] }, "41": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 179, "end_ix": 179, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "infectious", "label": "OBS-U", "start_ix": 181, "end_ix": 181, "relations": [] }, "43": { "tokens": "overlie", "label": "OBS-U", "start_ix": 182, "end_ix": 182, "relations": [ [ "modify", "42" ] ] }, "44": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 195, "end_ix": 195, "relations": [] }, "45": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 196, "end_ix": 196, "relations": [ [ "located_at", "44" ] ] }, "46": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 199, "end_ix": 199, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10004322/s57662923.txt": { "text": "WET READ : ___ ___ 2:03PM Streaky posteroinferior left lobe opacity may reflect atelectasis , though infection cannot be entirely excluded . Recommend correlation with physical exam and laboratory data . WET READ VERSION # 1 ___ ___ ___ 1:02PM Probable posteroinferior left lower lobe pneumonia . Recommend follow - up radiograph in ___ weeks following antibiotic administration to assess resolution . ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : History : ___ M with 2 weeks productive cough , shortness of breath , weakness TECHNIQUE : PA and lateral views of the chest provided . COMPARISON : Chest radiograph dated ___ . FINDINGS : Subtle streaky opacity in the left lower lobe may reflect atelectasis , though infection cannot be entirely excluded . There is no pleural effusion or pneumothorax . There is no central vascular congestion or overt pulmonary edema . Mediastinal and hilar contours are normal . Heart size is normal . IMPRESSION : Streaky left lobe opacity may reflect atelectasis , though infection cannot be entirely excluded . Recommend correlation with physical exam and laboratory data . NOTIFICATION : Updated wet read findings were discussed with ___ , Medical Student by ___ , M . D . on the telephone on ___ at 1 : 58 PM , 2 minutes after discovery of the findings .", "entities": { "1": { "tokens": "Streaky", "label": "OBS-DP", "start_ix": 6, "end_ix": 6, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "posteroinferior", "label": "ANAT-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "left", "label": "ANAT-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 9, "end_ix": 9, "relations": [] }, "5": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "located_at", "4" ], [ "suggestive_of", "6" ], [ "suggestive_of", "7" ] ] }, "6": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 13, "end_ix": 13, "relations": [] }, "7": { "tokens": "infection", "label": "OBS-U", "start_ix": 16, "end_ix": 16, "relations": [] }, "8": { "tokens": "posteroinferior", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "left", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "12": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "Subtle", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "streaky", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "18" ], [ "suggestive_of", "19" ], [ "suggestive_of", "20" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "19": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 120, "end_ix": 120, "relations": [] }, "20": { "tokens": "infection", "label": "OBS-U", "start_ix": 123, "end_ix": 123, "relations": [] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "22": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 133, "end_ix": 133, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 135, "end_ix": 135, "relations": [] }, "24": { "tokens": "central", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [] }, "26": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 142, "end_ix": 142, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [] }, "28": { "tokens": "edema", "label": "OBS-DA", "start_ix": 146, "end_ix": 146, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [] }, "30": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [] }, "31": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "29" ], [ "modify", "30" ] ] }, "32": { "tokens": "normal", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "located_at", "29" ], [ "located_at", "30" ] ] }, "33": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 155, "end_ix": 155, "relations": [] }, "34": { "tokens": "size", "label": "ANAT-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "normal", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "located_at", "33" ] ] }, "36": { "tokens": "Streaky", "label": "OBS-DP", "start_ix": 162, "end_ix": 162, "relations": [ [ "modify", "39" ] ] }, "37": { "tokens": "left", "label": "ANAT-DP", "start_ix": 163, "end_ix": 163, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 164, "end_ix": 164, "relations": [] }, "39": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [ [ "located_at", "38" ], [ "suggestive_of", "40" ], [ "suggestive_of", "41" ] ] }, "40": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 168, "end_ix": 168, "relations": [] }, "41": { "tokens": "infection", "label": "OBS-U", "start_ix": 171, "end_ix": 171, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003402/s52418327.txt": { "text": "FINAL REPORT HISTORY : Effusions and possible pneumothorax . FINDINGS : In comparison with study of ___ , there is little overall change . Substantial layering pleural effusions are seen bilaterally with compressive atelectasis at the base and dense streak of atelectasis in the right mid zone . Extensive fixation device is seen in the thoracic spine and right subclavian catheter extends to the mid to lower portion of the SVC .", "entities": { "1": { "tokens": "little", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "overall", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "change", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "4": { "tokens": "Substantial", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "7" ] ] }, "5": { "tokens": "layering", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "7": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "6" ] ] }, "9": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "11" ] ] }, "11": { "tokens": "base", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "12": { "tokens": "dense", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "streak", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "17" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "zone", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "18": { "tokens": "Extensive", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "fixation", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "device", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "22" ] ] }, "21": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "23": { "tokens": "right", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "25": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "24" ], [ "located_at", "29" ] ] }, "26": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "portion", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "26" ], [ "modify", "27" ] ] }, "29": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003402/s58269004.txt": { "text": "FINAL REPORT INDICATION : Small right pleural effusion , interval change . COMPARISON : Chest radiographs dating back to ___ . FINDINGS : Widening of the right mediastinum is no worse than yesterday . Heart size is stable . Small bilateral pleural effusions are unchanged . There is no pneumothorax . A small amount of fluid in the right minor fissure is unchanged . There is no focal consolidation concerning for pneumonia . Right subclavian line is present with tip in the cavoatrial junction . Vertebral stabilization devices and midline surgical clips are redemonstrated . IMPRESSION : No change right mediastinum to suggests active paraspinal hemorrhage . Small bilateral pleural effusions , stable since ___ .", "entities": { "1": { "tokens": "Widening", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "3" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [] }, "4": { "tokens": "worse", "label": "OBS-DA", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "1" ] ] }, "5": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "6": { "tokens": "size", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "stable", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "Small", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "11": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [] }, "14": { "tokens": "small", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "amount", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "19" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "minor", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "fissure", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "20": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "16" ] ] }, "21": { "tokens": "focal", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [ [ "suggestive_of", "23" ] ] }, "23": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [] }, "24": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "26": { "tokens": "line", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "tip", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "26" ], [ "located_at", "28" ] ] }, "28": { "tokens": "cavoatrial junction", "label": "ANAT-DP", "start_ix": 82, "end_ix": 83, "relations": [] }, "29": { "tokens": "Vertebral", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "30": { "tokens": "stabilization", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "devices", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "29" ] ] }, "32": { "tokens": "midline", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "33": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "clips", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "32" ] ] }, "35": { "tokens": "change", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "37" ], [ "suggestive_of", "40" ] ] }, "36": { "tokens": "right", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "38": { "tokens": "active", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "40" ] ] }, "39": { "tokens": "paraspinal", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "40": { "tokens": "hemorrhage", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "39" ] ] }, "41": { "tokens": "Small", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "44" ] ] }, "42": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "44": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "43" ] ] }, "45": { "tokens": "stable", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "44" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003402/s59341192.txt": { "text": "FINAL REPORT HISTORY : Status post 3 story resulting in T 9 transsection and paraplegia now with chest pain and tachycardia . TECHNIQUE : Portable frontal view of the chest . COMPARISON : Trauma torso ___ . Chest radiographs ___ in ___ . FINDINGS : A right subclavian line has been removed in the interim . Spinal hardware appears satisfactory position . Moderate to large bilateral pleural effusions with bibasilar atelectasis are unchanged . There is no pneumothorax or focal airspace consolidation . The cardiac and mediastinal contours are unchanged . A fracture of the left clavicle is again seen . IMPRESSION : Unchanged moderate to large bilateral pleural effusions .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "3": { "tokens": "line", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "Spinal", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "5": { "tokens": "hardware", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "satisfactory", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "position", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "5" ] ] }, "8": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "12" ] ] }, "9": { "tokens": "large", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "12": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "14": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "12" ], [ "modify", "14" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] }, "17": { "tokens": "focal", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "19": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "21": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "22": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "20" ], [ "modify", "21" ] ] }, "23": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "20" ], [ "located_at", "21" ] ] }, "24": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "26" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "clavicle", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "27": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "32" ] ] }, "28": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "32" ] ] }, "29": { "tokens": "large", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "32" ] ] }, "30": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "32": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "31" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003402/s57454594.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient with diffuse spinal fusion . Portable AP radiograph of the chest was compared to ___ . The spinal hardware is unchanged . There is interval progression of pleural effusions and potentially present pulmonary edema . There is no evidence of pneumothorax . Tubes and lines are otherwise unchanged .", "entities": { "1": { "tokens": "spinal", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [] }, "2": { "tokens": "hardware", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "progression", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "6": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "8": { "tokens": "edema", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [] }, "10": { "tokens": "Tubes", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "11": { "tokens": "lines", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "12": { "tokens": "otherwise", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "10" ], [ "located_at", "11" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003402/s55894071.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old male status post thoracic spinal fixation due to spine injury with complicated postoperative course . Evaluate for interval changes . COMPARISON : Prior chest radiograph on ___ and CT chest with contrast from ___ . TECHNIQUE : Frontal semi - upright chest radiograph . FINDINGS : Vertebral stabilization devices and midline surgical clips are redemonstrated , obscuring fine detail . There has been interval removal of the endotracheal and esophageal tubes . The right - sided subclavian line ends at the cavoatrial junction , unchanged . A layered left sided effusion is again seen with some fluid tracking along the minor fissure . The overall decrease in right hemithorax opacification may be secondary to decreased effusion versus different patient obliquity during imaging . A mild hazinness of the left lower lung field is suggestive of a small layering left sided effusion . A dense retrocardiac opacity represents postoperative atelectasis , unchanged . There are no focal pulmonary opacities concerning for pneumonia . There is no pneumothorax . Of note , there is increased widening of the upper and mid mediastinum along its right margin . Cardiac contour is stable . IMPRESSION : 1 . Increased widening of the upper and mid mediastinum along its right margin may represent paraspinal hemorrhage . Further assessment with CT is recommended . 2 . Interval removal of endotracheal and nasogastric tube . Spinal stabilization devices , surgical clips , and left subclavian line are unchanged . 3 . Layered right sided pleural effusion might be improved . A small layering left sided effusion is present . 4 . Stable left lower lobe atelectasis . These findings were communicated to Dr ___ by Dr ___ on ___ at 11am via telephone immediately after discovery .", "entities": { "1": { "tokens": "Vertebral", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "2": { "tokens": "stabilization", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "devices", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "midline", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "5": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "clips", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "obscuring", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "fine", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "detail", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "7" ] ] }, "10": { "tokens": "endotracheal", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "esophageal", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "tubes", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [] }, "13": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 82, "end_ix": 84, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "15": { "tokens": "line", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "14" ], [ "located_at", "16" ] ] }, "16": { "tokens": "cavoatrial", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "17": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "15" ] ] }, "19": { "tokens": "layered", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "left sided", "label": "ANAT-DP", "start_ix": 97, "end_ix": 98, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "some", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "25" ] ] }, "24": { "tokens": "minor", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "fissure", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "26": { "tokens": "decrease", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "right", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "29": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "suggestive_of", "26" ], [ "modify", "31" ] ] }, "31": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "32": { "tokens": "mild", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "hazinness", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "located_at", "36" ], [ "suggestive_of", "40" ] ] }, "34": { "tokens": "left", "label": "ANAT-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "37": { "tokens": "small", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "40" ] ] }, "38": { "tokens": "layering", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "40" ] ] }, "39": { "tokens": "left sided", "label": "ANAT-DP", "start_ix": 147, "end_ix": 148, "relations": [] }, "40": { "tokens": "effusion", "label": "OBS-U", "start_ix": 149, "end_ix": 149, "relations": [ [ "located_at", "39" ] ] }, "41": { "tokens": "dense", "label": "OBS-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "43" ] ] }, "42": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 153, "end_ix": 153, "relations": [] }, "43": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "located_at", "42" ], [ "suggestive_of", "45" ] ] }, "44": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 157, "end_ix": 157, "relations": [] }, "46": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "43" ] ] }, "47": { "tokens": "focal", "label": "OBS-DA", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "49" ] ] }, "48": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 165, "end_ix": 165, "relations": [] }, "49": { "tokens": "opacities", "label": "OBS-DA", "start_ix": 166, "end_ix": 166, "relations": [ [ "located_at", "48" ], [ "suggestive_of", "50" ] ] }, "50": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 169, "end_ix": 169, "relations": [] }, "51": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 174, "end_ix": 174, "relations": [] }, "52": { "tokens": "increased", "label": "OBS-DP", "start_ix": 181, "end_ix": 181, "relations": [ [ "modify", "53" ] ] }, "53": { "tokens": "widening", "label": "OBS-DP", "start_ix": 182, "end_ix": 182, "relations": [ [ "located_at", "56" ] ] }, "54": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 185, "end_ix": 185, "relations": [ [ "modify", "56" ] ] }, "55": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 187, "end_ix": 187, "relations": [ [ "modify", "56" ] ] }, "56": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 188, "end_ix": 188, "relations": [] }, "57": { "tokens": "right", "label": "ANAT-DP", "start_ix": 191, "end_ix": 191, "relations": [ [ "modify", "58" ] ] }, "58": { "tokens": "margin", "label": "ANAT-DP", "start_ix": 192, "end_ix": 192, "relations": [ [ "modify", "56" ] ] }, "59": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 194, "end_ix": 194, "relations": [] }, "60": { "tokens": "contour", "label": "ANAT-DP", "start_ix": 195, "end_ix": 195, "relations": [ [ "modify", "59" ] ] }, "61": { "tokens": "stable", "label": "OBS-DP", "start_ix": 197, "end_ix": 197, "relations": [ [ "located_at", "59" ] ] }, "62": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 203, "end_ix": 203, "relations": [ [ "modify", "63" ] ] }, "63": { "tokens": "widening", "label": "OBS-DP", "start_ix": 204, "end_ix": 204, "relations": [ [ "located_at", "66" ], [ "suggestive_of", "70" ] ] }, "64": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 207, "end_ix": 207, "relations": [ [ "modify", "66" ] ] }, "65": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 209, "end_ix": 209, "relations": [ [ "modify", "66" ] ] }, "66": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 210, "end_ix": 210, "relations": [] }, "67": { "tokens": "right", "label": "ANAT-DP", "start_ix": 213, "end_ix": 213, "relations": [ [ "modify", "68" ] ] }, "68": { "tokens": "margin", "label": "ANAT-DP", "start_ix": 214, "end_ix": 214, "relations": [ [ "modify", "66" ] ] }, "69": { "tokens": "paraspinal", "label": "OBS-U", "start_ix": 217, "end_ix": 217, "relations": [] }, "70": { "tokens": "hemorrhage", "label": "OBS-U", "start_ix": 218, "end_ix": 218, "relations": [ [ "located_at", "69" ] ] }, "71": { "tokens": "endotracheal", "label": "OBS-DA", "start_ix": 232, "end_ix": 232, "relations": [ [ "modify", "73" ] ] }, "72": { "tokens": "nasogastric", "label": "OBS-DA", "start_ix": 234, "end_ix": 234, "relations": [ [ "modify", "73" ] ] }, "73": { "tokens": "tube", "label": "OBS-DA", "start_ix": 235, "end_ix": 235, "relations": [] }, "74": { "tokens": "Spinal", "label": "ANAT-DP", "start_ix": 237, "end_ix": 237, "relations": [] }, "75": { "tokens": "stabilization", "label": "OBS-DP", "start_ix": 238, "end_ix": 238, "relations": [ [ "modify", "76" ] ] }, "76": { "tokens": "devices", "label": "OBS-DP", "start_ix": 239, "end_ix": 239, "relations": [ [ "located_at", "74" ] ] }, "77": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 241, "end_ix": 241, "relations": [ [ "modify", "78" ] ] }, "78": { "tokens": "clips", "label": "OBS-DP", "start_ix": 242, "end_ix": 242, "relations": [] }, "79": { "tokens": "left", "label": "ANAT-DP", "start_ix": 245, "end_ix": 245, "relations": [ [ "modify", "80" ] ] }, "80": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 246, "end_ix": 246, "relations": [] }, "81": { "tokens": "line", "label": "OBS-DP", "start_ix": 247, "end_ix": 247, "relations": [ [ "located_at", "80" ] ] }, "82": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 249, "end_ix": 249, "relations": [ [ "modify", "76" ], [ "modify", "78" ], [ "modify", "81" ] ] }, "83": { "tokens": "Layered", "label": "OBS-DP", "start_ix": 253, "end_ix": 253, "relations": [ [ "modify", "86" ] ] }, "84": { "tokens": "right sided", "label": "ANAT-DP", "start_ix": 254, "end_ix": 255, "relations": [ [ "modify", "85" ] ] }, "85": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 256, "end_ix": 256, "relations": [] }, "86": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 257, "end_ix": 257, "relations": [ [ "located_at", "85" ] ] }, "87": { "tokens": "improved", "label": "OBS-U", "start_ix": 260, "end_ix": 260, "relations": [ [ "modify", "86" ] ] }, "88": { "tokens": "small", "label": "OBS-DP", "start_ix": 263, "end_ix": 263, "relations": [ [ "modify", "91" ] ] }, "89": { "tokens": "layering", "label": "OBS-DP", "start_ix": 264, "end_ix": 264, "relations": [ [ "modify", "91" ] ] }, "90": { "tokens": "left sided", "label": "ANAT-DP", "start_ix": 265, "end_ix": 266, "relations": [] }, "91": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 267, "end_ix": 267, "relations": [ [ "located_at", "90" ] ] }, "92": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 273, "end_ix": 273, "relations": [ [ "modify", "96" ] ] }, "93": { "tokens": "left", "label": "ANAT-DP", "start_ix": 274, "end_ix": 274, "relations": [ [ "modify", "95" ] ] }, "94": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 275, "end_ix": 275, "relations": [ [ "modify", "95" ] ] }, "95": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 276, "end_ix": 276, "relations": [] }, "96": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 277, "end_ix": 277, "relations": [ [ "located_at", "95" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18003402/s52034419.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Status post spinal surgery , evaluation for pneumothorax . COMPARISON : No comparison available at the time of dictation . FINDINGS : Vertebral stabilization devices and cutaneous clips . The patient is intubated . The tip of the endotracheal tube projects 8 cm above the carina , the tube could be advanced by 2-3 cm . Retrocardiac atelectasis . Subtle nondisplaced fracture of the eighth left rib , in the dorsolateral part . No evidence of pneumothorax . No other abnormalities .", "entities": { "1": { "tokens": "Vertebral", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "2": { "tokens": "stabilization", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "devices", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "cutaneous", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "5": { "tokens": "clips", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "patient", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "7": { "tokens": "intubated", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "tip", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "10" ], [ "located_at", "11" ] ] }, "9": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "tube", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "11": { "tokens": "8 cm above", "label": "ANAT-DP", "start_ix": 47, "end_ix": 49, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "13": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "14": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "Subtle", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "nondisplaced", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "fracture", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "21" ] ] }, "18": { "tokens": "eighth", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "left", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "21": { "tokens": "dorsolateral part", "label": "ANAT-DP", "start_ix": 76, "end_ix": 77, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [] }, "23": { "tokens": "other", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001523/s58950691.txt": { "text": "FINAL REPORT INDICATION : Chest pain . COMPARISONS : ___ . FINDINGS : PA and lateral chest radiographs demonstrate clear lungs . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is normal . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "clear", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 20, "end_ix": 20, "relations": [] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 28, "end_ix": 28, "relations": [] }, "6": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "7": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "normal", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "acute", "label": "OBS-DA", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "11": { "tokens": "process", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "10" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001523/s59117874.txt": { "text": "FINAL REPORT INDICATION : Chest pain . COMPARISON : None . FINDINGS : PA and lateral chest radiographs demonstrate no focal consolidation , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is normal . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "focal", "label": "OBS-DA", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 21, "end_ix": 21, "relations": [] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 24, "end_ix": 24, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 27, "end_ix": 27, "relations": [] }, "6": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "7": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "normal", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "acute", "label": "OBS-DA", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "11": { "tokens": "process", "label": "OBS-DA", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "10" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001523/s53676202.txt": { "text": "WET READ : ___ ___ ___ 5:02AM No acute cardiopulmonary process . ______________________________________________________________________________ FINAL REPORT INDICATION : History : ___ M with chest pain / / Acute cardiopulmonary process TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiographs dated ___ and ___ . FINDINGS : The lungs are well - expanded and clear . The cardiomediastinal and hilar contours are unremarkable . There is no pneumothorax , pleural effusion , or consolidation . No acute displaced rib fractures . A metallic surgical anchor device is seen in the left humeral head . Degenerative changes are seen in the lower thoracic spine . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "2": { "tokens": "well - expanded", "label": "OBS-DP", "start_ix": 49, "end_ix": 51, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "clear", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "5": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "6": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "7": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "8": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [] }, "9": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "10": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [] }, "12": { "tokens": "acute", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "displaced", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "15": { "tokens": "fractures", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "metallic", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "surgical", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "anchor", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "device", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "22" ] ] }, "20": { "tokens": "left", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "humeral", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "22": { "tokens": "head", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "Degenerative", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "27" ] ] }, "24": { "tokens": "changes", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "28": { "tokens": "acute", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "30": { "tokens": "process", "label": "OBS-DA", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15003289/s54505463.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old female here for preoperative evaluation prior to renal transplant . COMPARISON : None available . TECHNIQUE : PA and lateral chest radiograph . FINDINGS : The lungs are well expanded and clear bilaterally with no masses or lesions . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is within normal limits . The pleural surfaces are unremarkable . IMPRESSION : No evidence of infection or malignancy . Normal chest radiograph .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "2": { "tokens": "well", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "clear", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "1" ] ] }, "6": { "tokens": "masses", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [] }, "7": { "tokens": "lesions", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [] }, "11": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "12": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "within", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "normal", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "11" ] ] }, "15": { "tokens": "limits", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "17": { "tokens": "surfaces", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "16" ] ] }, "19": { "tokens": "infection", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "20": { "tokens": "malignancy", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] }, "21": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "23": { "tokens": "radiograph", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "22" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017189/s54781713.txt": { "text": "FINAL REPORT HISTORY : Likely pneumonia versus COPD flareup . FINDINGS : In comparison with the study of ___ , there is continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis . Asymmetric opacification at the right base could well reflect developing consolidation . Hilar prominence is again seen .", "entities": { "1": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "3": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "5": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "9": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "7" ] ] }, "12": { "tokens": "Asymmetric", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "15" ], [ "suggestive_of", "16" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "base", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "16": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "17": { "tokens": "Hilar", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "18": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017189/s55185780.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Cough . AP and lateral upright chest radiographs were reviewed with no prior studies available for comparison . Heart size is enlarged . Bilateral prominence of pulmonary arteries is most likely consistent with pulmonary hypertension , although some degree of lymphadenopathy cannot be excluded . Coronary and aortic valve calcifications are noted . Patient is in interstitial pulmonary edema associated with bilateral pleural effusions . There is no pneumothorax . Re - evaluation of the patient is recommended to assess the hila for the presence of lymphadenopathy versus enlarged pulmonary arteries . Findings were discussed with Dr . ___ ___ the phone at 2:50p.m. on ___ .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "enlarged", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "7" ] ] }, "5": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "located_at", "7" ], [ "suggestive_of", "9" ] ] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "arteries", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "8": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "9": { "tokens": "hypertension", "label": "OBS-U", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "lymphadenopathy", "label": "OBS-U", "start_ix": 46, "end_ix": 46, "relations": [] }, "11": { "tokens": "Coronary", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "12": { "tokens": "aortic", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "13": { "tokens": "valve", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "11" ], [ "located_at", "12" ] ] }, "15": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "17": { "tokens": "edema", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "20": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] }, "22": { "tokens": "hila", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "23": { "tokens": "lymphadenopathy", "label": "OBS-U", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "26" ] ] }, "25": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "arteries", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017189/s59226684.txt": { "text": "FINAL REPORT HISTORY : Pneumonia . FINDINGS : In comparison with the study of ___ , there is little interval change . Continued enlargement of the cardiac silhouette with evidence of increased pulmonary venous pressure , bilateral pleural effusions with compressive atelectasis , and probable engorgement of central arteries consistent with pulmonary artery hypertension or lymphadenopathy .", "entities": { "1": { "tokens": "little", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "interval", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "change", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [] }, "4": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "5" ] ] }, "5": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "6": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "increased", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "10" ] ] }, "8": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "9": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "pressure", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "13": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "15" ] ] }, "14": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "16": { "tokens": "engorgement", "label": "OBS-U", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "18" ], [ "suggestive_of", "21" ], [ "suggestive_of", "22" ] ] }, "17": { "tokens": "central", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "arteries", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "19": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "artery", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "21": { "tokens": "hypertension", "label": "OBS-U", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "lymphadenopathy", "label": "OBS-U", "start_ix": 55, "end_ix": 55, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s57256545.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with severe MR , worsening lactate / / interval change IMPRESSION : In comparison to ___ chest radiograph , marked cardiomegaly is accompanied by persistent pulmonary vascular congestion and worsening interstitial edema . Pre - existing bibasilar opacities have slightly improved , particularly on the left . Small pleural effusions are present bilaterally , left greater than right .", "entities": { "1": { "tokens": "marked", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "3": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "4": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "8": { "tokens": "edema", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "Pre", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "existing", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "bibasilar", "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": "slightly", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "improved", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "12" ], [ "located_at", "15" ] ] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "16": { "tokens": "Small", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "18": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "17" ] ] }, "20": { "tokens": "left", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "17" ] ] }, "21": { "tokens": "greater", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s57930478.txt": { "text": "FINAL REPORT EXAMINATION : Chest radiograph INDICATION : ___ year old woman with CHF and severe MR ___ / p Mv clip now with hypotension and tachy on exam crackles heard bilaterally / / pul edema vs . pna TECHNIQUE : Portable AP chest radiograph COMPARISON : Prior chest radiographs from ___ , ___ , ___ , ___ . FINDINGS : Since ___ , moderate pulmonary vascular congestion and interstitial edema is worse . Severe cardiomegaly is unchanged . Lung volumes remain low with moderate bibasilar and retrocardiac atelectasis . Small bilateral pleural effusions are present bilaterally , left greater than right . No pneumothorax . IMPRESSION : Worsening moderate pulmonary vascular congestion and interstitial edema since ___ . NOTIFICATION : The findings were discussed by Dr . ___ with Dr . ___ ___ on the telephoneon ___ at 10:07AM , 2 minutes after discovery of the findings .", "entities": { "1": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "3": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "6": { "tokens": "edema", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "worse", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "4" ], [ "modify", "6" ] ] }, "8": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "10": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "12": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "low", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "17" ] ] }, "15": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "16": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "15" ], [ "located_at", "16" ] ] }, "18": { "tokens": "Small", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "21": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "left", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "19" ] ] }, "23": { "tokens": "greater", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "right", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "19" ] ] }, "25": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 104, "end_ix": 104, "relations": [] }, "26": { "tokens": "Worsening", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "30" ], [ "modify", "32" ] ] }, "27": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "30" ] ] }, "28": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "29": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "28" ] ] }, "30": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "32": { "tokens": "edema", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "31" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s59402206.txt": { "text": "WET READ : ___ ___ ___ 7:50AM Bibasilar atelectasis is improved from ___ . Massive cardiomegaly and findings consistent with CHF are largely stable . WET READ VERSION # ___ ___ ___ ___ 9:12PM Bibasilar atelectasis is improved from ___ . Massive cardiomegaly and findings consistent with CHF are largely stable . ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with severe MR , CHF with mitraclip planned for ___ ___ / Pre - procedural eval for mitraclip Surg : ___ ( mitraclip ) Pre - procedural eval for mitraclip IMPRESSION : In comparison with the study of ___ , there is little overall change . Again there is substantial enlargement of the cardiac silhouette with continued pulmonary edema . The hemidiaphragms are sharply seen bilaterally . This could represent some improvement in pleural effusions and compressive basilar atelectasis , though it may only be a manifestation of a more erect position of the patient .", "entities": { "1": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 7, "end_ix": 7, "relations": [] }, "2": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "improved", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "Massive", "label": "OBS-DP", "start_ix": 14, "end_ix": 14, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 15, "end_ix": 15, "relations": [ [ "suggestive_of", "7" ] ] }, "6": { "tokens": "findings", "label": "OBS-DP", "start_ix": 17, "end_ix": 17, "relations": [ [ "suggestive_of", "7" ] ] }, "7": { "tokens": "CHF", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [] }, "8": { "tokens": "largely", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "stable", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "5" ], [ "modify", "6" ] ] }, "10": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "11": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "improved", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "Massive", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "suggestive_of", "16" ] ] }, "15": { "tokens": "findings", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "suggestive_of", "16" ] ] }, "16": { "tokens": "CHF", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "17": { "tokens": "largely", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "stable", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "14" ], [ "modify", "15" ] ] }, "19": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "21" ] ] }, "21": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "22": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [] }, "24": { "tokens": "edema", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "hemidiaphragms", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "26": { "tokens": "sharply", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "25" ] ] }, "28": { "tokens": "This", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "26" ], [ "suggestive_of", "29" ] ] }, "29": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "31" ], [ "modify", "34" ] ] }, "30": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [] }, "31": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [] }, "34": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "it", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "26" ] ] }, "36": { "tokens": "manifestation", "label": "OBS-U", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "35" ] ] }, "37": { "tokens": "erect", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "position", "label": "OBS-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "36" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s58131029.txt": { "text": "FINAL REPORT PORTABLE CHEST ___ COMPARISON : ___ radiograph . FINDINGS : Interval increase in heart size accompanied by pulmonary vascular engorgement and moderate diffuse pulmonary edema . In the imaged upper abdomen , gastric distention is new .", "entities": { "1": { "tokens": "increase", "label": "OBS-DP", "start_ix": 13, "end_ix": 13, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 15, "end_ix": 15, "relations": [] }, "3": { "tokens": "size", "label": "ANAT-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "5": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "engorgement", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "suggestive_of", "1" ], [ "located_at", "5" ] ] }, "7": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "10" ] ] }, "8": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "10": { "tokens": "edema", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "suggestive_of", "1" ], [ "located_at", "9" ] ] }, "11": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "13": { "tokens": "gastric", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "distention", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "13" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s54618867.txt": { "text": "FINAL REPORT HISTORY : Cough in prior smoker . FINDINGS : In comparison with study of ___ , there is again enlargement of the cardiac silhouette . The pulmonary vascularity is essentially within normal limits at this time . No definite focal pneumonia . S - shaped scoliosis of the thoracolumbar spine persists .", "entities": { "1": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "3": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "vascularity", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "6": { "tokens": "within", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "normal", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "limits", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "focal", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [] }, "11": { "tokens": "S - shaped", "label": "OBS-DP", "start_ix": 44, "end_ix": 46, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "14" ] ] }, "13": { "tokens": "thoracolumbar", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s54889621.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with decompensated HF ___ severe mitral valve prolapse , now s / p clipping / / improvement in pulmonary edema ? improvement in pulmonary edema ? IMPRESSION : In comparison with study of ___ , there is substantial increased opacification at the left base with silhouetting the hemidiaphragm , consistent with volume loss in the left lower lobe and pleural fluid . Otherwise little change . Continued enlargement of the cardiac silhouette with prominence of interstitial markings that could reflect pulmonary vascular congestion , chronic pulmonary disease , or both .", "entities": { "1": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "increased", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "5" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "base", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "6": { "tokens": "silhouetting", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "3" ], [ "located_at", "7" ] ] }, "7": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "8": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "12" ] ] }, "9": { "tokens": "loss", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "14": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Continued", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "17" ], [ "suggestive_of", "24" ], [ "suggestive_of", "27" ] ] }, "17": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "18": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "21": { "tokens": "markings", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "20" ], [ "suggestive_of", "24" ], [ "suggestive_of", "27" ] ] }, "22": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "24": { "tokens": "congestion", "label": "OBS-U", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "chronic", "label": "OBS-U", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "27": { "tokens": "disease", "label": "OBS-U", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s51745487.txt": { "text": "FINAL REPORT INDICATION : ___ year old woman with fatigue , recurrent AF , and signs of increasing chf . / / ? chf TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph ___ FINDINGS : Since ___ , worsening cardiomegaly and worsening perihilar infiltrates consistent with pulmonary edema . Right moderate pleural effusion and small left pleural effusion are new since ___ . Hilar structures are normal . IMPRESSION : New or decompensating cardiogenic pulmonary edema .", "entities": { "1": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "suggestive_of", "7" ] ] }, "3": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "5": { "tokens": "infiltrates", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "4" ], [ "suggestive_of", "7" ] ] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "7": { "tokens": "edema", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "small", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "15": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "new", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "11" ], [ "modify", "15" ] ] }, "17": { "tokens": "Hilar", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "18": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "normal", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "New", "label": "OBS-U", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "24" ] ] }, "21": { "tokens": "decompensating", "label": "OBS-U", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "cardiogenic", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [] }, "23": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "24": { "tokens": "edema", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "suggestive_of", "22" ], [ "located_at", "23" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s54027174.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON : Chest CT from ___ as well as a chest radiograph from ___ . CLINICAL HISTORY : ___ - year - old female with congestive heart failure , MVR with worsening shortness of breath . FINDINGS : PA and lateral views of the chest were provided . PA and lateral views of the chest provided demonstrate cardiomegaly unchanged , with significant improvement in pulmonary edema seen on prior , with only minimal residual interstitial edema present on today 's exam . No large effusion or pneumothorax . Scoliosis is stable . Bony structures appear intact . IMPRESSION : Minimal residual pulmonary interstitial edema . Stable cardiomegaly .", "entities": { "1": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "2": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "significant", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "6": { "tokens": "edema", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "10" ] ] }, "8": { "tokens": "residual", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "10": { "tokens": "edema", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "large", "label": "OBS-DA", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [] }, "13": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [] }, "14": { "tokens": "Scoliosis", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "15": { "tokens": "stable", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "Bony", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "17": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "intact", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "23" ] ] }, "20": { "tokens": "residual", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "23" ] ] }, "21": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "22": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "edema", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "21" ] ] }, "24": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s54785596.txt": { "text": "FINAL REPORT INDICATION : Three days of fever , cough , and near syncope . COMPARISON : None . PA AND LATERAL VIEWS OF THE CHEST : Moderate enlargement of the cardiac silhouette is present . The aorta is tortuous and calcified . There are increased interstitial markings bilaterally compatible with interstitial edema . No focal consolidation , pleural effusion or pneumothorax is present . There are multilevel degenerative changes in the thoracic spine . IMPRESSION : Mild interstitial pulmonary edema .", "entities": { "1": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "4": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "6": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "calcified", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "increased", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "10": { "tokens": "markings", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "9" ], [ "suggestive_of", "13" ] ] }, "11": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "9" ] ] }, "12": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "13": { "tokens": "edema", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "focal", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "17": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [] }, "19": { "tokens": "multilevel", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "23" ] ] }, "20": { "tokens": "degenerative", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "23" ] ] }, "21": { "tokens": "changes", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "24": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "27" ] ] }, "25": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "27": { "tokens": "edema", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15009233/s50208186.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman with shortness of breath . / / Pulmonary edema ? INCREASING SOB R / O PULMONARY EDEMA IMPRESSION : IN COMPARISON WITH THE STUDY OF ___ , THERE IS LITTLE OVERALL CHANGE . AGAIN THERE IS SUBSTANTIAL ENLARGEMENT OF THE CARDIAC SILHOUETTE WITH CONTINUED PULMONARY EDEMA AND BILATERAL PLEURAL EFFUSIONS WITH COMPRESSIVE BASILAR ATELECTASIS .", "entities": { "1": { "tokens": "SUBSTANTIAL", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "ENLARGEMENT", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "CARDIAC", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "4": { "tokens": "SILHOUETTE", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "CONTINUED", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "PULMONARY", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "7": { "tokens": "EDEMA", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "BILATERAL", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "PLEURAL", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "10": { "tokens": "EFFUSIONS", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "COMPRESSIVE", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "BASILAR", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "13": { "tokens": "ATELECTASIS", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "12" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s55843146.txt": { "text": "FINAL REPORT CHEST ON ___ HISTORY : Check interval change . FINDINGS : There is volume loss at both bases , and an early infiltrate cannot be excluded in these regions . Otherwise , there is no significant interval change .", "entities": { "1": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 15, "end_ix": 15, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "loss", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "both", "label": "ANAT-DP", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "5": { "tokens": "early", "label": "OBS-U", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "infiltrate", "label": "OBS-U", "start_ix": 24, "end_ix": 24, "relations": [] }, "7": { "tokens": "significant interval", "label": "OBS-DA", "start_ix": 37, "end_ix": 38, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "change", "label": "OBS-DA", "start_ix": 39, "end_ix": 39, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s58990129.txt": { "text": "FINAL REPORT PA AND LATERAL CHEST , ___ HISTORY : A ___ - year - old man after a left upper lobe wedge resection . Check for pneumothorax . IMPRESSION : PA and lateral chest compared to ___ , 2:26p.m. : Moderate left pneumothorax probably unchanged in volume over two hours . Left pleural effusion minimal if any . Moderate left basal atelectasis stable . Combination of atelectasis and local hemorrhage in the left suprahilar lung is relatively stable . Mild atelectasis , right lower lobe , stable . Heart size normal .", "entities": { "1": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "3": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "volume", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "3" ] ] }, "6": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "effusion", "label": "OBS-U", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "minimal", "label": "OBS-U", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "12": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "stable", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "19" ] ] }, "16": { "tokens": "local", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "hemorrhage", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "19" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "suprahilar", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "21": { "tokens": "relatively", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "stable", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "15" ], [ "modify", "17" ] ] }, "23": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "27" ] ] }, "25": { "tokens": "right", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "28": { "tokens": "stable", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "24" ] ] }, "29": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "30": { "tokens": "size", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "normal", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s53701643.txt": { "text": "FINAL REPORT AP CHEST , 10:30A.M. , ___ HISTORY : ___ - year - old man after left upper lobe wedge resection . IMPRESSION : AP chest presented for review on ___ , compared to ___ : Small left apical pneumothorax has increased , despite the left pleural drain which may traverse the major fissure before ending in the midline . Mild - to - moderate left lower lobe atelectasis has improved . Left pleural effusion is small if any . Heart size normal . Right lung clear .", "entities": { "1": { "tokens": "Small", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "increased", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "8": { "tokens": "drain", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "7" ], [ "located_at", "10" ], [ "located_at", "11" ] ] }, "9": { "tokens": "major", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "fissure", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "11": { "tokens": "midline", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "12": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "17" ] ] }, "13": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "17" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "improved", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "small", "label": "OBS-U", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "24": { "tokens": "size", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "normal", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "23" ] ] }, "26": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "28": { "tokens": "clear", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "27" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s54674484.txt": { "text": "FINAL REPORT HISTORY : Right lower lobe consolidation from CT , to assess for change . FINDINGS : In comparison with the study of ___ , there is no definite area of increased opacification at the base to correspond with the lower lobe consolidation appreciated on CT . This could reflect complete clearing of the pneumonia , though CT is much more sensitive for demonstrating pulmonary consolidation than are plain radiographs .", "entities": { "1": { "tokens": "increased", "label": "OBS-DA", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "opacification", "label": "OBS-DA", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "base", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "4": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "5": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s51634677.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old man with history of HCV / ETOH cirrhosis complicated by hepatocellular carcinoma , now status post orthotopic liver transplant in ___ . Concern for SIRS . Evaluate for pneumonia or consolidation . COMPARISON : CT chest of ___ and chest radiographs most recent of ___ . FRONTAL AND LATERAL VIEWS OF THE CHEST : The lungs are clear . There is no pleural effusion or pneumothorax . Cardiomediastinal silhouette is within normal limits . IMPRESSION : No evidence of pneumonia .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] }, "6": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "7": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "within", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "normal", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "6" ] ] }, "10": { "tokens": "limits", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s52929930.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with Fever on POD 2 , chest xray shows right lower lobe infiltrate , started on Cefepime / / Assess Right lower lobe infiltrate seen on chest xray ___ done for fever , POD 3 Right adrenalectomy and remote liver transplant IMPRESSION : As compared to previous radiograph of 1 day earlier , cardiomediastinal contours are stable . Left basilar opacity has nearly resolved in the right lower lobe opacity has improved . Such rapid improvement and the presence of adjacent volume loss favor atelectasis over infectious pneumonia . Small pleural effusions are unchanged on the right and decreased on the left .", "entities": { "1": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "2": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "stable", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "6": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "nearly", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "resolved", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "6" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "12": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "improved", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "rapid", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "16" ] ] }, "16": { "tokens": "adjacent", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "suggestive_of", "19" ], [ "suggestive_of", "21" ] ] }, "17": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "loss", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 100, "end_ix": 100, "relations": [] }, "20": { "tokens": "infectious", "label": "OBS-U", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 103, "end_ix": 103, "relations": [] }, "22": { "tokens": "Small", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "24": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "23" ], [ "located_at", "26" ] ] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "27": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "23" ], [ "located_at", "28" ] ] }, "28": { "tokens": "left", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s59128455.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient after left upper lobe wedge resection . COMPARISON : ___ . Heart size and mediastinum are stable . There is interval resolution of pneumothorax with only minimal apical amount of air noted . There is small amount of left pleural effusion / pleural thickening present . Lungs are essentially clear and cardiomediastinal silhouette is unremarkable .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "4": { "tokens": "stable", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "1" ], [ "located_at", "3" ] ] }, "5": { "tokens": "interval", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "resolution", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "8": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "10": { "tokens": "air", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "small", "label": "OBS-U", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "14": { "tokens": "effusion", "label": "OBS-U", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "16": { "tokens": "thickening", "label": "OBS-U", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "18": { "tokens": "essentially", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "clear", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "21": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "20" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s59788459.txt": { "text": "FINAL REPORT HISTORY : Left upper lobe wedge resection status post chest tube removal . Evaluate for a pneumothorax . COMPARISON : Chest radiograph ___ under ___ ___ . FRONTAL AND LATERAL VIEWS OF THE CHEST : A left chest tube has been removed . There is a small left pneumothorax which has increased slightly from 3 hr prior . Opacity in the left upper lung is likely postoperative and unchanged , adjacent to chain sutures . The bibasilar atelectasis has improved with unchanged linear scarring in the left lung base . There is a tiny left pleural effusion , best appreciated on the lateral view . Subcutaneous emphysema persists . Heart is normal size . The mediastinal and hilar structures are unremarkable . Findings discussed with ___ from ___ by ___ at ___ PM , 20 minutes after discovery by phone .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DA", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "small", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "left", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "6": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "increased", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "Opacity", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "13" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "13": { "tokens": "postoperative", "label": "OBS-U", "start_ix": 68, "end_ix": 68, "relations": [] }, "14": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "9" ] ] }, "15": { "tokens": "chain", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "12" ] ] }, "17": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "18": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "improved", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "linear", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "25" ] ] }, "23": { "tokens": "left", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "25": { "tokens": "base", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "tiny", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "29" ] ] }, "27": { "tokens": "left", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "29": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "Subcutaneous", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "31": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "30" ] ] }, "32": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "33": { "tokens": "normal", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "located_at", "32" ] ] }, "34": { "tokens": "size", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "32" ] ] }, "35": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "36": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [] }, "37": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "35" ], [ "modify", "36" ] ] }, "38": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "35" ], [ "located_at", "36" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s57099953.txt": { "text": "FINAL REPORT HISTORY : Status post VATS for cancer . Evaluate postoperative changes . COMPARISON : Preoperative chest radiograph ___ . Chest CT ___ . FRONTAL CHEST RADIOGRAPH : A left chest tube is positioned within the apex of the lung . Left lung volume loss with elevation of the left hemidiaphragm and apical sutures postoperative . Hazy opacity at the left lung apex is consistent with postoperative blood / hematoma . Increasing opacity at the right lung base may represent aspiration or atelectasis and attention on follow up is recommended . There is no pleural effusion or pneumothorax . Heart is normal size . The hilar structures are unchanged .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "2" ], [ "located_at", "4" ] ] }, "4": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "6": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "8": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "loss", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "7" ] ] }, "10": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "suggestive_of", "9" ], [ "located_at", "12" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "13": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "7" ] ] }, "14": { "tokens": "sutures", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "suggestive_of", "9" ], [ "located_at", "13" ] ] }, "15": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "Hazy", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "20" ], [ "suggestive_of", "22" ], [ "suggestive_of", "23" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "20": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "blood", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "23": { "tokens": "hematoma", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "24": { "tokens": "Increasing", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "28" ], [ "suggestive_of", "29" ], [ "suggestive_of", "30" ] ] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "28": { "tokens": "base", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [] }, "30": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 83, "end_ix": 83, "relations": [] }, "31": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "32": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [] }, "34": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "35": { "tokens": "normal", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "size", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "34" ] ] }, "37": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "38": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "37" ] ] }, "39": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "37" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s52116555.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ M with low O 2 sats / / eval for infiltrate , edema COMPARISON : ___ FINDINGS : AP portable upright view of the chest . Interval resolution of right lower lobe pneumonia . No focal consolidation , large effusion or pneumothorax . No signs of congestion or edema . Cardiomediastinal silhouette is normal . Bony structures are intact . IMPRESSION : No acute intrathoracic process", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "4": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "focal", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [] }, "7": { "tokens": "large", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [] }, "10": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [] }, "11": { "tokens": "edema", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [] }, "12": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "13": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "normal", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "Bony", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "16": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "intact", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "15" ] ] }, "18": { "tokens": "acute", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "19": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "20": { "tokens": "process", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "19" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s55479181.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old man with right TKR and liver transplant . COMPARISON : Chest radiograph ___ . AP AND LATERAL CHEST RADIOGRAPHS : The cardiomediastinal and hilar contours are normal . A small right pleural effusion is seen . No new consolidation , pulmonary edema or left pleural effusion is seen . Linear left lower lobe atelectasis is seen . IMPRESSION : Left basilar atelectasis . No evidence of pneumonia .", "entities": { "1": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "2": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "3": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "1" ], [ "modify", "2" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "1" ], [ "located_at", "2" ] ] }, "5": { "tokens": "small", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "new", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [] }, "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": "left", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "15": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "Linear", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "20" ] ] }, "17": { "tokens": "left", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "20": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "23": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s56438849.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with fever of 102 / / Please r / o pneumonia vs . atelectasis TECHNIQUE : Portable chest COMPARISON : ___ . FINDINGS : There is a new right lower lobe infiltrate . There small bilateral effusions right greater than left IMPRESSION : New right lower lobe infiltrate", "entities": { "1": { "tokens": "new", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "5": { "tokens": "infiltrate", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "small", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "8": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "7" ] ] }, "10": { "tokens": "greater", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "8" ], [ "located_at", "9" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "7" ] ] }, "12": { "tokens": "New", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "16" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "16": { "tokens": "infiltrate", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "15" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s54952309.txt": { "text": "FINAL REPORT CHEST ON ___ HISTORY : Chest tube on waterseal , check pneumothorax . FINDINGS : There is a small left lateral pneumothorax that is increased compared to the study from earlier the same day . The appearance of the left chest tube and the lungs are otherwise unchanged .", "entities": { "1": { "tokens": "small", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [] }, "3": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "2" ] ] }, "5": { "tokens": "increased", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "8": { "tokens": "tube", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "10": { "tokens": "otherwise", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "9" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000393/s55723653.txt": { "text": "FINAL REPORT PA AND LATERAL CHEST , ___ COMPARISON : Radiograph of one day earlier . FINDINGS : Patient is status post left upper lobe wedge resection procedure . Left chest tube remains in place , with decreased size of left apical pneumothorax with only a small residual pneumothorax remaining . Increased opacity at the wedge resection site is also improving . However , worsening atelectasis is demonstrated at both lung bases . Note is also made of a small left pleural effusion .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "4": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "6": { "tokens": "tube", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "in place", "label": "OBS-DP", "start_ix": 33, "end_ix": 34, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "12" ] ] }, "9": { "tokens": "size", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "12": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "small", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "residual", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "16": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "wedge", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "resection", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "20": { "tokens": "site", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "improving", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "17" ] ] }, "22": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "25" ] ] }, "24": { "tokens": "both", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "26": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "small", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "30" ] ] }, "28": { "tokens": "left", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "30": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s52460896.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Respiratory failure . Comparison is made with prior study , ___ . Cardiac size is normal . Large right and moderate left pleural effusions are grossly unchanged allowing for differences in positioning of the patient . NG tubes are in the stomach . ET tube is in the standard position . Right peripherally inserted catheter tip is in the right subclavian vein , unchanged .", "entities": { "1": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "Large", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "located_at", "5" ], [ "modify", "9" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "7" ], [ "modify", "9" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "9": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "NG", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "13" ] ] }, "13": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "14": { "tokens": "ET", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "tube", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "16": { "tokens": "standard", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "position", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "15" ] ] }, "18": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "peripherally", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "20": { "tokens": "inserted", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "19" ] ] }, "22": { "tokens": "tip", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "21" ], [ "located_at", "25" ] ] }, "23": { "tokens": "right", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "vein", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "26": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "22" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s59891001.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Intubated patient , hypoxic respiratory failure . Comparison is made with prior study , ___ . Cardiac size is normal . Lines and tubes are in the standard position . Large right and moderate left pleural effusions are grossly unchanged allowing the differences in positioning of the patient . Right upper lobe opacity has improved consistent with improving atelectasis . Pleural effusions are associated with atelectasis , larger on the right side . There is mild vascular congestion .", "entities": { "1": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "Lines", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "5": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "6": { "tokens": "standard", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "position", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "8": { "tokens": "Large", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "13" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "13": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "13" ] ] }, "16": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "19": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "improved", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "improving", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "18" ] ] }, "23": { "tokens": "Pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "27" ] ] }, "24": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "27" ] ] }, "26": { "tokens": "larger", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "24" ], [ "modify", "25" ] ] }, "27": { "tokens": "right side", "label": "ANAT-DP", "start_ix": 82, "end_ix": 83, "relations": [] }, "28": { "tokens": "mild", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "30": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s57321224.txt": { "text": "FINAL REPORT CHEST RADIOGRAPHS HISTORY : Shortness of breath . COMPARISONS : ___ . TECHNIQUE : Chest , PA and lateral . FINDINGS : The heart is normal in size . The mediastinal and hilar contours appear unchanged . The lungs are hyperinflated . There is no evidence for pleural effusion or pneumothorax . The lungs appear clear . Mildly exaggerated kyphotic curvature and suspected demineralization are noted . IMPRESSION : Hyperinflation . No evidence of acute disease .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "2": { "tokens": "normal", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "size", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "5": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "6": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "7": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "8": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "9": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [] }, "13": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "14": { "tokens": "clear", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Mildly", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "exaggerated", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "kyphotic", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "18": { "tokens": "curvature", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "demineralization", "label": "OBS-U", "start_ix": 65, "end_ix": 65, "relations": [] }, "20": { "tokens": "Hyperinflation", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "21": { "tokens": "acute", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "disease", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s55758034.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman with pneumonia , severe mitral regurgitation and sepsis . COMPARISONS : ___ to ___ . FINDINGS : A single portable semi - erect chest radiograph is obtained . There is no significant change in the middle and lower lobe pneumonia , better appreciated on recent CT . There is no increased pulmonary edema , new consolidation , or pneumothorax . Layering left pleural effusion has gotten slightly bigger . Cardiac and mediastinal contours are unchanged . IMPRESSION : No significant change in right middle and lower lobe pneumonia . Small increase in left pleural effusion .", "entities": { "1": { "tokens": "significant", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "change", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "6" ] ] }, "3": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "6": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "increased", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "9": { "tokens": "edema", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "new", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [] }, "13": { "tokens": "Layering", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "16" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "bigger", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "16" ] ] }, "19": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "20": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "21": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "19" ], [ "modify", "20" ] ] }, "22": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "19" ], [ "located_at", "20" ] ] }, "23": { "tokens": "significant", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "change", "label": "OBS-DA", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "29" ] ] }, "25": { "tokens": "right", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "28" ] ] }, "26": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "29": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "Small", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "increase", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "34" ] ] }, "32": { "tokens": "left", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "34": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "33" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s50292543.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman with pseudomonas UTI , intubated for hypoxic respiratory failure , assess for interval change . COMPARISONS : ___ . Portable semi - upright chest radiograph is presented for review . Endotracheal tube terminates 2.3 cm above the carina . Nasogastric and Dobbhoff tubes course into the stomach and out of view . Bilateral right greater than left moderate pleural effusions and bibasilar atelectasis are unchanged without new pulmonary opacities and unchanged mild pulmonary edema . Left PICC is unchanged .", "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "3": { "tokens": "2.3 cm above the carina", "label": "OBS-DP", "start_ix": 43, "end_ix": 47, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "Nasogastric", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "Dobbhoff", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "7" ] ] }, "7": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "8": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "12" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "12" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "13": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "15": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "13" ], [ "modify", "15" ] ] }, "17": { "tokens": "new", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "19": { "tokens": "opacities", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "23" ] ] }, "21": { "tokens": "mild", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "23": { "tokens": "edema", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "Left", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "26": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "25" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s50862960.