{"case_id": "CXR3378_IM-1627", "images": ["/iu_xray/image/CXR3378_IM-1627/0.png", "/iu_xray/image/CXR3378_IM-1627/1.png"], "reference_report": "There is a moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. There is a minimally displaced right lateral 8th rib fracture and probable nondisplaced right lateral 7th rib fracture. Cardiomediastinal silhouette is within normal limits. Left lung is clear.", "reference_findings": [{"finding": "pneumothorax", "location": "right apex", "certainty": "positive", "attributes": {"severity": "moderate", "measurement": "approximately 3.3 cm"}}, {"finding": "rib fracture", "location": "right lateral 8th rib", "certainty": "positive", "attributes": {"displacement": "minimally displaced"}}, {"finding": "rib fracture", "location": "right lateral 7th rib", "certainty": "probable", "attributes": {"displacement": "nondisplaced"}}]}
{"case_id": "CXR64_IM-2218", "images": ["/iu_xray/image/CXR64_IM-2218/0.png", "/iu_xray/image/CXR64_IM-2218/1.png"], "reference_report": "2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX.", "reference_findings": [{"finding": "pneumothorax", "location": "right apex", "certainty": "positive", "attributes": {"severity": "small to moderate", "measurement": "approximately 2.0 cm"}}]}
{"case_id": "CXR1226_IM-0150", "images": ["/iu_xray/image/CXR1226_IM-0150/0.png", "/iu_xray/image/CXR1226_IM-0150/1.png"], "reference_report": "The heart size is within normal limits. Trachea is midline. No pleural effusions or pneumothorax. Cardiomediastinal contours are normal. There is focal consolidation in the posterior segment of the right lower lobe. No bony or soft tissue abnormalities.", "reference_findings": [{"finding": "focal consolidation", "location": "posterior segment of the right lower lobe", "certainty": "positive", "attributes": {}}]}
{"case_id": "CXR3846_IM-1946", "images": ["/iu_xray/image/CXR3846_IM-1946/0.png", "/iu_xray/image/CXR3846_IM-1946/1.png"], "reference_report": "Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. The right lung is clear. There is a recurrence moderate-sized left pleural effusion. No pneumothorax. Limited right base stringy density compatible with atelectasis. Dextroscoliosis of the thoracic spine.", "reference_findings": [{"finding": "pleural effusion", "location": "left pleural space", "certainty": "positive", "attributes": {"severity": "moderate", "temporal_status": "recurrent"}}, {"finding": "atelectasis", "location": "right lung base", "certainty": "positive", "attributes": {"extent": "limited", "appearance": "stringy density"}}, {"finding": "dextroscoliosis", "location": "thoracic spine", "certainty": "positive", "attributes": {}}]}
{"case_id": "CXR3509_IM-1711-0001", "images": ["/iu_xray/image/CXR3509_IM-1711-0001/0.png", "/iu_xray/image/CXR3509_IM-1711-0001/1.png"], "reference_report": "The heart size and pulmonary vascularity appear within normal limits. Right pleural effusion is present and appears increased. No pneumothorax is identified. Some scattered XXXX of right base atelectasis are seen. Surgical XXXX remain in XXXX. The left lung appears clear.", "reference_findings": [{"finding": "pleural effusion", "location": "right pleural space", "certainty": "positive", "attributes": {"temporal_status": "increased"}}, {"finding": "atelectasis", "location": "right lung base", "certainty": "positive", "attributes": {"distribution": "scattered"}}]}