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Respiratory failure , intubated . Comparison is made with prior study ___ . Large right and moderate left pleural effusions are unchanged . Cardiomediastinal contours are normal . Right IJ catheter tip is at the cavoatrial junction . ET tube is in standard position . NG tube tip is out of view below the diaphragm . There is no evident pneumothorax .", "entities": { "1": { "tokens": "Large", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "located_at", "2" ], [ "modify", "6" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "left", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "6": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "9": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "Right", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "IJ", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "14": { "tokens": "tip", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "13" ], [ "located_at", "15" ] ] }, "15": { "tokens": "cavoatrial junction", "label": "ANAT-DP", "start_ix": 47, "end_ix": 48, "relations": [] }, "16": { "tokens": "ET", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "tube", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "18": { "tokens": "standard", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "position", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "17" ] ] }, "20": { "tokens": "NG", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "tube", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "22": { "tokens": "tip", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "21" ], [ "located_at", "24" ] ] }, "23": { "tokens": "below", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "25": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s56100138.txt": { "text": "FINAL REPORT INDICATION : Fever , tachycardia and history of bronchiectasis , evaluate for pneumonia . COMPARISON : ___ and CT chest , ___ . FINDINGS : Frontal and lateral views of the chest were performed . The lung volumes are low which results in vascular crowding . However , despite this , there appear to be bibasilar , right greater than left , nodular opacities and interstitial thickening . There is likely a small right pleural effusion . Heart size is normal . There is no pneumothorax . There are no suspicious osseous lesions . Multiple dilated loops of small bowel are present . IMPRESSION : 1 . Bibasilar opacities would be consistent with pneumonia and / or aspiration in the right clinical setting . Likely some component of pulmonary edema given the interstitial thickening . 2 . Multiple dilated loops of small bowel may represent ileus or obstruction . Dedicated abdominal radiograph may be performed for better characterization .", "entities": { "1": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "2": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "low", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "1" ], [ "suggestive_of", "5" ] ] }, "4": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "5": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "6" ] ] }, "9": { "tokens": "nodular", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "6" ] ] }, "11": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "12": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "6" ], [ "located_at", "11" ] ] }, "13": { "tokens": "small", "label": "OBS-U", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "16" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-U", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "18": { "tokens": "size", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "normal", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [] }, "21": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "22": { "tokens": "lesions", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "Multiple", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "dilated", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "27" ] ] }, "25": { "tokens": "loops", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "small", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "bowel", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "28": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "29": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "28" ], [ "suggestive_of", "30" ] ] }, "30": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "31": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] }, "32": { "tokens": "edema", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "34": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "Multiple", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "dilated", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "located_at", "39" ], [ "suggestive_of", "40" ], [ "suggestive_of", "41" ] ] }, "37": { "tokens": "loops", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "modify", "39" ] ] }, "38": { "tokens": "small", "label": "ANAT-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "bowel", "label": "ANAT-DP", "start_ix": 144, "end_ix": 144, "relations": [] }, "40": { "tokens": "ileus", "label": "OBS-U", "start_ix": 147, "end_ix": 147, "relations": [] }, "41": { "tokens": "obstruction", "label": "OBS-U", "start_ix": 149, "end_ix": 149, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s59258773.txt": { "text": "FINAL REPORT AP CHEST , 9:27A.M. , ___ HISTORY : Severe C . difficile colitis . Aggressive volume resuscitation . Worsening tachypnea . IMPRESSION : AP chest compared to ___ : Moderate to large right and moderate left pleural effusions have both increased in size . Upper lungs are clear . Heart is obscured by the effusions , but not substantially enlarged . No free subdiaphragmatic gas . Left PIC line ends in the left brachiocephalic vein .", "entities": { "1": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "7" ] ] }, "2": { "tokens": "large", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "7" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "7" ] ] }, "5": { "tokens": "left", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "7": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "increased", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "size", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "7" ] ] }, "10": { "tokens": "Upper", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "12": { "tokens": "clear", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "14": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "substantially", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "enlarged", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "13" ] ] }, "18": { "tokens": "free", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "subdiaphragmatic", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "20": { "tokens": "gas", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Left", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "PIC", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "line", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "25" ] ] }, "24": { "tokens": "left", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "brachiocephalic", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "vein", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s51574899.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Status post right thoracentesis and pigtail catheter placement . Comparison is made with prior study performed nine hours earlier . There is decrease in now small right pleural effusion . There is no pneumothorax . There is a new right pacer pigtail catheter . Cardiomediastinal contours are unchanged . Lines and tubes are in standard position . Left lower lobe opacities , a combination of pleural effusion and atelectasis , are unchanged .", "entities": { "1": { "tokens": "decrease", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "small", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "5": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [] }, "7": { "tokens": "new", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "9" ], [ "modify", "11" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "9": { "tokens": "pacer", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pigtail", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "8" ] ] }, "12": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "13": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "Lines", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "16": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "17": { "tokens": "standard", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "position", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "15" ], [ "modify", "16" ] ] }, "19": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "22": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "21" ], [ "suggestive_of", "24" ], [ "suggestive_of", "25" ] ] }, "23": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "24": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "26": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "22" ], [ "modify", "24" ], [ "modify", "25" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s56836542.txt": { "text": "FINAL REPORT INDICATION : Pseudomonas UTI , hypoxic respiratory failure secondary to chronic deconditioning . COMPARISON : Most recent chest radiographs from ___ dating back to ___ . FINDINGS : A bedside AP radiograph of the chest demonstrates interval improvement in mild pulmonary edema compared to the most recent study from ___ . A moderate right pleural effusion is stable and a small left pleural effusion has also decreased in size . Aside from persistent bibasilar atelectasis , the lungs are clear . The hilar and cardiomediastinal contours are normal . There is no pneumothorax . An endotracheal tube terminates no less than 4.6 cm above the carina . A left PICC terminates in the mid SVC . A Dobbhoff tube terminates in the stomach and a second enteric tube enters the stomach and courses inferiorly beyond the field of view . IMPRESSION : Compared to the most recent study , there is improvement in the mild pulmonary edema and decrease in the small left pleural effusion . Moderate right pleural effusion and bibasilar atelectasis are stable .", "entities": { "1": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "mild", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "4": { "tokens": "edema", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "stable", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "small", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "size", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "19": { "tokens": "clear", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "21": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "22": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "20" ], [ "modify", "21" ] ] }, "23": { "tokens": "normal", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "20" ], [ "located_at", "21" ] ] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [] }, "25": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "tube", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "28" ] ] }, "27": { "tokens": "4.6 cm above", "label": "ANAT-DP", "start_ix": 103, "end_ix": 105, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "30": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "29" ], [ "located_at", "32" ] ] }, "31": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "33": { "tokens": "Dobbhoff", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "tube", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "located_at", "35" ] ] }, "35": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "36": { "tokens": "second", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "tube", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "located_at", "39" ] ] }, "39": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "40": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "modify", "43" ] ] }, "41": { "tokens": "mild", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "43" ] ] }, "42": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 157, "end_ix": 157, "relations": [] }, "43": { "tokens": "edema", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "located_at", "42" ] ] }, "44": { "tokens": "decrease", "label": "OBS-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "48" ] ] }, "45": { "tokens": "small", "label": "OBS-DP", "start_ix": 163, "end_ix": 163, "relations": [ [ "modify", "48" ] ] }, "46": { "tokens": "left", "label": "ANAT-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 165, "end_ix": 165, "relations": [] }, "48": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 166, "end_ix": 166, "relations": [ [ "located_at", "47" ] ] }, "49": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 168, "end_ix": 168, "relations": [ [ "modify", "52" ] ] }, "50": { "tokens": "right", "label": "ANAT-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 170, "end_ix": 170, "relations": [] }, "52": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "located_at", "51" ] ] }, "53": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 173, "end_ix": 173, "relations": [] }, "54": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 174, "end_ix": 174, "relations": [ [ "located_at", "53" ] ] }, "55": { "tokens": "stable", "label": "OBS-DP", "start_ix": 176, "end_ix": 176, "relations": [ [ "modify", "54" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s59015983.txt": { "text": "FINAL REPORT STUDY : Chest radiograph . INDICATION : ? pneumonia , now hypoxic . Please evaluate for pulmonary edema . TECHNIQUE : Portable AP radiograph was obtained . COMPARISON : ___ at 12 : 37 , current radiograph time 15 : 37 . REPORT : There is extensive bilateral air space consolidation , more pronounced in the right side . There are increased lung markings , but this probably reflects chronic COPD changes . There is no definitive evidence of fluid overload or pulmonary edema . CONCLUSION : Bilateral pneumonia . Background likely COPD .", "entities": { "1": { "tokens": "extensive", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "3": { "tokens": "air space", "label": "OBS-DP", "start_ix": 50, "end_ix": 51, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "2" ] ] }, "5": { "tokens": "more", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "pronounced", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "4" ], [ "located_at", "7" ] ] }, "7": { "tokens": "right side", "label": "ANAT-DP", "start_ix": 58, "end_ix": 59, "relations": [] }, "8": { "tokens": "increased", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "10": { "tokens": "markings", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "9" ], [ "suggestive_of", "12" ] ] }, "11": { "tokens": "chronic", "label": "OBS-U", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "COPD", "label": "OBS-U", "start_ix": 72, "end_ix": 72, "relations": [] }, "13": { "tokens": "changes", "label": "OBS-U", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "fluid", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "overload", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "17": { "tokens": "edema", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "19": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "COPD", "label": "OBS-U", "start_ix": 94, "end_ix": 94, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s57887188.txt": { "text": "FINAL REPORT HISTORY : Sepsis with mitral regurgitation and possible worsening pulmonary edema . FINDINGS : In comparison with the study of ___ , the bibasilar opacification has somewhat decreased bilaterally . The time course suggests that much of this appearance may have reflected improved pulmonary edema . Nevertheless , there is continued engorgement of pulmonary vessels more prominent on the right , consistent with some persistent elevation of pulmonary venous pressure . Hazy opacification on the right suggests pleural fluid . In the appropriate clinical setting , supervening pneumonia would certainly have to be considered . Loss of the medial aspect of the left hemidiaphragm suggests some volume loss in the retrocardiac portion of the lower lobe .", "entities": { "1": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [] }, "2": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "1" ] ] }, "5": { "tokens": "improved", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "7": { "tokens": "edema", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "continued", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "engorgement", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "vessels", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "12": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "9" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "11" ] ] }, "14": { "tokens": "persistent", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "elevation", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "18" ] ] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "18": { "tokens": "pressure", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "Hazy", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "21" ], [ "suggestive_of", "23" ], [ "suggestive_of", "25" ] ] }, "21": { "tokens": "right", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "23": { "tokens": "fluid", "label": "OBS-U", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "supervening", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 89, "end_ix": 89, "relations": [] }, "26": { "tokens": "Loss", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "30" ], [ "suggestive_of", "32" ] ] }, "27": { "tokens": "medial", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "30" ] ] }, "28": { "tokens": "aspect", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "31": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "36" ] ] }, "32": { "tokens": "loss", "label": "OBS-U", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "31" ], [ "located_at", "36" ] ] }, "33": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "36" ] ] }, "34": { "tokens": "portion", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "lobe", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s59414737.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman with respiratory failure , assess for interval change . COMPARISONS : ___ Endotracheal tube has been removed . The nasogastric and feeding tubes course into the stomach . Large right and moderate left effusions are slightly increased from the previous day 's examination , though similar in distribution to the third study from ___ perhaps due to differences in positioning . Accompanying atelectasis is unchanged . Cardiac size and silhouette is normal without pulmonary edema . IMPRESSION : Large right and moderate left pleural effusions as above .", "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DA", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DA", "start_ix": 23, "end_ix": 23, "relations": [] }, "3": { "tokens": "nasogastric", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "feeding", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "tubes", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "7" ] ] }, "6": { "tokens": "course", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "8": { "tokens": "Large", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "12" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "10": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "12": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "9" ], [ "located_at", "11" ] ] }, "13": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "increased", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "12" ] ] }, "15": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "16": { "tokens": "size", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "15" ] ] }, "18": { "tokens": "normal", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "15" ] ] }, "19": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "20": { "tokens": "edema", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "Large", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "26" ] ] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "25" ] ] }, "23": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "26" ] ] }, "24": { "tokens": "left", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "26": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "25" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s58838312.txt": { "text": "FINAL REPORT PORTABLE CHEST : ___ . HISTORY : ___ - year - old female with shortness of breath . FINDINGS : Single portable view of the chest is compared to previous exam from ___ . Enteric tube is seen with tip off the inferior field of view . Left PICC is seen ; however , tip is not clearly delineated . Persistent bibasilar effusions and a right pigtail catheter projecting over the lower chest . There is possible right apical pneumothorax . Superiorly , the lungs are clear of consolidation . Cardiac silhouette is within normal limits . Osseous and soft tissue structures are unremarkable . IMPRESSION : No significant interval change with bilateral pleural effusions with right pigtail catheter in the lower chest . Possible small right apical pneumothorax .", "entities": { "1": { "tokens": "Enteric", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "off", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "3" ], [ "modify", "6" ] ] }, "5": { "tokens": "inferior", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "field of view", "label": "OBS-DP", "start_ix": 45, "end_ix": 47, "relations": [] }, "7": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "8": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "tip", "label": "OBS-U", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "11": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "a", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "17" ] ] }, "14": { "tokens": "pigtail", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "18": { "tokens": "possible", "label": "OBS-U", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "21": { "tokens": "pneumothorax", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "Superiorly", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "24": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "26": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "within", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "normal", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "25" ] ] }, "29": { "tokens": "limits", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "28" ] ] }, "30": { "tokens": "Osseous", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "31": { "tokens": "soft tissue", "label": "ANAT-DP", "start_ix": 101, "end_ix": 102, "relations": [] }, "32": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "30" ], [ "modify", "31" ] ] }, "33": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "30" ], [ "located_at", "31" ] ] }, "34": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "36": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "right", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "41" ] ] }, "38": { "tokens": "pigtail", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "located_at", "37" ] ] }, "40": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "42": { "tokens": "Possible", "label": "OBS-U", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "46" ] ] }, "43": { "tokens": "small", "label": "OBS-U", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "46" ] ] }, "44": { "tokens": "right", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "46": { "tokens": "pneumothorax", "label": "OBS-U", "start_ix": 130, "end_ix": 130, "relations": [ [ "located_at", "45" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s54831516.txt": { "text": "FINAL REPORT STUDY : AP chest ___ . CLINICAL HISTORY : ___ - year - old woman with aspiration pneumonia , left - sided pleural effusion . Evaluate for worsening effusion . FINDINGS : Comparison is made to previous study from ___ . There is a Dobbhoff tube whose distal tip is in the body of the stomach . There are bilateral pleural effusions . There is a right - sided pleural - based catheter . There is no pneumothoraces or signs for overt pulmonary edema . Overall , these findings are stable since prior study from ___ .", "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": [] }, "3": { "tokens": "distal", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "tip", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "2" ], [ "located_at", "6" ] ] }, "5": { "tokens": "body", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "7": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "9": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 68, "end_ix": 70, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "pleural - based", "label": "ANAT-DP", "start_ix": 71, "end_ix": 73, "relations": [] }, "12": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "pneumothoraces", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [] }, "14": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "15": { "tokens": "edema", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "14" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s58851198.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman with C . diff colitis , recent decompensation and pleural effusions , status post right thoracentesis and pigtail placement . COMPARISONS : ___ . FINDINGS : A single portable chest radiograph is obtained . Endotracheal and enteric tubes have been removed . A right internal jugular catheter tip terminates in the right atrium . A right pleural drain remains in the right base . A tiny right effusion and small left effusion are visualized . Cardiac contours are unchanged . No consolidation , pneumothorax or nodules present . A left - sided PICC line tip terminates in the left brachiocephalic vein . IMPRESSION : Unchanged appearance of small bilateral pleural effusions status post extubation .", "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "enteric", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "tubes", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [] }, "4": { "tokens": "A", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "8" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "6": { "tokens": "internal", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "jugular", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "5" ] ] }, "9": { "tokens": "tip", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "8" ], [ "located_at", "11" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "12": { "tokens": "A", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "right", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "17" ] ] }, "15": { "tokens": "drain", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "base", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "18": { "tokens": "tiny", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "small", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "left", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "25": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "24" ] ] }, "27": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [] }, "28": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [] }, "29": { "tokens": "nodules", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [] }, "30": { "tokens": "A", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "34" ] ] }, "31": { "tokens": "left", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "sided", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "33": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "line", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "31" ] ] }, "35": { "tokens": "tip", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "34" ], [ "located_at", "38" ] ] }, "36": { "tokens": "left", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "brachiocephalic", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "vein", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "39": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "43" ] ] }, "40": { "tokens": "small", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "43" ] ] }, "41": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [] }, "43": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "located_at", "42" ] ] }, "44": { "tokens": "status", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "45": { "tokens": "post", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "extubation", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "44" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s57506266.txt": { "text": "FINAL REPORT INDICATION : Respiratory failure . COMPARISON : ___ . SEMI - UPRIGHT AP VIEW OF THE CHEST : Endotracheal tube has been slightly withdrawn in the interval , now terminating approximately 5 cm from the carina . A Dobbhoff tube is noted with tip in the fundus of the stomach . A nasogastric tube is also seen , with tip at the level of the gastroesophageal junction , and side port within the distal esophagus , in unchanged position . The cardiac , mediastinal and hilar contours are stable . Moderate to large right and small left bilateral pleural effusions are again noted . Bibasilar compressive atelectasis is present . There is no pneumothorax . There is no pulmonary vascular congestion . No acute osseous abnormality is present . The right PICC remains unchanged in position , with tip terminating in the region of the axillary / subclavian vein . IMPRESSION : 1 . Endotracheal tube has been withdrawn , now lying approximately 5 cm from the carina . 2 . Unchanged positioning of the orogastric tube with tip at the gastroesophageal junction and side port in the distal esophagus . This should be advanced for appropriate positioning . 3 . Bilateral pleural effusions , moderate to large on the right and small on the left with bibasilar atelectasis .", "entities": { "1": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "located_at", "6" ] ] }, "3": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "withdrawn", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "2" ] ] }, "5": { "tokens": "approximately 5 cm", "label": "ANAT-DP", "start_ix": 32, "end_ix": 34, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "7": { "tokens": "Dobbhoff", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "tube", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "9": { "tokens": "tip", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "8" ], [ "located_at", "11" ] ] }, "10": { "tokens": "fundus", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "12": { "tokens": "nasogastric", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "tube", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "14": { "tokens": "tip", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "13" ], [ "located_at", "15" ] ] }, "15": { "tokens": "gastroesophageal", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "16": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "side port", "label": "OBS-DP", "start_ix": 71, "end_ix": 72, "relations": [ [ "modify", "13" ], [ "located_at", "19" ] ] }, "18": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "20": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "17" ] ] }, "21": { "tokens": "position", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "23": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "24": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "25": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "22" ], [ "modify", "23" ], [ "modify", "24" ] ] }, "26": { "tokens": "stable", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "22" ], [ "located_at", "23" ], [ "located_at", "24" ] ] }, "27": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "34" ] ] }, "28": { "tokens": "large", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "34" ] ] }, "29": { "tokens": "right", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "32" ] ] }, "30": { "tokens": "small", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "34" ] ] }, "31": { "tokens": "left", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "34": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "Bibasilar", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "36": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "35" ] ] }, "38": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 115, "end_ix": 115, "relations": [] }, "39": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "41": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "acute", "label": "OBS-DA", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "44": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 127, "end_ix": 127, "relations": [ [ "located_at", "43" ] ] }, "45": { "tokens": "right", "label": "ANAT-DP", "start_ix": 132, "end_ix": 132, "relations": [] }, "46": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "located_at", "45" ] ] }, "47": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "46" ] ] }, "48": { "tokens": "position", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "47" ] ] }, "49": { "tokens": "tip", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "46" ], [ "located_at", "52" ] ] }, "50": { "tokens": "axillary", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "modify", "52" ] ] }, "51": { "tokens": "subclavian", "label": "ANAT-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "52" ] ] }, "52": { "tokens": "vein", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [] }, "53": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "54" ] ] }, "54": { "tokens": "tube", "label": "OBS-DP", "start_ix": 157, "end_ix": 157, "relations": [ [ "located_at", "57" ] ] }, "55": { "tokens": "withdrawn", "label": "OBS-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "54" ] ] }, "56": { "tokens": "approximately 5 cm", "label": "ANAT-DP", "start_ix": 164, "end_ix": 166, "relations": [ [ "modify", "57" ] ] }, "57": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 169, "end_ix": 169, "relations": [] }, "58": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "61" ] ] }, "59": { "tokens": "positioning", "label": "OBS-DP", "start_ix": 174, "end_ix": 174, "relations": [ [ "modify", "58" ] ] }, "60": { "tokens": "orogastric", "label": "OBS-DP", "start_ix": 177, "end_ix": 177, "relations": [ [ "modify", "61" ] ] }, "61": { "tokens": "tube", "label": "OBS-DP", "start_ix": 178, "end_ix": 178, "relations": [] }, "62": { "tokens": "tip", "label": "OBS-DP", "start_ix": 180, "end_ix": 180, "relations": [ [ "modify", "61" ], [ "located_at", "63" ] ] }, "63": { "tokens": "gastroesophageal", "label": "ANAT-DP", "start_ix": 183, "end_ix": 183, "relations": [] }, "64": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 184, "end_ix": 184, "relations": [ [ "modify", "63" ] ] }, "65": { "tokens": "side port", "label": "ANAT-DP", "start_ix": 186, "end_ix": 187, "relations": [ [ "modify", "61" ], [ "located_at", "67" ] ] }, "66": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 190, "end_ix": 190, "relations": [ [ "modify", "67" ] ] }, "67": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 191, "end_ix": 191, "relations": [] }, "68": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 203, "end_ix": 203, "relations": [ [ "modify", "69" ] ] }, "69": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 204, "end_ix": 204, "relations": [] }, "70": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 205, "end_ix": 205, "relations": [ [ "located_at", "69" ] ] }, "71": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 207, "end_ix": 207, "relations": [ [ "modify", "77" ] ] }, "72": { "tokens": "large", "label": "OBS-DP", "start_ix": 209, "end_ix": 209, "relations": [ [ "modify", "77" ] ] }, "73": { "tokens": "right", "label": "ANAT-DP", "start_ix": 212, "end_ix": 212, "relations": [ [ "modify", "76" ] ] }, "74": { "tokens": "small", "label": "OBS-DP", "start_ix": 214, "end_ix": 214, "relations": [ [ "modify", "77" ] ] }, "75": { "tokens": "left", "label": "ANAT-DP", "start_ix": 217, "end_ix": 217, "relations": [ [ "modify", "76" ] ] }, "76": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 219, "end_ix": 219, "relations": [] }, "77": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 220, "end_ix": 220, "relations": [ [ "located_at", "76" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s58601917.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Colitis , respiratory failure , evaluation for interval change , evaluation for pleural effusion . COMPARISON : ___ . FINDINGS : As compared to the previous radiograph , the monitoring and support devices are constant . Constant extent and distribution of the known left pleural effusion with mild to moderate retrocardiac and basal atelectasis . On the right , the pleural drain is in unchanged position and there is no evidence of a larger pleural effusion . No pneumothorax . Unchanged size of the heart .", "entities": { "1": { "tokens": "monitoring", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "support", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "devices", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "4": { "tokens": "constant", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "Constant", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "6" ], [ "modify", "7" ] ] }, "6": { "tokens": "extent", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "11" ] ] }, "7": { "tokens": "distribution", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "11" ] ] }, "8": { "tokens": "known", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "left", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "mild", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "16" ] ] }, "13": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "16" ] ] }, "14": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "15": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "16": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "14" ], [ "located_at", "15" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "19": { "tokens": "drain", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "larger", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "23": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [] }, "25": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "27" ] ] }, "26": { "tokens": "size", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s56597576.txt": { "text": "WET READ : ___ ___ ___ 9:42AM LEFT PICC TIP PROJECTS OVER MID SVC . DISCUSSED WITH ___ BY PHONE AT 9:39A.M. ON ___ . ______________________________________________________________________________ FINAL REPORT STUDY : AP chest ___ . CLINICAL HISTORY : Patient with placement of PICC line . FINDINGS : Comparison is made to previous study from ___ . There is an endotracheal tube whose distal tip is 5.6 cm above the carina . There is a left - sided central line with distal lead tip in the distal SVC . There is a feeding tube and a nasogastric tube whose tips and side ports are below the GE junction . There are persistent bilateral pleural effusions and a left retrocardiac opacity .", "entities": { "1": { "tokens": "endotracheal", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "3": { "tokens": "distal", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "tip", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "2" ], [ "located_at", "7" ] ] }, "5": { "tokens": "5.6 cm", "label": "ANAT-DP", "start_ix": 64, "end_ix": 65, "relations": [ [ "modify", "7" ] ] }, "6": { "tokens": "above", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "8": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 73, "end_ix": 75, "relations": [] }, "9": { "tokens": "central", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "line", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "distal", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "lead", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "tip", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "10" ], [ "located_at", "15" ] ] }, "14": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "16": { "tokens": "feeding", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "tube", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "18": { "tokens": "nasogastric", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "tube", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "20": { "tokens": "tips", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "17" ], [ "modify", "19" ], [ "located_at", "24" ] ] }, "21": { "tokens": "side", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "ports", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "17" ], [ "modify", "19" ], [ "located_at", "24" ] ] }, "23": { "tokens": "below", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "GE", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "25": { "tokens": "junction", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "28": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "31": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "30" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s59659695.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old female with new intubation . Evaluate tube placement . COMPARISONS : None . FINDINGS : Frontal supine view of the chest was obtained . The heart is of normal size with normal cardiomediastinal contours . The right hemithorax demontrates increased opacity , compatible with a moderate - to - large size layering pleural effusion . A small left pleural effusion is also present . No pneumothorax is seen . A right PICC line terminates in the axilla . Endotracheal tube terminates 1.8 cm above the carina . A Dobbhoff feeding tube and a gastric tube terminate below the diaphragm . The sidehole of the gastric tube is positioned in the distal esophagus . IMPRESSION : 1 . Bilateral pleural effusion , right greater than left . Underlying consolidation cannot be completely excluded . 2 . Endotracheal tube terminates 1.8 cm above the carina . Recommend repositioning . 3 . NG tube terminates in stomach with sidehole in distal esophagus . 3 . Right PICC terminates in the axilla .