{"case_id": "CXR2502_IM-1027-1001", "images": ["/iu_xray/image/CXR2502_IM-1027-1001/0.png", "/iu_xray/image/CXR2502_IM-1027-1001/1.png"], "reference_report": "There is a focal area of opacity in the right midlung zone. This was not present on the recent prior study. There is prominence of the pulmonary markings throughout and there are small bilateral pleural effusions. The heart is not significantly enlarged. There is a prosthetic valve. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "reference_findings": [{"finding": "focal opacity", "location": "right midlung zone", "certainty": "positive", "attributes": {"temporal_status": "new compared with recent prior study"}}, {"finding": "prominent pulmonary markings", "location": "bilateral lungs", "certainty": "positive", "attributes": {"distribution": "diffuse"}}, {"finding": "pleural effusion", "location": "bilateral pleural spaces", "certainty": "positive", "attributes": {"severity": "small"}}, {"finding": "atherosclerotic changes", "location": "aorta", "certainty": "positive", "attributes": {}}, {"finding": "arthritic changes", "location": "skeletal structures", "certainty": "positive", "attributes": {}}]}
{"case_id": "CXR3281_IM-1562", "images": ["/iu_xray/image/CXR3281_IM-1562/0.png", "/iu_xray/image/CXR3281_IM-1562/1.png"], "reference_report": "The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. XXXX and soft tissues are unremarkable.", "reference_findings": [{"finding": "pulmonary nodule", "location": "right upper lobe", "certainty": "positive", "attributes": {"diameter": "8 mm"}}]}
{"case_id": "CXR1855_IM-0555", "images": ["/iu_xray/image/CXR1855_IM-0555/0.png", "/iu_xray/image/CXR1855_IM-0555/1.png"], "reference_report": "Heart size within normal limits. There is focal left lateral base airspace disease. There is a 6 mm nodular opacity in the right midlung. No pneumothorax. No pleural effusion. No displaced rib fractures. There is an apparent deformity of the right humeral surgical neck. This is not seen on the comparison. Correlate clinically with history of fracture.", "reference_findings": [{"finding": "airspace disease", "location": "left lateral lung base", "certainty": "positive", "attributes": {"distribution": "focal"}}, {"finding": "nodular opacity", "location": "right midlung", "certainty": "positive", "attributes": {"diameter": "6 mm"}}, {"finding": "humeral surgical neck deformity", "location": "right humeral surgical neck", "certainty": "indeterminate", "attributes": {"temporal_status": "not seen on comparison", "clinical_note": "correlate with history of fracture"}}]}
{"case_id": "CXR689_IM-2257", "images": ["/iu_xray/image/CXR689_IM-2257/0.png", "/iu_xray/image/CXR689_IM-2257/1.png"], "reference_report": "Three noncalcified lung nodules are present in the left lower lobe. The largest measures 3.5 mm in diameter. Another nodule is present near the right hilum. It is approximately 2 cm in diameter. The XXXX and mediastinum appear normal. Heart size normal.", "reference_findings": [{"finding": "noncalcified pulmonary nodules", "location": "left lower lobe", "certainty": "positive", "attributes": {"count": 3, "largest_diameter": "3.5 mm"}}, {"finding": "pulmonary nodule", "location": "near the right hilum", "certainty": "positive", "attributes": {"diameter": "approximately 2 cm"}}]}
{"case_id": "CXR387_IM-1962", "images": ["/iu_xray/image/CXR387_IM-1962/0.png", "/iu_xray/image/CXR387_IM-1962/1.png"], "reference_report": "Heart size is normal. There is left hilar enlargement with partial opacification of the left upper lobe suggestive of hilar mass with obstructive atelectasis. Questionable small right midlung nodule. Negative for pneumothorax or pleural effusion. Bony thorax is unremarkable.", "reference_findings": [{"finding": "hilar enlargement", "location": "left hilum", "certainty": "positive", "attributes": {}}, {"finding": "partial opacification", "location": "left upper lobe", "certainty": "positive", "attributes": {}}, {"finding": "hilar mass", "location": "left hilum", "certainty": "suggestive", "attributes": {}}, {"finding": "obstructive atelectasis", "location": "left upper lobe", "certainty": "suggestive", "attributes": {}}, {"finding": "pulmonary nodule", "location": "right midlung", "certainty": "questionable", "attributes": {"size": "small"}}]}