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "2": { "tokens": "normal", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "size", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "5" ] ] }, "5": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "6": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "9": { "tokens": "increased", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "large", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "size", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "16" ] ] }, "14": { "tokens": "layering", "label": "OBS-DP", "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-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "A", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "small", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "left", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] }, "23": { "tokens": "A", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "26" ] ] }, "24": { "tokens": "right", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "27" ] ] }, "25": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "line", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "27" ] ] }, "27": { "tokens": "axilla", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "28": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "tube", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "31" ] ] }, "30": { "tokens": "1.8 cm above", "label": "ANAT-DP", "start_ix": 90, "end_ix": 92, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "32": { "tokens": "A", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "35" ] ] }, "33": { "tokens": "Dobbhoff", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "feeding", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "tube", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "40" ] ] }, "36": { "tokens": "a", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "gastric", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "tube", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "40" ] ] }, "39": { "tokens": "below", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "diaphragm", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "41": { "tokens": "sidehole", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "43" ], [ "located_at", "45" ] ] }, "42": { "tokens": "gastric", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "tube", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "44": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "46": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "48": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "located_at", "47" ] ] }, "49": { "tokens": "right", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "47" ] ] }, "50": { "tokens": "greater", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "48" ] ] }, "51": { "tokens": "left", "label": "ANAT-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "47" ] ] }, "52": { "tokens": "Underlying", "label": "OBS-U", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "53" ] ] }, "53": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 136, "end_ix": 136, "relations": [] }, "54": { "tokens": "Endotracheal", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "55" ] ] }, "55": { "tokens": "tube", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "located_at", "57" ] ] }, "56": { "tokens": "1.8 cm above", "label": "ANAT-DP", "start_ix": 147, "end_ix": 149, "relations": [ [ "modify", "57" ] ] }, "57": { "tokens": "carina", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [] }, "58": { "tokens": "NG", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "modify", "59" ] ] }, "59": { "tokens": "tube", "label": "OBS-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "located_at", "60" ] ] }, "60": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 162, "end_ix": 162, "relations": [] }, "61": { "tokens": "sidehole", "label": "OBS-DP", "start_ix": 164, "end_ix": 164, "relations": [ [ "modify", "59" ], [ "located_at", "63" ] ] }, "62": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 166, "end_ix": 166, "relations": [ [ "modify", "63" ] ] }, "63": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 167, "end_ix": 167, "relations": [] }, "64": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 171, "end_ix": 171, "relations": [ [ "modify", "66" ] ] }, "65": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 172, "end_ix": 172, "relations": [ [ "located_at", "66" ] ] }, "66": { "tokens": "axilla", "label": "ANAT-DP", "start_ix": 176, "end_ix": 176, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s58581921.txt": { "text": "FINAL REPORT PA AND LATERAL CHEST ON ___ HISTORY : An ___ - year - old woman with aspiration pneumonia and CHF . IMPRESSION : PA and lateral chest compared to ___ : Lungs are hyperinflated , due to airway obstruction or emphysema . If there is any focal consolidation , it is in the right mid lung in the region of the right nipple . Large areas of lung are obscured by costal cartilage . On the lateral view , aside from a calcified granuloma inseparable from a heavily calcified mitral annulus , the lungs are clear aside from what may be a small region of severe bronchial wall thickening in the right middle lobe . There is no pulmonary edema . Right pleural effusion is tiny compared to large pleural effusions seen at various times on prior chest radiographs . There are no findings to suggest intrathoracic malignancy or infection . Heart size is normal , hilar and peripheral pulmonary vasculature are also normal . If there is clinical justification excluding a small lung nodule , then I would recommend chest CT scanning .", "entities": { "1": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "2": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "1" ], [ "suggestive_of", "4" ], [ "suggestive_of", "5" ] ] }, "3": { "tokens": "airway", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "obstruction", "label": "OBS-U", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "emphysema", "label": "OBS-U", "start_ix": 42, "end_ix": 42, "relations": [] }, "6": { "tokens": "focal", "label": "OBS-U", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "10" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "nipple", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "10" ] ] }, "13": { "tokens": "Large", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "areas", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "15" ] ] }, "15": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "16": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "costal", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "cartilage", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "19": { "tokens": "calcified", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "granuloma", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "25" ] ] }, "21": { "tokens": "heavily", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "calcified", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "24" ] ] }, "23": { "tokens": "mitral", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "annulus", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "25": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "26": { "tokens": "clear", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "small", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "28": { "tokens": "severe", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "31" ] ] }, "29": { "tokens": "bronchial", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "30": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "30" ], [ "located_at", "34" ] ] }, "32": { "tokens": "right", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "25" ] ] }, "35": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "36": { "tokens": "edema", "label": "OBS-DA", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "39": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "located_at", "38" ] ] }, "40": { "tokens": "tiny", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "39" ] ] }, "41": { "tokens": "large", "label": "OBS-DA", "start_ix": 130, "end_ix": 130, "relations": [ [ "modify", "43" ] ] }, "42": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [] }, "43": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 132, "end_ix": 132, "relations": [ [ "located_at", "42" ] ] }, "44": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [] }, "45": { "tokens": "malignancy", "label": "OBS-DA", "start_ix": 149, "end_ix": 149, "relations": [ [ "located_at", "44" ] ] }, "46": { "tokens": "infection", "label": "OBS-DA", "start_ix": 151, "end_ix": 151, "relations": [ [ "located_at", "44" ] ] }, "47": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 153, "end_ix": 153, "relations": [] }, "48": { "tokens": "size", "label": "ANAT-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "47" ] ] }, "49": { "tokens": "normal", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "located_at", "47" ] ] }, "50": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 158, "end_ix": 158, "relations": [] }, "51": { "tokens": "peripheral", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "53" ] ] }, "52": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 161, "end_ix": 161, "relations": [ [ "modify", "53" ] ] }, "53": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 162, "end_ix": 162, "relations": [] }, "54": { "tokens": "normal", "label": "OBS-DP", "start_ix": 165, "end_ix": 165, "relations": [ [ "located_at", "53" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s54020701.txt": { "text": "FINAL REPORT STUDY : AP chest ___ . CLINICAL HISTORY : Patient with Dobbhoff tube placement . FINDINGS : Comparison is made to prior study from ___ at 4:05a.m. There is a Dobbhoff tube whose distal tip is within the mid - to - distal esophagus . This could be advanced ___ to 20 cm for more optimal placement . Cardiac silhouette is within normal limits . There are bilateral pleural effusions , left side worse than right and a left retrocardiac opacity . No overt pulmonary edema is seen .", "entities": { "1": { "tokens": "Dobbhoff", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "3": { "tokens": "distal", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "tip", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "2" ], [ "located_at", "7" ] ] }, "5": { "tokens": "within", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "4" ], [ "located_at", "7" ] ] }, "6": { "tokens": "mid - to - distal", "label": "ANAT-DP", "start_ix": 40, "end_ix": 44, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "esophagus", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "8": { "tokens": "This", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "9": { "tokens": "advanced", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "4" ], [ "modify", "8" ] ] }, "10": { "tokens": "20 cm for more optimal placement", "label": "OBS-DP", "start_ix": 53, "end_ix": 58, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "12": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "within", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "normal", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "11" ] ] }, "15": { "tokens": "limits", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "18": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "17" ], [ "located_at", "19" ], [ "located_at", "22" ] ] }, "19": { "tokens": "left", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "side", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "21": { "tokens": "worse", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "18" ], [ "located_at", "20" ] ] }, "22": { "tokens": "right", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "23": { "tokens": "left", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "25": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "overt", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "28": { "tokens": "edema", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "27" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s59098825.txt": { "text": "FINAL REPORT STUDY : AP chest , ___ . CLINICAL HISTORY : ___ - year - old woman with C . diff sepsis . Severe mitral regurgitation . Evaluate for placement of various central lines . FINDINGS : Comparison is made to previous study from ___ . There has been removal of the right IJ central venous line . There is again seen a large amount of loculated pleural fluid along the left chest , which has increased in size since the prior study . Pigtail catheter is seen within the right lower lobe . Cardiac silhouette is upper limits of normal . There is mild prominence of the pulmonary markings without overt pulmonary edema .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "IJ", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "3": { "tokens": "central", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "venous", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "line", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "2" ] ] }, "6": { "tokens": "large", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "9" ] ] }, "7": { "tokens": "loculated", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "9": { "tokens": "fluid", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "along", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "8" ] ] }, "12": { "tokens": "which", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "9" ] ] }, "13": { "tokens": "increased", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "12" ], [ "located_at", "14" ] ] }, "14": { "tokens": "size", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "15": { "tokens": "Pigtail", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "19" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "20": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "21": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "upper", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "limits", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "normal", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "20" ] ] }, "25": { "tokens": "mild", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "28": { "tokens": "markings", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "overt", "label": "OBS-DA", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "31": { "tokens": "edema", "label": "OBS-DA", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "30" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s50027225.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old woman with C . difficile colitis and increasing oxygen requirement . FINDINGS : A single portable semi - erect chest radiograph was obtained . Small left and moderate layering right pleural effusions have increased in size since the preceding day 's exam . The right middle lobe pnemonia seen on recent CT is not clearly differentiated , but the right heart border is obscured . Left basilar atelectasis is stable . No new focal consolidation or pneumothorax is present . Hila remain indistinct . A left - sided PICC line tip remains in the upper SVC . IMPRESSION : Interval increase inmoderate to large right and small left pleural effusions . Persistent right basilar pneumonia .", "entities": { "1": { "tokens": "Small", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "2" ], [ "modify", "7" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "6" ] ] }, "3": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "5" ], [ "modify", "7" ] ] }, "4": { "tokens": "layering", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "7" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "7": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "increased", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "size", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "7" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "13": { "tokens": "pnemonia", "label": "OBS-U", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "16": { "tokens": "border", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "20": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "stable", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "new", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "focal", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [] }, "25": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [] }, "26": { "tokens": "Hila", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "27": { "tokens": "indistinct", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 94, "end_ix": 96, "relations": [] }, "29": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "line", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "28" ] ] }, "31": { "tokens": "tip", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "30" ], [ "located_at", "33" ] ] }, "32": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "34": { "tokens": "large", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "35" ] ] }, "35": { "tokens": "right", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "38" ] ] }, "36": { "tokens": "small", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "37" ] ] }, "37": { "tokens": "left", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "39": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "38" ] ] }, "40": { "tokens": "right", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "42": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "located_at", "41" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s50444997.txt": { "text": "FINAL REPORT HISTORY : Pseudomonas with intubation . FINDINGS : In comparison with the study of ___ , there is little change in the monitoring and support devices . Substantial bilateral pleural effusions , more prominent on the right with bibasilar atelectasis . Unusual configuration to the collection of opacification at the left base raises the possibility of some loculated fluid . There is again evidence of increased pulmonary venous pressure . Overlapping structures somewhat obscure visualization of the left upper zone and simulate the appearance of cavitary process . This area should be closely checked on subsequent radiographs .", "entities": { "1": { "tokens": "Substantial", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "4": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "6" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "3" ] ] }, "7": { "tokens": "bibasilar", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "8": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "6" ], [ "located_at", "7" ] ] }, "9": { "tokens": "Unusual", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "configuration", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "suggestive_of", "16" ] ] }, "11": { "tokens": "collection", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "14" ], [ "suggestive_of", "16" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "base", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "15": { "tokens": "loculated", "label": "OBS-U", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "fluid", "label": "OBS-U", "start_ix": 60, "end_ix": 60, "relations": [] }, "17": { "tokens": "increased", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "venous", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "20": { "tokens": "pressure", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "left", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "zone", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "24": { "tokens": "cavitary", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "25": { "tokens": "process", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "24" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s57064083.txt": { "text": "WET READ : ___ ___ ___ 11:15PM OG tube advanced into stomach . Tip out of field of view . No other change . ETT good postion . Dahboff in stomach . Moderate layering right plerual effusion and small left effusion . ______________________________________________________________________________ FINAL REPORT AP CHEST , 6:46P.M. , ___ HISTORY : ___ - year - old woman with respiratory failure . Enteric tube advanced . IMPRESSION : AP chest compared to ___ and ___ , 5:05p.m. : The enteric tube has been advanced to the distal stomach and out of view . Feeding tube ends in the upper stomach . ET tube is in standard placement . Moderate right and smaller left pleural effusions are unchanged . Heart size is normal size . Aside from attendant basal atelectasis , lungs are clear . There is no pneumothorax . Right PIC line ends in the right axilla .", "entities": { "1": { "tokens": "OG", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "located_at", "3" ] ] }, "3": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 11, "end_ix": 11, "relations": [] }, "4": { "tokens": "ETT", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "5": { "tokens": "good", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "postion", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "4" ] ] }, "7": { "tokens": "Dahboff", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "located_at", "8" ] ] }, "8": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "9": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "13" ] ] }, "10": { "tokens": "layering", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "plerual", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "small", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "left", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "enteric", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "tube", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "20" ] ] }, "19": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "21": { "tokens": "Feeding", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "tube", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "24" ] ] }, "23": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "25": { "tokens": "ET", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "tube", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "27": { "tokens": "standard", "label": "OBS-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "placement", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "26" ] ] }, "29": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "34" ] ] }, "30": { "tokens": "right", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "33" ] ] }, "31": { "tokens": "smaller", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "34" ] ] }, "32": { "tokens": "left", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [] }, "34": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "34" ] ] }, "36": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [] }, "37": { "tokens": "size", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "normal", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "36" ] ] }, "39": { "tokens": "size", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "36" ] ] }, "40": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [] }, "41": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [] }, "43": { "tokens": "clear", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "located_at", "42" ] ] }, "44": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 138, "end_ix": 138, "relations": [] }, "45": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [] }, "46": { "tokens": "PIC", "label": "OBS-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "located_at", "45" ] ] }, "47": { "tokens": "line", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "46" ], [ "located_at", "49" ] ] }, "48": { "tokens": "right", "label": "ANAT-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "axilla", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s57961288.txt": { "text": "FINAL REPORT STUDY : AP chest , ___ . CLINICAL HISTORY : Patient with advancement of the Dobbhoff tube . FINDINGS : Distal tip of the Dobbhoff is now in the fundus of the stomach . This could be advanced an additional 5 cm for more optimal placement . There are unchanged bilateral pleural effusions , left greater than right . A pleural catheter is seen at the right base . There are no pneumothoraces identified .", "entities": { "1": { "tokens": "Distal", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "tip", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "3" ], [ "located_at", "5" ] ] }, "3": { "tokens": "Dobbhoff", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "4": { "tokens": "fundus", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "stomach", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "6": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "9" ] ] }, "7": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "9": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "greater", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "9" ] ] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "8" ] ] }, "13": { "tokens": "A", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "15": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "base", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "14" ] ] }, "18": { "tokens": "pneumothoraces", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002428/s58658824.txt": { "text": "FINAL REPORT INDICATION : Increased cough and history of right middle lobe bronchiectasis and recurrent pneumonia . COMPARISON : Multiple priors from ___ . CT of the chest on ___ . FINDINGS : PA and lateral chest radiographs again demonstrate severe hyperinflation and diffuse bronchiectasis . There is no focal consolidation , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is stable . IMPRESSION : No acute cardiopulmonary process . Findings were relayed to Dr . ___ .", "entities": { "1": { "tokens": "severe", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "hyperinflation", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "3": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "bronchiectasis", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "5": { "tokens": "focal", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [] }, "6": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [] }, "10": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "11": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "stable", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "acute", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "15": { "tokens": "process", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "14" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s55078395.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( AP AND LAT ) INDICATION : ___ M with cough and left - sided rib pain , history of smoking . Evaluate for pneumonia TECHNIQUE : Chest AP and lateral COMPARISON : ___ FINDINGS : Low lung volumes . Unchanged cardiomegaly . There is a left chest defibrillator with electrodes in expected positions . The mediastinal and hilar contours are unchanged . The pulmonary vasculature is normal . There is consolidation in the right lower lung , concerning for pneumonia . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities . IMPRESSION : Right lower lung consolidation , concerning for pneumonia . Followup after treatment is suggested to document resolution .", "entities": { "1": { "tokens": "Low", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "8": { "tokens": "defibrillator", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "electrodes", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "expected", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "positions", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "9" ] ] }, "12": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "13": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "14": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "12" ], [ "modify", "13" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "12" ], [ "located_at", "13" ] ] }, "16": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "17": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "normal", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "22" ], [ "suggestive_of", "23" ] ] }, "20": { "tokens": "right", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "23": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "25": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [] }, "27": { "tokens": "acute", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "29": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "33": { "tokens": "consolidation", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "32" ], [ "suggestive_of", "34" ] ] }, "34": { "tokens": "pneumonia", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s56980205.txt": { "text": "FINAL REPORT HISTORY : ICD lead extraction and replacement . FINDINGS : In comparison with the study of ___ , there is little change in the position of the pacer leads . No evidence of pneumothorax or acute focal pneumonia .", "entities": { "1": { "tokens": "little", "label": "OBS-DP", "start_ix": 22, "end_ix": 22, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "change", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "3" ], [ "modify", "4" ] ] }, "3": { "tokens": "position", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [] }, "4": { "tokens": "pacer", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "5": { "tokens": "leads", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 35, "end_ix": 35, "relations": [] }, "7": { "tokens": "acute", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "focal", "label": "OBS-DA", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 39, "end_ix": 39, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s55001412.txt": { "text": "FINAL REPORT INDICATION : ___ year old man with systolic CHF , dual chamber ICD , admitted for CHF exacerbation . / / Evaluate for edema , ? infiltrate TECHNIQUE : PA and lateral views of the chest COMPARISON : ___ FINDINGS : Severe cardiomegaly is unchanged . AICD leads are stable . Mild - to - moderate diffuse pulmonary edema is slightly worse . There is no focal consolidation or pleural effusion . No pneumothorax . IMPRESSION : Increased mild - to - moderate pulmonary interstitial edema . Severe cardiomegaly .", "entities": { "1": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "3": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "AICD", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "5": { "tokens": "leads", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "stable", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "Mild - to - moderate", "label": "OBS-DP", "start_ix": 53, "end_ix": 57, "relations": [ [ "modify", "10" ] ] }, "8": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "10": { "tokens": "edema", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "worse", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "10" ] ] }, "13": { "tokens": "focal", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "18": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "22" ] ] }, "19": { "tokens": "mild - to - moderate", "label": "OBS-DP", "start_ix": 80, "end_ix": 84, "relations": [ [ "modify", "22" ] ] }, "20": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "21": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "edema", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s50471520.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old male with cough and chest pain . COMPARISON : ___ . FINDINGS : PA and lateral views of the chest . The lungs are clear of consolidation , effusion or pulmonary vascular congestion . Left chest wall triple lead pacer device seen with the tips unchanged in position . Cardiomegaly is unchanged . No acute osseous abnormalities detected . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "2": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "5": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "9": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "triple", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lead", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "pacer", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "device", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "9" ] ] }, "14": { "tokens": "tips", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "in position", "label": "OBS-DP", "start_ix": 55, "end_ix": 56, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "Cardiomegaly", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "18": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "acute", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "21": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "acute", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "24": { "tokens": "process", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "23" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s59376580.txt": { "text": "WET READ : ___ ___ ___ 1:41PM Worsening pulmonary edema and retrocardiac opacity , possibly due to developing infection , given the clinical history . * * * ED URGENT ATTENTION * * * ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ M with shortness of breath . Evaluate for edema or consolidation . TECHNIQUE : Single portable AP view of the chest . COMPARISON : Chest radiograph of ___ and ___ . FINDINGS : Compared with the prior study , no change in the left - sided pacer device and AICD lead placement . Severe cardiomegaly is again seen , now with moderate to severe pulmonary edema , worse since the prior study . Retrocardiac opacity makes it difficult to exclude developing left lower lobe infection . No pneumothorax . IMPRESSION : Worsening pulmonary edema and retrocardiac opacity . Given worsening retrocardiac opacity , left lower lobe pneumonic infiltrate cannot be entirely excluded .", "entities": { "1": { "tokens": "Worsening", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 8, "end_ix": 8, "relations": [] }, "3": { "tokens": "edema", "label": "OBS-DP", "start_ix": 9, "end_ix": 9, "relations": [ [ "located_at", "2" ], [ "suggestive_of", "7" ] ] }, "4": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 11, "end_ix": 11, "relations": [] }, "5": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 12, "end_ix": 12, "relations": [ [ "located_at", "4" ], [ "suggestive_of", "7" ] ] }, "6": { "tokens": "developing", "label": "OBS-DP", "start_ix": 17, "end_ix": 17, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "infection", "label": "OBS-DP", "start_ix": 18, "end_ix": 18, "relations": [] }, "8": { "tokens": "no change", "label": "OBS-DP", "start_ix": 86, "end_ix": 87, "relations": [ [ "modify", "14" ] ] }, "9": { "tokens": "left - sided", "label": "OBS-DP", "start_ix": 90, "end_ix": 92, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "pacer", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "device", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "12": { "tokens": "AICD", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lead", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "14": { "tokens": "placement", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "11" ], [ "modify", "13" ] ] }, "15": { "tokens": "Severe", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "17": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "severe", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "20": { "tokens": "edema", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "worse", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "Retrocardiac", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "23": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "22" ], [ "suggestive_of", "28" ] ] }, "24": { "tokens": "developing", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "modify", "28" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "27" ] ] }, "26": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] }, "28": { "tokens": "infection", "label": "OBS-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 134, "end_ix": 134, "relations": [] }, "30": { "tokens": "Worsening", "label": "OBS-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "32": { "tokens": "edema", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 142, "end_ix": 142, "relations": [] }, "34": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [] }, "37": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 148, "end_ix": 148, "relations": [ [ "located_at", "36" ] ] }, "38": { "tokens": "left", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "40" ] ] }, "39": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [] }, "40": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 152, "end_ix": 152, "relations": [] }, "41": { "tokens": "pneumonic", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "located_at", "40" ] ] }, "42": { "tokens": "infiltrate", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "41" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s50230234.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ M with CHF . c / o SOB and CP . Evaluate for acute process . TECHNIQUE : Chest PA and lateral COMPARISON : Chest radiograph from ___ and ___ . FINDINGS : Compared with the prior radiograph , significant cardiomegaly is stable . Pulmonary edema is again identified , moderate in severity . No change in the positioning of the pacemaker leads . Tiny pleural effusions are likely present . No focal consolidation or pneumothorax identified . IMPRESSION : Moderate pulmonary edema .", "entities": { "1": { "tokens": "significant", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "3": { "tokens": "stable", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "5": { "tokens": "edema", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "change", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "positioning", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pacemaker", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "10": { "tokens": "leads", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "Tiny", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "13": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "focal", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [] }, "17": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "19": { "tokens": "edema", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "18" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s54156702.txt": { "text": "FINAL REPORT HISTORY : ICD lead extraction and replacement , to assess for pneumothorax . FINDINGS : In comparison with study of ___ , the leads extending to the right atrium and apex of the right ventricle are unchanged . There now is a coronary sinus lead with the tip positioned along the outer margin of the left ventricle . Specifically , there is no evidence of pneumothorax .", "entities": { "1": { "tokens": "leads", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "located_at", "3" ], [ "located_at", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "4": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "7": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "1" ] ] }, "8": { "tokens": "coronary", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "sinus", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lead", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "11": { "tokens": "tip", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "10" ], [ "located_at", "13" ] ] }, "12": { "tokens": "along", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "outer margin", "label": "ANAT-DP", "start_ix": 53, "end_ix": 54, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s56350245.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : History : ___ M with hypoxia , dyspnea , chest pressure / / evaluate for acute process TECHNIQUE : Single frontal view of the chest COMPARISON : ___ FINDINGS : Triple lead left - sided AICD is again seen with leads in the expected positions of the right ventricle , coronary sinus , and right atrium . The cardiac silhouette is markedly enlarged . The size of the cardiac silhouette appears increased as compared to the prior study although this may in part relate to a AP , portable technique . There is prominence of the hila and central pulmonary vasculature suggesting vascular engorgement and pulmonary vascular congestion with possible mild edema . . No large pleural effusion is seen . There is no evidence of pneumothorax . IMPRESSION : Marked enlargement of the cardiac silhouette , appears increased in size compared the prior study , however , this may relate to AP , portable technique . Underlying cardiomyopathy or pericardial effusion not excluded . Central pulmonary vascular engorgement , pulmonary vascular congestion .", "entities": { "1": { "tokens": "Triple", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "lead", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "4" ] ] }, "3": { "tokens": "left - sided", "label": "ANAT-DP", "start_ix": 43, "end_ix": 45, "relations": [] }, "4": { "tokens": "AICD", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "leads", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "4" ], [ "located_at", "8" ], [ "located_at", "9" ], [ "located_at", "12" ] ] }, "6": { "tokens": "in the expected positions", "label": "ANAT-DP", "start_ix": 52, "end_ix": 55, "relations": [ [ "modify", "8" ], [ "modify", "9" ], [ "modify", "12" ] ] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "9": { "tokens": "coronary", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "10": { "tokens": "sinus", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "13": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "14": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "markedly", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "13" ] ] }, "17": { "tokens": "size", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "19": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "increased", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "18" ] ] }, "21": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "22" ], [ "located_at", "25" ], [ "suggestive_of", "27" ] ] }, "22": { "tokens": "hila", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "23": { "tokens": "central", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "26": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "27": { "tokens": "engorgement", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "30": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "mild", "label": "OBS-U", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "edema", "label": "OBS-U", "start_ix": 122, "end_ix": 122, "relations": [] }, "33": { "tokens": "large", "label": "OBS-DA", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "35": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 128, "end_ix": 128, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 137, "end_ix": 137, "relations": [] }, "37": { "tokens": "Marked", "label": "OBS-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "located_at", "39" ], [ "suggestive_of", "43" ], [ "suggestive_of", "45" ] ] }, "39": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [] }, "40": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "39" ] ] }, "41": { "tokens": "increased", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "located_at", "42" ] ] }, "42": { "tokens": "size", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "modify", "39" ] ] }, "43": { "tokens": "cardiomyopathy", "label": "OBS-U", "start_ix": 169, "end_ix": 169, "relations": [] }, "44": { "tokens": "pericardial", "label": "ANAT-DP", "start_ix": 171, "end_ix": 171, "relations": [] }, "45": { "tokens": "effusion", "label": "OBS-U", "start_ix": 172, "end_ix": 172, "relations": [ [ "located_at", "44" ] ] }, "46": { "tokens": "Central", "label": "ANAT-DP", "start_ix": 176, "end_ix": 176, "relations": [ [ "modify", "48" ] ] }, "47": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 177, "end_ix": 177, "relations": [ [ "modify", "48" ] ] }, "48": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 178, "end_ix": 178, "relations": [] }, "49": { "tokens": "engorgement", "label": "OBS-DP", "start_ix": 179, "end_ix": 179, "relations": [ [ "located_at", "48" ] ] }, "50": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 181, "end_ix": 181, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 182, "end_ix": 182, "relations": [] }, "52": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 183, "end_ix": 183, "relations": [ [ "located_at", "51" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s55561052.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old man with CHF , dyspnea / / Please eval for edema TECHNIQUE : CHEST ( PORTABLE AP ) COMPARISON : ___ IMPRESSION : Cardiomegaly is substantial . There is interval progression of pulmonary edema , currently severe . No interval increase in pleural effusion demonstrated . Position of the biventricular pacer leads is unchanged NOTIFICATION : Discussed with Dr . ___ ___ the phone by Dr . ___ at 09 : 45 on ___ , ___ min after the findings were made", "entities": { "1": { "tokens": "Cardiomegaly", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "2": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "progression", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "5": { "tokens": "edema", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "severe", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "increase", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "Position", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "biventricular", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "12": { "tokens": "pacer", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "leads", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "10" ], [ "modify", "13" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18006842/s59597753.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old man with nausea , vomiting , and epigastric pain for two days status post pacer lead placement . Evaluate for cardiopulmonary process or free air . COMPARISON : Multiple prior radiographs , most recently ___ ___ . FINDINGS : Frontal and lateral views of the chest were obtained . There is moderate cardiomegaly , similar to prior . There is crowding of pulmonary vasculature , exaggerated by low lung volumes . The lungs are otherwise clear without focal or diffuse abnormality . There is no evidence of pleural effusion , pneumothorax , or pneumoperitoneum . Triple lead left chest wall pacer is seen with wires terminating in the right ventricle , right atrium , and left ventricle via the coronary sinus . No new radiopaque foreign bodies . The osseous structures are unremarkable . IMPRESSION : No acute cardiopulmonary process . No pneumothorax or pneumoperitoneum .", "entities": { "1": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "3": { "tokens": "similar to prior", "label": "OBS-DP", "start_ix": 63, "end_ix": 65, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "6" ], [ "suggestive_of", "7" ] ] }, "5": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "7": { "tokens": "low", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "8" ] ] }, "8": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "9": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "11": { "tokens": "clear", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "focal", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "diffuse", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 99, "end_ix": 99, "relations": [] }, "18": { "tokens": "pneumoperitoneum", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [] }, "19": { "tokens": "Triple", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "lead", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "22" ], [ "modify", "24" ] ] }, "21": { "tokens": "left", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "23": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "pacer", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "25": { "tokens": "wires", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "20" ], [ "located_at", "27" ], [ "located_at", "29" ], [ "located_at", "31" ] ] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "28": { "tokens": "right", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "atrium", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "ventricle", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [] }, "32": { "tokens": "coronary", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "sinus", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "32" ] ] }, "34": { "tokens": "new", "label": "OBS-DA", "start_ix": 132, "end_ix": 132, "relations": [ [ "modify", "37" ] ] }, "35": { "tokens": "radiopaque", "label": "OBS-DA", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "foreign", "label": "OBS-DA", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "bodies", "label": "OBS-DA", "start_ix": 135, "end_ix": 135, "relations": [] }, "38": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [] }, "39": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "38" ] ] }, "40": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 141, "end_ix": 141, "relations": [ [ "located_at", "38" ] ] }, "41": { "tokens": "acute", "label": "OBS-DA", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "43" ] ] }, "42": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 147, "end_ix": 147, "relations": [] }, "43": { "tokens": "process", "label": "OBS-DA", "start_ix": 148, "end_ix": 148, "relations": [ [ "located_at", "42" ] ] }, "44": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 151, "end_ix": 151, "relations": [] }, "45": { "tokens": "pneumoperitoneum", "label": "OBS-DA", "start_ix": 153, "end_ix": 153, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s54741884.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Previous chronic heart failure , reduced breath sounds , evaluation . COMPARISON : ___ . FINDINGS : As compared to the previous image , the patient has developed a relatively large right pleural effusion that occupies approximately one - third of the right hemithorax . There is substantial atelectasis at the right lung bases . In addition , nodular structure is seen at the level of the right hilus , the structure measures 1 cm in diameter and shows soft tissue density . This structure has to be further evaluated once the effusion is resolved . No other lung parenchymal changes , except for a linear calcification in the left lung . Borderline size of the cardiac silhouette . Moderate tortuosity of the thoracic aorta . At the time of dictation and observation , 4 : 50 , on ___ , referring physician , ___ . ___ was notified and the findings were discussed over the telephone .", "entities": { "1": { "tokens": "relatively", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "large", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "5": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "approximately", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "one - third", "label": "OBS-DP", "start_ix": 43, "end_ix": 45, "relations": [ [ "located_at", "9" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "10": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "13" ] ] }, "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": "nodular", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "18" ] ] }, "16": { "tokens": "structure", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "hilus", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "19": { "tokens": "1 cm", "label": "OBS-DP", "start_ix": 79, "end_ix": 80, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "diameter", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "15" ] ] }, "21": { "tokens": "soft tissue", "label": "OBS-DP", "start_ix": 85, "end_ix": 86, "relations": [ [ "modify", "15" ] ] }, "22": { "tokens": "density", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "other", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "26" ] ] }, "24": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "25": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "changes", "label": "OBS-DA", "start_ix": 106, "end_ix": 106, "relations": [ [ "located_at", "24" ] ] }, "27": { "tokens": "linear", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "calcification", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "30" ] ] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "31": { "tokens": "Borderline", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "size", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "located_at", "33" ] ] }, "33": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "34": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "tortuosity", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "located_at", "38" ] ] }, "37": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s52862073.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old male with shortness of breath , query congestive heart failure . COMPARISON : Chest radiograph , ___ , ___ . TECHNIQUE : Frontal and lateral views of the chest were obtained . FINDINGS : The heart size is top normal . The mediastinal and hilar contours are stable . There is no pneumothorax . A moderate right pleural effusion is again seen with adjacent hazy opacity in the right lower lobe , likely representing a layering component . The lungs are well expanded without focal consolidation . Increased interstitial markings is indicative of mild pulmonary edema . The upper abdomen is unremarkable . IMPRESSION : New mild pulmonary edema . Moderate right pleural effusion , present on multiple prior studies .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "top", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "6": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "7": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "5" ], [ "modify", "6" ] ] }, "8": { "tokens": "stable", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "5" ], [ "located_at", "6" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [] }, "10": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "adjacent", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "hazy", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "19" ], [ "suggestive_of", "21" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "20": { "tokens": "layering", "label": "OBS-U", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "component", "label": "OBS-U", "start_ix": 85, "end_ix": 85, "relations": [] }, "22": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "23": { "tokens": "well", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "22" ] ] }, "25": { "tokens": "focal", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [] }, "27": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "29": { "tokens": "markings", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "28" ], [ "suggestive_of", "32" ] ] }, "30": { "tokens": "mild", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "32": { "tokens": "edema", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "35": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "New", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "39" ] ] }, "37": { "tokens": "mild", "label": "OBS-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "39" ] ] }, "38": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [] }, "39": { "tokens": "edema", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "38" ] ] }, "40": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "43" ] ] }, "41": { "tokens": "right", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [] }, "43": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "42" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s53144708.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old man with atrial fibrillation , pleural effusion . Follow up . TECHNIQUE : PA and lateral chest radiographs were obtained of the patient in the upright position . COMPARISON : Chest radiograph from ___ . FINDINGS : No significant interval change is seen from previous chest radiograph . Moderate right pleural effusion continues to be seen with compressive atelectasis of the right lung . The cardiac and mediastinal contours are unchanged with mildly enlarged heart . IMPRESSION : No change in moderate right pleural effusion and associated atelectasis .", "entities": { "1": { "tokens": "significant", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "change", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [] }, "3": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "6": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "10" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "11": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "12": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "13": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "11" ], [ "modify", "12" ] ] }, "14": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "11" ], [ "located_at", "12" ] ] }, "15": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "17" ] ] }, "17": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "18": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s51438936.txt": { "text": "FINAL REPORT PA AND LATERAL CHEST ___ HISTORY : An ___ - year - old man with a right pleural effusion after thoracentesis . IMPRESSION : AP chest compared to ___ and ___ : Moderate right pleural effusion has increased since ___ . There is no pneumothorax . Base of the right lung is partially obscured and could be atelectatic or consolidated or may ___ a mass . If the effusion persists , CT scanning is recommended . An indeterminate volume of the right pleural effusion could be loculated . However , the loss of volume in the right hemithorax suggests a substantial component of atelectasis . Left lung is mildly hyperinflated and clear . Heart size is normal . There is no left pleural effusion .", "entities": { "1": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "increased", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [] }, "7": { "tokens": "Base", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "10": { "tokens": "partially", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "obscured", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "7" ], [ "suggestive_of", "12" ], [ "suggestive_of", "13" ], [ "suggestive_of", "14" ] ] }, "12": { "tokens": "atelectatic", "label": "OBS-U", "start_ix": 59, "end_ix": 59, "relations": [] }, "13": { "tokens": "consolidated", "label": "OBS-U", "start_ix": 61, "end_ix": 61, "relations": [] }, "14": { "tokens": "mass", "label": "OBS-U", "start_ix": 66, "end_ix": 66, "relations": [] }, "15": { "tokens": "effusion", "label": "OBS-U", "start_ix": 70, "end_ix": 70, "relations": [] }, "16": { "tokens": "indeterminate", "label": "OBS-U", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "volume", "label": "OBS-U", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-U", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "loculated", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "loss", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "25" ] ] }, "23": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "right", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "hemithorax", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "suggestive_of", "28" ] ] }, "26": { "tokens": "substantial", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "component", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [] }, "29": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "31": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "30" ] ] }, "33": { "tokens": "clear", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "located_at", "30" ] ] }, "34": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "35": { "tokens": "size", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "34" ] ] }, "36": { "tokens": "normal", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "34" ] ] }, "37": { "tokens": "left", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "39": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 125, "end_ix": 125, "relations": [ [ "located_at", "38" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s55461318.txt": { "text": "FINAL ADDENDUM ADDENDUM Please note with the prior study for COMPARISON should be ___ instead of the previously noted ___ . ______________________________________________________________________________ FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : History : ___ M with abd pain / / ? free air TECHNIQUE : Single frontal view of the chest COMPARISON : ___ FINDINGS : Single AP upright portable view of the chest was obtained . There is a small to moderate right pleural effusion with overlying atelectasis . Underlying consolidation is not excluded . Patchy left basilar opacity is also seen which could be due to atelectasis or aspiration , infection not excluded . No large left pleural effusion is seen . There is no pneumothorax . The cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged . The aorta remains tortuous . Degenerative change is noted at the right glenohumeral and acromioclavicular joints . No evidence of free air is seen beneath the diaphragms . IMPRESSION : No evidence of free air beneath the diaphragms . Moderate right pleural effusion with overlying atelectasis , underlying right basilar consolidation not excluded . Patchy left basilar opacity also seen , could be due to atelectasis or aspiration , infection not excluded .", "entities": { "1": { "tokens": "small", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "5" ] ] }, "2": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "5" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "5": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "8": { "tokens": "Underlying", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 83, "end_ix": 83, "relations": [] }, "10": { "tokens": "Patchy", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "13" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "13": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "14" ], [ "suggestive_of", "15" ] ] }, "14": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 100, "end_ix": 100, "relations": [] }, "15": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 102, "end_ix": 102, "relations": [] }, "16": { "tokens": "infection", "label": "OBS-U", "start_ix": 104, "end_ix": 104, "relations": [] }, "17": { "tokens": "large", "label": "OBS-DA", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 119, "end_ix": 119, "relations": [] }, "22": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [] }, "23": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 124, "end_ix": 124, "relations": [] }, "24": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "22" ], [ "modify", "23" ] ] }, "25": { "tokens": "stable", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [ [ "located_at", "22" ], [ "located_at", "23" ] ] }, "26": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] }, "27": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 131, "end_ix": 131, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 132, "end_ix": 132, "relations": [ [ "located_at", "26" ] ] }, "29": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "30": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "Degenerative", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "32": { "tokens": "change", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "right", "label": "ANAT-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "modify", "34" ], [ "modify", "35" ] ] }, "34": { "tokens": "glenohumeral", "label": "ANAT-DP", "start_ix": 146, "end_ix": 146, "relations": [] }, "35": { "tokens": "acromioclavicular", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [] }, "36": { "tokens": "joints", "label": "ANAT-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "34" ], [ "modify", "35" ] ] }, "37": { "tokens": "free", "label": "OBS-DA", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "air", "label": "OBS-DA", "start_ix": 155, "end_ix": 155, "relations": [ [ "located_at", "40" ] ] }, "39": { "tokens": "beneath", "label": "ANAT-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "diaphragms", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [] }, "41": { "tokens": "free", "label": "OBS-DA", "start_ix": 167, "end_ix": 167, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "air", "label": "OBS-DA", "start_ix": 168, "end_ix": 168, "relations": [ [ "located_at", "44" ] ] }, "43": { "tokens": "beneath", "label": "ANAT-DP", "start_ix": 169, "end_ix": 169, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "diaphragms", "label": "ANAT-DP", "start_ix": 171, "end_ix": 171, "relations": [] }, "45": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 173, "end_ix": 173, "relations": [ [ "modify", "48" ] ] }, "46": { "tokens": "right", "label": "ANAT-DP", "start_ix": 174, "end_ix": 174, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 175, "end_ix": 175, "relations": [] }, "48": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 176, "end_ix": 176, "relations": [ [ "located_at", "47" ] ] }, "49": { "tokens": "overlying", "label": "OBS-DP", "start_ix": 178, "end_ix": 178, "relations": [ [ "modify", "50" ] ] }, "50": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 179, "end_ix": 179, "relations": [] }, "51": { "tokens": "underlying", "label": "OBS-U", "start_ix": 181, "end_ix": 181, "relations": [ [ "modify", "54" ] ] }, "52": { "tokens": "right", "label": "ANAT-DP", "start_ix": 182, "end_ix": 182, "relations": [ [ "modify", "53" ] ] }, "53": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 183, "end_ix": 183, "relations": [] }, "54": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 184, "end_ix": 184, "relations": [ [ "located_at", "53" ] ] }, "55": { "tokens": "Patchy", "label": "OBS-DP", "start_ix": 188, "end_ix": 188, "relations": [ [ "modify", "58" ] ] }, "56": { "tokens": "left", "label": "ANAT-DP", "start_ix": 189, "end_ix": 189, "relations": [ [ "modify", "57" ] ] }, "57": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 190, "end_ix": 190, "relations": [] }, "58": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 191, "end_ix": 191, "relations": [ [ "located_at", "57" ], [ "suggestive_of", "59" ], [ "suggestive_of", "60" ], [ "suggestive_of", "61" ] ] }, "59": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 199, "end_ix": 199, "relations": [] }, "60": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 201, "end_ix": 201, "relations": [] }, "61": { "tokens": "infection", "label": "OBS-U", "start_ix": 203, "end_ix": 203, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s50531159.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with pleural effusion and right lower lobe infiltrate . / / Please assess for interval chance of pleural effusion . TECHNIQUE : CHEST ( PA AND LAT ) COMPARISON : ___ IMPRESSION : Right pleural effusion is moderate , unchanged . Mild vascular congestion is present . No pneumothorax is seen .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "3": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "3" ] ] }, "6": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "8": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s52886085.txt": { "text": "FINAL REPORT EXAMINATION : Chest : Frontal and lateral views INDICATION : History : ___ M with chest pain , diaphoresis / / Eval for acute process , pulm edema , PNA TECHNIQUE : Chest : Frontal and Lateral COMPARISON : ___ FINDINGS : Right base opacity persists along with blunting of the right costophrenic angle , similar to prior . Interstitial edema has improved in the interval . Left base atelectasis . Minimal to no left pleural effusion . No pneumothorax . Cardiac silhouette is grossly stable to minimally enlarged . Mediastinal contours are stable . IMPRESSION : Interval decrease in pulmonary vascular congestion since the prior study , otherwise no significant interval change ; re - demonstrated right base opacity and blunting of the right costophrenic angle . Possible effusion and atelectasis , superimposed infectious process not excluded although the appearance similar to ___ year prior .", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "base", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "3": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "blunting", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "6" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "7": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "similar to prior", "label": "OBS-DP", "start_ix": 57, "end_ix": 59, "relations": [ [ "modify", "3" ] ] }, "9": { "tokens": "Interstitial", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "10": { "tokens": "edema", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "improved", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "10" ], [ "modify", "12" ] ] }, "12": { "tokens": "interval", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "13": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "base", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "15": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "Minimal to no", "label": "OBS-U", "start_ix": 73, "end_ix": 75, "relations": [ [ "modify", "19" ] ] }, "17": { "tokens": "left", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "19": { "tokens": "effusion", "label": "OBS-U", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [] }, "21": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "22": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "grossly", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "stable", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "21" ] ] }, "25": { "tokens": "minimally", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "21" ] ] }, "27": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "28": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "stable", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "27" ] ] }, "30": { "tokens": "Interval", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "decrease", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "33" ] ] }, "32": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "33" ] ] }, "33": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "34": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "significant", "label": "OBS-DA", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "37" ] ] }, "36": { "tokens": "interval", "label": "OBS-DA", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "change", "label": "OBS-DA", "start_ix": 114, "end_ix": 114, "relations": [] }, "38": { "tokens": "right", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "base", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "40": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "39" ] ] }, "41": { "tokens": "blunting", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "located_at", "43" ] ] }, "42": { "tokens": "right", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "44": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "43" ] ] }, "45": { "tokens": "effusion", "label": "OBS-U", "start_ix": 131, "end_ix": 131, "relations": [] }, "46": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 133, "end_ix": 133, "relations": [] }, "47": { "tokens": "superimposed", "label": "OBS-U", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "48" ] ] }, "48": { "tokens": "infectious", "label": "OBS-U", "start_ix": 136, "end_ix": 136, "relations": [] }, "49": { "tokens": "process", "label": "OBS-U", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "48" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s53899716.txt": { "text": "FINAL REPORT HISTORY : Increase shortness of breath . Evaluate for CHF versus pneumonia . COMPARISON : Chest radiograph from ___ . FINDINGS : Frontal and lateral chest radiographs again demonstrate mild cardiomegaly . The lungs are clear without focal consolidation or pulmonary edema . A moderate right pleural effusion with associated atelectasis is unchanged . There is no pneumothorax . IMPRESSION : Unchanged chest radiograph with a moderate right pleural effusion and associated atelectasis . No evidence of pneumonia or pulmonary edema . A preliminary read was provided upon request via email by Dr . ___ to Dr . ___ at ___ on ___ .", "entities": { "1": { "tokens": "mild", "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": "lungs", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "4": { "tokens": "clear", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "focal", "label": "OBS-DA", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 40, "end_ix": 40, "relations": [] }, "7": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "8": { "tokens": "edema", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "12": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "12" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [] }, "16": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "17" ] ] }, "17": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "18": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "20" ] ] }, "23": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [] }, "24": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "25": { "tokens": "edema", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "24" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s55634030.txt": { "text": "FINAL REPORT HISTORY : Right - sided loculated effusion status post thoracentesis . Rule out pneumothorax . TECHNIQUE : Single portable AP radiograph of the chest . COMPARISON : Multiple prior radiographs the chest most recent ___ . FINDINGS : The right - sided loculated effusion is smaller status post thoracentesis . The left lung is clear . There is no pneumothorax . The heart , mediastinum and hilar contours are unchanged . IMPRESSION : No pneumothorax status post thoracentesis .", "entities": { "1": { "tokens": "The right - sided", "label": "OBS-DP", "start_ix": 40, "end_ix": 43, "relations": [] }, "2": { "tokens": "loculated", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "smaller", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "post", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "thoracentesis", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "3" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "9": { "tokens": "clear", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [] }, "11": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "12": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "13": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "14": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "11" ], [ "modify", "12" ], [ "modify", "13" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "11" ], [ "located_at", "12" ], [ "located_at", "13" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [] }, "17": { "tokens": "post", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "thoracentesis", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s53190310.txt": { "text": "FINAL REPORT INDICATION : ___ M with sob / / eval for pna TECHNIQUE : Single portable view of the chest . COMPARISON : ___ . ___ . FINDINGS : Persistent hazy opacity seen at the right lung base with blunting of the right lateral costophrenic angle . There is also a new left basilar opacity blunting the lateral costophrenic angle compatible with a least some component of effusion . Superiorly , lungs are clear . Moderate cardiac enlargement is unchanged . There are atherosclerotic calcifications at the aortic arch . No acute osseous abnormalities . IMPRESSION : Persistent right basilar pleural effusion and / or pleural thickening . New left basilar opacity in part due to an effusion likely with adjacent atelectasis .", "entities": { "1": { "tokens": "hazy", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "5" ] ] }, "3": { "tokens": "right", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "5": { "tokens": "base", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "blunting", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "9" ] ] }, "7": { "tokens": "right", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "10": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "new", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "14": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "blunting", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "17" ], [ "suggestive_of", "19" ] ] }, "16": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "18": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "20": { "tokens": "Superiorly", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "22": { "tokens": "clear", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "25": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "located_at", "24" ] ] }, "27": { "tokens": "atherosclerotic", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "30" ] ] }, "28": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "aortic", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "30": { "tokens": "arch", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "29" ] ] }, "31": { "tokens": "acute", "label": "OBS-DA", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "33" ] ] }, "32": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "33": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "32" ] ] }, "34": { "tokens": "right", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "36" ] ] }, "35": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "36" ] ] }, "36": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "37": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "36" ] ] }, "38": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "39": { "tokens": "thickening", "label": "OBS-U", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "38" ] ] }, "40": { "tokens": "New", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "43" ] ] }, "41": { "tokens": "left", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "42" ] ] }, "42": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "43": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "located_at", "42" ], [ "suggestive_of", "44" ], [ "suggestive_of", "46" ] ] }, "44": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "45": { "tokens": "adjacent", "label": "OBS-U", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 122, "end_ix": 122, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s57105647.txt": { "text": "FINAL REPORT HISTORY : Pleural effusion . FINDINGS : In comparison with the study of ___ , there is continued moderate right pleural effusion with compressive atelectasis at the base . The nodular lesion in the right hilar region is not definitely appreciated at this time , though with change in obliquity , it may be over a rib margin . The left lung is essentially clear .", "entities": { "1": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "3" ], [ "modify", "7" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "7" ] ] }, "7": { "tokens": "base", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [] }, "8": { "tokens": "nodular", "label": "OBS-U", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "lesion", "label": "OBS-U", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "11" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "12": { "tokens": "region", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "it", "label": "OBS-U", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "9" ], [ "located_at", "14" ] ] }, "14": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "15": { "tokens": "margin", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "left", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "18": { "tokens": "clear", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s55374744.txt": { "text": "FINAL REPORT HISTORY : Pleural effusion . Assess for interval change . COMPARISON : ___ . FINDINGS : AP upright and lateral chest radiographs were obtained . A moderate right pleural effusion is essentially unchanged from the previous examination with accompanying compressive atelectasis . The lungs are otherwise clear aside from mild vascular congestion . There is no left pleural effusion . The heart is mildly enlarged with otherwise normal cardiomediastinal contours . IMPRESSION : Unchanged moderate right pleural effusion .", "entities": { "1": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "compressive", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "8": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "9": { "tokens": "otherwise", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "clear", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "mild", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "13": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "16": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "18": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "otherwise", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "normal", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "23" ] ] }, "22": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "23": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "28" ] ] }, "25": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "28" ] ] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "28": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "27" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002496/s54796318.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old male with epigastric pain . Evaluate for acute cardiopulmonary disease . TECHNIQUE : AP frontal and lateral chest radiographs were obtained . COMPARISON : Chest radiograph from ___ and ___ . FINDINGS : There is a moderate right - sided pleural effusion with associated atelectasis at the right lung base , increased opacity within the right lower lung . Likely reflects right lower lobe consolidation versus atelectasis , this best appreciated on the lateral view . The heart is top - normal in size given the AP technique . There is mild interstitial edema , left greater than right . No pneumothorax is seen , and aortic arch calcifications are noted . Compression deformities and degenerative changes of the thoracolumbar spine are noted . IMPRESSION : Small - moderate right pleural effusion with mild interstitial edema . Increased opacity at the right lung base likely reflects right basilar atelectasis however superimposed infection cannot be excluded .", "entities": { "1": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 46, "end_ix": 48, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "7" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "8": { "tokens": "base", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "increased", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "14" ], [ "suggestive_of", "18" ], [ "suggestive_of", "19" ] ] }, "11": { "tokens": "within", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "18": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "17" ] ] }, "20": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "21": { "tokens": "top", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "normal", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "20" ] ] }, "23": { "tokens": "size", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "20" ] ] }, "24": { "tokens": "mild", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "26" ] ] }, "25": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [] }, "26": { "tokens": "edema", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "located_at", "25" ], [ "located_at", "27" ], [ "located_at", "29" ] ] }, "27": { "tokens": "left", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "28": { "tokens": "greater", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "27" ] ] }, "29": { "tokens": "right", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "30": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 110, "end_ix": 110, "relations": [] }, "31": { "tokens": "aortic", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "32": { "tokens": "arch", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "31" ] ] }, "34": { "tokens": "Compression", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "deformities", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "39" ] ] }, "36": { "tokens": "degenerative", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "located_at", "39" ] ] }, "37": { "tokens": "changes", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "36" ] ] }, "38": { "tokens": "thoracolumbar", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "located_at", "39" ] ] }, "39": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "40": { "tokens": "Small", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "44" ] ] }, "41": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 137, "end_ix": 137, "relations": [ [ "modify", "44" ] ] }, "42": { "tokens": "right", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [] }, "44": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "located_at", "43" ] ] }, "45": { "tokens": "mild", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "modify", "47" ] ] }, "46": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "43" ] ] }, "47": { "tokens": "edema", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [ [ "located_at", "46" ] ] }, "48": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 146, "end_ix": 146, "relations": [ [ "modify", "49" ] ] }, "49": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "located_at", "51" ], [ "suggestive_of", "55" ], [ "suggestive_of", "57" ] ] }, "50": { "tokens": "right", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [] }, "52": { "tokens": "base", "label": "ANAT-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "51" ] ] }, "53": { "tokens": "right", "label": "ANAT-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "54" ] ] }, "54": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 156, "end_ix": 156, "relations": [] }, "55": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 157, "end_ix": 157, "relations": [ [ "located_at", "54" ] ] }, "56": { "tokens": "superimposed", "label": "OBS-U", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "57" ] ] }, "57": { "tokens": "infection", "label": "OBS-U", "start_ix": 160, "end_ix": 160, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001474/s51737379.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : History : ___ F with malignancy , recent cycle chemo last week , DVT last month , now w / SIRS + presentation , malaise , JVD , epig abd pain since last night TECHNIQUE : Upright AP and lateral views of the chest COMPARISON : ___ FINDINGS : Heart size is normal . The mediastinal and hilar contours are unchanged , with tortuosity of the thoracic aorta again noted . Atherosclerotic calcifications are seen throughout the aorta . Pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is present . Multilevel degenerative changes are seen in the thoracic spine . Clips in the right upper quadrant of the abdomen are re - demonstrated . IMPRESSION : No acute cardiopulmonary abnormality .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "5": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "6": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "7": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "8": { "tokens": "tortuosity", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "10" ] ] }, "9": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "11": { "tokens": "Atherosclerotic", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "13" ] ] }, "12": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [] }, "14": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "16": { "tokens": "normal", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "focal", "label": "OBS-DA", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "19" ] ] }, "21": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [] }, "22": { "tokens": "Multilevel", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "degenerative", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "26" ] ] }, "24": { "tokens": "changes", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "27": { "tokens": "Clips", "label": "OBS-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "located_at", "31" ] ] }, "28": { "tokens": "right", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "30" ] ] }, "30": { "tokens": "quadrant", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [] }, "32": { "tokens": "acute", "label": "OBS-DA", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "34": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 136, "end_ix": 136, "relations": [ [ "located_at", "33" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001474/s58221226.txt": { "text": "WET READ : ___ ___ ___ 12:59PM Obscuration of left hemidiaphragm may reflect atelectasis though infection cannot be excluded . Small bilateral pleural effusions . ______________________________________________________________________________ FINAL REPORT INDICATION : ___ - year - old female with persistent nausea and vomiting now with chest pain . TECHNIQUE : AP and lateral COMPARISON : CT chest dated ___ . FINDINGS : AP upright and lateral chest radiograph were obtained . Operation of the left hemidiaphragm may reflect atelectasis though focal consolidation cannot be excluded . Obliteration of bilateral costophrenic angles is suggestive of a small pleural effusions bilaterally . No subcutaneous air or pneumomediastinum is identified . Osseous structures are unremarkable . Cardiac size is normal . The pulmonary arteries are enlarged as before . IMPRESSION : Obscuration of left hemidiaphragm may reflect atelectasis though infection cannot be excluded . Small bilateral pleural effusions .", "entities": { "1": { "tokens": "Obscuration", "label": "OBS-DP", "start_ix": 7, "end_ix": 7, "relations": [ [ "located_at", "3" ], [ "suggestive_of", "4" ], [ "suggestive_of", "5" ] ] }, "2": { "tokens": "left", "label": "ANAT-DP", "start_ix": 9, "end_ix": 9, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 10, "end_ix": 10, "relations": [] }, "4": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 13, "end_ix": 13, "relations": [] }, "5": { "tokens": "infection", "label": "OBS-U", "start_ix": 15, "end_ix": 15, "relations": [] }, "6": { "tokens": "Small", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "9" ] ] }, "7": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "located_at", "8" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "9": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "Operation", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "13" ], [ "suggestive_of", "15" ] ] }, "11": { "tokens": "left", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "13": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 76, "end_ix": 76, "relations": [] }, "14": { "tokens": "focal", "label": "OBS-U", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 79, "end_ix": 79, "relations": [] }, "16": { "tokens": "Obliteration", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "19" ], [ "suggestive_of", "22" ] ] }, "17": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "angles", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "20": { "tokens": "small", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "22": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "bilaterally", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "21" ] ] }, "24": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "25": { "tokens": "air", "label": "OBS-DA", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "pneumomediastinum", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [] }, "27": { "tokens": "Osseous", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "28": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "27" ] ] }, "30": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [] }, "31": { "tokens": "size", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "30" ] ] }, "32": { "tokens": "normal", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "30" ] ] }, "33": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] }, "34": { "tokens": "arteries", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "33" ] ] }, "35": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "Obscuration", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "located_at", "38" ], [ "suggestive_of", "39" ], [ "suggestive_of", "40" ] ] }, "37": { "tokens": "left", "label": "ANAT-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [] }, "39": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 132, "end_ix": 132, "relations": [] }, "40": { "tokens": "infection", "label": "OBS-U", "start_ix": 134, "end_ix": 134, "relations": [] }, "41": { "tokens": "Small", "label": "OBS-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "44" ] ] }, "42": { "tokens": "bilateral", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [ [ "modify", "43" ] ] }, "43": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 141, "end_ix": 141, "relations": [] }, "44": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 142, "end_ix": 142, "relations": [ [ "located_at", "43" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001786/s51462360.txt": { "text": "FINAL REPORT EXAMINATION : Chest : Frontal and lateral views INDICATION : History : ___ F with left chest pain and SOB / / Eval for infiltrates vs small pneumo TECHNIQUE : Chest : Frontal and Lateral COMPARISON : ___ FINDINGS : No new focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable . Hilar contours are stable . IMPRESSION : No significant interval change .", "entities": { "1": { "tokens": "new", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "focal", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [] }, "4": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "5": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [] }, "7": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "8": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "9": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "7" ], [ "modify", "8" ] ] }, "10": { "tokens": "stable", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "7" ], [ "located_at", "8" ] ] }, "11": { "tokens": "Hilar", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "12": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "stable", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "significant", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "interval", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "change", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18001786/s56916492.txt": { "text": "FINAL REPORT INDICATION : ___ F with epig astric / lower sternal burning x 1 hr , evaluate for pleural effusion or pneumonia . TECHNIQUE : Chest PA and lateral COMPARISON : None available . FINDINGS : The lungs are well inflated and clear . The cardiomediastinal silhouette , hilar contours , and pleural surfaces are normal . There is no pleural effusion or pneumothorax . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "2": { "tokens": "well", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "inflated", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "clear", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "6": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "8": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "10": { "tokens": "surfaces", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "normal", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "5" ], [ "located_at", "7" ], [ "located_at", "9" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "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": "train" }, "p15/p15003026/s53882677.txt": { "text": "FINAL REPORT EXAM : Chest frontal and lateral views . CLINICAL INFORMATION : Chest pain . COMPARISON : None . FINDINGS : Frontal and lateral views of the chest were obtained . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . No displaced fracture is seen . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "focal", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "6": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [] }, "8": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "9": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "10": { "tokens": "silhouettes", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "11": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "8" ], [ "located_at", "9" ] ] }, "12": { "tokens": "displaced", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "fracture", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [] }, "14": { "tokens": "acute", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "16": { "tokens": "process", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "15" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007710/s53803512.txt": { "text": "FINAL REPORT INDICATION : Concern for pneumonia . COMPARISON : Chest radiograph from ___ . TECHNIQUE : Frontal chest radiograph . FINDINGS : The heart size is top normal . The hilar and mediastinal contours are unchanged since ___ . There is no pneumothorax or pleural effusion . A left retrocardiac opacity likely reflects atelectasis , though a small underlying consolidation cannot be excluded . Moderate degenerative changes throughout the thoracic spine are again demonstrated . The aorta is tortuous and moderately calcified .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "top", "label": "OBS-DP", "start_ix": 27, "end_ix": 27, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "6": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "7": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "5" ], [ "modify", "6" ] ] }, "8": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "5" ], [ "located_at", "6" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [] }, "10": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "11": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "retrocardiac", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "14": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "13" ], [ "suggestive_of", "15" ] ] }, "15": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 54, "end_ix": 54, "relations": [] }, "16": { "tokens": "small", "label": "OBS-U", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "underlying", "label": "OBS-U", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "consolidation", "label": "OBS-U", "start_ix": 60, "end_ix": 60, "relations": [] }, "19": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "degenerative", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "23" ] ] }, "21": { "tokens": "changes", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "24": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "25": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "calcified", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "24" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007710/s53832381.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman with mechanical fall with multiple rib fractures with questionable hemothorax . / / status of ? hemothorax status of ? hemothorax TECHNIQUE : PA and lateral COMPARISON : Portable film and CT dated ___ FINDINGS : Right rib fractures best appreciated on CT are not well visualized on this plain film . Considering the change in the patient 's position on prior ( from supine to now upright ) , the pleural effusion ( better characterized on prior CT ) has not increased in size . No pneumothorax is seen . IMPRESSION : No change in right moderate sized pleural effusion ( hemothorax on CT )", "entities": { "1": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "3": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "not well visualized", "label": "OBS-DP", "start_ix": 60, "end_ix": 62, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "6": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "not increased", "label": "OBS-DP", "start_ix": 97, "end_ix": 98, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "size", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "6" ] ] }, "9": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [] }, "10": { "tokens": "No change", "label": "OBS-DP", "start_ix": 109, "end_ix": 110, "relations": [ [ "modify", "15" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "sized", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "15": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "14" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007710/s51338738.txt": { "text": "WET READ : ___ ___ ___ 12:10AM No acute cardiopulmonary process . ______________________________________________________________________________ FINAL REPORT INDICATION : ___ - year - old female with fever . TECHNIQUE : Frontal and lateral chest radiographs were obtained with the patient in the upright position . COMPARISON : CT from ___ and radiograph from ___ . FINDINGS : The heart is moderately enlarged , and there is no overt pulmonary edema . No definite focal consolidation , and the lungs are hyperinflated . Small effusions or pleural thickening is seen . IMPRESSION : No focal airspace consolidation to suggest pneumonia . Bilateral pleural effusions are smaller .", "entities": { "1": { "tokens": "acute", "label": "OBS-DA", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 9, "end_ix": 9, "relations": [] }, "3": { "tokens": "process", "label": "OBS-DA", "start_ix": 10, "end_ix": 10, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "5": { "tokens": "moderately", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "overt", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "9": { "tokens": "edema", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "focal", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 72, "end_ix": 72, "relations": [] }, "12": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "13": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "Small", "label": "OBS-U", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "effusions", "label": "OBS-U", "start_ix": 81, "end_ix": 81, "relations": [] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "17": { "tokens": "thickening", "label": "OBS-U", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "focal", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "airspace", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "20": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "19" ], [ "suggestive_of", "21" ] ] }, "21": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [] }, "22": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [] }, "24": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "smaller", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "24" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007710/s57675460.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : ___ year old woman with mechanical fall and multiple rib fractures with questionable hemothorax on CT . / / worsening hemothorax ? TECHNIQUE : CHEST ( PORTABLE AP ) COMPARISON : ___ and chest CT from ___ IMPRESSION : Heart size is enlarged , unchanged . Mediastinal silhouette is stable . Pleural effusion is demonstrated on the right , relatively moderate . It was demonstrated to be high density on the chest CT does concerning for hemothorax , unchanged . No definitive pneumothorax demonstrated . Multiple rib fractures only partially seen , better assessed on the previous CT of the chest .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "6": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "stable", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "Pleural", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "8" ] ] }, "11": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "9" ] ] }, "12": { "tokens": "It", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "9" ] ] }, "13": { "tokens": "high", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "density", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "12" ], [ "suggestive_of", "15" ] ] }, "15": { "tokens": "hemothorax", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "16": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "12" ] ] }, "17": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [] }, "18": { "tokens": "Multiple", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "20": { "tokens": "fractures", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "19" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007710/s57053735.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old woman with decreased bs right base , cough / / r / o pneumonia TECHNIQUE : Chest PA and lateral COMPARISON : ___ chest CT FINDINGS : Cardiomediastinal contours are stable with moderate cardiomegaly , elongated tortuous aorta upper normal size and pulmonary arteries also upper normal size . Opacity in the right lower lobe in the periphery is more conspicuous than before likely a rounded atelectasis are seen in the prior CT . Opacity adjacent to the descending aorta could be atelectasis but attention in followup studies is recommended . There is no pneumothorax . There is probably small left effusion . The left hemidiaphragm is elevated . S - shaped scoliosis is again noted . IMPRESSION : Peripheral opacity in the right lower lobe is a rounded atelectasis Opacities adjacent to the descending thoracic aorta are more conspicuous than before , attention in followup studies is recommended differential diagnosis include worsening atelectasis or infection", "entities": { "1": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "2": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "stable", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "6": { "tokens": "elongated", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "8" ] ] }, "7": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "8" ] ] }, "8": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "9": { "tokens": "upper", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "size", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "8" ] ] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "arteries", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "14": { "tokens": "upper", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "normal", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "size", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "13" ] ] }, "17": { "tokens": "Opacity", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "20" ], [ "suggestive_of", "25" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "21": { "tokens": "periphery", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "more", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "conspicuous", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "17" ] ] }, "24": { "tokens": "rounded", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "26": { "tokens": "Opacity", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "28" ], [ "suggestive_of", "29" ] ] }, "27": { "tokens": "descending", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "29": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 97, "end_ix": 97, "relations": [] }, "30": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 109, "end_ix": 109, "relations": [] }, "31": { "tokens": "small", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "33" ] ] }, "32": { "tokens": "left", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "33": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "located_at", "32" ] ] }, "34": { "tokens": "left", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "35" ] ] }, "35": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "36": { "tokens": "elevated", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "located_at", "35" ] ] }, "37": { "tokens": "S", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "shaped", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "40": { "tokens": "Peripheral", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "modify", "44" ] ] }, "41": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "located_at", "44" ], [ "suggestive_of", "46" ] ] }, "42": { "tokens": "right", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [ [ "modify", "44" ] ] }, "43": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 139, "end_ix": 139, "relations": [ [ "modify", "44" ] ] }, "44": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 140, "end_ix": 140, "relations": [] }, "45": { "tokens": "rounded", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [ [ "modify", "46" ] ] }, "46": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 144, "end_ix": 144, "relations": [] }, "47": { "tokens": "Opacities", "label": "OBS-DP", "start_ix": 145, "end_ix": 145, "relations": [ [ "located_at", "50" ], [ "suggestive_of", "54" ], [ "suggestive_of", "55" ] ] }, "48": { "tokens": "descending", "label": "ANAT-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "50" ] ] }, "49": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "50" ] ] }, "50": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 151, "end_ix": 151, "relations": [] }, "51": { "tokens": "more", "label": "OBS-DP", "start_ix": 153, "end_ix": 153, "relations": [ [ "modify", "52" ] ] }, "52": { "tokens": "conspicuous", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "47" ] ] }, "53": { "tokens": "worsening", "label": "OBS-U", "start_ix": 167, "end_ix": 167, "relations": [ [ "modify", "54" ] ] }, "54": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 168, "end_ix": 168, "relations": [] }, "55": { "tokens": "infection", "label": "OBS-U", "start_ix": 170, "end_ix": 170, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15007710/s57377858.txt": { "text": "FINAL REPORT STUDY : PA and lateral chest x - ray . COMPARISON EXAM : AP chest film , ___ . INDICATION : ___ - year - old with unexplained weight loss and history of breast cancer . FINDINGS : The aorta has calcifications and is mildly tortuous . There is stable cardiomegaly . There is no pulmonary congestion , pleural effusion , or pneumothorax . There are no pulmonary nodules . IMPRESSION : No pulmonary nodules or other evidence of malignancy .", "entities": { "1": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "2": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "stable", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "7": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "8": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "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": 64, "end_ix": 64, "relations": [] }, "12": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "13": { "tokens": "nodules", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "15": { "tokens": "nodules", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "malignancy", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "14" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002397/s57752049.txt": { "text": "FINAL REPORT HISTORY : Abdominal pain and vomiting . COMPARISON : None . FINDINGS : PA and lateral views of the chest . The lungs are clear . Cardiac silhouette is normal in size . Hilar and mediastinal contours are normal . No pleural or pericardial effusion . No evidence of pneumothorax . IMPRESSION : No evidence of acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "4": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "normal", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "3" ], [ "modify", "6" ] ] }, "6": { "tokens": "size", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "7": { "tokens": "Hilar", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "8": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "9": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "7" ], [ "modify", "8" ] ] }, "10": { "tokens": "normal", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "located_at", "7" ], [ "located_at", "8" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "12": { "tokens": "pericardial", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "11" ], [ "located_at", "12" ] ] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 51, "end_ix": 51, "relations": [] }, "15": { "tokens": "acute", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "17": { "tokens": "process", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "16" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18011616/s54058536.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ M with seizure disorder presenting with seizure COMPARISON : ___ FINDINGS : PA and lateral views of the chest provided . Emphysema is noted . There is no focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen . IMPRESSION : No acute intrathoracic process .", "entities": { "1": { "tokens": "Emphysema", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "2": { "tokens": "focal", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [] }, "4": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [] }, "5": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [] }, "6": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "7": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "normal", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "10": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "intact", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "free", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "air", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "16" ] ] }, "14": { "tokens": "below", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "17": { "tokens": "acute", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "19": { "tokens": "process", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "18" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18011616/s57021204.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : History : ___ M with seizure . no seizures last ___ years TECHNIQUE : Chest PA and lateral COMPARISON : ___ FINDINGS : Heart size is normal . The aorta is mildly tortuous but unchanged . Mediastinal and hilar contours are otherwise unremarkable . Pulmonary vasculature is normal . Minimal atelectasis is noted in the left lung base . Right lung is clear . No pleural effusion or pneumothorax is identified . No acute osseous abnormalities seen . IMPRESSION : Minimal left basilar atelectasis .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "5": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "9": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "10": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "11": { "tokens": "otherwise", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "8" ], [ "located_at", "9" ] ] }, "13": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "15": { "tokens": "normal", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "19" ] ] }, "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": "base", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "23": { "tokens": "clear", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "25": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "24" ] ] }, "26": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [] }, "27": { "tokens": "acute", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "29" ] ] }, "28": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "29": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "33" ] ] }, "31": { "tokens": "left", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "33": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "32" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18011616/s56212412.txt": { "text": "FINAL REPORT EXAMINATION : CR - CHEST ( PORTABLE AP ) INDICATION : History : ___ M with confusion , c / f seizures / / eval ? infection TECHNIQUE : Portable chest x - ray . COMPARISON : ___ , ___ , ___ , ___ FINDINGS : The cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination . No definite focal consolidation is identified . No other focal consolidation is identified . There is no pleural effusion or pneumothorax . IMPRESSION : No acute intrathoracic abnormality .", "entities": { "1": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [] }, "2": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "5": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "1" ], [ "located_at", "4" ] ] }, "6": { "tokens": "focal", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] }, "8": { "tokens": "other", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "focal", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "12": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 81, "end_ix": 81, "relations": [] }, "14": { "tokens": "acute", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [] }, "16": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "15" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18011616/s59704184.txt": { "text": "FINAL REPORT INDICATION : Seizure , question of infection . Evaluate for pneumonia . COMPARISON : Chest radiographs from ___ , ___ , ___ , and ___ . FINDINGS : Frontal and lateral chest radiographs demonstrate low lung volumes with resultant bronchovascular crowding and prominence of the cardiac silhouette . Allowing for this , the cardiomediastinal silhouette appears normal . The interstitium appears mildly prominent , but allowing for at the decreased volumes , this is likely unchanged compared to ___ and ___ . There is mild bronchial wall thickening in the perihilar and basilar region . No focal consolidation , or pneumothorax is seen . There is mild blunting of the left costophrenic angle , consistent with a small pleural effusion . The visualized upper abdomen is unremarkable . IMPRESSION : 1 . Bronchial wall thickening could be infectious or inflammatory such as secondary to aspiration . No focal consolidation concerning for pneumonia is present . 2 . Small left pleural effusion .", "entities": { "1": { "tokens": "low", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "2" ], [ "suggestive_of", "5" ], [ "suggestive_of", "6" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "5": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "6": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "7" ] ] }, "7": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "8": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "10": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "normal", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "9" ] ] }, "12": { "tokens": "interstitium", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "13": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "prominent", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "volumes", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "17": { "tokens": "unchanged", "label": "OBS-U", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "12" ] ] }, "18": { "tokens": "mild", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "bronchial", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "22" ], [ "modify", "23" ] ] }, "20": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "21": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "19" ] ] }, "22": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "23": { "tokens": "basilar", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "24": { "tokens": "region", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "22" ], [ "modify", "23" ] ] }, "25": { "tokens": "focal", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 99, "end_ix": 99, "relations": [] }, "27": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 102, "end_ix": 102, "relations": [] }, "28": { "tokens": "mild", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "blunting", "label": "OBS-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "located_at", "31" ], [ "suggestive_of", "35" ] ] }, "30": { "tokens": "left", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "costophrenic", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "32": { "tokens": "angle", "label": "ANAT-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "31" ] ] }, "33": { "tokens": "small", "label": "OBS-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "35" ] ] }, "34": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 120, "end_ix": 120, "relations": [] }, "35": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [] }, "38": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "located_at", "37" ] ] }, "39": { "tokens": "Bronchial", "label": "ANAT-DP", "start_ix": 134, "end_ix": 134, "relations": [] }, "40": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [ [ "modify", "39" ] ] }, "41": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "located_at", "39" ], [ "suggestive_of", "42" ], [ "suggestive_of", "43" ], [ "suggestive_of", "45" ] ] }, "42": { "tokens": "infectious", "label": "OBS-U", "start_ix": 139, "end_ix": 139, "relations": [] }, "43": { "tokens": "inflammatory", "label": "OBS-U", "start_ix": 141, "end_ix": 141, "relations": [] }, "44": { "tokens": "secondary", "label": "OBS-U", "start_ix": 144, "end_ix": 144, "relations": [ [ "modify", "45" ] ] }, "45": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 146, "end_ix": 146, "relations": [] }, "46": { "tokens": "focal", "label": "OBS-DA", "start_ix": 149, "end_ix": 149, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 150, "end_ix": 150, "relations": [ [ "suggestive_of", "48" ] ] }, "48": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 153, "end_ix": 153, "relations": [] }, "49": { "tokens": "Small", "label": "OBS-DP", "start_ix": 159, "end_ix": 159, "relations": [ [ "modify", "52" ] ] }, "50": { "tokens": "left", "label": "ANAT-DP", "start_ix": 160, "end_ix": 160, "relations": [ [ "modify", "51" ] ] }, "51": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 161, "end_ix": 161, "relations": [] }, "52": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 162, "end_ix": 162, "relations": [ [ "located_at", "51" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18011616/s55142338.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with increasing interstitial findings / / Assess interstitial findings on previous CXR Assess interstitial findings on previous CXR IMPRESSION : In comparison with the study on ___ , the prominence of interstitial markings is less pronounced , with no evidence of acute focal pneumonia . Mild hyperexpansion of the lungs suggests chronic pulmonary disease , but no acute focal pneumonia . There is a dense rounded opacification projected over the right side of what appears to be the T 12 vertebral body . An abdomen study could be obtained to better characterize this finding .", "entities": { "1": { "tokens": "prominence", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "3": { "tokens": "markings", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "less", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "pronounced", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "acute", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "focal", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [] }, "9": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "hyperexpansion", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "11" ], [ "suggestive_of", "14" ] ] }, "11": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "12": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "14": { "tokens": "disease", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "acute", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "focal", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "18": { "tokens": "dense", "label": "OBS-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "rounded", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "22" ] ] }, "21": { "tokens": "right side", "label": "OBS-DP", "start_ix": 86, "end_ix": 87, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "T 12 vertebral", "label": "ANAT-DP", "start_ix": 94, "end_ix": 96, "relations": [] }, "23": { "tokens": "body", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "22" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18011616/s50686187.txt": { "text": "FINAL REPORT EXAMINATION : Chest radiograph . INDICATION : History : ___ M with ams pls eval for pna / / History : ___ M with ams pls eval for pna TECHNIQUE : Chest PA and lateral COMPARISON : ___ . FINDINGS : Low lung volumes results in crowding of the bronchovascular structures . A mild , nonspecific interstitial abnormality may have increased since ___ . There is no lobar consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiac size is stable . The descending thoracic aorta is mildly tortuous . IMPRESSION : Interval increase in degree of an interstitial abnormality . Although there is no evidence of bacterial pneumonia , an opportunistic infection or reaction to inhaled substances should be considered clinically .", "entities": { "1": { "tokens": "Low", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "2" ], [ "suggestive_of", "4" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "5" ] ] }, "5": { "tokens": "bronchovascular", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "6": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "mild", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "10" ] ] }, "8": { "tokens": "nonspecific", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "10": { "tokens": "abnormality", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "increased", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "lobar", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "13": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "15": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [] }, "17": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "18": { "tokens": "edema", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "20": { "tokens": "size", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "19" ] ] }, "21": { "tokens": "stable", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "19" ] ] }, "22": { "tokens": "descending", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "25": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "tortuous", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "24" ] ] }, "27": { "tokens": "Interval", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "increase", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "30": { "tokens": "abnormality", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "29" ], [ "suggestive_of", "34" ], [ "suggestive_of", "36" ] ] }, "31": { "tokens": "bacterial", "label": "OBS-DA", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 113, "end_ix": 113, "relations": [] }, "33": { "tokens": "opportunistic", "label": "OBS-U", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "infection", "label": "OBS-U", "start_ix": 117, "end_ix": 117, "relations": [] }, "36": { "tokens": "reaction to inhaled substances", "label": "OBS-U", "start_ix": 119, "end_ix": 122, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18011616/s58636078.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old male with seizure , evaluate for aspiration . TECHNIQUE : Frontal and lateral chest radiographs were obtained with the patient in the upright position . COMPARISON : Radiographs from ___ , ___ and ___ . FINDINGS : Scoliosis of the thoracic spine is noted . There is no focal consolidation , pulmonary edema or pleural effusion . The heart is normal in size , and the mediastinal contours are normal . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "Scoliosis", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "3" ] ] }, "2": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "4": { "tokens": "focal", "label": "OBS-DA", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "7": { "tokens": "edema", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "11": { "tokens": "normal", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "size", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "10" ] ] }, "13": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "14": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "13" ] ] }, "15": { "tokens": "normal", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18011616/s50630819.txt": { "text": "FINAL REPORT EXAMINATION : CHEST RADIOGRAPH INDICATION : History : ___ M with cough , seizure today / / assess for infiltrate assess for infiltrate TECHNIQUE : PA and lateral views of the chest . COMPARISON : Chest radiograph from ___ . FINDINGS : The cardiomediastinal and hilar contours are within normal limits . Lungs are well expanded and clear . There is no focal consolidation , pleural effusion or pneumothorax . Thoracolumbar scoliosis is mild to moderate , unchanged grossly since at least ___ . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "2": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "3": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "1" ], [ "modify", "2" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "located_at", "1" ], [ "located_at", "2" ] ] }, "5": { "tokens": "limits", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "7": { "tokens": "well", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "6" ] ] }, "9": { "tokens": "clear", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "6" ] ] }, "10": { "tokens": "focal", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [] }, "15": { "tokens": "Thoracolumbar", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "16": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "mild", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "16" ] ] }, "19": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "16" ] ] }, "20": { "tokens": "acute", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "22": { "tokens": "process", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "21" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18011616/s50977977.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( AP upright AND LAT ) INDICATION : ___ M with ams / / eval for acute process COMPARISON : ___ FINDINGS : AP upright and lateral views of the chest provided . There is no focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen . IMPRESSION : No acute intrathoracic process .", "entities": { "1": { "tokens": "focal", "label": "OBS-DA", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [] }, "3": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 44, "end_ix": 44, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [] }, "5": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "6": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "normal", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "9": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "intact", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "free", "label": "OBS-DA", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "air", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "15" ] ] }, "13": { "tokens": "below", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15000485/s56074305.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with SOB , please evaluate for infectious process . / / ___ year old man with SOB , please evaluate for infectious process . COMPARISON : ___ . IMPRESSION : As compared to the previous image , no relevant change is seen . No pleural effusions , no pneumothorax , no pulmonary edema and no pneumonia . A minimal increase in density at the level of the right anterior portions of the second and third rib is caused by a combination of the scapular and vascular structures .", "entities": { "1": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "2": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] }, "4": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "5": { "tokens": "edema", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [] }, "7": { "tokens": "minimal", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "increase", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "density", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "15" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "anterior", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "portions", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "second", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "third", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "16": { "tokens": "scapular", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "suggestive_of", "9" ] ] }, "17": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "suggestive_of", "9" ] ] }, "18": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005024/s53950795.txt": { "text": "FINAL REPORT INDICATION : ___ year old man with SOB and tachycardia / / please assess for worsening pna or effusion / / ___ year old man with SOB and tachycardia TECHNIQUE : AP view of the chest COMPARISON : ___ CT and ___ x - ray FINDINGS : Numerous nodular opacities compatible the patient 's metastatic disease are again appreciated . In addition , there is worsening pulmonary edema as well as a worsening right lower lobe infiltrate which could represent pneumonia in the correct clinical setting . A right pleural effusion is also increased in size . IMPRESSION : Worsening combination of pleural effusion , pulmonary edema and possibly pneumonia particularly in the right lower lobe .", "entities": { "1": { "tokens": "Numerous", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "nodular", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "suggestive_of", "4" ] ] }, "4": { "tokens": "metastatic", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "disease", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "6": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "8": { "tokens": "edema", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "worsening", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "13" ] ] }, "10": { "tokens": "right", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "13": { "tokens": "infiltrate", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "14" ] ] }, "14": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 82, "end_ix": 82, "relations": [] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "17": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "increased", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "17" ], [ "modify", "19" ] ] }, "19": { "tokens": "size", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "20": { "tokens": "Worsening", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "22" ], [ "modify", "24" ], [ "modify", "25" ] ] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "22": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "21" ], [ "located_at", "28" ] ] }, "23": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "24": { "tokens": "edema", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "23" ], [ "located_at", "28" ] ] }, "25": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "28" ] ] }, "26": { "tokens": "right", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10005024/s59581256.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with metastatic colon cancer and SOB / / please assess for pneumonia please assess for pneumonia COMPARISON : There no prior conventional chest radiographs available for review . The examination is read in conjunction with chest CT scan on ___ . IMPRESSION : There is no clear radiographic change over the past 11 days . Bilateral pleural effusions moderate on the right small on the left and callus pulmonary nodules are unchanged . Extent of central adenopathy is better revealed by the chest CT scan . Confluent opacification at the base of the right lung is probably atelectasis , pleural mild pneumonia is difficult to exclude . In all other locations there no findings that would raise the possibility of pneumonia .", "entities": { "1": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "3": { "tokens": "effusions", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "2" ] ] }, "6": { "tokens": "small", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "3" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "2" ] ] }, "8": { "tokens": "callus", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "10": { "tokens": "nodules", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "3" ], [ "modify", "10" ] ] }, "12": { "tokens": "Extent", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "central", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "14": { "tokens": "adenopathy", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "Confluent", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "opacification", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "17" ], [ "suggestive_of", "20" ], [ "suggestive_of", "23" ] ] }, "17": { "tokens": "base", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "20": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 113, "end_ix": 113, "relations": [] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "22": { "tokens": "mild", "label": "OBS-U", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 117, "end_ix": 117, "relations": [] }, "24": { "tokens": "other", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "locations", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "19" ] ] }, "26": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 136, "end_ix": 136, "relations": [ [ "located_at", "25" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028180/s53423151.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old male with fever , chills , and malaise . COMPARISON : ___ . TECHNIQUE : Frontal and lateral chest radiographs were obtained . FINDINGS : There has been interval removal of the left PICC . Lungs are persistently hyperinflated without focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . Biapical scarring is redemonstrated , unchanged . Heart and mediastinal contours are within normal limits with aortic arch calcifications . IMPRESSION : Hyperinflated lungs without radiographic evidence for acute change .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "2": { "tokens": "PICC", "label": "OBS-DA", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "4": { "tokens": "persistently", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "3" ] ] }, "6": { "tokens": "focal", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "3" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [] }, "11": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "12": { "tokens": "edema", "label": "OBS-DA", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "Biapical", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "14": { "tokens": "scarring", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "14" ] ] }, "16": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "17": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "18": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "16" ], [ "modify", "17" ] ] }, "19": { "tokens": "within", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "normal", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "16" ], [ "located_at", "17" ] ] }, "21": { "tokens": "limits", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "aortic", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "23": { "tokens": "arch", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "22" ] ] }, "24": { "tokens": "calcifications", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "Hyperinflated", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "located_at", "26" ] ] }, "26": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "27": { "tokens": "acute", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "change", "label": "OBS-DA", "start_ix": 90, "end_ix": 90, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028180/s57844688.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old male patient with history of non - Hodgkin lymphoma , now with progressive cough . COMPARISON : Prior chest CT from ___ and chest radiograph from ___ . TECHNIQUE : PA and lateral views of the chest . IMPRESSION : There are linear opacities with rounded lucent centers along the left mid lobe and the right lower lobe , consistent with known intersitial lung disease . In comparison to prior examination dated ___ , there has been interval improvement of these infiltrates . There are no pleural effusions or pneumothorax . Pulmonary vasculature is not congested . The heart size is normal . The hilar and mediastinal contours are unremarkable . IMPRESSION : Interval improvement of known interstitial lung disease . These findings were discussed with Dr . ___ by Dr . ___ via telephone on ___ at 12:30p.m. , time of discovery .", "entities": { "1": { "tokens": "linear", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "opacities", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "8" ], [ "located_at", "11" ], [ "suggestive_of", "14" ] ] }, "3": { "tokens": "rounded", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "lucent", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "centers", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "2" ] ] }, "6": { "tokens": "left", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "mid", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "lobe", "label": "OBS-DA", "start_ix": 61, "end_ix": 61, "relations": [] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "12": { "tokens": "intersitial", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "14": { "tokens": "disease", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "12" ] ] }, "15": { "tokens": "interval", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "improvement", "label": "OBS-U", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "infiltrates", "label": "OBS-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [] }, "19": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 98, "end_ix": 98, "relations": [] }, "21": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "22": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "congested", "label": "OBS-DA", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "21" ] ] }, "24": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "25": { "tokens": "size", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "normal", "label": "OBS-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "located_at", "24" ] ] }, "27": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [] }, "28": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 115, "end_ix": 115, "relations": [] }, "29": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "27" ], [ "modify", "28" ] ] }, "30": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "located_at", "27" ], [ "located_at", "28" ] ] }, "31": { "tokens": "Interval", "label": "OBS-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "improvement", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "modify", "35" ] ] }, "33": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 127, "end_ix": 127, "relations": [] }, "35": { "tokens": "disease", "label": "OBS-DP", "start_ix": 128, "end_ix": 128, "relations": [ [ "modify", "33" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028180/s54705304.txt": { "text": "FINAL REPORT HISTORY : History of non - Hodgkin 's lymphoma with cough . Evaluate for pneumonia . COMPARISON : Chest radiographs from ___ and ___ . FINDINGS : Frontal and lateral chest radiographs demonstrate mildly hyperinflated clear lungs and a normal cardiomediastinal silhouette . No pleural effusion or pneumothorax is seen . IMPRESSION : Mildly hyperinflated lungs , similar to prior radiographs . Otherwise unremarkable chest radiograph without evidence of pneumonia . A preliminary read was provided by Dr . ___ to Dr . ___ at ___ on ___ .", "entities": { "1": { "tokens": "mildly", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "4" ] ] }, "3": { "tokens": "clear", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "4" ] ] }, "4": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "5": { "tokens": "normal", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "6" ] ] }, "6": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "7": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "9": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [] }, "11": { "tokens": "Mildly", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "13" ] ] }, "13": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "14": { "tokens": "similar to prior radiographs", "label": "OBS-DP", "start_ix": 59, "end_ix": 62, "relations": [ [ "modify", "12" ] ] }, "15": { "tokens": "Otherwise", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "chest radiograph", "label": "OBS-DP", "start_ix": 66, "end_ix": 67, "relations": [] }, "18": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028180/s50287111.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old male with lymphoma status post stem cell transplant , now with dry cough . STUDY : PA and lateral chest radiograph . COMPARISON : ___ . FINDINGS : A left PICC tip persists in the lower SVC . The cardiomediastinal and hilar contours are normal . The lungs are hyperexpanded but clear . There is no pleural effusion or pneumothorax . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "left", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "2": { "tokens": "PICC", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "tip", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "2" ], [ "located_at", "5" ] ] }, "4": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "6": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "7": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "8": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ], [ "modify", "7" ] ] }, "9": { "tokens": "normal", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "located_at", "6" ], [ "located_at", "7" ] ] }, "10": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "11": { "tokens": "hyperexpanded", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "10" ] ] }, "12": { "tokens": "clear", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "10" ] ] }, "13": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "14": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028180/s57601456.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : History of non - Hodgkin lymphoma , cough . PA and lateral upright chest radiographs were reviewed in comparison to ___ . Heart size and mediastinum are unremarkable . Lungs are slightly hyperinflated but essentially clear . No definitive consolidation to explain patient 's symptoms demonstrated . Slight increased diffuse interstitial opacity is unchanged and might reflect evidence of prior smoking , if such history present . No pleural effusion or pneumothorax seen .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "4": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "1" ], [ "located_at", "3" ] ] }, "5": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "6": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "hyperinflated", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "5" ] ] }, "8": { "tokens": "essentially", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "clear", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "5" ] ] }, "10": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 45, "end_ix": 45, "relations": [] }, "11": { "tokens": "Slight", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "increased", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "15" ] ] }, "13": { "tokens": "diffuse", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "15": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "14" ], [ "suggestive_of", "17" ] ] }, "16": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "evidence of prior smoking", "label": "OBS-U", "start_ix": 63, "end_ix": 66, "relations": [] }, "18": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "19": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028180/s57826518.txt": { "text": "FINAL REPORT TYPE OF EXAMINATION : Chest PA and lateral . INDICATION : ___ - year - old male patient with history of lymphoma , shortness of breath . Evaluate . FINDINGS : PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding similar study dated ___ . The heart size remains normal . No configurational abnormality is present . Unremarkable size of thoracic aorta with few semi - linear calcium deposits in the wall at the level of the arch . The pulmonary vasculature is not congested and there is no evidence of acute or chronic parenchymal infiltrates . As observed on the previous examination , there are relatively low positioned diaphragms that are somewhat flattened , coincide with slightly hypertranslucent lung bases . This finding is suggestive of COPD . IMPRESSION : Stable chest findings within normal limits . Unchanged mild degree of findings consistent with COPD .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "configurational", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [] }, "5": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "Unremarkable", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "9" ] ] }, "7": { "tokens": "size", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "aorta", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "10": { "tokens": "semi - linear", "label": "OBS-DP", "start_ix": 80, "end_ix": 82, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "calcium", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "deposits", "label": "OBS-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "13" ] ] }, "13": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "arch", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "15": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "16": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "congested", "label": "OBS-DA", "start_ix": 100, "end_ix": 100, "relations": [ [ "located_at", "15" ] ] }, "18": { "tokens": "acute", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "chronic", "label": "OBS-DA", "start_ix": 109, "end_ix": 109, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [] }, "21": { "tokens": "infiltrates", "label": "OBS-DA", "start_ix": 111, "end_ix": 111, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "low", "label": "OBS-DP", "start_ix": 123, "end_ix": 123, "relations": [ [ "located_at", "23" ], [ "suggestive_of", "29" ] ] }, "23": { "tokens": "diaphragms", "label": "ANAT-DP", "start_ix": 125, "end_ix": 125, "relations": [] }, "24": { "tokens": "flattened", "label": "OBS-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "located_at", "23" ], [ "suggestive_of", "29" ] ] }, "25": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 133, "end_ix": 133, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "hypertranslucent", "label": "OBS-DP", "start_ix": 134, "end_ix": 134, "relations": [ [ "located_at", "28" ], [ "suggestive_of", "29" ] ] }, "27": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 135, "end_ix": 135, "relations": [] }, "28": { "tokens": "bases", "label": "ANAT-DP", "start_ix": 136, "end_ix": 136, "relations": [ [ "modify", "27" ] ] }, "29": { "tokens": "COPD", "label": "OBS-DP", "start_ix": 143, "end_ix": 143, "relations": [] }, "30": { "tokens": "Stable", "label": "OBS-DP", "start_ix": 147, "end_ix": 147, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 148, "end_ix": 148, "relations": [] }, "32": { "tokens": "findings", "label": "OBS-DP", "start_ix": 149, "end_ix": 149, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "within", "label": "OBS-DP", "start_ix": 150, "end_ix": 150, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "normal", "label": "OBS-DP", "start_ix": 151, "end_ix": 151, "relations": [ [ "located_at", "31" ] ] }, "35": { "tokens": "limits", "label": "OBS-DP", "start_ix": 152, "end_ix": 152, "relations": [ [ "modify", "34" ] ] }, "36": { "tokens": "Unchanged", "label": "OBS-DP", "start_ix": 154, "end_ix": 154, "relations": [ [ "modify", "39" ] ] }, "37": { "tokens": "mild", "label": "OBS-DP", "start_ix": 155, "end_ix": 155, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "degree", "label": "OBS-DP", "start_ix": 156, "end_ix": 156, "relations": [ [ "modify", "39" ] ] }, "39": { "tokens": "findings", "label": "OBS-DP", "start_ix": 158, "end_ix": 158, "relations": [ [ "suggestive_of", "40" ] ] }, "40": { "tokens": "COPD", "label": "OBS-DP", "start_ix": 161, "end_ix": 161, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18028180/s55973443.txt": { "text": "FINAL REPORT INDICATION : Hx of lymphoma . S / P allo with persistent cough . Please r / o PNA . / / Hx of lymphoma . S / P allo with persistent cough . Please r / o PNA . TECHNIQUE : Chest PA and lateral COMPARISON : ___ and ___ FINDINGS : Heart is normal size and cardiomediastinal contours are stable . The lungs are well - expanded . In comparison to the prior study , there is increased density over the lower spine containing linear lucencies suggestive of a peribronchial process , not clearly seen on the AP view . There is no pleural effusion or pneumothorax . Mild anterior wedging of mid thoracic vertebral bodies is unchanged . IMPRESSION : Increased density over the lower spine with air bronchograms , suggestive of a peribronchial processes . In the appropriate clinical setting , this could represent pneumonia however lymphomatous infiltration not excluded . NOTIFICATION : Findings were discussed with Dr . ___ at 12 : 15 p on ___ via telephone .", "entities": { "1": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "2": { "tokens": "normal", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "size", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "1" ] ] }, "4": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "5": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "stable", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "8": { "tokens": "well - expanded", "label": "OBS-DP", "start_ix": 68, "end_ix": 70, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "increased", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "density", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "12" ] ] }, "11": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "13": { "tokens": "linear", "label": "OBS-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "lucencies", "label": "OBS-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "16" ] ] }, "15": { "tokens": "peribronchial", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [] }, "16": { "tokens": "process", "label": "OBS-U", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "18": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 108, "end_ix": 108, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 110, "end_ix": 110, "relations": [] }, "20": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 112, "end_ix": 112, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "anterior", "label": "ANAT-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "modify", "25" ] ] }, "22": { "tokens": "wedging", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "located_at", "21" ], [ "located_at", "25" ] ] }, "23": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "24" ] ] }, "24": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "vertebral", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] }, "26": { "tokens": "bodies", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "22" ] ] }, "28": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 125, "end_ix": 125, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "density", "label": "OBS-DP", "start_ix": 126, "end_ix": 126, "relations": [ [ "suggestive_of", "35" ], [ "suggestive_of", "36" ] ] }, "30": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 129, "end_ix": 129, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 130, "end_ix": 130, "relations": [] }, "32": { "tokens": "air bronchograms", "label": "OBS-DP", "start_ix": 132, "end_ix": 133, "relations": [ [ "located_at", "31" ], [ "suggestive_of", "34" ] ] }, "33": { "tokens": "peribronchial", "label": "ANAT-DP", "start_ix": 138, "end_ix": 138, "relations": [] }, "34": { "tokens": "processes", "label": "OBS-U", "start_ix": 139, "end_ix": 139, "relations": [ [ "located_at", "33" ] ] }, "35": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 150, "end_ix": 150, "relations": [] }, "36": { "tokens": "lymphomatous", "label": "OBS-U", "start_ix": 152, "end_ix": 152, "relations": [] }, "37": { "tokens": "infiltration", "label": "OBS-U", "start_ix": 153, "end_ix": 153, "relations": [ [ "modify", "36" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s59391463.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : History : ___ M with dyspnea on exertion TECHNIQUE : Chest PA and lateral COMPARISON : ___ FINDINGS : The patient is status post median sternotomy , and mitral and tricuspid valve replacements with multiple mediastinal clips again noted . Heart size is normal . Mediastinal and hilar contours are within normal limits . Pulmonary vasculature is normal . Lungs are clear . No pleural effusion or pneumothorax is identified . No acute osseous abnormalities are visualized . IMPRESSION : No acute cardiopulmonary abnormality .", "entities": { "1": { "tokens": "post", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "median", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "4": { "tokens": "mitral", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "tricuspid", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "valve", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [] }, "7": { "tokens": "replacements", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "6" ] ] }, "8": { "tokens": "multiple", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "10": { "tokens": "clips", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "9" ] ] }, "11": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "12": { "tokens": "size", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "11" ] ] }, "13": { "tokens": "normal", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "15": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "16": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "14" ], [ "modify", "15" ] ] }, "17": { "tokens": "within", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "normal", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "14" ], [ "located_at", "15" ] ] }, "19": { "tokens": "limits", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "18" ] ] }, "20": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "vasculature", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [] }, "22": { "tokens": "normal", "label": "OBS-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "24": { "tokens": "clear", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "23" ] ] }, "25": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "26": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "25" ] ] }, "27": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [] }, "28": { "tokens": "acute", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "30" ] ] }, "29": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "30": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "acute", "label": "OBS-DA", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "33" ] ] }, "32": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [] }, "33": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 95, "end_ix": 95, "relations": [ [ "located_at", "32" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s59261316.txt": { "text": "FINAL ADDENDUM ADDENDUM Findings were discussed with Dr . ___ ___ the phone by Dr . ___ at 4:20p.m. approximately 10 minutes after the study had been read . ______________________________________________________________________________ FINAL REPORT REASON FOR EXAMINATION : Chest tube on waterseal . AP chest radiograph . There is interval development of a small - to - moderate right apical pneumothorax after placement of the chest tube on waterseal as demonstrated on the current AP chest radiograph . The rest of the findings including mild cardiomegaly , mild mediastinal air , as well as unremarkable appearance of sternotomy wires is redemonstrated . Minimal amount of left apical pneumothorax cannot be excluded .", "entities": { "1": { "tokens": "small - to - moderate", "label": "OBS-DP", "start_ix": 51, "end_ix": 55, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "6": { "tokens": "tube", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "waterseal", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "mild", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "10": { "tokens": "mild", "label": "OBS-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "12": { "tokens": "air", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "appearance", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "sternotomy", "label": "OBS-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "wires", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "17": { "tokens": "Minimal", "label": "OBS-U", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "18" ] ] }, "18": { "tokens": "amount", "label": "OBS-U", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "left", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "21": { "tokens": "pneumothorax", "label": "OBS-U", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "20" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s51568340.txt": { "text": "FINAL REPORT SINGLE FRONTAL VIEW OF THE CHEST REASON FOR EXAM : Re - intubated . Comparison is made with prior study , ___ . ET tube is in standard position . Swan - Ganz catheter tip is in the main pulmonary artery , likely in the takeoff of the right pulmonary artery . Other monitoring devices are in unchanged position . Vascular congestion has improved . No other interval changes .", "entities": { "1": { "tokens": "ET", "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": [] }, "3": { "tokens": "standard", "label": "OBS-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "position", "label": "OBS-DP", "start_ix": 30, "end_ix": 30, "relations": [ [ "modify", "2" ] ] }, "5": { "tokens": "Swan - Ganz", "label": "OBS-DP", "start_ix": 32, "end_ix": 34, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "10" ] ] }, "7": { "tokens": "tip", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "6" ], [ "located_at", "11" ] ] }, "8": { "tokens": "main", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "artery", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "11": { "tokens": "takeoff", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "14" ] ] }, "12": { "tokens": "right", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "modify", "14" ] ] }, "13": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "artery", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "15": { "tokens": "Other", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "17" ] ] }, "16": { "tokens": "monitoring", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "devices", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "18": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "position", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "17" ] ] }, "20": { "tokens": "Vascular", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "21": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "improved", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "other", "label": "OBS-DA", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "interval", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "changes", "label": "OBS-DA", "start_ix": 70, "end_ix": 70, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s55947854.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old male with five - day history of fever and productive cough who presents for evaluation of pneumonia . COMPARISONS : None . TECHNIQUE : PA and lateral radiographs of the chest . FINDINGS : The heart size is normal . The hilar and mediastinal contours are normal . The lungs are well expanded and clear . There is no pleural effusion or pneumothorax . The visualized osseous structures are normal . IMPRESSION : No acute abnormalities identified to explain patient 's history of fever and cough .", "entities": { "1": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "2": { "tokens": "size", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "5": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "6": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "4" ], [ "modify", "5" ] ] }, "7": { "tokens": "normal", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "4" ], [ "located_at", "5" ] ] }, "8": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "9": { "tokens": "well", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "8" ] ] }, "11": { "tokens": "clear", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "8" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [] }, "15": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "16": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "normal", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "15" ] ] }, "18": { "tokens": "acute", "label": "OBS-DA", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s58920421.txt": { "text": "WET READ : ___ ___ 5:42PM Redemonstration of right apical pneumothorax , smaller than on the most recent prior . WET READ VERSION # 1 ______________________________________________________________________________ FINAL REPORT AP CHEST , 5:01P.M. , ___ HISTORY : ___ - year - old man after valve repair . Evaluate new pneumothorax . IMPRESSION : AP chest compared to ___ through ___ , 1:34p.m. : Small right apical pneumothorax has decreased since earlier in the day , basal pleural tube still in place . Lungs clear . No pleural effusion or mediastinal widening . Mild relative enlargement of the postoperative cardiac silhouette has not changed . No pulmonary edema . Mild atelectasis , right mid lung , unchanged .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 9, "end_ix": 9, "relations": [] }, "3": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 10, "end_ix": 10, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "smaller", "label": "OBS-DP", "start_ix": 12, "end_ix": 12, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "Small", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "8": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "basal", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "12": { "tokens": "tube", "label": "OBS-U", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "in place", "label": "OBS-DP", "start_ix": 78, "end_ix": 79, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "Lungs", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "15": { "tokens": "clear", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [] }, "17": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [] }, "19": { "tokens": "widening", "label": "OBS-DA", "start_ix": 89, "end_ix": 89, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "relative", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "located_at", "24" ] ] }, "23": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "located_at", "24" ] ] }, "24": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "25": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "24" ] ] }, "26": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 104, "end_ix": 104, "relations": [] }, "27": { "tokens": "edema", "label": "OBS-DA", "start_ix": 105, "end_ix": 105, "relations": [ [ "located_at", "26" ] ] }, "28": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "29" ] ] }, "29": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 108, "end_ix": 108, "relations": [] }, "30": { "tokens": "right", "label": "ANAT-DP", "start_ix": 110, "end_ix": 110, "relations": [ [ "modify", "32" ] ] }, "31": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 111, "end_ix": 111, "relations": [ [ "modify", "32" ] ] }, "32": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "33": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 114, "end_ix": 114, "relations": [ [ "modify", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s51062789.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PA AND LAT ) INDICATION : ___ year old man with shortness of breath / / assess for chf assess for chf IMPRESSION : In comparison with the study of ___ an , there is little change and no evidence of acute cardiopulmonary disease . Evidence of previous cardiac surgery with intact midline sternal wires . No acute pneumonia , vascular congestion , or pleural effusion . Mild hyperexpansion of the lungs raises the possibility of underlying chronic pulmonary disease .", "entities": { "1": { "tokens": "little", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "change", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "4" ] ] }, "3": { "tokens": "acute", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "5": { "tokens": "disease", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "cardiac", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "surgery", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "8": { "tokens": "intact", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "11" ] ] }, "9": { "tokens": "midline", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "10": { "tokens": "sternal", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "wires", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "suggestive_of", "7" ], [ "located_at", "9" ] ] }, "12": { "tokens": "acute", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] }, "14": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "15": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "17": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "hyperexpansion", "label": "OBS-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "20" ], [ "suggestive_of", "24" ] ] }, "20": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "21": { "tokens": "underlying", "label": "OBS-U", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "24" ] ] }, "22": { "tokens": "chronic", "label": "OBS-U", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "24" ] ] }, "23": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "24": { "tokens": "disease", "label": "OBS-U", "start_ix": 85, "end_ix": 85, "relations": [ [ "located_at", "23" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s57979934.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient with history of mitral valve replacement , tricuspid valve replacement and suspected pneumothorax . AP radiograph of the chest was reviewed in comparison to ___ . The right chest tube is in place . Previously demonstrated right pneumothorax appears to be decreased since the prior study . There is stable appearance of the cardiomegaly and mediastinal silhouette . The left lung is essentially clear . The lucencies projecting over the left upper lung most likely are external and repeated radiograph focussing on unobstructed appearance of the left chest is recommended .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "in place", "label": "OBS-DP", "start_ix": 41, "end_ix": 42, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "6": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "decreased", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ] ] }, "8": { "tokens": "stable", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "9" ], [ "located_at", "10" ] ] }, "9": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "10": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 65, "end_ix": 65, "relations": [] }, "11": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "left", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "14": { "tokens": "essentially", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "clear", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "13" ] ] }, "16": { "tokens": "lucencies", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "20" ] ] }, "17": { "tokens": "over", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 82, "end_ix": 82, "relations": [] }, "21": { "tokens": "external", "label": "OBS-U", "start_ix": 86, "end_ix": 86, "relations": [ [ "suggestive_of", "16" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s57516501.txt": { "text": "FINAL REPORT PORTABLE CHEST , ___ WITH COMPARISON RADIOGRAPH OF EARLIER THE SAME DATE FINDINGS : Right - sided chest tube remains in place , with a persistent small right apical pneumothorax . Visceral apical pleural line is at the level of the fourth posterior rib level , similar to the prior radiograph , allowing for slight positional differences . Cardiomediastinal contours are stable in appearance in the postoperative period . Multifocal atelectasis in the right mid and both lower lung regions is unchanged .", "entities": { "1": { "tokens": "Right - sided", "label": "ANAT-DP", "start_ix": 16, "end_ix": 18, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 19, "end_ix": 19, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "in place", "label": "OBS-DP", "start_ix": 22, "end_ix": 23, "relations": [ [ "modify", "3" ] ] }, "5": { "tokens": "small", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "modify", "8" ] ] }, "6": { "tokens": "right", "label": "ANAT-DP", "start_ix": 29, "end_ix": 29, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "8": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "Visceral", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "12": { "tokens": "line", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "11" ], [ "located_at", "15" ] ] }, "13": { "tokens": "fourth", "label": "ANAT-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "modify", "15" ] ] }, "14": { "tokens": "posterior", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "16": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "17": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "16" ] ] }, "18": { "tokens": "stable", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "16" ] ] }, "19": { "tokens": "Multifocal", "label": "OBS-DP", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "21": { "tokens": "right", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "25" ] ] }, "23": { "tokens": "both", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "modify", "25" ] ] }, "24": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "26": { "tokens": "regions", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 83, "end_ix": 83, "relations": [ [ "modify", "20" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s51817182.txt": { "text": "FINAL ADDENDUM Findings were discussed with ___ over the phone by Dr . ___ at 12:45p.m. on ___ . ______________________________________________________________________________ FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient after mitral and tricuspid valve replacements after discontinuation of the right chest tube . AP chest radiograph . Since the prior study , there has been interval increase in still small right apical pneumothorax . Minimal atelectasis in the right middle lobe is redemonstrated . No evidence of pneumothorax is seen on the left , but there is most likely present subcutaneous air again that might reflect the superimposed structures and the next radiograph should be obtained with attention to no superimposed structures projecting over the left upper chest .", "entities": { "1": { "tokens": "interval", "label": "OBS-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "increase", "label": "OBS-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "6" ] ] }, "3": { "tokens": "small", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "6": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "Minimal", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 66, "end_ix": 66, "relations": [ [ "located_at", "11" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "12": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "13" ] ] }, "13": { "tokens": "left", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "14": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [] }, "15": { "tokens": "air", "label": "OBS-DP", "start_ix": 92, "end_ix": 92, "relations": [ [ "located_at", "14" ], [ "located_at", "20" ] ] }, "16": { "tokens": "superimposed", "label": "OBS-DP", "start_ix": 98, "end_ix": 98, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "structures", "label": "OBS-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "located_at", "20" ] ] }, "18": { "tokens": "left", "label": "ANAT-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "20" ] ] }, "19": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s55748408.txt": { "text": "WET READ : ___ ___ ___ 9:09PM No acute intrathoracic process . Moderate cardiomegaly is new from ___ . ______________________________________________________________________________ FINAL REPORT PORTABLE CHEST RADIOGRAPH DATED ___ COMPARISON : ___ radiograph . FINDINGS : Cardiac silhouette is enlarged and appears increased from the prior radiograph , but accentuation by portable AP technique may contribute to this apparent change . Pulmonary vascular congestion is accompanied by mild interstitial edema and a possible small right pleural effusion .", "entities": { "1": { "tokens": "acute", "label": "OBS-DA", "start_ix": 8, "end_ix": 8, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 9, "end_ix": 9, "relations": [] }, "3": { "tokens": "process", "label": "OBS-DA", "start_ix": 10, "end_ix": 10, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 12, "end_ix": 12, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "cardiomegaly", "label": "OBS-DP", "start_ix": 13, "end_ix": 13, "relations": [] }, "6": { "tokens": "new", "label": "OBS-DP", "start_ix": 15, "end_ix": 15, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "Cardiac", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "8": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "7" ] ] }, "10": { "tokens": "increased", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "Pulmonary", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [] }, "13": { "tokens": "congestion", "label": "OBS-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "mild", "label": "OBS-DP", "start_ix": 65, "end_ix": 65, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "interstitial", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "16": { "tokens": "edema", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "small", "label": "OBS-U", "start_ix": 71, "end_ix": 71, "relations": [ [ "modify", "20" ] ] }, "18": { "tokens": "right", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-U", "start_ix": 74, "end_ix": 74, "relations": [ [ "located_at", "19" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s56020891.txt": { "text": "FINAL REPORT AP CHEST , 11:16A.M. , ___ HISTORY : ___ - year - old man after CABG . Previous right pneumothorax , now on waterseal . IMPRESSION : AP chest compared to ___ : Small right apical pneumothorax is unchanged since 5p.m. on ___ . Moderate postoperative enlargement of the cardiac silhouette is stable . Upper mediastinum is normal . No appreciable right pleural effusion . New mild left lower lobe atelectasis . No left pneumothorax .", "entities": { "1": { "tokens": "Small", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "unchanged", "label": "OBS-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "Moderate", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "8" ] ] }, "7": { "tokens": "postoperative", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "enlargement", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "9" ] ] }, "9": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "10": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "stable", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "8" ] ] }, "12": { "tokens": "Upper", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [] }, "14": { "tokens": "normal", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "located_at", "13" ] ] }, "15": { "tokens": "right", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "17": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "New", "label": "OBS-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "23" ] ] }, "19": { "tokens": "mild", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "23" ] ] }, "20": { "tokens": "left", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "22" ] ] }, "21": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "22" ] ] }, "22": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "23": { "tokens": "atelectasis", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "22" ] ] }, "24": { "tokens": "left", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [] }, "25": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [ [ "located_at", "24" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18000379/s53632378.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Evaluation of the patient after mitral and tricuspid valve surgery . Portable AP radiograph of the chest was compared to prior study obtained the same day earlier . There is slight interval progression of right apical pneumothorax . Heart size and mediastinum are stable in appearance . Right chest tube is in place .", "entities": { "1": { "tokens": "slight", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "interval", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "progression", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "6" ] ] }, "4": { "tokens": "right", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "5" ] ] }, "5": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "6": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "Heart", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [] }, "8": { "tokens": "size", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "mediastinum", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "10": { "tokens": "stable", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "located_at", "7" ], [ "located_at", "9" ] ] }, "11": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "12": { "tokens": "chest", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "tube", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "11" ] ] }, "14": { "tokens": "in place", "label": "OBS-DP", "start_ix": 57, "end_ix": 58, "relations": [ [ "modify", "13" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002852/s58489231.txt": { "text": "FINAL REPORT REASON FOR EXAMINATION : Metastatic small cell lung cancer , assessment of Port - A - Cath placement . Portable AP radiograph of the chest was reviewed in comparison to ___ . The right Port - A - Cath catheter tip can be seen approximately at the level of mid SVC . Elevated left hemidiaphragm is even more pronounced than on the prior study . The patient is slightly differently rotated , thus the appearance of the aortic knob is different , but overall most likely unchanged given positional differences . There is no pneumothorax . No interval development of pleural effusion can be appreciated .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "2": { "tokens": "Port - A - Cath", "label": "OBS-DP", "start_ix": 36, "end_ix": 40, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "catheter", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "tip", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "3" ], [ "located_at", "6" ] ] }, "5": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "SVC", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "7": { "tokens": "Elevated", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "9" ] ] }, "8": { "tokens": "left", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "hemidiaphragm", "label": "ANAT-DP", "start_ix": 56, "end_ix": 56, "relations": [] }, "10": { "tokens": "more", "label": "OBS-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "pronounced", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "7" ] ] }, "12": { "tokens": "patient", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [] }, "13": { "tokens": "slightly", "label": "OBS-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "rotated", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "12" ], [ "suggestive_of", "17" ] ] }, "15": { "tokens": "aortic", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "16": { "tokens": "knob", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "15" ] ] }, "17": { "tokens": "different", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 96, "end_ix": 96, "relations": [] }, "19": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 102, "end_ix": 102, "relations": [] }, "20": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 103, "end_ix": 103, "relations": [ [ "located_at", "19" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15002643/s51061808.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old female with multiple complaints , evaluate for infection . Comparison is made to ___ . PA AND LATERAL CHEST RADIOGRAPH : The cardiac silhouette is top normal . Trachea deviated to left , may represent prominence of left thyroid lobe . Mediastinal and hilar contours are normal . Both lungs are clear with no focal consolidation , pleural effusion or pneumothorax . There is a suggestion of rightward deviation of the cervical trachea . Suggest clinical evaluation for possible enlargement of the left thyroid lobe .", "entities": { "1": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "2": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "top", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "normal", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "Trachea", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [] }, "6": { "tokens": "deviated", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "5" ], [ "modify", "7" ] ] }, "7": { "tokens": "left", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "8": { "tokens": "prominence", "label": "OBS-U", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "11" ] ] }, "9": { "tokens": "left", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "11" ] ] }, "10": { "tokens": "thyroid", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "11": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "Mediastinal", "label": "ANAT-DP", "start_ix": 50, "end_ix": 50, "relations": [] }, "13": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "14": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ], [ "modify", "13" ] ] }, "15": { "tokens": "normal", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "12" ], [ "located_at", "13" ] ] }, "16": { "tokens": "Both", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "18": { "tokens": "clear", "label": "OBS-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "focal", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 64, "end_ix": 64, "relations": [] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "22": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [] }, "24": { "tokens": "rightward", "label": "OBS-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "deviation", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "located_at", "27" ] ] }, "26": { "tokens": "cervical", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "27" ] ] }, "27": { "tokens": "trachea", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "28": { "tokens": "enlargement", "label": "OBS-U", "start_ix": 88, "end_ix": 88, "relations": [ [ "located_at", "30" ] ] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "31" ] ] }, "30": { "tokens": "thyroid", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "31": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "30" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002559/s59849480.txt": { "text": "FINAL REPORT HISTORY : Cough . FINDINGS : In comparison with the study of ___ , there is no change or evidence of acute cardiopulmonary disease . No pneumonia , vascular congestion , or pleural effusion .", "entities": { "1": { "tokens": "no", "label": "OBS-DA", "start_ix": 18, "end_ix": 18, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "change", "label": "OBS-DA", "start_ix": 19, "end_ix": 19, "relations": [ [ "located_at", "4" ] ] }, "3": { "tokens": "acute", "label": "OBS-DA", "start_ix": 23, "end_ix": 23, "relations": [ [ "modify", "5" ] ] }, "4": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "5": { "tokens": "disease", "label": "OBS-DA", "start_ix": 25, "end_ix": 25, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 28, "end_ix": 28, "relations": [] }, "7": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "8": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [] }, "10": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "9" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p10/p10002559/s52212843.txt": { "text": "FINAL REPORT CHEST RADIOGRAPH INDICATION : Unexplained fever , evaluation for pneumonia . COMPARISON : No comparison available at the time of dictation . FINDINGS : Mild thoracic scoliosis with subsequent asymmetry of the rib cage . The lung volumes are normal . Normal appearance of the cardiac silhouette . No pleural effusions , no pneumothorax . No lung parenchymal abnormalities such as pneumonia or pulmonary edema . Normal size of the cardiac silhouette . Normal hilar and mediastinal structures .", "entities": { "1": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "3" ] ] }, "2": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 27, "end_ix": 27, "relations": [] }, "3": { "tokens": "scoliosis", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "located_at", "2" ] ] }, "4": { "tokens": "asymmetry", "label": "OBS-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "located_at", "6" ] ] }, "5": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "cage", "label": "ANAT-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "7": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "8": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "7" ] ] }, "9": { "tokens": "normal", "label": "OBS-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "located_at", "7" ] ] }, "10": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "12" ] ] }, "11": { "tokens": "appearance", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "13": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 51, "end_ix": 51, "relations": [] }, "15": { "tokens": "effusions", "label": "OBS-DA", "start_ix": 52, "end_ix": 52, "relations": [ [ "located_at", "14" ] ] }, "16": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 55, "end_ix": 55, "relations": [] }, "17": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [] }, "18": { "tokens": "parenchymal", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "17" ] ] }, "19": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "18" ] ] }, "20": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "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": "Normal", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "25" ] ] }, "24": { "tokens": "size", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 72, "end_ix": 72, "relations": [] }, "26": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "25" ] ] }, "27": { "tokens": "Normal", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "located_at", "28" ], [ "located_at", "29" ] ] }, "28": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [] }, "29": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 78, "end_ix": 78, "relations": [] }, "30": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "28" ], [ "modify", "29" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017572/s56064830.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old male status post MVC with pneumothorax . Please evaluate chest tube , pneumothorax . FINDINGS : Upright and lateral chest radiographs demonstrate a right chest tube within the lower right chest . There is right sided subcutaneous emphysema which becomes superimposed upon the right lung apex which can be seen tracking up the right neck . No large pneumothorax is seen . There may be a small right pleural effusion . The heart and mediastinal contours are normal . Upper right rib fractures better seen on CT . IMPRESSION : Right chest tube in this patient with reported pneumothorax , with note of subcutaneous emphysema . No large pneumothorax is present . Small right pleural effusion .", "entities": { "1": { "tokens": "right", "label": "ANAT-DP", "start_ix": 32, "end_ix": 32, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "3": { "tokens": "tube", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "2" ], [ "located_at", "6" ] ] }, "4": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "modify", "6" ] ] }, "5": { "tokens": "right", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "7": { "tokens": "right sided", "label": "ANAT-DP", "start_ix": 43, "end_ix": 44, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 45, "end_ix": 45, "relations": [] }, "9": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "8" ], [ "located_at", "12" ], [ "located_at", "15" ] ] }, "10": { "tokens": "superimposed", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "right", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "13": { "tokens": "apex", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "neck", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "16": { "tokens": "large", "label": "OBS-DA", "start_ix": 66, "end_ix": 66, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 67, "end_ix": 67, "relations": [] }, "18": { "tokens": "small", "label": "OBS-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "21" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 76, "end_ix": 76, "relations": [ [ "modify", "20" ] ] }, "20": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 77, "end_ix": 77, "relations": [] }, "21": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "20" ] ] }, "22": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 81, "end_ix": 81, "relations": [] }, "23": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "24": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "22" ], [ "modify", "23" ] ] }, "25": { "tokens": "normal", "label": "OBS-DP", "start_ix": 86, "end_ix": 86, "relations": [ [ "located_at", "22" ], [ "located_at", "23" ] ] }, "26": { "tokens": "Upper", "label": "ANAT-DP", "start_ix": 88, "end_ix": 88, "relations": [ [ "modify", "28" ] ] }, "27": { "tokens": "right", "label": "ANAT-DP", "start_ix": 89, "end_ix": 89, "relations": [ [ "modify", "28" ] ] }, "28": { "tokens": "rib", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "29": { "tokens": "fractures", "label": "OBS-U", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "28" ] ] }, "30": { "tokens": "Right", "label": "ANAT-DP", "start_ix": 99, "end_ix": 99, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "32": { "tokens": "tube", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "located_at", "31" ] ] }, "33": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 107, "end_ix": 107, "relations": [] }, "34": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 112, "end_ix": 112, "relations": [] }, "35": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 113, "end_ix": 113, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "large", "label": "OBS-DA", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "37" ] ] }, "37": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 117, "end_ix": 117, "relations": [] }, "38": { "tokens": "Small", "label": "OBS-DP", "start_ix": 121, "end_ix": 121, "relations": [ [ "modify", "41" ] ] }, "39": { "tokens": "right", "label": "ANAT-DP", "start_ix": 122, "end_ix": 122, "relations": [ [ "modify", "40" ] ] }, "40": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 123, "end_ix": 123, "relations": [] }, "41": { "tokens": "effusion", "label": "OBS-DP", "start_ix": 124, "end_ix": 124, "relations": [ [ "located_at", "40" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017572/s52030715.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old man with right - sided pneumothorax , assess for resolution . COMPARISONS : ___ . Two views of the chest were obtained . The lungs are well expanded and clear . There is no pleural effusion or residual pneumothorax . Mild right - sided apical pleural thickening is likely a sequela of the traumatic event . The heart is normal in size with normal cardiomediastinal contours . IMPRESSION : No residual pneumothorax .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "2": { "tokens": "well", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "clear", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "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": "residual", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 47, "end_ix": 47, "relations": [] }, "9": { "tokens": "Mild", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "13" ] ] }, "10": { "tokens": "right - sided", "label": "ANAT-DP", "start_ix": 50, "end_ix": 52, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "13": { "tokens": "thickening", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "14" ] ] }, "14": { "tokens": "sequela", "label": "OBS-U", "start_ix": 59, "end_ix": 59, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "traumatic event", "label": "OBS-U", "start_ix": 62, "end_ix": 63, "relations": [] }, "16": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "17": { "tokens": "normal", "label": "OBS-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "located_at", "16" ] ] }, "18": { "tokens": "size", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "16" ] ] }, "19": { "tokens": "normal", "label": "OBS-DP", "start_ix": 72, "end_ix": 72, "relations": [ [ "located_at", "20" ] ] }, "20": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 73, "end_ix": 73, "relations": [] }, "21": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [ [ "modify", "20" ] ] }, "22": { "tokens": "residual", "label": "OBS-DA", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "23" ] ] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 80, "end_ix": 80, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017572/s57333363.txt": { "text": "FINAL REPORT CHEST ON ___ HISTORY : Chest tube to waterseal . FINDINGS : The chest tube has been pulled back slightly and the proximal port is now in the soft tissues . No pneumothorax is identified . The amount of subcutaneous emphysema is similar compared to the study from earlier the same day .", "entities": { "1": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 15, "end_ix": 15, "relations": [] }, "2": { "tokens": "tube", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "proximal", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "4" ] ] }, "4": { "tokens": "port", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "2" ], [ "located_at", "5" ] ] }, "5": { "tokens": "soft tissues", "label": "ANAT-DP", "start_ix": 30, "end_ix": 31, "relations": [] }, "6": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 34, "end_ix": 34, "relations": [] }, "7": { "tokens": "amount of", "label": "OBS-DP", "start_ix": 39, "end_ix": 40, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "9": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "8" ] ] }, "10": { "tokens": "similar", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "9" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017572/s51869019.txt": { "text": "FINAL REPORT CHEST ON ___ HISTORY : Right rib fractures and pneumothorax . FINDINGS : A small right apical pneumothorax is again visualized , similar in size compared to the study from five hours prior . Subcutaneous emphysema on the right is also present and is similar in amount compared to prior . Increased opacity in the right mid lung is again visualized .", "entities": { "1": { "tokens": "small", "label": "OBS-DP", "start_ix": 16, "end_ix": 16, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 17, "end_ix": 17, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 18, "end_ix": 18, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "similar", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "modify", "6" ] ] }, "6": { "tokens": "size", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "modify", "4" ] ] }, "7": { "tokens": "Subcutaneous", "label": "ANAT-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "right", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "10": { "tokens": "similar", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "11" ] ] }, "11": { "tokens": "amount", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [ [ "modify", "8" ] ] }, "12": { "tokens": "Increased", "label": "OBS-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "located_at", "16" ] ] }, "14": { "tokens": "right", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p18/p18017572/s54836720.txt": { "text": "FINAL REPORT CHEST ON ___ HISTORY : Chest tube removed , check for pneumothorax . FINDINGS : There is a small right apical pneumothorax , larger than on the prior exam . There is increased opacity in the right middle lobe that may represent volume loss or early infiltrate . A moderate amount of subcutaneous emphysema is again seen in the right lateral chest wall and axillary region . The left lung is clear .", "entities": { "1": { "tokens": "small", "label": "OBS-DP", "start_ix": 20, "end_ix": 20, "relations": [ [ "modify", "4" ] ] }, "2": { "tokens": "right", "label": "ANAT-DP", "start_ix": 21, "end_ix": 21, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "apical", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DP", "start_ix": 23, "end_ix": 23, "relations": [ [ "located_at", "3" ] ] }, "5": { "tokens": "larger", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "increased", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "10" ], [ "suggestive_of", "12" ], [ "suggestive_of", "14" ] ] }, "8": { "tokens": "right", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "middle", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lobe", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [] }, "11": { "tokens": "volume", "label": "ANAT-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "loss", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "early", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "14" ] ] }, "14": { "tokens": "infiltrate", "label": "OBS-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "15": { "tokens": "moderate", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "amount", "label": "OBS-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "subcutaneous", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "21" ], [ "modify", "23" ] ] }, "18": { "tokens": "emphysema", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "right", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [ [ "modify", "21" ] ] }, "20": { "tokens": "lateral", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "chest", "label": "ANAT-DP", "start_ix": 63, "end_ix": 63, "relations": [] }, "22": { "tokens": "wall", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "modify", "21" ] ] }, "23": { "tokens": "axillary", "label": "ANAT-DP", "start_ix": 66, "end_ix": 66, "relations": [] }, "24": { "tokens": "region", "label": "ANAT-DP", "start_ix": 67, "end_ix": 67, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "left", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [ [ "modify", "26" ] ] }, "26": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 71, "end_ix": 71, "relations": [] }, "27": { "tokens": "clear", "label": "OBS-DP", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "26" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001203/s50723040.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( PORTABLE AP ) INDICATION : History : ___ M with upper chest and back pain , also bibasilar crackles / / Pneumonia ? CHF exacerbation ? TECHNIQUE : Single frontal view of the chest COMPARISON : None FINDINGS : There are low lung volumes . The cardiac silhouette is enlarged . Left mid to lower lung opacity is seen , may be representing pleural effusion with overlying atelectasis . There is also a right perihilar opacity and likely small right pleural effusion . No pneumothorax is seen . IMPRESSION : Bilateral pleural effusions , right greater than left , with overlying atelectasis . Findings better assessed on subsequent CT .", "entities": { "1": { "tokens": "low", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "2" ] ] }, "2": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 48, "end_ix": 48, "relations": [] }, "3": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "cardiac", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [] }, "5": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "enlarged", "label": "OBS-DP", "start_ix": 55, "end_ix": 55, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "Left", "label": "ANAT-DP", "start_ix": 57, "end_ix": 57, "relations": [ [ "modify", "10" ] ] }, "8": { "tokens": "mid", "label": "ANAT-DP", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "10" ] ] }, "9": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 60, "end_ix": 60, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 61, "end_ix": 61, "relations": [] }, "11": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "located_at", "10" ], [ "suggestive_of", "13" ], [ "suggestive_of", "15" ] ] }, "12": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [] }, "13": { "tokens": "effusion", "label": "OBS-U", "start_ix": 70, "end_ix": 70, "relations": [ [ "located_at", "12" ] ] }, "14": { "tokens": "overlying", "label": "OBS-U", "start_ix": 72, "end_ix": 72, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 73, "end_ix": 73, "relations": [ [ "located_at", "10" ] ] }, "16": { "tokens": "right", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "17" ] ] }, "17": { "tokens": "perihilar", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [] }, "18": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 81, "end_ix": 81, "relations": [ [ "located_at", "17" ] ] }, "19": { "tokens": "small", "label": "OBS-U", "start_ix": 84, "end_ix": 84, "relations": [ [ "modify", "22" ] ] }, "20": { "tokens": "right", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 86, "end_ix": 86, "relations": [] }, "22": { "tokens": "effusion", "label": "OBS-U", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "21" ] ] }, "23": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 90, "end_ix": 90, "relations": [] }, "24": { "tokens": "Bilateral", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [ [ "modify", "25" ] ] }, "25": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [] }, "26": { "tokens": "effusions", "label": "OBS-U", "start_ix": 98, "end_ix": 98, "relations": [ [ "located_at", "25" ], [ "located_at", "27" ], [ "located_at", "29" ] ] }, "27": { "tokens": "right", "label": "ANAT-DP", "start_ix": 100, "end_ix": 100, "relations": [] }, "28": { "tokens": "greater", "label": "OBS-DP", "start_ix": 101, "end_ix": 101, "relations": [ [ "modify", "26" ], [ "located_at", "27" ] ] }, "29": { "tokens": "left", "label": "ANAT-DP", "start_ix": 103, "end_ix": 103, "relations": [] }, "30": { "tokens": "overlying", "label": "OBS-U", "start_ix": 106, "end_ix": 106, "relations": [ [ "modify", "31" ] ] }, "31": { "tokens": "atelectasis", "label": "OBS-U", "start_ix": 107, "end_ix": 107, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001834/s54486241.txt": { "text": "FINAL ADDENDUM Addendum : Additional information has been obtained from ___ Clinical Lookup since the approval of the original report . Reason for exam should also state chest pain . ______________________________________________________________________________ FINAL REPORT INDICATION : ___ M with fall / / rib fracture TECHNIQUE : AP and lateral views of the chest . COMPARISON : ___ . ___ . FINDINGS : The lungs are clear . There is no effusion or pneumothorax . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities identified . Widening of the left AC joint with resorption of the distal clavicle is chronic . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 64, "end_ix": 64, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 69, "end_ix": 69, "relations": [] }, "4": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 71, "end_ix": 71, "relations": [] }, "5": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 74, "end_ix": 74, "relations": [] }, "6": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 75, "end_ix": 75, "relations": [ [ "modify", "5" ] ] }, "7": { "tokens": "within", "label": "OBS-DP", "start_ix": 77, "end_ix": 77, "relations": [ [ "modify", "9" ] ] }, "8": { "tokens": "normal", "label": "OBS-DP", "start_ix": 78, "end_ix": 78, "relations": [ [ "located_at", "5" ] ] }, "9": { "tokens": "limits", "label": "OBS-DP", "start_ix": 79, "end_ix": 79, "relations": [ [ "modify", "8" ] ] }, "10": { "tokens": "acute", "label": "OBS-DA", "start_ix": 82, "end_ix": 82, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 83, "end_ix": 83, "relations": [] }, "12": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 84, "end_ix": 84, "relations": [ [ "located_at", "11" ] ] }, "13": { "tokens": "Widening", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "16" ] ] }, "14": { "tokens": "left", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "AC", "label": "ANAT-DP", "start_ix": 91, "end_ix": 91, "relations": [ [ "modify", "16" ] ] }, "16": { "tokens": "joint", "label": "ANAT-DP", "start_ix": 92, "end_ix": 92, "relations": [] }, "17": { "tokens": "resorption", "label": "OBS-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "located_at", "19" ] ] }, "18": { "tokens": "distal", "label": "ANAT-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "clavicle", "label": "ANAT-DP", "start_ix": 98, "end_ix": 98, "relations": [] }, "20": { "tokens": "chronic", "label": "OBS-DP", "start_ix": 100, "end_ix": 100, "relations": [ [ "modify", "17" ] ] }, "21": { "tokens": "acute", "label": "OBS-DA", "start_ix": 105, "end_ix": 105, "relations": [ [ "modify", "23" ] ] }, "22": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 106, "end_ix": 106, "relations": [] }, "23": { "tokens": "process", "label": "OBS-DA", "start_ix": 107, "end_ix": 107, "relations": [ [ "located_at", "22" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001834/s56269673.txt": { "text": "FINAL REPORT HISTORY : ___ - year - old male with chest pain . COMPARISON : ___ . FINDINGS : AP and 2 lateral views of the chest . The lungs are clear of focal consolidation , effusion , pneumothorax or pulmonary vascular congestion . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormality is detected . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "2": { "tokens": "focal", "label": "OBS-DA", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "consolidation", "label": "OBS-DA", "start_ix": 35, "end_ix": 35, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 39, "end_ix": 39, "relations": [] }, "6": { "tokens": "pulmonary", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [ [ "modify", "7" ] ] }, "7": { "tokens": "vascular", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "8": { "tokens": "congestion", "label": "OBS-DA", "start_ix": 43, "end_ix": 43, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "cardiomediastinal", "label": "ANAT-DP", "start_ix": 46, "end_ix": 46, "relations": [] }, "10": { "tokens": "silhouette", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "modify", "9" ] ] }, "11": { "tokens": "within", "label": "OBS-DP", "start_ix": 49, "end_ix": 49, "relations": [ [ "modify", "13" ] ] }, "12": { "tokens": "normal", "label": "OBS-DP", "start_ix": 50, "end_ix": 50, "relations": [ [ "located_at", "9" ] ] }, "13": { "tokens": "limits", "label": "OBS-DP", "start_ix": 51, "end_ix": 51, "relations": [ [ "modify", "12" ] ] }, "14": { "tokens": "acute", "label": "OBS-DA", "start_ix": 54, "end_ix": 54, "relations": [ [ "modify", "16" ] ] }, "15": { "tokens": "osseous", "label": "ANAT-DP", "start_ix": 55, "end_ix": 55, "relations": [] }, "16": { "tokens": "abnormality", "label": "OBS-DA", "start_ix": 56, "end_ix": 56, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "acute", "label": "OBS-DA", "start_ix": 63, "end_ix": 63, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 64, "end_ix": 64, "relations": [] }, "19": { "tokens": "process", "label": "OBS-DA", "start_ix": 65, "end_ix": 65, "relations": [ [ "located_at", "18" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001834/s54265476.txt": { "text": "FINAL REPORT HISTORY : Fall with LOC and pain . COMPARISON : ___ . FINDINGS : 2 views of the chest . The lungs are well expanded and clear . There is no pleural effusion or pneumothorax . The heart and mediastinal contours are unremarkable . Surgical clips are noted in the upper abdomen . IMPRESSION : No acute intrathoracic process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 23, "end_ix": 23, "relations": [] }, "2": { "tokens": "well", "label": "OBS-DP", "start_ix": 25, "end_ix": 25, "relations": [ [ "modify", "3" ] ] }, "3": { "tokens": "expanded", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "clear", "label": "OBS-DP", "start_ix": 28, "end_ix": 28, "relations": [ [ "located_at", "1" ] ] }, "5": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 33, "end_ix": 33, "relations": [] }, "6": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 34, "end_ix": 34, "relations": [ [ "located_at", "5" ] ] }, "7": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 36, "end_ix": 36, "relations": [] }, "8": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "9": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "10": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "modify", "8" ], [ "modify", "9" ] ] }, "11": { "tokens": "unremarkable", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "located_at", "8" ], [ "located_at", "9" ] ] }, "12": { "tokens": "Surgical", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "13" ] ] }, "13": { "tokens": "clips", "label": "OBS-DP", "start_ix": 47, "end_ix": 47, "relations": [ [ "located_at", "15" ] ] }, "14": { "tokens": "upper", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "15" ] ] }, "15": { "tokens": "abdomen", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [] }, "16": { "tokens": "acute", "label": "OBS-DA", "start_ix": 58, "end_ix": 58, "relations": [ [ "modify", "18" ] ] }, "17": { "tokens": "intrathoracic", "label": "ANAT-DP", "start_ix": 59, "end_ix": 59, "relations": [] }, "18": { "tokens": "process", "label": "OBS-DA", "start_ix": 60, "end_ix": 60, "relations": [ [ "located_at", "17" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001834/s58938701.txt": { "text": "FINAL REPORT EXAMINATION : CHEST ( AP AND LAT ) INDICATION : ___ M with intoxication , hypoxia COMPARISON : ___ . FINDINGS : AP upright and lateral views of the chest provided . Overlying EKG leads noted . Lung volumes are low . Minimally increased opacity is seen projecting over the left lower lung which could represent aspiration or pneumonia . Bronchovascular crowding is noted in the right lower lung . No large effusion or pneumothorax . The heart size appears stable . Bony structures are intact . No mediastinal abnormalities . Chronic left AC joint separation noted . IMPRESSION : New subtle opacity in the left lower lung could represent pneumonia or aspiration . Chronic left AC joint separation .", "entities": { "1": { "tokens": "Overlying", "label": "OBS-DP", "start_ix": 34, "end_ix": 34, "relations": [ [ "modify", "2" ] ] }, "2": { "tokens": "EKG", "label": "OBS-DP", "start_ix": 35, "end_ix": 35, "relations": [] }, "3": { "tokens": "leads", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "2" ] ] }, "4": { "tokens": "Lung", "label": "ANAT-DP", "start_ix": 39, "end_ix": 39, "relations": [] }, "5": { "tokens": "volumes", "label": "ANAT-DP", "start_ix": 40, "end_ix": 40, "relations": [ [ "modify", "4" ] ] }, "6": { "tokens": "low", "label": "OBS-DP", "start_ix": 42, "end_ix": 42, "relations": [ [ "located_at", "4" ] ] }, "7": { "tokens": "Minimally", "label": "OBS-DP", "start_ix": 44, "end_ix": 44, "relations": [ [ "modify", "8" ] ] }, "8": { "tokens": "increased", "label": "OBS-DP", "start_ix": 45, "end_ix": 45, "relations": [ [ "modify", "9" ] ] }, "9": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 46, "end_ix": 46, "relations": [ [ "located_at", "12" ], [ "suggestive_of", "13" ], [ "suggestive_of", "14" ] ] }, "10": { "tokens": "left", "label": "ANAT-DP", "start_ix": 52, "end_ix": 52, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 53, "end_ix": 53, "relations": [ [ "modify", "12" ] ] }, "12": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 54, "end_ix": 54, "relations": [] }, "13": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 58, "end_ix": 58, "relations": [] }, "14": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 60, "end_ix": 60, "relations": [] }, "15": { "tokens": "Bronchovascular", "label": "ANAT-DP", "start_ix": 62, "end_ix": 62, "relations": [ [ "modify", "19" ] ] }, "16": { "tokens": "crowding", "label": "OBS-DP", "start_ix": 63, "end_ix": 63, "relations": [ [ "located_at", "15" ] ] }, "17": { "tokens": "right", "label": "ANAT-DP", "start_ix": 68, "end_ix": 68, "relations": [ [ "modify", "19" ] ] }, "18": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 69, "end_ix": 69, "relations": [ [ "modify", "19" ] ] }, "19": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 70, "end_ix": 70, "relations": [] }, "20": { "tokens": "large", "label": "OBS-DA", "start_ix": 73, "end_ix": 73, "relations": [ [ "modify", "21" ] ] }, "21": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 74, "end_ix": 74, "relations": [] }, "22": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 76, "end_ix": 76, "relations": [] }, "23": { "tokens": "heart", "label": "ANAT-DP", "start_ix": 79, "end_ix": 79, "relations": [] }, "24": { "tokens": "size", "label": "ANAT-DP", "start_ix": 80, "end_ix": 80, "relations": [ [ "modify", "23" ] ] }, "25": { "tokens": "stable", "label": "OBS-DP", "start_ix": 82, "end_ix": 82, "relations": [ [ "located_at", "23" ] ] }, "26": { "tokens": "Bony", "label": "ANAT-DP", "start_ix": 84, "end_ix": 84, "relations": [] }, "27": { "tokens": "structures", "label": "ANAT-DP", "start_ix": 85, "end_ix": 85, "relations": [ [ "modify", "26" ] ] }, "28": { "tokens": "intact", "label": "OBS-DP", "start_ix": 87, "end_ix": 87, "relations": [ [ "located_at", "26" ] ] }, "29": { "tokens": "mediastinal", "label": "ANAT-DP", "start_ix": 90, "end_ix": 90, "relations": [] }, "30": { "tokens": "abnormalities", "label": "OBS-DA", "start_ix": 91, "end_ix": 91, "relations": [ [ "located_at", "29" ] ] }, "31": { "tokens": "Chronic", "label": "OBS-DP", "start_ix": 93, "end_ix": 93, "relations": [ [ "modify", "35" ] ] }, "32": { "tokens": "left", "label": "ANAT-DP", "start_ix": 94, "end_ix": 94, "relations": [ [ "modify", "34" ] ] }, "33": { "tokens": "AC", "label": "ANAT-DP", "start_ix": 95, "end_ix": 95, "relations": [ [ "modify", "34" ] ] }, "34": { "tokens": "joint", "label": "ANAT-DP", "start_ix": 96, "end_ix": 96, "relations": [] }, "35": { "tokens": "separation", "label": "OBS-DP", "start_ix": 97, "end_ix": 97, "relations": [ [ "located_at", "34" ] ] }, "36": { "tokens": "New", "label": "OBS-DP", "start_ix": 102, "end_ix": 102, "relations": [ [ "modify", "38" ] ] }, "37": { "tokens": "subtle", "label": "OBS-DP", "start_ix": 103, "end_ix": 103, "relations": [ [ "modify", "38" ] ] }, "38": { "tokens": "opacity", "label": "OBS-DP", "start_ix": 104, "end_ix": 104, "relations": [ [ "located_at", "41" ], [ "suggestive_of", "42" ], [ "suggestive_of", "43" ] ] }, "39": { "tokens": "left", "label": "ANAT-DP", "start_ix": 107, "end_ix": 107, "relations": [ [ "modify", "41" ] ] }, "40": { "tokens": "lower", "label": "ANAT-DP", "start_ix": 108, "end_ix": 108, "relations": [ [ "modify", "41" ] ] }, "41": { "tokens": "lung", "label": "ANAT-DP", "start_ix": 109, "end_ix": 109, "relations": [] }, "42": { "tokens": "pneumonia", "label": "OBS-U", "start_ix": 112, "end_ix": 112, "relations": [] }, "43": { "tokens": "aspiration", "label": "OBS-U", "start_ix": 114, "end_ix": 114, "relations": [] }, "44": { "tokens": "Chronic", "label": "OBS-DP", "start_ix": 116, "end_ix": 116, "relations": [ [ "modify", "48" ] ] }, "45": { "tokens": "left", "label": "ANAT-DP", "start_ix": 117, "end_ix": 117, "relations": [ [ "modify", "47" ] ] }, "46": { "tokens": "AC", "label": "ANAT-DP", "start_ix": 118, "end_ix": 118, "relations": [ [ "modify", "47" ] ] }, "47": { "tokens": "joint", "label": "ANAT-DP", "start_ix": 119, "end_ix": 119, "relations": [] }, "48": { "tokens": "separation", "label": "OBS-DP", "start_ix": 120, "end_ix": 120, "relations": [ [ "located_at", "47" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001834/s52944718.txt": { "text": "FINAL REPORT PA AND LATERAL VIEWS OF THE CHEST REASON FOR EXAM : Abdominal pain . Cardiomediastinal contours are normal . The lungs are clear . There is no pneumothorax or pleural effusion . There are mild degenerative changes in the thoracic spine . IMPRESSION : No evidence of pneumonia .", "entities": { "1": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 16, "end_ix": 16, "relations": [] }, "2": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 17, "end_ix": 17, "relations": [ [ "modify", "1" ] ] }, "3": { "tokens": "normal", "label": "OBS-DP", "start_ix": 19, "end_ix": 19, "relations": [ [ "located_at", "1" ] ] }, "4": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 22, "end_ix": 22, "relations": [] }, "5": { "tokens": "clear", "label": "OBS-DP", "start_ix": 24, "end_ix": 24, "relations": [ [ "located_at", "4" ] ] }, "6": { "tokens": "pneumothorax", "label": "OBS-DA", "start_ix": 29, "end_ix": 29, "relations": [] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [] }, "8": { "tokens": "effusion", "label": "OBS-DA", "start_ix": 32, "end_ix": 32, "relations": [ [ "located_at", "7" ] ] }, "9": { "tokens": "mild", "label": "OBS-DP", "start_ix": 36, "end_ix": 36, "relations": [ [ "modify", "10" ] ] }, "10": { "tokens": "degenerative", "label": "OBS-DP", "start_ix": 37, "end_ix": 37, "relations": [ [ "located_at", "13" ] ] }, "11": { "tokens": "changes", "label": "OBS-DP", "start_ix": 38, "end_ix": 38, "relations": [ [ "modify", "10" ] ] }, "12": { "tokens": "thoracic", "label": "ANAT-DP", "start_ix": 41, "end_ix": 41, "relations": [] }, "13": { "tokens": "spine", "label": "ANAT-DP", "start_ix": 42, "end_ix": 42, "relations": [] }, "14": { "tokens": "pneumonia", "label": "OBS-DA", "start_ix": 49, "end_ix": 49, "relations": [] } }, "data_source": "MIMIC-CXR", "data_split": "train" }, "p15/p15001834/s50931830.txt": { "text": "FINAL REPORT INDICATION : ___ - year - old male with chest pain . COMPARISON : ___ . CHEST , AP UPRIGHT : The lungs are clear . Cardiomediastinal and hilar contours are normal . There are no pleural effusions or pneumothorax . IMPRESSION : No acute cardiopulmonary process .", "entities": { "1": { "tokens": "lungs", "label": "ANAT-DP", "start_ix": 24, "end_ix": 24, "relations": [] }, "2": { "tokens": "clear", "label": "OBS-DP", "start_ix": 26, "end_ix": 26, "relations": [ [ "located_at", "1" ] ] }, "3": { "tokens": "Cardiomediastinal", "label": "ANAT-DP", "start_ix": 28, "end_ix": 28, "relations": [] }, "4": { "tokens": "hilar", "label": "ANAT-DP", "start_ix": 30, "end_ix": 30, "relations": [] }, "5": { "tokens": "contours", "label": "ANAT-DP", "start_ix": 31, "end_ix": 31, "relations": [ [ "modify", "3" ], [ "modify", "4" ] ] }, "6": { "tokens": "normal", "label": "OBS-DP", "start_ix": 33, "end_ix": 33, "relations": [ [ "located_at", "3" ], [ "located_at", "4" ] ] }, "7": { "tokens": "pleural", "label": "ANAT-DP", "start_ix": 38, "end_ix": 38, "relations": [] }, "8": { "tokens": "effusions", "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": "acute", "label": "OBS-DA", "start_ix": 46, "end_ix": 46, "relations": [ [ "modify", "12" ] ] }, "11": { "tokens": "cardiopulmonary", "label": "ANAT-DP", "start_ix": 47, "end_ix": 47, "relations": [] }, "12": { "tokens": "process", "label": "OBS-DA", "start_ix": 48, "end_ix": 48, "relations": [ [ "located_at", "11" ] ] } }, "data_source": "MIMIC-CXR", "data_split": "train" } }